公开(公告)号：US20070021793A1

公开(公告)日：2007-01-25

申请号：US11185573

申请日：2005-07-19

申请人： John Voegele ,  Clayton Foster ,  David Yost ,  Scott Meyer ,  Yanting Dong ,  Kevin Stalsberg ,  Derek Bohn ,  Eric Enrooth

发明人： John Voegele ,  Clayton Foster ,  David Yost ,  Scott Meyer ,  Yanting Dong ,  Kevin Stalsberg ,  Derek Bohn ,  Eric Enrooth

IPC分类号： A61N1/362

CPC分类号： A61N1/3712

摘要： Approaches for adjusting the pacing energy delivered by a pacemaker are provided. Adjusting the pacing energy involves performing a plurality of capture threshold tests, each capture threshold test measuring a capture threshold of the heart. One or more measured captured thresholds are selected, including at least one capture threshold that is higher relative to other measured capture thresholds acquired by the plurality of capture threshold tests. The pacing energy is adjusted based on the one or more selected capture thresholds.

摘要翻译： 提供了调节由起搏器提供的起搏能量的方法。 调整起搏能量包括执行多个捕获阈值测试，每个捕获阈值测试测量心脏的捕获阈值。 选择一个或多个测量的捕获阈值，包括相对于通过多个捕获阈值测试获取的其他测量的捕获阈值更高的捕获阈值。 基于一个或多个选择的捕获阈值来调整起搏能量。

公开(公告)号：US20060247695A1

公开(公告)日：2006-11-02

申请号：US11116565

申请日：2005-04-28

申请人： Kevin Stalsberg ,  Yanting Dong ,  Scott Meyer ,  John Voegele ,  Derek Bohn ,  Eric Enrooth ,  Clayton Foster ,  David Yost

发明人： Kevin Stalsberg ,  Yanting Dong ,  Scott Meyer ,  John Voegele ,  Derek Bohn ,  Eric Enrooth ,  Clayton Foster ,  David Yost

IPC分类号： A61N1/362

CPC分类号： A61N1/371 ,  A61B5/0452 ,  A61B5/7203 ,  A61B5/7217 ,  A61B5/7264

摘要： Methods and systems for detecting noise in cardiac pacing response classification processes involve determining that a cardiac response classification is possibly erroneous if unexpected signal content is detected. The unexpected signal content may comprise signal peaks that have polarity opposite to the polarity of peaks used to determine the cardiac response to pacing. Fusion/noise management processes include pacing at a relatively high energy level until capture is detected after a fusion, indeterminate or possibly erroneous pacing response classification is made. The relatively high energy pacing pulses may be delivered until capture is detected or until a predetermined number of paces are delivered.

摘要翻译： 用于检测心脏起搏反应分类过程中的噪声的方法和系统涉及如果检测到意外的信号内容，则确定心脏反应分类可能是错误的。 意想不到的信号内容可以包括具有与用于确定对起搏的心脏反应的峰的极性相反的极性的信号峰。 融合/噪声管理过程包括在相对较高的能量级别进行起搏，直到在融合之后检测到捕获，进行不确定或可能错误的起搏响应分类。 可以递送相对高的能量起搏脉冲，直到检测到捕获或直到传送预定数量的步数。

公开(公告)号：US20060247696A1

公开(公告)日：2006-11-02

申请号：US11116578

申请日：2005-04-28

申请人： Kevin Stalsberg ,  Yanting Dong ,  Scott Meyer ,  Eric Enrooth ,  Derek Bohn

发明人： Kevin Stalsberg ,  Yanting Dong ,  Scott Meyer ,  Eric Enrooth ,  Derek Bohn

IPC分类号： A61N1/362

CPC分类号： A61N1/371 ,  A61B5/04525 ,  A61B5/0472 ,  A61B5/7217

摘要： Cardiac devices and methods provide adaptation of detection windows used to determine a cardiac response to pacing. Adapting a detection window involves sensing a cardiac signal indicative of a particular type of cardiac pacing response, and detecting a feature of the sensed cardiac signal. The cardiac response detection window associated with the type of cardiac pacing response is preferentially adjusted based on the location of the detected cardiac feature. Preferential adjustment of the detection window may involve determining a direction of change between the detection window and the detected feature. The detection window may be adapted more aggressively in a more preferred direction and less aggressively in a less preferred direction.

公开(公告)号：US08452405B2

公开(公告)日：2013-05-28

申请号：US12772725

申请日：2010-05-03

申请人： Eric Enrooth ,  Yanting Dong ,  Kenneth N. Hayes ,  Gary T. Seim ,  Kevin John Stalsberg ,  Aaron McCabe

发明人： Eric Enrooth ,  Yanting Dong ,  Kenneth N. Hayes ,  Gary T. Seim ,  Kevin John Stalsberg ,  Aaron McCabe

IPC分类号： A61N1/362

CPC分类号： A61N1/3712 ,  A61N1/3622 ,  A61N1/3714

摘要： Noncaptured atrial paces can result in long-short cardiac cycles which are proarrhythmic for ventricular tachyarrhythmia. Approaches are described which are directed to avoiding proarrhythmic long-short cycles. For cardiac cycles in which the atrial pace captures the atrium, a first post ventricular refractory period (PVARP) and a first A-A interval are used. For cardiac cycles in which the atrial pace does not capture the atrium, both an extended PVARP and an extended A-A interval are used. The A-A interval following a noncaptured atrial pace is extended from an atrial depolarization sensed during the extended PVARP.

摘要翻译： 非心房颤动可导致心律失常的心律失常的长时间心脏周期。 描述了旨在避免心律失常长时间短周期的方法。 对于心房搏动捕获心房的心脏周期，使用第一个心室后不应期（PVARP）和第一个A-A间隔。 对于其中心房速度不捕获心房的心脏周期，使用延长的PVARP和延长的A-A间隔。 在非扩张性PVARP期间感觉到的心房去极化之后，A-A间隔未被捕获。