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公开(公告)号：US20100069991A1
公开(公告)日：2010-03-18
申请号：US12559730
申请日：2009-09-15
IPC分类号： A61N1/08
CPC分类号： A61N1/37247 , A61N1/362 , A61N1/37252 , G06F19/00 , G16H40/63 , G16H50/50
摘要： A system and method of programming a cardiac rhythm management device (CRM device) using an external programming device are described, where the user is presented with a list of highly-safe parameter adjustments. Input is received from the user selecting one or more of the highly-safe parameter adjustments. A programming session is initiated wherein the programming device establishes communication with the CRM device, and transmits the selected one or more highly-safe parameter adjustment to the CRM device.
摘要翻译： 描述了使用外部编程设备对心律管理设备（CRM设备）进行编程的系统和方法，其中向用户呈现高度安全的参数调整的列表。 从用户接收输入，选择一个或多个高度安全的参数调整。 启动编程会话，其中编程设备建立与CRM设备的通信，并且将所选择的一个或多个高度安全的参数调整发送到CRM设备。
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公开(公告)号：US20090157135A1
公开(公告)日：2009-06-18
申请号：US12326517
申请日：2008-12-02
IPC分类号： A61N1/368
CPC分类号： A61N1/3622 , A61N1/3624 , A61N1/37
摘要： A tachycardia episode can be detected in a subject using a processor, and whether the tachycardia episode is a sustained tachycardia episode can be determined during a period of time. A backup pacing can be provided in response to the detecting tachycardia episode and during the period of time, and a tachycardia therapy can be provided to the subject if the tachycardia episode is determined to be a sustained tachycardia episode.
摘要翻译： 可以使用处理器在受试者中检测到心动过速，并且可以在一段时间内确定心动过速发作是否是持续性心动过速发作。 可以响应于检测性心动过速发作和在一段时间内提供后备起搏，并且如果心动过速发作被确定为持续性心动过速发作，则可以向受试者提供心动过速治疗。
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公开(公告)号：US06381494B1
公开(公告)日：2002-04-30
申请号：US09378321
申请日：1999-08-20
IPC分类号： A61N136
CPC分类号： A61N1/37 , A61N1/3718
摘要： A method and system for response to ambient noise in implantable pulse generator. At least one cardiac signal is sensed with an implantable pulse generator. Cardiac depolarizations are identified in the at least one cardiac signal and cardiac depolarization markers are generated. The at least one cardiac signals are then analyzed for a noise event during a refractory period following the detected cardiac depolarization. The refractory period includes a noise window interval during which noise events are recognized. When a noise event, or events, occur during the noise window interval a first noise marker is generated. The noise window interval is then repeated as long as noise is detected in the noise window intervals. When the noise persists for a predetermined time interval a second noise marker is generated.
摘要翻译： 一种可植入式脉冲发生器中环境噪声响应的方法和系统。 用可植入脉冲发生器检测至少一个心脏信号。 在至少一个心脏信号中鉴定心脏去极化，并且产生心脏去极化标记。 然后在检测到的心脏去极化之后的不应期内，分析至少一个心脏信号的噪声事件。 不良期间包括噪声窗间隔，在此期间噪声事件被识别。 当在噪声窗间隔期间发生噪声事件或事件时，产生第一噪声标记。 只要在噪声窗间隔中检测到噪声，噪声窗口间隔就被重复。 当噪声持续预定的时间间隔时，产生第二噪声标记。
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公开(公告)号：US06304778B1
公开(公告)日：2001-10-16
申请号：US09377803
申请日：1999-08-20
IPC分类号： A61N139
CPC分类号： A61N1/3956
摘要： Miniature defibrillators and cardioverters detect abnormal heart rhythms and automatically apply electrical therapy to restore normal heart function. Therapy decisions are typically based on the time between successive beats of various chambers of the heart, such as the left atrium and left ventricle. To prevent confusing a left ventricle beat for a left atrium beat, some devices use cross-chamber blanking, a technique which disables sensing of atrial beats for a certain time period after sensing. Conventionally, these devices lack any mechanism for adjusting length of this period. Accordingly, the inventor devised a implantable device including a mechanism for adjusting this time period. This mechanism ultimately allows tailoring of the cross-chamber blanking period to fit the needs of individual patients.
摘要翻译： 微型除颤器和心脏转复器检测异常心律，并自动应用电疗法恢复正常的心脏功能。 治疗决定通常基于心脏各个腔室的连续搏动之间的时间，例如左心房和左心室。 为了防止左心室搏动混淆左心房搏动，一些装置使用跨室消隐，这种技术在感测后一段时间内不能检测心房搏动。 通常，这些设备没有任何调整这一时期长度的机制。 因此，本发明人设计了一种可植入装置，其包括用于调整该时间段的机构。 该机制最终允许剪裁跨室消隐期以适应个体患者的需要。
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公开(公告)号：US09259586B2
公开(公告)日：2016-02-16
申请号：US12559730
申请日：2009-09-15
CPC分类号： A61N1/37247 , A61N1/362 , A61N1/37252 , G06F19/00 , G16H40/63 , G16H50/50
摘要： A system and method of programming a cardiac rhythm management device (CRM device) using an external programming device are described, where the user is presented with a list of highly-safe parameter adjustments. Input is received from the user selecting one or more of the highly-safe parameter adjustments. A programming session is initiated wherein the programming device establishes communication with the CRM device, and transmits the selected one or more highly-safe parameter adjustments to the CRM device.
摘要翻译： 描述了使用外部编程设备对心律管理设备（CRM设备）进行编程的系统和方法，其中向用户呈现高度安全的参数调整的列表。 从用户接收输入，选择一个或多个高度安全的参数调整。 启动编程会话，其中编程设备建立与CRM设备的通信，并且将所选择的一个或多个高度安全的参数调整发送到CRM设备。
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16.发明授权公开(公告)号：US08494634B2
公开(公告)日：2013-07-23
申请号：US13476651
申请日：2012-05-21
IPC分类号： A61N1/00
CPC分类号： A61N1/368 , A61N1/3686 , A61N1/37211 , A61N1/37247 , A61N2001/083 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing and compare the programmed electrode pairs with the valid electrode pair listing. Other embodiments are also included herein.
摘要翻译： 在一个方面，一种系统包括配置成询问脉冲发生器的外部通信设备，通信地耦合到外部通信设备的外部编程器设备; 所述外部编程器装置被配置为通过所述外部通信装置从所述脉冲发生器接收有效电极对的列表，所述外部编程器装置被配置为防止起搏，感测或震动矢量被用户编程，如果需要一对电极 对于矢量不包括在有效电极对的列表中。 在另一方面，一种系统包括可植入医疗装置，其被配置为检测在植入式刺激引线上是否存在与可植入医疗装置相连的电极，并产生有效的电极对列表，并将编程电极对与有效电极对列表进行比较 。 本文还包括其它实施例。
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17.发明授权公开(公告)号：US08185203B2
公开(公告)日：2012-05-22
申请号：US12333165
申请日：2008-12-11
IPC分类号： A61N1/00
CPC分类号： A61N1/368 , A61N1/3686 , A61N1/37211 , A61N1/37247 , A61N2001/083 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing, the implantable medical device configured to compare the programmed electrode pairs with the valid electrode pair listing and to execute a corrective action procedure if one or more of the programmed electrode pairs are not included within the valid electrode pair listing. Other embodiments are also included herein.
摘要翻译： 在一个方面，一种系统包括配置成询问脉冲发生器的外部通信设备，通信地耦合到外部通信设备的外部编程器设备; 所述外部编程器装置被配置为通过所述外部通信装置从所述脉冲发生器接收有效电极对的列表，所述外部编程器装置被配置为防止起搏，感测或震动矢量被用户编程，如果需要一对电极 对于矢量不包括在有效电极对的列表中。 在另一方面，一种系统包括可植入医疗装置，其被配置为检测在植入的刺激引线上存在或不存在电极，所述植入刺激引线耦合到所述可植入医疗装置并产生有效的电极对列表，所述可植入医疗装置被配置为将编程的电极对 其中有效电极对列出并且如果一个或多个编程的电极对不包括在有效电极对列表内，则执行校正动作过程。 本文还包括其它实施例。
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公开(公告)号：US20120029589A1
公开(公告)日：2012-02-02
申请号：US13273098
申请日：2011-10-13
IPC分类号： A61N1/37
CPC分类号： A61N1/3706 , A61N1/3702
摘要： A system and method for passively testing a cardiac pacemaker in which sensing signal amplitudes and lead impedance values are measured and stored while the pacemaker is functioning in its programmed mode. The amplitude and impedance data may be gotten and stored periodically at regular intervals to generate a historical record for diagnostic purposes. Sensing signal amplitudes may also be measured and stored from a sensing channel which is currently not programmed to be active as long as the pacemaker is physically configured to support the sensing channel. Such data can be useful in evaluating whether a switch in the pacemaker's operating mode is desirable.
摘要翻译： 一种用于被动测试心脏起搏器的系统和方法，其中在起搏器在其编程模式下起作用时测量和存储感测信号幅度和引线阻抗值。 可以以规律的间隔周期性获得和存储振幅和阻抗数据，以产生用于诊断目的的历史记录。 只要心脏起搏器物理配置为支持感测通道，感测信号幅度也可以从目前未编程为有效的感测通道测量和存储。 这样的数据可用于评估起搏器的操作模式中的开关是否可取。
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19.发明申请公开(公告)号：US20110257699A1
公开(公告)日：2011-10-20
申请号：US13174136
申请日：2011-06-30
IPC分类号： A61N1/362
CPC分类号： A61N1/3702 , A61N1/3706
摘要： An implantable pulse generator senses a cardiac signal, identifies cardiac events in the cardiac signal, and starts a blanking interval including a repeatable noise window blanking interval in response to each cardiac event. When noise is detected during the repeatable noise window blanking interval, the noise window blanking interval is repeated. In one embodiment, the duration of repeated repeatable noise window blanking intervals is summed and compared to a pacing escape interval. When the sum is greater than the pacing escape interval, asynchronous pacing pulses are delivered until the noise ceases. Alternatively, when the sum is greater than the pacing escape interval, the pace escape interval is repeated.
摘要翻译： 植入式脉冲发生器感测心脏信号，识别心脏信号中的心脏事件，并且响应于每个心脏事件开始包括可重复噪声窗口消隐间隔的消隐间隔。 当在可重复的噪声窗消隐间隔期间检测到噪声时，重复噪声窗消隐间隔。 在一个实施例中，将重复的可重复噪声窗口消隐间隔的持续时间相加并与起搏逃逸间隔进行比较。 当总和大于起搏逃生间隔时，异步起搏脉冲被传送，直到噪声停止。 或者，当总和大于起搏逃逸间隔时，重复起搏逃逸间隔。
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20.发明申请ANTI-TACHYARRHYTHMIA SYSTEM WITH SELECTIVELY ACTIVATED DETECTION ENHANCEMENTS 有权具有选择性激活检测增强的抗TACHYARRHYTHMIA系统公开(公告)号：US20090157126A1
公开(公告)日：2009-06-18
申请号：US12264771
申请日：2008-11-04
CPC分类号： A61N1/37247 , A61B5/0452 , A61B5/7264 , A61B5/7435 , A61B5/7475 , A61N1/395 , G06F19/3481 , G16H40/63 , G16H50/20
摘要： A cardiac rhythm management (CRM) system includes an implantable cardioverter defibrillator (ICD) and an external system. The ICD detects a tachyarrhythmia episode and classifies the detected tachyarrhythmia episode using none, one, or more of detection enhancements selected according to a selection command including a classification mode. The detection enhancements are each an algorithm for detecting and analyzing one or more indications of a type of the detected tachyarrhythmia episode. The external system allows a user to select the classification mode from a plurality of available classification modes each using none, one, or more of the detection enhancements.
摘要翻译： 心律管理（CRM）系统包括植入式心律转复除颤器（ICD）和外部系统。 ICD检测快速性心律失常发作，并使用根据包括分类模式的选择命令选择的检测增强中的一种或多种来分类检测到的快速性心律失常发作。 检测增强分别是用于检测和分析所检测到的快速性心律失常发作类型的一种或多种指示的算法。 外部系统允许用户从多个可用分类模式中选择分类模式，每个使用不使用任何一个或多个检测增强。
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