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公开(公告)号:US08046068B2
公开(公告)日:2011-10-25
申请号:US12386567
申请日:2009-04-20
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
IPC分类号: A61N1/362
CPC分类号: A61N1/3622 , A61N1/395 , A61N1/3962
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
摘要翻译: 一种系统和方法,用于根据来自患者心脏的感觉的心房和心室间隔选择性地治疗室性心动过速。 分析十个最近的心房和心室间隔的检测窗口,用于心动过速或颤动的发生。 当满足感测间隔的大部分时,设备开始持续时间间隔。 比较心室间隔和心房间隔,心室间隔大于心房间隔,系统将心动过速治疗提供给心脏。 或者,当心房率被分类为心房颤动和心室反应不稳定时,该方法禁止对心脏的心动过速治疗。
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公开(公告)号:US20120016433A1
公开(公告)日:2012-01-19
申请号:US13246400
申请日:2011-09-27
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
IPC分类号: A61N1/365
CPC分类号: A61N1/3622 , A61N1/395 , A61N1/3962
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
摘要翻译: 一种系统和方法,用于根据来自患者心脏的感觉的心房和心室间隔选择性地治疗室性心动过速。 分析十个最近的心房和心室间隔的检测窗口,用于心动过速或颤动的发生。 当满足感测间隔的大部分时,设备开始持续时间间隔。 比较心室间隔和心房间隔,心室间隔大于心房间隔,系统将心动过速治疗提供给心脏。 或者,当心房率被分类为心房颤动和心室反应不稳定时,该方法禁止对心脏的心动过速治疗。
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公开(公告)号:US20090234400A1
公开(公告)日:2009-09-17
申请号:US12386567
申请日:2009-04-20
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
CPC分类号: A61N1/3622 , A61N1/395 , A61N1/3962
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
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公开(公告)号:US07522956B2
公开(公告)日:2009-04-21
申请号:US11073818
申请日:2005-03-07
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
IPC分类号: A61N1/39
CPC分类号: A61N1/3622 , A61N1/395 , A61N1/3962
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
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公开(公告)号:US6151524A
公开(公告)日:2000-11-21
申请号:US376245
申请日:1999-08-18
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
CPC分类号: A61N1/3622 , A61N1/3962 , A61N1/395
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
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公开(公告)号:US08306619B2
公开(公告)日:2012-11-06
申请号:US13246400
申请日:2011-09-27
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
IPC分类号: A61N1/362
CPC分类号: A61N1/3622 , A61N1/395 , A61N1/3962
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
摘要翻译: 一种系统和方法,用于根据来自患者心脏的感觉的心房和心室间隔选择性地治疗室性心动过速。 分析十个最近的心房和心室间隔的检测窗口,用于心动过速或颤动的发生。 当满足感测间隔的大部分时,设备开始持续时间间隔。 比较心室间隔和心房间隔,心室间隔大于心房间隔,系统将心动过速治疗提供给心脏。 或者,当心房率被分类为心房颤动和心室反应不稳定时,该方法禁止对心脏的心动过速治疗。
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公开(公告)号:US06317632B1
公开(公告)日:2001-11-13
申请号:US09686585
申请日:2000-10-11
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
IPC分类号: A61N1262
CPC分类号: A61N1/3622 , A61N1/395 , A61N1/3962
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
摘要翻译: 一种系统和方法,用于根据来自患者心脏的感觉的心房和心室间隔选择性地治疗室性心动过速。 分析十个最近的心房和心室间隔的检测窗口,用于心动过速或颤动的发生。 当满足感测间隔的大部分时,设备开始持续时间间隔。 比较心室间隔和心房间隔,心室间隔大于心房间隔,系统将心动过速治疗提供给心脏。 或者,当心房率被分类为心房颤动和心室反应不稳定时,该方法禁止对心脏的心动过速治疗。
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公开(公告)号:US07113824B2
公开(公告)日:2006-09-26
申请号:US10008367
申请日:2001-11-13
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
IPC分类号: A61N1/39
CPC分类号: A61N1/3622 , A61N1/395 , A61N1/3962
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
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公开(公告)号:US5978707A
公开(公告)日:1999-11-02
申请号:US947256
申请日:1997-10-08
申请人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
发明人: David B. Krig , James O. Gilkerson , Robert D. Dreher , Jan D. Wald , William J. Linder , William L. Zimmer
CPC分类号: A61N1/3622 , A61N1/3962 , A61N1/395
摘要: A system and method for selectively treating a ventricular tachycardia based on sensed atrial and ventricular intervals from the patient's heart. A detection window of the ten most recent atrial and ventricular intervals are analyzed for the occurrence of either tachycardia or fibrillation. When a majority of the sensed intervals are satisfied, the apparatus starts a duration time interval. Ventricular intervals and atrial intervals are compare, ventricular interval greater than the atrial interval by a bias factor the system delivers tachycardia therapy to the heart. Alternatively, the method withholds tachycardia therapy to the heart when the atrial rate is classified as atrial fibrillation and the ventricular response is unstable.
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公开(公告)号:US08135465B2
公开(公告)日:2012-03-13
申请号:US12325887
申请日:2008-12-01
IPC分类号: A61N1/365
CPC分类号: A61N1/3956 , A61N1/3622 , A61N1/395
摘要: A cardiac rhythm management system includes techniques for computing an indicated pacing interval, AV delay, or other timing interval. In one embodiment, a variable indicated pacing interval is computed based at least in part on an underlying intrinsic heart rate. The indicated pacing interval is used to time the delivery of biventricular coordination therapy even when ventricular heart rates are irregular, such as in the presence of atrial fibrillation. In another embodiment, a variable filter indicated AV interval is computed based at least in part on an underlying intrinsic AV interval. The indicated AV interval is used to time the delivery of atrial tracking biventricular coordination therapy when atrial heart rhythms are not arrhythmic. Other indicated timing intervals may be similarly determined. The indicated pacing interval, AV delay, or other timing interval can also be used in combination with a sensor indicated rate indicator.
摘要翻译: 心律管理系统包括用于计算指示的起搏间隔,AV延迟或其它定时间隔的技术。 在一个实施例中,至少部分地基于潜在的内在心率来计算变量指示的起搏间隔。 即使在室性心率不规则的情况下,例如在心房纤维性颤动的存在下,指示的起搏间隔也用于给双心室协调治疗的时间。 在另一个实施例中,至少部分地基于潜在的固有AV间隔来计算指示AV间隔的可变滤波器。 指示的AV间隔用于在心房心律不是心律不齐的时候交付心房跟踪双心室协调治疗。 可以类似地确定其他指示的定时间隔。 指示的起搏间隔,AV延迟或其他定时间隔也可以与传感器指示的速率指示器组合使用。
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