DETECTION OF PLEURAL EFFUSION USING TRANSTHORACIC IMPEDANCE
    1.
    发明申请
    DETECTION OF PLEURAL EFFUSION USING TRANSTHORACIC IMPEDANCE 有权
    使用TRANSTHORACIC阻抗检测临时效应

    公开(公告)号:US20080108907A1

    公开(公告)日:2008-05-08

    申请号:US11972405

    申请日:2008-01-10

    IPC分类号: A61B5/085

    摘要: This patent document discusses systems, devices, and methods for increasing a sensitivity or specificity of thoracic fluid detection in a subject and differentiating between pleural effusion and pulmonary edema. In one example, a thoracic impedance measurement circuit senses a thoracic impedance signal. In another example, a processor receives the thoracic impedance signal and determines whether such thoracic impedance signal is “significant.” A significant thoracic impedance signal indicates the presence of thoracic fluid and may be recognized by comparing the thoracic impedance signal (or variation thereof) to a thoracic impedance threshold. When a significant thoracic impedance signal is recognized, the processor is adapted to detect one or both of: a pleural effusion indication and a pulmonary edema indication using one or a combination of: physiologic information, patient symptom information, and posture information. In another example, the thoracic impedance threshold is adjusted using such physiologic, patient symptom, or posture information.

    摘要翻译: 该专利文献讨论了用于增加受试者胸部液体检测的敏感性或特异性并区分胸腔积液和肺水肿的系统,装置和方法。 在一个示例中,胸部阻抗测量电路感测胸部阻抗信号。 在另一示例中,处理器接收胸部阻抗信号并确定这种胸部阻抗信号是否“显着”。 显着的胸部阻抗信号表示胸腔液的存在,并且可以通过将胸部阻抗信号(或其变化)与胸部阻抗阈值进行比较来识别。 当识别出显着的胸部阻抗信号时,处理器适合于使用生理信息,患者症状信息和姿势信息中的一个或组合来检测胸腔积液指示和肺水肿指示之一或两者。 在另一个例子中,使用这种生理,患者症状或姿势信息来调整胸阻抗阈值。

    Sensitivity and specificity of pulmonary edema detection when using transthoracic impedance

    公开(公告)号:US20060293609A1

    公开(公告)日:2006-12-28

    申请号:US11126723

    申请日:2005-05-11

    IPC分类号: A61B5/05

    摘要: This patent document discusses, among other things, systems, devices, and methods for enhancing detection of pulmonary edema using, in addition to thoracic impedance, one or a combination of: physiologic information about a subject, at least one statistical parameter, a user-programmable detection level, at least one parameter associated with a previous pulmonary edema event, and patient symptom information about the subject. In one example, a (base) thoracic impedance threshold is modified to an adjusted thoracic impedance threshold. The adjusted thoracic impedance threshold provides an increased sensitivity of pulmonary edema detection as compared to the base thoracic impedance threshold. In another example, an alert is provided to a subject, a caregiver, or other user based on a pulmonary edema indication determined by the present systems, devices, and methods. In a further example, a therapy (provided to the subject) is adjusted or initiated in response to the pulmonary edema indication.

    Enhancements to the detection of pulmonary edema when using transthoracic impedance

    公开(公告)号:US20060258952A1

    公开(公告)日:2006-11-16

    申请号:US11126689

    申请日:2005-05-11

    IPC分类号: A61B5/05 A61B5/02 A61B7/00

    摘要: This patent document discusses, among other things, systems, devices, and methods for enhancing detection of pulmonary edema using, in addition to thoracic impedance, one or a combination of: physiologic information about a subject, at least one statistical parameter, a user-programmable detection level, at least one parameter associated with a previous pulmonary edema event, and patient symptom information about the subject. In one example, a (base) thoracic impedance threshold is modified to an adjusted thoracic impedance threshold. The adjusted thoracic impedance threshold provides an increased sensitivity of pulmonary edema detection as compared to the base thoracic impedance threshold. In another example, an alert is provided to a subject, a caregiver, or other user based on a pulmonary edema indication determined by the present systems, devices, and methods. In a further example, a therapy (provided to the subject) is adjusted or initiated in response to the pulmonary edema indication.

    Medical event logbook system and method
    5.
    发明申请
    Medical event logbook system and method 审中-公开
    医疗事件日志系统和方法

    公开(公告)号:US20050080348A1

    公开(公告)日:2005-04-14

    申请号:US10920568

    申请日:2004-08-17

    IPC分类号: A61B5/08

    摘要: An event-based approach to collecting and organizing information associated with events affecting respiration is presented. The detection or prediction of an event affecting the respiration of a patient initiates acquisition of information associated with the event. The respiratory logbook system acquires information with the event during the event and during intervals proximate in time to the event. The information is organized as a respiratory log entry. The user can access the information by operating a user interface. The information may be presented in textual or graphical form.

    摘要翻译: 提出了一种基于事件的方法来收集和组织与影响呼吸的事件相关的信息。 影响患者呼吸的事件的检测或预测启动与事件相关联的信息的获取。 呼吸记录系统在事件期间以及事件发生的时间间隔期间获取事件信息。 信息被组织为呼吸日志条目。 用户可以通过操作用户界面访问信息。 信息可以以文本或图形形式呈现。

    Adaptive therapy for disordered breathing
    6.
    发明申请
    Adaptive therapy for disordered breathing 有权
    呼吸紊乱的自适应治疗

    公开(公告)号:US20050039745A1

    公开(公告)日:2005-02-24

    申请号:US10643203

    申请日:2003-08-18

    IPC分类号: A61N1/36 A61N1/362 A62B7/00

    CPC分类号: A61N1/362 A61N1/3601

    摘要: An approach to providing disordered breathing therapy includes detecting disordered breathing and adapting a therapy to mitigate the disordered breathing. The therapy may be adapted to enhance therapy effectiveness, to provide therapy that reduces an impact of the therapy on the patient, or to achieve other therapeutic goals. Cardiac electrical therapy to mitigate the disordered breathing may include various cardiac pacing regimens and/or delivery of non-excitatory electrical stimulation to the heart.

    摘要翻译: 提供无序呼吸治疗的方法包括检测无序呼吸并适应治疗以减轻无序呼吸。 治疗可以适应于增强治疗有效性,提供减少治疗对患者的影响或实现其它治疗目标的治疗。 减轻无序呼吸的心脏电疗可能包括各种心脏起搏方案和/或向心脏递送非兴奋性电刺激。

    Implantable devices and methods using frequency-domain analysis of thoracic signal
    7.
    发明申请
    Implantable devices and methods using frequency-domain analysis of thoracic signal 有权
    可植入装置和方法使用胸腔信号的频域分析

    公开(公告)号:US20050004609A1

    公开(公告)日:2005-01-06

    申请号:US10612387

    申请日:2003-07-02

    IPC分类号: A61B5/053 A61B5/08 A61N1/365

    摘要: This document describes, among other things, systems, devices, and methods that use frequency domain analysis of a thoracic signal. One example uses frequency domain analysis for discriminating between different pulmonary physiological states. Examples of breathing states include normal breathing, periodic breathing, Cheyne-Stokes breathing, obstructed respiration, restrictive respiration, and pulmonary edema. The frequency domain analysis may also be used for performing heart rate variability (HRV) diagnostics. In one example, a frequency domain adaptive filter implements a variable cutoff frequency for separating heart contraction spectral content and other spectral content from lower frequency respiration spectral content and other lower frequency spectral content.

    摘要翻译: 本文档描述了使用胸部信号的频域分析的系统,设备和方法。 一个例子使用频域分析来区分不同的肺部生理状态。 呼吸状态的例子包括正常呼吸,定期呼吸,切尼 - 斯托克斯呼吸,阻塞呼吸,限制性呼吸和肺水肿。 频域分析也可用于执行心率变异性(HRV)诊断。 在一个示例中,频域自适应滤波器实现用于将心脏收缩频谱内容和其他频谱内容与较低频率呼吸频谱内容和其他较低频谱内容分离的可变截止频率。