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    Implantable medical device system and method with signal quality monitoring and response
    1.
    发明授权
    Implantable medical device system and method with signal quality monitoring and response 有权
    可植入医疗器械系统和方法，具有信号质量监测和响应

    公开(公告)号：US07496409B2

    公开(公告)日：2009-02-24

    申请号：US11392065

    申请日：2006-03-29

    申请人： Saul E. Greenhut ,  Robert W. Stadler ,  Holly S. Vitense

    发明人： Saul E. Greenhut ,  Robert W. Stadler ,  Holly S. Vitense

    IPC分类号： A61N1/00

    CPC分类号： A61N1/3704 ,  A61B5/042 ,  A61B5/0452 ,  A61B5/7203 ,  A61B5/7221 ,  A61B5/726 ,  A61N1/05

    摘要： An implantable medical device system and method are provided for monitoring the quality of signals sensed by a subcutaneously implanted device using subcutaneous electrodes. In one embodiment, the method includes selecting one or more sensing vectors; sensing signals from selected sensing vectors, determining a signal quality metric in response to a sensed signal, comparing the signal quality metric to a predetermined threshold, and generating a loss of signal quality response in response to the signal quality crossing the threshold.

    摘要翻译： 提供了一种植入式医疗装置系统和方法，用于监测由皮下植入装置使用皮下电极感测的信号的质量。 在一个实施例中，该方法包括选择一个或多个感测向量; 感测来自所选择的感测向量的信号，响应于感测到的信号确定信号质量度量，将信号质量度量与预定阈值进行比较，以及响应于穿过阈值的信号质量而产生信号质量响应的损失。

    METHODS AND APAPRATUS FOR MANUALLY SUSPENDING INTRATHORACIC IMPEDANCE FLUID STATUS MEASUREMENTS
    2.
    发明申请
    METHODS AND APAPRATUS FOR MANUALLY SUSPENDING INTRATHORACIC IMPEDANCE FLUID STATUS MEASUREMENTS 审中-公开
    用于手动停止静脉内阻滞流体状态测量的方法和APAPRATUS

    公开(公告)号：US20120303085A1

    公开(公告)日：2012-11-29

    申请号：US13570858

    申请日：2012-08-09

    申请人： Holly S. Vitense ,  Li Wang ,  Denise Dirnberger ,  Melissa M. Rhodes ,  Douglas A. Hettrick ,  Shantanu Sarkar

    发明人： Holly S. Vitense ,  Li Wang ,  Denise Dirnberger ,  Melissa M. Rhodes ,  Douglas A. Hettrick ,  Shantanu Sarkar

    IPC分类号： A61N1/365

    CPC分类号： A61N1/37258 ,  A61B5/0031 ,  A61B5/0215 ,  A61B5/053 ,  A61N1/37247 ,  G16H40/63

    摘要： The capability to suspend a patient alert relating to a monitored physiologic parameters addresses a need to selectively shut off a patient-alert signal or signals during the time a patient is being treated for an excursion in the parameter. Of course, in general a signal call attention to a patient's a potentially deleterious status or condition for which they should seek medical attention. Once a chronically-implanted monitoring device has detected or provided information about the parameter relative to a desired value, trend, or range and a clinician has been notified and intervened the alert signal is temporarily disabled for a predetermined period. That is, once the notification occurs and alert has served its purpose, the alert mechanism is selectively deactivated while the patient ostensibly begins to gradually correct the monitored physiologic parameter under a caregiver's direction and control. After which time, the alert will reactivate.

    摘要翻译： 暂停与所监测的生理参数相关的患者警报的能力解决了在患者被治疗参数期间偏移的时间期间选择性地切断病人警报信号或信号的需要。 当然，一般来说，一个信号会引起对患者的一个潜在的有害的状态或状况的关注，他们应该寻求医疗护理。 一旦长期植入的监测装置已经相对于期望值，趋势或范围已经检测或提供了关于参数的信息，并且已通知临床医生并且中介了警报信号暂时禁用预定时间段。 也就是说，一旦通知发生并且警报已经达到其目的，则警告机制被选择性地去激活，同时患者表面上开始逐渐校正受照顾者的方向和控制下的监测的生理参数。 之后，警报将重新启动。

    Methods and Apparatus for Manually Suspending Intrathoracic Impedance Fluid Status Measurements
    3.
    发明申请
    Methods and Apparatus for Manually Suspending Intrathoracic Impedance Fluid Status Measurements 有权
    手动悬挂胸膜内阻抗液体状态测量的方法和装置

    公开(公告)号：US20080103530A1

    公开(公告)日：2008-05-01

    申请号：US11554825

    申请日：2006-10-31

    申请人： Holly S. Vitense ,  Li Wang ,  Denise Dirnberger ,  Melissa M. Rhodes ,  Douglas A. Hettrick ,  Shantanu Sarkar

    发明人： Holly S. Vitense ,  Li Wang ,  Denise Dirnberger ,  Melissa M. Rhodes ,  Douglas A. Hettrick ,  Shantanu Sarkar

    IPC分类号： A61N1/00

    CPC分类号： A61N1/37258 ,  A61B5/0031 ,  A61B5/0215 ,  A61B5/053 ,  A61N1/37247 ,  G16H40/63

    摘要： The capability to suspend a patient alert relating to a monitored physiologic parameters addresses a need to selectively shut off a patient-alert signal or signals during the time a patient is being treated for an excursion in the parameter. Of course, in general a signal call attention to a patient's a potentially deleterious status or condition for which they should seek medical attention. Once a chronically-implanted monitoring device has detected or provided information about the parameter relative to a desired value, trend, or range and a clinician has been notified and intervened the alert signal is temporarily disabled for a predetermined period. That is, once the notification occurs and alert has served its purpose, the alert mechanism is selectively deactivated while the patient ostensibly begins to gradually correct the monitored physiologic parameter under a caregiver's direction and control. After which time, the alert will reactivate.

    摘要翻译： 暂停与所监测的生理参数相关的患者警报的能力解决了在患者被治疗参数期间偏移的时间期间选择性地切断病人警报信号或信号的需要。 当然，一般来说，一个信号会引起对患者的一个潜在的有害的状态或状况的关注，他们应该寻求医疗护理。 一旦长期植入的监测装置已经相对于期望值，趋势或范围已经检测或提供了关于参数的信息，并且已通知临床医生并且中介了警报信号暂时禁用预定时间段。 也就是说，一旦通知发生并且警报已经达到其目的，则警告机制被选择性地去激活，同时患者表面上开始逐渐校正受照顾者的方向和控制下的监测的生理参数。 之后，警报将重新启动。

    Methods and apparatus for manually suspending intrathoracic impedance fluid status measurements
    6.
    发明授权
    Methods and apparatus for manually suspending intrathoracic impedance fluid status measurements 有权
    手动暂停胸腔内阻抗流体状态测量的方法和装置

    公开(公告)号：US08948868B2

    公开(公告)日：2015-02-03

    申请号：US11554825

    申请日：2006-10-31

    申请人： Holly S. Vitense ,  Li Wang ,  Denise Dirnberger ,  Melissa M. Rhodes ,  Douglas A. Hettrick ,  Shantanu Sarkar

    发明人： Holly S. Vitense ,  Li Wang ,  Denise Dirnberger ,  Melissa M. Rhodes ,  Douglas A. Hettrick ,  Shantanu Sarkar

    IPC分类号： A61N1/00 ,  A61N1/372 ,  A61B5/00 ,  A61B5/0215 ,  A61B5/053

    CPC分类号： A61N1/37258 ,  A61B5/0031 ,  A61B5/0215 ,  A61B5/053 ,  A61N1/37247 ,  G16H40/63

    摘要： The capability to suspend a patient alert relating to a monitored physiologic parameters addresses a need to selectively shut off a patient-alert signal or signals during the time a patient is being treated for an excursion in the parameter. Of course, in general a signal call attention to a patient's a potentially deleterious status or condition for which they should seek medical attention. Once a chronically-implanted monitoring device has detected or provided information about the parameter relative to a desired value, trend, or range and a clinician has been notified and intervened the alert signal is temporarily disabled for a predetermined period. That is, once the notification occurs and alert has served its purpose, the alert mechanism is selectively deactivated while the patient ostensibly begins to gradually correct the monitored physiologic parameter under a caregiver's direction and control. After which time, the alert will reactivate.

    摘要翻译： 暂停与所监测的生理参数相关的患者警报的能力解决了在患者被治疗参数期间偏移的时间期间选择性地切断病人警报信号或信号的需要。 当然，一般来说，一个信号会引起对患者的一个潜在的有害的状态或状况的关注，他们应该寻求医疗护理。 一旦长期植入的监测装置已经相对于期望值，趋势或范围已经检测或提供了关于参数的信息，并且已通知临床医生并且中介了警报信号暂时禁用预定时间段。 也就是说，一旦通知发生并且警报已经达到其目的，则警告机制被选择性地去激活，同时患者表面上开始逐渐校正受照顾者的方向和控制下的监测的生理参数。 之后，警报将重新启动。