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    Arrhythmia classification and therapy selection
    11.
    发明授权
    Arrhythmia classification and therapy selection 有权
    心律失常分类与治疗选择

    公开(公告)号：US07894893B2

    公开(公告)日：2011-02-22

    申请号：US10955831

    申请日：2004-09-30

    申请人： Jaeho Kim ,  Joseph Bocek ,  Eric G. Lovett

    发明人： Jaeho Kim ,  Joseph Bocek ,  Eric G. Lovett

    IPC分类号： A61N1/02

    CPC分类号： A61B5/7264 ,  A61B5/04525

    摘要： Different types of cardiac arrhythmia are classified based on the morphology of the arrhythmic beats. Cardiac beats associated with an arrhythmic episode are compared to a plurality of representative beat morphologies, each representative beat morphology characterizing a type of arrhythmia of the heart. An arrhythmic episode may be classified as a particular type of arrhythmia if the morphology of the arrhythmic cardiac beats matches a representative beat morphology characterizing the particular type of arrhythmia. An appropriate therapy for the particular type of arrhythmia may be selected based on the arrhythmia classification. A particular type of arrhythmia may be associated with one or more therapies used to treat the arrhythmia. The therapy used to treat the arrhythmia may comprise a therapy identified as a previously successful therapy.

    摘要翻译： 基于心律失常节律的形态分类不同类型的心律失常。 与心律失常发作相关的心脏搏动与多个代表性搏动形态进行比较，每个代表性搏动形态表征心脏心律失常的类型。 如果心律失常心跳的形态与表征特定类型的心律失常的代表性搏动形态匹配，则心律失常发作可被分类为特定类型的心律失常。 可以基于心律失常分类来选择针对特定类型的心律失常的适当疗法。 特定类型的心律失常可能与用于治疗心律失常的一种或多种治疗相关联。 用于治疗心律失常的治疗可以包括被确定为先前成功的治疗的治疗。

    Capture verification using an evoked response reference
    13.
    发明申请
    Capture verification using an evoked response reference 失效
    使用诱发响应参考捕获验证

    公开(公告)号：US20070156196A1

    公开(公告)日：2007-07-05

    申请号：US11717483

    申请日：2007-03-13

    申请人： Jaeho Kim ,  Joseph Bocek

    发明人： Jaeho Kim ,  Joseph Bocek

    IPC分类号： A61N1/362

    CPC分类号： A61N1/3712

    摘要： A method and system for verifying capture in the heart involves the use of pacing artifact templates. One or more pacing artifact templates characterizing a post pace artifact signal associated with a particular pace voltage or range of voltages are provided. A pacing artifact template is canceled from a cardiac signal sensed following a pacing pulse. Capture is detected by comparing the pacing artifact canceled cardiac signal to an evoked response reference. Fusion/pseudofusion detection involves determining a correlation between a captured response template and a sensed cardiac signal.

    摘要翻译： 用于验证心脏中捕获的方法和系统涉及使用起搏假象模板。 提供了表征与特定步速电压或电压范围相关联的后期假想信号的一个或多个起搏假象模板。 从起搏脉冲后检测的心脏信号取消起搏神经模板。 通过将起搏神经消除的心脏信号与诱发的反应参考进行比较来检测捕获。 融合/伪融合检测涉及确定捕获的响应模板和感测的心脏信号之间的相关性。

    Method and system for detecting capture with cancellation of pacing artifact
    14.
    发明授权
    Method and system for detecting capture with cancellation of pacing artifact 有权
    消除起搏假象检测捕获的方法和系统

    公开(公告)号：US07162301B2

    公开(公告)日：2007-01-09

    申请号：US10335534

    申请日：2002-12-31

    申请人： Jaeho Kim ,  Joseph Bocek

    发明人： Jaeho Kim ,  Joseph Bocek

    IPC分类号： A61N1/37

    CPC分类号： A61N1/3712

    摘要： Methods and systems for detecting capture using pacing artifact cancellation are described. One or more pacing artifact templates are provided and a cardiac signal is sensed in a cardiac verification window. Each of the pacing artifact templates may characterize the pacing artifact associated with a particular pacing energy level, for example. A particular pacing artifact template is canceled from the cardiac signal. Capture is determined using the pacing artifact canceled cardiac signal. Detection of fusion/pseudofusion beats may be accomplished by comparing a cardiac signal to a captured response template.

    摘要翻译： 描述了使用起搏伪影消除来检测捕获的方法和系统。 提供了一个或多个起搏假象模板，并且在心脏验证窗口中感测到心脏信号。 例如，每个起搏工件模板可以表征与特定起搏能量级别相关联的起搏工件。 特定的起搏假象模板从心脏信号中被取消。 捕获是使用起搏伪影取消的心脏信号确定的。 可以通过将心脏信号与捕获的应答模板进行比较来实现融合/假融合搏动的检测。

    Pacer with combined defibrillator tailored for bradycardia patients
    15.
    发明申请
    Pacer with combined defibrillator tailored for bradycardia patients 失效
    步行者联合除颤器为心动过缓患者量身打造

    公开(公告)号：US20060036288A1

    公开(公告)日：2006-02-16

    申请号：US10921777

    申请日：2004-08-18

    申请人： Joseph Bocek ,  Richard Dujmovic ,  Phil Foshee ,  Harley White ,  Jaeho Kim ,  Anthony Harrington ,  Richard Sanders ,  Douglas Daum ,  Paul De Coriolis ,  Joseph Smith ,  Richard Fogoros

    发明人： Joseph Bocek ,  Richard Dujmovic ,  Phil Foshee ,  Harley White ,  Jaeho Kim ,  Anthony Harrington ,  Richard Sanders ,  Douglas Daum ,  Paul De Coriolis ,  Joseph Smith ,  Richard Fogoros

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3956 ,  A61N1/3962

    摘要： This document discusses, among other things, a combination pacer/defibrillator that is tailored for bradycardia patients. In one example, its shock-delivery specificity exceeds its sensitivity to shockable ventricular tachyarrhythmias. In another example, its specificity exceeds 95%, or 99%, or even 99.5%. Sensitivity is programmed to a high desired sensitivity value, but only if it can be done without decreasing the specificity below the desired specificity threshold value. This can be conceptualized as “avoiding at all costs” delivering false shocks, even at the expense of failing to deliver a shock to a treatable ventricular tachyarrhythmia. Specificity enhancements include, among other things, inhibiting shock delivery when the patient is breathing or not supine, using multiple channels or a high rate VT/VF detection threshold. The present pacer/defibrillator device could potentially save the lives of bradyarrhythmia patients who are not presently clinically indicated for a defibrillator/pacer, but who have an increased risk of sudden cardiac death due to one or more risk factors.

    摘要翻译： 本文件还讨论了针对心动过缓患者定制的组合起搏器/除颤器。 在一个例子中，其冲击传递特异性超过其对可震荡室性快速性心律失常的敏感性。 在另一个实例中，其特异性超过95％，或99％，甚至99.5％。 灵敏度被编程为高期望的灵敏度值，但是只有在不降低低于所需特异性阈值的特异性的情况下才能进行。 这可以被概念化为“不惜一切代价”，提供虚假的冲击，即使以不能对可治疗的室性快速性心律失常发生冲击为代价。 特异性增强包括，当患者呼吸或不仰卧时，使用多个通道或高速率的VT / VF检测阈值来抑制冲击输送。 本发明的起搏器/除颤器装置可能潜在地节省目前临床指示用于除颤器/止痛器但是由于一个或多个危险因素引起的心脏猝死风险增加的缓慢心律失常患者的生命。

    System and method for selection of morphology templates
    16.
    发明申请
    System and method for selection of morphology templates 有权
    用于选择形态学模板的系统和方法

    公开(公告)号：US20050192506A1

    公开(公告)日：2005-09-01

    申请号：US10787540

    申请日：2004-02-26

    申请人： Jaeho Kim ,  Joseph Bocek

    发明人： Jaeho Kim ,  Joseph Bocek

    IPC分类号： A61B5/0402

    CPC分类号： A61B5/0402

    摘要： A template selection method involves providing a plurality of templates representing a type of cardiac event. One or more characteristics of each template are evaluated. The evaluations are compared and a template is selected as a current template based on the comparison.

    摘要翻译： 模板选择方法包括提供表示心脏事件类型的多个模板。 评估每个模板的一个或多个特征。 比较评估，并根据比较选择模板作为当前模板。

    Cardiac response classification using multiple classification windows
    17.
    发明授权
    Cardiac response classification using multiple classification windows 有权
    使用多个分类窗口的心脏反应分类

    公开(公告)号：US08831726B2

    公开(公告)日：2014-09-09

    申请号：US12008876

    申请日：2008-01-15

    申请人： Jaeho Kim ,  Joseph Bocek ,  Scott A. Meyer ,  Paul A. Haefner ,  Haris J. Sih

    发明人： Jaeho Kim ,  Joseph Bocek ,  Scott A. Meyer ,  Paul A. Haefner ,  Haris J. Sih

    IPC分类号： A61B5/0452 ,  A61B5/00 ,  A61N1/37

    CPC分类号： A61B5/7264 ,  A61B5/04525 ,  A61B5/7217 ,  A61N1/371

    摘要： Methods and devices for classifying a cardiac response to pacing involve establishing a plurality of classification windows relative to and following a pacing pulse. One or more characteristics of a cardiac signal sensed following the pacing pulse are detected within one or more particular classification windows. The characteristics may be compared to one or more references. Classification of the cardiac response may be performed based on the comparison of the one or more characteristics to the one or more references and the particular classification windows in which the one or more characteristics are detected.

    摘要翻译： 用于将心脏反应分类为起搏的方法和装置涉及建立相对于起搏脉冲和起搏脉冲之后的多个分类窗口。 在一个或多个特定分类窗口中检测到在起搏脉冲之后感测的心脏信号的一个或多个特征。 特征可以与一个或多个参考进行比较。 心脏反应的分类可以基于一个或多个特征与一个或多个参考和检测到一个或多个特征的特定分类窗口的比较来执行。

    Arrhythmia classification and therapy selection
    19.
    发明授权
    Arrhythmia classification and therapy selection 失效
    心律失常分类与治疗选择

    公开(公告)号：US08185195B2

    公开(公告)日：2012-05-22

    申请号：US12708106

    申请日：2010-02-18

    申请人： Jaeho Kim ,  Joseph Bocek ,  Eric G. Lovett

    发明人： Jaeho Kim ,  Joseph Bocek ,  Eric G. Lovett

    IPC分类号： A61N1/36

    CPC分类号： A61B5/7264 ,  A61B5/04525

    摘要： Different types of cardiac arrhythmia are classified based on the morphology of the arrhythmic beats. Cardiac beats associated with an arrhythmic episode are compared to a plurality of representative beat morphologies, each representative beat morphology characterizing a type of arrhythmia of the heart. An arrhythmic episode may be classified as a particular type of arrhythmia if the morphology of the arrhythmic cardiac beats matches a representative beat morphology characterizing the particular type of arrhythmia. An appropriate therapy for the particular type of arrhythmia may be selected based on the arrhythmia classification. A particular type of arrhythmia may be associated with one or more therapies used to treat the arrhythmia. The therapy used to treat the arrhythmia may comprise a therapy identified as a previously successful therapy.

    摘要翻译： 基于心律失常节律的形态分类不同类型的心律失常。 与心律失常发作相关的心脏搏动与多个代表性搏动形态进行比较，每个代表性搏动形态表征心脏心律失常的类型。 如果心律失常心跳的形态与表征特定类型的心律失常的代表性搏动形态匹配，则心律失常发作可被分类为特定类型的心律失常。 可以基于心律失常分类来选择针对特定类型的心律失常的适当疗法。 特定类型的心律失常可能与用于治疗心律失常的一种或多种治疗相关联。 用于治疗心律失常的治疗可以包括被确定为先前成功的治疗的治疗。