(12) United States Patent (10) Patent No.: US 8,167,811 B2 Scheiner et al. (45) Date of Patent: May 1, 2012 (54) APPARATUS AND METHOD FOR 2 ($:II1ith_ 1 1 OIIIIIGI OUTPUTTING HEART SOUNDS 4,432,360 A 2/1984 Mumford et al. 4,446,872 A 5/1984 M l. (75) Inventors: Avram Scheiner, Vadnais Heights, MN 4,548,204 A 10/1985 G§,rcS1(iI§ra1Q"a (US); Qingsheng Zhu, Wexford, PA 4,600,017 A 7/ 1986 Schroeppel (US); Arthur L. Olive, Stacy, MN (US); 2 1%; éittlehettaii . - - , , roc e . Don V1llalta, Minneapolis, MN (US) 4,651,740 A 3/1987 Schroeppel 4,721,114 A 1/1988 D F l l. (73) Assignee: Cardiac Pacemakers, Inc., St. Paul, 4,763,646 A 3/1983 L:k1i1(l,11Itnet a MN (US) 4,793,361 A 12/1988 DuFault 4,799,486 A 1/1989 DuFault ( * ) Notice: Subject to any disclaimer, the term of this 4,799,493 A 1; 1989 DluFau1' 1 patent is extended or adjusted under 35 4’872’459 A 10 1989 _P ess et a‘ U.S.C. 154(b) by 0 days. (comlnued) (21) Appl. No.: 13/004,543 OTHER PUBLICATIONS _ “U.S. Appl. No. 09/833,229, Notice of Allowance mailed Nov. 10, (22) Filed: Jan. 11, 2011 20057: 4 pgs, (65) Prior Publication Data (Continued) Us 2011/0105933 A1 May 51 2011 Primary Examiner * Niketa Patel , , Assistant Examiner * Joseph Stoklosa Related U.S. Application Data _ (74) Attorney, Agent, or Firm * SchWegman, Lundberg & (63) Continuation of application No. 11/037,276, filed on Woessner5 RA, Jan. 18, 2005, noW Pat. No. 7,883,470, Which is a continuation of application No. 09/833,229, filed on (57) ABSTRACT Apr‘ 11’ 2001’ now Pat‘ NO‘ 7’052’466' Anapparatus for outputting heart sounds includes an implant(51) I t Cl able system and an external system. The implantable system A116} B /02 (2006 01) includes a sensor for generating sensed signals representing ' _ detected heart sounds, an interface circuit and a control circuit (52) U..S. Cl. ...... .... ...... ..l ..................... .. 600/528, 600/513 for receiving the sensed Signals’ generating data representing (58) Field of Classification Search ................ .. 600/ 528; the heart Sounds therefrom’ and transmitting the data t0 the _ _ _ 607/17 external system via the interface circuit. The external system See apphcanon file for Complete Search h1S'Ory' includes an interface circuit for communicating With the (56) R f Ct d implantable system, and a control circuit for receiving the e erences 1 e
![[merged small][merged small][graphic]](http://www.google.fr/patents?id=7ecNAgAAEBAJ&hl=fr&ie=ISO-8859-1&output=text&pg=PA1&img=1&zoom=3&hl=fr&q=&cds=1&sig=ACfU3U2RJZTqvPUJJD51lgQoagvyD0TX9w&edge=0&edge=stretch&ci=135,785,257,243)
data representing the heart sounds and for generating control signals that cause an output device to generate outputs representing the sounds. The implantable system may also include a sensor(s) for detecting cardiac electrical signals. In this case, outputs representing the cardiac electrical signals are also output.
20 Claims, 8 Drawing Sheets
4,905,706 4,915,113 4,964,410 4,989,611 5,012,815 5,159,932 5,247,945 5,271,392 5,300,093 5,334,222 5,365,932 5,427,112 5,496,361 5,518,001 5,529,578 5,540,727 5,554,177 5,584,868 5,607,460 5,674,256 5,685,317 5,687,738 5,697,375 5,700,283 5,716,382 5,725,559 5,749,907 5,792,195 5,792,205 5,836,987 5,843,142 5,888,187 5,899,928 5,921,938 5,935,081 5,974,340 5,987,352 5,991,661 6,006,132 6,044,298 6,044,299 6,045,513 6,053,872 6,058,329 6,064,910 6,077,227 6,080,187 6,119,040 6,139,505 6,152,884 6,198,968 6,254,544 6,256,536 6,263,241 6,264,611 6,295,365 6,298,267 6,298,269 6,312,378 6,366,811 6,368,283 6,409,675 6,415,033 6,440,082 6,453,201 6,477,406 6,527,729 6,575,916 6,643,548 6,650,940 6,665,564 6,792,308 6,795,732 6,810,287 6,824,519 6,830,548 6,845,263 7,052,466
D>D>D>D>>D>D>D>D>D>D>D>D>D>D>D>>>D>D>D>D>>>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>D>
3/1990 4/1990 10/1990 2/1991 5/1991 11/1992 9/1993 12/1993 4/1994 8/1994 11/1994 6/1995 3/1996 5/1996 6/1996 7/1996 9/1996 12/1996 3/1997 10/1997 11/1997 11/1997 12/1997 12/1997 2/1998 3/1998 5/1998 8/1998 8/1998 11/1998 12/1998 3/1999 5/1999 7/1999 8/1999 10/1999 11/1999 11/1999 12/1999 3/2000 3/2000 4/2000 4/2000 5/2000 5/2000 6/2000 6/2000 9/2000 10/2000 11/2000 3/2001 7/2001 7/2001 7/2001 7/2001 9/2001 10/2001 10/2001 11/2001 4/2002 4/2002 6/2002 7/2002 8/2002 9/2002 11/2002 3/2003 6/2003 11/2003 11/2003 12/2003 9/2004 9/2004 10/2004 11/2004 12/2004 1/2005 5/2006
Duff et al.
Holman
Leahey et al.
Zanetti et al.
Bennett, Jr. et al.
Zanetti et al.
Heinze et al.
Ferek-Petric
Koestner et al.
Salo et al.
Greenhut
Noren et al.
Moberg et al.
Snell
Struble
Tockman et al.
Kieval et al.
Salo et al.
Kroll et al.
Carlson
Sjostrom
Shapiro et al.
Hickey
Salo et al.
Snell
Alt et al.
Mann
Carlson et al.
Alt et al.
Baumann et al.
Sultan
Jaeger et al.
Sholder et al.
Aoyama et al.
Kadhiresan
Kadhiresan
Klein et al.
Park et al.
Tacker, Jr. et al.
Salo et al.
Nilsson
Stone et al.
Mohler
Salo et al.
Andersson et al.
Miesel et al.
Alt
Chirife
Murphy
Bj orgaas
Prutchi et al.
Hayashi
Kramer
Sweeney
Bardy
Carlson
Xu et al.
Turcott
Halleck et al.
Joo et al.
Daum et al.
Turcott
Turcott
Halleck et al.
Mai et al.
Zhu et al.
Lincoln et al.
Corbucci
Stadler et al.
Zhu et al.
Narimatsu et al.
Bonnet et al.
Kawaguchi
Scheiner et al.
7,113,825 B2 9/2006 Pastore et al. 7,115,096 B2 10/2006 Siejko et al. 7,123,962 B2 10/2006 Siejko et al. 7,883,470 B2 2/2011 Scheiner et al. 2002/0001390 A1 1/2002 Kawaguchi 2002/0035337 A1 3/2002 Oka 2002/ 0082645 A1 6/2002 Sweeney 2002/0107450 A1 8/2002 Ogura 2002/0147401 A1 10/2002 Oka 2002/0151812 A1 10/2002 Scheiner et al. 2002/0151938 A1 10/2002 Corbucci 2003/0055352 A1 3/2003 Hayek et al. 2003/0069608 A1 4/2003 Sweeney 2003/0072458 A1 4/2003 Halleck et al. 2003/0093002 A1 5/2003 Kuo 2003/0093003 A1 5/2003 Watrous et al. 2003/0120159 A1 6/2003 Mohler 2003/0176896 A1 9/2003 Lincoln et al. 2003/0208240 A1 11/2003 Pastore et al. 2003/0216620 A1 11/2003 Jain et al. 2003/0229289 A1 12/2003 Mohler et al. 2004/ 0024423 A1 2/2004 Lincoln et al. 2004/0039419 A1 2/2004 Stickney et al. 2004/0039420 A1 2/2004 Jayne et al. 2004/0064056 A1 4/2004 Ogura 2004/0078059 A1 4/2004 Ding et al. 2004/0078060 A1 4/2004 Ding et al. 2004/0106960 A1 6/2004 Siejko et al. 2004/0106961 A1 6/2004 Siejko et al. 2004/0127792 A1 7/2004 Siejko et al. 2004/0138572 A1 7/2004 Thiagarajan 2004/ 0167417 A1 8/2004 Schulhauser et al. 2004/0215264 A1 10/2004 Van Bentem 2004/0225332 A1 11/2004 Gebhardt et al. 2004/0236239 A1 11/2004 Murray et al. 2004/ 0254481 A1 12/2004 Brodnick 2004/0267147 A1 12/2004 Sullivan 2004/0267148 A1 12/2004 Arand et al. 2005/0027323 A1 2/2005 Mulligan et al. 2005/0033190 A1 2/2005 Bauer 2005/0137490 A1 6/2005 Scheiner et al. 2006/0282000 A1 12/2006 Zhang et al.
“U.S. Appl. No. 09/833,229, AdvisoryAction mailed Jul. 2, 2004”, 3 PgS~
“U.S. Appl. No. 09/833,229, Response filed Sep. 29, 2005 to Advisory Action mailed Sep. 14, 2005”, 10 pgs.
“U.S. Appl. No. 09/833,229, Response filed Oct. 7, 2002 to Restriction Requirement mailed Sep. 11, 2002”, 1 pg.
“U.S. Appl. No. 09/833,229, Restriction Requirement mailed Sep. 11, 2002”, 4 pgs.
“U.S. Appl. No. 09/833,229, Final Office Action mailed Mar. 26, 2004”, 11 pgs.
“U.S. Appl. No. 09/833,229, Final Office Action mailed May 5, 2005”, 7 pgs.
“U.S.Appl. No. 09/833,229, Non-Final OfficeAction mailed Oct. 19, 2004”, 9 pgs.
“U.S. Appl. No. 09/833,229, Response filed Jan. 18, 2005 to NonFinal Office Action mailed Oct. 19, 2004”, 14 pgs.
“U.S. Appl. No. 09/833,229, Response filed Jan. 29, 2004 to NonFinal Office Action mailed Oct. 29, 2003”, 16 pgs.
“U.S. Appl. No. 09/833,229, Response filed Apr. 3, 2003 to NonFinal Office Action mailed Nov. 20, 2002”, 13 pgs.
“U.S. Appl. No. 09/833,229, Response filed May 25, 2004 to Final Office Action mailed Mar. 26, 2004”, 14 pgs.
“U.S.Appl. No. 09/833,229, Response filed Jul. 23, 2004 to Advisory Action mailed Jul. 2, 2004 and Final Office Action mailed Mar. 26, 2004”, 14 pgs.
“U.S. Appl. No. 09/833,229, Response filed Oct. 6, 2003 to Final Office Action mailed May 21, 2003”, 15 pgs.
“U.S. Appl. No. 09/833,229, AdvisoryAction mailed Sep. 14, 2005”, 3 pgs.
“U.S. Appl. No. 09/833,229, Final Office Action mailed May 21, 2003”, 14 pgs.
“U.S.Appl. No. 09/833,229, Non-Final OfficeAction mailed Oct. 29, 2003”, 12 pgs.
“U.S. Appl. No. 09/833,229, Non-Final Office Action mailed Nov. 20, 2002”, 10 pgs.
“U.S. Appl. No. 09/833,229, Response filed Jun. 29, 2005 to Final Office Action mailed May 5, 2005”, 12 pgs.
“U.S. Appl. No. 11/037,276, Advisory Action mailed Oct. 29, 2008”, 5 pgs.
“U.S. Appl. No. 11/037,276, Final Office Action mailed May 29, 2008”, 7 pgs.
“U.S. Appl. No. 11/037,276, Final Office Action mailed Aug. 19, 2008”, 8 pgs.
“U.S.Appl. No. 11/037,276, Non-Final OfficeAction mailed Feb. 20, 2009”, 8 pgs.
“U.S. Appl. No. 11/037,276, Non-Final Office Action mailed Mar. 31, 2010”, 4 pgs.
“U.S. Appl. No. 11/037,276, Non-Final Office Action mailed Aug. 21, 2009”, 8 pgs.
“U.S.Appl. No. 11/037,276, Non-Final OfficeAction mailed Oct. 31, 2007”, 6 pgs.
“U.S. Appl. No. 11/037,276, Notice of Allowance mailed Sep. 30, 2010”, 6 pgs.
“U.S. Appl. No. 11/037,276, Preliminary Amendment mailed Sep. 29, 2005”, 8 pgs.
“U.S. Appl. No. 11/037,276, Response filed Jan. 31, 2008 to NonFinal Office Action mailed Oct. 31, 2007”, 15 pgs.
“U.S. Appl. No. 11/037,276, Response filed May 20, 2009 to NonFinal Office Action mailed Feb. 20, 2009”, 12 pgs.
“U.S. Appl. No. 11/037,276, Response filed Jun. 30, 2010 to NonFinal Office Action mailed Mar. 31, 2010”, 8 pgs.
“U.S. Appl. No. 11/037,276, Response filed Jul. 28, 2008 to Final Office Action mailed May 29, 2008”, 13 pgs.
“U.S. Appl. No. 11/037,276, Response filed Oct. 15, 2008 to Final Office Action mailed Aug. 19, 2008”, 11 pgs.
“U.S. Appl. No. 11/037,276, Response filed Nov. 23, 2009 to NonFinal Office Action mailed Aug. 21, 2009”, 13 pgs.
“U.S. Appl. No. 11/037,276, Response filed Dec. 19, 2008 to Final Office Action mailedAug. 19, 2008 and Advisory Action mailed Oct. 29, 2008”, 11 pgs.
“Guidant Products”, [on-line]. [retrieved Nov. 24, 2000]. Retrieved from the Internet: <URL: http://ww.guidant.com/products/>, (Nov. 2000), 3 pgs.
522.22% 232222225 W, QQ
$822.28 $82,228 .282
333333 mama $3222 3% \ \§
1 X
B2 2 3222323233 6
232328
331 2
M
$252523 @853
524353 1 1 222w%2W.2,2%mwMM2a222 1 1 1 1 1 5% 1 1 353333 .2,2..2a2222 1
832 mufimam 1 1 I 1 22@2mm2222m22§..2. B W1 3&1 B3
1 mi 2 1
38 331 2 E 222258 236522
21 111111 1 1m@ 111111111111111111111111111111 1 .. ...2
M M
M 203283222 M
2 ,2.2..2a..2,2,§22222a222 222235 w2222.<..2222222.2.w 2
2 N321 22 2 m<222U2%2m> 2
M 1 M
2 MM ofi 2
M $1 82 22282222222 1 322205 0222231522223 . M
M 32.203228 M ... 23333 M
mi M2
@3232 2 2 1 3 82222322232 23223 2 M 6 £3 .. 324262223225 M 2 82... 2 2 2,235 w2222wmw8ma..3ma 2 2 3&1 %2..22...2a2222a 22 2 M 3..2W2222220 mwmm 22223222 M
.1 M 81 mmmggmfiwwwa 35 M P1 I I E I I E I I I I I I E I 1 I E I I E I 1 I I I 1 I I 1 I I I I I I I I I I I 1 I L
|
