Surgery – Truss – Pad
Patent
1985-01-22
1987-02-03
Kamm, William E.
Surgery
Truss
Pad
A61N 136
Patent
active
046402853
ABSTRACT:
The sense margin evaluation system and method for use of same is based upon (1) the interposition of a variable broad-band attenuator between an implanted cardiac pacer lead set and a pacer which is about to be implanted and (2) the inclusion of a pacer pulse detector at the pacer port. In use, the pacer is first programmed to a standby mode and a condition of 100% inhibition with the attenuator set to 0 dB. This affirms that the pacer's sense amplifier can sense the cardiac signal. Then, attenuation is incrementally added until the pacer just begins to output. The attenuation ratio (input/output) at this point is a direct measure of the ratio effective between the patient's cardiac signal and the pacer's sensing threshold, i.e., the sense margin. The advantage of this technique is that by using a broad-band attenuator, measurement inaccuracies due to the convolution of the cardiac signal's spectral content with a pacer system analyzer and a pacer sense amplifier's disparate narrow-band frequency response are avoided. The patient's cardiac signal serves as the test waveform generator for the pacer that is about to be implanted in his body and the sense amplifier'frequency response is identically that of the pacer about to be implanted.
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DeCote, Jr. Robert
Tarjan Peter P.
Collins Henry W.
Cordis Corporation
Kamm William E.
Schein Mitchell J.
Vigil Thomas R.
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