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    CARDIAC RESYNCHRONIZATION THERAPY DIAGNOSTICS
    2.
    发明申请
    CARDIAC RESYNCHRONIZATION THERAPY DIAGNOSTICS 有权

    公开(公告)号：US20220001185A1

    公开(公告)日：2022-01-06

    申请号：US17479432

    申请日：2021-09-20

    申请人： Medtronic, Inc.

    发明人： Robert W. Stadler ,  Richard Cornelussen ,  Berthold Stegemann

    IPC分类号： A61N1/37 ,  A61N1/39 ,  A61B5/11 ,  A61N1/365 ,  A61N1/05 ,  A61B5/00 ,  A61N1/362

    摘要： In some examples, a system can be used for delivering cardiac resynchronization therapy (CRT). The system may include a pacing device configured to be implanted within a patient. The pacing device can include a plurality of electrodes, signal generation circuitry configured to deliver ventricular pacing via the plurality of electrodes, and a sensor configured to produce a signal that indicates mechanical activity of the heart. Processing circuitry can be configured to identify one or more features of a cardiac contraction within the signal, and determine whether the contraction was a fusion beat based on the one or more features.

    CRITERIA FOR OPTIMAL ELECTRICAL RESYNCHRONIZATION DURING BIVENTRICULAR PACING
    8.
    发明申请
    CRITERIA FOR OPTIMAL ELECTRICAL RESYNCHRONIZATION DURING BIVENTRICULAR PACING 有权
    双歧杆菌期间最佳电气再生标准

    公开(公告)号：US20160166834A1

    公开(公告)日：2016-06-16

    申请号：US14880840

    申请日：2015-10-12

    申请人： Medtronic, Inc.

    发明人： Subham Ghosh ,  Robert W. Stadler

    IPC分类号： A61N1/368 ,  A61N1/37

    CPC分类号： A61N1/3686 ,  A61B5/0452 ,  A61N1/3684 ,  A61N1/3702 ,  A61N1/3706

    摘要： Generally, the disclosure is directed one or more methods or systems of cardiac pacing employing a right ventricular electrode and a plurality of left ventricular electrodes. Pacing using the right ventricular electrode and a first one of the left ventricular electrodes and measuring activation times at other ones of the left ventricular electrodes. Pacing using the right ventricular electrode and a second one of the ventricular electrodes and measuring activation times at other ones of the left ventricular electrodes. Computing a first degree of resynchronization based on a sum of differences of activation times and corresponding activation times. Pacing using the right ventricular electrode and a second one of the ventricular electrodes and measuring activation times at other ones of the left ventricular electrodes. Computing a second degree of resynchronization based on the sum of differences of activation times and corresponding activation times. Selecting one of the left ventricular electrodes for delivery of subsequent pacing pulses based on the computed degrees of resynchronization.

    摘要翻译： 通常，本公开涉及使用右心室电极和多个左心室电极的一个或多个心脏起搏方法或系统。 使用右心室电极和左心室电极中的第一个进行起搏，并测量其他左心室电极的活化时间。 使用右心室电极和第二个心室电​​极进行起搏，并测量其他左心室电极的活化时间。 基于激活时间的差异和相应的激活时间的总和来计算第一程度的再同步。 使用右心室电极和第二个心室电​​极进行起搏，并测量其他左心室电极的活化时间。 基于激活时间的差异和相应的激活时间的总和计算第二度的再同步度。 基于所计算的再同步程度，选择左心室电极之一用于递送随后的起搏脉冲。

    RHYTHM DISCRIMINATOR WITH IMMUNITY TO BODY POSTURE
    9.
    发明申请
    RHYTHM DISCRIMINATOR WITH IMMUNITY TO BODY POSTURE 有权
    RHYTHM DISRIMINATOR具有身体健康的免疫力

    公开(公告)号：US20160022166A1

    公开(公告)日：2016-01-28

    申请号：US14339789

    申请日：2014-07-24

    申请人： MEDTRONIC, INC.

    发明人： Robert W. Stadler ,  Xusheng Zhang

    IPC分类号： A61B5/0452 ,  A61N1/362 ,  A61B5/0464

    CPC分类号： A61B5/04525 ,  A61B5/0464 ,  A61B5/0472 ,  A61B5/1116 ,  A61B5/1118 ,  A61B5/686 ,  A61B5/7207 ,  A61N1/3621 ,  A61N1/3622 ,  A61N1/3624 ,  A61N1/3627 ,  A61N1/36507 ,  A61N1/36535 ,  A61N1/36542 ,  A61N1/3702

    摘要： An implantable medical device system includes an implantable cardioverter defibrillator (ICD) for detecting and treating ventricular tachycardia (VT). The ICD includes a sensing module for sensing a cardiac signal from available cardiac signal sensing vectors. A control module generates morphology templates of the cardiac signals for multiple patient postures for each of the available sensing vectors and determines a set of posture-independent template features. An unknown cardiac rhythm is classified in response to comparing features of a cardiac signal received during the unknown rhythm to the set of posture-independent features.

    摘要翻译： 可植入医疗装置系统包括用于检测和治疗室性心动过速（VT）的可植入式心律转复除颤器（ICD）。 ICD包括用于感测来自可用的心脏信号感测向量的心脏信号的感测模块。 控制模块针对每个可用感测向量生成用于多个患者姿势的心脏信号的形态学模板，并确定一组与姿势无关的模板特征。 响应于在未知节奏期间接收的心脏信号的特征与不依赖于姿势的特征的集合的特征来分类未知的心律。

    METHOD AND APPARATUS FOR ADJUSTING A BLANKING PERIOD DURING TRANSITIONING BETWEEN OPERATING STATES IN A MEDICAL DEVICE
    10.
    发明申请
    METHOD AND APPARATUS FOR ADJUSTING A BLANKING PERIOD DURING TRANSITIONING BETWEEN OPERATING STATES IN A MEDICAL DEVICE 审中-公开
    用于在医疗设备中的操作状态之间的转换期间调节空白期的方法和装置

    公开(公告)号：US20150306408A1

    公开(公告)日：2015-10-29

    申请号：US14487248

    申请日：2014-09-16

    申请人： Medtronic, Inc.

    发明人： Saul E. Greenhut ,  Robert W. Stadler ,  Xusheng Zhang

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3925 ,  A61B5/0456 ,  A61B5/0464 ,  A61B5/4836 ,  A61B5/686 ,  A61B5/7264 ,  A61N1/3706 ,  A61N1/3962 ,  A61N1/3987

    摘要： A method and medical device for adjusting a blanking period that includes sensing cardiac signals from a plurality of electrodes, the plurality of electrodes forming a plurality of sensing vectors, determining whether to adjust a blanking period during a first operating state, advancing from the first operating state to a second operating state in response to the sensed cardiac signals, determining, while in the second operating state, whether the blanking period was adjusted while in the first operating state, and adjusting the blanking period while in the second operating state in response to the blanking period being adjusted while in the first operating state.

    摘要翻译： 一种用于调整消隐期的方法和医疗装置，包括感测来自多个电极的心脏信号，所述多个电极形成多个感测向量，确定是否在第一操作状态期间调整消隐期间，从第一操作 响应于所感测到的心脏信号状态到第二操作状态，在第二操作状态期间确定在第一操作状态期间是否调整消隐期间，并且响应于第二操作状态来调整处于第二操作状态的消隐期间 在第一操作状态下调整消隐期。