Implantable cardiac rhythm management system having multiple therapy modalities
    71.
    发明授权
    Implantable cardiac rhythm management system having multiple therapy modalities 有权
    具有多种治疗方式的植入式心律管理系统

    公开(公告)号:US07346393B2

    公开(公告)日:2008-03-18

    申请号:US10460975

    申请日:2003-06-12

    IPC分类号: A61N1/36

    CPC分类号: A61N1/3627

    摘要: A cardiac rhythm management system for providing a plurality of therapy modalities. For example, the system may include a cardiac resynchronization therapy module for providing cardiac resynchronization therapy and a pacemaker module for providing bradycardia therapy, as well as a selector module coupled to the cardiac resynchronization therapy module and the bradycardia module. The selector module may select an operating mode from among a plurality of operating modes including the cardiac resynchronization therapy module and the pacemaker module. Various manual and automatic methods may be used to select the operating mode. In addition, a reversion management system may be included to assist the cardiac rhythm management system to recover in case of a disruption to the system.

    摘要翻译: 一种用于提供多种治疗方式的心律管理系统。 例如,该系统可以包括用于提供心脏再同步治疗的心脏再同步治疗模块和用于提供心动过缓治疗的起搏器模块,以及耦合到心脏再同步治疗模块和心动过缓模块的选择器模块。 选择器模块可以从包括心脏再同步治疗模块和起搏器模块的多个操作模式中选择操作模式。 可以使用各种手动和自动方法来选择操作模式。 此外,还可以包括回归管理系统以帮助心律管理系统在系统中断的情况下恢复。

    Method and apparatus for adjustment of sequential biventricular pacing parameters
    73.
    发明授权
    Method and apparatus for adjustment of sequential biventricular pacing parameters 有权
    用于调整顺序性双心室起搏参数的方法和装置

    公开(公告)号:US07310554B2

    公开(公告)日:2007-12-18

    申请号:US10742630

    申请日:2003-12-19

    IPC分类号: A61N1/00

    摘要: A method and system are disclosed for setting the pacing parameters utilized by an implantable cardiac device in delivering cardiac resynchronization therapy. The system may, in different embodiments, be implemented in programming of the implantable device and an external programmer in communication therewith or in the programming of the implantable device by itself. The selection of the pacing parameters is based at least in part upon measurements of intrinsic cardiac conduction parameters. Among the pacing parameters which may be selected in this way are the atrio-ventricular delay interval used in atrial-tracking and AV sequential pacing modes and the biventricular offset interval.

    摘要翻译: 公开了一种用于设置由可植入心脏装置用于输送心脏再同步治疗的起搏参数的方法和系统。 在不同的实施例中,该系统可以在可植入装置和与之通信的外部编程器的编程中或在可植入装置自身的编程中实现。 起搏参数的选择至少部分地基于固有心脏传导参数的测量。 可以以这种方式选择的起搏参数是在心房跟踪和AV顺序起搏模式和双心室偏移间隔中使用的心房延迟间隔。

    DYNAMIC DEVICE THERAPY CONTROL FOR TREATING POST MYOCARDIAL INFARCTION PATIENTS
    75.
    发明申请
    DYNAMIC DEVICE THERAPY CONTROL FOR TREATING POST MYOCARDIAL INFARCTION PATIENTS 有权
    用于治疗心肌梗死患者的动态装置治疗控制

    公开(公告)号:US20070162081A1

    公开(公告)日:2007-07-12

    申请号:US11689646

    申请日:2007-03-22

    IPC分类号: A61N1/365

    CPC分类号: A61N1/365

    摘要: A cardiac rhythm management system includes an implantable device executing a dynamic pacing algorithm after an myocardial infarction (MI) event. The dynamic pacing algorithm dynamically adjusts one or more pacing parameters based on a person's gross physical activity level. Examples of the one or more pacing parameters include atrioventricular pacing delays and pacing channels/sites. The dynamic pacing algorithm provides for improved hemodynamic performance when a person's metabolic need is high, and post MI remodeling control when the person's metabolic need is low.

    摘要翻译: 心律管理系统包括在心肌梗死(MI)事件之后执行动态起搏算法的可植入装置。 动态起搏算法根据人的总身体活动水平动态调整一个或多个起搏参数。 一个或多个起搏参数的示例包括房室起搏延迟和起搏通道/部位。 当人的代谢需求高时,动态起搏算法提供改善的血液动力学性能,并且当人的代谢需求低时,进行MI重建控制。

    Apparatus and method for optimizing atrioventricular delay
    77.
    发明申请
    Apparatus and method for optimizing atrioventricular delay 有权
    用于优化房室延迟的装置和方法

    公开(公告)号:US20060259086A1

    公开(公告)日:2006-11-16

    申请号:US11126490

    申请日:2005-05-11

    IPC分类号: A61N1/362

    摘要: Systems and methods to optimize atrioventricular delay during sensing or pacing of the atrium and for a plurality of sensed rates or pacing rates. In one example, a paced atrioventricular delay is calculated using a sensed atrioventricular interval and a paced atrioventricular interval. In another example, a plurality of paced atrioventricular delays for different pacing rates can be calculated. In another example embodiment, a plurality of sensed atrioventricular delays for different sensing rates can be calculated. Combinations of the various systems and methods are also possible.

    摘要翻译: 在心房的感测或起搏期间以及多个感测速率或起搏速率下优化房室延迟的系统和方法。 在一个示例中,使用感测的房室间隔和起搏房室间隔来计算起搏房室延迟。 在另一个示例中,可以计算用于不同起搏速率的多个起搏房室延迟。 在另一示例性实施例中,可以计算用于不同感测速率的多个感测的房室延迟。 各种系统和方法的组合也是可能的。

    Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay
    79.
    发明授权
    Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay 有权
    用心脏再同步治疗可变心房延迟的方法和系统

    公开(公告)号:US07123960B2

    公开(公告)日:2006-10-17

    申请号:US10744944

    申请日:2003-12-22

    IPC分类号: A61N1/365

    摘要: A method is presented by which an implantable cardiac rhythm management device may vary the atrio-ventricular delay or AVD interval used for delivering cardiac resynchronization therapy in an atrial tracking or AV sequential pacing mode in accordance with the sensed or paced atrial rate. Optimal values for the AVD parameter associated with a particular atrial rate are computed as linear functions of an intrinsic conduction measurement taken when the particular rate is present.

    摘要翻译: 提出一种方法,通过该方法,可植入的心律管理装置可以根据感测或起搏的心房率改变用于在心房跟踪或AV顺序起搏模式中递送心脏再同步治疗的心房延迟或AVD间隔。 与特定心房率相关的AVD参数的最佳值被计算为当存在特定速率时所进行的本征传导测量的线性函数。