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    CARDIAC RESYNCHRONIZATION THERAPY PARAMETER OPTIMIZATION
    3.
    发明申请
    CARDIAC RESYNCHRONIZATION THERAPY PARAMETER OPTIMIZATION 审中-公开
    CARDIAC RESYNCHRONIZATION治疗参数优化

    公开(公告)号：US20120226328A1

    公开(公告)日：2012-09-06

    申请号：US13466431

    申请日：2012-05-08

    申请人： Yanting Dong ,  Yinghong Yu ,  Jiang Ding ,  Scott A. Meyer ,  Xuan Wei ,  Michael John Stucky

    发明人： Yanting Dong ,  Yinghong Yu ,  Jiang Ding ,  Scott A. Meyer ,  Xuan Wei ,  Michael John Stucky

    IPC分类号： A61N1/365 ,  A61N1/37

    CPC分类号： A61N1/3627 ,  A61N1/36585 ,  A61N1/3684

    摘要： Systems and methods involve determination of CRT parameters using a number of CRT optimization processes. Each CRT optimization process attempts to return recommended parameters. The CRT parameters are determined based on the recommended parameters returned by one or more of the CRT optimization processes. The CRT optimization processes may be sequentially implemented and the CRT parameters may be determined based on the recommended parameters returned by a first CRT optimization process to return recommended parameters. The CRT parameters may be determined based on a combination of the recommended parameters returned. The CRT optimization processes implemented may be selected from available CRT optimization processes based on patient conditions.

    摘要翻译： 系统和方法涉及使用多个CRT优化过程来确定CRT参数。 每个CRT优化过程都会尝试返回推荐的参数。 CRT参数根据一个或多个CRT优化过程返回的推荐参数来确定。 可以顺序地实施CRT优化过程，并且可以基于由第一CRT优化过程返回的推荐参数来返回推荐参数来确定CRT参数。 可以基于返回的推荐参数的组合来确定CRT参数。 可以根据患者条件从可用的CRT优化过程中选择实现的CRT优化处理。

    Non-Captured Intrinsic Discrimination in Cardiac Pacing Response Classification
    4.
    发明申请
    Non-Captured Intrinsic Discrimination in Cardiac Pacing Response Classification 审中-公开
    心脏起搏反应分类中不被捕获的内在歧视

    公开(公告)号：US20120165895A1

    公开(公告)日：2012-06-28

    申请号：US13411852

    申请日：2012-03-05

    申请人： Yanting Dong ,  Scott A. Meyer ,  Kevin John Stalsberg

    发明人： Yanting Dong ,  Scott A. Meyer ,  Kevin John Stalsberg

    IPC分类号： A61N1/365 ,  A61N1/37

    CPC分类号： A61N1/371 ,  A61B5/04525

    摘要： Cardiac devices and methods discriminate non-captured intrinsic beats during evoked response detection and classification by comparing the features of a post-pace cardiac signal with expected features associated with a non-captured response with intrinsic activation. Detection of a non-captured response with intrinsic activation may be based on the peak amplitude and timing of the cardiac signal. The methods may be used to discriminate between a fusion or capture beat and a non-captured intrinsic beat. Discriminating between possible cardiac responses to the pacing pulse may be useful, for example, during automatic capture verification and/or a capture threshold test.

    摘要翻译： 心脏装置和方法通过将后期心脏信号的特征与与未捕获的应答相关联的预期特征与内在激活进行比较来区分诱发反应检测和分类期间的非捕获固有搏动。 利用内在激活的非捕获响应的检测可以基于心脏信号的峰值振幅和定时。 该方法可以用于区分融合或捕获节拍和未捕获的固有节拍。 对起搏脉冲的可能的心脏反应之间的区分可能是有用的，例如在自动捕获验证和/或捕获阈值测试期间。

    Capture detection for multi-chamber pacing
    5.
    发明授权
    Capture detection for multi-chamber pacing 有权
    捕获检测多腔起搏

    公开(公告)号：US08116870B2

    公开(公告)日：2012-02-14

    申请号：US12214852

    申请日：2008-06-23

    申请人： Yanting Dong ,  Scott A. Meyer ,  Kevin John Stahlsberg

    发明人： Yanting Dong ,  Scott A. Meyer ,  Kevin John Stahlsberg

    IPC分类号： A61N1/368

    CPC分类号： A61N1/3712 ,  A61N1/3684

    摘要： Multi-chamber pacing may result in capture of one chamber, capture of multiple chambers, fusion, or non-capture. Approaches for detecting various capture conditions during multi-chamber pacing are described. Pacing pulses are delivered to left and right heart chambers during a cardiac cycle. A cardiac electrogram signal is sensed following the delivery of the pacing pulses. Left chamber capture only, right chamber capture only, and bi-chamber capture may be distinguished based on characteristics of the cardiac electrogram signal. Multi-chamber capture detection may be implemented using detection windows having dimensions of time and amplitude. The detection windows are associated with expected features, such as expected signal peaks, under a particular capture condition. The cardiac electrogram signal features are compared to detection windows to determine the capture condition.

    摘要翻译： 多腔起搏可能导致一个腔室的捕获，多个腔室的捕获，融合或非捕获。 描述了在多室起搏期间检测各种捕获条件的方法。 在心动周期期间，起搏脉冲被传送到左心室和右心室。 在起搏脉冲输送之后感测心电图信号。 仅左室捕获，右室捕获，双室捕获可以基于心电图信号的特征来区分。 可以使用具有时间和幅度尺寸的检测窗来实现多室捕获检测。 检测窗口与特定捕获条件下的预期特征（例如期望的信号峰值）相关联。 将心电图信号特征与检测窗口进行比较以确定捕获条件。

    Multi channel approach to capture verification
    6.
    发明授权
    Multi channel approach to capture verification 有权
    捕获验证的多渠道方法

    公开(公告)号：US07979113B2

    公开(公告)日：2011-07-12

    申请号：US12435896

    申请日：2009-05-05

    申请人： Yanting Dong ,  Scott A. Meyer ,  Qingsheng Zhu

    发明人： Yanting Dong ,  Scott A. Meyer ,  Qingsheng Zhu

    IPC分类号： A61B5/04

    CPC分类号： A61N1/371 ,  A61B5/04525 ,  A61B5/7217 ,  A61B5/7264

    摘要： Methods and systems involve classifying the cardiac response to pacing using a multi-channel approach. Multiple cardiac response signals are sensed via multiple sense channels. Each sense channel comprises a distinct combination of electrodes and sensing circuitry. The cardiac response to the pacing pulse is classified based on the morphology of the cardiac response signals. Classifying the cardiac response involves discriminating between capture, fusion, non-capture, and non-capture with intrinsic activity.

    摘要翻译： 方法和系统包括使用多通道方法对心脏起搏应答进行分类。 通过多个感测通道感测多个心脏反应信号。 每个感测通道包括电极和感测电路的不同组合。 基于心脏反应信号的形态对起搏脉搏的心脏反应进行分类。 分类心脏反应包括区分捕获，融合，非捕获和非捕获与内在活动。

    Multi Channel Approach to Capture Verfication
    7.
    发明申请
    Multi Channel Approach to Capture Verfication 有权
    多通道捕获检测方法

    公开(公告)号：US20090240301A1

    公开(公告)日：2009-09-24

    申请号：US12435896

    申请日：2009-05-05

    申请人： Yanting Dong ,  Scott A. Meyer ,  Qingsheng Zhu

    发明人： Yanting Dong ,  Scott A. Meyer ,  Qingsheng Zhu

    IPC分类号： A61N1/08

    CPC分类号： A61N1/371 ,  A61B5/04525 ,  A61B5/7217 ,  A61B5/7264

    摘要： Methods and systems involve classifying the cardiac response to pacing using a multi-channel approach. Multiple cardiac response signals are sensed via multiple sense channels. Each sense channel comprises a distinct combination of electrodes and sensing circuitry. The cardiac response to the pacing pulse is classified based on the morphology of the cardiac response signals. Classifying the cardiac response involves discriminating between capture, fusion, non-capture, and non-capture with intrinsic activity.

    摘要翻译： 方法和系统包括使用多通道方法对心脏起搏应答进行分类。 通过多个感测通道感测多个心脏反应信号。 每个感测通道包括电极和感测电路的不同组合。 基于心脏反应信号的形态对起搏脉搏的心脏反应进行分类。 分类心脏反应包括区分捕获，融合，非捕获和非捕获与内在活动。

    Systems and methods for enhancing cardiac signal features used in morphology discrimination
    8.
    发明申请
    Systems and methods for enhancing cardiac signal features used in morphology discrimination 审中-公开
    用于增强形态学鉴别中使用的心脏信号特征的系统和方法

    公开(公告)号：US20080228093A1

    公开(公告)日：2008-09-18

    申请号：US11717482

    申请日：2007-03-13

    申请人： Yanting Dong ,  Jeremy J. Maniak ,  Scott A. Meyer ,  Kevin John Stalsberg ,  Alok S. Sathaye ,  Benjamin Ettori

    发明人： Yanting Dong ,  Jeremy J. Maniak ,  Scott A. Meyer ,  Kevin John Stalsberg ,  Alok S. Sathaye ,  Benjamin Ettori

    IPC分类号： A61B5/0464

    CPC分类号： A61B5/04525 ,  A61B5/0464 ,  A61B5/7203 ,  A61B5/7264 ,  A61N1/371

    摘要： Methods and devices used to classify cardiac events based on morphological analysis of sensed signals are described. A signal comprising a cardiac signal component and a noise signal component is sensed. The sensed signal is processed to preferentially alter morphology of the cardiac signal component. The altered morphology of the cardiac signal component enhances detection of one or more features of the cardiac signal component. The features of the cardiac signal component are detected and the cardiac event is classified using the detected features. Processing the sensed signal may involve the use of adaptable signal processing parameters. For example, the signal processing parameters may be selected to accentuate one or more desirable features of the cardiac signal component or to mitigate one or more undesirable features of the cardiac signal component.

    摘要翻译： 描述了基于感测信号的形态学分析来分类心脏事件的方法和装置。 检测包括心脏信号分量和噪声信号分量的信号。 处理感测到的信号以优先改变心脏信号分量的形态。 心脏信号分量改变的形态增强了对心脏信号分量的一个或多个特征的检测。 检测心脏信号分量的特征，并使用检测到的特征对心脏事件进行分类。 处理感测信号可能涉及使用适应性信号处理参数。 例如，可以选择信号处理参数以强调心脏信号分量的一个或多个期望特征或减轻心脏信号分量的一个或多个不期望的特征。