Methods and apparatuses for detection of myocardial ischemia upon exertion
    72.
    发明授权
    Methods and apparatuses for detection of myocardial ischemia upon exertion 有权
    用于检测心肌缺血的方法和装置

    公开(公告)号:US08321003B2

    公开(公告)日:2012-11-27

    申请号:US12508398

    申请日:2009-07-23

    IPC分类号: A61B5/04

    摘要: Various method embodiments of the present invention concern sensing patient-internal pressure measurements indicative of physiological exertion, identifying one or more steady state periods of physiological exertion based on the patient-internal pressure measurements, sensing extra-cardiac response data and cardiac response data corresponding to the one or more physiological exertion steady state periods, respectively comparing the extra-cardiac response data and the cardiac response data to extra-cardiac response information and cardiac response information associated with equivalent levels of physiological exertion intensity of the one or more steady state periods, and determining the likelihood that myocardial ischemia occurred during the one or more steady state periods based on the comparison of the extra-cardiac response data to the extra-cardiac response information and the cardiac response data to the cardiac response information.

    摘要翻译: 本发明的各种方法实施例涉及感测指示生理消耗的患者 - 内部压力测量,基于患者内部的压力测量,感测心脏外的心脏反应数据和对应于心脏的心脏反应数据来识别生理消耗的一个或多个稳定状态时段 一个或多个生理活动稳态时段,分别将心外反应数据和心脏响应数据与心脏外反应信息和与一个或多个稳态周期的等效生理消耗强度水平相关联的心脏反应信息进行比较, 以及基于心外反应数据与心外反应信息和对心脏反应信息的心脏反应数据的比较,确定在一个或多个稳态期间发生心肌缺血的可能性。

    Method and apparatus for detecting non-sustaining ventricular tachyarrhythmia
    73.
    发明授权
    Method and apparatus for detecting non-sustaining ventricular tachyarrhythmia 失效
    用于检测不间断性室速性心律失常的方法和装置

    公开(公告)号:US08265751B2

    公开(公告)日:2012-09-11

    申请号:US12708645

    申请日:2010-02-19

    IPC分类号: A61N1/36

    CPC分类号: A61N1/3621 A61N1/3962

    摘要: An implantable medical device controls an anti-tachyarrhythmia therapy by detecting a tachyarrhythmia episode from a cardiac signal and analyzing the detected tachyarrhythmia episode in a tachyarrhythmia detection and analysis process to determine whether the anti-tachyarrhythmia therapy needs to be delivered. The tachyarrhythmia detection and classification process includes detection of inhibitory events each indicating that the tachyarrhythmia episode is of a type not to be treated by the anti-tachyarrhythmia therapy or that the tachyarrhythmia episode is not sustaining. The detection of each of the inhibitory events causes the tachyarrhythmia detection and classification process to be restarted or extended, or the delivery of the anti-tachyarrhythmia therapy to be withheld.

    摘要翻译: 可植入医疗装置通过从心脏信号检测快速性心律失常发作来控制抗快速性心律失常治疗,并在快速性心律失常检测和分析过程中分析检测到的快速性心律失常发作,以确定是否需要递送抗快速性心律失常治疗。 快速心律失常检测和分类过程包括各种抑制事件的检测,每个都表示快速性心律失常发作是不由抗慢性心律失常治疗治疗的类型,或快速性心律失常发作不能维持。 每个抑制事件的检测导致快速性心律失常检测和分类过程重新启动或延长,或者阻止抗快速性心律失常治疗的传递。

    Neural stimulation for arrhythmia recognition and therapy
    74.
    发明授权
    Neural stimulation for arrhythmia recognition and therapy 有权
    心律失常识别和治疗的神经刺激

    公开(公告)号:US08244350B2

    公开(公告)日:2012-08-14

    申请号:US12535332

    申请日:2009-08-04

    申请人: Yunlong Zhang Dan Li

    发明人: Yunlong Zhang Dan Li

    IPC分类号: A61N1/00

    摘要: A system and method can sense a tachyarrhythmia, compare the sensed tachyarrhythmia with a ventricular tachyarrhythmia criterion, provide a ventricular tachyarrhythmia therapy when the sensed tachyarrhythmia satisfies the ventricular tachyarrhythmia criterion, provide a neural stimulation when the sensed tachyarrhythmia does not satisfy the ventricular tachyarrhythmia criterion, determine whether the tachyarrhythmia continues during or after the neural stimulation when the tachyarrhythmia is sustained, compare the tachyarrhythmia sensed during or after the neural stimulation with a supraventricular tachyarrhythmia (SVT) criterion, and provide a ventricular tachyarrhythmia therapy when the sensed tachyarrhythmia does not satisfy the SVT criterion.

    摘要翻译: 系统和方法可以感觉到快速性心律失常,将感觉到的快速性心律失常与室性快速性心律失常标准进行比较,当感觉到的快速性心律失常满足心室快速性心律失常标准时,提供室性快速性心律失常治疗,当感觉到的快速性心律失常不满足心室快速性心律失常标准时提供神经刺激, 确定当紧张性心律失常持续时神经刺激期间或之后快速性心律失常是否持续,将神经刺激期间或之后感觉到的快速性心律失常与室上性快速性心律失常(SVT)标准进行比较,并且当感觉到的快速性心律不齐不满足时,提供室性快速性心律失常治疗 SVT标准。

    System and method for detection of pulmonary embolism
    76.
    发明授权
    System and method for detection of pulmonary embolism 有权
    用于肺栓塞检测的系统和方法

    公开(公告)号:US08147415B2

    公开(公告)日:2012-04-03

    申请号:US12414465

    申请日:2009-03-30

    IPC分类号: A61B5/02

    摘要: Systems and methods provide for ambulatorily sensing pulmonary artery pressure from within a patient, and producing a pulmonary artery pressure measurement from the sensed pulmonary artery pressure. Power is ambulatorily provided within the patient to facilitate sensing of the pulmonary artery pressure and producing of the pulmonary artery pressure measurement. Acute pulmonary embolism is detected based on a change or rate of change in the pulmonary artery pressure measurement. An alert is preferably generated in response to detecting pulmonary embolism.

    摘要翻译: 系统和方法提供了从患者体内动态感测肺动脉压力,并从感测到的肺动脉压力产生肺动脉压力测量。 在患者体内设置动力以便于感测肺动脉压力并产生肺动脉压力测量。 基于肺动脉压力测量的变化或变化率来检测急性肺栓塞。 响应于检测到肺栓塞,优选产生警报。

    DRUG TITRATION UTILIZING AN IMPLANTABLE MEDICAL DEVICE
    77.
    发明申请
    DRUG TITRATION UTILIZING AN IMPLANTABLE MEDICAL DEVICE 审中-公开
    使用可植入医疗器械的药物治疗

    公开(公告)号:US20120035486A1

    公开(公告)日:2012-02-09

    申请号:US13275741

    申请日:2011-10-18

    摘要: A method of monitoring patient status is disclosed. Electrical signals are received from one or more implanted sensors of a cardiac rhythm management device. Two or more index values are calculated from the electrical signals. A composite index is determined from the two or more index values, and a status notification associated with the composite index is provided. In a system for monitoring patient status, a processor is configured to receive electrical signals from an implanted cardiac rhythm management device, calculate two or more index values from the electrical signals, and determine a composite index from the two or more index values. The system incorporates a memory that is in communication with the processor and an interface in communication with the processor, where the interface is configured to communicate a status notification associated with the composite index.

    摘要翻译: 公开了一种监测患者状态的方法。 从心脏节律管理装置的一个或多个植入的传感器接收电信号。 从电信号计算出两个或多个索引值。 从两个或多个索引值确定复合索引,并提供与复合索引相关联的状态通知。 在用于监视患者状态的系统中,处理器被配置为从植入的心律管理装置接收电信号,从电信号计算两个或更多个索引值,并根据两个或更多个索引值确定复合索引。 该系统包括与处理器通信的存储器和与处理器通信的接口,其中接口被配置为传送与复合索引相关联的状态通知。

    Assessing autonomic activity using baroreflex analysis
    78.
    发明授权
    Assessing autonomic activity using baroreflex analysis 有权
    使用压力反射分析评估自主活动

    公开(公告)号:US08109879B2

    公开(公告)日:2012-02-07

    申请号:US11329346

    申请日:2006-01-10

    IPC分类号: A61B5/00

    摘要: A method involves implantably detecting changes in posture of a patient's body. Baroreflex responses to the posture changes are determined. An autonomic tone of the patient is determined based on the baroreflex responses. Based on the autonomic tone, various patient susceptibilities to disease may be determined, including susceptibilities to heart disease, arrhythmia, and/or sudden cardiac death.

    摘要翻译: 一种方法包括可植入地检测患者身体姿势的变化。 确定对姿势变化的反射反应。 基于压力反射响应来确定患者的自主神经调节。 基于自主语调,可以确定各种患者对疾病的敏感性,包括对心脏病的易感性,心律失常和/或心脏猝死。

    CARDIAC FORCE SENSOR AND METHODS OF USE
    79.
    发明申请
    CARDIAC FORCE SENSOR AND METHODS OF USE 有权
    CARDIAC力传感器及其使用方法

    公开(公告)号:US20110046496A1

    公开(公告)日:2011-02-24

    申请号:US12940172

    申请日:2010-11-05

    IPC分类号: A61N1/365 A61B5/02

    摘要: A method and apparatus permit sensing one or more forces exerted by one or more portions of a heart. A force transducer and displacement sensor are disclosed. A movement of one or more portions of a heart can be translated into one or more signals indicative of force. These signals can be used to provide information such as to diagnose or treat one or more conditions.

    摘要翻译: 一种方法和装置允许感测由心脏的一个或多个部分施加的一个或多个力。 公开了一种力传感器和位移传感器。 心脏的一个或多个部分的运动可以被转换为指示力的一个或多个信号。 这些信号可用于提供诸如诊断或治疗一种或多种病症的信息。

    SYSTEM AND METHODS FOR PULMONARY EDEMA DETECTION WITH IMPLANTABLE ACOUSTIC DEVICES
    80.
    发明申请
    SYSTEM AND METHODS FOR PULMONARY EDEMA DETECTION WITH IMPLANTABLE ACOUSTIC DEVICES 审中-公开
    用于具有可植入声学设备的脉冲EDEMA检测的系统和方法

    公开(公告)号:US20110009746A1

    公开(公告)日:2011-01-13

    申请号:US12832554

    申请日:2010-07-08

    IPC分类号: A61B8/00

    CPC分类号: A61B8/08 A61B5/4878 A61B8/12

    摘要: A system includes a first implantable acoustic transducer, a second implantable transducer a memory circuit, and a processor. The first implantable acoustic transducer is configured to receive transmitted acoustic energy from a thorax region of a subject and the second implantable acoustic transducer is configured to transmit the acoustic energy to the thorax region. The processor is communicatively coupled to the first acoustic transducer, the second acoustic transducer, and the memory circuit. The processor includes a parameter module configured to measure a parameter of the received acoustic energy, and a trending module configured to trend the measured parameter and to provide an indication of pulmonary edema status of the subject using the parameter trend.

    摘要翻译: 系统包括第一可植入声学换能器,第二可植入换能器,存储器电路和处理器。 第一可植入声学换能器被配置为从受试者的胸部区域接收传输的声能,并且第二可植入声学换能器被配置为将声能传递到胸部区域。 处理器通信地耦合到第一声换能器,第二声换能器和存储器电路。 所述处理器包括被配置为测量所接收的声能的参数的参数模块,以及配置成趋向所述测量参数并使用所述参数趋势提供所述对象的肺水肿状态的指示的趋势模块。