Enhanced Cardiac Pacing System with Real-Time Phrenic Nerve Monitoring

Publication ID: 24-11857795_0006_PTD
Published: October 28, 2025
Category:Direct Improvements & Enhancements

Legal Citation

pr1or.art Inc., “Enhanced Cardiac Pacing System with Real-Time Phrenic Nerve Monitoring,” Published Technical Disclosure No. 24-11857795_0006_PTD, Published October 28, 2025, available at https://archive.pr1or.art/24-11857795_0006_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. 11,857,795.

Summary of the Inventive Concept

An improved cardiac pacing system that adaptively adjusts electrode combinations based on real-time phrenic nerve activation monitoring, ensuring safer and more efficient cardiac pacing stimuli delivery.

Background and Problem Solved

The original patent relates to the selection of electrode combinations for cardiac pacing stimuli delivery. However, it lacks real-time monitoring and adaptation to phrenic nerve activation, which can lead to complications. The new inventive concept addresses this limitation by incorporating real-time phrenic nerve activation monitoring and adaptive electrode combination adjustment.

Detailed Description of the Inventive Concept

The enhanced cardiac pacing system comprises a processor configured to adaptively adjust electrode combinations based on real-time phrenic nerve activation monitoring. The processor utilizes electrode configuration data stored in memory to rapidly reconfigure the electrode combinations. The system also includes a graphical user interface for real-time monitoring and adjustment. The processor can detect phrenic nerve activation and automatically switch to a backup electrode configuration, ensuring improved safety features. Additionally, the system can create a patient-specific electrode configuration profile based on individual phrenic nerve activation thresholds and update the profile in response to changes in patient physiology.

Novelty and Inventive Step

The new claims introduce the novel concept of real-time phrenic nerve activation monitoring and adaptive electrode combination adjustment, which is not present in the original patent. This inventive step provides a significant improvement in safety and efficiency, as it enables the system to respond to phrenic nerve activation in real-time.

Alternative Embodiments and Variations

Alternative embodiments of the inventive concept could include using machine learning algorithms to predict phrenic nerve activation, incorporating additional sensors to monitor cardiac tissue capture, or developing a cloud-based platform for remote monitoring and adjustment of the cardiac pacing system.

Potential Commercial Applications and Market

The enhanced cardiac pacing system has significant commercial potential in the medical device industry, particularly in the cardiac rhythm management market. The system's improved safety features and adaptive capabilities make it an attractive solution for patients requiring cardiac pacing stimuli delivery.

Field of Art

Cardiac medical devices, specifically implantable cardiac pacing systems with electrode configuration and nerve stimulation monitoring technologies

Person of Ordinary Skill (PHOSITA) Profile

A biomedical engineer with expertise in cardiac electrophysiology, electrical stimulation technologies, and medical device design, possessing advanced knowledge of cardiac pacing systems, signal processing, and electrode configuration optimization

Obviousness Rationale

A person having ordinary skill would recognize that the PTD's real-time phrenic nerve monitoring and adaptive electrode configuration represents a predictable extension of the source patent's foundational electrode selection methodology. The technical improvements are consistent with established medical device design principles of enhancing safety and patient-specific optimization through intelligent monitoring and reconfiguration strategies. The variations represent incremental advancements that would be apparent to a skilled practitioner seeking to improve cardiac pacing system performance.

Obvious Combinations & Variations

Source Patent Element
Control logic for selecting electrode configurations for cardiac pacing stimuli
PTD Variation
Real-time adaptive electrode configuration based on phrenic nerve activation monitoring
Obviousness Reasoning
A PHOSITA would find it obvious to incorporate dynamic monitoring into existing electrode selection logic as a predictable method of improving patient safety and device performance
Source Patent Element
Graphical user interface for electrode configuration selection
PTD Variation
Machine learning algorithms for predicting phrenic nerve activation and automatically adjusting configurations
Obviousness Reasoning
Applying machine learning to existing user interface configuration selection represents a known technique for enhancing medical device intelligence and automation
Source Patent Element
Determination of phrenic nerve activation thresholds
PTD Variation
Patient-specific electrode configuration profile that dynamically updates based on physiological changes
Obviousness Reasoning
Creating personalized medical device profiles is a standard design approach in adaptive medical technologies, representing a predictable solution for improving individual patient outcomes
Source Patent Element
Electrode configuration selection process
PTD Variation
Weighted scoring system incorporating both cardiac tissue capture and phrenic nerve avoidance
Obviousness Reasoning
Developing multi-parameter optimization strategies is a routine engineering approach for improving complex medical device performance
Source Patent Element
Basic electrode configuration memory and selection logic
PTD Variation
Cloud-based remote monitoring platform for cardiac pacing system configuration
Obviousness Reasoning
Extending device configuration capabilities to networked platforms represents a predictable technological progression in medical device design
35 U.S.C. § 103 Summary: Based on the teachings of US Patent 11857795 and the disclosed technical variations, a person having ordinary skill in the art would find the claimed cardiac pacing system innovations obvious and lacking inventive step. The incremental improvements in electrode configuration, phrenic nerve monitoring, and adaptive system optimization represent predictable extensions of existing cardiac medical device technologies that would be apparent to a skilled practitioner in the field.

Original Patent Information

Patent NumberUS 11,857,795
TitleMethod and apparatus to perform electrode combination selection
Assignee(s)Cardiac Pacemakers, Inc.