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公开(公告)号：US06963774B2
公开(公告)日：2005-11-08
申请号：US10291459
申请日：2002-11-08
CPC分类号： A61N1/368 , A61N1/3622 , A61N1/3627 , A61N1/3684
摘要： An apparatus and method for providing pacing pulses to a second site when the pacing pulses are inhibited from being provided to a first site. A first cardiac signal and a second cardiac signal are sensed, where both the first and second cardiac signals include indications of cardiac events. A cardiac rate is determined from the cardiac events in one of the first cardiac signal or the second cardiac signal, and pacing pulses are provided to the first cardiac region in order to maintain the cardiac rate at at least a minimum rate value. A pace protection interval starts when a cardiac event is detected in the first cardiac signal. The pace protection interval inhibits delivery of pacing pulses to the first cardiac region. When pacing pulses to the first cardiac region are inhibited because of the pace protection interval, pacing pulses are provided to the second cardiac region at a safety interval timed from the inhibited pacing pulse to the first cardiac region.
摘要翻译： 一种用于当起搏脉冲被禁止提供给第一部位时，将起搏脉冲提供给第二部位的装置和方法。 感测第一心脏信号和第二心脏信号，其中第一和第二心脏信号都包括心脏事件的指示。 从第一心脏信号或第二心脏信号之一的心脏事件确定心率，并且将起搏脉冲提供给第一心脏区域，以便将心率保持在至少最小速率值。 当在第一心脏信号中检测到心脏事件时，起搏保护间隔开始。 步速保护间隔禁止将起搏脉冲传送到第一心脏区域。 当起搏脉冲到第一心脏区域由于步速保护间隔而被抑制时，起搏脉冲以从被抑制的起搏脉冲到第一心脏区域的安全间隔提供给第二心脏区域。
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公开(公告)号：US06665558B2
公开(公告)日：2003-12-16
申请号：US09738869
申请日：2000-12-15
IPC分类号： A61B5045
CPC分类号： A61B5/0006 , A61B5/044 , A61B5/743 , A61B5/7445 , G06F19/00
摘要： A system and method for correlating health related data for display. The system includes a medical device recording data and a display producing device which correlates the data and simultaneously displays different types of data or displays two sets of the same type of data along with the circumstances at which the two sets of data were recorded. Such displays aid a physician in prescribing and ascertaining the efficacy of cardiac therapies.
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公开(公告)号：US06553258B2
公开(公告)日：2003-04-22
申请号：US09748733
申请日：2000-12-26
申请人： Jeffrey E. Stahmann , Andrew P. Kramer , James O. Gilkerson , Lorenzo DiCarlo , Rene H. Wentkowski
发明人： Jeffrey E. Stahmann , Andrew P. Kramer , James O. Gilkerson , Lorenzo DiCarlo , Rene H. Wentkowski
IPC分类号： A61N1368
CPC分类号： A61N1/3627 , A61N1/3684
摘要： A method and system for managing refractory periods in a cardiac rhythm management device configured for biventricular or biatrial sensing. Refractory periods for each channel of the pacemaker are provided by interval timers that are triggered by sensed or paced events in order to prevent misinterpretation of sensing signals.
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84.发明授权Apparatus and method for ventricular rate regularization with biventricular sensing 有权双心室感觉的心室率正规化的装置和方法公开(公告)号：US06501988B2
公开(公告)日：2002-12-31
申请号：US09748358
申请日：2000-12-26
IPC分类号： A61N1362
CPC分类号： A61N1/3622 , A61N1/3627
摘要： A method and system for operating a cardiac pacemaker which employs pacing therapy to regularize the ventricular rhythm together with biventricular sensing. Biventricular sensing allows the ventricular rate regularization to be accomplished with greater hemodynamic stability.
摘要翻译： 一种用于操作心脏起搏器的方法和系统，其采用起搏治疗以将心室节律与双心室感测一起正常化。 双心室感应可以通过更大的血流动力学稳定性实现心室率正常化。
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公开(公告)号：US06493586B1
公开(公告)日：2002-12-10
申请号：US09650568
申请日：2000-08-30
IPC分类号： A61N1368
CPC分类号： A61N1/3706 , A61N1/3627 , A61N2001/083
摘要： Methods for failure recovery in a cardiac rhythm management system and apparatus capable of carrying out the methods. The methods include applying a first pacing therapy using one or more leads. The methods further include detecting a failure condition on one or more of the leads, wherein the failure condition prohibits or frustrates application of the first pacing therapy. The methods still further include applying a second pacing therapy using one or more of the leads subsequent to detecting the failure condition. The second pacing therapy is preferably chosen such that the detected failure does not interfere with the second pacing therapy. The second pacing therapy may be applied for only one cardiac cycle. The second pacing therapy may further be applied continuously until the failure condition is resolved, or it may be latched such that physician intervention is required to resume the first pacing therapy.
摘要翻译： 心律管理系统的故障恢复方法和能够执行该方法的装置。 所述方法包括使用一个或多个引线应用第一起搏治疗。 所述方法还包括检测一个或多个引线上的故障状况，其中所述故障条件禁止或阻止所述第一起搏治疗的应用。 所述方法还包括在检测到故障状况之后使用一个或多个引线应用第二起搏治疗。 优选选择第二起搏治疗，使得检测到的失败不会干扰第二起搏治疗。 第二起搏治疗可以仅应用于一个心动周期。 可以进一步连续应用第二起搏治疗直到失败状况得到解决，或者可以锁定第二起搏治疗，以便需要医师介入以恢复第一起搏治疗。
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公开(公告)号：US06285907B1
公开(公告)日：2001-09-04
申请号：US09316588
申请日：1999-05-21
申请人： Andrew P. Kramer , Jeffrey E. Stahmann , Rene H. Wentkowski , Kenneth L. Baker , Jesse W. Hartley , David B. Krig
发明人： Andrew P. Kramer , Jeffrey E. Stahmann , Rene H. Wentkowski , Kenneth L. Baker , Jesse W. Hartley , David B. Krig
IPC分类号： A61N1365
CPC分类号： A61N1/3621 , A61N1/3627 , A61N1/3682 , A61N1/395 , A61N1/3962 , A61N1/3987
摘要： A cardiac rhythm management system includes techniques for computing an indicated pacing interval, AV delay, or other timing interval. In one embodiment, a variable indicated pacing interval is computed based at least in part on an underlying intrinsic heart rate. The indicated pacing interval is used to time the delivery of biventricular coordination therapy even when ventricular heart rates are irregular, such as in the presence of atrial fibrillation. In another embodiment, a variable filter indicated AV interval is computed based at least in part on an underlying intrinsic AV interval. The indicated AV interval is used to time the delivery of atrial tracking biventricular coordination therapy when atrial heart rhythms are not arrhythmic. Other indicated timing intervals may be similarly determined. The indicated pacing interval, AV delay, or other timing interval can also be used in combination with a sensor indicated rate indicator.
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公开(公告)号：US09943234B2
公开(公告)日：2018-04-17
申请号：US11736058
申请日：2007-04-17
IPC分类号： A61B5/08 , A61B5/0205 , A61B5/11 , A61B5/00 , A61N1/362
CPC分类号： A61B5/0205 , A61B5/0816 , A61B5/1116 , A61B5/4818 , A61B5/686 , A61N1/3627
摘要： Systems and methods for diagnosing one or more respiration distress manifestations by implantably recognizing their occurrence and evaluating information about the same to provide an indication of present or impending worsening heart failure are discussed. Using information produced by an implantable respiration sensor circuit and an implantable physiological sensor circuit, such as at least one of a physical activity sensor circuit or a posture sensor circuit, an implantable or external processor circuit may detect a respiration disturbance and an associated subsequent arousal from stable state occurrence and thereafter evaluate over time arousal from stable state occurrences to provide the indication of present or impending worsening heart failure. In one example, information about a fluid level within a subject is used in determining the indication of worsening heart failure. In various examples, a regimen is initiated or adjusted in response to the indication of present or impending worsening heart failure.
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88.发明授权公开(公告)号：US09814429B2
公开(公告)日：2017-11-14
申请号：US12341590
申请日：2008-12-22
申请人： Kent Lee , John D. Hatlestad , Qingsheng Zhu , Jeffrey E. Stahmann , Jesse W. Hartley , Quan Ni
发明人： Kent Lee , John D. Hatlestad , Qingsheng Zhu , Jeffrey E. Stahmann , Jesse W. Hartley , Quan Ni
IPC分类号： A61B5/08 , A61B5/00 , A61B5/0205 , A61B5/113 , A61B5/0476 , A61B5/0478 , A61B5/0488 , A61B5/0496 , A61B5/11
CPC分类号： A61B5/7264 , A61B5/0031 , A61B5/0205 , A61B5/0476 , A61B5/0478 , A61B5/0488 , A61B5/0496 , A61B5/08 , A61B5/0809 , A61B5/11 , A61B5/113 , A61B5/1135 , A61B5/4818
摘要： Disordered breathing events may be classified as central, obstructive or a combination of central an obstructive in origin based on patient motion associated with respiratory effort. Central disordered breathing is associated with disrupted respiration with reduced respiratory effort. Obstructive disordered breathing is associated with disrupted respiration accompanied by respiratory effort. A disordered breathing classification system includes a disordered breathing detector and a respiratory effort motion sensor. Components of the disordered breathing classification system may be fully or partially implantable.
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公开(公告)号：US08862229B2
公开(公告)日：2014-10-14
申请号：US12793106
申请日：2010-06-03
申请人： Jeffrey E. Stahmann
发明人： Jeffrey E. Stahmann
CPC分类号： A61B5/0215 , A61B5/02158 , A61B5/022 , A61B5/7264 , A61N1/36564
摘要： A method for modulating one or more functions of an implanted medical device is disclosed. The method includes measuring a cardiovascular pressure of a patient; evaluating the cardiovascular pressure based on one or more characteristics of a cardiac cycle of the patient at the time the pressure was measured; and modulating one or more functions of the device based on the pressure. Also disclosed is a method for assessing a cardiovascular pressure of a patient with an implanted medical device that includes detecting one or more characteristics of a cardiac cycle of the patient's heart; detecting the cardiovascular pressure of the patient; classifying the cardiovascular pressure based on one or more characteristics of the cardiac cycle of the patient's heart; and displaying the cardiovascular pressure along with the classification. Also disclosed is a system for collection and display of a cardiovascular pressure of a patient.
摘要翻译： 公开了一种用于调制植入式医疗装置的一个或多个功能的方法。 该方法包括测量患者的心血管压力; 基于在测量压力时患者心脏周期的一个或多个特征来评估心血管压力; 以及基于所述压力调制所述装置的一个或多个功能。 还公开了一种用于评估具有植入医疗装置的患者的心血管压力的方法，该方法包括检测患者心脏的心动周期的一个或多个特征; 检测患者的心血管压力; 基于患者心脏的心脏周期的一个或多个特征对心血管压力进行分类; 并显示心血管压力与分类。 还公开了用于收集和显示患者心血管压力的系统。
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公开(公告)号：US08784310B2
公开(公告)日：2014-07-22
申请号：US12786159
申请日：2010-05-24
IPC分类号： A61B5/02 , A61B5/0215 , A61B5/00 , A61B5/042
CPC分类号： A61B5/0215 , A61B5/042 , A61B5/6846 , G06F19/00
摘要： Devices, systems, and methods for sensing cardiac electrical activity and blood pressure within a blood vessel are disclosed. A vascular sensor includes a fixation element configured to secure the vascular sensor within a blood vessel, a sensor module housing coupled to the fixation element, a pressure sensor disposed within an interior portion of the housing and configured to sense blood pressure within the vessel, and a number of electrocardiogram sensing electrodes exposed to tissue and blood within the blood vessel and configured to sense cardiac electrical data within the blood vessel. A controller module processes the sensed cardiac electrical data and blood pressure data and stores the data within a memory unit and/or transmits the data to a communicating device in wireless communication with the vascular sensor.
摘要翻译： 公开了用于感测血管内的心脏电活动和血压的装置，系统和方法。 血管传感器包括被配置成将血管传感器固定在血管内的固定元件，耦合到固定元件的传感器模块壳体，设置在壳体的内部部分内并被配置为感测血管内血压的压力传感器，以及 许多心电图感测电极暴露于血管内的组织和血液并且被配置为感测血管内的心脏电数据。 控制器模块处理感测的心电数据和血压数据并将数据存储在存储器单元内和/或将数据发送到与血管传感器无线通信的通信设备。
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