公开(公告)号：US20060241703A1

公开(公告)日：2006-10-26

申请号：US11113827

申请日：2005-04-25

申请人： Jiang Ding ,  Yinghong Yu ,  Milton Morris

发明人： Jiang Ding ,  Yinghong Yu ,  Milton Morris

IPC分类号： A61N1/362

CPC分类号： A61N1/36528 ,  A61N1/3627 ,  A61N1/3682 ,  A61N1/3684

摘要： A system and method for identifying patients with asynchronous ventricular contractions due to abnormal electro-mechanical coupling and computing optimal pacing parameters for restoring synchronous contractions is disclosed. Such patients may have normal intra-ventricular and inter-ventricular conduction and cannot be identified from intrinsic conduction data alone such as QRS width. Techniques for computing optimal resynchronization pacing in order to compensate for abnormal electro-mechanical coupling are also described.

公开(公告)号：US20060047320A1

公开(公告)日：2006-03-02

申请号：US11206394

申请日：2005-08-18

申请人： Jiang Ding ,  Yinghong Yu ,  Milton Morris

发明人： Jiang Ding ,  Yinghong Yu ,  Milton Morris

IPC分类号： A61N1/36

CPC分类号： A61N1/36585 ,  A61N1/3627 ,  A61N1/3682 ,  A61N1/3684

摘要： A pacing system computes optimal cardiac resynchronization pacing parameters using intrinsic conduction intervals. In various embodiments, values for atrio-ventricular delay intervals are each computed as a function of an intrinsic atrio-ventricular interval and a parameter reflective of an interventricular conduction delay. Examples of the parameter reflective of the interventricular conduction delay include QRS width and interval between right and left ventricular senses.

公开(公告)号：US20050137632A1

公开(公告)日：2005-06-23

申请号：US10744944

申请日：2003-12-22

申请人： Jiang Ding ,  Yinghong Yu ,  Milton Morris

发明人： Jiang Ding ,  Yinghong Yu ,  Milton Morris

IPC分类号： A61N1/362 ,  A61N1/368

CPC分类号： A61N1/36585 ,  A61N1/3627 ,  A61N1/3682 ,  A61N1/3684

摘要： A method is presented by which an implantable cardiac rhythm management device may vary the atrio-ventricular delay or AVD interval used for delivering cardiac resynchronization therapy in an atrial tracking or AV sequential pacing mode in accordance with the sensed or paced atrial rate. Optimal values for the AVD parameter associated with a particular atrial rate are computed as linear functions of an intrinsic conduction measurement taken when the particular rate is present.

摘要翻译： 提出了一种方法，通过该方法，可植入的心律管理装置可以根据感测或起搏的心房率改变用于在心房跟踪或AV顺序起搏模式中递送心脏再同步治疗的心房延迟或AVD间隔。 与特定心房率相关联的AVD参数的最佳值被计算为当存在特定速率时进行的本征传导测量的线性函数。

公开(公告)号：US20060041279A1

公开(公告)日：2006-02-23

申请号：US11113809

申请日：2005-04-25

申请人： Yinghong Yu ,  Jiang Ding ,  Milton Morris

发明人： Yinghong Yu ,  Jiang Ding ,  Milton Morris

IPC分类号： A61N1/362

CPC分类号： A61N1/3627 ,  A61N1/3682 ,  A61N1/3684

摘要： A method and system for identifying and assessing inter-atrial conduction delays in patients is disclosed. Patients who are so identified and are also in need of ventricular resynchronization therapy may then be treated with left atrial pacing and ventricular resynchronization pacing. Certain patients may alternatively be treated with ventricular resynchronization therapy delivered with a conservatively selected atrio-ventricular delay interval and without left atrial pacing.

摘要翻译： 公开了一种用于识别和评估患者心房间传导延迟的方法和系统。 那些如此确定并且也需要心室再同步治疗的患者然后可以用左心房起搏和心室再同步起搏治疗。 某些患者可以替代地以具有保守选择的心房延迟间隔并且没有左心房起搏的心室再同步治疗进行治疗。

公开(公告)号：US06904319B2

公开(公告)日：2005-06-07

申请号：US09827775

申请日：2001-04-06

申请人： Gary Seim ,  Lynn Elliott ,  Milton Morris

发明人： Gary Seim ,  Lynn Elliott ,  Milton Morris

IPC分类号： A61N1/362 ,  A61N1/18

CPC分类号： A61N1/3622

摘要： A system and method provides for inhibiting delivery of atrial therapy under certain conditions. Inhibiting delivery of atrial therapy involves developing atrial intervals and ventricular intervals from sensed atrial and ventricular events, respectively. An average atrial rate and an average ventricular rate is developed from a predetermined number of the atrial and ventricular intervals, respectively. Delivery of atrial therapy is inhibited if the average atrial rate fails to exceed the average ventricular rate by at least a predetermined factor.

摘要翻译： 一种系统和方法提供在某些条件下抑制心房治疗的递送。 抑制心房治疗的交付包括分别从感觉到的心房和心室事件发展心房间隔和心室间隔。 平均心房率和平均心室率分别从预定数量的心房和心室间隔发展。 如果平均心房率不能超过平均心室率至少一个预定的因素，就可以抑制心房治疗的传递。

公开(公告)号：US20060058849A1

公开(公告)日：2006-03-16

申请号：US11266955

申请日：2005-11-04

申请人： Victor Chen ,  David Wood ,  Milton Morris

发明人： Victor Chen ,  David Wood ,  Milton Morris

IPC分类号： A61N1/362

CPC分类号： A61N1/3622

摘要： A system and method which employs atrial discrimination algorithms to distinguish between different atrial arrhythmias occurring in a patient for selecting an optimal pacing therapy corresponding to the type of arrhythmia identified. In response to the detection of an atrial rate above the atrial tracking rate, discrimination criteria are applied to a detected atrial activity signal to distinguish between different types of supraventricular tachycardia, such as fast atrial flutter and other atrial flutter at a relatively slower rate, which may be occurring in the patient. The pacer is controlled to provide pacing therapy to a heart in a manner corresponding to the type of supraventricular tachycardia identified. The output of an atrial discrimination algorithm may be tracked and the trend thereof used to improve therapy timing. Various embodiments are disclosed herein.

摘要翻译： 一种使用心房辨别算法来区分患者发生的不同心房心律不齐的系统和方法，用于选择对应于确定的心律失常类型的最佳起搏治疗。 响应于心房率高于心房跟踪率的检测，将鉴别标准应用于检测到的心房活动信号，以区别不同类型的室上性心动过速，例如以较慢速率的快速心房扑动和其他心房扑动，其中 可能发生在患者身上。 控制起搏器以对应于所鉴定的室上性心动过速类型的方式向心脏提供起搏治疗。 可以跟踪心房辨别算法的输出，并且其趋势用于改善治疗时机。 本文公开了各种实施例。

公开(公告)号：US20050230066A1

公开(公告)日：2005-10-20

申请号：US11096560

申请日：2005-04-01

申请人： Milton Morris

发明人： Milton Morris

IPC分类号： E04B9/30 ,  E06B3/80

CPC分类号： E04B9/303 ,  B44C1/10 ,  B44D3/185 ,  E04B2009/0492 ,  E04F13/005

摘要： A track assembly for supporting fabric on a surface includes a base track defining a first half of a hinge and a first half of a snapping clamp. The base track preferably includes a tension force dissipater extending from the first half of the hinge. An upper track defines a second half of the hinge and is pivotally connectable to the base track. The upper track defines a second half of the snapping clamp for releasably engaging the fabric. The upper track includes a strut extended downwardly towards the base track such that when high tension forces are applied to the upper track, due to fabric tensioning, the strut contacts the base track and at least partially transmits the tension forces to the surface.

摘要翻译： 用于在表面上支撑织物的轨道组件包括限定铰链的前半部分和卡扣夹具的前半部分的基部轨道。 基部轨道优选地包括从铰链的第一半部延伸的张力消散器。 上轨道限定铰链的第二半部分并且可枢转地连接到基座轨道。 上部轨道限定了用于可释放地接合织物的卡扣夹具的第二半部。 上轨道包括向下延伸到基部轨道的支柱，使得当由于织物张紧而将高拉力施加到上轨道时，支柱接触基部轨道并且至少部分地将张力传递到表面。

公开(公告)号：US20050060000A1

公开(公告)日：2005-03-17

申请号：US10975553

申请日：2004-10-28

申请人： Victor Chen ,  Gary Seim ,  Milton Morris

发明人： Victor Chen ,  Gary Seim ,  Milton Morris

IPC分类号： A61N1/362 ,  A61N1/39

CPC分类号： A61N1/3962 ,  A61N1/3622

摘要： A system and method for providing pacing pulses after a cardioversion/defibrillation shock, where the pacing pulses have a pacing rate at an initial value. The pacing rate is decreased from the initial value until at least one intrinsic cardiac contraction is detected. In one embodiment, the pacing rate is decreased by a set amount after pacing a set number of cardiac cycles. Providing the set number of pacing pulses and decreasing the pacing rate by the set amount is then repeated until at least one intrinsic cardiac contraction is detected. An intrinsic cardiac rate is then determined from the at least one intrinsic cardiac contraction. The pacing rate is then increased and maintained to be above (i.e., greater than) the intrinsic cardiac rate.

摘要翻译： 用于在心脏复律/除颤休克之后提供起搏脉冲的系统和方法，其中起搏脉冲具有初始值的起搏速率。 起搏速率从初始值降低到检测到至少一个固有心脏收缩。 在一个实施例中，起搏速率在起搏设定数量的心动周期后降低设定量。 然后重复提供设定数量的起搏脉冲并将起搏速率降低设定量，直到检测到至少一个固有心脏收缩。 然后从至少一个固有心脏收缩确定固有心率。 然后起搏速率增加并保持在高于（即大于）本征心率。