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    DELAY TO THERAPY FOLLOWING PATIENT CONTROLLED ATRIAL SHOCK THERAPY REQUEST
    11.
    发明申请
    DELAY TO THERAPY FOLLOWING PATIENT CONTROLLED ATRIAL SHOCK THERAPY REQUEST 失效
    延迟治疗患者控制的急救措施

    公开(公告)号：US20100268293A1

    公开(公告)日：2010-10-21

    申请号：US12828005

    申请日：2010-06-30

    申请人： Victor T. Chen ,  Gary T. Seim ,  Carlos Ricci ,  Michael L. Favet ,  Hal Propp

    发明人： Victor T. Chen ,  Gary T. Seim ,  Carlos Ricci ,  Michael L. Favet ,  Hal Propp

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3956

    摘要： An implantable cardiac device detects a patient therapy request originating from external to the implantable device. A shock therapy delay period is timed in response to the detection of the patient therapy request. Atrial shock therapy is provided to the patient after expiration of the shock therapy delay period (if the presence of an ongoing atrial arrhythmia is detected). The patient therapy request may be provided by a patient activator including a magnet for operating a reed switch in the implanted device to provide the request. A patient activator including an input and receiver/transmitter circuitry may be employed to request the immediate providing of atrial shock therapy, and/or to set the duration the shock therapy delay period. By allowing specific delays to therapy after a therapy request, a patient can prepare for the requested therapy and thereby mitigate therapy discomfort.

    摘要翻译： 可植入心脏装置检测源自可植入装置外部的患者治疗请求。 响应于患者治疗请求的检测，休克治疗延迟期是定时的。 在休克治疗延迟期结束后（如果检测到正在进行的心律失常的存在），向患者提供心房休克疗法。 患者治疗请求可以由患者激活器提供，包括用于在植入装置中操作舌簧开关的磁体以提供请求。 可以使用包括输入和接收器/发射器电路的患者激活器来请求立即提供心房休克疗法和/或设置休克治疗延迟时期的持续时间。 通过在治疗请求后允许特定的延迟治疗，患者可以准备所要求的治疗，从而减轻治疗不适。

    System and method for preventing recurrence of atrial tachyarrhythmia
    12.
    发明授权
    System and method for preventing recurrence of atrial tachyarrhythmia 有权
    用于预防房性快速性心律失常复发的系统和方法

    公开(公告)号：US06829504B1

    公开(公告)日：2004-12-07

    申请号：US09662091

    申请日：2000-09-14

    申请人： Victor T. Chen ,  Gary T. Seim ,  Milton M. Morris

    发明人： Victor T. Chen ,  Gary T. Seim ,  Milton M. Morris

    IPC分类号： A61N139

    CPC分类号： A61N1/3962 ,  A61N1/3622

    摘要： A system and method for providing pacing pulses after a cardioversion/defibrillation shock, where the pacing pulses have a pacing rate at an initial value. The pacing rate is decreased from the initial value until at least one intrinsic cardiac contraction is detected. In one embodiment, the pacing rate is decreased by a set amount after pacing a set number of cardiac cycles. Providing the set number of pacing pulses and decreasing the pacing rate by the set amount is then repeated until at least one intrinsic cardiac contraction is detected. An intrinsic cardiac rate is then determined from the at least one intrinsic cardiac contraction. The pacing rate is then increased and maintained to be above (i.e., greater than) the intrinsic cardiac rate.

    摘要翻译： 用于在心脏复律/除颤休克之后提供起搏脉冲的系统和方法，其中起搏脉冲具有初始值的起搏速率。 起搏速率从初始值降低到检测到至少一个固有心脏收缩。 在一个实施例中，起搏速率在起搏设定数量的心动周期后降低设定量。 然后重复提供设定数量的起搏脉冲并将起搏速率降低设定量，直到检测到至少一个固有心脏收缩。 然后从至少一个固有心脏收缩确定固有心率。 然后起搏速率增加并保持在高于（即大于）本征心率。

    Delay to therapy following controlled atrial shock therapy request
    13.
    发明授权
    Delay to therapy following controlled atrial shock therapy request 失效
    患者受控心房休克治疗后延迟治疗

    公开(公告)号：US07761152B2

    公开(公告)日：2010-07-20

    申请号：US11273980

    申请日：2005-11-15

    申请人： Victor T. Chen ,  Gary T. Seim ,  Carlos Ricci ,  Michael L. Favet ,  Hal Propp

    发明人： Victor T. Chen ,  Gary T. Seim ,  Carlos Ricci ,  Michael L. Favet ,  Hal Propp

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3956

    摘要： An implantable cardiac device detects a patient therapy request originating from external to the implantable device. A shock therapy delay period is timed in response to the detection of the patient therapy request. Atrial shock therapy is provided to the patient after expiration of the shock therapy delay period (if the presence of an ongoing atrial arrhythmia is detected). The patient therapy request may be provided by a patient activator including a magnet for operating a reed switch in the implanted device to provide the request. A patient activator including an input and receiver/transmitter circuitry may be employed to request the immediate providing of atrial shock therapy, and/or to set the duration the shock therapy delay period. By allowing specific delays to therapy after a therapy request, a patient can prepare for the requested therapy and thereby mitigate therapy discomfort.

    摘要翻译： 可植入心脏装置检测源自可植入装置外部的患者治疗请求。 响应于患者治疗请求的检测，休克治疗延迟期是定时的。 在休克治疗延迟期结束后（如果检测到正在进行的心律失常的存在），向患者提供心房休克疗法。 患者治疗请求可以由患者激活器提供，包括用于在植入装置中操作舌簧开关的磁体以提供请求。 可以使用包括输入和接收器/发射器电路的患者激活器来请求立即提供心房休克疗法和/或设置休克治疗延迟时期的持续时间。 通过在治疗请求后允许特定的延迟治疗，患者可以准备所要求的治疗，从而减轻治疗不适。

    System and method for preventing recurrence of atrial tachyarrhythmia
    14.
    发明授权
    System and method for preventing recurrence of atrial tachyarrhythmia 有权

    公开(公告)号：US07421294B2

    公开(公告)日：2008-09-02

    申请号：US10975553

    申请日：2004-10-28

    申请人： Victor T. Chen ,  Gary T. Seim ,  Milton M. Morris

    发明人： Victor T. Chen ,  Gary T. Seim ,  Milton M. Morris

    IPC分类号： A61N1/362

    CPC分类号： A61N1/3962 ,  A61N1/3622

    摘要： A system and method for providing pacing pulses after a cardioversion/defibrillation shock, where the pacing pulses have a pacing rate at an initial value. The pacing rate is decreased from the initial value until at least one intrinsic cardiac contraction is detected. In one embodiment, the pacing rate is decreased by a set amount after pacing a set number of cardiac cycles. Providing the set number of pacing pulses and decreasing the pacing rate by the set amount is then repeated until at least one intrinsic cardiac contraction is detected. An intrinsic cardiac rate is then determined from the at least one intrinsic cardiac contraction. The pacing rate is then increased and maintained to be above (i.e., greater than) the intrinsic cardiac rate.

    Method and apparatus for detection of premature atrial contractions
    15.
    发明授权
    Method and apparatus for detection of premature atrial contractions 有权
    用于检测早产性心房收缩的方法和装置

    公开(公告)号：US06741890B1

    公开(公告)日：2004-05-25

    申请号：US09615488

    申请日：2000-07-13

    申请人： Gary T. Seim ,  Victor T. Chen

    发明人： Gary T. Seim ,  Victor T. Chen

    IPC分类号： A61N1362

    CPC分类号： A61N1/3622

    摘要： A system and method for detecting premature atrial contractions in which a function of A—A intervals measured between successive atrial senses is computed and compared with a present A—A interval. In accordance with the invention, a premature atrial contraction is detected if the present A—A interval is less than a specified percentage of a moving average of previous A—A intervals and below a specified absolute limit value.

    摘要翻译： 一种用于检测早期心房收缩的系统和方法，其中计算在连续心房感测之间测量的A-A间隔的功能并与当前的A-A间隔进行比较。 根据本发明，如果当前A-A间隔小于先前A-A间隔的移动平均值的指定百分比并且低于指定的绝对极限值，则检测到过早的心房收缩。

    Cardiac rhythm management system with atrial shock timing optimization
    16.
    发明授权
    Cardiac rhythm management system with atrial shock timing optimization 失效

    公开(公告)号：US07120490B2

    公开(公告)日：2006-10-10

    申请号：US10211414

    申请日：2002-08-02

    申请人： Victor T. Chen ,  Jay A. Warren ,  Gary T. Seim ,  David B. Krig ,  Jesse W. Hartley ,  Jeffrey E. Stahmann

    发明人： Victor T. Chen ,  Jay A. Warren ,  Gary T. Seim ,  David B. Krig ,  Jesse W. Hartley ,  Jeffrey E. Stahmann

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3962 ,  A61N1/3621 ,  A61N1/3627 ,  A61N1/3682 ,  A61N1/395 ,  A61N1/3987

    摘要： A cardiac rhythm management system includes atrial shock timing optimization. Because an atrial tachyarrhythmia, such as atrial fibrillation typically causes significant variability in the ventricular heart rate, resulting in potentially proarrhythmic conditions. The system avoids delivering atrial cardioversion/defibrillation therapy during potentially proarrhythmic conditions because doing so could result in dangerous ventricular arrhythmias. Using Ventricular Rate Regularization (“VRR”) techniques, the system actively stabilizes the ventricular heart rate to obtain less potentially proarrhythmic conditions for delivering the atrial tachyarrhythmia therapy. The intrinsic ventricular heart rate is stabilized at a variable VRR-indicated rate, computed using an infinite impulse response (IIR) filter, and based on the underlying intrinsic ventricular heart rate. The system withholds delivery of atrial cardioversion/defibrillation therapy until the intervals between ventricular beats (“V—V intervals”) meet certain criteria that decrease the chance that the atrial cardioversion/defibrillation therapy will induce a ventricular arrhythmia.

    METHOD AND APPARATUS FOR USING ATRIAL DISCRIMINATION ALGORITHMS TO DETERMINE OPTIMAL PACING THERAPY AND THERAPY TIMING
    18.
    发明申请
    METHOD AND APPARATUS FOR USING ATRIAL DISCRIMINATION ALGORITHMS TO DETERMINE OPTIMAL PACING THERAPY AND THERAPY TIMING 审中-公开
    方法和装置用于确定最佳治疗方案和治疗时间的ATRIAL DISRIMINATION ALGORITHMS

    公开(公告)号：US20100305639A1

    公开(公告)日：2010-12-02

    申请号：US12836784

    申请日：2010-07-15

    申请人： Victor T. Chen ,  David S. Wood ,  Milton M. Morris

    发明人： Victor T. Chen ,  David S. Wood ,  Milton M. Morris

    IPC分类号： A61N1/365 ,  A61N1/368

    CPC分类号： A61N1/3622

    摘要： A system and method which employs atrial discrimination algorithms to distinguish between different atrial arrhythmias occurring in a patient for selecting an optimal pacing therapy corresponding to the type of arrhythmia identified. In response to the detection of an atrial rate above the atrial tracking rate, discrimination criteria are applied to a detected atrial activity signal to distinguish between different types of supraventricular tachycardia, such as fast atrial flutter and other atrial flutter at a relatively slower rate, which may be occurring in the patient. The pacer is controlled to provide pacing therapy to a heart in a manner corresponding to the type of supraventricular tachycardia identified. The output of an atrial discrimination algorithm may be tracked and the trend thereof used to improve therapy timing. Various embodiments are disclosed herein.

    摘要翻译： 一种使用心房辨别算法来区分患者发生的不同心房心律不齐的系统和方法，用于选择对应于确定的心律失常类型的最佳起搏治疗。 响应于心房率高于心房跟踪率的检测，将鉴别标准应用于检测到的心房活动信号，以区别不同类型的室上性心动过速，例如以较慢速率的快速心房扑动和其他心房扑动，其中 可能发生在患者身上。 控制起搏器以对应于所鉴定的室上性心动过速类型的方式向心脏提供起搏治疗。 可以跟踪心房辨别算法的输出，并且其趋势用于改善治疗时机。 本文公开了各种实施例。

    Method and apparatus for using atrial discrimination algorithms to determine optimal pacing therapy and therapy timing
    20.
    发明授权
    Method and apparatus for using atrial discrimination algorithms to determine optimal pacing therapy and therapy timing 有权
    使用心房辨别算法确定最佳起搏治疗和治疗时机的方法和装置

    公开(公告)号：US06978177B1

    公开(公告)日：2005-12-20

    申请号：US09712600

    申请日：2000-11-14

    申请人： Victor T. Chen ,  David S. Wood ,  Milton M. Morris

    发明人： Victor T. Chen ,  David S. Wood ,  Milton M. Morris

    IPC分类号： A61N1/362 ,  A61N1/368

    CPC分类号： A61N1/3622

    摘要： A system and method which employs atrial discrimination algorithms to distinguish between different atrial arrhythmias occurring in a patient for selecting an optimal pacing therapy corresponding to the type of arrhythmia identified. The invention may be implemented in a bradycardia pacemaker or other implantable cardiac device. In response to the detection of an atrial rate above the atrial tracking rate, discrimination criteria are applied to a detected atrial activity signal to distinguish between different types of supraventricular tachycardia, such as fast atrial flutter and other atrial flutter at a relatively slower rate, which may be occurring in the patient. The discrimination criteria may be, for example, rate-based or morphology based. The pacer is controlled to provide pacing therapy to a heart in a manner corresponding to the type of supraventricular tachycardia identified. For example, antitachycardia pacing may be provided to the heart in response to the detection of a relatively lower rate supraventricular tachycardia/other atrial flutter, whereas another pacing control, e.g., ventricular pacing, such as ventricular rate regulation or Rate Smoothing, may be applied if a more rapid rate supraventricular tachycardia/fast atrial flutter is identified. The output of an atrial discrimination algorithm may be tracked and the trend thereof used to improve therapy timing.

    摘要翻译： 一种使用心房辨别算法来区分患者发生的不同心房心律不齐的系统和方法，用于选择对应于确定的心律失常类型的最佳起搏治疗。 本发明可以在心动过缓起搏器或其他可植入的心脏装置中实现。 响应于心房率高于心房跟踪率的检测，将鉴别标准应用于检测到的心房活动信号，以区别不同类型的室上性心动过速，例如以较慢速率的快速心房扑动和其他心房扑动，其中 可能发生在患者身上。 歧视标准可以是例如基于速率或基于形态的。 控制起搏器以对应于所鉴定的室上性心动过速类型的方式向心脏提供起搏治疗。 例如，可以响应于检测相对较低的室上性心动过速/其他心房扑动而向心脏提供抗心动过速起搏，而可以应用另一起搏控制，例如心室起搏，例如心室速率调节或速率平滑 如果确定更快速的室上性心动过速/快速心房扑动。 可以跟踪心房辨别算法的输出，并且其趋势用于改善治疗时机。