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).

  • 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: 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: 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: 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
  • Publication number: 20170290550
    Abstract: Systems and methods for detecting an arrhythmic event and storing physiological information associated with the detected arrhythmic event are described. A system may include a first detector to detect an arrhythmic event from a physiological signal sensed from a subject, and generate a confidence indicator indicating a confidence level of the detection of the arrhythmic event. If the confidence indicator indicates a relatively high confidence of arrhythmia detection, the system may provide the detected arrhythmic event to a first process for storing the detected arrhythmic event or generating an alert. If the confidence indicator indicates a relatively low confidence of arrhythmia detection, the system may provide the detected arrhythmic event to at least a second process including confirming or rejecting the detected arrhythmic event.
    Type: Application
    Filed: April 4, 2017
    Publication date: October 12, 2017
    Inventors: David L. Perschbacher, Deepa Mahajan, Krzysztof Z. Siejko, Keith L. Herrmann, Jonathan Walter Krueger
  • Patent number: 9750942
    Abstract: Systems and methods for efficiently determining one or more parameters for vectors of a multi-electrode implantable medical device, and for identifying one or more suitable vectors for sensing cardiac electrical data and/or delivering electrical stimulation therapy based on one or more of the determined parameters. Reducing the time required to determine the one or more parameters for each vector can help reduce procedure time for implanting and/or configuring an implantable medical device, which can reduce costs and/or improved patient comfort.
    Type: Grant
    Filed: December 18, 2014
    Date of Patent: September 5, 2017
    Assignee: Cardiac Pacemakers, Inc.
    Inventors: Sunipa Saha, Keith L. Herrmann, Yinghong Yu, David W. Yost, Holly E. Rockweiler
  • Publication number: 20170173342
    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: Application
    Filed: March 9, 2017
    Publication date: June 22, 2017
    Inventors: Holly E. Rockweiler, Sunipa Saha, Keith L. Herrmann, Yinghong Yu, Joel A. Krueger
  • Publication number: 20170156670
    Abstract: In some examples, cardiac cycle detection may be used as a more or less default approach to cardiac activity tracking. 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 when needed. 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.
    Type: Application
    Filed: November 29, 2016
    Publication date: June 8, 2017
    Applicant: CARDIAC PACEMAKERS, INC.
    Inventors: Krzysztof Z. Siejko, Amy Jean Brisben, Stephen J. Hahn, Keith L. Herrmann, Venugopal Allavatam
  • Publication number: 20170156617
    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 29, 2016
    Publication date: June 8, 2017
    Applicant: CARDIAC PACEMAKERS, INC.
    Inventors: Venugopal Allavatam, Stephen J. Hahn, Keith L. Herrmann, Mitchell D. Lanz, Krzysztof Z. Siejko, Benjamin Speakman
  • Publication number: 20170156669
    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: Application
    Filed: November 29, 2016
    Publication date: June 8, 2017
    Applicant: CARDIAC PACEMAKERS, INC.
    Inventors: Krzysztof Z. Siejko, Venugopal Allavatam, Amy Jean Brisben, Stephen J. Hahn, Keith L. Herrmann
  • Publication number: 20170120059
    Abstract: An apparatus comprises a stimulus circuit, a cardiac signal sensing circuit, and a control circuit. The stimulus circuit provides electrical pulse energy to a first pacing channel that includes a first left ventricular (LV) electrode as a cathode and a second pacing channel that includes a second LV electrode as a cathode. The cardiac signal sensing circuit senses cardiac signals using a first sensing channel that includes one of the first LV electrode or the second LV electrode. The control circuit includes a capture detection sub-circuit configured to: initiate delivery of electrical pulse energy to both the first pacing channel and the second pacing channel; sense cardiac depolarization of a ventricle using the first sensing channel; determine first and second cardiac capture pulse energy level thresholds for the first and second pacing channels respectively; and provide indications of the cardiac capture pulse energy level thresholds to a user or process.
    Type: Application
    Filed: October 26, 2016
    Publication date: May 4, 2017
    Inventors: Sunipa Saha, Keith L. Herrmann, Yinghong Yu
  • Publication number: 20170113050
    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: Application
    Filed: October 19, 2016
    Publication date: April 27, 2017
    Applicant: CARDIAC PACEMAKERS, INC.
    Inventors: Amy Jean Brisben, Venugopal Allavatam, Deepa Mahajan, Krzysztof Z. Siejko, Kevin G. Wika, Keith L. Herrmann, Stephen J. Hahn
  • Publication number: 20170112399
    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: Application
    Filed: October 19, 2016
    Publication date: April 27, 2017
    Applicant: 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: 20170113040
    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: Application
    Filed: October 19, 2016
    Publication date: April 27, 2017
    Applicant: CARDIAC PACEMAKERS, INC.
    Inventors: Amy Jean Brisben, Venugopal Allavatam, Krzysztof Z. Siejko, Deepa Mahajan, Kevin G. Wika, Keith L. Herrmann, Stephen J. Hahn