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    CARDIAC CONTRACTION DETECTION USING INFORMATION INDICATIVE OF LEAD MOTION
    92.
    发明申请
    CARDIAC CONTRACTION DETECTION USING INFORMATION INDICATIVE OF LEAD MOTION 有权
    使用指示铅运动的信息进行CARDIAC承包检测

    公开(公告)号：US20110319776A1

    公开(公告)日：2011-12-29

    申请号：US13168507

    申请日：2011-06-24

    申请人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

    发明人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

    IPC分类号： A61B5/0245 ,  A61B5/042 ,  A61N1/365

    CPC分类号： A61N1/36514 ,  A61B5/02133 ,  A61B5/026 ,  A61N1/08 ,  A61N1/36142 ,  A61N1/36578

    摘要： Systems and methods for cardiac contraction detection using information indicative of lead motion are described. In an example, an implantable medical device can include a receiver circuit configured to be electrically coupled to conductor comprising a portion of an implantable lead and be configured to obtain information indicative of a movement of the implantable lead due at least in part to a motion of a heart. The device can include a processor circuit configured to determine whether a cardiac mechanical contraction occurred during a specified interval included in the obtained information indicative of the movement of the implantable lead. The processor circuit can be configured to determine information about the cardiac mechanical contraction using the obtained information indicative of the movement of the implantable lead.

    摘要翻译： 描述使用指示引导运动的信息进行心脏收缩检测的系统和方法。 在一个示例中，可植入医疗设备可以包括被配置为电耦合到导体的接收器电路，该导体包括可植入引线的一部分，并被配置为获得指示可植入引线的运动的信息，至少部分地由 一个心脏。 该装置可以包括处理器电路，该处理器电路被配置为确定在所获得的指示可植入引线的运动的信息中包括的指定间隔期间是否发生心脏机械收缩。 处理器电路可以被配置为使用获得的指示可植入引线的移动的信息来确定关于心脏机械收缩的信息。

    Optimization of timing for data collection and analysis in advanced patient management system
    93.
    发明授权
    Optimization of timing for data collection and analysis in advanced patient management system 有权
    优化高级患者管理系统数据收集和分析的时间安排

    公开(公告)号：US08055517B2

    公开(公告)日：2011-11-08

    申请号：US12955111

    申请日：2010-11-29

    申请人： Robert J. Sweeney

    发明人： Robert J. Sweeney

    IPC分类号： G06Q50/00 ,  A61B5/02

    CPC分类号： A61B5/0031 ,  G06F19/00 ,  G06Q50/22 ,  G06Q50/24

    摘要： Advanced patient management systems include a unit for collecting data from a device associated with a patient, and a host in communication with the unit, the host identifying a time for the device to update data on the device. The system can identify a time for the device to update data associated with the device by developing a histogram of the availability of the device for interrogation. The system can also optimize processing loads for the system by developing a histogram of the time at which the caregiver is most likely to access the system to review the collected and processed data. Methods for optimizing device data update and processing times are also included.

    摘要翻译： 高级患者管理系统包括用于从与患者相关联的设备收集数据的单元以及与该单元通信的主机，主机标识设备更新设备上的数据的时间。 系统可以通过开发用于询问的设备的可用性的直方图来识别设备更新与设备相关联的数据的时间。 系统还可以通过开发监护人最有可能访问系统的时间的直方图来优化收集和处理的数据来优化系统的处理负荷。 还包括优化设备数据更新和处理时间的方法。

    ARTIFICIAL CONDUCTION PATHWAYS IN TACHYARRHYTHMIA
    96.
    发明申请
    ARTIFICIAL CONDUCTION PATHWAYS IN TACHYARRHYTHMIA 有权
    TACHYARRHYTHMIA人工诱导途径

    公开(公告)号：US20100286737A1

    公开(公告)日：2010-11-11

    申请号：US12751972

    申请日：2010-03-31

    申请人： Robert J. Sweeney

    发明人： Robert J. Sweeney

    IPC分类号： A61N1/365 ,  A61N1/39

    CPC分类号： A61N1/3622

    摘要： An implantable medical device can establish one or more artificial conduction pathways during tachyarrhythmia. Withdrawal of the artificial conduction pathway may help self-terminate the tachyarrhythmia, or may pre-condition the tachyarrhythmia to be more favorable for receiving an anti-tachyarrhythmia therapy, such as anti-tachyarrhythmia pacing, defibrillation shock therapy, or cardioversion. This can help provide enhanced anti-tachyarrhythmia therapy.

    摘要翻译： 可植入医疗装置可以在快速性心律失常期间建立一个或多个人造传导通路。 人造传导通路的撤出可能有助于自我终止快速性心律失常，或者可能预处理快速性心律失常更有利于接受抗快速性心律失常治疗，如抗快速性心律失常起搏，除颤休克疗法或心脏复律。 这可以帮助提供增强的抗慢性心律失常治疗。

    Automatic Orientation Determination for ECG Measurements Using Multiple Electrodes
    97.
    发明申请
    Automatic Orientation Determination for ECG Measurements Using Multiple Electrodes 有权
    使用多个电极进行心电图测量的自动测向

    公开(公告)号：US20100198283A1

    公开(公告)日：2010-08-05

    申请号：US12694833

    申请日：2010-01-27

    申请人： Yi Zhang ,  Marina Brockway ,  Carlos Alberto Ricci ,  Ron Heil ,  Douglas R. Daum ,  Robert J. Sweeney ,  Aaron McCabe

    发明人： Yi Zhang ,  Marina Brockway ,  Carlos Alberto Ricci ,  Ron Heil ,  Douglas R. Daum ,  Robert J. Sweeney ,  Aaron McCabe

    IPC分类号： A61N1/362 ,  A61N1/39 ,  A61B5/04

    CPC分类号： A61B5/0006 ,  A61B5/0031 ,  A61B5/04011 ,  A61B5/0422 ,  A61B5/7207 ,  A61B5/7217 ,  A61N1/3756 ,  G06K9/624

    摘要： Cardiac monitoring and/or stimulation methods and systems provide monitoring, defibrillation and/or pacing therapies. A signal processor receives a plurality of composite signals associated with a plurality of sources, separates a signal using a source separation algorithm, and identifies a cardiac signal using a selected vector. The signal processor may iteratively separate signals from the plurality of composite signals until the cardiac signal is identified. The selected vector may be updated if desired or necessary. A method of signal separation involves detecting a plurality of composite signals at a plurality of locations, separating a signal using source separation, and selecting a vector that provides a cardiac signal. The separation may include a principal component analysis and/or an independent component analysis. Vectors may be selected and updated based on changes of position and/or orientation of implanted components and changes in patient parameters such as patient condition, cardiac signal-to-noise ratio, and disease progression.

    摘要翻译： 心脏监测和/或刺激方法和系统提供监测，除颤和/或起搏治疗。 信号处理器接收与多个源相关联的多个复合信号，使用源分离算法分离信号，并使用所选择的向量来识别心脏信号。 信号处理器可以迭代地分离来自多个复合信号的信号，直到识别出心脏信号。 如果需要或必要，可以更新所选择的向量。 信号分离的方法包括在多个位置检测多个复合信号，使用源分离分离信号，以及选择提供心脏信号的向量。 分离可以包括主成分分析和/或独立成分分析。 可以基于植入组件的位置和/或取向的改变以及患者参数（例如患者状况，心脏信噪比和疾病进展）的变化来选择和更新载体。

    Defibrillation threshold prediction methods and systems
    98.
    发明授权
    Defibrillation threshold prediction methods and systems 有权
    除颤阈值预测方法和系统

    公开(公告)号：US07711425B2

    公开(公告)日：2010-05-04

    申请号：US11208923

    申请日：2005-08-22

    申请人： Xuan Wei ,  Robert J. Sweeney ,  Joseph M. Bocek ,  Scott A. Meyer ,  Jeffrey E. Stahmann ,  Yi Zhang

    发明人： Xuan Wei ,  Robert J. Sweeney ,  Joseph M. Bocek ,  Scott A. Meyer ,  Jeffrey E. Stahmann ,  Yi Zhang

    IPC分类号： A61N1/08 ,  A61N1/39

    CPC分类号： A61N1/3943

    摘要： A nondefibrillating and nonfibrillation-inducing energy is delivered at a first internal thoracic location. A first resulting electrical signal is detected at a second internal thoracic location in or near a target region of a heart. A first defibrillation threshold is estimated using the nondefibrillating and nonfibrillation-inducing energy, the first resulting electrical signal, and a target electric field strength. The defibrillation threshold represents an energy that when delivered at the first internal thoracic location creates an electric field strength in the target region of the heart that meets or exceeds the target electric field strength.

    摘要翻译： 在第一内部胸部位置输送非去纤颤和非诱导性能量。 在心脏的目标区域中或附近的第二内部胸部位置检测到第一个产生的电信号。 使用非去纤颤和非原纤维诱发能量，首先得到的电信号和目标电场强度来估计第一除颤阈值。 除颤阈值表示当在第一内部胸部位置递送时在心脏的目标区域中产生满足或超过目标电场强度的电场强度的能量。

    Acoustic physiological sensor
    100.
    发明申请
    Acoustic physiological sensor 审中-公开
    声学生理传感器

    公开(公告)号：US20090124916A1

    公开(公告)日：2009-05-14

    申请号：US12319833

    申请日：2009-01-13

    申请人： Robert J. Sweeney ,  Douglas R. Daum

    发明人： Robert J. Sweeney ,  Douglas R. Daum

    IPC分类号： A61B5/02

    CPC分类号： A61B7/00 ,  A61N1/3622 ,  A61N1/36557 ,  A61N1/3684

    摘要： This document describes, among other things, a body having at least one acoustically detectable property that changes in response to a change in a physiological condition, such as ischemia. The body is positioned with respect to a desired tissue region. At least one acoustic transducer is used to acoustically detect a change in physical property. In one example, the body is pH sensitive and/or ion selective. A shape or dimension of the body changes in response to pH and/or ionic concentration changes resulting from a change in an ischemia state. An indication of the physiological condition is provided to a user.

    摘要翻译： 本文件尤其描述了具有至少一种声学可检测性质的身体，其响应于生理状态（例如缺血）的变化而变化。 身体相对于期望的组织区域定位。 使用至少一个声换能器来声学地检测物理特性的变化。 在一个实例中，身体是pH敏感和/或离子选择性的。 身体的形状或尺寸响应于缺血状态改变引起的pH和/或离子浓度变化而变化。 向用户提供生理状态的指示。