Respiration monitoring for heart failure using implantable device
    122.
    发明授权
    Respiration monitoring for heart failure using implantable device 失效
    使用可植入装置进行心力衰竭呼吸监测

    公开(公告)号:US08551010B2

    公开(公告)日:2013-10-08

    申请号:US13553098

    申请日:2012-07-19

    IPC分类号: A61B5/08

    摘要: An implantable respiration monitor can be used to detect disordered breathing or periodic breathing events that can be categorized, such as according to one or more of sleep, exercise, and resting awake states. The categorized frequency of such events can be compared to independently specifiable thresholds, such as to trigger an alert or responsive therapy, or to display one or more trends. The information can also be combined with detection of one or more other congestive heart failure (CHF) symptoms to generate a CHF status indicator or to trigger an alarm or responsive therapy or to display one or more trends. The alert can notify the patient or a caregiver, such as via remote monitoring. The sleep state information can be further categorized according to central sleep apnea (CSA) or obstructive sleep apnea (OSA) events.

    摘要翻译: 可植入式呼吸监测器可用于检测可分类的无序呼吸或定期呼吸事件,例如根据睡眠,运动和休眠状态中的一种或多种。 这些事件的分类频率可以与独立指定的阈值进行比较,例如触发警报或响应治疗,或显示一个或多个趋势。 该信息还可以与一种或多种其他充血性心力衰竭(CHF)症状的检测相结合,以产生CHF状态指示器或触发警报或反应性治疗或显示一种或多种趋势。 该警报可以通过远程监视来通知病人或看护者。 睡眠状态信息可以根据中枢性睡眠呼吸暂停(CSA)或阻塞性睡眠呼吸暂停(OSA)事件进一步分类。

    ADAPTIVE BAROREFLEX STIMULATION THERAPY FOR DISORDERED BREATHING
    123.
    发明申请
    ADAPTIVE BAROREFLEX STIMULATION THERAPY FOR DISORDERED BREATHING 有权
    适应性障碍性刺激治疗异常呼吸

    公开(公告)号:US20100228317A1

    公开(公告)日:2010-09-09

    申请号:US12781447

    申请日:2010-05-17

    IPC分类号: A61N1/36

    摘要: An approach to providing disordered breathing therapy includes delivering electrical stimulation therapy modifying a patient's baroreflex response. Disordered breathing therapy may be delivered in response to prediction or detection of disordered breathing events. Various conditions affecting the patient may be evaluated and the baroreflex therapy modified. The therapy may be modified to improve therapy efficacy, to reduce an impact to the patient and/or to mitigate therapy interactions.

    摘要翻译: 提供无序呼吸治疗的方法包括进行改变患者压力反射反应的电刺激疗法。 无序呼吸治疗可以响应于预测或检测到无序呼吸事件而被传送。 可以评估影响患者的各种状况,并修改压力反射治疗。 可以修改治疗以改善治疗功效,减少对患者的影响和/或减轻治疗相互作用。

    Adaptive baroreflex stimulation therapy for disordered breathing
    124.
    发明申请
    Adaptive baroreflex stimulation therapy for disordered breathing 有权
    适应性压力反射刺激治疗无序呼吸

    公开(公告)号:US20050288728A1

    公开(公告)日:2005-12-29

    申请号:US10863826

    申请日:2004-06-08

    IPC分类号: A61N1/18 A61N1/36

    摘要: An approach to providing disordered breathing therapy includes delivering electrical stimulation therapy modifying a patient's baroreflex response. Disordered breathing therapy may be delivered in response to prediction or detection of disordered breathing events. Various conditions affecting the patient may be evaluated and the baroreflex therapy modified. The therapy may be modified to improve therapy efficacy, to reduce an impact to the patient and/or to mitigate therapy interactions.

    摘要翻译: 提供无序呼吸治疗的方法包括进行改变患者压力反射反应的电刺激疗法。 无序呼吸治疗可以响应于预测或检测到无序呼吸事件而被传送。 可以评估影响患者的各种状况,并修改压力反射治疗。 可以修改治疗以改善治疗功效,减少对患者的影响和/或减轻治疗相互作用。

    Method and apparatus to trend and optimize an implantable medical device using a patient management system
    126.
    发明授权
    Method and apparatus to trend and optimize an implantable medical device using a patient management system 有权
    使用患者管理系统趋势和优化可植入医疗装置的方法和装置

    公开(公告)号:US08768466B2

    公开(公告)日:2014-07-01

    申请号:US12249856

    申请日:2008-10-10

    摘要: A remote external interface for an implantable cardiac function management device is configured to be communicatively coupled to the implantable cardiac function management device via a network to a local external interface and via telemetry between the local external interface and the implantable cardiac function management device. The remote external interface includes a communication circuit and a processor circuit. The communication circuit is configured to communicate with the implantable cardiac function management device. The processor circuit is configured to perform an analysis of physiologic data received from the implantable cardiac function management device in response to operation of the implantable cardiac function management device using a plurality of therapy control parameter sets. The processor circuit can be further configured to select a particular therapy control parameter set using the analysis.

    摘要翻译: 用于可植入心脏功能管理装置的远程外部接口被配置为通过网络通信地耦合到可植入心脏功能管理装置到本地外部接口并且经由本地外部接口和可植入心脏功能管理装置之间的遥测。 远程外部接口包括通信电路和处理器电路。 通信电路被配置为与可植入心脏功能管理装置进行通信。 处理器电路被配置为响应于使用多个治疗控制参数组的可植入心脏功能管理装置的操作来执行从可植入心脏功能管理装置接收的生理数据的分析。 处理器电路可以进一步配置为使用分析来选择特定的治疗控制参数集。

    Sensing vector configuration in ICD to assist arrhythmia detection and annotation
    128.
    发明授权
    Sensing vector configuration in ICD to assist arrhythmia detection and annotation 有权
    感应ICD中的矢量配置,以协助心律失常检测和注释

    公开(公告)号:US08401628B2

    公开(公告)日:2013-03-19

    申请号:US12478476

    申请日:2009-06-04

    IPC分类号: A61B5/024

    摘要: An apparatus comprises an implantable cardiac signal sensing circuit, configured to provide a sensed near-field depolarization signal from a ventricle and to provide a sensed a far-field intrinsic atrial signal using a far-field atrial sensing channel, and a controller circuit communicatively coupled to the cardiac signal sensing circuit. The controller circuit includes a P-wave detection module configured to detect an atrial depolarization in the sensed far-field intrinsic atrial signal and a tachyarrhythmia detection module configured to detect an episode of tachyarrhythmia using the sensed near-field depolarization signal and to determine whether the tachyarrhythmia episode is indicative of supraventricular tachycardia (SVT) using the detected atrial depolarization and the sensed near-field depolarization signal.

    摘要翻译: 一种装置包括可植入心脏信号感测电路,其被配置为提供来自心室的感测的近场去极化信号,并且使用远场心房感测通道提供感测到的远场固有心房信号,以及控制器电路,其通信耦合 到心脏信号感测电路。 所述控制器电路包括P波检测模块,所述P波检测模块被配置为检测所感测的远场固有心房信号中的心房去极化,以及快速性心律失常检测模块,其被配置为使用所感测的近场去极化信号来检测快速性心律失常发作,并且确定 快速性心律失常发作指示使用检测到的心房去极化和感测的近场去极化信号的室上性心动过速(SVT)。

    Wireless ECG in implantable devices
    129.
    发明授权
    Wireless ECG in implantable devices 有权
    无线心电图在植入式设备

    公开(公告)号:US08301234B2

    公开(公告)日:2012-10-30

    申请号:US13288105

    申请日:2011-11-03

    IPC分类号: A61B5/04

    摘要: An implantable medical device such as an implantable pacemaker or implantable cardioverter/defibrillator includes a programmable sensing circuit providing for sensing of a signal approximating a surface electrocardiogram (ECG) through implanted electrodes. With various electrode configurations, signals approximating various standard surface ECG signals are acquired without the need for attaching electrodes with cables onto the skin. The various electrode configurations include, but are not limited to, various combinations of intracardiac pacing electrodes, portions of the implantable medical device contacting tissue, and electrodes incorporated onto the surface of the implantable medical device.

    摘要翻译: 诸如可植入起搏器或植入式心律转复/除颤器的可植入医疗装置包括可编程感测电路,用于通过植入电极感测接近表面心电图(ECG)的信号。 通过各种电极配置,获取近似各种标准表面ECG信号的信号,而不需要将电极与电缆连接在皮肤上。 各种电极配置包括但不限于心脏内起搏电极,可植入医疗器械接触组织的部分和结合到可植入医疗装置的表面上的电极的各种组合。

    SYSTEM AND METHOD FOR PATIENT SELECTION IN TREATING SLEEP DISORDERED BREATHING
    130.
    发明申请
    SYSTEM AND METHOD FOR PATIENT SELECTION IN TREATING SLEEP DISORDERED BREATHING 有权
    患者选择治疗睡眠障碍性呼吸的系统与方法

    公开(公告)号:US20120108945A1

    公开(公告)日:2012-05-03

    申请号:US13283928

    申请日:2011-10-28

    申请人: Quan Ni

    发明人: Quan Ni

    摘要: A system and method provides for determining patient eligibility for receiving an implantable upper airway stimulation system. Images and sensed data are obtained regarding an upper airway of a patient. Based on the obtained image and sensed data, an obstruction vector is determined according to a location, a pattern, and a degree of obstruction along the upper airway. A patient candidate filter is applied against a patient health profile. Patient eligibility is determined based on the obstruction vector and application of the patient candidate filter.

    摘要翻译: 系统和方法提供用于确定患者接受可植入的上呼吸道刺激系统的资格。 获得关于患者的上呼吸道的图像和感测数据。 根据所获得的图像和感测数据,根据沿着上呼吸道的位置,模式和阻塞程度来确定阻塞矢量。 患者候选者过滤器应用于患者健康概况。 基于患者候选滤器的阻塞载体和应用确定患者资格。