公开(公告)号：US06748274B2

公开(公告)日：2004-06-08

申请号：US09885677

申请日：2001-06-19

申请人： Paul A. Levine ,  Gregory C. Bevan

发明人： Paul A. Levine ,  Gregory C. Bevan

IPC分类号： A61N118

CPC分类号： A61N1/37247 ,  A61B5/044 ,  A61N1/37 ,  A61N1/37252

摘要： Location-specific diagnostic information is detected and recorded by the cardiac stimulation device for subsequent display using the external programmer device. The diagnostic information includes location-specific event records, counters and IEGM signals. The event records include event codes that distinguish among events occurring in the four chambers of the heart, such as sensed or paced events occurring within the left or right atria or the left or right ventricles. The counters separately count events occurring within the chambers of the heart. The IEGM signals are separately detected within the four chambers of the heart using a multiple sensing lead arrangement. The location-specific event records, counters and IEGM signals are ultimately transmitted to the external programmer, which displays graphic representations of the diagnostic information. The event records are displayed using distinct event marker icons which distinguish among the four chambers of the heart. The distinct event marker icons are displayed along with location-specific IEGM displays or surface ECG displays to permit a physician operating the programmer to easily identify the specific chambers of the heart in which events the occurred. Additionally, the programmer displays the values of the various counters to provide, for example, a set of location-specific histograms. The diagnostic information detected and recorded by the stimulation device and displayed by the external programmer device may further distinguish among events detected at multiple locations within each chamber of the heart. Method and apparatus embodiments are described.

摘要翻译： 由心脏刺激装置检测并记录位置特异性诊断信息，以便随后使用外部编程器装置进行显示。 诊断信息包括位置特定事件记录，计数器和IEGM信号。 事件记录包括区分发生在心脏四个腔室中的事件的事件代码，例如发生在左心房或右心房或左心室或右心室内的感觉或起搏事件。 计数器分别计算在心脏室内发生的事件。 使用多感测引线装置在心脏的四个腔室内分别检测IEGM信号。 位置特定事件记录，计数器和IEGM信号最终传输到外部编程器，该程序器显示诊断信息的图形表示。 事件记录使用不同的事件标记图标显示，区分心脏的四个房间。 显示不同的事件标记图标以及位置特异的IEGM显示器或表面ECG显示器，以允许医师操作程序员容易地识别发生事件的心脏的特定腔室。 此外，程序员显示各种计数器的值，以提供例如一组位置特定的直方图。 由刺激装置检测和记录并由外部编程装置显示的诊断信息可以进一步区分在心脏的每个室内的多个位置处检测的事件。 描述了方法和设备实施例。

公开(公告)号：US06633776B2

公开(公告)日：2003-10-14

申请号：US09822887

申请日：2001-03-30

申请人： Paul A. Levine ,  Gregory C. Bevan

发明人： Paul A. Levine ,  Gregory C. Bevan

IPC分类号： A61B5044

CPC分类号： A61N1/37252 ,  A61N1/37 ,  A61N1/37247

摘要： Location-specific diagnostic information is detected and recorded by the cardiac stimulation device for subsequent display using the external programmer device. The diagnostic information includes location-specific event records, counters and IEGM signals. The event records include event codes that distinguish among events occurring in the four chambers of the heart, such as sensed or paced events occurring within the left or right atria or the left or right ventricles. The counters separately count events occurring within the chambers of the heart. The IEGM signals are separately detected within the four chambers of the heart using a multiple sensing lead arrangement. The location-specific event records, counters and IEGM signals are ultimately transmitted to the external programmer, which displays graphic representations of the diagnostic information. The event records are displayed using distinct event marker icons which distinguish among the four chambers of the heart. The distinct event marker icons are displayed along with location-specific IEGM displays or surface ECG displays to permit a physician operating the programmer to easily identify the specific chambers of the heart in which events the occurred. Additionally, the programmer displays the values of the various counters to provide, for example, a set of location-specific histograms. The diagnostic information detected and recorded by the stimulation device and displayed by the external programmer device may further distinguish among events detected at multiple locations within each chamber of the heart. Method and apparatus embodiments are described.

摘要翻译： 由心脏刺激装置检测并记录位置特异性诊断信息，以便随后使用外部编程器装置进行显示。 诊断信息包括位置特定事件记录，计数器和IEGM信号。 事件记录包括区分发生在心脏四个腔室中的事件的事件代码，例如发生在左心房或右心房或左心室或右心室内的感觉或起搏事件。 计数器分别计算在心脏室内发生的事件。 使用多感测引线装置在心脏的四个腔室内分别检测IEGM信号。 位置特定事件记录，计数器和IEGM信号最终传输到外部编程器，该程序器显示诊断信息的图形表示。 事件记录使用不同的事件标记图标显示，区分心脏的四个房间。 显示不同的事件标记图标以及位置特异的IEGM显示器或表面ECG显示器，以允许医师操作程序员容易地识别发生事件的心脏的特定腔室。 此外，程序员显示各种计数器的值，以提供例如一组位置特定的直方图。 由刺激装置检测和记录并由外部编程装置显示的诊断信息可以进一步区分在心脏的每个室内的多个位置处检测的事件。 描述了方法和设备实施例

公开(公告)号：US08060212B1

公开(公告)日：2011-11-15

申请号：US11736425

申请日：2007-04-17

申请人： Ronald R. Rios ,  Gregory C. Bevan ,  Eliot L. Ostrow ,  Armando M. Cappa ,  Allan R. Schwartz ,  George L. Walls

发明人： Ronald R. Rios ,  Gregory C. Bevan ,  Eliot L. Ostrow ,  Armando M. Cappa ,  Allan R. Schwartz ,  George L. Walls

IPC分类号： A61N1/02

CPC分类号： A61N1/37235 ,  Y10S128/903 ,  Y10S128/904

摘要： Exemplary external medical devices are configurable to communicate with an implantable medical device (IMD). One medical device includes multiple IMD telemetry ports operable to connect IMD telemetry mechanisms to the medical device. The medical device also includes a control unit configured to control the IMD telemetry mechanisms.

摘要翻译： 示例性外部医疗设备可配置为与可植入医疗设备（IMD）通信。 一个医疗设备包括可操作以将IMD遥测机构连接到医疗设备的多个IMD遥测端口。 医疗装置还包括被配置为控制IMD遥测机构的控制单元。

公开(公告)号：US06907287B1

公开(公告)日：2005-06-14

申请号：US10172393

申请日：2002-06-14

申请人： Gregory C. Bevan ,  Richard Lu ,  Harold C. Schloss ,  Joseph J. Florio ,  Janice Barstad

发明人： Gregory C. Bevan ,  Richard Lu ,  Harold C. Schloss ,  Joseph J. Florio ,  Janice Barstad

IPC分类号： A61N1/362 ,  A61N1/372

CPC分类号： A61N1/3621

摘要： Systems and methods are provided for collecting enhanced diagnostic information specifically pertaining to overdrive pacing within an implantable cardiac stimulation device and for processing and displaying the enhanced diagnostic information using an external programmer. The enhanced diagnostic information includes one or more of overdrive pacing efficacy, overdrive pacing percentage, overdrive pacing/heart rate histogram data, longest recovery duration, atrial event data, minimum/maximum/average of the overdrive pacing rate, number of paced beats at maximum rate, duration of recovery time from maximum rate, intrinsic rate breakthrough histogram data, and number of rate increases. By tracking and displaying the enhanced diagnostic information, a physician can thereby more effectively and reliably program overdrive pacing control parameters to achieve optimal overdrive pacing performance.

摘要翻译： 系统和方法被提供用于收集专门涉及可植入心脏刺激装置内的超速起搏的增强诊断信息，并且使用外部编程器来处理和显示增强的诊断信息。 增强的诊断信息包括超速起搏功效，超速起搏百分比，超速起搏/心率直方图数据，最长恢复持续时间，心房事件数据，超速起搏速率的最小/最大/平均值，最大起搏节拍数 速率，恢复时间从最大速率，内在速率突破直方图数据和速率增加数。 通过跟踪和显示增强的诊断信息，医师可以由此更有效和可靠地编程超速起搏控制参数，以实现最佳超速起搏性能。

公开(公告)号：US20100125174A1

公开(公告)日：2010-05-20

申请号：US12273492

申请日：2008-11-18

申请人： Gregory C. Bevan ,  Elizabeth Bacon ,  Eliot L. Ostrow ,  George Walls

发明人： Gregory C. Bevan ,  Elizabeth Bacon ,  Eliot L. Ostrow ,  George Walls

IPC分类号： A61B5/00 ,  A61N1/08

CPC分类号： A61N1/37247 ,  A61B5/0031 ,  A61B2560/0271 ,  A61N1/37282 ,  G06F19/3418 ,  G16H80/00

摘要： Exemplary medical devices and systems for providing remote support relating to implantable medical devices (IMDS) are described. One method generates a graphical user-interface (GUI) relating to an IMD on a local medical device configured to interrogate the IMD. The method also recreates the GUI on a remote medical device effective that a cursor of the GUI can be manipulated from both the local medical device and the remote medical device while selection of IMD parameter values is available only at the local medical device.

摘要翻译： 描述了用于提供与可植入医疗装置（IMDS）相关的远程支持的示例性医疗装置和系统。 一种方法在配置成询问IMD的本地医疗设备上产生与IMD相关的图形用户界面（GUI）。 该方法还重新创建远程医疗设备上的GUI，其有效使得可以从本地医疗设备和远程医疗设备两者操纵GUI的光标，同时IMD参数值的选择仅在本地医疗设备处可用。