公开(公告)号：US20080065165A1

公开(公告)日：2008-03-13

申请号：US11643221

申请日：2006-12-21

申请人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

发明人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

IPC分类号： A61N1/37

CPC分类号： A61B5/7264 ,  A61B5/02405 ,  A61B5/0245 ,  A61B5/04 ,  A61B5/04525 ,  A61B5/0464 ,  A61B5/6846 ,  A61B5/726 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/3481

摘要： An implantable cardiac device is configured to classify cardiac arrhythmias using a plurality of arrhythmia discrimination algorithms. Data is provided that is associated with a plurality of cardiac arrhythmic episodes for which a cardiac electrical therapy was delivered or withheld by the implantable medical device based on the plurality of arrhythmia discrimination algorithms. A metric for each of the arrhythmic episodes is computed. The metric defines a measure by which the implantable cardiac device properly classified the arrhythmia. Potentially misclassified arrhythmic episodes of the plurality of cardiac arrhythmic episodes for which cardiac electrical therapy was inappropriately delivered or withheld are algorithmically identified using the metric.

摘要翻译： 可植入心脏装置被配置为使用多个心律失常鉴别算法对心律失常进行分类。 提供了与多个心律失常发作相关联的数据，根据多种心律不齐判别算法，心脏电疗法由可植入医疗装置递送或保留。 计算每个心律失常发作的指标。 该度量定义了可植入心脏装置适当分类心律失常的措施。 使用度量来算法地识别心电图治疗被不适当地递送或禁止的多个心律失调发作的潜在的错误分类的心律失常发作。

公开(公告)号：US08948858B2

公开(公告)日：2015-02-03

申请号：US12769851

申请日：2010-04-29

申请人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

发明人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

IPC分类号： A61B5/04 ,  A61B5/00 ,  A61B5/024 ,  A61B5/0245 ,  A61B5/0452 ,  A61B5/0464 ,  G06F19/00 ,  A61N1/372

CPC分类号： A61B5/7264 ,  A61B5/02405 ,  A61B5/0245 ,  A61B5/04 ,  A61B5/04525 ,  A61B5/0464 ,  A61B5/6846 ,  A61B5/726 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/3481

摘要： An implantable cardiac device is configured to classify cardiac arrhythmias using a plurality of arrhythmia discrimination algorithms. Data is provided that is associated with a plurality of cardiac arrhythmic episodes for which a cardiac electrical therapy was delivered or withheld by the implantable medical device based on the plurality of arrhythmia discrimination algorithms. A metric for each of the arrhythmic episodes is computed. The metric defines a measure by which the implantable cardiac device properly classified the arrhythmia. Potentially misclassified arrhythmic episodes of the plurality of cardiac arrhythmic episodes for which cardiac electrical therapy was inappropriately delivered or withheld are algorithmically identified using the metric.

摘要翻译： 可植入心脏装置被配置为使用多个心律失常鉴别算法对心律失常进行分类。 提供了与多个心律失常发作相关联的数据，根据多种心律不齐判别算法，心脏电疗法由可植入医疗装置递送或保留。 计算每个心律失常发作的指标。 该度量定义了可植入心脏装置适当分类心律失常的措施。 使用度量来算法地识别心电图治疗被不适当地递送或禁止的多个心律失调发作的潜在的错误分类的心律失常发作。

公开(公告)号：US07738950B2

公开(公告)日：2010-06-15

申请号：US11643221

申请日：2006-12-21

申请人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

发明人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

IPC分类号： A61B5/04

CPC分类号： A61B5/7264 ,  A61B5/02405 ,  A61B5/0245 ,  A61B5/04 ,  A61B5/04525 ,  A61B5/0464 ,  A61B5/6846 ,  A61B5/726 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/3481

摘要： An implantable cardiac device is configured to classify cardiac arrhythmias using a plurality of arrhythmia discrimination algorithms. Data is provided that is associated with a plurality of cardiac arrhythmic episodes for which a cardiac electrical therapy was delivered or withheld by the implantable medical device based on the plurality of arrhythmia discrimination algorithms. A metric for each of the arrhythmic episodes is computed. The metric defines a measure by which the implantable cardiac device properly classified the arrhythmia. Potentially misclassified arrhythmic episodes of the plurality of cardiac arrhythmic episodes for which cardiac electrical therapy was inappropriately delivered or withheld are algorithmically identified using the metric.

摘要翻译： 可植入心脏装置被配置为使用多个心律失常鉴别算法对心律失常进行分类。 提供了与多个心律失常发作相关联的数据，根据多种心律不齐判别算法，心脏电疗法由可植入医疗装置递送或保留。 计算每个心律失常发作的指标。 该度量定义了可植入心脏装置适当分类心律失常的措施。 使用度量来算法地识别心电图治疗被不适当地递送或禁止的多个心律失调发作的潜在的错误分类的心律失常发作。

公开(公告)号：US20100211125A1

公开(公告)日：2010-08-19

申请号：US12769851

申请日：2010-04-29

申请人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

发明人： Christopher Dale Johnson ,  Alok Sathaye ,  Shelley Cazares

IPC分类号： A61N1/362 ,  A61N1/39

CPC分类号： A61B5/7264 ,  A61B5/02405 ,  A61B5/0245 ,  A61B5/04 ,  A61B5/04525 ,  A61B5/0464 ,  A61B5/6846 ,  A61B5/726 ,  A61N1/37247 ,  G06F19/00 ,  G06F19/3481

摘要： An implantable cardiac device is configured to classify cardiac arrhythmias using a plurality of arrhythmia discrimination algorithms. Data is provided that is associated with a plurality of cardiac arrhythmic episodes for which a cardiac electrical therapy was delivered or withheld by the implantable medical device based on the plurality of arrhythmia discrimination algorithms. A metric for each of the arrhythmic episodes is computed. The metric defines a measure by which the implantable cardiac device properly classified the arrhythmia. Potentially misclassified arrhythmic episodes of the plurality of cardiac arrhythmic episodes for which cardiac electrical therapy was inappropriately delivered or withheld are algorithmically identified using the metric.

摘要翻译： 可植入心脏装置被配置为使用多个心律失常鉴别算法对心律失常进行分类。 提供了与多个心律失常发作相关联的数据，根据多种心律不齐判别算法，心脏电疗法由可植入医疗装置递送或保留。 计算每个心律失常发作的指标。 该度量定义了可植入心脏装置适当分类心律失常的措施。 使用度量来算法地识别心电图治疗被不适当地递送或禁止的多个心律失调发作的潜在的错误分类的心律失常发作。

公开(公告)号：US20080071182A1

公开(公告)日：2008-03-20

申请号：US11643220

申请日：2006-12-21

申请人： Shelley Cazares ,  Aaron McCabe ,  Alok Sathaye ,  Dan Li

发明人： Shelley Cazares ,  Aaron McCabe ,  Alok Sathaye ,  Dan Li

IPC分类号： A61B5/0402

CPC分类号： A61B5/0464 ,  A61B5/726

摘要： Methods and systems for arranging and labeling cardiac episodes based on acquired cardiac episode data are described. Cardiac episodes are algorithmically arranged based on one or more discriminating features of the episode data. A user is presented with at least one episode selected from the arrangement of cardiac episodes. The user inputs a label that characterizes the selected episode. The label is algorithmically appended to the data of the selected episode and to other episodes of the arrangement of cardiac episodes based on the discriminating features.

摘要翻译： 描述了基于获得性心脏病发作数据来安排和标记心脏发作的方法和系统。 基于事件数据的一个或多个鉴别特征，算术地布置心脏事件。 向用户呈现从心脏发作的排列中选出的至少一个情节。 用户输入表征所选剧集的标签。 基于鉴别特征，标签被算法地附加到所选事件的数据和心脏发作的安排的其他发作。

公开(公告)号：US08712507B2

公开(公告)日：2014-04-29

申请号：US11643220

申请日：2006-12-21

申请人： Shelley Cazares ,  Aaron McCabe ,  Alok Sathaye ,  Dan Li

发明人： Shelley Cazares ,  Aaron McCabe ,  Alok Sathaye ,  Dan Li

IPC分类号： A61B5/04

CPC分类号： A61B5/0464 ,  A61B5/726

摘要： Methods and systems for arranging and labeling cardiac episodes based on acquired cardiac episode data are described. Cardiac episodes are algorithmically arranged based on one or more discriminating features of the episode data. A user is presented with at least one episode selected from the arrangement of cardiac episodes. The user inputs a label that characterizes the selected episode. The label is algorithmically appended to the data of the selected episode and to other episodes of the arrangement of cardiac episodes based on the discriminating features.

摘要翻译： 描述了基于获得性心脏病发作数据来安排和标记心脏发作的方法和系统。 基于事件数据的一个或多个鉴别特征，算术地布置心脏事件。 向用户呈现从心脏发作的排列中选出的至少一个情节。 用户输入表征所选剧集的标签。 基于鉴别特征，标签被算法地附加到所选事件的数据和心脏发作的安排的其他发作。

公开(公告)号：US20060111747A1

公开(公告)日：2006-05-25

申请号：US10995704

申请日：2004-11-23

申请人： Shelley Cazares ,  Yayun Lin ,  Alok Sathaye

发明人： Shelley Cazares ,  Yayun Lin ,  Alok Sathaye

IPC分类号： A61N1/39

CPC分类号： A61B5/042 ,  A61N1/3702 ,  A61N1/3925

摘要： Cardiac treatment methods and devices provide for templates representative of past tachyarrythmia events, each template associated with a therapy. Methods involve providing a cardiac waveform representative of a patient's cardiac activity and identifying a portion that indicates an arrhythmic event. A cardiac template corresponding to the portion is generated, and a therapy is associated with the template useful for treating a subsequent arrhythmia. The waveform portion may be identified by a physician using a patient-external device to display the cardiac waveform. The template may be generated by a physician selecting the cardiac waveform, and determining if the therapy associated with the template was satisfactory and/or effective in treating the arrhythmia. Identification may involve matching the event to templates generated using cardiac waveforms other than the patient's cardiac waveforms. The template may be generated in a patient-internal or patient-external medical device such as a programmer, and/or an advanced patient management system.

摘要翻译： 心脏治疗方法和装置提供代表过去速发事件的模板，每个模板与治疗相关联。 方法包括提供代表患者心脏活动的心脏波形并识别指示心律失常事件的部分。 产生对应于该部分的心脏模板，并且与可用于治疗随后的心律失常的模板相关联的治疗。 波形部分可以由医师使用患者外部设备来识别，以显示心脏波形。 模板可以由医师选择心脏波形产生，并且确定与模板相关联的治疗是否令人满意和/或有效地治疗心律失常。 识别可能涉及将事件与使用除患者心脏波形之外的心脏波形产生的模板进行匹配。 模板可以在诸如程序员和/或高级患者管理系统的患者内部或患者外部医疗设备中生成。

公开(公告)号：US08886300B2

公开(公告)日：2014-11-11

申请号：US13608721

申请日：2012-09-10

申请人： Alok Sathaye ,  Scott A. Meyer ,  Derek D. Bohn

发明人： Alok Sathaye ,  Scott A. Meyer ,  Derek D. Bohn

IPC分类号： A61B5/05 ,  A61N1/37 ,  A61N1/362

CPC分类号： A61N1/3712 ,  A61N1/3627

摘要： Methods and systems are directed to selecting from a variety of capture verification modes. A plurality of capture verification modes, including a beat by beat capture detection mode and a capture threshold testing mode without intervening beat by beat capture detection is provided. An efficacy of at least one of the capture verification modes is evaluated, and based on the evaluation, a capture verification mode is selected.

摘要翻译： 方法和系统旨在从各种捕获验证模式中进行选择。 提供了多个拍摄验证模式，包括拍拍拍摄检测模式和拍摄阈值测试模式，而不会通过拍摄捕获检测进行中间拍摄。 评估捕获验证模式中的至少一个的功效，并且基于评估，选择捕获验证模式。

公开(公告)号：US20100131027A1

公开(公告)日：2010-05-27

申请号：US12697853

申请日：2010-02-01

申请人： Alok Sathaye ,  Scott A. Meyer ,  Derek D. Bohn

发明人： Alok Sathaye ,  Scott A. Meyer ,  Derek D. Bohn

IPC分类号： A61N1/08

CPC分类号： A61N1/3712 ,  A61N1/3627

摘要： Methods and systems are directed to selecting from a variety of capture verification modes. A plurality of capture verification modes, including a beat by beat capture detection mode and a capture threshold testing mode without intervening beat by beat capture detection is provided. An efficacy of at least one of the capture verification modes is evaluated and, based on the evaluation, a capture verification mode is selected.

摘要翻译： 方法和系统旨在从各种捕获验证模式中进行选择。 提供了多个拍摄验证模式，包括拍拍拍摄检测模式和拍摄阈值测试模式，而不会通过拍摄捕获检测进行中间拍摄。 评估捕获验证模式中的至少一个的功效，并且基于评估，选择捕获验证模式。

公开(公告)号：US20080071319A1

公开(公告)日：2008-03-20

申请号：US11520880

申请日：2006-09-14

申请人： Alok Sathaye ,  M. Jason Brooke

发明人： Alok Sathaye ,  M. Jason Brooke

IPC分类号： A61N1/362

CPC分类号： A61N1/371

摘要： Approaches for performing capture detection for a heart chamber with backup pacing in a contralateral heart chamber are described. A cardiac signal of the first heart chamber is sensed following delivery of a pacing pulse. The cardiac response of the first heart chamber to the pacing pulse is classified based on one or more features of the sensed cardiac signal. A backup pacing pulse is delivered to a second heart chamber contralateral to the first heart chamber. For example, the timing of the delivery of the backup pacing pulse may be based on the expected or detected timing of the features used to classify the cardiac pacing response. The backup pace may be delivered within a detection window used for sensing the features indicative of the cardiac pacing response.

摘要翻译： 描述了在对侧心室中进行具有后备起搏的心室的捕获检测的方法。 在递送起搏脉冲之后感测第一心室的心脏信号。 基于检测到的心脏信号的一个或多个特征对第一心室对起搏脉搏的心脏反应进行分类。 备用起搏脉冲被传送到与第一心室对侧的第二心室。 例如，备用起搏脉冲的递送的定时可以基于用于对心脏起搏响应进行分类的特征的预期或检测的定时。 备用速度可以在用于感测指示心脏起搏响应的特征的检测窗口内传送。