Neuro-Adaptive Implantable Cardioverter-Defibrillator (ICD) System

Publication ID: 24-11857779_0010_PTD
Published: October 28, 2025
Category:Future Evolutions & Paradigm Shifts

Legal Citation

pr1or.art Inc., “Neuro-Adaptive Implantable Cardioverter-Defibrillator (ICD) System,” Published Technical Disclosure No. 24-11857779_0010_PTD, Published October 28, 2025, available at https://archive.pr1or.art/24-11857779_0010_PTD
This technical disclosure describes improvements that would be readily apparent to a Person Having Ordinary Skill In The Art (PHOSITA) when considered in combination with the foundational architecture disclosed in U.S. Patent No. 11,857,779.

Summary of the Inventive Concept

A next-generation ICD system that leverages neural interfaces, machine learning, and wearable technology to provide personalized, adaptive, and minimally invasive cardioverter-defibrillator therapy.

Background and Problem Solved

The original patent disclosed an implantable cardioverter-defibrillator (ICD) system with a substernal pacing lead. However, this system has limitations, including the need for invasive surgical procedures, limited adaptability to individual patient needs, and suboptimal power management. The new inventive concept addresses these limitations by introducing a neuro-adaptive ICD system that integrates neural interfaces, machine learning, and wearable technology to provide more effective, comfortable, and personalized therapy.

Detailed Description of the Inventive Concept

The neuro-adaptive ICD system comprises a wearable ICD device, a defibrillation lead with a proximal portion coupled to the wearable ICD device and a distal portion having a defibrillation electrode, and a power management system for optimizing power consumption and extending battery life. The system also includes a neural interface for detecting cardiac neural signals and adapting therapy accordingly, and a machine learning module for analyzing patient-specific data and predicting optimal therapy parameters. The wearable ICD device can be modular, with interchangeable therapy modules for providing different therapy modalities, and wirelessly communicate with a patient's electronic health record.

Novelty and Inventive Step

The new claims introduce a paradigm shift in ICD technology by incorporating neural interfaces, machine learning, and wearable technology to provide personalized, adaptive, and minimally invasive cardioverter-defibrillator therapy. This represents a significant departure from the original patent's limitations and provides a more effective, comfortable, and patient-centric solution.

Alternative Embodiments and Variations

Alternative embodiments of the neuro-adaptive ICD system could include different neural interface configurations, such as implantable or external sensors, and varying levels of machine learning complexity. The system could also be adapted for use in other medical applications, such as cardiac resynchronization therapy or atrial fibrillation treatment.

Potential Commercial Applications and Market

The neuro-adaptive ICD system has significant commercial potential in the cardiac rhythm management market, with potential applications in hospitals, clinics, and home healthcare settings. The system's wearable and modular design could also expand the market to include patients who were previously ineligible for ICD therapy due to surgical risks or other contraindications.

Field of Art

Medical Device Technology, specifically Implantable Cardiac Rhythm Management Devices, requiring advanced electrical engineering, biomedical engineering, and medical device design expertise with knowledge of cardiac electrophysiology and implantable electronic systems

Person of Ordinary Skill (PHOSITA) Profile

A biomedical engineer or medical device designer with advanced degree, 5-10 years experience in cardiac rhythm management technologies, familiar with implantable cardioverter-defibrillator design, neural signal processing, and emerging medical technology integration strategies

Obviousness Rationale

A PHOSITA would recognize that the PTD represents a predictable evolution of ICD technology by integrating emerging technologies like machine learning and neural interfaces into an existing subcutaneous ICD framework. The core functional elements of the source patent remain consistent, with the PTD introducing incremental technological enhancements that would be considered obvious extensions of known medical device design principles. The variations represent logical technological progressions using standard engineering design methodologies.

Obvious Combinations & Variations

Source Patent Element
Subcutaneously implantable ICD with defibrillation lead
PTD Variation
Wearable ICD device with modular design and wireless communication capabilities
Obviousness Reasoning
Miniaturization and wireless integration are predictable technological improvements in medical device design, representing a known technique for enhancing patient usability and medical device functionality
Source Patent Element
Pacing pulse delivery with configurable pulse widths
PTD Variation
Machine learning module for dynamically adjusting therapy parameters based on patient-specific data
Obviousness Reasoning
Adaptive therapy optimization is a foreseeable technological progression, utilizing known machine learning techniques to personalize medical device performance
Source Patent Element
Defibrillation electrode configuration
PTD Variation
Neural interface for detecting cardiac neural signals and adapting therapy
Obviousness Reasoning
Integration of neural signal processing represents a logical extension of existing medical sensing technologies, utilizing known biomedical engineering principles
Source Patent Element
Implantable cardiac rhythm management system
PTD Variation
Power management system for optimizing battery consumption and extending device lifecycle
Obviousness Reasoning
Energy efficiency improvements are standard design considerations in implantable medical devices, representing a predictable solution to known technological limitations
35 U.S.C. § 103 Summary: Based on the teachings of US Patent 11857779, a Person Having Ordinary Skill In The Art would find the technical variations disclosed in the Published Technical Disclosure to represent obvious modifications to the existing implantable cardioverter-defibrillator technology. The incremental technological enhancements, including neural interfaces, machine learning integration, and modular design, constitute predictable extensions of known medical device design principles and would not represent non-obvious technological achievements.

Original Patent Information

Patent NumberUS 11,857,779
TitleImplantable cardioverter-defibrillator (ICD) system including substernal pacing lead
Assignee(s)Medtronic, Inc.