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公开(公告)号：US08868166B2
公开(公告)日：2014-10-21
申请号：US13455131
申请日：2012-04-25
IPC分类号： A61N5/04 , A61B5/00 , A61B5/0452 , A61N1/05 , A61B5/0464 , A61B5/046
CPC分类号： A61N1/05 , A61B5/0452 , A61B5/046 , A61B5/0464 , A61B5/721
摘要： Implantable electromedical device or loop recorders or ILRs that solve the problem of very low arrhythmia detection specificities in, i.e., high number of false positives, based on detection and analysis of external noise, specifically muscle noise surrounding the electromedical device. Embodiments generally employ active detection of lead or device movement that induces signal artifacts indicative of external noise. One or more embodiments may detect lead or device movement through use of a piezoelectric transducer, for example located proximally to the device or in the lead of the electromedical.
摘要翻译： 基于外部噪声的检测和分析，特别是电动医疗装置周围的肌肉噪声，可植入的电疗装置或回路记录器或ILR，其解决非常低的心律失常检测特性（即，高数量的假阳性）的问题。 实施例通常采用引导或器件移动的主动检测，其引起指示外部噪声的信号伪影。 一个或多个实施例可以通过使用压电换能器来检测引线或器件的移动，例如位于设备的近侧或电子医疗的引线。
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2.发明授权Implantable apparatus for detection of external noise using motion sensor signal 有权用于使用运动传感器信号检测外部噪声的可植入装置公开(公告)号：US08849425B2
公开(公告)日：2014-09-30
申请号：US13455136
申请日：2012-04-25
CPC分类号： A61N1/0504 , A61B5/02405 , A61B5/0452 , A61B5/11 , A61B5/686 , A61B5/6867 , A61B5/721 , A61B2562/0219
摘要： Detects external noise using a motion sensor signal for example to increase the specificity of arrhythmia detections based on active muscle noise detection. Whenever a motion signal is present that is below or above a certain frequency, for example 5 Hz, or within a certain frequency range, for example 1 to 10 Hz, and/or above a certain amplitude, for example greater than 1 mg, or close to a known motion pattern, then the detection of fast ventricular arrhythmia is suspended. For the detection of slow arrhythmia, for example asystole or syncope, an episode is confirmed when a short lasting motion sensor signal occurs. Uses a motion sensor based signal, for example as obtained from an accelerometer on an implantable electrode lead and/or implantable device.
摘要翻译： 使用运动传感器信号检测外部噪声，例如以增加基于主动肌肉噪声检测的心律失常检测的特异性。 每当存在低于或高于某一频率（例如5Hz）或在一定频率范围内（例如1至10Hz）和/或高于某一幅度（例如大于1mg）的运动信号时，或 接近已知的运动模式，然后暂停检测快速心室心律失常。 为了检测慢性心律不齐，例如心搏停止或晕厥，当发生短暂的持续运动传感器信号时，确认发作。 使用基于运动传感器的信号，例如从可植入电极引线和/或可植入装置上的加速度计获得。
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公开(公告)号：US20120283589A1
公开(公告)日：2012-11-08
申请号：US13455131
申请日：2012-04-25
IPC分类号： A61B5/0452
CPC分类号： A61N1/05 , A61B5/0452 , A61B5/046 , A61B5/0464 , A61B5/721
摘要： Implantable electromedical device or loop recorders or ILRs that solve the problem of very low arrhythmia detection specificities in, i.e., high number of false positives, based on detection and analysis of external noise, specifically muscle noise surrounding the electromedical device. Embodiments generally employ active detection of lead or device movement that induces signal artifacts indicative of external noise. One or more embodiments may detect lead or device movement through use of a piezoelectric transducer, for example located proximally to the device or in the lead of the electromedical.
摘要翻译： 基于外部噪声的检测和分析，特别是电动医疗装置周围的肌肉噪声，可植入的电疗装置或回路记录器或ILR，其解决非常低的心律失常检测特性（即，高数量的假阳性）的问题。 实施例通常采用引导或器件移动的主动检测，其引起指示外部噪声的信号伪影。 一个或多个实施例可以通过使用压电换能器来检测引线或器件的移动，例如位于设备的近侧或电子医疗的引线。
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4.发明申请IMPLANTABLE APPARATUS FOR DETECTION OF EXTERNAL NOISE USING MOTION SENSOR SIGNAL 有权用于使用运动传感器信号检测外部噪声的可伸缩装置公开(公告)号：US20120283544A1
公开(公告)日：2012-11-08
申请号：US13455136
申请日：2012-04-25
IPC分类号： A61B5/0205 , A61N1/00 , A61B5/11 , A61B5/0432 , A61B5/0452 , A61B5/0456
CPC分类号： A61N1/0504 , A61B5/02405 , A61B5/0452 , A61B5/11 , A61B5/686 , A61B5/6867 , A61B5/721 , A61B2562/0219
摘要： Detects external noise using a motion sensor signal for example to increase the specificity of arrhythmia detections based on active muscle noise detection. Whenever a motion signal is present that is below or above a certain frequency, for example 5 Hz, or within a certain frequency range, for example 1 to 10 Hz, and/or above a certain amplitude, for example greater than 1 mg, or close to a known motion pattern, then the detection of fast ventricular arrhythmia is suspended. For the detection of slow arrhythmia, for example asystole or syncope, an episode is confirmed when a short lasting motion sensor signal occurs. Uses a motion sensor based signal, for example as obtained from an accelerometer on an implantable electrode lead and/or implantable device.
摘要翻译： 使用运动传感器信号检测外部噪声，例如以增加基于主动肌肉噪声检测的心律失常检测的特异性。 每当存在低于或高于某一频率（例如5Hz）或在一定频率范围内（例如1至10Hz）和/或高于某一幅度（例如大于1mg）的运动信号时，或 接近已知的运动模式，然后暂停检测快速心室心律失常。 为了检测慢性心律不齐，例如心搏停止或晕厥，当发生短暂的持续运动传感器信号时，确认发作。 使用基于运动传感器的信号，例如从可植入电极引线和/或可植入装置上的加速度计获得。
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公开(公告)号：US08489205B2
公开(公告)日：2013-07-16
申请号：US13455137
申请日：2012-04-25
申请人： Larry Stotts , Dirk Muessig
发明人： Larry Stotts , Dirk Muessig
IPC分类号： A61N1/05
CPC分类号： A61N1/37205 , A61N1/057
摘要： A medical fixation system for temporary fixation of an implantable medical device such as a short lead pacemaker outside of the heart in a larger blood vessel such as the superior or inferior vena cava. The fixation mechanism or element is temporary in nature in that the fixation holds the implantable medical device in place until the implantable medical device is grown in to the wall of the vessel and the short lead attached to the implantable medical device and implanted in the heart is grown in. The cell tissue surrounding the implantable medical device and the short lead then keeps the implantable medical device in place without the temporary fixation element.
摘要翻译： 一种医用固定系统，用于在较大的血管（例如上腔静脉或下腔静脉）中临时固定诸如心脏外部的短引线起搏器的可植入医疗装置。 固定机构或元件本质上是临时的，因为固定将植入式医疗装置保持在适当位置，直到可植入医疗装置生长到容器的壁中，并且连接到可植入医疗装置并植入心脏的短引线是 围绕可植入医疗装置的细胞组织和短引线然后将可植入医疗装置保持在适当的位置，而不需要临时固定元件。
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