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131.发明申请公开(公告)号：US20080275519A1
公开(公告)日：2008-11-06
申请号：US11742618
申请日：2007-05-01
IPC分类号： A61N1/00
CPC分类号： A61N1/3925 , A61N1/3704
摘要： A method and apparatus for adjusting a sensing parameter in a medical device that includes a sensing electrode sensing cardiac signals, a processor to determine an adjusting characteristic associated with the cardiac signals sensed over a predetermined sensing window, and a control unit to update the sensing parameter in response to the determined adjusting characteristic.
摘要翻译： 一种用于调整包括感测心脏信号的感测电极的医疗装置中的感测参数的方法和装置，用于确定与在预定感测窗口上感测到的心脏信号相关联的调整特性的处理器以及用于更新感测参数的控制单元 响应于确定的调整特性。
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公开(公告)号：US20080275516A1
公开(公告)日：2008-11-06
申请号：US11742625
申请日：2007-05-01
IPC分类号： A61N1/00
CPC分类号： A61N1/3704 , A61B5/0456 , A61B5/046 , A61B5/7239 , A61N1/3925
摘要： A method and apparatus of updating a sensing parameter in a medical device that includes sensing cardiac signals, determining intervals in response to the sensed cardiac signals, determining interval patterns associated with the determined intervals, and updating the sensing parameter in response to the determined interval patterns.
摘要翻译： 一种更新医疗设备中的感测参数的方法和装置，包括感测心脏信号，响应于感测的心脏信号确定间隔，确定与所确定的间隔相关联的间隔模式，以及响应于所确定的间隔模式来更新感测参数 。
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133.发明申请公开(公告)号：US20070233196A1
公开(公告)日：2007-10-04
申请号：US11687108
申请日：2007-03-16
申请人： Robert W. Stadler , Raja N. Ghanem , Xusheng Zhang
发明人： Robert W. Stadler , Raja N. Ghanem , Xusheng Zhang
IPC分类号： A61N1/36
CPC分类号： A61N1/3621 , A61B5/046 , A61B5/0464 , A61B5/7239 , A61N1/3956
摘要： A method and apparatus for detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes, the plurality of electrodes forming a first sensing vector and a second sensing vector different from the first sensing vector, determining a characteristic associated with cardiac signals sensed along the first sensing vector during a predetermined sensing window, determining the characteristic associated with cardiac signals sensed along the second sensing vector during the predetermined sensing window; comparing the determined characteristic associated with cardiac signals sensed along the first sensing vector and the determined characteristic associated with cardiac signals sensed along the second sensing vector, and delivering a therapy in response to the comparing.
摘要翻译： 一种用于检测医疗装置中的心脏事件的方法和装置，包括感测来自多个电极的心脏信号，所述多个电极形成与第一感测向量不同的第一感测向量和第二感测向量，确定与 在预定感测窗口期间沿着第一感测向量感测的心脏信号，在预定感测窗口期间确定与沿着第二感测向量感测的心脏信号相关联的特征; 比较与沿着第一感测矢量感测的心脏信号相关联的确定特征和与沿着第二感测向量感测的心脏信号相关联的确定的特征，以及响应于比较递送治疗。
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公开(公告)号：US07082330B2
公开(公告)日：2006-07-25
申请号：US10807654
申请日：2004-03-24
IPC分类号： A61N1/365
CPC分类号： A61N1/36528 , A61B8/00 , A61N1/3627 , A61N1/36578
摘要： Implantable medical devices (IMDs) for detection and measurement of cardiac mechanical and electrical function employ a system and method for determining mechanical heart function and measuring mechanical heart performance of upper and lower and left and right heart chambers without intruding into a left heart chamber through use of a dimension sensor. The dimension sensor or sensors comprise at least a first sonomicrometer piezoelectric crystal mounted to a first lead body implanted into or in relation to one heart chamber that operates as an ultrasound transmitter when a drive signal is applied to it and at least one second sonomicrometer crystal mounted to a second lead body implanted into or in relation to a second heart chamber that operates as an ultrasound receiver.
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公开(公告)号：US07031771B2
公开(公告)日：2006-04-18
申请号：US10308281
申请日：2002-12-03
IPC分类号： A61N1/362
CPC分类号： A61N1/3622 , A61B5/02405 , A61B5/0464 , A61B5/0472 , A61B5/726
摘要： A method and apparatus are provided for improving the detection of certain cardiac rhythms by combining dual chamber interval-related detection methods with electrogram morphology analysis. A prioritized set of rules are defined wherein each rule is directed at identifying a particular arrhythmia or type of arrhythmia. Each rule includes clauses that may be related to sensed event intervals and interval patterns and at least one rule includes at least one clause relating to the EGM morphology.
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136.发明授权Method for determining a metric of non-sustained arrhythmia occurrence for use in arrhythmia prediction and automatic adjustment of arrhythmia detection parameters 失效确定用于心律失常预测和心律失常检测参数自动调整的非持续性心律失常发生度量的方法公开(公告)号：US07027856B2
公开(公告)日：2006-04-11
申请号：US10261316
申请日：2002-09-30
IPC分类号： A61B5/0452
CPC分类号： A61B5/0452 , A61N1/3956
摘要： An implantable medical device and associated method are provided for detecting non-sustained arrhythmias and determining a metric of non-sustained arrhythmias. The metric may be used for predicting the occurrence of a sustained arrhythmia or for automatically adjusting the parameters used for detecting a sustained arrhythmia.
摘要翻译： 提供可植入医疗装置和相关方法用于检测非持续性心律失常并确定非持续性心律失常的度量。 该度量可以用于预测持续性心律失常的发生或用于自动调整用于检测持续性心律失常的参数。
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137.发明授权Method and apparatus for detection and treatment of tachycardia and fibrillation 有权用于检测和治疗心动过速和颤动的方法和装置公开(公告)号：US06879856B2
公开(公告)日：2005-04-12
申请号：US09814251
申请日：2001-03-21
CPC分类号： A61N1/3622 , A61N1/3962
摘要： The invention relates to devices that detect and/or treat tachyarrhythmias. The invention includes software systems that distinguish among various tachyarrhythmias in order to provide treatment for specific tachyarrhythmias. One aspect of the invention employs a methodology to provisionally detect ventricular tachycardia and/or fibrillation and thereafter apply a discrimination function to a series of measured intervals preceding the provisional detection. Discrimination is accomplished by sorting the intervals preceding provisional detection into bins corresponding to interval ranges and examining the relative distribution of the intervals within the bins.
摘要翻译： 本发明涉及检测和/或治疗快速性心律失常的装置。 本发明包括区分各种快速性心律失常以提供针对特定快速性心律失常的治疗的软件系统。 本发明的一个方面采用临时检测室性心动过速和/或原纤维化的方法，然后对临时检测之前的一系列测量间隔应用鉴别功能。 通过将临时检测之前的间隔分类到对应于间隔范围的箱中并检查箱内的间隔的相对分布来实现歧视。
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公开(公告)号：US06731983B2
公开(公告)日：2004-05-04
申请号：US10082981
申请日：2002-02-25
申请人： James H. Ericksen , Robert A. Betzold , Catherine R. Condie , Jeffrey M. Gillberg , Robert W. Stadler , John C. Stroebel , Troy E. Jackson
发明人： James H. Ericksen , Robert A. Betzold , Catherine R. Condie , Jeffrey M. Gillberg , Robert W. Stadler , John C. Stroebel , Troy E. Jackson
IPC分类号： A61N136
CPC分类号： A61N1/3622 , A61N1/3682
摘要： A device-implemented software system operates a detection window and adjusts PAV as needed after confirming the presence or detection of evidence of an arrhythmia. The detection window is monitored based on a preferred length. If the detection window is shorter than required, intervals are adjusted for a specific pacing rate. Further, the software system provides means for selecting detection over pacing based on an analysis of a preferred length in the presence of evidence of an arrhythmia.
摘要翻译： 设备实现的软件系统在确认存在或检测到心律失常的证据之后，根据需要操作检测窗口并调整PAV。 基于优选的长度来监视检测窗口。 如果检测窗口比要求短，则根据特定的起搏速度对间隔进行调整。 此外，软件系统提供了在存在心律失常证据的情况下基于优选长度的分析来选择起搏检测的手段。
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139.发明授权Axis shift analysis of electrocardiogram signal parameters especially applicable for multivector analysis by implantable medical devices, and use of same 有权心电图信号参数的轴移位分析，特别适用于可植入医疗器械的多因素分析及其使用公开(公告)号：US06397100B2
公开(公告)日：2002-05-28
申请号：US09968454
申请日：2001-10-01
申请人： Robert W. Stadler , Shannon Nelson
发明人： Robert W. Stadler , Shannon Nelson
IPC分类号： A61B504
CPC分类号： A61N1/37 , A61B5/04011 , A61B5/0452 , A61B5/7203 , Y10S128/901
摘要： We show how to determine whether there has been an axis shift in an electrocardiogram waveform and how to use this for filtering out bad electrocardiogram information and to modify an adaptive filter that can be used to adapt the filtering of such electrocardiogram information to make it available for determining physiologic conditions even after an axis shift.
摘要翻译： 我们显示如何确定心电图波形中是否有轴移位，以及如何使用它来滤除不良心电图信息和修改自适应滤波器，该自适应滤波器可用于调整这种心电图信息的滤波，使其可用于 即使在轴移动之后也确定生理条件。
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