Implantable medical device with voice responding and recording capacity
    2.
    发明申请
    Implantable medical device with voice responding and recording capacity 失效
    具有语音响应和记录能力的植入式医疗设备

    公开(公告)号:US20050240236A1

    公开(公告)日:2005-10-27

    申请号:US11071984

    申请日:2005-03-04

    IPC分类号: A61N1/362 A61N1/372

    摘要: An implantable medical device such as a cardiac pacemaker or implantable cardioverter/defibrillator with the capability of receiving communications in the form of speech spoken by the patient. An acoustic transducer is incorporated within the device which along with associated filtering circuitry enables the voice communication to be used to affect the operation of the device or recorded for later playback.

    摘要翻译: 一种可植入医疗装置,例如心脏起搏器或植入式心律转复除颤器,具有以患者所说话语的形式接收通信的能力。 声学换能器结合在该装置内,连同相关联的滤波电路使声音通信能够用于影响装置的操作或被记录以供稍后播放。

    Demand-based cardiac function therapy
    5.
    发明申请
    Demand-based cardiac function therapy 有权
    基于需求的心脏功能治疗

    公开(公告)号:US20050065554A1

    公开(公告)日:2005-03-24

    申请号:US10669170

    申请日:2003-09-23

    摘要: A method and device for delivering cardiac function therapy on a demand basis. An implantable device for delivering cardiac function therapy is programmed to suspend such therapy at periodic intervals or upon command from an external programmer. Measurements related to hemodynamic performance are then taken using one or more sensing modalities incorporated into the device. Based upon these measurements, the device uses a decision algorithm to determine whether further delivery of the cardiac function therapy is warranted.

    摘要翻译: 一种用于在需求的基础上提供心脏功能治疗的方法和装置。 用于递送心脏功能治疗的可植入装置被编程为以周期性间隔或根据来自外部编程器的命令来暂停这种治疗。 然后使用结合到该装置中的一种或多种感测模式进行与血液动力学性能相关的测量。 基于这些测量,该设备使用决策算法来确定是否需要进一步递送心脏功能治疗。

    Evaluating a patient condition using autonomic balance information in implatable cardiac devices
    6.
    发明申请
    Evaluating a patient condition using autonomic balance information in implatable cardiac devices 有权
    使用植入式心脏装置中的自主平衡信息评估患者状况

    公开(公告)号:US20060293604A1

    公开(公告)日:2006-12-28

    申请号:US11168614

    申请日:2005-06-28

    IPC分类号: A61B5/04

    摘要: Systems and methods for evaluating a patient condition using autonomic balance information involve providing an implantable cardiac device that acquires a cardiac waveform from a patient. One or more characteristics associated with autonomic balance of the patient are detected and used to evaluate a patient condition, such as sleep onset, sleep stage, cardiac vulnerability over a predetermined duration, and sleep disordered breathing. Patient activity levels may be sensed and used to evaluate the patient's condition, such as for determining a level of systemic stress. Characteristics associated with the autonomic balance include calculating an LF/HF ratio waveform and/or determining one or more morphological features of the LF/HF ratio waveform. Coordination with a patient-external device may facilitate transmission of information about one or more of the cardiac waveform, the one or more characteristics associated with the autonomic balance, and a marked cardiac waveform.

    摘要翻译: 使用自主平衡信息评估患者状况的系统和方法涉及提供从患者获取心脏波形的可植入心脏装置。 检测与患者的自主平衡相关联的一个或多个特征,并用于评估患者状况,例如睡眠发作,睡眠阶段,预定持续时间内的心脏易感性和睡眠呼吸障碍。 可以感测患者活动水平并用于评估患者的状况,例如用于确定全身应激水平。 与自主平衡相关的特征包括计算LF / HF比率波形和/或确定LF / HF比波形的一个或多个形态特征。 与患者外部设备的协调可以促进关于心脏波形中的一个或多个的信息的传输,与自主平衡相关联的一个或多个特征以及标记的心脏波形。

    Systems, devices and methods relating to endocardial pacing for resynchronization
    8.
    发明授权
    Systems, devices and methods relating to endocardial pacing for resynchronization 有权
    与心内膜起搏相关的系统,装置和方法用于再同步

    公开(公告)号:US08825155B2

    公开(公告)日:2014-09-02

    申请号:US13223919

    申请日:2011-09-01

    摘要: Disclosed are certain methods, apparatus, and processor-readable mediums that may be used to treat a conduction abnormality of the heart. In one example, the apparatus includes an implantable pacing profile generator configured to generate a specified pacing electrostimulation profile for delivery to a heart via electrodes located near a septal region of the right ventricle of the heart near the His bundle, the pacing profile including a first pulse for delivery via a first electrode; and a second pulse for delivery via a second electrode; and wherein the first and second pulses are at least partially concurrent in time and opposite in polarity to each other.

    摘要翻译: 公开了可用于治疗心脏传导异常的某些方法,装置和处理器可读介质。 在一个示例中,该装置包括植入式起搏分布生成器,其被配置为产生指定的起搏电刺激曲线,用于经由靠近His束的位于心脏右心室附近的电极的电极递送至心脏,起搏曲线包括第一 用于经由第一电极传送的脉冲; 以及用于经由第二电极传送的第二脉冲; 并且其中所述第一和第二脉冲在时间上至少部分同时并且彼此极性相反。

    Devices and methods for steering electrical stimulation in cardiac rhythm management
    9.
    发明授权
    Devices and methods for steering electrical stimulation in cardiac rhythm management 有权
    用于在心律管理中转向电刺激的装置和方法

    公开(公告)号:US08326423B2

    公开(公告)日:2012-12-04

    申请号:US12147317

    申请日:2008-06-26

    IPC分类号: A61N1/372

    CPC分类号: A61N1/37 A61N1/3627

    摘要: Tools and methods are particularly suited for certain cardiac conditions involving use of a catheter for pacing of the right and left ventricles from a lead in the right ventricle, e.g., to facilitate mechanically and/or electrically synchronous contractions for resynchronization. Certain aspects involve pacing and/or mapping by delivering pulses to a cardiac site useful for improving heart function as measured, e.g., by QRS width, fractionation, late LV activation timing, mechanical synchronicity of free wall and septal wall, effective throughput/pressure, or a combination thereof. In one embodiment, a catheter arrangement includes a fixation mechanism to attach the catheter arrangement to heart tissue, individually-addressable electrodes for providing pacing signals to the heart tissue, and an elongated structure that supports the fixation mechanism and the electrodes. The elongated structure is used to direct an end thereof to the target region in the right ventricle, and deliver an electrical pacing signal to different portions within the target region of the heart when the fixation mechanism is operative to attach to heart tissue and also when the fixation mechanism is not attaching the catheter arrangement to heart tissue.

    摘要翻译: 工具和方法特别适合于某些心脏状况,包括使用导管将右心室和左心室从右心室中的引线起搏,例如为了促进用于再同步的机械和/或电同步收缩。 某些方面涉及通过将脉搏递送到心脏位置,用于改善心脏功能,例如通过QRS宽度,分级,晚期LV激活时间,游离壁和间隔壁的机械同步性,有效吞吐量/压力, 或其组合。 在一个实施例中,导管装置包括用于将导管装置附接到心脏组织的固定机构,用于向心脏组织提供起搏信号的单独寻址电极,以及支撑固定机构和电极的细长结构。 细长结构用于将其末端引导到右心室中的目标区域,并且当固定机构可操作地附接到心脏组织时,以及当心脏组织工作时,将电起搏信号递送到心脏的目标区域内的不同部分 固定机构不将导管装置附接到心脏组织。

    APPARATUS AND METHOD FOR OUTPUTTING HEART SOUNDS
    10.
    发明申请
    APPARATUS AND METHOD FOR OUTPUTTING HEART SOUNDS 有权
    用于输出心脏声音的装置和方法

    公开(公告)号:US20120209130A1

    公开(公告)日:2012-08-16

    申请号:US13456795

    申请日:2012-04-26

    IPC分类号: A61B5/0402 A61B7/00

    摘要: An apparatus for outputting heart sounds includes an implantable system and an external system. The implantable system includes a sensor for generating sensed signals representing detected heart sounds, an interface circuit and a control circuit for receiving the sensed signals, generating data representing the heart sounds therefrom, and transmitting the data to the external system via the interface circuit. The external system includes an interface circuit for communicating with the implantable system, and a control circuit for receiving the data representing the heart sounds and for generating control signals that cause an output device to generate outputs representing the sounds. The implantable system may also include a sensor(s) for detecting cardiac electrical signals. In this case, outputs representing the cardiac electrical signals are also output.

    摘要翻译: 用于输出心音的装置包括可植入系统和外部系统。 可植入系统包括用于产生表示检测到的心音的感测信号的传感器,接口电路和用于接收感测信号的控制电路,产生表示心音的数据,以及经由接口电路将数据发送到外部系统。 外部系统包括用于与可植入系统进行通信的接口电路,以及用于接收表示心脏声音的数据的控制电路,以及用于产生使输出设备产生表示声音的输出的控制信号。 可植入系统还可以包括用于检测心脏电信号的传感器。 在这种情况下,还输出表示心电信号的输出。