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1.发明授权Method and apparatus for generating a template for arrhythmia detection and electrogram morphology classification 有权用于产生心律失常检测和电描记图形态分类的模板的方法和装置公开(公告)号：US07826893B2
公开(公告)日：2010-11-02
申请号：US11757495
申请日：2007-06-04
申请人： Jian Cao , Jeffrey M. Gillberg , Chris J. Gennaro
发明人： Jian Cao , Jeffrey M. Gillberg , Chris J. Gennaro
IPC分类号： A61B5/04 , A61B5/0472
CPC分类号： A61B5/7264 , A61B5/04525 , A61B5/0464 , A61B5/726 , A61N1/3622 , A61N1/3956
摘要： An implantable medical device and associated method for automatically generating morphology templates during fast cardiac rhythms, confirming a provisional template as a confirmed template, and using the confirmed template to classify subsequent detected arrhythmias. A provisional SVT template may be created during a fast ventricular rate and activated as a confirmed SVT template upon verification that the fast rate was due to an SVT. The confirmed SVT template may be used to discriminate SVT from VT/VF.
摘要翻译： 一种用于在快速心脏节律期间自动生成形态学模板的可植入医疗装置和相关联的方法，确认临时模板作为确认的模板，并使用确认的模板来分类随后检测的心律失常。 可以在快速心室率期间创建临时SVT模板，并且在验证快速率是由于SVT引起的情况下被激活为确认的SVT模板。 可以使用确认的SVT模板来区分SVT与VT / VF。
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2.发明授权Method and apparatus for generating a template for arrhythmia detection and electrogram morphology classification 有权用于产生心律失常检测和电描记图形态分类的模板的方法和装置公开(公告)号：US07242978B2
公开(公告)日：2007-07-10
申请号：US11002482
申请日：2004-12-02
申请人： Jian Cao , Jeffrey M. Gillberg , Chris J. Gennaro
发明人： Jian Cao , Jeffrey M. Gillberg , Chris J. Gennaro
CPC分类号： A61B5/7264 , A61B5/04525 , A61B5/0464 , A61B5/726 , A61N1/3622 , A61N1/3956
摘要： An implantable medical device and associated method for automatically generating morphology templates during fast cardiac rhythms, confirming a provisional template as a confirmed template, and using the confirmed template to classify subsequent detected arrhythmias. A provisional SVT template may be created during a fast ventricular rate and activated as a confirmed SVT template upon verification that the fast rate was due to an SVT. The confirmed SVT template may be used to discriminate SVT from VT/VF.
摘要翻译： 一种用于在快速心脏节律期间自动生成形态学模板的可植入医疗装置和相关联的方法，确认临时模板作为确认的模板，并使用确认的模板来分类随后检测的心律失常。 可以在快速心室率期间创建临时SVT模板，并且在验证快速率是由于SVT引起的情况下被激活为确认的SVT模板。 可以使用确认的SVT模板来区分SVT与VT / VF。
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3.发明申请公开(公告)号：US20120004515A1
公开(公告)日：2012-01-05
申请号：US12826880
申请日：2010-06-30
申请人： Jian Cao , Jeffrey M. Gillberg
发明人： Jian Cao , Jeffrey M. Gillberg
CPC分类号： A61N1/3704 , A61B5/7203 , A61N1/3962
摘要： An implantable medical device uses an implantable sensor for acquiring a physiological signal that is received by a digital signal processor. The digital signal processor is a multi-channel signal processor including a first signal processing channel having a first sensitivity for sensing the physiological signal and a second signal processing channel having a second sensitivity different than the first sensitivity for sensing the physiological signal.
摘要翻译： 可植入医疗装置使用可植入传感器来获取由数字信号处理器接收的生理信号。 数字信号处理器是包括具有用于感测生理信号的第一灵敏度的第一信号处理通道和具有与用于感测生理信号的第一灵敏度不同的第二灵敏度的第二信号处理通道的多通道信号处理器。
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公开(公告)号：US08064996B2
公开(公告)日：2011-11-22
申请号：US11866700
申请日：2007-10-03
IPC分类号： A61N1/39
CPC分类号： A61N1/3987 , A61N1/385 , A61N1/3943 , A61N1/3962
摘要： A method and apparatus for determining a T-wave shock interval sense a cardiac electrogram (EGM) signal comprising a T-wave signal. A T-wave center is determined from the EGM signal, and a T-wave shock interval is determined in response to determining the T-wave center. A T-wave shock is delivered at the T-wave shock interval computed based on the T-wave center.
摘要翻译： 一种用于确定T波冲击间隔的方法和装置，其感测包括T波信号的心电图（EGM）信号。 从EGM信号确定T波中心，并且响应于确定T波中心来确定T波冲击间隔。 在基于T波中心计算出的T波冲击时间间隔内传递T波冲击。
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公开(公告)号：US20080082014A1
公开(公告)日：2008-04-03
申请号：US11537171
申请日：2006-09-29
IPC分类号： A61B5/04
CPC分类号： A61B5/0452 , A61B5/7225 , A61B5/7264 , A61N1/3704
摘要： An implantable medical device system and method detect oversensing of cardiac signals. A cardiac signal including first events and second events is acquired. Cardiac events are sensed in response to the cardiac signal crossing a first threshold. A filtered cardiac signal is determined from the sensed cardiac signal, and a second threshold is determined from the filtered cardiac signal. A sensed cardiac event is classified either as a first event when the sensed cardiac event corresponds to a filtered cardiac signal peak crossing the second threshold or a second event when the sensed cardiac event corresponds to a filtered cardiac signal peak being less than the second threshold. Classification of sensed cardiac events as second events is used in determining oversensing.
摘要翻译： 可植入医疗装置系统和方法检测心脏信号的过度感知。 获取包括第一事件和第二事件的心脏信号。 响应于穿过第一阈值的心脏信号感测心脏事件。 从感测到的心脏信号确定滤波的心脏信号，并且从滤波的心脏信号确定第二阈值。 感测的心脏事件被分类为当感测的心脏事件对应于穿过第二阈值的经滤波的心脏信号峰值时的第一事件或当感测到的心脏事件对应于小于第二阈值的经过滤的心脏信号峰值时的第二事件。 感测心脏事件作为第二次事件的分类用于确定过敏。
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6.发明授权公开(公告)号：US07729754B2
公开(公告)日：2010-06-01
申请号：US11554323
申请日：2006-10-30
申请人： Jian Cao , Jeffrey M. Gillberg , Troy E. Jackson , Mark L. Brown
发明人： Jian Cao , Jeffrey M. Gillberg , Troy E. Jackson , Mark L. Brown
IPC分类号： A61B5/04
CPC分类号： A61B5/0464 , A61B5/7264 , A61N1/3621 , A61N1/3624 , A61N1/395 , A61N1/3956
摘要： Ventricular arrhythmias are monitored and classified based upon various criteria. One criterion is PR dissociation which is determined by comparing the PR interval in a current RR cycle to a median PR value. If the current PR interval varies too far from the median, then dissociation is indicated. Often, there are multiple atrial events in a given RR interval and the PR value has been based upon the last atrial event in the cycle. An algorithm determines whether to use the last atrial event in a cycle or whether an earlier atrial event occurred and would provide a more accurate PR value.
摘要翻译： 根据各种标准监测和分类室性心律失常。 一个标准是PR解离，其通过将当前RR周期中的PR间隔与中值PR值进行比较来确定。 如果当前PR间隔与中位数变化太远，则表示解离。 通常，在给定的RR间期内存在多个心房事件，并且PR值基于该周期中的最后心房事件。 算法确定是否在一个周期中使用最后一次心房事件，或者是否发生较早的心房事件，并提供更准确的PR值。
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公开(公告)号：US07831304B2
公开(公告)日：2010-11-09
申请号：US11537171
申请日：2006-09-29
IPC分类号： A61N1/36
CPC分类号： A61B5/0452 , A61B5/7225 , A61B5/7264 , A61N1/3704
摘要： An implantable medical device system and method detect oversensing of cardiac signals. A cardiac signal including first events and second events is acquired. Cardiac events are sensed in response to the cardiac signal crossing a first threshold. A filtered cardiac signal is determined from the sensed cardiac signal, and a second threshold is determined from the filtered cardiac signal. A sensed cardiac event is classified either as a first event when the sensed cardiac event corresponds to a filtered cardiac signal peak crossing the second threshold or a second event when the sensed cardiac event corresponds to a filtered cardiac signal peak being less than the second threshold. Classification of sensed cardiac events as second events is used in determining oversensing.
摘要翻译： 可植入医疗装置系统和方法检测心脏信号的过度感知。 获取包括第一事件和第二事件的心脏信号。 响应于穿过第一阈值的心脏信号感测心脏事件。 从感测到的心脏信号确定滤波的心脏信号，并且从滤波的心脏信号确定第二阈值。 感测的心脏事件被分类为当感测的心脏事件对应于穿过第二阈值的经滤波的心脏信号峰值时的第一事件或当感测的心脏事件对应于小于第二阈值的滤波心脏信号峰值时的第二事件。 将感测到的心脏事件作为第二事件的分类用于确定过敏。
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公开(公告)号：US07706869B2
公开(公告)日：2010-04-27
申请号：US10826618
申请日：2004-04-16
申请人： Jian Cao , Jeffrey M. Gillberg
发明人： Jian Cao , Jeffrey M. Gillberg
IPC分类号： A61N1/365
CPC分类号： A61N1/3622 , A61B5/02405 , A61B5/0456 , A61N1/3702
摘要： A method and device for generating a template that includes identifying events of a plurality of sensed events having predetermined characteristics as first selected events and generating the template from the first selected events. Events of the plurality of events having the predetermined characteristics are identified as second selected events, and a determination is made as to whether the template is valid in response to the second selected events. The template is updated from the second selected events in response to the template not being valid.
摘要翻译： 一种用于生成模板的方法和装置，包括将具有预定特征的多个感测事件的事件识别为第一选定事件，并从第一选定事件生成模板。 具有预定特性的多个事件的事件被识别为第二选定事件，并且确定该模板是否响应于第二选定事件而有效。 响应于模板无效，从第二个选定的事件更新模板。
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公开(公告)号：US20090093860A1
公开(公告)日：2009-04-09
申请号：US11866700
申请日：2007-10-03
IPC分类号： A61N1/365
CPC分类号： A61N1/3987 , A61N1/385 , A61N1/3943 , A61N1/3962
摘要： A method and apparatus for determining a T-wave shock interval sense a cardiac electrogram (EGM) signal comprising a T-wave signal. A T-wave center is determined from the EGM signal, and a T-wave shock interval is determined in response to determining the T-wave center. A T-wave shock is delivered at the T-wave shock interval computed based on the T-wave center.
摘要翻译： 一种用于确定T波冲击间隔的方法和装置，其感测包括T波信号的心电图（EGM）信号。 从EGM信号确定T波中心，并且响应于确定T波中心来确定T波冲击间隔。 在基于T波中心计算出的T波冲击时间间隔内传递T波冲击。
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公开(公告)号：US07062315B2
公开(公告)日：2006-06-13
申请号：US10132773
申请日：2002-04-25
申请人： Lev A. Koyrakh , Eugene Davydov , Jeffrey M. Gillberg , Jian Cao
发明人： Lev A. Koyrakh , Eugene Davydov , Jeffrey M. Gillberg , Jian Cao
IPC分类号： A61B5/04
CPC分类号： A61B5/04525 , A61B5/0464 , A61N1/3622 , A61N1/3962
摘要： A method of generating a template in an implantable medical device for implantation within a patient, and a processor readable medium for performing the method, that includes generating a template from collected events corresponding to the patient, delaying the generation of the template for a first predetermined time period in response to the template not being generated within a predetermined number of collected events, determining whether the template is valid, and monitoring the template to determine whether the template is an accurate representation of the patient.
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