METHOD AND APPARATUS FOR ATRIAL ARRHYTHMIA EPISODE DETECTION
    62.
    发明申请
    METHOD AND APPARATUS FOR ATRIAL ARRHYTHMIA EPISODE DETECTION 有权
    ATRIAL ARRHYTHMIA EPISODE检测方法与装置

    公开(公告)号:US20160235992A1

    公开(公告)日:2016-08-18

    申请号:US14695111

    申请日:2015-04-24

    Abstract: A method and implantable medical device for determining an atrial arrhythmia event that includes sensing a cardiac signal, determining an atrial arrhythmia score for identifying the arrhythmia event in response to the sensed cardiac signal, determining a sensing window in response to the sensed cardiac signal, the sensing window having a first portion and a second portion, determining signal characteristics of the sensed cardiac signal within the first portion and within the second portion, determining whether the sensed cardiac signal within the first portion and within the second portion corresponds to a P-wave in response to the determined signal characteristics, determining whether a signal to noise ratio of the sensed cardiac signal within the first portion and the second portion of the sensing window is satisfied, determining whether to update the arrhythmia score in response to the determined P-wave and the determined signal to noise ratio, and determining whether to delivery an arrhythmia therapy in response to the updated arrhythmia score.

    Abstract translation: 一种用于确定房性心律失常事件的方法和可植入医疗装置,包括感测心脏信号,确定心房心律失常评分以响应于所感测到的心脏信号来识别心律失常事件,响应于感测的心脏信号确定感测窗口, 检测窗口具有第一部分和第二部分,确定第一部分内部和第二部分内感测到的心脏信号的信号特征,确定第一部分内部和第二部分内感测的心脏信号是否对应于P波 响应于确定的信号特性,确定是否满足感测窗口的第一部分和第二部分内感测到的心脏信号的信噪比,响应于所确定的P波来确定是否更新心律失常评分 并确定信噪比,并确定是否发送 响应于更新的心律失常评分的心律失常治疗。

    METHOD AND APPARATUS FOR IDENTIFYING SICK SINUS SYNDROME IN AN IMPLANTABLE CARDIAC MONITORING DEVICE
    63.
    发明申请
    METHOD AND APPARATUS FOR IDENTIFYING SICK SINUS SYNDROME IN AN IMPLANTABLE CARDIAC MONITORING DEVICE 有权
    用于识别可植入心脏监测装置中的SICK SINUS综合征的方法和装置

    公开(公告)号:US20160235318A1

    公开(公告)日:2016-08-18

    申请号:US14926455

    申请日:2015-10-29

    Inventor: Shantanu Sarkar

    Abstract: A cardiac monitoring device for determining the occurrence of a sick sinus syndrome condition of a patient that includes a plurality of electrodes to sense a cardiac signal, a sensing module electrically coupled to the plurality of electrodes having circuitry positioned therein to receive the sensed cardiac signal, and a processor coupled to the sensing module and configured to determine an RR interval variability during an RR interval variability session in response to the sensed cardiac signal, determine whether a P-wave occurs during the RR interval variability session, determine whether a sick sinus indicator is satisfied in response to a P-wave occurring, increment a sick sinus count in response to the sick sinus indicator being satisfied, determine whether a sick sinus burden is satisfied in response to the sick sinus count being incremented, and determine the occurrence of sick sinus syndrome in response to the sick sinus burden being satisfied.

    Abstract translation: 一种心脏监测装置,用于确定包括用于感测心脏信号的多个电极的患者的病态窦综合征状况的发生;感测模块,电耦合到具有放置在其中的电路以接收感测的心脏信号的多个电极, 以及处理器,其耦合到所述感测模块并且被配置为响应于所感测到的心脏信号来确定在RR间期可变性会话期间的RR间期可变性,确定在所述RR间期可变性会话期间是否发生P波,确定病态窦指标 响应于发生P波而满意,响应于病态窦指标被满足而增加病态窦数计数,确定是否满足病态窦容量以响应病态窦数量递增,并且确定患病的发生 窦综合征对病态窦负担的满足。

    USING BIOMARKER INFORMATION FOR HEART FAILURE RISK COMPUTATION
    64.
    发明申请
    USING BIOMARKER INFORMATION FOR HEART FAILURE RISK COMPUTATION 审中-公开
    使用生物标记信息进行心脏衰竭风险计算

    公开(公告)号:US20160206250A1

    公开(公告)日:2016-07-21

    申请号:US14964529

    申请日:2015-12-09

    Abstract: Provided is a method, system and/or apparatus for determining prospective heart failure event risk. Acquired from a device memory are a heart failure patient's current and preceding risk assessment periods. Counting detected data observations in the current risk assessment period for a current risk assessment total amount and counting detected data observations in the preceding risk assessment period for a preceding risk assessment period total amount. Associating the current risk assessment and preceding risk assessment total amounts with a lookup table to acquire prospective risk of heart failure (HF) event for the preceding risk assessment period and the current risk assessment period. Employing weighted sums of the prospective risk of the HF event for the preceding risk assessment period and the current risk assessment period to calculate a weighted prospective risk of the HF event for a patient. Displaying on a graphical user interface the weighted prospective risk of the HF event for the patient.

    Abstract translation: 提供了一种用于确定预期心力衰竭事件风险的方法,系统和/或装置。 从设备记忆获得的是心力衰竭患者当前和之前的风险评估期。 在当前风险评估期内对目前风险评估总量中检测到的数据观察进行计数,并对先前风险评估期总金额的前一风险评估期内检测到的数据观察进行计数。 将当前的风险评估与以前的风险评估总量与查找表相关联,以获得前面的风险评估期和当前风险评估期的心力衰竭(HF)事件的预期风险。 在前面的风险评估期和当前风险评估期间采用HF事件的预期风险的加权总和来计算患者HF事件的加权前瞻性风险。 在图形用户界面上显示患者HF事件的加权前瞻性风险。

    USING MULTIPLE DIAGNOSTIC PARAMETERS FOR PREDICTING HEART FAILURE EVENTS
    65.
    发明申请
    USING MULTIPLE DIAGNOSTIC PARAMETERS FOR PREDICTING HEART FAILURE EVENTS 有权
    使用多种诊断参数预测心脏衰竭事件

    公开(公告)号:US20150230722A1

    公开(公告)日:2015-08-20

    申请号:US14629027

    申请日:2015-02-23

    Abstract: Techniques for using multiple physiological parameters to provide an early warning for worsening heart failure are described. A medical device monitors a primary diagnostic parameter that is indicative of worsening heart failure, such as intrathoracic impedance or pressure, and one or more secondary diagnostic parameters. The medical device detects worsening heart failure in the patient based on the primary diagnostic parameter when an index that is changed over time based on the primary diagnostic parameter value is outside a range of values, termed the threshold zone. When the index is within the threshold zone, the medical device detects worsening heart failure in the patient based on the one or more secondary diagnostic parameters. Upon detecting worsening heart failure, the medical device may, for example, provide an alert that enables the patient to seek medical attention before experiencing a heart failure event.

    Abstract translation: 描述了使用多种生理参数为恶化心力衰竭提供早期预警的技术。 医疗设备监测指示心脏衰竭恶化的主要诊断参数,例如胸内阻抗或压力,以及一个或多个次要诊断参数。 当基于主要诊断参数值随时间改变的索引在称为阈值区域的值的范围之外时,医疗装置基于主要诊断参数来检测患者的心脏衰竭的恶化。 当索引在阈值区域内时,医疗装置基于一个或多个次要诊断参数来检测患者心脏衰竭的恶化。 在检测到心脏衰竭恶化时,医疗装置可以例如提供使患者能够在经历心力衰竭事件之前寻求医疗护理的警报。

    DETERMINING AN EFFICACY OF A TREATMENT PROGRAM

    公开(公告)号:US20240156402A1

    公开(公告)日:2024-05-16

    申请号:US18417426

    申请日:2024-01-19

    Abstract: This disclosure is directed to devices, systems, and techniques for determining an efficacy of a treatment program. For example, a medical device system includes a medical device including one or more sensors configured to generate a signal that indicates a parameter of a patient. Additionally, the medical device system includes processing circuitry configured to receive data indicative of a user selection of a reference time; determine a plurality of parameter values of the parameter based on a portion of the signal corresponding to a period of time including the reference time. Additionally, the processing circuitry is configured to identify, based on a first set of parameter values, a reference parameter value, calculate a parameter change value, and determine, based on the parameter change value, whether an improvement or a worsening of the patient has occurred responsive to a treatment administered beginning at the reference time.

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