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    System and method for determining pulmonary performance from transthoracic impedance measures
    52.
    发明授权
    System and method for determining pulmonary performance from transthoracic impedance measures 有权
    用于确定经胸阻抗措施的肺功能的系统和方法

    公开(公告)号：US08795189B2

    公开(公告)日：2014-08-05

    申请号：US12029422

    申请日：2008-02-11

    申请人： Quan Ni ,  Jesse W. Hartley ,  Kent Lee ,  Jeffrey E. Stahmann

    发明人： Quan Ni ,  Jesse W. Hartley ,  Kent Lee ,  Jeffrey E. Stahmann

    IPC分类号： A61B5/08

    CPC分类号： A61B5/0809 ,  A61B5/0002 ,  A61B5/0535 ,  A61N1/36521 ,  G06F19/3418

    摘要： A system and method for determining pulmonary performance from transthoracic impedance measures is provided. Transthoracic impedance measures collected by an implantable medical device are correlated to pulmonary functional measures. The pulmonary functional measures are grouped by respiratory pattern. Pulmonary performance is evaluated. Differences are determined by comparing the pulmonary functional measures for each respiratory pattern to the pulmonary functional measures for at least one previous respiratory pattern. A trend is identified from the differences. An alert is generated upon sufficient deviation of the trend from a threshold criteria.

    摘要翻译： 提供了一种通过经胸阻抗测量来确定肺功能的系统和方法。 由可植入医疗器械收集的经胸阻抗测量与肺功能测量相关。 肺功能测量按呼吸模式分组。 评估肺功能。 通过将每个呼吸模式的肺功能测量与至少一个之前的呼吸模式的肺功能测量进行比较来确定差异。 从差异中确定出一个趋势。 在趋势与阈值标准的充分偏差之后产生警报。

    Cardiac pacing controlled via respiration therapy device
    56.
    发明授权
    Cardiac pacing controlled via respiration therapy device 失效
    通过呼吸治疗装置控制心脏起搏

    公开(公告)号：US08655446B2

    公开(公告)日：2014-02-18

    申请号：US11986886

    申请日：2007-11-27

    申请人： Jeffrey E. Stahmann ,  Jesse W. Hartley ,  Kent Lee ,  Quan Ni

    发明人： Jeffrey E. Stahmann ,  Jesse W. Hartley ,  Kent Lee ,  Quan Ni

    IPC分类号： A61N1/365

    CPC分类号： A61N1/3601 ,  A61N1/36514 ,  A61N1/36542 ,  A61N1/36578 ,  G06F19/00

    摘要： Methods and systems involve adjusting cardiac pacing based on information acquired via a respiratory therapy device. A medical system includes a respiratory therapy device having one or more sensors and a therapy delivery unit. The one or more sensors are configured to sense respiration cycles. The therapy delivery unit is configured to deliver an external respiratory therapy to the patient. The medical system also includes a pulse generator configured to deliver cardiac pacing pulses to the patient. A controller is coupled to the one or more sensors and the pulse generator. The control unit configured to adjust a cardiac pacing rate based on the patient's respiration cycles.

    摘要翻译： 方法和系统涉及根据通过呼吸治疗装置获取的信息来调节心脏起搏。 医疗系统包括具有一个或多个传感器和治疗递送单元的呼吸治疗装置。 一个或多个传感器被配置成感测呼吸循环。 治疗递送单元被配置为向患者输送外部呼吸治疗。 医疗系统还包括脉冲发生器，其被配置为向患者传送心脏起搏脉冲。 控制器耦合到一个或多个传感器和脉冲发生器。 所述控制单元被配置为基于所述患者的呼吸周期来调节心脏起搏速率。

    Cardiac rhythm management system with arrhythmia classification and electrode selection
    57.
    发明授权
    Cardiac rhythm management system with arrhythmia classification and electrode selection 有权
    具有心律失常分类和电极选择的心律管理系统

    公开(公告)号：US08639330B2

    公开(公告)日：2014-01-28

    申请号：US12780079

    申请日：2010-05-14

    申请人： Julio C. Spinelli ,  Qingsheng Zhu ,  Jeffrey E. Stahmann ,  Andrew P. Kramer

    发明人： Julio C. Spinelli ,  Qingsheng Zhu ,  Jeffrey E. Stahmann ,  Andrew P. Kramer

    IPC分类号： A61N1/368

    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.

    摘要翻译： 系统，方法或装置根据在多个电极处接收与特定心脏收缩相关联的去极化波的时间顺序对心律失常进行分类。 一种或多种抗心律失常疗法被映射到每种心律失常分类。 当检测到特别分类的心律失常时，选择相应地映射的治疗列表并进行适当的抗心律失常治疗。 在一个示例中，响应于心律失常递送的特定治疗至少部分地取决于其在治疗该分类的心律失常方面的历史成功。

    Monitoring of heart sounds
    58.
    发明授权
    Monitoring of heart sounds 有权
    心音监听

    公开(公告)号：US08597197B2

    公开(公告)日：2013-12-03

    申请号：US13491848

    申请日：2012-06-08

    申请人： Abhilash Patangay ,  Jeffrey E. Stahmann ,  Robert J. Sweeney

    发明人： Abhilash Patangay ,  Jeffrey E. Stahmann ,  Robert J. Sweeney

    IPC分类号： A61B5/02

    CPC分类号： A61B5/025 ,  A61B5/0031 ,  A61B5/0205 ,  A61B5/029 ,  A61B5/0295 ,  A61B5/0402 ,  A61B5/053 ,  A61B5/0816 ,  A61B5/103 ,  A61B7/00 ,  A61B7/04 ,  A61N1/36521 ,  A61N1/36542 ,  A61N1/36578

    摘要： A system comprises an implantable medical device (IMD) including an implantable heart sound sensor circuit configured to produce an electrical heart sound signal representative of a heart sound of a subject and a processor circuit. The processor circuit is coupled to the heart sound sensor circuit and includes a detection circuit, a heart sound feature circuit and a trending circuit. The detection circuit configured to detect a physiologic perturbation and the heart sound feature circuit is configured to identify a heart sound feature in the electrical signal. The processor circuit is configured to trigger the heart sound feature circuit in relation to a detected physiologic perturbation. The trending circuit is configured to trend the heart sound feature in relation to a recurrence of the physiologic perturbation. The processor circuit is configured to declare a change in a physiologic condition of the patient according to the trending.

    摘要翻译： 一种系统包括可植入医疗装置（IMD），其包括可植入的心音传感器电路，该可植入心音传感器电路被配置为产生代表对象的心脏声音的电心脏心音信号和处理器电路。 处理器电路耦合到心脏声音传感器电路，并且包括检测电路，心脏声音特征电路和趋势电路。 被配置为检测生理扰动的检测电路和心音特征电路被配置为识别电信号中的心音特征。 处理器电路被配置为相对于检测到的生理扰动触发心音特征电路。 趋势电路被配置为相对于生理扰动的复发趋向心音特征。 处理器电路被配置为根据趋势来声明患者的生理状况的变化。

    Enhancements to the detection of pulmonary edema when using transthoracic impedance
    59.
    发明授权
    Enhancements to the detection of pulmonary edema when using transthoracic impedance 有权
    使用经胸阻抗检测肺水肿的增强

    公开(公告)号：US08483818B2

    公开(公告)日：2013-07-09

    申请号：US13033081

    申请日：2011-02-23

    申请人： Jeffrey E. Stahmann ,  John D. Hatlestad ,  Jesse W. Hartley

    发明人： Jeffrey E. Stahmann ,  John D. Hatlestad ,  Jesse W. Hartley

    IPC分类号： A61B5/05 ,  A61B5/04 ,  A61N1/00

    CPC分类号： A61B5/0537 ,  A61B5/0002 ,  A61B5/0538 ,  A61B5/4869 ,  A61B5/4878

    摘要： This patent document discusses, among other things, systems, devices, and methods for enhancing detection of pulmonary edema using, in addition to thoracic impedance, one or a combination of: physiologic information about a subject, at least one statistical parameter, a user-programmable detection level, at least one parameter associated with a previous pulmonary edema event, and patient symptom information about the subject. In one example, a (base) thoracic impedance threshold is modified to an adjusted thoracic impedance threshold. The adjusted thoracic impedance threshold provides an increased sensitivity of pulmonary edema detection as compared to the base thoracic impedance threshold. In another example, an alert is provided to a subject, a caregiver, or other user based on a pulmonary edema indication determined by the present systems, devices, and methods. In a further example, a therapy (provided to the subject) is adjusted or initiated in response to the pulmonary edema indication.

    摘要翻译： 该专利文献尤其涉及用于增强肺水肿检测的系统，装置和方法，除胸部阻抗之外，还包括以下之一或组合：关于受试者的生理信息，至少一个统计参数， 可编程检测水平，与先前的肺水肿事件相关联的至少一个参数，以及关于受试者的患者症状信息。 在一个示例中，（基底）胸部阻抗阈值被修改为经调整的胸部阻抗阈值。 与基础胸廓阻抗阈值相比，经调整的胸廓阻抗阈值提供了肺水肿检测的灵敏度增加。 在另一示例中，基于由本系统，设备和方法确定的肺水肿指示，向受检者，照顾者或其他用户提供警报。 在另一个实例中，响应于肺水肿指示调整或启动治疗（提供给受试者）。

    Advanced patient management for defining, identifying and using predetermined health-related events
    60.
    发明授权
    Advanced patient management for defining, identifying and using predetermined health-related events 有权
    高级患者管理用于定义，识别和使用预定的健康相关事件

    公开(公告)号：US08391989B2

    公开(公告)日：2013-03-05

    申请号：US10323604

    申请日：2002-12-18

    申请人： John Hatlestad ,  Jeffrey E. Stahmann ,  Qingsheng Zhu

    发明人： John Hatlestad ,  Jeffrey E. Stahmann ,  Qingsheng Zhu

    IPC分类号： A61N1/00

    CPC分类号： A61B5/0205 ,  A61N1/08

    摘要： Systems, devices and methods for defining, identifying and using health-related significant events are disclosed. One aspect is a programmable device having machine executable instructions for performing a method to assist with managing a patient's health. In various embodiments, at least one previously-defined event is detected based on a number of acquired health-related parameters. The at least one detected event is recorded with an associated time when the at least one detected significant event occurred. An action is triggered based on the at least one detected event. The at least one detected event is displayed with at least one trended health-related parameter in a single display area. Other aspects and embodiments are provided herein.

    摘要翻译： 公开了用于定义，识别和使用健康相关重要事件的系统，设备和方法。 一个方面是具有用于执行帮助管理患者健康的方法的机器可执行指令的可编程设备。 在各种实施例中，基于获取的健康相关参数的数量来检测至少一个先前定义的事件。 当发生至少一个检测到的有害事件时，相关联的时间记录至少一个检测到的事件。 基于至少一个检测到的事件触发动作。 至少一个检测到的事件在单个显示区域中与至少一个趋势健康相关的参数显示。 本文提供了其它方面和实施例。