Multi channel approach to capture verification
    31.
    发明授权
    Multi channel approach to capture verification 有权
    捕获验证的多渠道方法

    公开(公告)号:US07979113B2

    公开(公告)日:2011-07-12

    申请号:US12435896

    申请日:2009-05-05

    IPC分类号: A61B5/04

    摘要: Methods and systems involve classifying the cardiac response to pacing using a multi-channel approach. Multiple cardiac response signals are sensed via multiple sense channels. Each sense channel comprises a distinct combination of electrodes and sensing circuitry. The cardiac response to the pacing pulse is classified based on the morphology of the cardiac response signals. Classifying the cardiac response involves discriminating between capture, fusion, non-capture, and non-capture with intrinsic activity.

    摘要翻译: 方法和系统包括使用多通道方法对心脏起搏应答进行分类。 通过多个感测通道感测多个心脏反应信号。 每个感测通道包括电极和感测电路的不同组合。 基于心脏反应信号的形态对起搏脉搏的心脏反应进行分类。 分类心脏反应包括区分捕获,融合,非捕获和非捕获与内在活动。

    Multi Channel Approach to Capture Verfication
    32.
    发明申请
    Multi Channel Approach to Capture Verfication 有权
    多通道捕获检测方法

    公开(公告)号:US20090240301A1

    公开(公告)日:2009-09-24

    申请号:US12435896

    申请日:2009-05-05

    IPC分类号: A61N1/08

    摘要: Methods and systems involve classifying the cardiac response to pacing using a multi-channel approach. Multiple cardiac response signals are sensed via multiple sense channels. Each sense channel comprises a distinct combination of electrodes and sensing circuitry. The cardiac response to the pacing pulse is classified based on the morphology of the cardiac response signals. Classifying the cardiac response involves discriminating between capture, fusion, non-capture, and non-capture with intrinsic activity.

    摘要翻译: 方法和系统包括使用多通道方法对心脏起搏应答进行分类。 通过多个感测通道感测多个心脏反应信号。 每个感测通道包括电极和感测电路的不同组合。 基于心脏反应信号的形态对起搏脉搏的心脏反应进行分类。 分类心脏反应包括区分捕获,融合,非捕获和非捕获与内在活动。

    Cardiac resynchronization therapy parameter optimization
    34.
    发明授权
    Cardiac resynchronization therapy parameter optimization 有权
    心脏再同步治疗参数优化

    公开(公告)号:US08175703B2

    公开(公告)日:2012-05-08

    申请号:US11338935

    申请日:2006-01-25

    IPC分类号: A61N1/362

    摘要: Systems and methods involve determination of CRT parameters using a number of CRT optimization processes. Each CRT optimization process attempts to return recommended parameters. The CRT parameters are determined based on the recommended parameters returned by one or more of the CRT optimization processes. The CRT optimization processes may be sequentially implemented and the CRT parameters may be determined based on the recommended parameters returned by a first CRT optimization process to return recommended parameters. The CRT parameters may be determined based on a combination of the recommended parameters returned. The CRT optimization processes implemented may be selected from available CRT optimization processes based on patient conditions.

    摘要翻译: 系统和方法涉及使用多个CRT优化过程来确定CRT参数。 每个CRT优化过程都会尝试返回推荐的参数。 CRT参数根据一个或多个CRT优化过程返回的推荐参数来确定。 可以顺序地实施CRT优化过程,并且可以基于由第一CRT优化过程返回的推荐参数来返回推荐参数来确定CRT参数。 可以基于返回的推荐参数的组合来确定CRT参数。 可以根据患者条件从可用的CRT优化过程中选择实现的CRT优化处理。

    Cardiac Signal Template Generation Using Waveform Clustering
    35.
    发明申请
    Cardiac Signal Template Generation Using Waveform Clustering 审中-公开
    使用波形聚类的心脏信号模板生成

    公开(公告)号:US20090163973A1

    公开(公告)日:2009-06-25

    申请号:US12396267

    申请日:2009-03-02

    IPC分类号: A61N1/362

    CPC分类号: A61B5/04525 A61N1/371

    摘要: Cardiac devices and methods using cardiac waveform clustering for template generation are described. A method of characterizing a cardiac response involves delivering pacing pulses to heart, the pulses having an energy greater than a capture threshold. Cardiac signals are sensed following the pulses. Cardiac signal characteristics, waveforms, and/or features are clustered into a plurality of clusters. A cardiac response template is formed using one or more of the plurality of clusters.

    摘要翻译: 描述了使用心脏波形聚类用于模板生成的心脏装置和方法。 表征心脏反应的方法包括将起搏脉冲输送到心脏,脉冲具有大于捕获阈值的能量。 在脉冲之后感测到心脏信号。 心脏信号特征,波形和/或特征被聚集成多个聚类。 使用所述多个簇中的一个或多个来形成心脏反应模板。

    Multi channel approach to capture verification
    36.
    发明授权
    Multi channel approach to capture verification 失效
    捕获验证的多渠道方法

    公开(公告)号:US07529578B2

    公开(公告)日:2009-05-05

    申请号:US11180937

    申请日:2005-07-12

    IPC分类号: A61B5/04

    摘要: Methods and systems involve classifying the cardiac response to pacing using a multi-channel approach. Multiple cardiac response signals are sensed via multiple sense channels. Each sense channel comprises a distinct combination of electrodes and sensing circuitry. The cardiac response to the pacing pulse is classified based on the morphology of the cardiac response signals. Classifying the cardiac response involves discriminating between capture, fusion, non-capture, and non-capture with intrinsic activity.

    摘要翻译: 方法和系统包括使用多通道方法对心脏起搏应答进行分类。 通过多个感测通道感测多个心脏反应信号。 每个感测通道包括电极和感测电路的不同组合。 基于心脏反应信号的形态对起搏脉搏的心脏反应进行分类。 分类心脏反应包括区分捕获,融合,非捕获和非捕获与内在活动。

    Pacing interval adjustment for cardiac pacing response determination
    37.
    发明授权
    Pacing interval adjustment for cardiac pacing response determination 有权
    心脏起搏反应确定的起搏间隔调整

    公开(公告)号:US08364264B2

    公开(公告)日:2013-01-29

    申请号:US11242240

    申请日:2005-10-03

    IPC分类号: A61N1/362

    摘要: The waveform morphology of a propagated pacing response signal may be adjusted to achieve a waveform morphology that enhances cardiac pacing response determination. One or more pacing intervals may be adjusted to achieve at least one cardiac pacing response waveform morphology that enhances determination of the cardiac pacing response. The heart is paced using the one or more adjusted pacing intervals and the cardiac response to the pacing is determined. The one or more adjusted pacing intervals may include an atrioventricular pacing delay, an interatrial pacing delay, an interventricular pacing delay, or other inter-chamber or inter-site pacing delays. Adjusting the one or more pacing intervals may be used to increase a difference between a first waveform morphology associated with multi-chamber capture and a second waveform morphology associated with single chamber capture.

    摘要翻译: 可以调节传播的起搏响应信号的波形形态,以实现增强心脏起搏响应确定的波形形态。 可以调整一个或多个起搏间隔以实现至少一个心脏起搏响应波形形态,其增强心脏起搏响应的确定。 心脏使用一个或多个调整的起搏间隔进行起搏,并且确定对起搏的心脏反应。 一个或多个调整的起搏间隔可以包括房室起搏延迟,房间起搏延迟,室间起搏延迟或其他间室间或间部间起搏延迟。 可以使用调整一个或多个起搏间隔来增加与多室捕获相关联的第一波形形态与与单室捕获相关联的第二波形形态之间的差异。

    Cardiac response classification using retriggerable classification windows
    38.
    发明授权
    Cardiac response classification using retriggerable classification windows 有权
    使用可重新触发分类窗口的心脏反应分类

    公开(公告)号:US07774064B2

    公开(公告)日:2010-08-10

    申请号:US10734599

    申请日:2003-12-12

    IPC分类号: A61N1/37

    摘要: Methods and devices for classifying a cardiac response to pacing involve establishing a retriggerable cardiac response classification window. A first cardiac response classification window is established subsequent to delivery of a pacing pulse. A cardiac signal following the pacing stimulation is sensed in the first classification window. A second cardiac response classification may be triggered if a trigger characteristic is detected in the first classification window. The cardiac signal is sensed in the second classification window if the second classification window is established. The cardiac response to the pacing stimulation is determined based on characteristics of the cardiac signal. The cardiac response may be determined to be one of a captured response, a non-captured response; a non-captured response added to an intrinsic beat, and a fusion/pseudofusion beat, for example.

    摘要翻译: 用于分类心脏起搏应答的方法和装置包括建立可再触发的心脏反应分类窗口。 在递送起搏脉冲之后建立第一心脏响应分类窗口。 起搏刺激后的心脏信号在第一分类窗口中被感测。 如果在第一分类窗口中检测到触发特性,则可以触发第二心跳响应分类。 如果建立第二分类窗口,则在第二分类窗口中感测到心脏信号。 基于心脏信号的特征确定对起搏刺激的心脏反应。 心脏反应可以被确定为捕获的应答,非捕获的响应之一; 例如,添加到固有节拍的非捕获响应以及融合/假融合节拍。

    Cardiac signal template generation using waveform clustering
    39.
    发明授权
    Cardiac signal template generation using waveform clustering 有权
    使用波形聚类的心脏信号模板生成

    公开(公告)号:US07499751B2

    公开(公告)日:2009-03-03

    申请号:US11116544

    申请日:2005-04-28

    IPC分类号: A61N1/08

    CPC分类号: A61B5/04525 A61N1/371

    摘要: Cardiac devices and methods using cardiac waveform clustering for template generation are described. A method of characterizing a cardiac response involves delivering pacing pulses to heart, the pulses having an energy greater than a capture threshold. Cardiac signals are sensed following the pulses. Cardiac signal characteristics, waveforms, and/or features are clustered into a plurality of clusters. A cardiac response template is formed using one or more of the plurality of clusters.

    摘要翻译: 描述了使用心脏波形聚类用于模板生成的心脏装置和方法。 表征心脏反应的方法包括将起搏脉冲输送到心脏,脉冲具有大于捕获阈值的能量。 在脉冲之后感测到心脏信号。 心脏信号特征,波形和/或特征被聚集成多个聚类。 使用所述多个簇中的一个或多个来形成心脏反应模板。

    Cardiac Response Classification Using Retriggerable Classification Windows
    40.
    发明申请
    Cardiac Response Classification Using Retriggerable Classification Windows 审中-公开
    使用Retriggerable分类Windows的心脏反应分类

    公开(公告)号:US20100256703A1

    公开(公告)日:2010-10-07

    申请号:US12818066

    申请日:2010-06-17

    IPC分类号: A61N1/08 A61N1/362

    摘要: Methods and devices for classifying a cardiac response to pacing involve establishing a retriggerable cardiac response classification window. A first cardiac response classification window is established subsequent to delivery of a pacing pulse. A cardiac signal following the pacing stimulation is sensed in the first classification window. A second cardiac response classification may be triggered if a trigger characteristic is detected in the first classification window. The cardiac signal is sensed in the second classification window if the second classification window is established. The cardiac response to the pacing stimulation is determined based on characteristics of the cardiac signal. The cardiac response may be determined to be one of a captured response, a non-captured response, a non-captured response added to an intrinsic beat, and a fusion/pseudofusion beat, for example.

    摘要翻译: 用于分类心脏起搏应答的方法和装置包括建立可再触发的心脏反应分类窗口。 在递送起搏脉冲之后建立第一心脏响应分类窗口。 起搏刺激后的心脏信号在第一分类窗口中被感测。 如果在第一分类窗口中检测到触发特性,则可以触发第二心跳响应分类。 如果建立第二分类窗口,则在第二分类窗口中感测到心脏信号。 基于心脏信号的特征来确定对起搏刺激的心脏反应。 可以将心脏反应确定为例如捕获的应答,非捕获响应,添加到固有搏动的非捕获响应以及融合/假融合搏动之一。