Patents by Inventor Keith L. Herrmann

Keith L. Herrmann has filed for patents to protect the following inventions. This listing includes patent applications that are pending as well as patents that have already been granted by the United States Patent and Trademark Office (USPTO).

  • Publication number: 20190192092
    Abstract: A medical device system has a medical device interface configured to download data from an implanted medical device. Memory stores electrode location identification rules and display definitions. Each of the display definitions correspond to possible electrode placement locations of the implanted medical device. Processing circuitry is configured to compare the downloaded data from the implanted medical device to the electrode location identification rules to identify one or more actual electrode placement locations of the possible electrode placement locations of the implanted medical device. A user output interface is in communication with the processing circuitry. The processing circuitry is configured to cause the output to display the one or more actual electrode placement locations.
    Type: Application
    Filed: November 29, 2018
    Publication date: June 27, 2019
    Inventors: Stephen J. Hahn, Allan Charles Shuros, Keith L. Herrmann, Deepa Mahajan
  • Patent number: 10321834
    Abstract: Methods and devices for combining multiple signals from multiple sensing vectors for use in wearable or implantable cardiac devices. A preferred sensing configuration may be selected at a given point in time, for example under clinical conditions. Signal quality for the preferred sensing configuration is then monitored, and if the signal quality degrades under selected conditions, re-analysis may be performed to select a different sensing vector configuration for at least temporary use. If signal quality increases for the preferred sensing configuration, temporary use of the different sensing vector configuration may cease and reversion to the preferred sensing configuration takes place if certain conditions are met. The conditions for reversion may depend in part of a history of sensing signal quality for the preferred sensing configuration.
    Type: Grant
    Filed: October 19, 2016
    Date of Patent: June 18, 2019
    Assignee: CARDIAC PACEMAKERS, INC.
    Inventors: Amy Jean Brisben, Venugopal Allavatam, Krzysztof Z. Siejko, Deepa Mahajan, Kevin G. Wika, Keith L. Herrmann, Stephen J. Hahn
  • Patent number: 10299688
    Abstract: Methods and devices for combining multiple signals from multiple sensing vectors for use in wearable or implantable cardiac devices. Signals from multiple vectors may be combined using weighting factors and/or by conversion to different coordinate systems than the original inputs, which may or may not be normalized to patient anatomy. Signals from multiple sensing vectors may be combined prior to or after several analytical steps or processes including before or after filtering, and before or after cardiac cycle detection. Cardiac cycle detection information may be combined across multiple sensing vectors before or after analysis of individual vectors for noise or overdetection. Cardiac cycle detection information may also be combined across multiple sensing vectors to identify noise and/or overdetection.
    Type: Grant
    Filed: October 19, 2016
    Date of Patent: May 28, 2019
    Assignee: CARDIAC PACEMAKERS, INC.
    Inventors: Amy Jean Brisben, Venugopal Allavatam, Krzysztof Z. Siejko, Deepa Mahajan, Kevin G. Wika, Keith L. Herrmann, Stephen J. Hahn
  • Patent number: 10264989
    Abstract: New and alternative approaches to the monitoring of cardiac signal quality for external and/or implantable cardiac devices. In one example, signal quality is monitored continuously or in response to a triggering event or condition and, upon identification of a reduction in signal quality, a device may reconfigure its sensing state. In another example, one or more trends of signal quality are monitored by a device, either continuously or in response to a triggering event or condition, and sensing reconfiguration may be performed in response to identified trends and events. In yet another example, a device may use a looping data capture mode to track sensing data in multiple vectors while primarily relying on less than all sensing vectors to make decisions and, in response to a triggering event or condition, the looped data can be analyzed automatically, without waiting for additional data capture to reconfigure sensing upon identification of the triggering event or condition.
    Type: Grant
    Filed: October 19, 2016
    Date of Patent: April 23, 2019
    Assignee: Cardiac Pacemakers, Inc.
    Inventors: Amy Jean Brisben, Venugopal Allavatam, Krzysztof Z. Siejko, Deepa Mahajan, Kevin G. Wika, Keith L. Herrmann, Stephen J. Hahn
  • Publication number: 20190069793
    Abstract: Methods and/or device facilitating and selecting among multiple modes of filtering a cardiac electrical signal, in which one filtering mode includes additional high pass filtering of low frequency signals, relative to the other filtering mode. The selection filtering modes may include comparing sensed signal amplitude to one or more thresholds, using the multiple modes of filtering. In another example, an additional high pass filter is enabled, over and above a default or baseline filtering mode, and the detected cardiac signal is monitored for indications of possible undersensing, and/or for drops in amplitude toward a threshold, and the additional high pass filter may be disabled upon finding of possible undersensing or drop in signal amplitude.
    Type: Application
    Filed: November 1, 2018
    Publication date: March 7, 2019
    Applicant: CARDIAC PACEMAKERS, INC.
    Inventors: Venugopal Allavatam, Stephen J. Hahn, Keith L. Herrmann, Mitchell D. Lanz, Krzysztof Z. Siejko, Benjamin Speakman
  • Patent number: 10183169
    Abstract: Systems and methods may facilitate selection of a vector for delivering electrical stimulation to a patient's heart. One illustrative method may include delivering electrical stimulation at a first voltage to each vector in a first set of two or more vectors of a multi-vector medical system, determining whether the delivered electrical stimulation at the first voltage resulted in capture for each of the vectors in the first set of two or more vectors, identifying those vectors of the first set of two or more vectors that were determined to result in capture as a second set of vectors, delivering electrical stimulation at a second voltage that is lower than the first voltage to each vector in the second set of vectors, and determining whether the delivered electrical stimulation at the second voltage resulted in capture for each of the vectors in the second set of vectors.
    Type: Grant
    Filed: March 9, 2017
    Date of Patent: January 22, 2019
    Assignee: Cardiac Pacemakers, Inc.
    Inventors: Holly E. Rockweiler, Sunipa Saha, Keith L. Herrmann, Yinghong Yu, Joel A. Krueger
  • Publication number: 20180361162
    Abstract: Systems and methods for monitoring and treating patients with heart failure (HF) are discussed. The system may sense cardiac signals, and receives information about patient physiological or functional conditions. A stimulation parameter table that includes recommended values of atrioventricular delay (AVD) or other timing parameters maybe created at a multitude of patient physiological or functional conditions. The system may periodically reassess patient physiological or functional conditions. A therapy programmer circuit may dynamically switch between left ventricular-only pacing and biventricular pacing, or switch between single site pacing and multisite pacing based on the patient condition. The therapy programmer circuit may adjust AVD and other timing parameters using the cardiac signal input and the stored stimulation parameter table. A HF therapy may be delivered according to the determined stimulation site, stimulation mode, and the stimulation timing.
    Type: Application
    Filed: June 13, 2018
    Publication date: December 20, 2018
    Inventors: David J. Ternes, Yinghong Yu, Jason Humphrey, David L. Perschbacher, Michael James Dufresne, Adam MacEwen, Keith L. Herrmann
  • Publication number: 20180361150
    Abstract: Systems and methods for monitoring and treating patients with heart failure (HF) are discussed. The system may sense cardiac signals, and receives information about patient physiological or functional conditions. A stimulation parameter table that includes recommended values of atrioventricular delay (AVD) or other timing parameters maybe created at a multitude of patient physiological or functional conditions. The system may periodically reassess patient physiological or functional conditions. A therapy programmer circuit may dynamically switch between left ventricular-only pacing and biventricular pacing, or switch between single site pacing and multisite pacing based on the patient condition. The therapy programmer circuit may adjust AVD and other timing parameters using the cardiac signal input and the stored stimulation parameter table. A HF therapy may be delivered according to the determined stimulation site, stimulation mode, and the stimulation timing.
    Type: Application
    Filed: June 13, 2018
    Publication date: December 20, 2018
    Inventors: David J. Ternes, Yinghong Yu, Jason Humphrey, David L. Perschbacher, Michael James Dufresne, Adam MacEwen, Keith L. Herrmann
  • Publication number: 20180361161
    Abstract: Systems and methods for monitoring and treating patients with heart failure (HF) are discussed. The system may sense cardiac signals, and receives information about patient physiological or functional conditions. A stimulation parameter table that includes recommended values of atrioventricular delay (AVD) or other timing parameters maybe created at a multitude of patient physiological or functional conditions. The system may periodically reassess patient physiological or functional conditions. A therapy programmer circuit may dynamically switch between left ventricular-only pacing and biventricular pacing, or switch between single site pacing and multisite pacing based on the patient condition. The therapy programmer circuit may adjust AVD and other timing parameters using the cardiac signal input and the stored stimulation parameter table. A HF therapy may be delivered according to the determined stimulation site, stimulation mode, and the stimulation timing.
    Type: Application
    Filed: June 13, 2018
    Publication date: December 20, 2018
    Inventors: David J. Ternes, Yinghong Yu, Jason Humphrey, David L. Perschbacher, Michael James Dufresne, Adam MacEwen, Keith L. Herrmann
  • Patent number: 10149627
    Abstract: Methods and/or device facilitating and selecting among multiple modes of filtering a cardiac electrical signal, in which one filtering mode includes additional high pass filtering of low frequency signals, relative to the other filtering mode. The selection filtering modes may include comparing sensed signal amplitude to one or more thresholds, using the multiple modes of filtering. In another example, an additional high pass filter is enabled, over and above a default or baseline filtering mode, and the detected cardiac signal is monitored for indications of possible undersensing, and/or for drops in amplitude toward a threshold, and the additional high pass filter may be disabled upon finding of possible undersensing or drop in signal amplitude.
    Type: Grant
    Filed: November 29, 2016
    Date of Patent: December 11, 2018
    Assignee: CARDIAC PACEMAKERS, INC.
    Inventors: Venugopal Allavatam, Stephen J. Hahn, Keith L. Herrmann, Mitchell D. Lanz, Krzysztof Z. Siejko, Benjamin Speakman
  • Patent number: 10123742
    Abstract: In some examples, cardiac cycle detection may be used as an approach to cardiac activity tracking, with one or more second approaches to cardiac activity tracking also available for use. Additional rate measurement relying on different sources or analyses may require extra power consumption over the cycle detection methods. Therefore, new methods and devices are disclosed that selectively activate a second cardiac rate measurement. In some illustrative methods and devices, decisions are made as to whether and which previously collected data, if any, is to be discarded, replaced, or corrected upon activation of the second cardiac rate measurement. In some illustrative methods and devices, a cardiac cycle detection approach to cardiac activity tracking may be bypassed by a second cardiac rate measurement.
    Type: Grant
    Filed: November 29, 2016
    Date of Patent: November 13, 2018
    Assignee: CARDIAC PACEMAKERS, INC.
    Inventors: Krzysztof Z. Siejko, Venugopal Allavatam, Amy Jean Brisben, Stephen J. Hahn, Keith L. Herrmann
  • Publication number: 20180177422
    Abstract: This document discusses, among other things, systems and methods to adjust arrhythmia detection using physiological information of a patient, including detecting a candidate cardiac event about a threshold, displaying the detected candidate cardiac event to a user, receiving user information about the detected candidate cardiac event, and adjusting an arrhythmia detection threshold based upon the received user information.
    Type: Application
    Filed: December 13, 2017
    Publication date: June 28, 2018
    Inventors: Keith L. Herrmann, Sunipa Saha, Arjun D. Sharma, David L. Perschbacher, Derek D. Bohn, Krzysztof Z. Siejko
  • Publication number: 20180126165
    Abstract: Systems and methods for providing CRT therapy to a patient with an implanted multi-site pacing medical device. In one example, an intrinsic electrical delay associated with each of two or more left ventricle electrodes may be determined. The intrinsic electrical delay associated with each of the two or more left ventricle electrodes may be compared to an electrical delay threshold. If the electrical delay associated with one or fewer left ventricle electrodes is greater than the electrical delay threshold, a single left ventricle electrode may be selected for use during subsequent CRT therapy. If the electrical delay associated with more than one left ventricle electrode is greater than the electrical delay threshold, two or more of the left ventricle electrodes may be selected for use during subsequent CRT therapy.
    Type: Application
    Filed: January 4, 2018
    Publication date: May 10, 2018
    Inventors: Yinghong YU, Keith L. Herrmann, Holly E. Rockweiler, Sunipa Saha, Benjamin J. Nyquist
  • Publication number: 20180126173
    Abstract: An apparatus comprises a stimulus circuit, a cardiac signal sensing circuit, and a control circuit. The cardiac signal sensing circuit senses a cardiac activity signal using a sensing channel. The stimulus circuit provides electrical pulse energy to a first pacing channel that includes a first left ventricular (LV) electrode and a second pacing channel that includes a second LV electrode. The control circuit initiates delivery of electrical pulse energy using the first and second pacing channels according to a first multi-site LV pacing mode; determines a cardiac event associated with a change in cardiac conduction path using a sensed cardiac activity signal; and changes to a second LV pacing mode in response to determining the cardiac event. The second LV pacing mode is different from the first multi-site LV pacing mode in one or more of a pacing site location and inter-electrode stimulus timing.
    Type: Application
    Filed: October 26, 2017
    Publication date: May 10, 2018
    Inventors: David J. Ternes, Keith L. Herrmann, Britta Catherine Veldman
  • Publication number: 20180126171
    Abstract: This document discusses, among other things, systems and methods to acclimate a patient to therapy from an implantable medical device. For instance, an implantable medical device can include pulse generation circuitry, sensing circuitry, and a controller. The pulse generation circuitry can generate electrical pulses. The sensing circuitry can be for sensing cardiac electrical activity of the patient. In an example, the controller can detect cardiac events that define pacing timing intervals and control the delivery of electrical pulses in accordance with a programmed mode. The controller can be programmed to provide instructions to the pulse generation circuitry to deliver electrical pulses to the heart of a patient. In an example, the electrical pulses can be based on a therapy parameter. The controller can be configured to adjust the therapy parameter according to an acclimation profile to acclimate the patient to a stimulation therapy.
    Type: Application
    Filed: October 24, 2017
    Publication date: May 10, 2018
    Inventors: Keith L. Herrmann, Stephen J. Hahn
  • Publication number: 20180064360
    Abstract: An apparatus includes a cardiac signal sensing circuit configured to generate a sensed cardiac signal representative of electrical cardiac activity of a subject, a buffer memory and a pause detection circuit. The pause detection circuit is configured to: identify ventricular depolarization in the cardiac signal or the sampled cardiac signal; detect a candidate pause episode using the cardiac signal in which delay in ventricular depolarization exceeds a specified delay threshold; identify noise events in a stored cardiac signal; and discard the cardiac signal of the candidate pause episode when a number of noise events satisfies a specified noise event number threshold, otherwise store the cardiac signal of the candidate pause episode as a bradycardia pause episode.
    Type: Application
    Filed: September 7, 2017
    Publication date: March 8, 2018
    Inventors: Krzysztof Z. Siejko, Derek D. Bohn, David L. Perschbacher, Adam MacEwen, Sunipa Saha, Keith L. Herrmann
  • Patent number: 9878163
    Abstract: Systems and methods for providing CRT therapy to a patient with an implanted multi-site pacing medical device. In one example, an intrinsic electrical delay associated with each of two or more left ventricle electrodes may be determined. The intrinsic electrical delay associated with each of the two or more left ventricle electrodes may be compared to an electrical delay threshold. If the electrical delay associated with one or fewer left ventricle electrodes is greater than the electrical delay threshold, a single left ventricle electrode may be selected for use during subsequent CRT therapy. If the electrical delay associated with more than one left ventricle electrode is greater than the electrical delay threshold, two or more of the left ventricle electrodes may be selected for use during subsequent CRT therapy.
    Type: Grant
    Filed: September 27, 2016
    Date of Patent: January 30, 2018
    Assignee: Cardiac Pacemakers, Inc.
    Inventors: Yinghong Yu, Keith L. Herrmann, Holly Rockweiler, Sunipa Saha, Benjamin J Nyquist
  • Publication number: 20170368360
    Abstract: Systems, methods and implantable devices configured to provide cardiac resynchronization therapy and/or bradycardia pacing therapy. A first device located in the heart of the patient is configured to receive a communication from a second device and deliver a pacing therapy in response to or in accordance with the received communication. A second device located elsewhere is configured to determine an atrial event has occurred and communicate to the first device to trigger the pacing therapy. The second device may be configured for sensing the atrial event by the use of vector selection and atrial event windowing, among other enhancements. Exception cases are discussed and handled as well.
    Type: Application
    Filed: June 26, 2017
    Publication date: December 28, 2017
    Applicant: CARDIAC PACEMAKERS, INC.
    Inventors: STEPHEN J. HAHN, KRZYSZTOF Z. SIEJKO, WILLIAM J. LINDER, KEITH R. MAILE, AMY JEAN BRISBEN, KEITH L. HERRMANN, BRENDAN E. KOOP, BENJAMIN J. HAASL
  • Publication number: 20170348528
    Abstract: Systems and methods for multi-site cardiac stimulation are disclosed. The system includes an electrostimulation circuit to deliver electrostimulation to one or more candidate sites of at least one heart chamber. The system may sense a physiological signal including during electrostimulation of the heart, use the physiological signal to determine a first stimulation vector for electrostimulation at a first left ventricular (LV) site and a second stimulation vector for electrostimulation at a different second LV site, and determine a therapy mode including a first chronological order and a first timing offset between stimulations delivered according to the first and second stimulation vectors. The electrostimulation circuit may deliver electrostimulation to the heart in accordance with the first and second stimulation vectors and the therapy mode.
    Type: Application
    Filed: May 24, 2017
    Publication date: December 7, 2017
    Inventors: Yinghong Yu, David J. Ternes, Keith L. Herrmann, Sunipa Saha, Pratik K. Pandya, Jason Humphrey, David L. Perschbacher
  • Patent number: 9827427
    Abstract: An interactive representation of electrostimulation electrodes or vectors can be provided, such as for configuring combinations of electrostimulation electrodes. In an example, electrodes or test parameters can be presented graphically or in a table. A user interface can be configured to receive user-input designating electrode combinations or vectors for test or for use in programming an implantable or ambulatory medical device. The interface can be used to indicate suggested electrode combinations or vectors in response to a first selection of an electrode. Tests can be performed on electrode combinations and vectors, and the results of the tests can be presented to a user using the interactive representation. In an example, test results can be analyzed by a processor and optionally used to program an implantable or ambulatory medical device.
    Type: Grant
    Filed: September 18, 2015
    Date of Patent: November 28, 2017
    Assignee: Cardiac Pacemakers, Inc.
    Inventors: Sunipa Saha, Kenneth N. Hayes, Keith L. Herrmann, James R. Kalgren, Aaron R. McCabe, Holly Elizabeth Rockweiler, Shibaji Shome, Krzysztof Z. Siejko