公开(公告)号：US20060111759A1

公开(公告)日：2006-05-25

申请号：US10993699

申请日：2004-11-19

申请人： Kenneth Hoyme ,  Alan Smythe ,  Howard Simms ,  Conrad Sowder ,  David Ternes ,  Sylvia Quiles

发明人： Kenneth Hoyme ,  Alan Smythe ,  Howard Simms ,  Conrad Sowder ,  David Ternes ,  Sylvia Quiles

IPC分类号： A61N1/08

CPC分类号： A61N1/37264 ,  A61N1/37211 ,  A61N1/37252

摘要： A system and method for temporary programming of an implantable medical device. The system and method include a repeater uploading temporary programming and instructions to a temporary memory of the device and then instructing the device to operate according to the temporary instructions. If during a first time period, the device is not in continuous periodic communication with the repeater, the device automatically reverts to operation under the normal operating instructions. At the end of the first time period, the caregiver or the patient may decide to revert to the normal programming. During a second time period, the device operates according to the temporary programming unless the caregiver or the patient instructs the device to revert to the normal programming, or the device fails to receive a periodic continuation signal from the repeater. Adverse health affects to the patient may also trigger the device to revert to the normal programming during either the first or second time period.

摘要翻译： 一种用于临时编程可植入医疗装置的系统和方法。 该系统和方法包括中继器将临时编程和指令上传到设备的临时存储器，然后指示设备根据临时指令进行操作。 如果在第一时间段内，设备与中继器不在连续的周期性通信中，则设备根据正常操作指令自动恢复到操作状态。 在第一时间结束时，护理人员或患者可以决定恢复正常的程序设计。 在第二时间段期间，除非照护者或患者指示设备恢复正常编程，否则设备不能接收来自中继器的周期性继续信号，否则根据临时编程操作设备。 不良健康对患者的影响也可能触发设备在第一或第二时间段期间恢复正常编程。

公开(公告)号：US20090076570A1

公开(公告)日：2009-03-19

申请号：US12324744

申请日：2008-11-26

申请人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, JR. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

发明人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, JR. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

IPC分类号： A61N1/36

CPC分类号： A61N1/37264 ,  A61N1/37211 ,  A61N1/37252

摘要： A system and method for temporary programming of an implantable medical device. The system and method include a repeater uploading temporary programming and instructions to a temporary memory of the device and then instructing the device to operate according to the temporary instructions. If during a first time period, the device is not in continuous periodic communication with the repeater, the device automatically reverts to operation under the normal operating instructions. At the end of the first time period, the caregiver or the patient may decide to revert to the normal programming. During a second time period, the device operates according to the temporary programming unless the caregiver or the patient instructs the device to revert to the normal programming, or the device fails to receive a periodic continuation signal from the repeater. Adverse health affects to the patient may also trigger the device to revert to the normal programming during either the first or second time period.

摘要翻译： 一种用于临时编程可植入医疗装置的系统和方法。 该系统和方法包括中继器将临时编程和指令上传到设备的临时存储器，然后指示设备根据临时指令进行操作。 如果在第一时间段内，设备与中继器不在连续的周期性通信中，则设备根据正常操作指令自动恢复到操作状态。 在第一时间结束时，护理人员或患者可以决定恢复正常的程序设计。 在第二时间段期间，除非照护者或患者指示设备恢复正常编程，否则设备不能接收来自中继器的周期性继续信号，否则根据临时编程操作设备。 不良健康对患者的影响也可能触发设备在第一或第二时间段期间恢复正常编程。

公开(公告)号：US07460912B2

公开(公告)日：2008-12-02

申请号：US10993699

申请日：2004-11-19

申请人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

发明人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

IPC分类号： A61N1/362

CPC分类号： A61N1/37264 ,  A61N1/37211 ,  A61N1/37252

摘要： A system and method for temporary programming of an implantable medical device. The system and method include a repeater uploading temporary programming and instructions to a temporary memory of the device and then instructing the device to operate according to the temporary instructions. If during a first time period, the device is not in continuous periodic communication with the repeater, the device automatically reverts to operation under the normal operating instructions. At the end of the first time period, the caregiver or the patient may decide to revert to the normal programming. During a second time period, the device operates according to the temporary programming unless the caregiver or the patient instructs the device to revert to the normal programming, or the device fails to receive a periodic continuation signal from the repeater. Adverse health affects to the patient may also trigger the device to revert to the normal programming during either the first or second time period.

摘要翻译： 一种用于临时编程可植入医疗装置的系统和方法。 该系统和方法包括中继器将临时编程和指令上传到设备的临时存储器，然后指示设备根据临时指令进行操作。 如果在第一时间段内，设备与中继器不在连续的周期性通信中，则设备根据正常操作指令自动恢复到操作状态。 在第一时间结束时，护理人员或患者可以决定恢复正常的程序设计。 在第二时间段期间，除非照护者或患者指示设备恢复正常编程，否则设备不能接收来自中继器的周期性继续信号，否则根据临时编程操作设备。 不良健康对患者的影响也可能触发设备在第一或第二时间段期间恢复正常编程。

公开(公告)号：US08718772B2

公开(公告)日：2014-05-06

申请号：US12324744

申请日：2008-11-26

申请人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

发明人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

IPC分类号： A61N1/362

CPC分类号： A61N1/37264 ,  A61N1/37211 ,  A61N1/37252

摘要： A system and method for temporary programming of an implantable medical device. The system and method include a repeater uploading temporary programming and instructions to a temporary memory of the device and then instructing the device to operate according to the temporary instructions. If during a first time period, the device is not in continuous periodic communication with the repeater, the device automatically reverts to operation under the normal operating instructions. At the end of the first time period, the caregiver or the patient may decide to revert to the normal programming. During a second time period, the device operates according to the temporary programming unless the caregiver or the patient instructs the device to revert to the normal programming, or the device fails to receive a periodic continuation signal from the repeater. Adverse health effects to the patient may also trigger the device to revert to the normal programming during either the first or second time period.

摘要翻译： 一种用于临时编程可植入医疗装置的系统和方法。 该系统和方法包括中继器将临时编程和指令上传到设备的临时存储器，然后指示设备根据临时指令进行操作。 如果在第一时间段内，设备与中继器不在连续的周期性通信中，则设备根据正常操作指令自动恢复到操作状态。 在第一时间结束时，护理人员或患者可以决定恢复正常的程序设计。 在第二时间段期间，除非照护者或患者指示设备恢复正常编程，否则设备不能接收来自中继器的周期性继续信号，否则根据临时编程操作设备。 对患者的不良健康影响也可能触发设备在第一或第二时间段期间恢复正常编程。

公开(公告)号：US08027726B2

公开(公告)日：2011-09-27

申请号：US12400603

申请日：2009-03-09

申请人： David Ternes

发明人： David Ternes

IPC分类号： A61N1/362

CPC分类号： A61B5/02405 ,  A61B5/0006 ,  A61B5/0205 ,  A61B5/021 ,  A61B5/029 ,  A61B5/0432 ,  A61B5/04525 ,  A61B5/0464 ,  A61B5/0468 ,  A61B5/11 ,  A61B5/4884 ,  A61N1/3702 ,  G06F19/00

摘要： This document discusses, among other things, cardiac rhythm management systems, devices, and methods providing an exercise test interface. A patient exercise episode is identified using at least one predetermined criteria. Data associated with the episode is obtained. A summary of the episode is displayed for a user. The displayed summary includes at least one prognostic indicator obtained from the data associated with the episode. Examples of prognostic indicators include, among other things, ectopic beats, runs of ectopic beats, rate of decrease of heart rate during a post-exercise recovery portion of the episode, a maximum attained heart rate for comparison to a maximum age-predicted heart rate, as well as other prognostic indicators.

摘要翻译： 本文件还讨论了提供运动测试界面的心律管理系统，设备和方法。 使用至少一个预定标准来确定患者运动情节。 获得与情节相关的数据。 将为用户显示剧集的摘要。 显示的摘要包括从与情节相关联的数据获得的至少一个预后指标。 预后指标的例子包括异位搏动，异位搏动运动，发作后运动后恢复部分心率降低率，与最大年龄预测心率比较的最大获得心率 ，以及其他预后指标。

公开(公告)号：US08024034B2

公开(公告)日：2011-09-20

申请号：US11555489

申请日：2006-11-01

申请人： David Ternes ,  Paul A. Haefner

发明人： David Ternes ,  Paul A. Haefner

IPC分类号： A61N1/00

CPC分类号： A61N1/36175 ,  A61N1/08 ,  A61N1/36114 ,  G06F19/00 ,  G16H40/63

摘要： An implantable medical device (IMD) comprising a controller adapted to execute instructions included in firmware, a programmable neural therapy source adapted to provide programmable electrical neural stimulation therapy to at least one neural stimulation electrode, and a state machine included in hardware circuitry coupled to the programmable neural therapy source. When neural therapy is initiated by a firmware instruction, the state machine is configured to automatically apply power to the neural therapy source when neural therapy is initiated by a firmware instruction and automatically remove power from the neural therapy source when neural therapy is terminated by a firmware instruction.

摘要翻译： 一种可植入医疗装置（IMD），包括适于执行包括在固件中的指令的控制器，适于向至少一个神经刺激电极提供可编程电神经刺激疗法的可编程神经治疗源，以及包括在硬件电路中的状态机， 可编程神经治疗来源。 当通过固件指令启动神经治疗时，状态机被配置为当通过固件指令启动神经治疗时自动向神经治疗源施加电力，并且当神经治疗由固件终止时，自动从神经治疗源移除电力 指令。

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：US06907289B2

公开(公告)日：2005-06-14

申请号：US09991522

申请日：2001-11-20

申请人： Jeffrey E. Stahmann ,  Andrew P. Kramer ,  David Ternes

发明人： Jeffrey E. Stahmann ,  Andrew P. Kramer ,  David Ternes

IPC分类号： A61N1/362 ,  A61N1/368 ,  A61N1/372

CPC分类号： A61N1/3627 ,  A61N1/3684 ,  A61N1/37252

摘要： A method for operating a cardiac rhythm management device used for cardiac resynchronization therapy in which the storage of diagnostic data is triggered by detection of a condition indicating that the effectiveness of the therapy has been compromised. Such diagnostic data may be electrograms or marker/interval data acquired from the sensing channels of the device.

摘要翻译： 一种操作用于心脏再同步治疗的心律管理装置的方法，其中诊断数据的存储通过检测到表示治疗有效性的状况被触发。 这种诊断数据可以是从设备的感测通道获取的电描记图或标记/间隔数据。

公开(公告)号：US08364265B2

公开(公告)日：2013-01-29

申请号：US11620901

申请日：2007-01-08

申请人： David Ternes ,  David J. Yonce

发明人： David Ternes ,  David J. Yonce

IPC分类号： A61N1/368

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.