Abstract: A method for adjusting control parameters of a clip applier using a surgical hub is disclosed. The method comprises gathering data during a first surgical procedure, evaluating the gathered data to determine the appropriate operation of a clip applier in a subsequent surgical procedure, gathering data during the operation of the clip applier in the subsequent surgical procedure, determining if the operation of the clip applier needs to be adjusted based on the data gathered during the subsequent surgical procedure, and adjusting the operation of the clip applier based on the data gathered during the subsequent surgical procedure.

Abstract: An off-road motorcycle stand is selectively adjustable between vertically-aligned and vertically-offset positions such that a user can drive a variety of motorcycles to the stand, lean the motorcycle onto the top plate and quickly park the motorcycle. Such a motorcycle stand preferably includes a base, a first support member connected to the base, and a second support member statically attached to the first support member such that the second support member is capable of engaging a portion of an existing motorcycle thereon. In this manner, the first support member may be selectively pivotal between vertically-aligned and vertically-offset positions relative to a centrally registered longitudinal axis of the base.

Abstract: A method and apparatus for automatic determination of a pacemaker patient's pacing stimulation threshold. Circuitry is provided in a pacemaker for obtaining a signal reflecting cardiac impedance, which is known to reliably reflect certain aspects of cardiac function. Circuitry is also provided for monitoring the cardiac impedance waveform during a predetermined capture detect window following delivery of stimulating pulses. One or more values are derived which characterize the morphology of the impedance waveform during the capture detect window associated with each stimulation pulse delivered. These values are compared to predetermined control values in order to assess whether a stimulation pulse has achieved cardiac capture. The assessment of whether cardiac capture has been achieved is also based partly upon the conventional sensing of atrial and/or ventricular cardiac signals occurring during the capture detect window.

Abstract: A VCO supply voltage regulator includes a control voltage input, first and second supply voltage inputs, a regulated voltage output, a current source and an amplifier. The current source is coupled between the first voltage supply input and the regulated voltage output and has a bias input. The amplifier has an amplifier input coupled to the control voltage input, an amplifier output coupled to the bias input and a feedback input coupled to the regulated voltage output.

Abstract: An integrated circuit phase-locked loop includes a phase/frequency detector, a charge pump, and a voltage-controlled oscillator (VCO) which are coupled together in series. The VCO has first and second VCO control inputs, and has a VCO output which is coupled to the phase/frequency detector. An off-chip loop filter input is coupled between the charge pump and the first VCO control input for coupling to an off-chip loop filter. An on-chip loop filter is coupled between the first VCO control input and the second VCO control input. The VCO has a lower voltage-to-frequency gain from the first VCO control input to the VCO output than from the second VCO control input to the VCO output.

Abstract: A method and apparatus for automatic determination of a pacemaker patient's pacing stimulation threshold. Circuitry is provided in a pacemaker for obtaining a signal reflecting cardiac impedance, which is known to reliably reflect certain aspects of cardiac function. Circuitry is also provided for monitoring the cardiac impedance waveform during a predetermined capture detect window following delivery of stimulating pulses. One or more values are derived which characterize the morphology of the impedance waveform during the capture detect window associated with each stimulation pulse delivered. These values are compared to predetermined control values in order to assess whether a stimulation pulse has achieved cardiac capture. The assessment of whether cardiac capture has been achieved is also based partly upon the conventional sensing of atrial and/or ventricular cardiac signals occurring during the capture detect window.

Abstract: A method and apparatus for automatic determination of a pacemaker patient's pacing stimulation threshold. Circuitry is provided in a pacemaker for obtaining a signal reflecting cardiac impedance, which is known to reliably reflect certain aspects of cardiac function. Circuitry is also provided for monitoring the cardiac impedance waveform during a predetermined capture detect window following delivery of stimulating pulses. One or more values are derived which characterize the morphology of the impedance waveform during the capture detect window associated with each stimulation pulse delivered. These values are compared to predetermined control values in order to assess whether a stimulation pulse has achieved cardiac capture. The assessment of whether cardiac capture has been achieved is also based partly upon the conventional sensing of atrial and/or ventricular cardiac signals occurring during the capture detect window.

Abstract: A method and apparatus for determining the availability of unipolar and/or bipolar pacing/sensing paths in a body-implantable cardiac pacing system. In one embodiment, a pacemaker system includes impedance monitoring circuitry for periodically measuring impedance between pairs of electrodes that are potentially available for pacing and/or sensing. This impedance monitoring circuitry includes circuitry for delivering excitation pulses between pairs of potentially available electrodes (including the pacemaker canister in the case of unipolar pacing or sensing), and for monitoring the current and voltage between those pairs of electrodes during delivery of an excitation pulse. Availability of a pair of electrodes for pacing and/or sensing is indicated if the impedance between a pair of electrodes is found to lie within a predetermined range.

Abstract: A rate-responsive cardiac pacemaker comprising a minute ventilation circuit and an activity circuit. The minute ventilation circuit computes a first target pacing rate as a function of measurements of the patient's pleural blood impedance, and the activity circuit computes a second target pacing rate as a function of measured levels of patient activity. A rate control function establishes a rate-responsive pacing rate based on the first and second target pacing rates. The minute ventilation circuit delta-modulates an analog impedance waveform and maintains short-term and long-term weighted averages of delta-modulator output counts. Variations in the difference between the short-term and long-term weighted average values are determinative of the first target pacing rate. Variations in an activity sensor output signal are determinative of the second target pacing rate.

Abstract: This application describes a peripheral cell structure for VLSI chips that requires the use of standard cells having both input and output capability connected to nearly all of the signal carrying pins. The cells function is alterable (to input or output and to where the data input signals originate) by control signals which may originate with a control register. The clock input signal is split into two independent signals to selectively disable the input or output registers, thus allowing the control register to be changed without affecting the contents of the other two registers. An early signal is also provided to prepare for mode changes.

Abstract: This application teaches that more accurate measurements of clock skew can be had by providing a clock monitor pin directly connected to the clock bus internal to the VLSI chip.