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21.发明授权公开(公告)号：US07260429B2
公开(公告)日：2007-08-21
申请号：US10307900
申请日：2002-12-02
IPC分类号： A61B5/04
CPC分类号： A61B7/04 , A61N1/3627 , A61N1/36514 , A61N1/3682 , A61N1/3684
摘要： A cardiac rhythm management system provides a phonocardiographic image indicative of a heart's mechanical events related to hemodynamic performance. The phonocardiographic image includes a stack of acoustic sensor signal segments representing multiple cardiac cycles. Each acoustic sensor signal segment includes heart sounds indicative of the heart's mechanical events and representations of the heart's electrical events. The stack of acoustic sensor signal segments are aligned by a selected type of the heart's mechanical or electrical events and are grouped by a cardiac timing parameter for presentation.
摘要翻译： 心律管理系统提供指示与血液动力学性能相关的心脏的机械事件的心音图像。 心音图像包括表示多个心动周期的一组声传感器信号段。 每个声学传感器信号段包括指示心脏的机械事件的心脏声音和心脏电气事件的表示。 声学传感器信号段的堆叠通过所选择的心脏的机械或电气事件的类型对准，并且通过心脏定时参数分组以进行呈现。
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22.发明授权Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device 失效用于调节心律管理装置的感测阈值的方法和装置公开(公告)号：US06772009B2
公开(公告)日：2004-08-03
申请号：US10152211
申请日：2002-05-20
申请人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
发明人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
IPC分类号： A61N1365
CPC分类号： A61N1/3704 , A61N1/368
摘要： A method and apparatus for automatically adjusting the sensing threshold of cardiac rhythm management devices. The invention is particularly suited for implementation in devices such as implantable cardiac pacemakers and implantable cardioverter/defibrillators. A method and apparatus are provided in which a noise level and signal level for a sensing channel are determined for each cardiac cycle with the sensing threshold of the channel being adjusted in accordance therewith.
摘要翻译： 一种用于自动调节心律管理装置感测阈值的方法和装置。 本发明特别适用于诸如可植入心脏起搏器和植入式心律转复器/去纤颤器的装置中的实现。 提供了一种方法和装置，其中针对每个心动周期确定用于感测通道的噪声电平和信号电平，同时根据该通道的感测阈值进行调整。
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23.发明授权Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device 失效用于调节心律管理装置的感测阈值的方法和装置公开(公告)号：US08055342B2
公开(公告)日：2011-11-08
申请号：US12214887
申请日：2008-06-23
申请人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
发明人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
CPC分类号： A61N1/3704 , A61N1/368
摘要： A method and apparatus for automatically adjusting the sensing threshold of cardiac rhythm management devices. The invention is particularly suited for implementation in devices such as implantable cardiac pacemakers and implantable cardioverter/defibrillators. A method and apparatus are provided in which a noise level and signal level for a sensing channel are determined for each cardiac cycle with the sensing threshold of the channel being adjusted in accordance therewith.
摘要翻译： 一种用于自动调节心律管理装置感测阈值的方法和装置。 本发明特别适用于诸如可植入心脏起搏器和植入式心律转复器/去纤颤器的装置中的实现。 提供了一种方法和装置，其中针对每个心动周期确定用于感测通道的噪声电平和信号电平，同时根据该通道的感测阈值进行调整。
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24.发明申请Method and apparatus for adjusting the sensing threshold of a cardiac rhythm management device 失效用于调节心律管理装置的感测阈值的方法和装置公开(公告)号：US20080262559A1
公开(公告)日：2008-10-23
申请号：US12214887
申请日：2008-06-23
申请人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
发明人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
IPC分类号： A61N1/37
CPC分类号： A61N1/3704 , A61N1/368
摘要： A method and apparatus for automatically adjusting the sensing threshold of cardiac rhythm management devices. The invention is particularly suited for implementation in devices such as implantable cardiac pacemakers and implantable cardioverter/defibrillators. A method and apparatus are provided in which a noise level and signal level for a sensing channel are determined for each cardiac cycle with the sensing threshold of the channel being adjusted in accordance therewith.
摘要翻译： 一种用于自动调节心律管理装置感测阈值的方法和装置。 本发明特别适用于诸如可植入心脏起搏器和植入式心律转复器/去纤颤器的装置中的实现。 提供了一种方法和装置，其中针对每个心动周期确定用于感测通道的噪声电平和信号电平，同时根据该通道的感测阈值进行调整。
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25.发明授权公开(公告)号：US06418343B1
公开(公告)日：2002-07-09
申请号：US09410403
申请日：1999-10-01
申请人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
发明人： Geng Zhang , Qingsheng Zhu , Laura Mepham , Jesse W. Hartley
IPC分类号： A61N1365
CPC分类号： A61N1/3704 , A61N1/368
摘要： A method and apparatus for automatically adjusting the sensing threshold of cardiac rhythm management devices. The invention is particularly suited for implementation in devices such as implantable cardiac pacemakers and implantable cardioverter/defibrillators. A method and apparatus are provided in which a noise level and signal level for a sensing channel are determined for each cardiac cycle with the sensing threshold of the channel being adjusted in accordance therewith.
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公开(公告)号：US06909916B2
公开(公告)日：2005-06-21
申请号：US10027800
申请日：2001-12-20
CPC分类号： A61N1/3622 , A61N1/3684
摘要： A system, method, or device classifies an arrhythmia according to the temporal order in which a depolarization wave associated with a particular heart contraction is received at a plurality of electrodes. One or more antiarrhythmia therapies is mapped to each arrhythmia classification. When a particularly classified arrhythmia is detected, the correspondingly mapped therapy list is selected and an appropriate antiarrhythmia therapy delivered. In one example, the particular therapy delivered in response to an arrhythmia depends at least in part on its historical success in treating arrhythmias of that classification.
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27.发明授权Automatic threshold sensitivity adjustment for cardiac rhythm management devices 失效心律管理装置的自动阈值灵敏度调整
公开(公告)号：US6029086A
公开(公告)日：2000-02-22
申请号：US94773
申请日：1998-06-15
申请人： Jungkuk Kim , Jesse W. Hartley , Qingsheng Zhu
发明人： Jungkuk Kim , Jesse W. Hartley , Qingsheng Zhu
CPC分类号： A61N1/3704 , A61N1/365 , A61N1/368
摘要： An implantable cardiac rhythm management device includes a controller adapted to receive digitized electrocardiogram signals from leads placed on or in the heart. The device also incorporates an autosense algorithm which automatically adjusts the sensing threshold dependent upon an average or maximum amplitude of noise detected during a period following a sensed cardiac depolarization. The sensing threshold is automatically set on a beat-to-beat basis at a level such that the signal to noise ratio exceeds a preset value.
摘要翻译： 可植入心律管理装置包括适于从放置在心脏上或心脏上的引线接收数字化心电图信号的控制器。 该装置还包括自动检测算法，该算法根据在感测到的心脏去极化之后的一段时间内检测到的噪声的平均或最大振幅来自动调节感测阈值。 感测阈值以节拍为基础自动设置在使得信噪比超过预设值的水平。
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公开(公告)号：US09480848B2
公开(公告)日：2016-11-01
申请号：US13185121
申请日：2011-07-18
CPC分类号： A61B5/0031 , A61B5/0022 , A61B5/0205 , A61B5/0537 , A61B5/0816 , A61B5/091 , A61B5/1118 , A61B7/04 , A61B2560/0247 , A61B2560/0252 , A61B2560/0257 , A61N1/37252 , A61N1/37282 , G06F19/00 , G06F19/3418 , G16H40/63 , G16H50/30
摘要： Systems, devices and methods for using environmental data to manage health care are disclosed. One aspect is an advanced patient management system. In various embodiments, the system includes at least one implantable medical device (IMD) to acquire at least one IMD parameter indicative of patient wellness, means to acquire at least one environmental parameter from at least one external source, and means to correlate the at least one parameter indicative of patient wellness and the at least one environmental parameter to assist with patient health care decisions. Other aspects and embodiments are provided herein.
摘要翻译： 公开了使用环境数据来管理医疗保健的系统，设备和方法。 一个方面是先进的患者管理系统。 在各种实施例中，系统包括至少一个可植入医疗装置（IMD），以获取指示患者健康的至少一个IMD参数，从至少一个外部源获取至少一个环境参数的手段，以及至少将 指示患者健康的一个参数和用于协助患者医疗保健决定的至少一个环境参数。 本文提供了其它方面和实施例。
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公开(公告)号：US20110275941A1
公开(公告)日：2011-11-10
申请号：US13185121
申请日：2011-07-18
CPC分类号： A61B5/0031 , A61B5/0022 , A61B5/0205 , A61B5/0537 , A61B5/0816 , A61B5/091 , A61B5/1118 , A61B7/04 , A61B2560/0247 , A61B2560/0252 , A61B2560/0257 , A61N1/37252 , A61N1/37282 , G06F19/00 , G06F19/3418 , G16H40/63 , G16H50/30
摘要： Systems, devices and methods for using environmental data to manage health care are disclosed. One aspect is an advanced patient management system. In various embodiments, the system includes at least one implantable medical device (IMD) to acquire at least one IMD parameter indicative of patient wellness, means to acquire at least one environmental parameter from at least one external source, and means to correlate the at least one parameter indicative of patient wellness and the at least one environmental parameter to assist with patient health care decisions. Other aspects and embodiments are provided herein.
摘要翻译： 公开了使用环境数据来管理医疗保健的系统，设备和方法。 一个方面是先进的患者管理系统。 在各种实施例中，系统包括至少一个可植入医疗装置（IMD），以获取指示患者健康的至少一个IMD参数，从至少一个外部源获取至少一个环境参数的手段，以及至少将 指示患者健康的一个参数和用于协助患者医疗保健决定的至少一个环境参数。 本文提供了其它方面和实施例。
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30.发明申请公开(公告)号：US20110009709A1
公开(公告)日：2011-01-13
申请号：US12887680
申请日：2010-09-22
IPC分类号： A61B5/00
CPC分类号： A61B5/0809 , A61B5/0816 , A61B5/1071 , A61B5/1116 , A61B5/1135 , A61B5/4806 , A61B5/6831 , A61B5/6846 , A61B5/686 , A61N1/36542 , G16H40/63 , G16H50/20
摘要： Systems and methods obtain information that allows detection of whether a patient suffers from congestion by monitoring a response of the patient to a recumbent position of the patient's body. The patient may be monitored to determine a respiration pattern for a non-recumbent position such as standing and a respiration pattern for a recumbent position such as lying down. The two patterns may be compared, either by a processing device or a physician, to determine a difference in the two respiration patterns. Furthermore, the congestion may be inferred from detecting an amount of time that the patient spends in a recumbent position or from detecting the recumbent angle that the patient obtains, either of which is presumed to indicate whether a recumbent position presents discomfort to the patient due to the presence of congestion.
摘要翻译： 系统和方法获得允许通过监视患者对患者身体的卧位的反应来检测患者是否患有拥塞的信息。 可以监测患者以确定用于躺卧位置的无卧位的呼吸模式，例如躺卧和躺卧位置的呼吸模式。 可以通过处理装置或医师来比较两种模式，以确定两种呼吸模式的差异。 此外，可以通过检测患者在躺卧位置中花费的时间量或从检测患者获得的躺卧角度来推断拥塞，其中任何一个被推定为指示躺卧位置是否由于患者的不适而给患者带来不适 拥堵的存在。
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