Abstract: Apparatus for detecting atrial arrhythmias in the treatment of disorders of the heartbeat rate in active implantable medical devices of the pacemaker, cardioverter, defribillator and/or multisite type. This device includes conventional systems, circuits and control algorithm for detecting spontaneous and stimulated ventricular events (R, V) and atrial events (P, A), indicating the delivery of a ventricular and/or atrial event, and inhibiting the detection of atrial events after detection of a ventricular event throughout a post-ventricular atrial absolute refractory period (PVAARP). Detecting atrial events includes protecting against the detection of atrial signals that do not correspond to an atrial event that has actually occurred, in particular protecting against atrial detection of far-field signals caused by a ventricular event.
Abstract: An antenna system for collecting electric waves for the reception of magnetic induction signals emitted by an active implantable medical device. The system includes an antenna that comprises a reception coil (10) and a compensation coil (20), each of which preferably includes at least one series of turns (12, 22) wound around respective mandrels (16, 26) made out of a nonmagnetic material. The mandrels are positioned side by side with their respective axes (18, 28) spaced apart and parallel, and with their cross sections areas not superimposed. The cross section of the mandrel (26) of the compensation coil (20) is less than that of the mandrel (16) of the reception coil (10). The series of turns (22) of the compensation coil (20) can be split in a plurality of groups of turns (24) wound on the same mandrel (26), with an axial spacing and connected in series, preferably with the sections of winding and/or different numbers of turns being different.
Abstract: A set for installing an intracardiac lead equipped with a screw in a wall of the endocardium, particularly a stimulation or defibrillation lead. This set comprises a removable stylet (50), able to be introduced inside the sheath (12) of the lead-body and mobile in translation and rotation therein. The stylet has at its distal extremity a mechanism (56) for coupling in rotation to allow the rotation (28) of the lead-head (10). The stylet (50) includes: a central core (52, 71) carrying at its distal extremity the aforementioned coupling mechanism, and at its proximal extremity a handling body (32) for handling by the physician and a hollow tube (54) axially placed around the core.