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    Device for reporting heart failure status
    2.
    发明授权
    Device for reporting heart failure status 有权
    用于报告心力衰竭状态的装置

    公开(公告)号：US09375566B2

    公开(公告)日：2016-06-28

    申请号：US13185203

    申请日：2011-07-18

    申请人： Jeffrey E. Stahmann ,  John Hatlestad ,  Qingsheng Zhu

    发明人： Jeffrey E. Stahmann ,  John Hatlestad ,  Qingsheng Zhu

    IPC分类号： A61N1/08

    CPC分类号： A61B5/0205 ,  A61B5/021 ,  A61B5/024 ,  A61B5/053 ,  A61B5/0816 ,  A61B5/0826 ,  A61B5/091 ,  A61B5/1116 ,  A61B5/1118 ,  A61B5/4878 ,  A61B5/686 ,  A61B5/746 ,  A61B7/02 ,  A61N1/08

    摘要： An embodiment of a device for reporting a heart failure status of a patient comprises: a parameter acquisition module configured to acquire at least one trended heart failure parameter; a predetermined event acquisition module configured to acquire at least one predetermined event corresponding to the at least one trended heart failure parameter, wherein each of the at least one predetermined event represents an event condition where a predetermined event definition is satisfied; an alert acquisition module configured to acquire at least one heart failure status alert associated with the at least one predetermined event, wherein each of the at least one alert represents an alert condition where a predetermined alert definition is satisfied; and an output communication module configured to communicate the at least one heart failure status alert.

    摘要翻译： 用于报告患者的心力衰竭状态的装置的实施例包括：参数获取模块，被配置为获取至少一个趋势性心力衰竭参数; 预定事件获取模块，被配置为获取与所述至少一个趋势性心力衰竭参数相对应的至少一个预定事件，其中所述至少一个预定事件中的每一个表示满足预定事件定义的事件条件; 警报采集模块，被配置为获取与所述至少一个预定事件相关联的至少一个心力衰竭状态警报，其中所述至少一个警报中的每一个表示满足预定警报定义的警报状况; 以及输出通信模块，被配置为通信所述至少一个心力衰竭状态警报。

    Sensitivity and specificity of pulmonary edema detection when using transthoracic impedance
    3.
    发明授权
    Sensitivity and specificity of pulmonary edema detection when using transthoracic impedance 有权
    使用经胸阻塞时肺水肿检测的灵敏度和特异性

    公开(公告)号：US09089275B2

    公开(公告)日：2015-07-28

    申请号：US11126723

    申请日：2005-05-11

    申请人： Jeffrey E. Stahmann ,  John Hatlestad ,  Jesse W. Hartley

    发明人： Jeffrey E. Stahmann ,  John Hatlestad ,  Jesse W. Hartley

    IPC分类号： A61B5/053

    CPC分类号： A61B5/053 ,  A61B5/0537 ,  A61B5/4869 ,  A61M2230/40 ,  A61M2230/65 ,  A61N1/36521 ,  A61N1/37282

    摘要： This patent document discusses, among other things, systems, devices, and methods for enhancing detection of pulmonary edema using, in addition to thoracic impedance, one or a combination of: physiologic information about a subject, at least one statistical parameter, a user-programmable detection level, at least one parameter associated with a previous pulmonary edema event, and patient symptom information about the subject. In one example, a (base) thoracic impedance threshold is modified to an adjusted thoracic impedance threshold. The adjusted thoracic impedance threshold provides an increased sensitivity of pulmonary edema detection as compared to the base thoracic impedance threshold. In another example, an alert is provided to a subject, a caregiver, or other user based on a pulmonary edema indication determined by the present systems, devices, and methods. In a further example, a therapy (provided to the subject) is adjusted or initiated in response to the pulmonary edema indication.

    摘要翻译： 该专利文献尤其涉及用于增强肺水肿检测的系统，装置和方法，除胸部阻抗之外，还包括以下之一或组合：关于受试者的生理信息，至少一个统计参数， 可编程检测水平，与先前的肺水肿事件相关联的至少一个参数，以及关于受试者的患者症状信息。 在一个示例中，（基底）胸部阻抗阈值被修改为经调整的胸部阻抗阈值。 与基础胸廓阻抗阈值相比，经调整的胸廓阻抗阈值提供了肺水肿检测的灵敏度增加。 在另一示例中，基于由本系统，设备和方法确定的肺水肿指示，向受检者，照顾者或其他用户提供警报。 在另一个实例中，响应于肺水肿指示调整或启动治疗（提供给受试者）。

    System and method for determining pulmonary performance from transthoracic impedance measures
    5.
    发明授权
    System and method for determining pulmonary performance from transthoracic impedance measures 有权
    用于确定经胸阻抗措施的肺功能的系统和方法

    公开(公告)号：US08795189B2

    公开(公告)日：2014-08-05

    申请号：US12029422

    申请日：2008-02-11

    申请人： Quan Ni ,  Jesse W. Hartley ,  Kent Lee ,  Jeffrey E. Stahmann

    发明人： Quan Ni ,  Jesse W. Hartley ,  Kent Lee ,  Jeffrey E. Stahmann

    IPC分类号： A61B5/08

    CPC分类号： A61B5/0809 ,  A61B5/0002 ,  A61B5/0535 ,  A61N1/36521 ,  G06F19/3418

    摘要： A system and method for determining pulmonary performance from transthoracic impedance measures is provided. Transthoracic impedance measures collected by an implantable medical device are correlated to pulmonary functional measures. The pulmonary functional measures are grouped by respiratory pattern. Pulmonary performance is evaluated. Differences are determined by comparing the pulmonary functional measures for each respiratory pattern to the pulmonary functional measures for at least one previous respiratory pattern. A trend is identified from the differences. An alert is generated upon sufficient deviation of the trend from a threshold criteria.

    摘要翻译： 提供了一种通过经胸阻抗测量来确定肺功能的系统和方法。 由可植入医疗器械收集的经胸阻抗测量与肺功能测量相关。 肺功能测量按呼吸模式分组。 评估肺功能。 通过将每个呼吸模式的肺功能测量与至少一个之前的呼吸模式的肺功能测量进行比较来确定差异。 从差异中确定出一个趋势。 在趋势与阈值标准的充分偏差之后产生警报。

    Cardiac pacing controlled via respiration therapy device
    9.
    发明授权
    Cardiac pacing controlled via respiration therapy device 失效
    通过呼吸治疗装置控制心脏起搏

    公开(公告)号：US08655446B2

    公开(公告)日：2014-02-18

    申请号：US11986886

    申请日：2007-11-27

    申请人： Jeffrey E. Stahmann ,  Jesse W. Hartley ,  Kent Lee ,  Quan Ni

    发明人： Jeffrey E. Stahmann ,  Jesse W. Hartley ,  Kent Lee ,  Quan Ni

    IPC分类号： A61N1/365

    CPC分类号： A61N1/3601 ,  A61N1/36514 ,  A61N1/36542 ,  A61N1/36578 ,  G06F19/00

    摘要： Methods and systems involve adjusting cardiac pacing based on information acquired via a respiratory therapy device. A medical system includes a respiratory therapy device having one or more sensors and a therapy delivery unit. The one or more sensors are configured to sense respiration cycles. The therapy delivery unit is configured to deliver an external respiratory therapy to the patient. The medical system also includes a pulse generator configured to deliver cardiac pacing pulses to the patient. A controller is coupled to the one or more sensors and the pulse generator. The control unit configured to adjust a cardiac pacing rate based on the patient's respiration cycles.

    摘要翻译： 方法和系统涉及根据通过呼吸治疗装置获取的信息来调节心脏起搏。 医疗系统包括具有一个或多个传感器和治疗递送单元的呼吸治疗装置。 一个或多个传感器被配置成感测呼吸循环。 治疗递送单元被配置为向患者输送外部呼吸治疗。 医疗系统还包括脉冲发生器，其被配置为向患者传送心脏起搏脉冲。 控制器耦合到一个或多个传感器和脉冲发生器。 所述控制单元被配置为基于所述患者的呼吸周期来调节心脏起搏速率。

    Cardiac rhythm management system with arrhythmia classification and electrode selection
    10.
    发明授权
    Cardiac rhythm management system with arrhythmia classification and electrode selection 有权
    具有心律失常分类和电极选择的心律管理系统

    公开(公告)号：US08639330B2

    公开(公告)日：2014-01-28

    申请号：US12780079

    申请日：2010-05-14

    申请人： Julio C. Spinelli ,  Qingsheng Zhu ,  Jeffrey E. Stahmann ,  Andrew P. Kramer

    发明人： Julio C. Spinelli ,  Qingsheng Zhu ,  Jeffrey E. Stahmann ,  Andrew P. Kramer

    IPC分类号： A61N1/368

    CPC分类号： A61N1/3622 ,  A61N1/3684

    摘要： A system, method, or device classifies an arrhythmia according to the temporal order in which a depolarization wave associated with a particular heart contraction is received at a plurality of electrodes. One or more antiarrhythmia therapies is mapped to each arrhythmia classification. When a particularly classified arrhythmia is detected, the correspondingly mapped therapy list is selected and an appropriate antiarrhythmia therapy delivered. In one example, the particular therapy delivered in response to an arrhythmia depends at least in part on its historical success in treating arrhythmias of that classification.

    摘要翻译： 系统，方法或装置根据在多个电极处接收与特定心脏收缩相关联的去极化波的时间顺序对心律失常进行分类。 一种或多种抗心律失常疗法被映射到每种心律失常分类。 当检测到特别分类的心律失常时，选择相应地映射的治疗列表并进行适当的抗心律失常治疗。 在一个示例中，响应于心律失常递送的特定治疗至少部分地取决于其在治疗该分类的心律失常方面的历史成功。