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    METHODS AND DEVICES INVOLVING AUTOMATIC ATRIAL BLANKING
    1.
    发明申请
    METHODS AND DEVICES INVOLVING AUTOMATIC ATRIAL BLANKING 有权
    涉及自动ATRIAL BLANKING的方法和装置

    公开(公告)号：US20100023083A1

    公开(公告)日：2010-01-28

    申请号：US12177405

    申请日：2008-07-22

    申请人： George E. Eisinger ,  Jeffery D. Snell ,  Gene A. Bornzin

    发明人： George E. Eisinger ,  Jeffery D. Snell ,  Gene A. Bornzin

    IPC分类号： A61N1/37

    CPC分类号： A61N1/3704 ,  A61N1/3622

    摘要： During a period of time comprising a plurality of cardiac cycles, a time relationship between ventricular events and atrial detections is established. Based on the relationship, a post-ventricular atrial refractory period is defined. The period includes an absolute atrial refractory period and a segmented relative atrial refractory period, wherein the segmented relative atrial refractory period includes at least one blanking window during which atrial detections of ventricular events have or are likely to occur.

    摘要翻译： 在包括多个心动周期的时间段期间，建立了心室事件与心房检测之间的时间关系。 根据关系，定义了心室后不应期。 该期间包括绝对心房不应期和分段的相对心房不应期，其中所述分段的相对心房不应期包括至少一个消融窗口，在此期间心房事件已经或可能发生。

    Methods and devices involving automatic atrial blanking
    2.
    发明授权
    Methods and devices involving automatic atrial blanking 有权
    涉及自动心房消隐的方法和装置

    公开(公告)号：US08126550B2

    公开(公告)日：2012-02-28

    申请号：US12177405

    申请日：2008-07-22

    申请人： George E. Eisinger ,  Jeffery D. Snell ,  Gene A. Bornzin

    发明人： George E. Eisinger ,  Jeffery D. Snell ,  Gene A. Bornzin

    IPC分类号： A61N1/18

    CPC分类号： A61N1/3704 ,  A61N1/3622

    摘要： During a period of time comprising a plurality of cardiac cycles, a time relationship between ventricular events and atrial detections is established. Based on the relationship, a post-ventricular atrial refractory period is defined. The period includes an absolute atrial refractory period and a segmented relative atrial refractory period, wherein the segmented relative atrial refractory period includes at least one blanking window during which atrial detections of ventricular events have or are likely to occur.

    摘要翻译： 在包括多个心动周期的时间段期间，建立了心室事件与心房检测之间的时间关系。 根据关系，定义了心室后不应期。 该期间包括绝对心房不应期和分段的相对心房不应期，其中所述分段的相对心房不应期包括至少一个消融窗口，在此期间心房事件已经或可能发生。

    Method and System to Adjust Pacing Parameters Based on Systolic Interval Heart Sounds
    5.
    发明申请
    Method and System to Adjust Pacing Parameters Based on Systolic Interval Heart Sounds 审中-公开
    基于收缩期间心脏声音调整起搏参数的方法和系统

    公开(公告)号：US20130053913A1

    公开(公告)日：2013-02-28

    申请号：US13223117

    申请日：2011-08-31

    申请人： Steve Koh ,  Gene A. Bornzin ,  Jeffery D. Snell

    发明人： Steve Koh ,  Gene A. Bornzin ,  Jeffery D. Snell

    IPC分类号： A61N1/368

    CPC分类号： A61N1/368 ,  A61B7/00 ,  A61B7/04 ,  A61N1/36585

    摘要： A method is provided to determine pacing parameters for an implantable medical device (IMD) and collects heart sounds during the cardiac cycles. The method comprises changing a value for a pacing parameter between the cardiac cycles and analyzing a characteristic of interest from the heart sounds. The method comprises setting a desired value for the pacing parameter based on the characteristic of interest from the heart sounds. The system comprises inputs configured to be coupled to at least one lead having electrodes to sense intrinsic events and to deliver pacing pulses over cardiac cycles. The system has a sensor for collecting heart sounds during cardiac cycles and controller to control delivery of pacing pulses based on pacing parameters. The controller changes a value for at least one of the pacing parameters between the cardiac cycles and provides an analysis module to analyze a characteristic of interest from the heart sounds.

    摘要翻译： 提供了一种用于确定可植入医疗装置（IMD）的起搏参数并在心脏周期期间收集心脏声音的方法。 该方法包括在心脏周期之间改变起搏参数的值并且从心脏声音分析感兴趣的特征。 该方法包括基于来自心音的感兴趣的特征来设置起搏参数的期望值。 该系统包括被配置为耦合到具有电极以感测固有事件并且在心动周期上传送起搏脉冲的至少一个引线的输入。 该系统具有用于在心动周期期间收集心脏声音的传感器和控制器，以根据起搏参数控制起搏脉冲的传递。 控制器改变心脏周期之间的至少一个起搏参数的值，并提供分析模块来分析来自心脏声音的兴趣特征。

    System and method for emulating a surface EKG for use with transtelephonic monitoring of an implantable medical device
    6.
    发明授权
    System and method for emulating a surface EKG for use with transtelephonic monitoring of an implantable medical device 有权
    用于模拟表面EKG的系统和方法，用于可植入医疗装置的经耳监测

    公开(公告)号：US07945314B1

    公开(公告)日：2011-05-17

    申请号：US11432636

    申请日：2006-05-10

    申请人： Jeffery D. Snell ,  Jong Gill ,  Gene A. Bornzin ,  Peter Boileau ,  Euljoon Park

    发明人： Jeffery D. Snell ,  Jong Gill ,  Gene A. Bornzin ,  Peter Boileau ,  Euljoon Park

    IPC分类号： A61B5/04

    CPC分类号： A61B5/0402 ,  A61B5/0006 ,  A61N1/3702 ,  A61N1/37235 ,  A61N1/37282

    摘要： A surface electrocardiogram (EKG) is emulated using signals detected by internal leads of an implanted device. In one example, emulation is performed using a technique that concatenates portions of signals sensed using different electrodes, such as by combining far-field ventricular signals sensed in the atria with far-field atrial signals sensed in the ventricles. In another example, emulation is performed using a technique that selectively amplifies or attenuates portions of a single signal, such as by attenuating near-field portions of an atrial unipolar signal relative to far-field portions of the same signal. The surface EKG emulation may be performed by the implanted device itself or by an external programmer based on cardiac signals transmitted thereto. A transtelephonic monitoring network is also described, wherein the emulated surface EKG (or raw data used to emulate the EKG) is relayed from an implanted device to a remote monitor, typically installed in a physician's office.

    摘要翻译： 使用由植入装置的内部引线检测的信号来模拟表面心电图（EKG）。 在一个示例中，使用将使用不同电极感测的信号的部分连接的技术来执行仿真，例如通过将在心房中感测到的远场心室信号与在心室中感测到的远场心房信号组合。 在另一示例中，使用选择性地放大或衰减单个信号的部分的技术来执行仿真，例如通过衰减相对于相同信号的远场部分的心房单极信号的近场部分。 表面EKG仿真可以由植入装置本身或外部编程器基于发送到其上的心脏信号执行。 还描述了一种跨耳监测网络，其中仿真表面EKG（或用于模拟EKG的原始数据）从植入装置中继到通常安装在医师办公室中的远程监视器。

    Method and apparatus with anodal capture monitoring
    7.
    发明授权
    Method and apparatus with anodal capture monitoring 有权
    具有阳极捕获监测的方法和装置

    公开(公告)号：US09415226B1

    公开(公告)日：2016-08-16

    申请号：US11961720

    申请日：2007-12-20

    申请人： Jeffery D. Snell ,  Gene A. Bornzin ,  Laurence S. Sloman ,  Jong Gill

    发明人： Jeffery D. Snell ,  Gene A. Bornzin ,  Laurence S. Sloman ,  Jong Gill

    IPC分类号： A61N1/00 ,  A61N1/362

    CPC分类号： A61N1/3622 ,  A61N1/3684 ,  A61N1/3686 ,  A61N1/3712

    摘要： During cross-chamber pacing, where anodal capture may not be desirable, pulses are applied between a cathode electrode in a first chamber and an anode electrode in a second chamber. A capture detector detects for capture of the second chamber by the pacing pulses. If capture of the second chamber persists, another electrode is selected as the anodal electrode. During single-chamber pacing, where anodal capture may be desirable, pulses are applied between a cathode electrode and an anode electrode associated with the same chamber. A capture detector detects for capture at both electrodes. If anodal capture is not detected, the energy of the pacing pulse is increased, until anodal capture is detected.

    摘要翻译： 在跨室起搏期间，可能不需要阳极捕获，脉冲施加在第一室中的阴极和第二室中的阳极之间。 捕获检测器通过起搏脉冲检测第二腔室的捕获。 如果第二室的捕获持续，则选择另一电极作为阳极电极。 在可以期望阳极捕获的单室起搏期间，在与相同的室相关联的阴极和阳极之间施加脉冲。 捕获检测器检测两个电极的捕获。 如果没有检测到阳极捕获，则起搏脉冲的能量增加，直到检测到阳极捕获。

    Medical devices and systems having separate power sources for enabling different telemetry systems
    9.
    发明授权
    Medical devices and systems having separate power sources for enabling different telemetry systems 有权
    具有用于实现不同遥测系统的独立电源的医疗设备和系统

    公开(公告)号：US08150529B2

    公开(公告)日：2012-04-03

    申请号：US12104301

    申请日：2008-04-16

    申请人： Jeffery D. Snell ,  Gene A. Bornzin

    发明人： Jeffery D. Snell ,  Gene A. Bornzin

    IPC分类号： A61N1/08

    CPC分类号： A61N1/378 ,  A61N1/025 ,  A61N1/37217 ,  Y10S128/904

    摘要： An implantable medical device includes a first, short-range telemetry circuit; a second, long-range telemetry circuit; a first power system that powers the first telemetry circuit; and a second power system that powers the second telemetry circuit. The second power system includes an internal charging system and a rechargeable battery coupled to the internal charging system. The internal charging system may be configured for electromagnetic-inductive or RF-transmission coupling with an external charging system. A controller monitors the energy level of the rechargeable battery and provides an signal indicative of the level.

    摘要翻译： 可植入医疗装置包括第一短距离遥测电路; 第二个远程遥测电路; 为第一遥测电路供电的第一电力系统; 以及为第二遥测电路供电的第二电力系统。 第二电力系统包括内部充电系统和连接到内部充电系统的可再充电电池。 内部充电系统可以被配置为与外部充电系统进行电磁感应或RF传输耦合。 控制器监视可再充电电池的能量级并提供指示电平的信号。

    SINGLE CHAMBER IMPLANTABLE MEDICAL DEVICE FOR CONFIRMING ARRHYTHMIA THROUGH RETROSPECTIVE CARDIAC SIGNALS
    10.
    发明申请
    SINGLE CHAMBER IMPLANTABLE MEDICAL DEVICE FOR CONFIRMING ARRHYTHMIA THROUGH RETROSPECTIVE CARDIAC SIGNALS 审中-公开
    通过回顾性心脏病信号确认ARRHYTHMIA的单室可植入医疗器械

    公开(公告)号：US20110125206A1

    公开(公告)日：2011-05-26

    申请号：US12625416

    申请日：2009-11-24

    申请人： Gene A. Bornzin ,  Jong Gill ,  Jeffery D. Snell

    发明人： Gene A. Bornzin ,  Jong Gill ,  Jeffery D. Snell

    IPC分类号： A61N1/39 ,  A61B5/0452 ,  A61B5/046

    CPC分类号： A61N1/36507 ,  A61B5/0031 ,  A61B5/0422 ,  A61B5/0452 ,  A61N1/3956

    摘要： An implantable medical device is provided that comprises a housing, sensors configured to be located to proximate a heart, and a sensing module to sense cardiac signals originating from the heart over a channel defined by the sensors. The cardiac signals include intrinsic R-wave events and associated intrinsic confirmation events when the heart exhibits normal sinus rhythm. The device further includes memory to store the cardiac signals sensed over a channel, and a detection module. The detection module identifies an R-wave event within the cardiac signals. The detection module captures, in the memory, a segment of the cardiac signals that precedes the R-wave event as a retrospective segment. The detection module determines whether the retrospective segment includes an intrinsic confirmation event that is associated with and occurs before the R-wave event. The detection module declares an arrhythmia based at least in part on the determination of whether the retrospective segment includes the intrinsic confirmation event is absent from the retrospective segment.

    摘要翻译： 提供了一种植入式医疗装置，其包括壳体，被配置为邻近心脏定位的传感器，以及感测模块，用于感测通过由传感器限定的通道的来自心脏的心脏信号。 当心脏呈现正常窦性心律时，心脏信号包括固有的R波事件和相关的固有确认事件。 该装置还包括用于存储通过信道感测的心脏信号的存储器和检测模块。 检测模块识别心脏信号内的R波事件。 检测模块在存储器中捕获在作为回顾段的R波事件之前的心脏信号的一部分。 检测模块确定回溯段是否包括与R波事件相关联并发生的固有确认事件。 检测模块至少部分地基于回顾段中是否包含内在确认事件的确定来声明心律失常。