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    Systems and methods for off-line reprogramming of implantable medical device components to reduce false detections of cardiac events
    2.
    发明公开
    Systems and methods for off-line reprogramming of implantable medical device components to reduce false detections of cardiac events 有权
    植入式医疗部件的离线重新编程的系统和方法，以减少心脏事件的错误检测

    公开(公告)号：EP2324763A1

    公开(公告)日：2011-05-25

    申请号：EP10190329.2

    申请日：2010-11-08

    申请人： PACESETTER, INC.

    发明人： Snell, Jeffery D. ,  Park, Euljoon Park

    IPC分类号： A61B5/0452 ,  A61N1/362 ,  A61N1/38

    CPC分类号： A61B5/04012 ,  A61B5/0031 ,  A61B5/0452 ,  A61B2560/0271 ,  A61N1/3702 ,  A61N1/37235

    摘要： Techniques are provided for use by implantable medical devices such as pacemakers or by external systems in communication with such devices. An intracardiac electrogram (IEGM) is sensed within a patient in which the device is implanted using a cardiac signal sensing system. Cardiac events of interest such as arrhythmias, premature atrial contractions (PACs), premature ventricular contractions (PVCs) and pacemaker mediated tachycardias (PMTs) are detected within the patient using event detection systems and then portions of the IEGM representative of the events of interest are recorded in device memory. Subsequently, during an off-line or background analysis, the recorded IEGM data is retrieved and analyzed to identify false detections. In response to false detections, the cardiac signal sensing systems and/or the event detection systems of the implantable device are selectively adjusted or reprogrammed to reduce or eliminate any further false detections, including false-positives or false-negatives. Various adaptive reprogramming techniques are described.

    摘要翻译： 如起搏器或通过与搜索设备的通信的外部系统：由可植入的医疗设备提供了一种用于使用的技术。 心内电克（IEGM）是在其中该装置被使用的心脏信号感测系统植入患者体内所感测感兴趣的心脏事件：如心律失常，房性期前收缩（PACS），室性早搏（PVC的）和起搏器介导性心动过速（ 光电倍增管）的使用事件检测系统，然后将IEGM代表感兴趣的事件记录在设备存储器中的部分在患者体内检测到。 随后，在上离线或背景分析，所记录的数据IEGM检索和分析以识别错误检测。 响应于错误的检测，所述心脏信号感测系统和/或可植入装置的情况下，检测系统被选择性地调整或重新编程，以减少或消除任何误检测此外，包括假阳性或假阴性。 各种自适应重编程技术进行描述。