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Implantable electrical vagal stimulation for prevention or interruption of life threatening arrhythmias 원문보기

IPC분류정보
국가/구분 United States(US) Patent 등록
국제특허분류(IPC7판)
  • A61N-001/368
출원번호 US-0873437 (1992-04-24)
발명자 / 주소
  • Schwartz Peter J. (Milan ITX)
출원인 / 주소
  • Medtronic, Inc. (Minneapolis MN 02)
인용정보 피인용 횟수 : 583  인용 특허 : 0

초록 ▼

A method and apparatus for stimulating the right or left vagus nerve with continuous and/or phasic electrical pulses, the latter in a specific relationship with the R-wave of the patient\s electrogram. The automatic detection of the need for vagal stimulation is responsive to increases in the heart

대표청구항 ▼

A method for treating a cardiac arrhythmia comprising the steps of: continuously measuring the electrogram of the patient\s heart; detecting certain characteristics of said electrogram indicative of tachycardia; initiating the storage of a sequence of said characteristics of said electrogram upon de

이 특허를 인용한 특허 (583)

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  196. Stahmann, Jeffrey E.; Hartley, Jesse W.; Lee, Kent; Ni, Quan, Implantable device employing movement sensing for detecting sleep-related disorders.
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  198. Libbus, Imad; Kramer, Andrew P., Implantable device for treating epilepsy and cardiac rhythm disorders.
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  199. Farazi, Taraneh Ghaffari, Implantable device with responsive vascular and cardiac controllers.
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  201. Gindele, Paul J.; Watschke, Brian P., Implantable electrode assembly.
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  210. Donofrio, William T.; Burnes, John E.; Krause, Paul G.; Zhou, Xiaohong; Arne, Gerald P.; Peichel, David J.; Reinke, James D., Implantable medical device crosstalk evaluation and mitigation.
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  211. Krause, Paul G.; Burnes, John E.; Donofrio, William T.; Peichel, David J.; Arne, Gerald P.; Zhou, Xiaohong; Reinke, James D., Implantable medical device crosstalk evaluation and mitigation.
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  212. Krause, Paul G.; Burnes, John E.; Donofrio, William T.; Peichel, David J.; Arne, Gerald P.; Zhou, Xiaohong; Reinke, James D., Implantable medical device crosstalk evaluation and mitigation.
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  213. Krause, Paul G.; Burnes, John E.; Donofrio, William T.; Peichel, David J.; Arne, Gerald P.; Zhou, Xiaohong; Reinke, James D.; Davis, Timothy, Implantable medical device crosstalk evaluation and mitigation.
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  214. Lary R. Larson ; Walter C. Sunderland, Implantable medical device employing integral housing for a formable flat battery.
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  215. Armstrong, Randolph K.; Armstrong, Scott A., Implantable medical device having multiple electrode/sensor capability and stimulation based on sensed intrinsic activity.
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  216. Libbey, Robert W.; Donofrio, William T.; Burnes, John E.; Krause, Paul G.; Berquist, Michael K.; Blandin, Olivier; Hudziak, Michael; Johnson, William L.; Nicholson, John E.; Patras, George; Ries, Andrew J.; Swanson, Jeffrey; Vahle, Paul; Olson, Thomas J.; Wenger, William K.; Klardie, Michael R.; Tahvildari, Samira, Implantable medical device including a plurality of lead connection assemblies.
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  218. Nelson Teresa R., Implantable medical device monitoring method and system regarding same.
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  219. Bozidar Ferek-Petric HR, Implantable medical device programmers having headset video and methods of using same.
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  220. Thomas J. Winkler, Implantable medical device programming apparatus having an auxiliary component storage compartment.
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  221. Ferek-Petric, Bozidar, Implantable medical device programming wands having integral input device.
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  222. Wohlgemuth, Peter; Westendorp, Henk A.; De Bruyn, Harry W. M.; Munneke, J. Dave, Implantable medical device with autosensitivity algorithm for controlling sensing of cardiac signals.
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  223. Libbus, Imad; Kramer, Andrew P.; Linder, William J.; Stahmann, Jeffrey E., Implantable neural stimulator with mode switching.
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  224. Libbus, Imad; Kramer, Andrew P.; Linder, William J.; Stahmann, Jeffrey E., Implantable neural stimulator with mode switching.
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  225. Libbus, Imad; Amurthur, Badri; KenKnight, Bruce H., Implantable neurostimulator for providing electrical stimulation of cervical vagus nerves for treatment of chronic cardiac dysfunction with bounded titration.
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  226. Armstrong, Scott A.; Armstrong, Randolph K., Implantable neurostimulator with refractory stimulation.
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  227. Libbus, Imad; Amurthur, Badri; KenKnight, Bruce H., Implantable neurostimulator-implemented method for enhancing heart failure patient awakening through vagus nerve stimulation.
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  228. Libbus, Imad; Amurthur, Badri; KenKnight, Bruce H., Implantable neurostimulator-implemented method for enhancing heart failure patient awakening through vagus nerve stimulation.
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  229. Amurthur, Badri; Libbus, Imad; KenKnight, Bruce H., Implantable neurostimulator-implemented method for managing hypertension through renal denervation and vagus nerve stimulation.
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  230. Libbus, Imad; Amurthur, Badri; KenKnight, Bruce H., Implantable neurostimulator-implemented method for managing tachyarrhythmia through vagus nerve stimulation.
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  231. Libbus, Imad; Amurthur, Badri; KenKnight, Bruce H., Implantable neurostimulator-implemented method for managing techyarrhythmia through vagus nerve stimulation.
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  232. Libbus, Imad; Amurthur, Badri; KenKnight, Bruce H.; Ardell, Jeffrey L.; Ordway, Gregory A., Implantable neurostimulator-implemented method utilizing multi-modal stimulation parameters.
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  233. Levine Paul A. ; Sholder Jason A. ; Bornzin Gene A. ; Florio Joseph J. ; Valikai Kenneth ; Weinberg Lisa P., Implantable stimulation device having means for operating in a preemptive pacing mode to prevent tachyarrhythmias and method thereof.
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  234. Soykan Orhan ; Donovan Maura G., Implantable system with drug-eluting cells for on-demand local drug delivery.
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  235. Soykan, Orhan; Donovan, Maura G., Implantable system with drug-eluting cells for on-demand local drug delivery.
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  236. Libbus, Imad, Implantable systems and devices for providing cardiac defibrillation and apnea therapy.
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  237. Wu, Eugene Yu Chun; Libbus, Imad, Implantable vagal stimulator for treating cardiac ischemia.
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  238. Fulga, Valentin; Porat, Yael; Belkin, Danny; Shimoni-Zalk, Daphna; Porozov, Svetlana, In vitro techniques for use with stem cells.
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  239. Gross, Yossi; Cohen, Ehud; Nissenkorn, Israel; Lifschitz, David, Incontinence treatment device.
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  240. Gross, Yossi, Independently-controlled bidirectional nerve stimulation.
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  241. Farazi, Taraneh Ghaffari; Falkenberg, Eric, Inducing premature atrial contractions for the purpose of monitoring autonomic tone risk of sudden cardiac death and ischemic events.
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  242. Oron, Gur; Benjamin, Eran; Eytan, Bar; Armoni, Nir; Gross, Yossi, Inhibition of implant migration.
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  243. Tracey, Kevin J.; Huston, Jared M., Inhibition of inflammatory cytokine production by cholinergic agonists and vagus nerve stimulation.
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  244. Tracey, Kevin J.; Huston, Jared M., Inhibition of inflammatory cytokine production by cholinergic agonists and vagus nerve stimulation.
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  245. Tracey, Kevin J.; Huston, Jared M., Inhibition of inflammatory cytokine production by cholinergic agonists and vagus nerve stimulation.
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  246. Libbus, Imad, Intermittent neural stimulation with physiologic response monitor.
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  247. Gross, Yossi; Dagan, Amir, Intra-aortic electrical counterpulsation.
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  248. Vonk,Bernardus F. M.; Stoop,Gustaaf A. P.; Zeijlemaker,Volkert, Intracardiac polarization signal stabilization.
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  249. Williams, Michael S.; Stack, Richard S.; Elliott, Lynn; N'diaye, Colleen Stack; Fifer, Daniel W., Intravascular device for neuromodulation.
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  250. Sheldon, Todd J.; Stylos, Lee; Nelson, Shannon D.; Stadler, Robert W., Ischemia detection.
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  251. Robert Stadler ; Shannon Nelson, Ischemia detection during non-standard cardiac excitation patterns.
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  252. Ferek Petric,Bozidar, Ischemic heart disease detection.
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  253. Ferek-Petric, Bozidar, Ischemic heart disease detection.
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  255. Donofrio, William T.; Krause, Paul G.; Reinke, James D.; Peichel, David J.; Arne, Gerald P., Isolation of sensing and stimulation circuitry.
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  256. Libbus, Imad; Heil, Jr., Ronald W.; Scheiner, Avram, Lead for stimulating the baroreceptors in the pulmonary artery.
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  257. Libbus, Imad; Heil, Jr., Ronald W.; Scheiner, Avram, Lead for stimulating the baroreceptors in the pulmonary artery.
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  258. Receveur,Rogier; Marxer,Cornel, MEMs switching circuit and method for an implantable medical device.
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  259. Kieval, Robert S.; Persson, Bruce J.; Serdar, David J.; Keith, Peter T., Mapping methods for cardiovascular reflex control devices.
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  260. Stewart Mark T. ; Iverson Vernon B. ; Keeney Kenneth W. ; Taylor Catherine E., Medical electrical lead having controlled texture surface and method of making same.
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  261. Stewart, Mark T.; Iverson, Vernon B.; Keeney, Kenneth W.; Taylor, Catherine E., Medical electrical lead having controlled texture surface and method of making same.
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  262. David L. Thompson ; Steven D. Goedeke, Medical management system integrated programming apparatus for communication with an implantable medical device.
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  263. Soykan Orhan ; Combs William J. ; Shelton Michael B., Method and apparatus for accoustically coupling implantable medical device telemetry data to a telephonic connection.
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  264. Shome, Shibaji; Ruble, Stephen; Hamann, Jason J.; Hahn, Stephen J.; Sharma, Arjun D., Method and apparatus for adaptive control of neurostimulation using cardiac restitution.
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  265. Elsberry Dennis D. (New Hope MN) Mehra Rahul (Stillwater MN) Otten Lynn M. (Blaine MN) Rise Mark T. (Monticello MN) Thompson David L. (Fridley MN), Method and apparatus for alleviating cardioversion shock pain.
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  267. Thompson, David L.; Goedeke, Steven D.; Haubrich, Gregory J.; Cobian, Ryan; Bonde, Eric; Sommer, John L.; Werder, Jonathan; Nerison, Nels; Blaha, Eric V., Method and apparatus for automatic implantable medical lead recognition and configuration.
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  269. Stroetmann Brigitte (Uttenreuth DEX) Holmstrom Nils (Jarfalla SEX) Kallert Siegfried (Erlangen DEX) Bowald Staffan (Almunge SEX), Method and apparatus for cardiac therapy by stimulation of a physiological representative of the parasympathetic nervous.
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  270. Lee, Kent; Libbus, Imad; Caparso, Anthony V.; Kwok, Jonathan; Pu, Yachuan; Haefner, Paul A.; James, Kristofer J., Method and apparatus for controlling neural stimulation during disordered breathing.
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  271. Lee, Kent; Libbus, Imad; Caparso, Anthony V.; Kwok, Jonathan; Pu, Yachuan; Haefner, Paul A.; James, Kristofer J., Method and apparatus for controlling neural stimulation during disordered breathing.
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  272. Lee, Kent; Libbus, Imad; Caparso, Anthony V.; Kwok, Jonathan; Pu, Yachuan; Haefner, Paul A.; James, Kristofer J., Method and apparatus for controlling neural stimulation during disordered breathing.
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  273. Hill, Michael R. S.; King, Gary W.; Mullen, Thomas J.; Zhou, Xiaohong, Method and apparatus for electrically stimulating the nervous system to improve ventricular dysfunction, heart failure, and other cardiac conditions.
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  274. Hill, Michael R. S.; King, Gary W.; Mullen, Thomas J.; Zhou, Xiaohong, Method and apparatus for electrically stimulating the nervous system to improve ventricular dysfunction, heart failure, and other cardiac conditions.
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  275. Stadler Robert ; Nelson Shannon ; Stylos Lee ; Sheldon Todd J., Method and apparatus for filtering electrocardiogram (ECG) signals to remove bad cycle information and for use of physiologic signals determined from said filtered ECG signals.
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  276. Haefner, Paul A.; James, Kristofer J.; Lee, Kent; Libbus, Imad; Caparso, Anthony V.; Kwok, Jonathan; Pu, Yachuan, Method and apparatus for neural stimulation with respiratory feedback.
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  277. Haefner, Paul A.; James, Kristofer J.; Lee, Kent; Libbus, Imad; Caparso, Anthony V.; Kwok, Jonathan; Pu, Yachuan, Method and apparatus for neural stimulation with respiratory feedback.
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  278. Haefner, Paul A.; James, Kristofer J.; Lee, Kent; Libbus, Imad; Caparso, Anthony V.; Kwok, Jonathan; Pu, Yachuan, Method and apparatus for neural stimulation with respiratory feedback.
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  279. Cates, Adam W., Method and apparatus for preventing cardiac arrhythmias with endovascular stimulation.
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  280. Kieval, Robert S.; Keith, Peter T.; Serdar, David J.; Persson, Bruce, Method and apparatus for stimulation of baroreceptors in pulmonary artery.
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  281. Libbus, Imad; Haefner, Paul A.; McCabe, Aaron R.; Zhang, Yi, Method and apparatus for synchronizing neural stimulation to cardiac cycles.
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  282. Libbus, Imad; Haefner, Paul A.; McCabe, Aaron; Zhang, Yi, Method and apparatus for synchronizing neural stimulation to cardiac cycles.
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  283. Hartlaub Jerome T., Method and apparatus for treating a tachyarrhythmic patient.
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  284. Florio,Joseph J.; Bornzin,Gene A.; Boileau,Peter; Falkenberg,Eric; Barstad,Janice, Method and apparatus for using a rest mode indicator to automatically adjust control parameters of an implantable cardiac stimulation device.
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  285. Charles S. Taylor ; Robert G. Matheny ; Dwight P. Morejohn, Method and apparatus for using vagus nerve stimulation in surgery.
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  286. Taylor Charles S. ; Matheny Robert G. ; Morejohn Dwight P., Method and apparatus for using vagus nerve stimulation in surgery.
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  287. Taylor Charles S. ; Matheny Robert G. ; Morejohn Dwight P., Method and apparatus for using vagus nerve stimulation in surgery.
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  288. Hill,Michael R. S.; King,Gary W.; Mullen,Thomas J.; Zhou,Xiaohong, Method and apparatus to minimize effects of a cardiac insult.
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  289. Geddes Leslie A. (West Lafayette IN) Elabbady Tarek (Kirkland WA) Schoenlein William E. (Lafayette IN) Waninger Matthew (Frankfort IN) Bourland Joe D. (West Lafayette IN), Method and apparatus using vagal stimulation for control of ventricular rate during atrial fibrillation.
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  290. Geddes Leslie A. ; Elabbady Tarek ; Schoenlein William E. ; Waninger Matthew ; Bourland Joe D., Method and apparatus using vagal stimulation for control of ventricular rate during atrial fibrillation.
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  291. Hill Michael R. S. ; Jonkman Kenneth R., Method and device for electronically controlling the beating of a heart.
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  292. Hill, Michael R. S.; Jonkman, Kenneth R., Method and device for electronically controlling the beating of a heart.
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  293. Hill, Michael R. S.; Jonkman, Kenneth R., Method and device for electronically controlling the beating of a heart.
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  294. Hill, Michael R. S.; Jonkman, Kenneth R., Method and device for electronically controlling the beating of a heart.
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  295. Hill Michael R. S. ; Jonkman Kenneth R., Method and device for electronically controlling the beating of a heart using venous electrical stimulation of nerve fibers.
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  296. Hill, Michael R. S.; Jonkman, Kenneth R., Method and device for electronically controlling the beating of a heart using venous electrical stimulation of nerve fibers.
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  297. Busch, Ulrich; Neumann, Andreas; Tietze, Ulrich, Method and device for processing cardiac signals.
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  298. Van Oort, Geeske; Van Hove, Jos W. J., Method and system for determining kidney failure.
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  299. Pitts-Crick, Jonathan; Van Oort, Geeske, Method and system for diagnosing and administering therapy of pulmonary congestion.
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  300. Hill, Michael R. S.; Jahns, Scott E.; Keogh, James R.; Euler, David E.; Ujhelyi, Michael R.; Rakow, Nancy J., Method and system for endotracheal/esophageal stimulation prior to and during a medical procedure.
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  301. Hill, Michael R. S.; Jahns, Scott E.; Keogh, James R.; Euler, David E.; Ujhelyi, Michael R.; Rakow, Nancy J.; Colson, Michael A., Method and system for endotracheal/esophageal stimulation prior to and during a medical procedure.
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  302. Osorio, Ivan; Frei, Mark G., Method and system for logging quantitative seizure information and assessing efficacy of therapy using cardiac signals.
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  303. Begemann, Malcolm J., Method and system for monitoring heart failure using rate change dynamics.
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  304. Jahns, Scott E.; Hill, Michael R. S.; Keogh, James R., Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure.
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