公开(公告)号：EP1450898B1

公开(公告)日：2009-07-29

申请号：EP02804519.3

申请日：2002-12-02

申请人： MEDTRONIC, INC.

发明人： BROWN, Mark, l. ,  GILLBERG, Jeffrey, M. ,  STADLER, Robert, W.

IPC分类号： A61N1/362 ,  G06F17/00 ,  A61N1/39

CPC分类号： A61N1/3622 ,  A61B5/02405 ,  A61B5/0464 ,  A61B5/0472 ,  A61B5/726

摘要： A method and apparatus are provided for improving the detection of certain cardiac rhythms by combining dual chamber interval-related detection methods with electrogram morphology analysis. A prioritized set of rules are defined wherein each rule is directed at identifying a particular arrhythmia or type of arrhythmia. Each rule includes clauses that may be related to sensed event intervals and interval patterns and at least one rule includes at least one clause relating to the EGM morphology.

公开(公告)号：EP1458285A1

公开(公告)日：2004-09-22

申请号：EP02795949.3

申请日：2002-12-18

申请人： Medtronic, Inc.

发明人： STADLER, Robert, W. ,  GILLBERG, Jeffrey, M.

IPC分类号： A61B5/0464

CPC分类号： A61N1/3622 ,  A61N1/3956

摘要： In a medical device that monitors and/or treats ventricular arrhythmia, the invention provides for a 'normal' processing mode of operation and a 'guarded' processing mode of operation. The transition between the two modes is a function of cardiac rhythm. Benign rhythms are processed in the normal processing mode and non-benign rhythms are processed in the guarded processing mode. In normal processing mode, the device performs functions that are not computationally demanding, but in guarded processing mode, the device performs the computationally demanding operations that classify arrhythmias. If therapy is deemed necessary, the device may provide the therapy in guarded processing mode.

公开(公告)号：EP0902707B1

公开(公告)日：2000-08-16

申请号：EP97925420.8

申请日：1997-04-30

申请人： MEDTRONIC, INC.

发明人： GILLBERG, Jeffrey, M. ,  OLSON, Walter, H.

IPC分类号： A61N1/362

CPC分类号： A61N1/3622 ,  A61B5/042 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/7264

摘要： An implantable anti-tachyarrhythmia device which delivers anti-tachyarrhythmia therapies to a patient's heart in response to detection of tachyarrhythmias. The device defines first criteria indicating the presence of atrial tachycardia and second criteria indicating the presence of artrial fibrillation, and compares the time elapsed since the either the first or second criteria where initially met to a defined time duration. In response to the defined duration having passed and either of the first or second criteria being met, the device triggers delivery of an appropriate anti-tachyarrhythmia therapy. The timer is reset on detection of termination of artrial tachyarrhythmia, but not on failure of the first and second criteria to be met. The first and second criteria are defined such that they can not be concurrently met.

公开(公告)号：EP2448632A1

公开(公告)日：2012-05-09

申请号：EP10714736.5

申请日：2010-04-07

申请人： Medtronic, Inc.

发明人： ZHANG, Xusheng ,  ANDERSON, David, A. ,  HUSTON, Jeffrey, M. ,  GILLBERG, Jeffrey, M.

IPC分类号： A61N1/362 ,  A61N1/365

CPC分类号： A61N1/3621 ,  A61N1/3624 ,  A61N1/36528 ,  A61N1/36535

摘要： Techniques for detecting heart sounds to reduce inappropriate tachyarrhythmia therapy are described. In some examples, a medical device determines that a cardiac rhythm of the patient is treatable with a therapy, such as a defibrillation pulse, based on a cardiac electrogram (EGM). The medical device analyzes detected heart sounds, and withholds or allows the therapy based on the analysis of the heart sounds.

摘要翻译： 描述了用于检测心音以减少不适当的快速性心律失常治疗的技术。 在一些示例中，医疗设备基于心电图（EGM）确定患者的心律可用诸如除颤脉冲的治疗来治疗。 医疗设备分析检测到的心音，并且基于对心音的分析来扣留或允许治疗。

公开(公告)号：EP2411092A1

公开(公告)日：2012-02-01

申请号：EP10711119.7

申请日：2010-03-23

申请人： Medtronic, Inc

发明人： WHITMAN, Teresa, A. ,  KUMAR, Arun ,  KLECKNER, Karin, J. ,  GILLBERG, Jeffrey, M. ,  JACKSON, Troy, E. ,  SHRIVASTAV, Maneesh ,  BROWN, Mark, L.

IPC分类号： A61N1/39 ,  A61B5/0205 ,  A61B5/046 ,  A61B5/0464 ,  A61N1/365

CPC分类号： A61N1/3621 ,  A61B5/0215 ,  A61B5/0464 ,  A61N1/36564 ,  A61N1/36571 ,  A61N1/36578

摘要： A medical device for detecting arrhythmias that includes electrodes for sensing cardiac electrical signals and a hemodynamic sensor for sensing a hemodynamic signal. An episode of cardiac electrical event intervals meeting cardiac arrhythmia detection criteria is detected from the sensed electrical signals. Cardiac mechanical events and/or cardiac mechanical event intervals are measured from the hemodynamic signal and used to withhold or confirm a cardiac arrhythmia detection of the episode.

摘要翻译： 用于检测心律失常的医疗装置和相关方法，其包括用于感测心脏电信号的电极和用于感测血液动力学信号的血液动力学传感器。 从感测到的电信号中检测到满足心律失常检测标准的心脏电活动间隔的发作。 从血液动力学信号测量心脏机械事件和/或心脏机械事件间隔，并用于抑制或确认发作的心律失常检测。

公开(公告)号：EP2389225A1

公开(公告)日：2011-11-30

申请号：EP10701758.4

申请日：2010-01-12

申请人： Medtronic, Inc

发明人： GILLBERG, Jeffrey, M. ,  BROWN, Mark, L. ,  JACKSON, Troy, E.

IPC分类号： A61N1/362 ,  A61N1/365 ,  A61N1/39 ,  A61B5/0464 ,  A61B5/046 ,  A61N1/368

CPC分类号： A61N1/3622

摘要： A cardiac medical device and associated method control delivery of anti- tachycardia pacing (ATP) in response to detecting tachycardia. In one embodiment, an initial set of single chamber pacing pulses are delivered in a single one of the atrium and the ventricle, the other one of the atrium and the ventricle being a non-paced chamber during the initial set of single chamber pacing pulses. The device detects simultaneity between a sensed event in the non-paced chamber and one of the single chamber pacing pulses and delivers ATP in both the atrium and the ventricle in response to detecting the simultaneity.

公开(公告)号：EP1458285B1

公开(公告)日：2009-04-08

申请号：EP02795949.3

申请日：2002-12-18

申请人： MEDTRONIC, INC.

发明人： STADLER, Robert, W. ,  GILLBERG, Jeffrey, M.

IPC分类号： A61B5/0464

CPC分类号： A61N1/3622 ,  A61N1/3956

摘要： In a medical device that monitors and/or treats ventricular arrhythmia, the invention provides for a "normal" processing mode of operation and a "guarded" processing mode of operation. The transition between the two modes is a function of cardiac rhythm. Benign rhythms are processed in the normal processing mode and non-benign rhythms are processed in the guarded processing mode. In normal processing mode, the device performs functions that are not computationally demanding, but in guarded processing mode, the device performs the computationally demanding operations that classify arrhythmias. If therapy is deemed necessary, the device may provide the therapy in guarded processing mode.

公开(公告)号：EP1863563A1

公开(公告)日：2007-12-12

申请号：EP06718744.3

申请日：2006-01-18

申请人： MEDTRONIC, INC.

发明人： TARJAN, Peter, P. ,  GILLBERG, Jeffrey, M. ,  MITRANI, Raul, D.

IPC分类号： A61N1/362 ,  A61N1/39

CPC分类号： A61N1/3987 ,  A61B5/0408 ,  A61N1/05 ,  A61N1/3622 ,  A61N1/3702 ,  A61N1/3756 ,  A61N1/3925 ,  A61N1/3956

摘要： A method and device for detecting arrhythmias in a patient that includes electrodes positioned subcutaneously within the patient, a microprocessor, coupled to the electrodes, determining one of a sequence of the sensing of cardiac signals by the electrodes and a duration between the sensing of cardiac signals by the electrodes, and control circuitry delivering a therapy in response to one of the determined sequence and the determined duration.

公开(公告)号：EP1830700A1

公开(公告)日：2007-09-12

申请号：EP05852653.4

申请日：2005-12-01

申请人： MEDTRONIC, INC.

发明人： STADLER, Robert, W. ,  GILLBERG, Jeffrey, M. ,  MULLEN, Thomas, J. ,  ZHOU, Xiaohong

IPC分类号： A61B5/0452

CPC分类号： A61N1/3702 ,  A61B5/0422 ,  A61B5/0452

摘要： A system and method are provided for assessing T-wave alternans (TWA) using cardiac EGM signals received from implanted electrodes. A T-wave signal parameter is measured from signals received by an automatic gain control sense amplifier. A TWA measurement is computed from a beat-by-beat comparison of T-wave parameter measurements or using frequency spectrum techniques. The TWA measurement magnitude and measurement conditions are used in detecting a clinically important TWA. TWA assessment further includes discriminating concordant and discordant TWA in a multi-vector TWA assessment, and determining the association of a TWA measurement with QRS alternans, mechanical alternans, and other physiological events. A prediction of a pathological cardiac event is made in response to a TWA assessment. A response to a cardiac event prediction is provided.

公开(公告)号：EP1763809A2

公开(公告)日：2007-03-21

申请号：EP05733198.5

申请日：2005-04-08

申请人： MEDTRONIC, INC.

发明人： CAO, Jian ,  GILLBERG, Jeffrey, M.

IPC分类号： G06F19/00

CPC分类号： A61N1/3956 ,  A61B5/04525 ,  A61B5/0464 ,  A61N1/3622 ,  G16H40/63

摘要： A method and device for generating a template that includes determining whether there are consecutive events of a plurality of sensed events having first characteristics, and if a predetermined number of events of the plurality of sensed events subsequent to the consecutive events are identified as first selected events having second characteristics, the template is then generated from the first selected events.