System and method for monitoring autonomic balance and physical activity
    1.
    发明授权
    System and method for monitoring autonomic balance and physical activity 有权
    监测自主性平衡和身体活动的系统和方法

    公开(公告)号:US07833164B2

    公开(公告)日:2010-11-16

    申请号:US12538553

    申请日:2009-08-10

    IPC分类号: A61B5/00

    摘要: An implantable device monitors the balance between sympathetic tone and parasympathetic tone as a function of an activity level. Cardio-neurological healthy users exhibit a generally sympathetic tone in conjunction with heavy activity level and a generally parasympathetic tone in conjunction with periods of low activity level. Deviations from expected results are associated with a health problem. Measured conditions are stored and available for subsequent reporting to a remote programmer. Therapy delivered by an implantable device is determined as a function of the relationship between autonomic balance and activity level.

    摘要翻译: 可植入装置监测交感神经张力和副交感神经紧张度之间的平衡,作为活动水平的函数。 心脏神经系统健康用户表现出与大量活动水平和大体上副交感神经紧张以及低活动水平结合的共同心情。 与预期结果的偏差与健康问题有关。 测量条件存储并可用于后续报告给远程程序员。 由植入式装置提供的治疗作为自主平衡与活动水平之间关系的函数确定。

    Method and apparatus for monitoring heart failure patients with cardiopulmonary comorbidities
    6.
    发明授权
    Method and apparatus for monitoring heart failure patients with cardiopulmonary comorbidities 有权
    监测心肺合并症心力衰竭患者的方法和装置

    公开(公告)号:US08065010B2

    公开(公告)日:2011-11-22

    申请号:US12319642

    申请日:2009-01-08

    IPC分类号: A61N1/36

    摘要: A system receives signals indicative of cardiopulmonary conditions sensed by a plurality of sensors and provides for monitoring and automated differential diagnosis of the cardiopulmonary conditions based on the signals. Cardiogenic pulmonary edema is detected based on one or more signals sensed by implantable sensors. If the cardiogenic pulmonary edema is not detected, obstructive pulmonary disease and restrictive pulmonary disease are each detected based on a forced vital capacity (FVC) parameter and a forced expiratory volume (FEV) parameter measured from a respiratory signal sensed by an implantable or non-implantable sensor. In one embodiment, an implantable medical device senses signals indicative of the cardiopulmonary conditions, and an external system detects the cardiopulmonary conditions based on these signals by executing an automatic detection algorithm.

    摘要翻译: 系统接收指示由多个传感器感测到的心肺疾病的信号,并且基于该信号提供对心肺病状态的监测和自动鉴别诊断。 基于由可植入传感器感测到的一个或多个信号来检测心源性肺水肿。 如果未检测到心源性肺水肿,则基于由可植入或非可行的肺动脉血流检测的呼吸信号测量的强制肺活量(FVC)参数和强制呼气量(FEV)参数,每个都检测到阻塞性肺疾病和限制性肺部疾病, 植入式传感器。 在一个实施例中,可植入医疗装置感测指示心肺病的信号,外部系统通过执行自动检测算法基于这些信号来检测心肺病。

    Respiratory parameters for arrhythmia detection and therapy
    8.
    发明授权
    Respiratory parameters for arrhythmia detection and therapy 有权
    心律失常检测和治疗的呼吸参数

    公开(公告)号:US08639324B2

    公开(公告)日:2014-01-28

    申请号:US13353515

    申请日:2012-01-19

    IPC分类号: A61B5/0205 A61N1/365 A61N1/39

    摘要: An implantable or ambulatory medical device can include a cardiac signal sensing circuit configured to provide a sensed cardiac depolarization signal of a heart of a subject, a respiration sensing circuit configured to provide a signal representative of respiration of the subject, and a control circuit communicatively coupled to the cardiac signal sensing circuit and the respiration circuit. The control circuit includes a tachyarrhythmia detection circuit configured to determine heart rate using the depolarization signal, determine a respiration parameter of the subject using the respiration signal, calculate a ratio using the determined heart rate and the determined respiration parameter, generate an indication of tachyarrhythmia when the calculated ratio satisfies a specified detection ratio threshold value, and provide the indication of tachyarrhythmia to a user or process.

    摘要翻译: 植入式或动态医疗装置可以包括心脏信号感测电路,该心脏信号感测电路被配置为提供受检者的心脏的感测的心脏去极化信号,被配置为提供代表对象呼吸的信号的呼吸感测电路,以及通信耦合的控制电路 到心脏信号感测电路和呼吸电路。 控制电路包括快速性心律失常检测电路,其被配置为使用去极化信号来确定心率,使用呼吸信号确定受试者的呼吸参数,使用所确定的心率和确定的呼吸参数来计算比率,产生快速性心律失常的指示, 所计算的比率满足规定的检测率阈值,并向用户或过程提供快速性心律失常的指示。

    Cardiopulmonary functional status assessment via metabolic response detection by implantable cardiac device
    9.
    发明授权
    Cardiopulmonary functional status assessment via metabolic response detection by implantable cardiac device 有权
    通过植入式心脏装置的代谢反应检测的心肺功能状态评估

    公开(公告)号:US08538525B2

    公开(公告)日:2013-09-17

    申请号:US13371705

    申请日:2012-02-13

    IPC分类号: A61N1/00

    摘要: An implantable cardiac device is configured and programmed to assess a patient's cardiopulmonary function by evaluating the patient's minute ventilation response. Such evaluation may be performed by computing a minute ventilation response slope, defined as the ratio of an incremental change in minute ventilation to an incremental change in measured activity level. The minute ventilation response slope may then be compared with a normal range to assess the patient's functional status.

    摘要翻译: 可植入心脏装置被配置和编程以通过评估患者的分钟通气反应来评估患者的心肺功能。 这种评估可以通过计算每分钟通气量的增加变化与测量活动水平的增量变化的比例来计算每分钟通气响应斜率来进行。 然后将分钟通气反应斜率与正常范围进行比较,以评估患者的功能状态。