公开(公告)号：US20080183245A1

公开(公告)日：2008-07-31

申请号：US11669350

申请日：2007-01-31

申请人： Geeske Van Oort ,  Willem Boute ,  Gustaaf A.P. Stoop

发明人： Geeske Van Oort ,  Willem Boute ,  Gustaaf A.P. Stoop

IPC分类号： A61N1/00

CPC分类号： A61N1/37282

摘要： An implantable medical device (IMD) system as disclosed herein includes a telemetry transceiver device that can receive wireless IMD data from an IMD, along with wireless physiological sensor data from an external physiological sensor device. Wireless communication between the IMD and the telemetry transceiver device is performed in accordance with a first wireless data communication protocol, and wireless communication between the external physiological sensor device and the telemetry transceiver device is performed in accordance with a second wireless data communication protocol. The telemetry transceiver device can function as a hub that communicates patient data to a centralized remote computing architecture. The remote computing architecture may include software applications for processing the received patient data.

摘要翻译： 本文公开的可植入医疗装置（IMD）系统包括可以从IMD接收无线IMD数据的遥测收发器装置，以及来自外部生理传感器装置的无线生理传感器数据。 根据第一无线数据通信协议来执行IMD和遥测收发器设备之间的无线通信，并且根据第二无线数据通信协议执行外部生理传感器设备和遥测收发器设备之间的无线通信。 遥测收发器设备可以用作将患者数据传送到集中式远程计算架构的集线器。 远程计算架构可以包括用于处理所接收的患者数据的软件应用程序。

公开(公告)号：US20080243203A1

公开(公告)日：2008-10-02

申请号：US11459469

申请日：2006-07-24

申请人： Benardus F.M. Vonk ,  Gustaaf A.P. Stoop ,  Volkert Zeijlemaker

发明人： Benardus F.M. Vonk ,  Gustaaf A.P. Stoop ,  Volkert Zeijlemaker

IPC分类号： A61N1/37

CPC分类号： A61B5/0464 ,  A61B5/7217 ,  A61N1/3622

摘要： Polarization signals, which represent voltages measured at a pacemaker electrode, are not constant and may drift. Polarization signal drift, which often precedes undesirable pace polarization artifacts, is more significant when the pacemaker is inhibited from providing an electrical stimulation to the patient's heart. The present invention provides an implantable system and methods for stabilization of a polarization signal. Electrical pulses may be applied to stabilize a polarization signal. In one implementation of the invention, polarization signal stabilization may be used as part of process to terminate tachycardia.

摘要翻译： 表示在起搏器电极处测量的电压的极化信号不是恒定的并且可能漂移。 当起搏器被禁止向患者的心脏提供电刺激时，偏振信号漂移通常在不期望的步态极化伪影之前是更重要的。 本发明提供了一种用于稳定偏振信号的可植入系统和方法。 可以施加电脉冲以稳定偏振信号。 在本发明的一个实施方案中，极化信号稳定可以用作终止心动过速的过程的一部分。

公开(公告)号：US20080183085A1

公开(公告)日：2008-07-31

申请号：US11669345

申请日：2007-01-31

申请人： Geeske van Oort ,  Willem Boute ,  Gustaaf A.P. Stoop

发明人： Geeske van Oort ,  Willem Boute ,  Gustaaf A.P. Stoop

IPC分类号： A61B5/00

CPC分类号： A61N1/3621 ,  A61N1/3627 ,  A61N1/3925

摘要： An implantable medical device uses a method for dynamically managing physiological signal monitoring. A physiological signal is sensed for detecting physiological events in response a first threshold. A determination is made whether a second threshold has been met in response to detecting physiological events. If the second threshold has been met, detailed monitoring of the physiological events is enabled.

摘要翻译： 可植入医疗装置使用动态管理生理信号监测的方法。 感测生理信号以响应于第一阈值检测生理事件。 确定响应于检测到生理事件是否满足第二阈值。 如果满足第二个阈值，则可以对生理事件进行详细监测。

公开(公告)号：US5954754A

公开(公告)日：1999-09-21

申请号：US850471

申请日：1997-05-05

申请人： Gustaaf A.P. Stoop ,  Geeske van Oort

发明人： Gustaaf A.P. Stoop ,  Geeske van Oort

IPC分类号： A61N1/05 ,  A61N1/37

CPC分类号： A61N1/056 ,  A61N1/3712 ,  A61N1/3714

摘要： There is provided a pacing system, preferably a VDD system having a single pass lead with one or two ventricular electrodes and a pair of atrial electrodes. The pacemaker has timing and logic capability for determining when an atrial back-up pulse, such an atrial synchronization pulse, can be delivered, and also whether the pacemaker can provide for continuing atrial pacing. The pacemaker is provided with a plurality of modules for determining the likelihood that a delivered atrial pace pulse resulted in atrial contraction, and for storing data relating to the probable capture or no.sub.-- capture result of each delivered pace pulse. One of the capture-determining modules is a timing module which stores a plurality of rules by which a sequence of events and rates surrounding a delivered atrial pace pulse is analyzed to determine the probability of capture. The pacemaker carries out capture probability determinations following each delivered pace pulse, and on the basis of such continuous determinations evaluates atrial pace pulse capture efficiency, and adjusts the atrial pace pulse output level to optimize atrial pacing.

摘要翻译： 提供了一种起搏系统，优选地具有具有一个或两个心室电极和一对心房电极的单程导联的VDD系统。 起搏器具有时间和逻辑能力，用于确定什么时候能够递送心房支持脉搏（例如心房同步脉冲），以及心脏起搏器是否可以提供持续的心房起搏。 起搏器设置有多个模块，用于确定递送的心房起搏脉冲导致心房收缩的可能性，并且用于存储与每个传送的步调脉冲的可能的捕获或非捕获结果有关的数据。 捕获确定模块之一是定时模块，其存储多个规则，通过该规则分析围绕传送的心房起搏脉冲的事件和速率序列以确定捕获的概率。 起搏器在每个传送的步调脉冲之后执行捕获概率确定，并且在这种连续测定的基础上评估心房起搏脉冲捕获效率，并且调整心房搏动脉搏输出水平以优化心房起搏。