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公开(公告)号：US08639324B2
公开(公告)日：2014-01-28
申请号：US13353515
申请日：2012-01-19
申请人： Efdal Elferri , Randall L. McPherson , Donald L. Hopper , Gary T. Seim , James O. Gilkerson , Dan Li , David L. Perschbacher
发明人： Efdal Elferri , Randall L. McPherson , Donald L. Hopper , Gary T. Seim , James O. Gilkerson , Dan Li , David L. Perschbacher
IPC分类号： A61B5/0205 , A61N1/365 , A61N1/39
CPC分类号： A61N1/36585 , A61B5/0464 , A61B5/0538 , A61B5/0809 , A61B5/091 , A61B5/686 , A61N1/3962
摘要： An implantable or ambulatory medical device can include a cardiac signal sensing circuit configured to provide a sensed cardiac depolarization signal of a heart of a subject, a respiration sensing circuit configured to provide a signal representative of respiration of the subject, and a control circuit communicatively coupled to the cardiac signal sensing circuit and the respiration circuit. The control circuit includes a tachyarrhythmia detection circuit configured to determine heart rate using the depolarization signal, determine a respiration parameter of the subject using the respiration signal, calculate a ratio using the determined heart rate and the determined respiration parameter, generate an indication of tachyarrhythmia when the calculated ratio satisfies a specified detection ratio threshold value, and provide the indication of tachyarrhythmia to a user or process.
摘要翻译： 植入式或动态医疗装置可以包括心脏信号感测电路，该心脏信号感测电路被配置为提供受检者的心脏的感测的心脏去极化信号，被配置为提供代表对象呼吸的信号的呼吸感测电路，以及通信耦合的控制电路 到心脏信号感测电路和呼吸电路。 控制电路包括快速性心律失常检测电路，其被配置为使用去极化信号来确定心率，使用呼吸信号确定受试者的呼吸参数，使用所确定的心率和确定的呼吸参数来计算比率，产生快速性心律失常的指示， 所计算的比率满足规定的检测率阈值，并向用户或过程提供快速性心律失常的指示。
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22.发明申请公开(公告)号：US20120296385A1
公开(公告)日：2012-11-22
申请号：US13476651
申请日：2012-05-21
CPC分类号： A61N1/368 , A61N1/3686 , A61N1/37211 , A61N1/37247 , A61N2001/083 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing and compare the programmed electrode pairs with the valid electrode pair listing. Other embodiments are also included herein.
摘要翻译： 在一个方面，一种系统包括配置成询问脉冲发生器的外部通信设备，通信地耦合到外部通信设备的外部编程器设备; 所述外部编程器装置被配置为通过所述外部通信装置从所述脉冲发生器接收有效电极对的列表，所述外部编程器装置被配置为防止起搏，感测或震动矢量被用户编程，如果需要一对电极 对于矢量不包括在有效电极对的列表中。 在另一方面，一种系统包括可植入医疗装置，其被配置为检测在植入式刺激引线上是否存在与可植入医疗装置相连的电极，并产生有效的电极对列表，并将编程电极对与有效电极对列表进行比较 。 本文还包括其它实施例。
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23.发明申请ANTI-TACHYARRHYTHMIA SYSTEM WITH UNIFIED ATRIAL TACHYARRHYTHMIA RATE THRESHOLD 有权具有统一ATRACE TACHYARRHYTHMIA RATE THRESHOLD的抗TACHYARRHYTHMIA系统公开(公告)号：US20090163966A1
公开(公告)日：2009-06-25
申请号：US12264778
申请日：2008-11-04
CPC分类号： A61N1/3621 , A61N1/3624 , A61N1/37247 , A61N1/395
摘要： A cardiac rhythm management (CRM) system includes an implantable cardioverter defibrillator (ICD) and an external system. The ICD includes a plurality of functional modules performing tachyarrhythmia classification and therapy control functions using atrial tachyarrhythmia rate thresholds that are set to a unified value. In one embodiment, the CRM system allows a user to activate and deactivate each of the functional modules and program the unified value using the external system.
摘要翻译： 心律管理（CRM）系统包括植入式心律转复除颤器（ICD）和外部系统。 ICD包括多个功能模块，其使用被设置为统一值的心房快速性心律失常率阈值来执行快速性心律失常分类和治疗控制功能。 在一个实施例中，CRM系统允许用户激活和停用每个功能模块，并使用外部系统对统一值进行编程。
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24.发明申请公开(公告)号：US20090157137A1
公开(公告)日：2009-06-18
申请号：US12333165
申请日：2008-12-11
IPC分类号： A61N1/362
CPC分类号： A61N1/368 , A61N1/3686 , A61N1/37211 , A61N1/37247 , A61N2001/083 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing, the implantable medical device configured to compare the programmed electrode pairs with the valid electrode pair listing and to execute a corrective action procedure if one or more of the programmed electrode pairs are not included within the valid electrode pair listing. Other embodiments are also included herein.
摘要翻译： 在一个方面，一种系统包括配置成询问脉冲发生器的外部通信设备，通信地耦合到外部通信设备的外部编程器设备; 所述外部编程器装置被配置为通过所述外部通信装置从所述脉冲发生器接收有效电极对的列表，所述外部编程器装置被配置为防止起搏，感测或震动矢量被用户编程，如果需要一对电极 对于矢量不包括在有效电极对的列表中。 在另一方面，一种系统包括可植入医疗装置，其被配置为检测在植入的刺激引线上存在或不存在电极，所述植入刺激引线耦合到所述可植入医疗装置并产生有效的电极对列表，所述可植入医疗装置被配置为将编程的电极对 其中有效电极对列出并且如果一个或多个编程的电极对不包括在有效电极对列表内，则执行校正动作过程。 本文还包括其它实施例。
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公开(公告)号：US20090157133A1
公开(公告)日：2009-06-18
申请号：US12277101
申请日：2008-11-24
IPC分类号： A61N1/362
摘要： A system includes a pulse generator including a can electrode and a lead couplable to the pulse generator, the lead including a distal coil electrode and a proximal coil electrode, wherein both of the coil electrodes are electrically uncoupled from the can electrode such that a unipolar sensing vector is provided between at least one of the coil electrodes and the can electrode.
摘要翻译： 一种系统包括脉冲发生器，其包括罐电极和可连接到脉冲发生器的引线，所述引线包括远端线圈电极和近端线圈电极，其中两个线圈电极与罐电极电耦合，使得单极检测 向量设置在至少一个线圈电极和罐电极之间。
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26.发明授权公开(公告)号：US07200436B2
公开(公告)日：2007-04-03
申请号：US10889348
申请日：2004-07-12
IPC分类号： A61N1/00
CPC分类号： A61N1/3956
摘要： An implantable pulse generator senses a cardiac signal, identifies cardiac events in the cardiac signal, and starts a blanking interval including a repeatable noise window blanking interval in response to each cardiac event. When noise is detected during the repeatable noise window blanking interval, the noise window blanking interval is repeated. In one embodiment, the duration of repeated repeatable noise window blanking intervals is summed and compared to a pacing escape interval. When the sum is greater than the pacing escape interval, asynchronous pacing pulses are delivered until the noise ceases. Alternatively, when the sum is greater than the pacing escape interval, the pace escape interval is repeated.
摘要翻译： 植入式脉冲发生器感测心脏信号，识别心脏信号中的心脏事件，并且响应于每个心脏事件开始包括可重复噪声窗口消隐间隔的消隐间隔。 当在可重复的噪声窗消隐间隔期间检测到噪声时，重复噪声窗消隐间隔。 在一个实施例中，将重复的可重复噪声窗口消隐间隔的持续时间相加并与起搏逃逸间隔进行比较。 当总和大于起搏逃生间隔时，异步起搏脉冲被传送，直到噪声停止。 或者，当总和大于起搏逃逸间隔时，重复起搏逃逸间隔。
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公开(公告)号：US06845269B2
公开(公告)日：2005-01-18
申请号：US10118601
申请日：2002-04-08
CPC分类号： A61N1/3706 , A61N1/3702
摘要： A system and method for passively testing a cardiac pacemaker in which sensing signal amplitudes and lead impedance values are measured and stored while the pacemaker is functioning in its programmed mode. The amplitude and impedance data may be gotten and stored periodically at regular intervals to generate a historical record for diagnostic purposes. Sensing signal amplitudes may also be measured and stored from a sensing channel which is currently not programmed to be active as long as the pacemaker is physically configured to support the sensing channel. Such data can be useful in evaluating whether a switch in the pacemaker's operating mode is desirable.
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公开(公告)号：US06370432B1
公开(公告)日：2002-04-09
申请号：US09378315
申请日：1999-08-20
IPC分类号： A61N137
CPC分类号： A61N1/3706 , A61N1/3702
摘要： A system and method for passively testing a cardiac pacemaker in which sensing signal amplitudes and lead impedance values are measured and stored while the pacemaker is functioning in its programmed mode. The amplitude and impedance data may be gotten and stored periodically at regular intervals to generate a historical record for diagnostic purposes. Sensing signal amplitudes may also be measured and stored from a sensing channel which is currently not programmed to be active as long as the pacemaker is physically configured to support the sensing channel. Such data can be useful in evaluating whether a switch in the pacemaker's operating mode is desirable.
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公开(公告)号：US09849294B2
公开(公告)日：2017-12-26
申请号：US12537362
申请日：2009-08-07
申请人： Jonathan H. Kelly , James Kalgren , David L. Perschbacher , James O. Gilkerson , Les N. Peterson
发明人： Jonathan H. Kelly , James Kalgren , David L. Perschbacher , James O. Gilkerson , Les N. Peterson
CPC分类号： A61N1/37247 , A61N1/36514 , A61N1/36542
摘要： Embodiments of the invention are related to medical systems and methods that can be used to control features of implanted medical devices, amongst other things. In an embodiment, the invention includes a medical system including an external medical device. The external medical device including a video output and a processor in communication with the video output. The system can be configured to display information through the video output as a graph, the graph comprising data representing pacing rates of an implantable device as a function of activity level over time. The system can further be configured to accept user input through direct manipulation of the graph. Other embodiments are also included herein.
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公开(公告)号：US08639337B2
公开(公告)日：2014-01-28
申请号：US13273098
申请日：2011-10-13
IPC分类号： A61N1/37
CPC分类号： A61N1/3706 , A61N1/3702
摘要： A system and method for passively testing a cardiac pacemaker in which sensing signal amplitudes and lead impedance values are measured and stored while the pacemaker is functioning in its programmed mode. The amplitude and impedance data may be gotten and stored periodically at regular intervals to generate a historical record for diagnostic purposes. Sensing signal amplitudes may also be measured and stored from a sensing channel which is currently not programmed to be active as long as the pacemaker is physically configured to support the sensing channel. Such data can be useful in evaluating whether a switch in the pacemaker's operating mode is desirable.
摘要翻译： 一种用于被动测试心脏起搏器的系统和方法，其中在起搏器在其编程模式下起作用时测量和存储感测信号幅度和引线阻抗值。 可以以规律的间隔周期性获得和存储振幅和阻抗数据，以产生用于诊断目的的历史记录。 只要心脏起搏器物理配置为支持感测通道，感测信号幅度也可以从目前未编程为有效的感测通道测量和存储。 这样的数据可用于评估起搏器的操作模式中的开关是否可取。
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