发明授权
US5843133A Dynamic bandwidth control in an implantable medical cardiac stimulator
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植入式医疗心脏刺激器中的动态带宽控制
- 专利标题: Dynamic bandwidth control in an implantable medical cardiac stimulator
- 专利标题(中): 植入式医疗心脏刺激器中的动态带宽控制
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申请号: US843236申请日: 1997-04-14
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公开(公告)号: US5843133A公开(公告)日: 1998-12-01
- 发明人: Andre Routh , Annette Bruls , Drury Woodson, III , Joseph Vandegriff , Yves Verboven
- 申请人: Andre Routh , Annette Bruls , Drury Woodson, III , Joseph Vandegriff , Yves Verboven
- 申请人地址: TX Angleton
- 专利权人: Sulzer Intermedics Inc.
- 当前专利权人: Sulzer Intermedics Inc.
- 当前专利权人地址: TX Angleton
- 主分类号: A61N1/362
- IPC分类号: A61N1/362 ; A61N1/37 ; A61N1/38 ; A61N1/39 ; A61N1/18
摘要:
An implantable medical device for electrically stimulating the heart to beat includes a sense circuit for detecting cardiac electrical activity. The sense circuit includes a band pass filter with an adjustable frequency response. The frequency response can be repeatedly adjusted after implantation of the medical device and preferably is adjusted upon detection of the loss of normal sinus rhythm (NSR) in the heart's atria. The loss of NSR often indicates atrial fibrillation (AF), and the filter's frequency response is adjusted to increase the sensitivity of the sense circuit to the cardiac electrical activity typical during AF. The medical device is calibrated during implantation or at subsequent doctor visits with the aid of a calibration device external to the body. Cardiac electrical activity in the form of an electrogram is transmitted from the medical device to the external calibration device. The transmitted electrogram preferably includes both NSR and AF rhythms. The calibration device computes two sets of filter coefficients; one set for increased filter sensitivity during NSR and another set for increased sensitivity during AF. The coefficients are transmitted to the medical device which uses the appropriate set of coefficients to increase the filter's frequency response during both NSR and AF.
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