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21.
公开(公告)号:US11806154B2
公开(公告)日:2023-11-07
申请号:US17454923
申请日:2021-11-15
Applicant: Medtronic, Inc.
Inventor: Shantanu Sarkar , Michael L Hudziak , Jerry D. Reiland , Erin N. Reisfeld
IPC: A61B5/363 , A61B5/00 , A61B5/287 , A61B5/316 , A61B5/335 , A61B5/332 , A61N1/365 , A61N1/39 , A61B5/352 , A61B5/364
CPC classification number: A61B5/363 , A61B5/287 , A61B5/316 , A61B5/335 , A61B5/352 , A61B5/6861 , A61B5/7221 , A61N1/36514 , A61N1/3956 , A61N1/3987 , A61B5/364 , A61B2505/07 , A61B2560/0468
Abstract: A system and method for detecting and verifying bradycardia/asystole episodes includes sensing an electrogram (EGM) signal. The EGM signal is compared to a primary threshold to sense events in the EGM signal, and at least one of a bradycardia or an asystole is detected based on the comparison. In response to detecting at least one of a bradycardia or an asystole, the EGM signal is compared to a secondary threshold to sense events under-sensed by the primary threshold. The validity of the bradycardia or the asystole is determined based on the detected under-sensed events.
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公开(公告)号:US20230181083A1
公开(公告)日:2023-06-15
申请号:US18164759
申请日:2023-02-06
Applicant: Medtronic, Inc.
Inventor: Gautham Rajagopal , Shantanu Sarkar
CPC classification number: A61B5/352 , A61B5/36 , A61B5/355 , A61B5/7203 , A61B2560/02
Abstract: An example device for detecting one or more parameters of a cardiac signal is disclosed herein. The device includes one or more electrodes and sensing circuitry configured to sense a cardiac signal via the one or more electrodes. The device further includes processing circuitry configured to determine an R-wave of the cardiac signal and determine whether the R-wave is noisy. Based on the R-wave being noisy, the processing circuitry is configured to determine whether the cardiac signal around a determined T-wave is noisy. Based on the cardiac signal around the determined T-wave not being noisy, the processing circuitry is configured to determine a QT interval or a corrected QT interval based on the determined T-wave and the determined R-wave.
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公开(公告)号:US20230034970A1
公开(公告)日:2023-02-02
申请号:US17387728
申请日:2021-07-28
Applicant: Medtronic, Inc.
Inventor: Ya-Jian Cheng , Eduardo N. Warman , Jeffrey M. Gillberg , Abhijit Kadrolkar , Shantanu Sarkar , Kevin T. Ousdigian
IPC: A61B5/0245 , A61B5/00
Abstract: This disclosure is directed to a medical system and technique for a filter-based approach to arrhythmia detection. In one example, the medical system comprises one or more sensors configured to sense physiological parameter(s); sensing circuitry configured to generate patient data based on the sensed physiological parameter(s), the patient data comprising signal data to represent cardiac activity of the patient; and processing circuitry configured to: detect a cardiac arrhythmia for the patient based on a classification of the signal data in accordance with a machine learning model, wherein the machine learning model comprises filter(s) for at least one portion of the signal data, wherein the at least one filter corresponds to a feature set that maps to the cardiac activity represented by the portion(s) of the signal data; and generate for display output data indicative of a positive detection of the cardiac arrhythmia.
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公开(公告)号:US20220398470A1
公开(公告)日:2022-12-15
申请号:US17804259
申请日:2022-05-26
Applicant: Medtronic, Inc.
Inventor: Ya-Jian Cheng , Sean R. Landman , Bruce D. Gunderson , Paul D. Ziegler , Shantanu Sarkar , Kevin T. Ousdigian , Gautham Rajagopal , Ekaterina M. Ippolito
Abstract: This disclosure describes techniques for bypassing an algorithm configured to determine a likelihood of episode data being a false indication of a cardiac episode. A medical device system includes processing circuitry configured to receive episode data and determine, based on satisfaction of one or more bypass conditions of a set of bypass conditions, whether to bypass the algorithm. Responsive to bypassing the algorithm, the processing circuitry stores the episode data as a true indication of the cardiac episode.
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公开(公告)号:US20220323007A1
公开(公告)日:2022-10-13
申请号:US17808924
申请日:2022-06-24
Applicant: Medtronic, Inc.
Inventor: Jonathan L. Kuhn , James K. Carney , Vinod Sharma , Shantanu Sarkar , Todd M. Zielinski , Tommy D. Bennett
IPC: A61B5/00 , A61B5/0205 , A61B5/07 , A61B5/1455 , A61B5/1459 , A61B5/287
Abstract: In some examples, determining a heart failure status includes using an implantable medical device configured for subcutaneous implantation and comprising a plurality of electrodes and an optical sensor. Processing circuitry of a system comprising the device may determine, for a patient, a current tissue oxygen saturation value based on a signal received from the at least one optical sensor, a current tissue impedance value based on a subcutaneous tissue impedance signal received from the electrodes, and a current pulse transit time value based on a cardiac electrogram signal received from the electrodes and at least one of the signal received from the optical sensor and the subcutaneous tissue impedance signal. The processing circuitry may further compare the current tissue oxygen saturation value, current tissue impedance value, and current pulse transit time value to corresponding baseline values, and determine the heart failure status of the patient based on the comparison.
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26.
公开(公告)号:US20220071545A1
公开(公告)日:2022-03-10
申请号:US17454923
申请日:2021-11-15
Applicant: Medtronic, Inc.
Inventor: Shantanu Sarkar , Michael L. Hudziak , Jerry D. Reiland , Erin N. Reisfeld
Abstract: A system and method for detecting and verifying bradycardia/asystole episodes includes sensing an electrogram (EGM) signal. The EGM signal is compared to a primary threshold to sense events in the EGM signal, and at least one of a bradycardia or an asystole is detected based on the comparison. In response to detecting at least one of a bradycardia or an asystole, the EGM signal is compared to a secondary threshold to sense events under-sensed by the primary threshold. The validity of the bradycardia or the asystole is determined based on the detected under-sensed events.
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27.
公开(公告)号:US11259736B2
公开(公告)日:2022-03-01
申请号:US16523297
申请日:2019-07-26
Applicant: Medtronic, Inc.
Inventor: Shantanu Sarkar , Michael Hudziak , Jerry Reiland , Erin Reisfeld
IPC: A61B5/0464 , A61B5/00 , A61B5/04 , A61B5/042 , A61B5/0432 , A61B5/0456 , A61N1/365 , A61N1/39 , A61B5/363 , A61B5/287 , A61B5/316 , A61B5/335 , A61B5/352 , A61B5/364
Abstract: A system and method for detecting and verifying bradycardia/asystole episodes includes sensing an electrogram (EGM) signal. The EGM signal is compared to a primary threshold to sense events in the EGM signal, and at least one of a bradycardia or an asystole is detected based on the comparison. In response to detecting at least one of a bradycardia or an asystole, the EGM signal is compared to a secondary threshold to sense events under-sensed by the primary threshold. The validity of the bradycardia or the asystole is determined based on the detected under-sensed events.
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28.
公开(公告)号:US11172863B2
公开(公告)日:2021-11-16
申请号:US17323836
申请日:2021-05-18
Applicant: Medtronic, Inc.
Inventor: Shantanu Sarkar , Michael L. Hudziak , Jerry D. Reiland , Erin N. Reisfeld
IPC: A61B5/0464 , A61B5/04 , A61B5/042 , A61B5/0456 , A61N1/365 , A61N1/39 , A61B5/363 , A61B5/00 , A61B5/287 , A61B5/316 , A61B5/335 , A61B5/352 , A61B5/364
Abstract: A system and method for detecting and verifying bradycardia/asystole episodes includes sensing an electrogram (EGM) signal. The EGM signal is compared to a primary threshold to sense events in the EGM signal, and at least one of a bradycardia or an asystole is detected based on the comparison. In response to detecting at least one of a bradycardia or an asystole, the EGM signal is compared to a secondary threshold to sense events under-sensed by the primary threshold. The validity of the bradycardia or the asystole is determined based on the detected under-sensed events.
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公开(公告)号:US11123005B2
公开(公告)日:2021-09-21
申请号:US16186937
申请日:2018-11-12
Applicant: Medtronic, Inc.
Inventor: Shantanu Sarkar , Wade M. Demmer , Todd J. Sheldon , Vincent E. Splett
IPC: A61B5/0464 , A61B5/363 , A61B5/00 , A61N1/362 , A61N1/39 , A61B5/361 , A61B5/287 , A61B5/316 , A61B5/352
Abstract: An implantable medical device is configured to determine a first atrial arrhythmia score from ventricular events sensed by a sensing circuit of an implantable medical device and determine a second atrial arrhythmia score from an intraventricular signal comprising atrial mechanical event signals attendant to atrial systole and produced by a sensor of the implantable medical device. An atrial arrhythmia is detected based on the first atrial arrhythmia score and the second atrial arrhythmia score.
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30.
公开(公告)号:US20210093254A1
公开(公告)日:2021-04-01
申请号:US17021521
申请日:2020-09-15
Applicant: Medtronic, Inc.
Inventor: Shantanu Sarkar , Jodi L. Redemske , Val D. Eisele, III , Eduardo N. Warman , John E. Burnes , Jerry D. Reiland , Brian B. Lee , Todd M. Zielinski , Matthew T Reinke
IPC: A61B5/00 , A61B5/053 , A61B5/0205 , A61B5/11 , G06K9/62
Abstract: Techniques for determining a likeliness that a patient may incur an adverse health event are described. An example technique may include utilizing a probability model that uses as evidence nodes various diagnostic states of physiological parameters, which may include one or more subcutaneous impedance parameters. The probability model may include a Bayesian Network that determines a posterior probability of the adverse health event occurring within a predetermined period of time.
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