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公开(公告)号：US08442635B2
公开(公告)日：2013-05-14
申请号：US13031762
申请日：2011-02-22
IPC分类号： A61N1/08
CPC分类号： A61N1/37282 , A61N1/368 , A61N1/3684 , A61N1/3706 , A61N2001/083
摘要： This document discusses, among other things, systems and methods for automatic electrode integrity management. Interelectrode impedance is measured for various electrode combinations of an implantable cardiac function management device. The impedance data is processed, such as at an external remote server, to determine whether an electrode is failing or has failed, to select an alternate electrode configuration, to alert a physician or patient, to predict a time-to-failure such as by using population data, or to reprogram electrode configuration or other device parameters of the implantable cardiac function management device.
摘要翻译： 本文件还讨论了自动电极完整性管理的系统和方法。 测量可植入心脏功能管理装置的各种电极组合的电极内阻抗。 处理阻抗数据，例如在外部远程服务器处，以确定电极是否发生故障或失败，选择备用电极配置，以警告医师或患者预测失效时间，例如通过 使用种群数据，或重新编程可植入心脏功能管理装置的电极配置或其他装置参数。
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公开(公告)号：US07457666B2
公开(公告)日：2008-11-25
申请号：US11136988
申请日：2005-05-25
申请人： Derek D. Bohn , Rajesh K. Gandhi
发明人： Derek D. Bohn , Rajesh K. Gandhi
CPC分类号： A61N1/3712 , A61N1/368 , A61N1/3714
摘要： Methods and systems for delivering a pacing pulse to an atrium during a cardiac cycle. A retrograde P-wave may be identified during the cardiac cycle, indicative of sub-threshold atrial pacing. Delivery of the pacing pulse to the atrium may be adjusted in a subsequent cardiac cycle in response to identifying the retrograde P-wave. Adjusting delivery of the pacing pulse may involve initiating an atrial capture threshold test, temporarily increasing one or both of the pacing pulse amplitude and pulse width, and/or re-evaluating one or both of the pacing pulse amplitude and pulse width. Adjusting delivery of the pacing pulse may also involve altering the timing of a scheduled atrial capture threshold test. During an atrial capture threshold test, a retrograde P-wave template may be generated in response to atrial non-capture sensed during the atrial capture threshold test, and used to identify subsequent retrograde P-waves.
摘要翻译： 在心动周期期间将起搏脉搏递送至心房的方法和系统。 可以在心动周期期间鉴定逆行P波，表示亚阈值心房起搏。 响应于识别逆行P波，可以在随后的心动周期中调整起搏脉冲到心房的输送。 调节起搏脉冲的传送可以包括启动心房捕获阈值测试，暂时增加起搏脉冲幅度和脉冲宽度中的一个或两个，和/或重新评估起搏脉冲幅度和脉冲宽度中的一个或两个。 调整起搏脉冲的传递也可能涉及改变调度的心房捕获阈值测试的时序。 在心房捕获阈值测试期间，可以响应于在心房捕获阈值测试期间感测到的心房非捕获而产生逆行P波模板，并且用于识别随后的逆行P波。
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13.发明授权公开(公告)号：US08898261B1
公开(公告)日：2014-11-25
申请号：US11772552
申请日：2007-07-02
IPC分类号： G06F15/177
CPC分类号： H04L67/1097 , H04L41/046 , H04L41/0803
摘要： Data structures, methods, and apparatus useful in configuring agent services operating in a storage area network are provided. The data structures may include a list of agent types for which agent services are configurable for operation by agents of those agent types in a storage area network; for each agent type in the list of agent types, a corresponding list of configurable agent services operable by agents of the agent type; for each configurable agent service in each list of configurable agent services, a corresponding list of configurable parameters for the configurable agent service; and for each configurable parameter in each list of configurable parameters, at least one parameter value associated with the configurable parameter. Procedures and apparatus are provided for configuring agent services by updating elements of the data structures and providing the updated elements to the agent services.
摘要翻译： 提供了用于配置在存储区域网络中运行的代理服务的数据结构，方法和装置。 数据结构可以包括代理服务可配置为用于由存储区域网络中的那些代理类型的代理进行操作的代理类型的列表; 对于代理类型列表中的每个代理类型，可由代理类型的代理可操作的可配置代理服务的相应列表; 对于可配置代理服务的每个列表中的每个可配置代理服务，可配置代理服务的可配置参数的相应列表; 并且对于可配置参数的每个列表中的每个可配置参数，至少一个与所述可配置参数相关联的参数值。 提供了通过更新数据结构的元素并将更新的元素提供给代理服务来配置代理服务的过程和装置。
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公开(公告)号：US08880172B2
公开(公告)日：2014-11-04
申请号：US13422674
申请日：2012-03-16
申请人： Derek D. Bohn , Rajesh K. Gandhi
发明人： Derek D. Bohn , Rajesh K. Gandhi
CPC分类号： A61N1/3712 , A61N1/368 , A61N1/3714
摘要： Atrial capture threshold testing is performed in accordance with an atrial capture threshold testing schedule. Monitoring for retrograde P-waves occurs at least during times other than times during which scheduled atrial capture threshold testing is performed. In response to detecting a retrograde P-wave indicative of sub-threshold atrial pacing during monitoring, an unscheduled atrial capture threshold test is performed and pacing of the atrium is adjusted based on the unscheduled atrial capture threshold test.
摘要翻译： 根据心房采集阈值测试计划执行心房捕获阈值测试。 至少在执行计划的心房捕获阈值测试的时间之前的时间内，监测逆行P波。 响应于在监测期间检测到指示次阈值心房起搏的逆行P波，执行非计划的心房采集阈值测试，并且基于非计划的心房捕获阈值测试来调整心房起搏。
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公开(公告)号：US08868187B2
公开(公告)日：2014-10-21
申请号：US12486434
申请日：2009-06-17
申请人： Rajesh K. Gandhi , Michael J. Root
发明人： Rajesh K. Gandhi , Michael J. Root
CPC分类号： A61N1/3708 , A61N1/08 , A61N1/378
摘要： Systems and methods for determining depth of discharge for implantable device batteries are provided. One aspect of this disclosure relates to a method for determining depth of discharge for a battery in an implantable medical device. Voltage recovery of the battery is measured subsequent to a predetermined event. Measured voltage recovery data is stored in a database adapted to store data for one or more devices. Measured voltage recovery data is compared with stored voltage recovery data to determine battery depth of discharge. According to various embodiments, battery capacity consumed is measured using a coulometer and using a capacity-by-voltage device. Measured battery capacity consumed is combined with measured voltage recovery data using a predetermined weighted average, and the combined data is stored in the database. The stored data is used to determine battery depth of discharge, according to an embodiment.
摘要翻译： 提供了用于确定可植入装置电池的放电深度的系统和方法。 本公开的一个方面涉及一种用于确定可植入医疗装置中的电池的放电深度的方法。 在预定事件之后测量电池的电压恢复。 测量的电压恢复数据存储在适于存储一个或多个设备的数据的数据库中。 将测量的电压恢复数据与存储的电压恢复数据进行比较，以确定电池的放电深度。 根据各种实施例，使用库仑计和使用逐个电压装置测量消耗的电池容量。 使用预定的加权平均值将测量的电池容量与测量的电压恢复数据组合，并将组合的数据存储在数据库中。 根据实施例，存储的数据用于确定电池的放电深度。
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16.发明申请公开(公告)号：US20120172945A1
公开(公告)日：2012-07-05
申请号：US13422674
申请日：2012-03-16
申请人： Derek D. Bohn , Rajesh K. Gandhi
发明人： Derek D. Bohn , Rajesh K. Gandhi
IPC分类号： A61N1/37
CPC分类号： A61N1/3712 , A61N1/368 , A61N1/3714
摘要： Atrial capture threshold testing is performed in accordance with an atrial capture threshold testing schedule. Monitoring for retrograde P-waves occurs at least during times other than times during which scheduled atrial capture threshold testing is performed. In response to detecting a retrograde P-wave indicative of sub-threshold atrial pacing during monitoring, an unscheduled atrial capture threshold test is performed and pacing of the atrium is adjusted based on the unscheduled atrial capture threshold test.
摘要翻译： 根据心房采集阈值测试计划进行心房捕获阈值测试。 至少在执行计划的心房捕获阈值测试的时间之前的时间内，监测逆行P波。 响应于在监测期间检测到指示次阈值心房起搏的逆行P波，执行非计划的心房采集阈值测试，并且基于非计划的心房捕获阈值测试来调整心房起搏。
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公开(公告)号：US08214164B2
公开(公告)日：2012-07-03
申请号：US12277091
申请日：2008-11-24
IPC分类号： G01R31/36
CPC分类号： A61N1/3708 , A61B5/0084 , A61B5/746 , A61N1/37247 , A61N1/37258 , G01R19/16542 , G01R31/3606
摘要： Abnormal battery depletion can be detected in an implantable medical device. Battery capacity consumed can be measured using a coulometer and using a capacity-by-voltage device, and the measurements can be blended to determine battery status. A drop in battery voltage below a specified threshold can be detected to identify a high-current depletion fault, and an alarm can be provided to indicate the fault has been detected. The specified threshold can be determined as a function of battery capacity consumed. Other aspects and embodiments are provided herein.
摘要翻译： 在可植入的医疗设备中可以检测到电池耗尽异常。 可以使用电量计和使用逐个电压装置测量消耗的电池容量，并且可以混合测量以确定电池状态。 可以检测到低于指定阈值的电池电压下降以识别大电流耗尽故障，并且可以提供警报以指示已经检测到故障。 可以根据所消耗的电池容量确定指定的阈值。 本文提供了其它方面和实施例。
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公开(公告)号：US08155741B2
公开(公告)日：2012-04-10
申请号：US12275833
申请日：2008-11-21
申请人： Derek D. Bohn , Rajesh K. Gandhi
发明人： Derek D. Bohn , Rajesh K. Gandhi
CPC分类号： A61N1/3712 , A61N1/368 , A61N1/3714
摘要： Atrial capture threshold testing is performed in accordance with an atrial capture threshold testing schedule. Monitoring for retrograde P-waves occurs at least during times other than times during which scheduled atrial capture threshold testing is performed. In response to detecting a retrograde P-wave indicative of sub-threshold atrial pacing during monitoring, an unscheduled atrial capture threshold test is performed and pacing of the atrium is adjusted based on the unscheduled atrial capture threshold test.
摘要翻译： 根据心房采集阈值测试计划进行心房捕获阈值测试。 至少在执行计划的心房捕获阈值测试的时间之前的时间内，监测逆行P波。 响应于在监视期间检测到指示次阈值心房起搏的逆行P波，执行非计划的心房采集阈值测试，并且基于非计划的心房捕获阈值测试来调整心房起搏。
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公开(公告)号：US20090312809A1
公开(公告)日：2009-12-17
申请号：US12486434
申请日：2009-06-17
申请人： Rajesh K. Gandhi , Michael J. Root
发明人： Rajesh K. Gandhi , Michael J. Root
IPC分类号： A61N1/08
CPC分类号： A61N1/3708 , A61N1/08 , A61N1/378
摘要： Systems and methods for determining depth of discharge for implantable device batteries are provided. One aspect of this disclosure relates to a method for determining depth of discharge for a battery in an implantable medical device. Voltage recovery of the battery is measured subsequent to a predetermined event. Measured voltage recovery data is stored in a database adapted to store data for one or more devices. Measured voltage recovery data is compared with stored voltage recovery data to determine battery depth of discharge. According to various embodiments, battery capacity consumed is measured using a coulometer and using a capacity-by-voltage device. Measured battery capacity consumed is combined with measured voltage recovery data using a predetermined weighted average, and the combined data is stored in the database. The stored data is used to determine battery depth of discharge, according to an embodiment.
摘要翻译： 提供了用于确定可植入装置电池的放电深度的系统和方法。 本公开的一个方面涉及一种用于确定可植入医疗装置中的电池的放电深度的方法。 在预定事件之后测量电池的电压恢复。 测量的电压恢复数据存储在适于存储一个或多个设备的数据的数据库中。 将测量的电压恢复数据与存储的电压恢复数据进行比较，以确定电池的放电深度。 根据各种实施例，使用库仑计和使用逐个电压装置测量消耗的电池容量。 使用预定的加权平均值将测量的电池容量与测量的电压恢复数据组合，并将组合的数据存储在数据库中。 根据实施例，存储的数据用于确定电池的放电深度。
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公开(公告)号：US20090182517A1
公开(公告)日：2009-07-16
申请号：US12277091
申请日：2008-11-24
IPC分类号： G01R31/36 , G01N27/416 , G08B21/00 , G06F19/00
CPC分类号： A61N1/3708 , A61B5/0084 , A61B5/746 , A61N1/37247 , A61N1/37258 , G01R19/16542 , G01R31/3606
摘要： Abnormal battery depletion can be detected in an implantable medical device. Battery capacity consumed can be measured using a coulometer and using a capacity-by-voltage device, and the measurements can be blended to determine battery status. A drop in battery voltage below a specified threshold can be detected to identify a high-current depletion fault, and an alarm can be provided to indicate the fault has been detected. The specified threshold can be determined as a function of battery capacity consumed. Other aspects and embodiments are provided herein.
摘要翻译： 在可植入的医疗设备中可以检测到电池耗尽异常。 可以使用电量计和使用逐个电压装置测量消耗的电池容量，并且可以混合测量以确定电池状态。 可以检测到低于指定阈值的电池电压下降以识别大电流耗尽故障，并且可以提供警报以指示已经检测到故障。 可以根据所消耗的电池容量确定指定的阈值。 本文提供了其它方面和实施例。
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