The module comprises: a conversion stage receiving as an input a sampled activity signal representative of the patient's instantaneous activity and outputting a first target value by application of a predetermined activity/cardiac rhythm function; a low-pass recursive digital filter calculating over a predetermined duration a moving average of the first target value issued by the conversion stage and outputting a second target value; and a combiner stage receiving as an input the first target value and the second target HR value issued by the first low-pass digital filtering stage, determining the maximum of both target values and outputting the setpoint value to control the pacing frequency depending on the patient's activity.
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
2.
PIEZOELECTRIC-TRANSDUCER ENERGY HARVESTER, IN PARTICULAR FOR POWERING AN AUTONOMOUS CARDIAC CAPSULE, WITH AN ELECTRONIC CIRCUIT INTEGRATED IN THE OSCILLATING STRUCTURE
The harvester comprises a pendular unit comprising a beam that is elastically deformable in bending, a mount clamping a proximal end of the beam, and an inertial mass mounted at a free, distal end of the beam. The beam converts into an oscillating electric signal a mechanical energy produced by oscillations of the pendular unit. The piezoelectric beam comprises a flexible structure including: a central core; a piezoelectric layer on at least one face of the central core; and at least one surface electrode on an external face of the piezoelectric layer. The central core of the flexible structure is a semiconductor material adapted to form an integrated circuit substrate, and the flexible structure includes at least part of components of an electric or electronic unit, said components being monolithically integrated within the semiconductor material substrate.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
H02N 2/00 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction
3.
Piezoelectric-transducer energy harvester, in particular for powering an autonomous cardiac capsule, with a bending stiffness gradient oscillating structure
The harvester comprises a pendular unit comprising a beam that is elastically deformable in bending, a mount clamping a proximal end of the beam, and an inertial mass mounted at a free, distal end of the beam. The beam converts into an oscillating electric signal a mechanical energy produced by pendular unit oscillations. The beam comprises a flexible structure including a central core, a piezoelectric layer on at least one face of the central core, and at least one surface electrode on an external face of the piezoelectric layer. The central core of the flexible structure is made of a semiconductor material adapted to form an integrated circuit substrate. The substrate made of a semiconductor material of the central core includes monolithic integrated structures, and the arrangement, over the extend of the central core substrate, of said integrated structures forms in the longitudinal direction a plurality of successive areas having different bending stiffness coefficients from an area to another.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
H02N 2/00 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction
4.
PENDULAR UNIT WITH A MONOLITHIC INERTIAL MASS MOUNTED ON A PIEZOELECTRIC BEAM, IN PARTICULAR FOR AN ENERGY HARVESTER IN A LEADLESS AUTONOMOUS CARDIAC CAPSULE
The pendular unit comprises a piezoelectric transducer beam (22), and an inertial mass mounted at the free distal end of the beam (22). The inertial mass (26) is a monolithic part including a cavity in the form of an axial slit (64), with two opposite longitudinal surfaces (74) extending along a central axis of the inertial mass (26). The axial slit (64) opens out on the proximal side of the inertial mass (26), and receives the free distal end of the beam (22), secured between the two opposite longitudinal surfaces (74) of the axial slit (64).
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
H02N 2/00 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction
5.
Pendular unit with an inertial mass mounted on a piezoelectric beam, in particular for an energy harvester in a leadless autonomous cardiac capsule
The pendular unit comprises a piezoelectric transducer beam, and an inertial mass mounted at the free distal end of the beam and comprising two half-masses arranged on either side of the beam. A mechanical connection connects the two half-masses to each other on either side of the beam in such a way as to clamp the beam between the two half-masses to secure the inertial mass to the beam, the assembly being devoid of glue between the half-masses and the beam.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
The module comprises, in an envelope tube, a pendular unit comprising a piezoelectric transducer, PZT, beam, an inertial mass coupled to the free end of the beam, and a beam mount secured to the tube and fastened to a clamping part of the beam. The module further includes a symmetrization insert for calibrating and symmetrizing the pendular unit oscillations in transverse and lateral directions. The symmetrization insert is distinct from the beam mount and comprises a peripheral portion secured to the tube independently of the beam mount, and a central portion with an axial through-cavity inside which the beam extends in said region of free travel. The axial cavity extends between opposite travel limitation surfaces, which are symmetrical and capable of coming into contact with the beam in a bending configuration of the beam.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
The device has a device body with a front face at its distal end, and a means for the anchoring of the medical device to a patient's organ wall. The anchoring means includes a screw with a helix wire wound into a plurality of non-contiguous turns, the screw having a clamped end integral with the front face of the device body and a free end with a beveled end defined by at least one oblique surface. The helix wire includes, at its free distal end, a terminal region whose wire bending stiffness is lower than in a proximal region of the helix turns. The stiffness difference may, in particular, be obtained by varying the wire diameter over different successive portions, with decreasing diameters in a proximal to distal direction.
An energy harvesting module includes a pendular unit with piezoelectric transducer elastically deformable in bending with a clamped end and a free end coupled to an inertial mass. The transducer includes at least one piezoelectric beam configured into two adjacent arms formed single-piece, with external and internal arms arranged side-by-side. The external arm has a clamped proximal end and a free distal end, and the internal arm has a free proximal end supporting the inertial mass, and a free distal end connected to the distal end of the adjacent external arm. An annular mount surrounds the beam at its proximal end and includes the clamp to which is fastened the proximal end of the external arm. The mount includes, in a central region in the vicinity of the clamp, a cavity inside which the inertial mass carried by the free proximal end of the internal arm can oscillate.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
H10N 30/30 - Dispositifs piézo-électriques ou électrostrictifs à entrée mécanique et sortie électrique, p. ex. fonctionnant comme générateurs ou comme capteurs
9.
Energy harvesting module with dual-cantilever piezoelectric transducer, in particular for powering a leadless autonomous cardiac capsule
An energy harvesting module includes a pendular unit with piezoelectric transducer elastically deformable in bending between a clamped end and a free end coupled to an inertial mass. The piezoelectric transducer includes two coplanar piezoelectric beams arranged side-by-side on either side of a central axis of the transducer, each of the piezoelectric beams including adjacent external and internal arms, arranged side-by-side and formed single-piece. The external arm of each beam has a clamped proximal end and a free distal end, and the internal arm of each beam has a free proximal end supporting the inertial mass, and a free distal end connected to the distal end of the adjacent external arm by a common junction.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
H10N 30/20 - Dispositifs piézo-électriques ou électrostrictifs à entrée électrique et sortie mécanique, p. ex. fonctionnant comme actionneurs ou comme vibrateurs
H10N 30/30 - Dispositifs piézo-électriques ou électrostrictifs à entrée mécanique et sortie électrique, p. ex. fonctionnant comme générateurs ou comme capteurs
10.
Optimized piezoelectric transducer-based energy harvesting module, in particular for charging the battery of an implantable medical device such as a leadless autonomous cardiac capsule
This module comprises: a circuit for interfacing with the piezoelectric beam of an oscillating pendular unit, outputting a rectified signal comprising a sequence of pulses at a frequency equal to a multiple of the oscillation frequency of the pendular unit; a buffer capacitor charged by the successive pulses outputted by the interface circuit; and a converter regulator adapted to convert a capacitor discharge current into a stabilized power supply voltage, and controlled by a feedback control stage of the Maximum Power-Point Tracking (MPPT) type. A comparator detects the conduction of a blocking diode interposed between the interface circuit and the capacitor, in order to produce a signal representative of the current value of the duty cycle of the detected conduction and non-conduction periods. This signal is compared with a predetermined optimum duty cycle value in order to enable or disable the coupling of the capacitor to the converter regulator so as to control either the capacitor discharge towards an input of the converter regulator, or the continuation of its charging.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
H10N 30/30 - Dispositifs piézo-électriques ou électrostrictifs à entrée mécanique et sortie électrique, p. ex. fonctionnant comme générateurs ou comme capteurs
The capsule comprises a tubular body and a front-end unit with an helical screw for anchoring the capsule to a wall of a patient's organ. The front-end unit is mobile in relative axial rotation with respect to the tubular body. A disengageable frictional coupling member allows this relative rotation when, for implantation, the tubular body receives an external rotational stress, and that until a predetermined limit torque triggering the disengagement. At explantation, this disengagement is prevented to allow a joint rotation of the tubular body and of the front-end unit and the unscrewing of the helical screw. It is provided for that purpose two conjugated plates facing each other, with flat surfaces such as circular sectors offset in opposite directions with respect to a radial reference plane, in such a way as to form steps providing an anti-disengagement abutment function.
Autonomous cardiac implant of the leadless capsule type, comprising an auxiliary electrode for charging the battery by means of an external source during transportation and storage
The implant comprises a tubular body housing an energy harvesting module adapted to convert external stresses applied to the implant into electrical energy, and a rechargeable battery adapted to be charged by the energy harvesting module. During the storage, an external source physically separated from the implant is coupled to the implant rechargeable battery to maintain a minimum battery charge level. An interface circuit of the implant couples surface electrodes to the battery, with switching between: i) a transport and storage configuration where the electrodes are connected to the external source to receive from the latter a battery charging energy and/or to exchange communication signals with the outside through the wire link of the coupling; and ii) a functional configuration in which the surface electrodes are decoupled from the external source after the implant has been implanted. At least one of the implant surface electrodes is an auxiliary electrode that is not a cardiac potential detection/pacing electrode. In the transport and storage configuration, the interface circuit couple the auxiliary electrode to the implant rechargeable battery, and in the functional configuration, the interface circuit decouples the auxiliary electrode from the implant rechargeable battery and put the auxiliary electrode to a floating potential.
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
H02J 7/32 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries pour la charge de batteries par un ensemble comprenant une machine motrice non électrique
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
13.
Autonomous cardiac implant of the leadless capsule type, comprising an interface for external communication during transportation and storage
The implant comprises a tubular body housing an energy harvesting module adapted to convert external stresses applied to the implant into electrical energy, and a rechargeable battery adapted to be charged by the energy harvesting module. During the storage, an external source physically separated from the implant is coupled to the implant rechargeable battery to maintain a minimum battery charge level. An interface circuit of the implant couples surface electrodes to the battery, with switching between: i) a transport and storage configuration where the electrodes are connected to the external source to receive from the latter a battery charging energy and/or to exchange communication signals with the outside through the wire link of the coupling; and ii) a functional configuration in which the surface electrodes are decoupled from the external source after the implant has been implanted. The implant further comprises a data transmitter circuit adapted, in the transport and storage configuration, to send communication signals, via the surface electrodes, on the link coupling to the external source, and/or a data receiver circuit adapted, in the transport and storage configuration, to receive, via the surface electrodes, communication signals transmitted on the link coupling to the external source.
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
H02J 7/32 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries pour la charge de batteries par un ensemble comprenant une machine motrice non électrique
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
14.
Piezoelectric transducer-based energy harvesting module, in particular for optimized charging of the battery of an implantable medical device such as a leadless autonomous cardiac capsule
The module comprises a pendular unit with an elastically deformable piezoelectric beam having a clamped end and an opposite, free end, coupled to an inertial mass. The beam produces an oscillating electrical signal collected by electrodes, which is rectified and regulated to output a voltage for charging a battery. The number and configuration of the electrodes (T1, T2, B1, B2, N) carried by the piezoelectric beam define a plurality of pairs of electrodes between which a corresponding plurality of said oscillating signals can be simultaneously collected. A switching matrix, as a function of an input command, selectively switches the plurality of pairs of electrodes between each other according to a plurality of different series (S), parallel (P) and/or series-parallel (SP) configurations, the selected configuration being that which maximizes the power sent to the battery as a function of the voltage level (VBAT) present at the terminals of the latter.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
An energy harvester includes a pendular unit subjected with a piezoelectric beam coupled to an inertial mass. On the clamped side of the beam, a beam frame includes two pressing elements between which the beam is taken in sandwich, each including i) an intermediate part, an internal face of which presses on a corresponding face of the beam, and ii) a pressure plate, an internal face of which presses on an external face of the intermediate part, a printed circuit board being interposed between them. The intermediate parts and the pressure plates are passed through by at least one common transverse bore receiving a locking pin. The intermediate parts, the pressure plates and the pin are each massive metal parts ensuring a direct electrical and mechanical contact with the electrodes of the beam and with the printed circuit boards.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
An integrated self-sustainable power supply includes a piezoelectric energy harvesting (PEH) beam, a power management unit (PMU) circuit located on the PEH beam, a rechargeable battery located on the PEH beam, and a positive regulated power supply output and a negative regulated power supply output. The PMU circuit includes electrical inputs/outputs. The rechargeable battery includes a negative access pad and a positive access pad, which are in electrical communication with the electrical inputs/outputs of the PMU circuit. The positive regulated power supply output and the negative regulated power supply output are also in electrical communication with the electrical inputs/outputs of the PMU circuit.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
The instrument includes a dual-wall deformable tube, with an inner sleeve, a coaxial outer sleeve, and an imaging module connected to the inner and outer sleeves. An array of transducers is carried by an outer face of the imaging module. The inner sleeve and the outer sleeve are mobile in relative axial translation between: a folded position in which the inner and outer sleeves both have a cylindrical shape, and in which the imaging module substantially extends in the continuation of the inner sleeve; and an expanded position, in which the inner sleeve has a cylindrical shape and the outer sleeve has a flared shape widening on the distal side and in which the imaging module substantially extends with the face that carries the transducers of the array turned in axial direction towards the front of the deformable tube.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters, namely, electrical transducers Medical devices for diagnosis, stimulation, and therapy, namely, cardiac pacemakers; surgical devices for diagnosis, stimulation, and therapy Research and development services in the field of diagnosis and treatment of cardiovascular disease
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters. Medical and surgical devices for diagnosis, stimulation and therapy. Research and development services in the field of diagnosis and treatment of cardiovascular disease.
20.
Leadless-capsule autonomous cardiac implant comprising an energy harvester providing physiological or activity information about the patient
An energy harvester converts into electrical energy the external stresses applied to the implant at the rhythm of the heartbeats. This harvester comprises an inertial unit. A transducer provides an oscillating electrical signal that is rectified and regulated, for powering the implant and/or charging a battery. The instantaneous variations of this electrical signal between two heartbeats are analyzed inside successive time windows, to derive therefrom a physiological parameter and/or a physical activity parameter of the patient with the implant, in particular as a function of a peak of amplitude of the first oscillation of the electrical signal, and of the level of this signal after the bounce phase of the signal oscillation.
A receiver module of an autonomous implanted capsule receives a human body communication, HBC, signal sensed by an electrode in contact with body tissues or fluids of a patient. The signal is a pulse-modulated, baseband PPM pulse signal. The receiver module comprises a non-linear LNA amplifier stage comprising a pair of complementary transistors arranged as a voltage inverter circuit with an input coupled to the modulated-input-signal collecting electrode. The amplifier stage input is polarized to an intermediate operating point voltage between a supply voltage of the complementary transistor pair and a ground voltage. The amplifier stage has a gain of at least 40 dB, a gain-bandwidth product of at least 20 MHz, and a consumption lower than or equal to 100 nW. It is followed by a downstream demodulator stage made up of a fast comparator circuit of the Threshold Inverter Quantization, TIQ, type, comprising two inverters with cascade-coupled complementary transistors, one of the inverters operating as a voltage reference and the other inverter operating as a gain booster.
The bending of the catheter is controlled from the handle by a variable tension exerted to a steering cable housed in an offset longitudinal notch of the catheter. The handle comprises: a body adapted to be held in hand by an operator; a piston, axially mobile in rotation and in translation inside the handle body; a first mechanism with a pulley for the winding of the steering cable and a lever for modifying in a controlled manner the tension of the cable and hence controlling the steering of the catheter; and a second mechanism comprising a member for holding a security wire and a member for adjusting the axial position of this wire with respect to the internal tube of the catheter, so as to keep the security wire in tight condition whatever the bend provided to the catheter by operation of the first mechanism.
The energy harvesting module is provided with a pendular unit comprising an inertial mass coupled to an elastic piezoelectric beam providing a power voltage. An acceleration sensor provides a signal representative of the instantaneous acceleration of the beam in a direction perpendicular to a surface of the beam, and an angular speed sensor provides a signal representative of the instantaneous angular speed of rotation of the beam about an axis perpendicular to a plane of bending of the beam. Based on the voltage, acceleration and angular speed values, a beam integrity monitoring circuit estimates parameters of a mechanical-electrical transfer function and derives therefrom metrics representative of physical and electrical parameters of the pendular unit and of the material of the beam. This makes it possible to evaluate the proper operation of the energy harvester and to detect a potential performance decrease liable to lead to a failure in the more or less short term.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
An autonomous implantable capsule comprises a capsule body provided with an element for its anchoring to a patient's organ. An electronic unit is powered by an energy harvesting module provided with a pendular unit comprising an inertial mass coupled to an elastic piezoelectric beam forming a mechanical-electrical transducer for converting into electrical energy the oscillations of the beam. A mobile support, integral with the clamped end of the beam and mobile in axial rotation about the axis of the capsule body, can be directed by a controllable driver to adjust the angular position of the support so as to maximize the produced electrical power converted by the mechanical-electrical transducer.
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
G05B 19/042 - Commande à programme autre que la commande numérique, c.-à-d. dans des automatismes à séquence ou dans des automates à logique utilisant des processeurs numériques
H01L 41/113 - Eléments piézo-électriques ou électrostrictifs à entrée mécanique et sortie électrique
H02J 7/00 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries
25.
Steerable catheter for the implantation of a leadless cardiac capsule
A steerable catheter comprises a mobile tube and an intermediate tube, coaxial with each other, which extend from a proximal end to a distal end of the catheter and are telescopically mounted into each other with possibility of mutual rotation and axial translation. The mobile tube comprises a central lumen extending from the proximal end to the distal end. The intermediate tube comprises, along its whole length, a longitudinal notch radially offset in a direction of offset with respect to the axis of the steerable catheter and extending axially from the proximal end to the distal end. The longitudinal notch contains a cable adapted to undergo a traction exerted from the proximal end, the traction generating a bending of the steerable catheter directed towards the offset direction. The steerable catheter further comprises around the intermediate tube a sealed external sheath surrounding the intermediate tube over its periphery and covering the longitudinal notch over its length.
A capsule includes a tubular body with, at its proximal end, a coupling member adapted to cooperate with a conjugated coupling member mounted at the distal end of a catheter of the implantation tool, for the transmission of a torque for the rotational driving of the capsule by the catheter. The coupling member of the tool includes a dihedral-shaped imprint, with two diverging arms in a V-arrangement, and the capsule coupling member includes a convex surface adapted to frictionally and slidingly urge against the diverging arms of the V-shape.
The capsule comprises a tubular body (100) and a frontal assembly (200) comprising an anchoring member (202) for anchoring the capsule to a wall of a patient's organ. The frontal assembly (200) is capable of relative axial rotation with respect to the tubular body (100), and a disengaged double coupling member is designed to allow this relative rotation when the tubular body receives an external stimulus to rotate, the anchoring member then exerting a reaction torque that is higher than a predetermined threshold torque, and designed to prevent said relative rotation in the absence of external stimulus to rotate being applied to the tubular body. The coupling member may notably comprise, between the frontal assembly and the tubular body, a friction interface (302, 304), with an elastically deformable element (300) applying axial compression between a bearing face (132) of the tubular body (100) and a support ring (204) secured to the anchoring member (202).
The capsule includes a tubular body and a front-end unit including an anchoring member for the anchoring of the capsule to a wall of a patient's organ. The front-end unit is mobile in relative axial rotation with respect to the tubular body, and a disengageable coupling member is adapted to allow this relative rotation when the tubular body receives an external rotational stress, the anchoring member then exerting a reaction torque higher than a predetermined threshold torque, and to prevent the relative rotation in the absence of external rotational stress applied to the tubular body. The coupling member may in particular include, between the front-end unit and the tubular body, a friction interface, with an elastically deformable element applying an axial compression between a bearing face of the tubular body and a support ring integral with the anchoring member.
The device includes an energy harvesting module with a pendular unit formed of an elastically deformable piezoelectric beam associated with an inertial mass. A multifunction part includes an axial through-recess with inner bearing surfaces opposite respective outer faces of the beam. These bearing surfaces having an increasing transverse spacing, such as, during an oscillation cycle, the beam comes into contact with one of the bearing surfaces, hence reducing the free length of the beam as the bending of the latter goes along. The multifunction part also allows rationalizing the manufacturing and the assembly of the capsule, with high-level integration of the inner components of the implant.
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
H01L 41/113 - Eléments piézo-électriques ou électrostrictifs à entrée mécanique et sortie électrique
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters. Medical and surgical devices for diagnosis, stimulation and therapy. Research and development services in the field of diagnosis and treatment of cardiovascular disease.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters, namely, electrical transducers Medical and surgical devices for diagnosis, stimulation and therapy, namely, cardiac pacemakers; surgical devices for diagnosis, stimulation, and therapy Research and development services in the field of diagnosis and treatment of cardiovascular disease
Medical and surgical devices for diagnosis, stimulation and therapy, namely, cardiac pacemakers; surgical devices for diagnosis, stimulation, and therapy
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters, namely, electrical transducers Medical and surgical devices for diagnosis, stimulation and therapy, namely, cardiac pacemakers; surgical devices for diagnosis, stimulation, and therapy Research and development services in the field of diagnosis and treatment of cardiovascular disease
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters, namely, electrical transducers Medical and surgical devices for diagnosis, stimulation and therapy, namely, cardiac pacemakers; surgical devices for diagnosis, stimulation, and therapy Research and development services in the field of diagnosis and treatment of cardiovascular disease
Medical and surgical devices for diagnosis, stimulation and therapy, namely, cardiac pacemakers; surgical devices for diagnosis, stimulation, and therapy
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters. Medical and surgical devices for diagnosis, stimulation and therapy. Research and development services in the field of diagnosis and treatment of cardiovascular disease.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Energy harvesters. Medical and surgical devices for diagnosis, stimulation and therapy. Research and development services in the field of diagnosis and treatment of cardiovascular disease.
Medical and surgical devices for diagnosis, stimulation and therapy.
42.
Autonomous cardiac implant of the “leadless capsule” type, with detection of atrial activity by analysis of the charging electric signal delivered by an energy harvesting module
An energy harvester converts into electrical energy the external stresses applied to the implant at the heartbeat rhythm. This harvester includes an inertial unit and a transducer delivering an oscillating electrical signal that is rectified and regulated for powering the implant and charging an energy storage component. The instantaneous variations of this electrical signal are analyzed in a detection window following or preceding a ventricular contraction, to obtain atrial activity information representative of the atrium contribution to the electric signal, in particular information about the presence/absence of a spontaneous atrial contraction, and/or parameters making it possible to determine an atrioventricular delay to be applied if the ventricle has to be stimulated.
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
H01L 41/113 - Eléments piézo-électriques ou électrostrictifs à entrée mécanique et sortie électrique
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
An energy harvester converts into electrical energy the external stresses applied to the implant at the heartbeat rhythm. This harvester comprises an inertial unit and a transducer delivering an electrical signal that is rectified and regulated for powering the implant and charging an energy storage component. The charge level of the energy storage component is compared with a lower threshold to detect an insufficient charge, and a dynamic charging control circuit modifies, as and whenever necessary, and if the current patient's state allows it, a stimulation parameter in a direction liable to increase in return the mean level of the mechanical energy that is produced and harvested.
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61B 5/042 - Electrodes spécialement adaptées à cet effet pour l'introduction dans le corps
H01L 41/053 - Montures, supports, enveloppes ou boîtiers
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
44.
LEADLESS CAPSULE TYPE AUTONOMOUS CARDIAC IMPLANT COMPRISING AN ENERGY RECOVERY PROVIDING INFORMATION ON THE PHYSIOLOGY OR ACTIVITY OF THE PATIENT
An energy recovery converts the external stresses applied to the implant at the same rhythm as the heartbeats into electrical energy. Said recovery comprises an inertial assembly. A transducer provides an oscillating electrical signal (S) that is rectified and regulated to provide power to the implant and/or to recharge a battery. The instantaneous variations of said electrical signal (S) between two heartbeats are analysed within successive time windows (F1, F2, F3), to deduce a physiological parameter and/or a physical activity parameter of the patient carrying the implant, particularly according to an amplitude peak (PSE) of the first oscillation of the electrical signal (S), and the level of said signal after the rebound phase (Ø1) of the oscillation of the signal.
A vibrational multi-morph piezoelectric energy harvester includes a composite shim having a parallelepiped form with a thickness dimension made smaller than width and length dimensions, and having a stiffness shifting from one extremity to the other extremity to minimize mechanical constraints developed at a clamping area; a seismic mass mounted at an end opposite to the clamping area to mechanically match the system to the surrounding vibration resonance; one or more piezoelectric layers laminated on said composite shim; and electrodes plated onto the one or more piezoelectric layers for connection to an electronic harvesting circuit, a battery, or a super capacitor.
H01L 41/113 - Eléments piézo-électriques ou électrostrictifs à entrée mécanique et sortie électrique
H02N 2/18 - Machines électriques en général utilisant l'effet piézo-électrique, l'électrostriction ou la magnétostriction fournissant une sortie électrique à partir d'une entrée mécanique, p. ex. générateurs
