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公开(公告)号:US20100305643A1
公开(公告)日:2010-12-02
申请号:US12784151
申请日:2010-05-20
申请人: Paul F. Emerson , Gary T. Seim , Michael A. Querimit , Donald L. Hopper , Stephen R. Pitzl , Daniel O'Brien
发明人: Paul F. Emerson , Gary T. Seim , Michael A. Querimit , Donald L. Hopper , Stephen R. Pitzl , Daniel O'Brien
IPC分类号: A61N1/365
CPC分类号: A61N1/36521 , A61N1/362 , A61N1/365 , A61N1/37
摘要: A cardiac rhythm management (CRM) device can extract ventilation information from thoracic impedance or other information, and adjust a delivery rate of the CRM therapy. A tidal volume of a patient is measured and used to adjust a ventilation rate response factor. The measured tidal volume can optionally be adjusted using a ventilation rate dependent adjustment factor. The ventilation rate response factor can also be adjusted using a maximum voluntary ventilation (MVV), an age predicted maximum heart rate, a resting heart rate, and a resting ventilation determined for the patient. In various examples, a global ventilation sensor rate response factor (for a population) can be programmed into the CRM device, and automatically tailored to be appropriate for a particular patient.
摘要翻译: 心脏节律管理(CRM)设备可以从胸部阻抗或其他信息中提取通气信息,并调整CRM治疗的输送速率。 测量患者的潮气量并用于调节通气率反应因子。 测量的潮气量可以任选地使用通风率依赖调节因子进行调整。 通气率反应因子也可以使用最大自主通气(MVV),年龄预测最大心率,静息心率和为患者确定的休息通气进行调整。 在各种示例中,可将全球通气传感器速率响应因子(对于群体)编程到CRM设备中,并且被自动调整为适合于特定患者。
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公开(公告)号:US08914107B2
公开(公告)日:2014-12-16
申请号:US12784151
申请日:2010-05-20
申请人: Paul F. Emerson , Gary T. Seim , Michael A. Querimit , Donald L. Hopper , Stephen R. Pitzl , Daniel O'Brien
发明人: Paul F. Emerson , Gary T. Seim , Michael A. Querimit , Donald L. Hopper , Stephen R. Pitzl , Daniel O'Brien
CPC分类号: A61N1/36521 , A61N1/362 , A61N1/365 , A61N1/37
摘要: A cardiac rhythm management (CRM) device can extract ventilation information from thoracic impedance or other information, and adjust a delivery rate of the CRM therapy. A tidal volume of a patient is measured and used to adjust a ventilation rate response factor. The measured tidal volume can optionally be adjusted using a ventilation rate dependent adjustment factor. The ventilation rate response factor can also be adjusted using a maximum voluntary ventilation (MVV), an age predicted maximum heart rate, a resting heart rate, and a resting ventilation determined for the patient. In various examples, a global ventilation sensor rate response factor (for a population) can be programmed into the CRM device, and automatically tailored to be appropriate for a particular patient.
摘要翻译: 心脏节律管理(CRM)设备可以从胸部阻抗或其他信息中提取通气信息,并调整CRM治疗的输送速率。 测量患者的潮气量并用于调节通气率反应因子。 测量的潮气量可以任选地使用通风率依赖调节因子进行调整。 通气率反应因子也可以使用最大自主通气(MVV),年龄预测最大心率,静息心率和为患者确定的休息通气进行调整。 在各种示例中,可将全球通气传感器速率响应因子(对于群体)编程到CRM设备中,并且被自动调整为适合于特定患者。
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3.
公开(公告)号:US08538526B2
公开(公告)日:2013-09-17
申请号:US12970613
申请日:2010-12-16
申请人: Jeffrey E. Stahmann , Michael A. Querimit , Donald L. Hopper , Brian Ralph Larson , Paul F. Emerson , Daniel O'Brien
发明人: Jeffrey E. Stahmann , Michael A. Querimit , Donald L. Hopper , Brian Ralph Larson , Paul F. Emerson , Daniel O'Brien
IPC分类号: A61N1/365
CPC分类号: A61N1/36521 , A61N1/36542 , A61N1/36585 , A61N1/368 , A61N1/37264
摘要: A rate-adaptive pacemaker and a method for its operation in which the response factor for a minute ventilation sensor or other type of exertion level sensor is automatically set during a parameter adjustment mode that utilizes an activity level measurement to determine when the patient is at a target activity level with which is associated an appropriate target pacing rate. In a preferred embodiment, the target activity level corresponds to casual walking (e.g., 2 mph at a 4% grade) with a target pacing rate selected as appropriate for that level of activity in the individual patient.
摘要翻译: 一种速率自适应起搏器及其操作方法,其中在参数调整模式期间自动设置每分通气传感器或其他类型的运动水平传感器的响应因子,该参数调整模式利用活动水平测量来确定患者何时处于 目标活动级别与其相关联的适当的目标起搏速率。 在优选实施例中,目标活动水平对应于休闲步行(例如,4%等级为2mph),其中针对个体患者中的该活动水平选择适合的目标起搏速率。
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4.
公开(公告)号:US20110152963A1
公开(公告)日:2011-06-23
申请号:US12970613
申请日:2010-12-16
申请人: Jeffrey E. Stahmann , Michael A. Querimit , Donald L. Hopper , Brian Ralph Larson , Paul F. Emerson , Daniel O'Brien
发明人: Jeffrey E. Stahmann , Michael A. Querimit , Donald L. Hopper , Brian Ralph Larson , Paul F. Emerson , Daniel O'Brien
IPC分类号: A61N1/365
CPC分类号: A61N1/36521 , A61N1/36542 , A61N1/36585 , A61N1/368 , A61N1/37264
摘要: A rate-adaptive pacemaker and a method for its operation in which the response factor for a minute ventilation sensor or other type of exertion level sensor is automatically set during a parameter adjustment mode that utilizes an activity level measurement to determine when the patient is at a target activity level with which is associated an appropriate target pacing rate. In a preferred embodiment, the target activity level corresponds to casual walking (e.g., 2 mph at a 4% grade) with a target pacing rate selected as appropriate for that level of activity in the individual patient.
摘要翻译: 一种速率自适应起搏器及其操作方法,其中在参数调整模式期间自动设置每分通气传感器或其他类型的运动水平传感器的响应因子,该参数调整模式利用活动水平测量来确定患者何时处于 目标活动级别与其相关联的适当的目标起搏速率。 在优选实施例中,目标活动水平对应于休闲步行(例如,4%等级为2mph),其中针对个体患者中的该活动水平选择适合的目标起搏速率。
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公开(公告)号:US08190256B2
公开(公告)日:2012-05-29
申请号:US12508317
申请日:2009-07-23
申请人: Jesse W. Hartley , Kent Lee , Quan Ni , Michael A. Querimit , Kenneth L. Baker , Ankur Garg , Kenneth L. Tobacman , Corey J. Miklos
发明人: Jesse W. Hartley , Kent Lee , Quan Ni , Michael A. Querimit , Kenneth L. Baker , Ankur Garg , Kenneth L. Tobacman , Corey J. Miklos
IPC分类号: A61N1/365
CPC分类号: A61B5/4812 , A61B5/4815 , A61N1/368 , A61N1/3688 , G06F19/00
摘要: Methods and systems are directed to delivering cardiac pacing therapy to a patient. A pacing therapy associated with one or more pacing parameters is delivered. Alternate cardiac pacing therapies associated with one or more alternate pacing parameters are transitioned to, based on a sleep/wake cycle of the patient. Interactions between the pacing parameters of the pacing therapy and the alternate pacing parameters are resolved. Resolving pacing parameters may be based on analysis of lower rate limits and/or lower rate hysteresis, for example.
摘要翻译: 方法和系统旨在向患者输送心脏起搏治疗。 提供与一个或多个起搏参数相关的起搏疗法。 与一个或多个替代起搏参数相关联的替代心脏起搏疗法基于患者的睡眠/唤醒周期而被转换。 起搏治疗起搏参数与替代起搏参数之间的相互作用得到解决。 例如,解析起搏参数可以基于较低速率限制和/或较低速率滞后的分析。
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公开(公告)号:US20090281589A1
公开(公告)日:2009-11-12
申请号:US12508317
申请日:2009-07-23
申请人: Jesse W. Hartley , Kent Lee , Quan Ni , Michael A. Querimit , Kenneth L. Baker , Ankur Garg , Kenneth L. Tobacman , Corey J. Miklos
发明人: Jesse W. Hartley , Kent Lee , Quan Ni , Michael A. Querimit , Kenneth L. Baker , Ankur Garg , Kenneth L. Tobacman , Corey J. Miklos
IPC分类号: A61N1/365
CPC分类号: A61B5/4812 , A61B5/4815 , A61N1/368 , A61N1/3688 , G06F19/00
摘要: Methods and systems are directed to delivering cardiac pacing therapy to a patient. A pacing therapy associated with one or more pacing parameters is delivered. Alternate cardiac pacing therapies associated with one or more alternate pacing parameters are transitioned to, based on a sleep/wake cycle of the patient. Interactions between the pacing parameters of the pacing therapy and the alternate pacing parameters are resolved. Resolving pacing parameters may be based on analysis of lower rate limits and/or lower rate hysteresis, for example.
摘要翻译: 方法和系统旨在向患者输送心脏起搏治疗。 提供与一个或多个起搏参数相关的起搏疗法。 与一个或多个替代起搏参数相关联的替代心脏起搏疗法基于患者的睡眠/唤醒周期而被转换。 起搏治疗起搏参数与替代起搏参数之间的相互作用得到解决。 例如,解析起搏参数可以基于较低速率限制和/或较低速率滞后的分析。
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公开(公告)号:US07577479B2
公开(公告)日:2009-08-18
申请号:US11083136
申请日:2005-03-17
申请人: Jesse W. Hartley , Kent Lee , Quan Ni , Michael A. Querimit , Kenneth L. Baker , Ankur Garg , Kenneth I. Tobacman , Corey J. Miklos
发明人: Jesse W. Hartley , Kent Lee , Quan Ni , Michael A. Querimit , Kenneth L. Baker , Ankur Garg , Kenneth I. Tobacman , Corey J. Miklos
IPC分类号: A61N1/365
CPC分类号: A61B5/4812 , A61B5/4815 , A61N1/368 , A61N1/3688 , G06F19/00
摘要: Methods and systems are directed to delivering cardiac pacing therapy to a patient. A pacing therapy associated with one or more pacing parameters is delivered. Alternate cardiac pacing therapies associated with one or more alternate pacing parameters are transitioned to, based on a sleep/wake cycle of the patient. Interactions between the pacing parameters of the pacing therapy and the alternate pacing parameters are resolved. Resolving pacing parameters may be based on analysis of lower rate limits and/or lower rate hysteresis.
摘要翻译: 方法和系统旨在向患者输送心脏起搏治疗。 提供与一个或多个起搏参数相关的起搏疗法。 与一个或多个替代起搏参数相关联的替代心脏起搏疗法基于患者的睡眠/唤醒周期而被转换。 起搏治疗起搏参数与替代起搏参数之间的相互作用得到解决。 分析起搏参数可以基于较低速率限制和/或较低速率滞后的分析。
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