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US07203544B2 Detection of evoked post-stimulation potentials, in particular atrial potentials in an active implantable medical device such as cardiac pacemaker, defribillator, cardiovertor or multisite device 有权
诱发后刺激电位的检测，特别是主动植入式医疗装置如心脏起搏器，除颤器，心律转换器或多器件装置中的心房电位

  • 专利标题： Detection of evoked post-stimulation potentials, in particular atrial potentials in an active implantable medical device such as cardiac pacemaker, defribillator, cardiovertor or multisite device
  • 专利标题（中）： 诱发后刺激电位的检测，特别是主动植入式医疗装置如心脏起搏器，除颤器，心律转换器或多器件装置中的心房电位
  • 申请号： US10745472
    申请日： 2003-12-22
  • 公开(公告)号： US07203544B2
    公开(公告)日： 2007-04-10
  • 发明人: Thierry Legay , Dominique Decoene
  • 申请人： Thierry Legay , Dominique Decoene
  • 申请人地址： FR Montrouge
  • 专利权人： Ela Medical S.A.S.
  • 当前专利权人： Ela Medical S.A.S.
  • 当前专利权人地址： FR Montrouge
  • 代理机构： Orrick Herrington & Sutcliffe LLP
  • 优先权： FR0216724 20021226
  • 主分类号： A61N1/37
  • IPC分类号： A61N1/37
Detection of evoked post-stimulation potentials, in particular atrial potentials in an active implantable medical device such as cardiac pacemaker, defribillator, cardiovertor or multisite device
摘要：
Detection of an evoked post-stimulation potential, in particular atrial potentials, in an active implantable medical device such as a cardiac pacemaker, a defibrillator, a cardioveter, or a multisite device. This device applies a stimulation pulse (40), then shorts-circuit for a discharge period (42, OCD) the output circuit, which includes discharging a connection capacitor, the self-impedance of the probe, and the impedance of the interface heart-electrode. A detection circuit includes an amplifier and a blanking circuit to temporarily uncouple the input terminal from the amplifier. A sequencer control circuit activates during a first time (micro blanking) the blanking circuit throughout the stimulation pulse (40), activates the discharging circuit with a delay after the application of the stimulation pulse, then inhibits the blanking circuit for a listening period (44), defining at least part of this delay, so as to authorize detection by the amplifier, during the listening period, of the evoked post-stimulation potentials, and then activates the blanking circuit a second time (BLANKING) after the listening period throughout the discharge period (42, OCD).
摘要（中）：

检测在诸如心脏起搏器，除颤器，心脏病或多位置装置的有源可植入医疗装置中的诱发后刺激电位，特别是心房电位。 该装置施加刺激脉冲（40），然后对输出电路进行短路放电周期（42，OCD），其包括放电连接电容器，探针的自身阻抗以及接口心脏的阻抗， 电极。 检测电路包括放大器和消隐电路，以暂时将放大器与输入端分离。 定序器控制电路在整个刺激脉冲（40）中的第一次（消隐）消隐电路期间激活，在施加刺激脉冲之后延迟地激活放电电路，然后在收听期间禁止消隐电路（44 ），定义该延迟的至少一部分，以便授权在听觉期间放大器在诱发后刺激电位之后的检测，然后在整个听觉周期之后再次激活消隐电路（BLANKING） 放电期（42，OCD）。

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