Detection of waveform artifact
    34.
    发明授权
    Detection of waveform artifact 有权
    检测波形伪影

    公开(公告)号:US08702604B2

    公开(公告)日:2014-04-22

    申请号:US13017307

    申请日:2011-01-31

    IPC分类号: A61B5/00 G06F19/00

    摘要: A medical device system including a physiological sensor is configured to perform a method for detecting signal artifact in a signal waveform acquired by the sensor. A signal waveform is sensed in a patient using the physiological sensor and a fiducial point associated with the sensed waveform is identified. A point value is established using the fiducial point. Signal artifact is detected in response to the established point value and an established threshold, and at least a portion of the signal waveform is rejected in response to detecting signal artifact.

    摘要翻译: 包括生理传感器的医疗装置系统被配置为执行用于检测由传感器获取的信号波形中的信号伪影的方法。 使用生理传感器在患者中感测到信号波形,并且识别与感测波形相关联的基准点。 使用基准点建立点值。 响应于建立的点值和建立的阈值检测信号伪像,并且响应于检测到信号伪影而拒绝信号波形的至少一部分。

    Integrated patient care
    35.
    发明授权
    Integrated patient care 有权
    综合病人护理

    公开(公告)号:US08585604B2

    公开(公告)日:2013-11-19

    申请号:US12915992

    申请日:2010-10-29

    IPC分类号: A61B5/02

    摘要: A therapy regimen, e.g., a contingent medication prescription, may be created and automatically distributed to a patient via an integrated patient care system. A clinician may create therapy instructions by at least associating patient conditions with one or more therapy regimens, e.g., medication prescriptions. In some examples, the integrated patient care system may present historical condition data to the clinician to aid the clinician with creating and/or updating the therapy instructions specific to the patient. A therapy module of the integrated patient care system may use the therapy instructions to automatically select a therapy regimen from the therapy instructions based on a patient condition detected based on a sensed physiological parameter. The physiological parameter of the patient may be sensed by an implanted or external sensor. In some examples, the therapy regimen can be presented to the patient according to a predetermined schedule or in response to the detected condition.

    摘要翻译: 可以创建治疗方案,例如或有药物处方,并通过综合的患者护理系统自动分配给患者。 临床医生可以通过至少将患者状况与一种或多种治疗方案(例如药物处方)相关联来产生治疗指导。 在一些示例中,综合的患者护理系统可向临床医生呈现历史状态数据,以帮助临床医生创建和/或更新患者特有的治疗指导。 综合患者护理系统的治疗模块可以使用治疗指令根据基于检测到的生理参数检测到的患者状况从治疗指令中自动选择治疗方案。 患者的生理参数可以通过植入或外部传感器来感测。 在一些实例中,治疗方案可以根据预定的时间表或响应于检测到的病症呈现给患者。

    Detection of waveform artifact
    38.
    发明授权
    Detection of waveform artifact 有权
    检测波形伪影

    公开(公告)号:US08380295B2

    公开(公告)日:2013-02-19

    申请号:US12609455

    申请日:2009-10-30

    IPC分类号: A61B5/04

    CPC分类号: A61N1/3702

    摘要: An implantable medical device system including a physiological sensor detects signal artifact in a signal waveform acquired by the sensor. Features of individual waveforms in the sensor signal are extracted. Sample waveforms are classified by expert observation into at least two classes including an artifact class. A distribution range for each of the extracted features from the sample waveforms is determined for each of the classes. Waveform classification criteria are established in response to the determined distribution ranges.

    摘要翻译: 包括生理传感器的可植入医疗装置系统检测由传感器获取的信号波形中的信号伪影。 提取传感器信号中各波形的特征。 通过专家观察将样本波形分类为至少两个类,包括神器类。 为每个类别确定来自采样波形的每个提取特征的分布范围。 响应于确定的分布范围建立波形分类标准。

    Method and apparatus to provide diagnostic index and therapy regulated by subject's autonomic nervous system
    39.
    发明授权
    Method and apparatus to provide diagnostic index and therapy regulated by subject's autonomic nervous system 有权
    提供受试者自主神经系统调节的诊断指标和治疗的方法和装置

    公开(公告)号:US08244355B2

    公开(公告)日:2012-08-14

    申请号:US10977073

    申请日:2004-10-29

    IPC分类号: A61N1/00

    摘要: A system and method are provided for determining an index of autonomic nervous system (ANS) or sympathetic nervous system (SNS) activity for use in patient monitoring or therapy delivery control. An ANS or SNS index is calculated as a function of multiple monitored physiological variables that strongly correlate to changes in autonomic or sympathetic tone. These ANS-influenced variables are derived from selected hemodynamic and/or electrical signals and may include variables relating to any of: the maximum rate of pressure rise (dP/dtmax), the maximum rate of pressure decline (dP/dtmin), pulse pressure (PP), pre-ejection time interval (PEI) and/or systolic time interval (STI), heart rate (HR), heart rate variability (HRV), and baro-reflex gain. Changes in the ANS or SNS index may be used to automatically adjust a device delivered therapy.

    摘要翻译: 提供了一种用于确定用于患者监测或治疗递送控制的自主神经系统(ANS)或交感神经系统(SNS)活动指数的系统和方法。 ANS或SNS指数被计算为与自主神经或交感神经紧张度变化密切相关的多个被监测的生理变量的函数。 这些受ANS影响的变量来源于选定的血液动力学和/或电信号,并且可以包括与以下任何相关的变量:压力升高的最大速率(dP / dtmax),压力下降的最大速率(dP / dtmin),脉压 (PP),预喷射时间间隔(PEI)和/或收缩期间隔(STI),心率(HR),心率变异性(HRV)和压力反射增益。 可以使用ANS或SNS指数的变化来自动调整设备传递的治疗。

    DETECTION OF WAVEFORM ARTIFACT
    40.
    发明申请
    DETECTION OF WAVEFORM ARTIFACT 有权
    检测波浪文艺

    公开(公告)号:US20120197088A1

    公开(公告)日:2012-08-02

    申请号:US13017307

    申请日:2011-01-31

    IPC分类号: A61B5/00 G06F19/00

    摘要: A medical device system including a physiological sensor is configured to perform a method for detecting signal artifact in a signal waveform acquired by the sensor. A signal waveform is sensed in a patient using the physiological sensor and a fiducial point associated with the sensed waveform is identified. A point value is established using the fiducial point. Signal artifact is detected in response to the established point value and an established threshold, and at least a portion of the signal waveform is rejected in response to detecting signal artifact.

    摘要翻译: 包括生理传感器的医疗装置系统被配置为执行用于检测由传感器获取的信号波形中的信号伪影的方法。 使用生理传感器在患者中感测到信号波形,并且识别与感测波形相关联的基准点。 使用基准点建立点值。 响应于建立的点值和建立的阈值检测信号伪像,并且响应于检测到信号伪影而拒绝信号波形的至少一部分。