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    Evolving serial comparison system with critical alert notifications
    41.
    发明授权
    Evolving serial comparison system with critical alert notifications 有权
    不断发展的串行比较系统与关键的警报通知

    公开(公告)号：US09408550B2

    公开(公告)日：2016-08-09

    申请号：US14539864

    申请日：2014-11-12

    申请人： Epiphany Cardiography Products, LLC

    发明人： James Stanczak ,  Russell Deremer ,  Alan Risse

    IPC分类号： A61B5/044 ,  A61B5/0452 ,  A61B5/0464 ,  A61B5/04 ,  A61B5/00 ,  A61B5/0432 ,  G06F19/00

    CPC分类号： A61B5/04525 ,  A61B5/04012 ,  A61B5/0432 ,  A61B5/044 ,  A61B5/0464 ,  A61B5/746 ,  A61B5/7475 ,  G06F19/00 ,  G16H15/00 ,  G16H50/20

    摘要： A system for serial comparison of physiological data, including: a controller; a user interface; and a memory including instructions that, when executed by the controller, perform the steps of: receiving from a first data source a current clinical report including first set of physiological data of a patient and computer-generated first interpretive statements; accessing, from the patient file in a patient database, a previous clinical report including a second set of physiological data of the patient and physician-edited interpretive statements; mapping the physician-edited interpretive statements into one or more codes of a structured data format, wherein each code uniquely identifies a medical state; performing a serial comparison between the current clinical report and the previous clinical report to generate serial comparison interpretive statements; providing to a user, via the user interface, the serial comparison interpretive statements; and receiving, via the user interface, current physician-edited interpretive statements.

    摘要翻译： 一种用于系统比较生理数据的系统，包括：控制器; 用户界面; 以及存储器，包括当由控制器执行时执行以下步骤的指令：从第一数据源接收包括患者的第一组生理数据的当前临床报告和计算机生成的第一解释性语句; 从患者数据库中的患者文件访问包括患者的第二组生理数据和医师编辑的解释性陈述的先前临床报告; 将医师编辑的解释性语句映射为结构化数据格式的一个或多个代码，其中每个代码唯一地标识医学状态; 进行当前临床报告与以前的临床报告的连续比较，以生成序列比较解释性陈述; 通过用户界面向用户提供串行比较解释语句; 并通过用户界面接收当前医师编辑的解释性陈述。

    METHOD AND APPARATUS FOR BEAT ACQUISITION DURING TEMPLATE GENERATION IN A MEDICAL DEVICE HAVING DUAL SENSING VECTORS
    43.
    发明申请
    METHOD AND APPARATUS FOR BEAT ACQUISITION DURING TEMPLATE GENERATION IN A MEDICAL DEVICE HAVING DUAL SENSING VECTORS 审中-公开
    在具有双感测矢量的医疗设备中模板生成过程中获取BEAT的方法和装置

    公开(公告)号：US20160213941A1

    公开(公告)日：2016-07-28

    申请号：US14604260

    申请日：2015-01-23

    申请人： Medtronic, Inc.

    发明人： Xusheng Zhang

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3987 ,  A61B5/04525 ,  A61B5/686 ,  A61B5/6869 ,  A61B5/7221 ,  A61B5/7264 ,  A61N1/3622 ,  A61N1/3624 ,  A61N1/36507 ,  A61N1/3702 ,  A61N1/3956

    摘要： A method and medical device for generating a template that includes sensing a cardiac signal from a plurality of electrodes, determining a plurality of beats in response to the sensed cardiac signal, determining whether to store a beat of the plurality of beats in a subgroup of a plurality of subgroups for storing beats, determining whether a number of beats stored in one of the plurality of subgroups exceeds a subgroup threshold, and generating a template in response to beats stored in the one of the plurality of subgroups that exceeds the subgroup threshold.

    摘要翻译： 一种用于产生模板的方法和医疗装置，包括感测来自多个电极的心脏信号，响应于所感测到的心脏信号确定多个搏动，确定是否将多个搏动的搏动存储在 用于存储节拍的多个子组，确定存储在所述多个子组中的一个子组中的节拍数是否超过子组阈值，以及响应于存储在所述多个子组中的超过所述子组阈值的所述一个组中的节拍而生成模板。

    ATRIAL ARRHYTHMIA EPISODE DETECTION IN A CARDIAC MEDICAL DEVICE
    44.
    发明申请
    ATRIAL ARRHYTHMIA EPISODE DETECTION IN A CARDIAC MEDICAL DEVICE 审中-公开
    心脏ARRHYTHMIA EPISODE检测在心脏医疗设备

    公开(公告)号：US20160213275A1

    公开(公告)日：2016-07-28

    申请号：US14604468

    申请日：2015-01-23

    申请人： Medtronic, Inc.

    发明人： Jian Cao ,  Paul J. DeGroot

    IPC分类号： A61B5/0456 ,  A61B5/046

    CPC分类号： A61B5/0456 ,  A61B5/04525 ,  A61B5/046 ,  A61B5/4836 ,  A61B5/686

    摘要： A method and medical device for detecting a cardiac event that includes sensing a cardiac signal, determining RR-intervals in response to the sensed cardiac signal, detecting a cardiac event in response to the RR-intervals, iteratively sensing a predetermined number of P-waves in response to detecting the cardiac event, and confirming the cardiac event in response to the iteratively sensed P-waves.

    摘要翻译： 一种用于检测心脏事件的方法和医疗装置，包括感测心脏信号，响应于感测的心脏信号确定RR间隔，响应于RR间隔检测心脏事件，迭代地感测预定数量的P波 响应于检测心脏事件，以及响应于迭代感测的P波确认心脏事件。

    ATRIAL ARRHYTHMIA EPISODE DETECTION IN A CARDIAC MEDICAL DEVICE
    45.
    发明申请
    ATRIAL ARRHYTHMIA EPISODE DETECTION IN A CARDIAC MEDICAL DEVICE 有权
    心脏ARRHYTHMIA EPISODE检测在心脏医疗设备

    公开(公告)号：US20160213270A1

    公开(公告)日：2016-07-28

    申请号：US15004202

    申请日：2016-01-22

    申请人： Medtronic, Inc.

    发明人： Jian Cao ,  Paul J. Degroot

    IPC分类号： A61B5/04 ,  A61N1/362 ,  A61B5/00 ,  A61N1/39 ,  A61B5/046 ,  A61B5/0464

    CPC分类号： A61B5/04012 ,  A61B5/04525 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/686 ,  A61B5/7264 ,  A61B5/7282 ,  A61N1/3624 ,  A61N1/3702 ,  A61N1/3956 ,  A61N1/3987 ,  G06F19/00

    摘要： A method and medical device for detecting a cardiac event that includes sensing a cardiac signal, identifying R-waves in the cardiac signal attendant ventricular depolarizations, determining RR-intervals between successive R-waves in response to the sensed cardiac signal, detecting an atrial tachyarrhythmia based on an analysis of the RR-intervals, iteratively sensing groups of a predetermined number of P-waves attendant atrial depolarizations in response to detecting the atrial tachyarrhythmia, and confirming the atrial tachyarrhythmia based on an analysis of the iteratively sensed groups of P-waves.

    摘要翻译： 一种用于检测心脏事件的方法和医疗装置，包括感测心脏信号，识别伴随的心室去极化的心脏信号中的R波，响应于感测到的心脏信号确定连续R波之间的RR间隔，检测心房快速性心律失常 基于RR间期的分析，响应于检测到心房快速性心律失常，迭代地感测预定数量的P波伴随的心房去极化的组，以及基于迭代感测的P波组的分析来确认心房快速性心律失常 。

    Method for providing dynamic gain over electrocardiographic data with the aid of a digital computer
    49.
    发明授权
    Method for providing dynamic gain over electrocardiographic data with the aid of a digital computer 有权
    借助于数字计算机提供超过心电图数据的动态增益的方法

    公开(公告)号：US09345414B1

    公开(公告)日：2016-05-24

    申请号：US14997416

    申请日：2016-01-15

    申请人： Bardy Diagnostics, Inc.

    发明人： Gust H. Bardy ,  Jason Felix ,  Jon Mikalson Bishay ,  Ezra M. Dreisbach

    IPC分类号： A61B5/0428 ,  A61B5/04 ,  A61B5/0432 ,  A61B5/00 ,  A61B5/0452 ,  A61B5/0408

    CPC分类号： A61B5/0006 ,  A61B5/04017 ,  A61B5/04087 ,  A61B5/0432 ,  A61B5/044 ,  A61B5/04525 ,  A61B5/7203 ,  A61B5/7232 ,  A61B2560/0456 ,  A61B2560/0468

    摘要： In one embodiment, ECG data collected during the long-term monitoring are compressed through a two-step compression algorithm executed by an electrocardiography monitor. Minimum amplitude signals may become indistinguishable from noise if overly inclusive encoding is employed in which voltage ranges are set too wide. The resulting ECG signal will appear “choppy” and uneven with an abrupt slope. The encoding used in the first stage of compression can be dynamically rescaled on-the-fly when the granularity of the encoding is too coarse. In a further embodiment, offloaded ECG signals are automatically gained as appropriate on a recording-by-recording basis to preserve the amplitude relationship between the signals. Raw decompressed ECG signals are filtered for noise content and any gaps in the signals are bridged. The signal is then gained based on a statistical evaluation of peak-to-peak voltage (or other indicator) to land as many ECG waveforms within a desired range of display.

    摘要翻译： 在一个实施例中，通过由心电图监视器执行的两步压缩算法来压缩在长期监测期间收集的ECG数据。 如果使用过度包容的编码，其中电压范围设置得太宽，则最小振幅信号可能与噪声无法区分。 所产生的心电图信号会出现“波动性”，并且突然倾斜不均匀。 当编码的粒度太粗略时，在第一级压缩中使用的编码可以动态地重新定标。 在另一个实施例中，在逐个记录的基础上适当地自动获得卸载的ECG信号，以保持信号之间的幅度关系。 对原始解压缩的ECG信号进行滤波以获得噪声含量，并且桥接信号中的任何间隙。 然后基于峰 - 峰电压（或其他指示器）的统计评估获得信号，以在期望的显示范围内着陆许多ECG波形。