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    Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms
    1.
    发明授权
    Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms 有权
    心律管理系统和方法使用多种形态学模板来区分节律

    公开(公告)号：US07031764B2

    公开(公告)日：2006-04-18

    申请号：US10291200

    申请日：2002-11-08

    申请人： Mark Schwartz ,  Joseph M. Bocek ,  Jaeho Kim

    发明人： Mark Schwartz ,  Joseph M. Bocek ,  Jaeho Kim

    IPC分类号： A61B5/452 ,  A61N1/365

    CPC分类号： A61N1/3956 ,  A61B5/04525

    摘要： Multiple morphology templates for discliminating between rhythms have been used, such as supraventricular tachyarrhythmias (SVTs) and ventricular tachyarrhythmias (VTs), for delivering a countershock in response to a VT episode, but withholding delivery of such a countershock in response to an SVT episode. In certain examples, the particular morphology used for storing morphological features is selected at least in part using a sensor-indicated activity level of a subject, or a metabolic need of the subject.

    摘要翻译： 已经使用用于在节律之间进行偏离的多个形态学模板，例如室上性快速性心律失常（SVT）和室性快速性心律失常（VT），用于响应于VT发作而产生反冲突，但是为了响应于SVT发作而扣留了这种反冲。 在某些实例中，用于存储形态特征的特定形态至少部分地使用受试者的传感器指示的活动水平或受试者的代谢需要。

    Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms
    2.
    发明授权
    Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms 有权
    心律管理系统和方法使用多种形态学模板来区分节律

    公开(公告)号：US07539536B2

    公开(公告)日：2009-05-26

    申请号：US11277095

    申请日：2006-03-21

    申请人： Mark Schwartz ,  Joseph M. Bocek ,  Jaeho Kim

    发明人： Mark Schwartz ,  Joseph M. Bocek ,  Jaeho Kim

    IPC分类号： A61B5/0464 ,  A61N1/365

    CPC分类号： A61N1/3956 ,  A61B5/04525

    摘要： This document describes systems, devices, and methods that use multiple morphology templates for discriminating between rhythms, such as supraventricular tachyarrhythmias (SVTs) and ventricular tachyarrhythmias (VTs), for delivering a countershock in response to a VT episode, but withholding delivery of such a countershock in response to an SVT episode. In certain examples, the particular morphology used for storing morphological features is selected at least in part using a sensor-indicated activity level of a subject, or a metabolic need of the subject.

    摘要翻译： 本文档描述了使用多种形态学模板来区分节律（例如室上性快速性心律失常（SVT））和室性快速性心律失常（VT）的系统，装置和方法，用于响应于VT发作而产生反冲突，但是不提供这种 反应SVT情节。 在某些实例中，用于存储形态特征的特定形态至少部分地使用受试者的传感器指示的活动水平或受试者的代谢需要。

    CARDIAC RHYTHM MANAGEMENT SYSTEMS AND METHODS USING MULTIPLE MORPHOLOGY TEMPLATES FOR DISCRIMINATING BETWEEN RHYTHMS
    3.
    发明申请
    CARDIAC RHYTHM MANAGEMENT SYSTEMS AND METHODS USING MULTIPLE MORPHOLOGY TEMPLATES FOR DISCRIMINATING BETWEEN RHYTHMS 审中-公开
    CARDIAC RHYTHM管理系统和使用多种形态模板分析RHYTHMS之间的方法

    公开(公告)号：US20090216289A1

    公开(公告)日：2009-08-27

    申请号：US12431633

    申请日：2009-04-28

    申请人： Mark Schwartz ,  Joseph M. Bocek ,  Jaeho Kim

    发明人： Mark Schwartz ,  Joseph M. Bocek ,  Jaeho Kim

    IPC分类号： A61N1/365 ,  A61N1/39

    CPC分类号： A61N1/3956 ,  A61B5/04525

    摘要： This document describes systems, devices, and methods that use multiple morphology templates for discriminating between rhythms, such as supraventricular tachyarrhythmias (SVTs) and ventricular tachyarrhythmias (VTs), for delivering a countershock in response to a VT episode, but withholding delivery of such a countershock in response to an SVT episode. In certain examples, the particular morphology used for storing morphological features is selected at least in part using a sensor-indicated activity level of a subject, or a metabolic need of the subject.

    摘要翻译： 本文档描述了使用多种形态学模板来区分节律（例如室上性快速性心律失常（SVT））和室性快速性心律失常（VT）的系统，装置和方法，用于响应于VT发作而产生反冲突，但是不提供这种 反应SVT情节。 在某些实例中，用于存储形态特征的特定形态至少部分地使用受试者的传感器指示的活动水平或受试者的代谢需要。

    Post-shock recovery monitoring for tachyarrhythmia discrimination
    4.
    发明授权
    Post-shock recovery monitoring for tachyarrhythmia discrimination 有权
    急性心律失常辨别后的休克恢复监测

    公开(公告)号：US07991470B2

    公开(公告)日：2011-08-02

    申请号：US12056684

    申请日：2008-03-27

    申请人： Jaeho Kim ,  Joseph M. Bocek ,  Eric G. Lovett

    发明人： Jaeho Kim ,  Joseph M. Bocek ,  Eric G. Lovett

    IPC分类号： A61N1/365

    CPC分类号： A61B5/0464 ,  A61N1/3925 ,  A61N1/3962

    摘要： A cardiac rhythm management device is configured to discriminate between ventricular and supraventricular tachycardias (referred to as SVT/VT discrimination) by utilizing a morphology criterion in which the morphology of electrogram waveforms during ventricular beats are analyzed to determine if the beats are normally conducted. After the delivery of a cardioversion/defibrillation shock, however, the intraventricular conduction system is left in a modified state which alters the subsequently generated electrogram signal. Use of the morphology criterion for SVT/VT discrimination is discontinued after delivery of such a shock and resumed after a predetermined minimum number of normally conducted ventricular beats has been detected.

    摘要翻译： 心律管理装置被配置为通过利用形态学标准来区分心室和室上性心动过速（称为SVT / VT鉴别），其中分析心室搏动时的电描记图波形的形态以确定节拍是否正常进行。 然而，在输出心脏复律/除颤休克之后，心室内传导系统处于改变随后产生的电描记图信号的修改状态。 在发生这种休克后，停止使用SVT / VT鉴别的形态学标准，并且在检测到预定的最小数量的正常进行的心室搏动之后恢复。

    Blending cardiac rhythm detection processes
    5.
    发明授权
    Blending cardiac rhythm detection processes 有权
    混合心律检测过程

    公开(公告)号：US07818056B2

    公开(公告)日：2010-10-19

    申请号：US11089185

    申请日：2005-03-24

    申请人： Jaeho Kim ,  Joseph M. Bocek ,  Julie A. Thompson ,  Eric G. Lovett

    发明人： Jaeho Kim ,  Joseph M. Bocek ,  Julie A. Thompson ,  Eric G. Lovett

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3962 ,  A61B5/04525 ,  A61B5/7264 ,  A61N1/3622 ,  A61N1/3925 ,  A61N1/395

    摘要： Systems and methods are described for classifying a cardiac rhythm. A cardiac rhythm is classified using a classification process that includes a plurality of cardiac rhythm discriminators. Each rhythm discriminator provides an independent classification of the cardiac rhythm. The classification process is modified if the modification is likely to produce enhanced classification results. The rhythm is reclassified using the modified classification process.

    摘要翻译： 描述了用于分类心律的系统和方法。 使用包括多个心律识别器的分类处理对心律进行分类。 每个节律鉴别器提供心脏节律的独立分类。 如果修改可能产生增强的分类结果，则修改分类过程。 使用修改的分类过程重新分类节奏。

    Rhythm discrimination of sudden onset and one-to-one tachyarrythmia
    6.
    发明授权
    Rhythm discrimination of sudden onset and one-to-one tachyarrythmia 失效
    突发性和一对一快速性心律失常的节律辨别

    公开(公告)号：US07756578B2

    公开(公告)日：2010-07-13

    申请号：US11276213

    申请日：2006-02-17

    申请人： Jaeho Kim ,  Joseph M. Bocek

    发明人： Jaeho Kim ,  Joseph M. Bocek

    IPC分类号： A61B5/0464

    CPC分类号： A61B5/0464 ,  A61B5/7264 ,  A61N1/3622 ,  A61N1/3925 ,  A61N1/3962 ,  G06F19/00

    摘要： This document discusses, among other things, systems and methods to discriminate between a ventricular tachyarrhythmia (VT) and a supraventricular tachyarrhythmia (SVT), such as upon detecting sudden onset and one-to-one tachycardia. In certain examples, a detected tachyarrhythmia is analyzed to determine whether it is sudden onset and 1:1. If so, a first fast beat is identified. One or more ventricular intervals in close proximity to the first fast beat are analyzed to determine an initial classification of either VT or SVT. The initial classification is used to adjust a morphological feature correlation coefficient (FCC) threshold. A morphology analysis is performed with the adjusted FCC threshold value to yield a secondary classification.

    摘要翻译： 本文件尤其涉及区分心室性心律失常（VT）和室上性快速性心律失常（SVT）的系统和方法，例如在检测到突发性发作和一对一心动过速时。 在某些实例中，分析检测到的快速性心律失常以确定其是否突然发作和1：1。 如果是这样，首先确定快节拍。 分析紧邻第一快节拍的一个或多个心室间隔以确定VT或SVT的初始分类。 初始分类用于调整形态特征相关系数（FCC）阈值。 用调整的FCC阈值进行形态分析以产生次级分类。

    Synchronized ventricular pacing to promote atrial sensing
    7.
    发明授权
    Synchronized ventricular pacing to promote atrial sensing 失效
    同步心室起搏以促进心房传感

    公开(公告)号：US07599738B2

    公开(公告)日：2009-10-06

    申请号：US11130671

    申请日：2005-05-17

    申请人： Jaeho Kim ,  Joseph M. Bocek ,  Anthony S. Harrington

    发明人： Jaeho Kim ,  Joseph M. Bocek ,  Anthony S. Harrington

    IPC分类号： A61N1/362

    CPC分类号： A61N1/3622 ,  A61N1/3682

    摘要： Methods and systems are described that involve synchronized ventricular pacing that promotes sensing of atrial events. The atrioventricular pacing delay is modified based on characteristics of previously sensed atrial events. The modified AV delay is implemented relative to a first atrial event. A second AV delay is implemented relative to a second atrial event if the second atrial event is sensed during the modified AV delay. A ventricular pacing pulse is delivered following the second AV delay.

    摘要翻译： 描述了涉及促进心房事件感测的同步心室起搏的方法和系统。 房室起搏延时根据以前感测到的心房事件的特征进行修改。 修改的AV延迟相对于第一次心房事件实现。 如果在修改的AV延迟期间感测到第二心房事件，则相对于第二心房事件实施第二AV延迟。 在第二次AV延迟之后递送心室起搏脉冲。

    Atrial tachyarrhythmia detection using selected atrial intervals
    8.
    发明授权
    Atrial tachyarrhythmia detection using selected atrial intervals 有权
    使用选择的心房间隔进行心房快速性心律失常检测

    公开(公告)号：US07580740B2

    公开(公告)日：2009-08-25

    申请号：US11126594

    申请日：2005-05-11

    申请人： Jaeho Kim ,  Joseph M. Bocek ,  Anthony S. Harrington ,  Harley G. White

    发明人： Jaeho Kim ,  Joseph M. Bocek ,  Anthony S. Harrington ,  Harley G. White

    IPC分类号： A61N1/37 ,  A61N1/362

    CPC分类号： A61N1/3702 ,  A61B5/0464 ,  A61N1/3622

    摘要： Methods and systems are directed to detecting atrial tachyarrhythmia. A plurality of A-A intervals is detected. The detected A-A intervals are selected and used to detect atrial tachyarrhythmia. Selecting A-A intervals may be based on determining that A-A intervals are qualified. Qualified A-A intervals may be determined if a duration of the particular A-A interval falls outside a predetermined duration range, for example. Qualified A-A intervals may also be determined based on events occurring between consecutively sensed atrial events of the particular A-A interval, and whether the duration of the particular A-A interval falls within the predetermined duration range, for example.

    摘要翻译： 方法和系统旨在检测房性快速性心律失常。 检测到多个A-A间隔。 检测到的A-A间隔被选择并用于检测房性快速性心律失常。 选择A-A间隔可以基于确定A-A间隔是合格的。 例如，如果特定A-A间隔的持续时间落在预定的持续时间范围之外，则可以确定合格的A-A间隔。 也可以基于特定A-A间隔的连续感测的心房事件之间发生的事件以及特定A-A间隔的持续时间是否落入预定持续时间范围内来确定合格的A-A间隔。

    PACER WITH COMBINED DEFIBRILLATOR TAILORED FOR BRADYCARDIA PATIENTS
    9.
    发明申请
    PACER WITH COMBINED DEFIBRILLATOR TAILORED FOR BRADYCARDIA PATIENTS 审中-公开
    用于BRADYCARDIA患者定期使用的组合式除颤器的PACER

    公开(公告)号：US20080243201A1

    公开(公告)日：2008-10-02

    申请号：US12135709

    申请日：2008-06-09

    申请人： Joseph M. Bocek ,  Richard M. Dujmovic ,  Phil Foshee ,  Harley White ,  Jaeho Kim ,  Anthony Harrington ,  Richard S. Sanders ,  Douglas R. Daum ,  Paul De Coriolis ,  Joseph Smith ,  Richard Fogoros

    发明人： Joseph M. Bocek ,  Richard M. Dujmovic ,  Phil Foshee ,  Harley White ,  Jaeho Kim ,  Anthony Harrington ,  Richard S. Sanders ,  Douglas R. Daum ,  Paul De Coriolis ,  Joseph Smith ,  Richard Fogoros

    IPC分类号： A61N1/39 ,  A61N1/362

    CPC分类号： A61N1/3956 ,  A61N1/3962

    摘要： A combination pacer/defibrillator is tailored for bradycardia patients. In one example, its shock-delivery specificity exceeds its sensitivity to shockable ventricular tachyarrhythmias. In another example, its specificity exceeds 95%, or 99%, or even 99.5%. Sensitivity is programmed to a high desired sensitivity value, but only if it can be done without decreasing the specificity below the desired specificity threshold value. This can be conceptualized as “avoiding at all costs” delivering false shocks, even at the expense of failing to deliver a shock to a treatable ventricular tachyarrhythmia. Specificity enhancements include, among other things, inhibiting shock delivery when the patient is breathing or not supine, using multiple channels or a high rate VT/VF detection threshold. The present pacer/defibrillator device could potentially save the lives of bradyarrhythmia patients who are not presently clinically indicated for a defibrillator/pacer, but who have an increased risk of sudden cardiac death due to one or more risk factors.

    摘要翻译： 组合起搏器/除颤器是为心动过缓患者量身打造的。 在一个例子中，其冲击传递特异性超过其对可震荡室性快速性心律失常的敏感性。 在另一个实例中，其特异性超过95％，或99％，甚至99.5％。 灵敏度被编程为高期望的灵敏度值，但是只有在不降低低于所需特异性阈值的特异性的情况下才能进行。 这可以被概念化为“不惜一切代价”，提供虚假的冲击，即使以不能对可治疗的室性快速性心律失常发生冲击为代价。 特异性增强包括，当患者呼吸或不仰卧时，使用多个通道或高速率的VT / VF检测阈值来抑制冲击输送。 本发明的起搏器/除颤器装置可能潜在地节省目前临床指示用于除颤器/止痛器但是由于一个或多个危险因素引起的心脏猝死风险增加的缓慢心律失常患者的生命。