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268 条记录 (耗时 0.045 秒)

    Adaptive safety pacing
    61.
    发明授权
    Adaptive safety pacing 有权
    适应性安全起搏

    公开(公告)号：US07813799B2

    公开(公告)日：2010-10-12

    申请号：US10952345

    申请日：2004-09-28

    申请人： Scott M. Freeberg ,  Michael J. Lyden ,  Qingsheng Zhu

    发明人： Scott M. Freeberg ,  Michael J. Lyden ,  Qingsheng Zhu

    IPC分类号： A61N1/362

    CPC分类号： A61N1/3712

    摘要： Methods and systems involve adjusting an energy used for safety pacing based on the capture threshold. The safety pacing energy may be adjusted prior to a capture threshold test. During the capture threshold test, backup safety paces are delivered using the adjusted pacing energy. Following suspension of automatic capture verification, the device may enter a suspension mode. During the suspension mode, safety pacing pulses are delivered using a pacing energy adjusted based on capture threshold.

    摘要翻译： 方法和系统包括根据捕获阈值调整用于安全起搏的能量。 可以在捕获阈值测试之前调整安全起搏能量。 在捕获阈值测试期间，使用调整的起搏能量传送备用安全步伐。 在停止自动捕获验证之后，设备可能进入暂停模式。 在悬架模式下，使用基于捕获阈值调整的起搏能量来传送安全起搏脉冲。

    AUTOCAPTURE PACING/SENSING CONFIGURATION
    63.
    发明申请
    AUTOCAPTURE PACING/SENSING CONFIGURATION 有权
    自动化PAC /感应配置

    公开(公告)号：US20090187228A1

    公开(公告)日：2009-07-23

    申请号：US12415660

    申请日：2009-03-31

    申请人： Geng Zhang ,  Jungkuk Kim ,  Qingsheng Zhu

    发明人： Geng Zhang ,  Jungkuk Kim ,  Qingsheng Zhu

    IPC分类号： A61N1/362

    CPC分类号： A61N1/3712 ,  A61N1/3716

    摘要： A cardiac electrical stimulation system that enhances the ability of the system to automatically detect whether an electrical stimulus results in heart capture or contraction. The cardiac electrical stimulation system may be utilized, for example, as a cardiac pacer or as a cardioverter defibrillator. The cardiac electrical stimulation system includes an electrical stimulation circuit that attenuates polarization voltages or “afterpotential” which develop at the heart tissue/electrode interface following the delivery of a stimulus to the heart tissue, which thereby allows the stimulation electrodes to be utilized to sense an evoked response to the electrical stimulus. The cardiac electrical stimulation system utilizes the stimulation electrodes to sense an evoked response, thereby eliminating the necessity for an indifferent electrode to sense an evoked response. The present invention allows accurate detection of an evoked response of the heart, to thereby determine whether each electrical stimulus results in capture.

    摘要翻译： 心脏电刺激系统，其增强系统自动检测电刺激是否导致心脏捕获或收缩的能力。 心脏电刺激系统可以用作例如心脏起搏器或心律转复除颤器。 心脏电刺激系统包括电刺激电路，该电刺激电路衰减在向心脏组织递送刺激之后在心脏组织/电极界面处发展的极化电压或“后电位”，从而允许刺激电极用于感测 诱发对电刺激的反应。 心脏电刺激系统利用刺激电极来感测诱发反应，从而消除无关电极感应诱发反应的必要性。 本发明允许精确检测心脏的诱发反应，从而确定每个电刺激是否导致捕获。

    VENTRICULAR PACING
    64.
    发明申请
    VENTRICULAR PACING 有权
    卫生间

    公开(公告)号：US20090187226A1

    公开(公告)日：2009-07-23

    申请号：US12412608

    申请日：2009-03-27

    申请人： Daniel Felipe Ortega ,  Alberto German Giniger ,  Qingsheng Zhu ,  J. Edward Shapland

    发明人： Daniel Felipe Ortega ,  Alberto German Giniger ,  Qingsheng Zhu ,  J. Edward Shapland

    IPC分类号： A61N1/362

    CPC分类号： A61N1/371 ,  A61N1/362 ,  A61N1/3627 ,  A61N1/3962

    摘要： A method and apparatus are disclosed for treating a condition of a patient's heart includes placing a first electrode and/or a second electrode in a right ventricle of the heart. In one example, a reference electrode is placed within the patient and internal or external to the heart. A pacing signal is generated including a first signal component, a second signal component and a reference component with the first and second signal components having opposite polarity and with both of the first and second components having a potential relative to the reference component. The pacing signal and the placement of the electrodes are selected to alter a contraction of a left ventricle of the heart.

    摘要翻译： 公开了一种用于治疗患者心脏状况的方法和装置，包括将第一电极和/或第二电极放置在心脏的右心室中。 在一个示例中，将参考电极放置在患者体内并在心脏内部或外部。 生成包括第一信号分量，第二信号分量和参考分量的起搏信号，其中第一和第二信号分量具有相反的极性，并且第一和第二分量都具有相对于参考分量的电势。 选择起搏信号和放置电极以改变心脏左心室的收缩。

    Ventricular pacing
    65.
    发明授权
    Ventricular pacing 有权
    心室起搏

    公开(公告)号：US07512440B2

    公开(公告)日：2009-03-31

    申请号：US11300611

    申请日：2005-12-13

    申请人： Daniel Felipe Ortega ,  Alberto German Giniger ,  Qingsheng Zhu ,  J. Edward Shapland

    发明人： Daniel Felipe Ortega ,  Alberto German Giniger ,  Qingsheng Zhu ,  J. Edward Shapland

    IPC分类号： A61N1/362

    CPC分类号： A61N1/371 ,  A61N1/362 ,  A61N1/3627 ,  A61N1/3962

    摘要： A method and apparatus are disclosed for treating a condition of a patient's heart includes placing a first electrode and a second electrode in a right ventricle of the heart. A reference electrode is placed within the patient and internal or external to the heart. A pacing signal is generated including a first signal component, a second signal component and a reference component with the first and second signal components having opposite polarity and with both of the first and second components having a potential relative to the reference component. The first component is transmitted to the first electrode. The second component is transmitted to the second electrode. The reference electrode is connected to the reference component which may be an electrical ground. The pacing signal and the placement of the electrodes are selected to alter a contraction of a left ventricle of the heart.

    摘要翻译： 公开了一种用于治疗患者心脏状况的方法和装置，包括将第一电极和第二电极放置在心脏的右心室中。 参考电极放置在患者体内并在心脏内部或外部。 生成包括第一信号分量，第二信号分量和参考分量的起搏信号，其中第一和第二信号分量具有相反的极性，并且第一和第二分量都具有相对于参考分量的电势。 第一部件被传输到第一电极。 第二部件被传送到第二电极。 参考电极连接到可以是电接地的参考部件。 选择起搏信号和放置电极以改变心脏左心室的收缩。

    Core body temperature monitoring in heart failure patients
    66.
    发明授权
    Core body temperature monitoring in heart failure patients 有权
    核心体温监测心力衰竭患者

    公开(公告)号：US07479107B2

    公开(公告)日：2009-01-20

    申请号：US11258432

    申请日：2005-10-25

    申请人： Qingsheng Zhu ,  Julio Spinelli

    发明人： Qingsheng Zhu ,  Julio Spinelli

    IPC分类号： A61B5/00

    CPC分类号： A61B5/14539 ,  A61B5/0008 ,  A61B5/024 ,  A61B5/076 ,  A61B5/145

    摘要： An implanted heart monitor includes sensors that measure various aspects of the heart failure patient's heart. A remote heart monitoring system connects the implanted heart monitor to a care provider, such as a physician. The data provided by the implanted heart monitor permits the care provider to obtain valuable data on the heart in order to make health care decisions affecting the heart failure patient's treatment. In many cases, the measurement of core body temperature and other patient data will enable the care provider to alter the patient's treatment to address the patient's condition. The implanted heart monitor can communicate over a wireless communication link with an external monitor. The implanted heart monitor may be implemented as part of a pacing device (i.e., pace maker) or may be a separate unit devoted to monitoring functions. The external monitor communicates with a monitoring station over a communication link. The monitoring station can operate as a centralized data collection unit, collecting data from multiple external monitors and multiple implanted heart monitors. Various other aspects of a heart failure patient's heart and/or body can be monitored, such as heart rate, blood pH levels, blood CO2 levels, and any other indications of the heart failure patient's activity. Various predetermined thresholds may be set to trigger alarms and/or data reports.

    摘要翻译： 植入心脏监测器包括测量心力衰竭患者心脏的各个方面的传感器。 远程心脏监测系统将植入的心脏监测器连接到护理提供者，例如医师。 由植入式心脏监测器提供的数据允许护理提供者在心脏上获得有价值的数据，以便使医疗保健决定影响心力衰竭患者的治疗。 在许多情况下，核心体温和其他患者数据的测量将使护理人员能够改变患者的治疗以解决病人的状况。 植入的心脏监测器可以通过无线通信链路与外部监视器进行通信。 植入心脏监视器可以被实现为起搏装置（即，起搏器）的一部分，或者可以是专用于监视功能的单独单元。 外部监视器通过通信链路与监控站进行通信。 监控站可以作为集中数据采集单元运行，从多个外部监视器和多个植入心脏监视器收集数据。 可以监测心力衰竭患者的心脏和/或身体的各种其他方面，例如心率，血液pH值，血液二氧化碳水平以及心力衰竭患者活动的任何其他指征。 可以设置各种预定阈值以触发报警和/或数据报告。

    Circuit-Based Devices and Methods for Pulse Control of Endocardial Pacing in Cardiac Rhythm Management
    67.
    发明申请
    Circuit-Based Devices and Methods for Pulse Control of Endocardial Pacing in Cardiac Rhythm Management 有权
    基于电路的心脏节律管理心内膜起搏脉搏控制装置及方法

    公开(公告)号：US20090005832A1

    公开(公告)日：2009-01-01

    申请号：US12147356

    申请日：2008-06-26

    申请人： Qingsheng Zhu ,  Daniel Felipe Ortega

    发明人： Qingsheng Zhu ,  Daniel Felipe Ortega

    IPC分类号： A61N1/37

    CPC分类号： A61N1/3627

    摘要： Tools and methods are particularly suited for certain cardiac conditions involving use of a catheter for pacing of the right and left ventricles from a lead in the right ventricle, e.g., to facilitate mechanically and/or electrically synchronous contractions for resynchronization. Certain aspects involve pacing and/or mapping by generating pulses for delivery to a cardiac site useful for improving heart function as measured, e.g., by QRS width, fractionation, late LV activation timing, mechanical synchronicity of free wall and septal wall, effective throughput/pressure, or a combination thereof. In one embodiment, an implantable pulse generator includes circuitry for generating pacing profiles, with signals of opposite polarities, specifically selected for delivery on electrodes at a site near the septal wall of a right ventricle of the heart.

    摘要翻译： 工具和方法特别适合于某些心脏状况，包括使用导管将右心室和左心室从右心室中的引线起搏，例如为了促进用于再同步的机械和/或电同步收缩。 某些方面涉及起搏和/或作图，通过产生用于递送到心脏部位的脉搏，用于改善心脏功能，例如通过QRS宽度，分级，晚期LV激活时间，游离壁和间隔壁的机械同步性，有效吞吐量/ 压力或其组合。 在一个实施例中，可植入脉冲发生器包括用于产生具有相反极性的信号的起搏曲线的电路，其具体选择用于在靠近心脏右心室隔壁的位置处的电极上传送。

    Advanced patient management for identifying, displaying and assisting with correlating health-related data
    68.
    发明授权
    Advanced patient management for identifying, displaying and assisting with correlating health-related data 有权
    高级患者管理，用于识别，显示和协助健康相关数据的关联

    公开(公告)号：US07468032B2

    公开(公告)日：2008-12-23

    申请号：US10323713

    申请日：2002-12-18

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

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

    IPC分类号： A61B5/00

    CPC分类号： A61B5/02405 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/02055 ,  A61B5/0215 ,  A61B5/024 ,  A61B5/0464 ,  A61B5/0809 ,  A61B5/0816 ,  A61B5/0833 ,  A61B5/16 ,  A61B5/205 ,  A61B5/743 ,  A61B5/7435 ,  A61B5/7475 ,  A61B7/00 ,  A61B2560/0242 ,  A61B2560/0271 ,  G06F19/00

    摘要： Systems, devices and methods for identifying, displaying and assisting in correlating health-related data. One aspect is a programmable device having machine executable instructions for performing a method for use in correlating data to manage a patient's health. In various embodiments, data related to the patient's health is acquired. The acquired data includes one or more trended health-related parameters, and at least one of one or more predetermined health-related events and one or more health-related alerts. Correlations are identified. The one or more trended health-related parameters and the at least one of the one or more predetermined health-related events and the one or more health-related alerts establish a causal relationship between the acquired data and the patient's health.

    摘要翻译： 用于识别，显示和协助关联健康相关数据的系统，设备和方法。 一个方面是具有机器可执行指令的可编程设备，用于执行用于关联数据以管理患者健康的方法。 在各种实施例中，获得与患者健康有关的数据。 所获取的数据包括一个或多个趋势健康相关参数，以及一个或多个预定健康相关事件和一个或多个健康相关警报中的至少一个。 确定相关性。 所述一个或多个趋势健康相关参数以及所述一个或多个预定健康相关事件和所述一个或多个健康相关警报中的至少一个建立所获取的数据与所述患者健康之间的因果关系。