公开(公告)号：US20060025834A1

公开(公告)日：2006-02-02

申请号：US11244273

申请日：2005-10-05

申请人： Jeffrey Von Arx ,  David Yonce ,  Scott Mazar ,  Karen Lent ,  Thomas Harris

发明人： Jeffrey Von Arx ,  David Yonce ,  Scott Mazar ,  Karen Lent ,  Thomas Harris

IPC分类号： A61N1/08

CPC分类号： A61N1/37 ,  A61N1/08 ,  A61N1/37223 ,  A61N1/37276 ,  A61N1/3925 ,  A61N1/3962 ,  G06F19/00 ,  G06F19/3418

摘要： An implantable medical device includes a radio-frequency (RF) telemetry circuit connected to an energy source through a power connection module to obtain power when a user initiates an RF telemetry session. After the session is completed, the power connection module shuts off the at least one portion of the RF telemetry circuit. Power-on examples include a wireless telemetry activation signal received by a low power radio receiver in the implantable device, a physical motion detected by an activity sensor therein, an activation of an inductive telemetry circuit therein, a magnetic field detected by a magnetic field detector therein, and/or a telemetry activation signal detected by a sensing circuit included therein. Power-off examples include a wireless termination signal received by the implantable device, a delay timeout after the session, and/or a signal received by an inductive telemetry circuit in the implantable device.

摘要翻译： 可植入医疗装置包括通过电力连接模块连接到能量源的射频（RF）遥测电路，以在用户发起RF遥测会话时获得电力。 会话完成后，电源连接模块关闭RF遥测电路的至少一部分。 上电示例包括由可植入装置中的低功率无线电接收器接收的无线遥测激活信号，由其中的活动传感器检测到的物理运动，其中的感应遥测电路的激活，由磁场检测器检测的磁场 和/或由其中包括的感测电路检测到的遥测激活信号。 断电示例包括由可植入装置接收的无线终端信号，会话之后的延迟超时和/或由可植入装置中的感应遥测电路接收的信号。

公开(公告)号：US08789484B2

公开(公告)日：2014-07-29

申请号：US13404768

申请日：2012-02-24

申请人： Clint Donaldson ,  David Yonce

发明人： Clint Donaldson ,  David Yonce

IPC分类号： B63B35/73

CPC分类号： B63H21/17 ,  B63B35/731 ,  B63B2007/003 ,  B63B2035/738 ,  B63H20/007 ,  B63H2005/1256

摘要： A personal watercraft has a saddle with a seating surface, first and second opposite sides, and front and back ends. A pair of footing surfaces proceed from proximate lower edges of first and second opposite sides. A front recess is defined in the front end and has upper and lower portions that extend further away from the saddle than a medial portion. A back recess is defined in the back end and has upper and lower portions that extend further away from the saddle than a medial portion. The front and back recesses are configured to secure an inflatable body that substantially surrounds the saddle with the footing surfaces at least partially exposed.

摘要翻译： 个人船舶具有带座位表面的鞍座，第一和第二相对侧以及前端和后端。 一对基面从第一和第二相对侧的近边缘进入。 前凹部限定在前端，并且具有比中间部分更远离鞍座的上部和下部。 后凹部限定在后端，并且具有比中间部分更远离鞍座的上部和下部。 前部和后部凹部构造成固定基本上围绕鞍座的可充气体，基部表面至少部分暴露。

公开(公告)号：US20060287681A1

公开(公告)日：2006-12-21

申请号：US11157244

申请日：2005-06-21

申请人： David Yonce ,  Scott Meyer ,  David Ternes

发明人： David Yonce ,  Scott Meyer ,  David Ternes

IPC分类号： A61N1/39

CPC分类号： A61N1/3962 ,  A61B5/04525 ,  A61N1/3712 ,  A61N1/3943

摘要： Systems and methods of managing features or functions of an implantable cardiac device involve forming a baseline evoked response template prior to delivery of defibrillation therapy to a patient's heart, and acquiring a post-shock evoked response signal subsequent to defibrillation therapy delivery. The baseline evoked response template is compared to the post-shock evoked response signal. A determination is made whether to enable, disable or adjust a cardiac device feature based on the comparison. The cardiac device feature may be a therapy feature, a monitoring feature, or a diagnostic feature.

公开(公告)号：US20050149134A1

公开(公告)日：2005-07-07

申请号：US10746855

申请日：2003-12-24

申请人： Aaron McCabe ,  David Yonce

发明人： Aaron McCabe ,  David Yonce

IPC分类号： A61N1/37 ,  A61N1/362

CPC分类号： A61N1/3704 ,  Y10S128/923

摘要： An implantable cardiac rhythm management device is configured to remove pacing artifacts from recorded electrograms by a subtraction method. A template waveform representing a recorded pace without accompanying cardiac electrical activity is generated. Such a pacing pulse template is then aligned with the instant at which a pace is delivered and subtracted from the recorded electrogram in order to remove the pacing artifact.

摘要翻译： 植入式心律管理装置被配置为通过减法方法从记录的电描记图中去除起搏伪影。 产生表示没有伴随心脏电活动的记录速度的模板波形。 然后将这样的起搏脉冲模板与速度被传送的时刻对准，并从所记录的电描记图中减去，以便去除起搏假象。

公开(公告)号：US20070219593A1

公开(公告)日：2007-09-20

申请号：US11754496

申请日：2007-05-29

申请人： David Yonce ,  David Ternes

发明人： David Yonce ,  David Ternes

IPC分类号： A61N1/37

CPC分类号： A61B5/7264 ,  A61B5/04525 ,  A61B5/7203 ,  A61N1/3627 ,  A61N1/3682 ,  A61N1/3684 ,  A61N1/3712

摘要： An apparatus and method for verifying capture by first and second pacing pulses in which an evoked response waveform recorded during a pacing event is compared with template waveforms representing capture by the first, second, and both pacing pulses. The evoked response is then classified as representing a type of capture represented by a template waveform if the evoked response waveform highly correlates with one template waveform and has correlation values with the other template waveforms within specified bounds.

摘要翻译： 用于通过第一和第二起搏脉冲来验证捕获的装置和方法，其中在起搏事件期间记录的诱发响应波形与表示由第一，第二和两个起搏脉冲捕获的模板波形进行比较。 如果诱发响应波形与一个模板波形高度相关，并将诱发响应分类为表示由模板波形表示的捕获类型，并且与指定范围内的其他模板波形具有相关值。

公开(公告)号：US20060287685A1

公开(公告)日：2006-12-21

申请号：US11157426

申请日：2005-06-21

申请人： Scott Meyer ,  David Yonce ,  David Ternes

发明人： Scott Meyer ,  David Yonce ,  David Ternes

IPC分类号： A61N1/362

CPC分类号： A61N1/368 ,  A61N1/3684 ,  A61N1/3712

摘要： Methods and systems involve multi-chamber cardiac capture detection utilizing sensing during a cross-chamber refractory period. First and second pacing pulses are delivered to first and second heart chamber. Capture or non-capture of the second heart chamber is determined. Sensing in the first heart chamber is performed to sense for cross-chamber propagation initiated by the second pacing pulse. Capture of the first chamber is detected if capture of the second heart chamber is detected and if the cross-chamber propagation is not detected.

公开(公告)号：US20060095083A1

公开(公告)日：2006-05-04

申请号：US10975166

申请日：2004-10-28

申请人： Yi Zhang ,  Aaron McCabe ,  David Yonce ,  Julie Thompson

发明人： Yi Zhang ,  Aaron McCabe ,  David Yonce ,  Julie Thompson

IPC分类号： A61N1/362

CPC分类号： A61N1/3956 ,  A61B5/0422 ,  A61B5/0452 ,  A61B5/686 ,  A61N1/3622 ,  A61N1/3706 ,  A61N1/3712 ,  A61N1/3756 ,  A61N1/3925 ,  A61N2001/083

摘要： A CRM system enhances intracardiac electrogram-based arrhythmia detection using a wireless electrocardiogram (ECG), which is a signal sensed with implantable electrodes and approximating a surface ECG. In one embodiment, an intracardiac electrogram allows for detection of an arrhythmia, and the wireless ECG allows for classification of the detected arrhythmia by locating its origin. In another embodiment, the wireless ECG is sensed as a substitute signal for the intracardiac electrogram when the sensing of the intracardiac electrogram becomes unreliable. In another embodiment, a cardiac signal needed for a particular purpose is selected from one or more intracardiac electrograms and one or more wireless ECGs based on a desirable signal quality. In another embodiment, intracardiac electrogram-based arrhythmia detection and wireless ECG-based arrhythmia detection confirm with each other before indicating a detection of arrhythmia of a certain type.

摘要翻译： CRM系统使用无线心电图（ECG）来增强基于心脏电图的心律失常检测，无线心电图（ECG）是用可植入电极感测并近似表面ECG的信号。 在一个实施例中，心内电描记图允许检测心律失常，并且无线ECG允许通过定位其起点来分类检测到的心律失常。 在另一个实施例中，当心脏电图的感测变得不可靠时，无线ECG被感测为心内电描记图的替代信号。 在另一个实施例中，基于期望的信号质量，从一个或多个心内电描记图和一个或多个无线ECG选择特定目的所需的心脏信号。 在另一个实施例中，基于心脏电图的心律失常检测和基于无线ECG的心律失常检测在指示某种类型的心律失常的检测之前相互确认。

公开(公告)号：US20070219594A1

公开(公告)日：2007-09-20

申请号：US11752385

申请日：2007-05-23

申请人： David Yonce ,  Luke Babler

发明人： David Yonce ,  Luke Babler

IPC分类号： A61N1/16

CPC分类号： A61N1/37 ,  A61N1/3718

摘要： A method and system for the detection of electromagnetic interference is disclosed in which a telemetry coil or other magnetic sensor is used to detect a magnetic signal. If a magnetic signal is determined to be a non-telemetry signal and is time-correlated with the onset of an increase in heart rate, electromagnetic interference is assumed to be present.

摘要翻译： 公开了一种用于检测电磁干扰的方法和系统，其中使用遥测线圈或其它磁传感器来检测磁信号。 如果磁信号被确定为非遥测信号并且与心率增加的开始时间相关，则假设存在电磁干扰。

公开(公告)号：US20070167849A1

公开(公告)日：2007-07-19

申请号：US11693110

申请日：2007-03-29

申请人： Yi Zhang ,  Aaron McCabe ,  David Yonce ,  Julie Thompson

发明人： Yi Zhang ,  Aaron McCabe ,  David Yonce ,  Julie Thompson

IPC分类号： A61B5/04 ,  A61N1/362

CPC分类号： A61N1/3956 ,  A61B5/0422 ,  A61B5/0452 ,  A61B5/686 ,  A61N1/3622 ,  A61N1/3706 ,  A61N1/3712 ,  A61N1/3756 ,  A61N1/3925 ,  A61N2001/083

摘要： A cardiac rhythm management (CRM) system includes an implantable medical device that senses a wireless electrocardiogram (ECG), which is a signal sensed with implantable electrodes and approximating a surface ECG. In one embodiment, the wireless ECG is sensed as a substitute signal for the intracardiac electrogram when the sensing of the intracardiac electrogram becomes unreliable.

摘要翻译： 心律管理（CRM）系统包括可植入医疗设备，其可感测无线心电图（ECG），其是用可植入电极感测并近似表面ECG的信号。 在一个实施例中，当心脏电图的感测变得不可靠时，无线ECG被感测为心脏电图的替代信号。

公开(公告)号：US20070162082A1

公开(公告)日：2007-07-12

申请号：US11620901

申请日：2007-01-08

申请人： David Ternes ,  David Yonce

发明人： David Ternes ,  David Yonce

IPC分类号： A61N1/362

CPC分类号： A61N1/3712 ,  A61N1/3627 ,  A61N1/3684

摘要： An apparatus and method for verifying capture by a pacing pulse in which a test depolarization waveform recorded during a pacing event is compared with a template waveform representing capture by the pacing pulse. Capture verification in this manner may be used in pacemakers having multiple pacing channels for the atrial and/or ventricles where the multiple paces can interfere with conventional sensing of evoked responses in order to verify capture.

摘要翻译： 用于通过起搏脉冲验证采集脉搏的装置和方法，其中将起搏事件期间记录的测试去极化波形与表示由起搏脉冲捕获的模板波形进行比较。 以这种方式进行的捕获验证可用于具有用于心房和/或心室的多个起搏通道的起搏器，其中多个步骤可能干扰常规感应诱发反应以验证捕获。