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11.发明申请METHOD AND APPARATUS FOR DETERMINING A RESPIRATION PARAMETER IN A MEDICAL DEVICE 有权用于确定医疗装置中呼吸参数的方法和装置公开(公告)号：US20100076322A1
公开(公告)日：2010-03-25
申请号：US12262285
申请日：2008-10-31
申请人： Maneesh A. Shrivastav , Yong K. Cho , Tommy D. Bennett , Mark K. Erickson , Saul E. Greenhut , Karen J. Kleckner , Charles P. Sperling
发明人： Maneesh A. Shrivastav , Yong K. Cho , Tommy D. Bennett , Mark K. Erickson , Saul E. Greenhut , Karen J. Kleckner , Charles P. Sperling
IPC分类号： A61B5/0205 , A61B5/08
CPC分类号： A61B5/6846 , A61B5/0031 , A61B5/0205 , A61B5/0215 , A61B5/0816 , A61B5/4818 , A61N1/36514 , A61N1/3702 , A61N1/37258
摘要： A method of determining a respiration parameter in a medical device in which pressure signals are sensed to generate corresponding sample points, and a breath detection threshold is continuously adjusted in response to the generated sample points to generate a current adjusted breath detection threshold. A current generated sample point is compared to the current adjusted breath detection threshold, and the continuous adjusting of the breath detection threshold is suspended and the breath detection threshold is equal to the most current adjusted breath detection threshold generated prior to the suspending in response to the comparing. A next sample point, generated subsequent to the suspending, is compared to the set breath detection threshold, and the respiration parameter is determined in response to the comparing of a next sample point to the set breath detection threshold.
摘要翻译： 一种确定医疗装置中的呼吸参数的方法，其中感测压力信号以产生相应的采样点，并且响应于所产生的采样点连续地调整呼吸检测阈值以产生当前调节的呼吸检测阈值。 将当前生成的采样点与当前调节的呼吸检测阈值进行比较，并且暂停呼吸检测阈值的连续调整，并且呼吸检测阈值等于响应于该呼吸检测阈值之前产生的最新调整的呼吸检测阈值 比较。 将在悬挂之后产生的下一采样点与设定的呼吸检测阈值进行比较，并且响应于下一采样点与设定的呼吸检测阈值的比较来确定呼吸参数。
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公开(公告)号：US20120197088A1
公开(公告)日：2012-08-02
申请号：US13017307
申请日：2011-01-31
CPC分类号： G06F19/3406 , A61B5/02116 , A61B5/02125 , A61B5/7217 , A61B5/7239 , G06K9/0053 , G16H40/63
摘要： A medical device system including a physiological sensor is configured to perform a method for detecting signal artifact in a signal waveform acquired by the sensor. A signal waveform is sensed in a patient using the physiological sensor and a fiducial point associated with the sensed waveform is identified. A point value is established using the fiducial point. Signal artifact is detected in response to the established point value and an established threshold, and at least a portion of the signal waveform is rejected in response to detecting signal artifact.
摘要翻译： 包括生理传感器的医疗装置系统被配置为执行用于检测由传感器获取的信号波形中的信号伪影的方法。 使用生理传感器在患者中感测到信号波形，并且识别与感测波形相关联的基准点。 使用基准点建立点值。 响应于建立的点值和建立的阈值检测信号伪像，并且响应于检测到信号伪影而拒绝信号波形的至少一部分。
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公开(公告)号：US08702604B2
公开(公告)日：2014-04-22
申请号：US13017307
申请日：2011-01-31
CPC分类号： G06F19/3406 , A61B5/02116 , A61B5/02125 , A61B5/7217 , A61B5/7239 , G06K9/0053 , G16H40/63
摘要： A medical device system including a physiological sensor is configured to perform a method for detecting signal artifact in a signal waveform acquired by the sensor. A signal waveform is sensed in a patient using the physiological sensor and a fiducial point associated with the sensed waveform is identified. A point value is established using the fiducial point. Signal artifact is detected in response to the established point value and an established threshold, and at least a portion of the signal waveform is rejected in response to detecting signal artifact.
摘要翻译： 包括生理传感器的医疗装置系统被配置为执行用于检测由传感器获取的信号波形中的信号伪影的方法。 使用生理传感器在患者中感测到信号波形，并且识别与感测波形相关联的基准点。 使用基准点建立点值。 响应于建立的点值和建立的阈值检测信号伪像，并且响应于检测到信号伪影而拒绝信号波形的至少一部分。
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公开(公告)号：US07907993B2
公开(公告)日：2011-03-15
申请号：US11380794
申请日：2006-04-28
申请人： Raja N. Ghanem , Robert W. Stadler , Xusheng Zhang , Saul E. Greenhut , Karen J. Kleckner , Paul G. Krause , Veerdhaval Mahajan
发明人： Raja N. Ghanem , Robert W. Stadler , Xusheng Zhang , Saul E. Greenhut , Karen J. Kleckner , Paul G. Krause , Veerdhaval Mahajan
IPC分类号： A61B5/0402
CPC分类号： A61N1/3987 , A61B5/04011 , A61B5/0422 , A61B5/0456 , A61B5/046 , A61B5/0464 , A61B5/0468 , A61B5/4836 , A61B5/686 , A61B5/7203 , A61B5/7221 , A61B5/7239 , A61N1/05 , A61N1/3621 , A61N1/3925 , A61N1/3956 , Y10S128/901 , Y10S128/902
摘要： A method of detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector and a second sensing vector, and determining first heart rate estimates associated with cardiac signals sensed from the first sensing vector and cardiac signals sensed from the second sensing vector in response to a metric of heart rate associated with the sensed cardiac signals. Second heart rate estimates associated with the first sensing vector and with the second sensing vector are generated in response to the determined first heart rate estimates, and a determination is made as to whether both of the second heart rate estimates are greater than a predetermined heart rate threshold.
摘要翻译： 一种检测医疗装置中的心脏事件的方法，包括从形成第一感测向量和第二感测向量的多个电极感测心脏信号，以及确定与从第一感测向量和心脏感测的心脏信号相关联的第一心率估计 响应于与感测的心脏信号相关联的心率的度量，从第二感测向量感测的信号。 响应于确定的第一心率估计而产生与第一感测向量和第二感测向量相关联的第二心率估计，并且确定第二心率估计是否大于预定心率 阈。
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15.发明申请METHOD AND APPARATUS FOR SUBCUTANEOUS ECG VECTOR ACCEPTABILITY AND SELECTION 有权方法和装置用于不规则ECG矢量可接受性和选择公开(公告)号：US20080269813A1
公开(公告)日：2008-10-30
申请号：US11741231
申请日：2007-04-27
CPC分类号： A61N1/0504 , A61B5/042 , A61B5/0468 , A61B5/7203 , A61B5/7221 , A61N1/3621 , A61N1/3702 , A61N1/3925 , A61N1/3956
摘要： An implantable medical device system and associated method select subcutaneous sensing electrodes for use in monitoring the heart rhythm. A subset of multiple sensing vectors is selected from a number of electrodes positioned at a first subcutaneous location and one electrode positioned at a second subcutaneous location. The subset of sensing vectors includes one vector that includes the electrode positioned at the second location. A signal quality parameter corresponding to each of the sensing vectors of the subset is determined.
摘要翻译： 可植入医疗装置系统和相关方法选择用于监测心律的皮下感测电极。 从位于第一皮下位置的多个电极和位于第二皮下位置的一个电极中选择多个感测向量的子集。 感测矢量的子集包括一个矢量，其包括位于第二位置处的电极。 确定与子集的每个感测向量对应的信号质量参数。
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16.发明授权Method and apparatus for subcutaneous ECG vector acceptability and selection 有权用于皮下ECG载体可接受性和选择的方法和装置公开(公告)号：US07904153B2
公开(公告)日：2011-03-08
申请号：US11741231
申请日：2007-04-27
IPC分类号： A61N1/39
CPC分类号： A61N1/0504 , A61B5/042 , A61B5/0468 , A61B5/7203 , A61B5/7221 , A61N1/3621 , A61N1/3702 , A61N1/3925 , A61N1/3956
摘要： An implantable medical device system and associated method select subcutaneous sensing electrodes for use in monitoring the heart rhythm. A subset of multiple sensing vectors is selected from a number of electrodes positioned at a first subcutaneous location and one electrode positioned at a second subcutaneous location. The subset of sensing vectors includes one vector that includes the electrode positioned at the second location. A signal quality parameter corresponding to each of the sensing vectors of the subset is determined.
摘要翻译： 可植入医疗装置系统和相关方法选择用于监测心律的皮下感测电极。 从位于第一皮下位置的多个电极和位于第二皮下位置的一个电极中选择多个感测向量的子集。 感测矢量的子集包括一个矢量，其包括位于第二位置处的电极。 确定与子集的每个感测向量对应的信号质量参数。
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公开(公告)号：US20080269627A1
公开(公告)日：2008-10-30
申请号：US11741942
申请日：2007-04-30
申请人： Yong K. Cho , Teresa A. Whitman , Mark L. Brown , Scott W. Davie , Karen J. Kleckner , Charles R. Gordon
发明人： Yong K. Cho , Teresa A. Whitman , Mark L. Brown , Scott W. Davie , Karen J. Kleckner , Charles R. Gordon
IPC分类号： A61B5/02
CPC分类号： A61B5/0402 , A61B5/6846 , A61B5/7203 , A61N1/36585 , A61N1/3962
摘要： Method and apparatus for sensing improvement using pressure data. The method and apparatus may be used in an implantable medical device to confirm that an EGM event signifies a true mechanical cardiac activity and not just electrical oversensing. The mechanical activity may be used to create a mechanical marker channel in the implantable medical device.
摘要翻译： 使用压力数据检测改进的方法和装置。 该方法和装置可以用于可植入医疗装置中，以确认EGM事件表示真正的机械心脏活动，而不仅仅是电过盈。 机械活动可用于在可植入医疗装置中产生机械标记通道。
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公开(公告)号：US07890162B2
公开(公告)日：2011-02-15
申请号：US11741942
申请日：2007-04-30
申请人： Yong K. Cho , Teresa A. Whitman , Mark L. Brown , Scott W. Davie , Karen J. Kleckner , Charles R. Gordon
发明人： Yong K. Cho , Teresa A. Whitman , Mark L. Brown , Scott W. Davie , Karen J. Kleckner , Charles R. Gordon
IPC分类号： A61B5/0452
CPC分类号： A61B5/0402 , A61B5/6846 , A61B5/7203 , A61N1/36585 , A61N1/3962
摘要： Method and apparatus for sensing improvement using pressure data. The method and apparatus may be used in an implantable medical device to confirm that an EGM event signifies a true mechanical cardiac activity and not just electrical oversensing. The mechanical activity may be used to create a mechanical marker channel in the implantable medical device.
摘要翻译： 使用压力数据检测改进的方法和装置。 该方法和装置可以用于可植入医疗装置中，以确认EGM事件表示真正的机械心脏活动，而不仅仅是电过盈。 机械活动可用于在可植入医疗装置中产生机械标记通道。
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公开(公告)号：US08718763B2
公开(公告)日：2014-05-06
申请号：US13353824
申请日：2012-01-19
申请人： Xiaohong Zhou , Robert Stadler , Richard N. M. Cornelussen , Lilian Kornet , Paul D. Ziegler , Karen J. Kleckner , Alberto Della Scala
发明人： Xiaohong Zhou , Robert Stadler , Richard N. M. Cornelussen , Lilian Kornet , Paul D. Ziegler , Karen J. Kleckner , Alberto Della Scala
IPC分类号： A61N1/365
CPC分类号： A61N1/36114
摘要： The disclosure herein relates generally to methods for treating heart conditions using vagal stimulation, and further to systems and devices for performing such treatment. Such methods may include monitoring physiological parameters of a patient, detecting cardiac conditions, and delivering vagal stimulation (e.g., electrical stimulation to the vagus nerve or neurons having parasympathetic function) to the patient to treat the detected cardiac conditions.
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20.发明授权Scheme for overwriting stored physiological data in an implantable medical device 有权在可植入医疗装置中重写存储的生理数据的方案公开(公告)号：US08578118B2
公开(公告)日：2013-11-05
申请号：US11740362
申请日：2007-04-26
IPC分类号： G06F12/00
CPC分类号： G06F19/3418 , A61B5/0031 , A61B5/0422 , A61N1/3702 , G06F19/00 , G16H10/65
摘要： An implantable medical device and associated method store physiological data in response to detecting a physiological event. The medical device includes multiple first memory locations allocated to each of a number of physiological event types and a second single memory location allocated for storing entries of physiological signal data corresponding to each of the plurality of physiological event types.
摘要翻译： 可植入医疗装置和相关方法响应于检测到生理事件存储生理数据。 医疗设备包括分配给多个生理事件类型中的每一个的多个第一存储器位置和被分配用于存储对应于多个生理事件类型中的每一个的生理信号数据的条目的第二单个存储器位置。
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