PACING CROSSTALK DETECTION
    12.
    发明申请
    PACING CROSSTALK DETECTION 有权
    PACING CROSSTALK检测

    公开(公告)号:US20160250478A1

    公开(公告)日:2016-09-01

    申请号:US14632317

    申请日:2015-02-26

    CPC classification number: A61N1/36514 A61N1/37

    Abstract: An implantable pacemaker is configured to sense a cardiac electrical signal received by a pair of electrodes coupled to the pacemaker, start a pacing escape interval to control a time that a pacing pulse is delivered in a heart chamber, and detecting if the sensed cardiac electrical signal is a crosstalk event that is an electrical pulse delivered to the patient by a different device than the implantable pacemaker. The implantable pacemaker withholds restarting the pacing escape interval in response to sensing the cardiac electrical signal based on detecting the sensed cardiac electrical signal as the crosstalk event.

    Abstract translation: 可植入心脏起搏器被配置为感测由耦合到起搏器的一对电极接收的心脏电信号,开始起搏逃逸间隔以控制起搏脉冲在心脏室中递送的时间,并且检测是否感测的心脏电信号 是串扰事件,其是通过与可植入起搏器不同的装置传送给患者的电脉冲。 基于检测到感测到的心电信号作为串扰事件,可植入起搏器保留重新开始起搏逃逸间隔以响应感测心电信号。

    Leadless pacemaker system
    13.
    发明授权
    Leadless pacemaker system 有权
    无引导起搏器系统

    公开(公告)号:US09375580B2

    公开(公告)日:2016-06-28

    申请号:US14576539

    申请日:2014-12-19

    Abstract: A device includes a signal generator module, a processing module, and a housing. The signal generator module is configured to deliver pacing pulses to an atrium. The processing module is configured to detect a ventricular activation event and determine a length of an interval between the ventricular activation event and a previous atrial event that preceded the ventricular activation event. The processing module is further configured to schedule a time at which to deliver a pacing pulse to the atrium based on the length of the interval and control the signal generator module to deliver the pacing pulse at the scheduled time. The housing is configured for implantation within the atrium. The housing encloses the stimulation generator and the processing module.

    Abstract translation: 一种装置包括信号发生器模块,处理模块和壳体。 信号发生器模块被配置为向心房输送起搏脉冲。 处理模块被配置为检测心室激活事件并且确定心室激活事件与心室激活事件之前的先前心房事件之间的间隔的长度。 处理模块还被配置为基于间隔的长度来安排将起搏脉冲传送到心房的时间,并且控制信号发生器模块以在预定的时间传送起搏脉冲。 外壳被配置为在心房内植入。 外壳包围刺激发生器和处理模块。

    FAR-FIELD R-WAVE DETECTION TO CONTROL ATRIAL PACE TIMING IN A DUAL-CHAMBER LEADLESS PACEMAKER
    14.
    发明申请
    FAR-FIELD R-WAVE DETECTION TO CONTROL ATRIAL PACE TIMING IN A DUAL-CHAMBER LEADLESS PACEMAKER 有权
    用于控制双室无人驾驶员的时域时域的现场R波检测

    公开(公告)号:US20160067486A1

    公开(公告)日:2016-03-10

    申请号:US14510637

    申请日:2014-10-09

    Abstract: A method for sensing far-field R-waves in a leadless, intracardiac pacemaker implanted in an atrium of a patient's heart may involve sensing an electrical signal generated by the heart with two electrodes and a first sensing channel and/or a second sensing channel of the pacemaker, comparing a first timing marker from the first sensing channel with a second timing marker from the second sensing channel, and either determining that the sensed signal is a P-wave, if the first and second timing markers indicate that the sensed signal was sensed by the first and second sensing channels within a predetermined threshold of time from one another, or determining that the sensed signal is a far-field R-wave, if the sensed signal is sensed by the second sensing channel and not sensed by the first sensing channel.

    Abstract translation: 用于感测植入患者心脏的心房中的无引导心脏起搏器中的远场R波的方法可包括用两个电极和第一感测通道和/或第二感测通道感测由心脏产生的电信号 所述起搏器将来自所述第一感测通道的第一定时标记与来自所述第二感测通道的第二定时标记进行比较,以及如果所述第一和第二定时标记指示所感测到的信号为 在第一感测通道和第二感测通道之间在预定的时间阈值之内彼此感测,或者如果感测到的信号由第二感测通道感测并且不被第一感测通道感测到,则确定感测到的信号是远场R波 感应通道。

    MULTI-CHAMBER INTRACARDIAC PACING SYSTEM
    15.
    发明申请
    MULTI-CHAMBER INTRACARDIAC PACING SYSTEM 审中-公开
    多室内吸入系统

    公开(公告)号:US20160015984A1

    公开(公告)日:2016-01-21

    申请号:US14644878

    申请日:2015-03-11

    Abstract: The control module of a first pacemaker included in an implantable medical device system including the first pacemaker and a second pacemaker is configured to set a pacing escape interval in response to a far field pacing pulse sensed by the first pacemaker. The far field pacing pulse is a pacing pulse delivered by the second pacemaker. The pacing escape interval is allowed to continue without restarting the in response to a far field intrinsic event sensed by the first pacemaker during the pacing escape interval. The first pacemaker delivers a cardiac pacing pulse to the heart upon expiration of the pacing escape interval.

    Abstract translation: 包括在包括第一起搏器和第二起搏器的可植入医疗装置系统中的第一起搏器的控制模块被配置为响应于由第一起搏器感测到的远场起搏脉冲来设定起搏逃生间隔。 远场起搏脉冲是由第二起搏器提供的起搏脉冲。 在起搏逃逸间隔期间允许响应于第一起搏器感测到的远场固有事件而不重新启动起搏逃生间隔。 第一个起搏器在起搏逃生间隔期满后将心脏起搏脉搏提供给心脏。

    METHOD AND APPARATUS FOR ADJUSTING A BLANKING PERIOD DURING TRANSITIONING BETWEEN OPERATING STATES IN A MEDICAL DEVICE
    16.
    发明申请
    METHOD AND APPARATUS FOR ADJUSTING A BLANKING PERIOD DURING TRANSITIONING BETWEEN OPERATING STATES IN A MEDICAL DEVICE 审中-公开
    用于在医疗设备中的操作状态之间的转换期间调节空白期的方法和装置

    公开(公告)号:US20150306408A1

    公开(公告)日:2015-10-29

    申请号:US14487248

    申请日:2014-09-16

    Abstract: A method and medical device for adjusting a blanking period that includes sensing cardiac signals from a plurality of electrodes, the plurality of electrodes forming a plurality of sensing vectors, determining whether to adjust a blanking period during a first operating state, advancing from the first operating state to a second operating state in response to the sensed cardiac signals, determining, while in the second operating state, whether the blanking period was adjusted while in the first operating state, and adjusting the blanking period while in the second operating state in response to the blanking period being adjusted while in the first operating state.

    Abstract translation: 一种用于调整消隐期的方法和医疗装置,包括感测来自多个电极的心脏信号,所述多个电极形成多个感测向量,确定是否在第一操作状态期间调整消隐期间,从第一操作 响应于所感测到的心脏信号状态到第二操作状态,在第二操作状态期间确定在第一操作状态期间是否调整消隐期间,并且响应于第二操作状态来调整处于第二操作状态的消隐期间 在第一操作状态下调整消隐期。

    Systems and methods for leadless pacing and shock therapy
    17.
    发明授权
    Systems and methods for leadless pacing and shock therapy 有权
    无引导起搏和休克疗法的系统和方法

    公开(公告)号:US08744572B1

    公开(公告)日:2014-06-03

    申请号:US13756085

    申请日:2013-01-31

    Abstract: Techniques and systems for monitoring cardiac arrhythmias and delivering electrical stimulation therapy using a subcutaneous implantable cardioverter defibrillator (SICD) and a leadless pacing device (LPD) are described. For example, the SICD may detect a tachyarrhythmia within a first electrical signal from a heart and determine, based on the tachyarrhythmia, to deliver anti-tachyarrhythmia shock therapy to the patient to treat the detected arrhythmia. The LPD may receive communication from the SICD requesting the LPD deliver anti-tachycardia pacing to the heart and determine, based on a second electrical signal from the heart sensed by the LPD, whether to deliver anti-tachycardia pacing (ATP) to the heart. In this manner, the SICD and LPD may communicate to coordinate ATP and/or cardioversion/defibrillation therapy. In another example, the LPD may be configured to deliver post-shock pacing after detecting delivery of anti-tachyarrhythmia shock therapy.

    Abstract translation: 描述了使用皮下植入式心律转复除颤器(SICD)和无引线起搏装置(LPD)监测心律不齐和递送电刺激治疗的技术和系统。 例如,SICD可以检测来自心脏的第一电信号内的快速性心律失常,并且基于快速性心律失常确定将抗心律失常休克疗法递送给患者以治疗所检测到的心律失常。 LPD可以接收来自SICD的通信,请求LPD向心脏提供抗心动过速起搏,并且基于由LPD感测到的心脏的第二电信号确定是否将心动过速(ATP)提供给心脏。 以这种方式,SICD和LPD可以通信以协调ATP和/或心脏复律/除颤疗法。 在另一个示例中,LPD可以被配置为在检测到抗快速性心律失常性休克疗法的递送之后递送后冲击起搏。

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