Method and apparatus for pacing safety margin
    3.
    发明授权
    Method and apparatus for pacing safety margin 有权
    起搏安全幅度的方法和装置

    公开(公告)号:US08565879B2

    公开(公告)日:2013-10-22

    申请号:US13071680

    申请日:2011-03-25

    IPC分类号: A61N1/08

    CPC分类号: A61N1/36585 A61N1/3712

    摘要: An apparatus comprises a cardiac signal sensing circuit, a pacing therapy circuit, and a controller circuit. The controller circuit includes a safety margin calculation circuit. The controller circuit initiates delivery of pacing stimulation energy to the heart using a first energy level, changes the energy level by at least one of: a) increasing the energy from the first energy level until detecting that the pacing stimulation energy induces stable capture, or b) reducing the energy from the first energy level until detecting that the stimulation energy fails to induce capture, and continues changing the stimulation energy level until confirming stable capture or the failure of capture. The safety margin calculation circuit calculates a safety margin of pacing stimulation energy using at least one of a determined stability of a parameter associated with evoked response and a determined range of energy levels corresponding to stable capture or intermittent failure of capture.

    摘要翻译: 一种装置包括心脏信号感测电路,起搏治疗电路和控制器电路。 控制器电路包括安全裕度计算电路。 控制器电路使用第一能级开始向心脏传送起搏刺激能量,通过以下至少一种来改变能量水平:a)从第一能量级增加能量直到检测到起搏刺激能量引起稳定的捕获,或 b)减少来自第一能级的能量,直到检测到刺激能量不能诱导捕获,并且继续改变刺激能量水平,直到确认捕获稳定或捕获失败为止。 安全裕度计算电路使用与诱发反应相关联的参数的确定的稳定性以及与捕获的稳定捕获或间歇性故障相对应的能量水平的确定范围中的至少一个来计算起搏刺激能量的安全裕度。

    METHOD AND APPARATUS FOR PACING SAFETY MARGIN
    4.
    发明申请
    METHOD AND APPARATUS FOR PACING SAFETY MARGIN 有权
    防治安全隐患的方法和装置

    公开(公告)号:US20110245890A1

    公开(公告)日:2011-10-06

    申请号:US13071680

    申请日:2011-03-25

    IPC分类号: A61N1/08 A61N1/362

    CPC分类号: A61N1/36585 A61N1/3712

    摘要: An apparatus comprises a cardiac signal sensing circuit, a pacing therapy circuit, and a controller circuit. The controller circuit includes a safety margin calculation circuit. The controller circuit initiates delivery of pacing stimulation energy to the heart using a first energy level, changes the energy level by at least one of: a) increasing the energy from the first energy level until detecting that the pacing stimulation energy induces stable capture, or b) reducing the energy from the first energy level until detecting that the stimulation energy fails to induce capture, and continues changing the stimulation energy level until confirming stable capture or the failure of capture. The safety margin calculation circuit calculates a safety margin of pacing stimulation energy using at least one of a determined stability of a parameter associated with evoked response and a determined range of energy levels corresponding to stable capture or intermittent failure of capture.

    摘要翻译: 一种装置包括心脏信号感测电路,起搏治疗电路和控制器电路。 控制器电路包括安全裕度计算电路。 控制器电路使用第一能级开始向心脏传送起搏刺激能量,通过以下至少一种来改变能量水平:a)从第一能量级增加能量直到检测到起搏刺激能量引起稳定的捕获,或 b)减少来自第一能级的能量,直到检测到刺激能量不能诱导捕获,并且继续改变刺激能量水平,直到确认捕获稳定或捕获失败为止。 安全裕度计算电路使用与诱发反应相关联的参数的确定的稳定性以及与捕获的稳定捕获或间歇性故障相对应的能量水平的确定范围中的至少一个来计算起搏刺激能量的安全裕度。

    CARDIAC RESYNCHRONIZATION THERAPY PARAMETER OPTIMIZATION
    5.
    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

    IPC分类号: A61N1/365 A61N1/37

    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。

    Cardiac resynchronization therapy parameter optimization
    6.
    发明授权
    Cardiac resynchronization therapy parameter optimization 有权
    心脏再同步治疗参数优化

    公开(公告)号:US08175703B2

    公开(公告)日:2012-05-08

    申请号:US11338935

    申请日:2006-01-25

    IPC分类号: A61N1/362

    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。

    Cardiac resynchronization therapy parameter optimization
    7.
    发明申请
    Cardiac resynchronization therapy parameter optimization 有权
    心脏再同步治疗参数优化

    公开(公告)号:US20100023078A1

    公开(公告)日:2010-01-28

    申请号:US11338935

    申请日:2006-01-25

    IPC分类号: A61N1/00

    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。

    Electrogram morphology-based CRT optimization
    8.
    发明授权
    Electrogram morphology-based CRT optimization 有权
    基于电图形态的CRT优化

    公开(公告)号:US07555340B2

    公开(公告)日:2009-06-30

    申请号:US11097460

    申请日:2005-04-01

    IPC分类号: A61N1/365

    摘要: A method and system for determining an optimum atrioventricular delay (AVD) interval and/or ventriculo-ventricular delay (VVD) intervals for delivering ventricular resynchronization pacing in an atrial tracking or atrial sequential pacing mode. Evoked response electrograms recorded at different AVD and VVD intervals are used to determine the extent of paced and intrinsic activation.

    摘要翻译: 一种用于确定用于在心房跟踪或心房顺序起搏模式中递送心室再同步起搏的最佳房室延迟(AVD)间隔和/或心室 - 心室延迟(VVD)间隔的方法和系统。 以不同的AVD和VVD间隔记录的诱发反应电图用于确定起搏和内在激活的程度。

    Electrogram morphology-based CRT optimization
    9.
    发明授权
    Electrogram morphology-based CRT optimization 有权
    基于电图形态的CRT优化

    公开(公告)号:US08078276B2

    公开(公告)日:2011-12-13

    申请号:US12494628

    申请日:2009-06-30

    IPC分类号: A61N1/365

    摘要: A method and system for determining an optimum atrioventricular delay (AVD) interval and/or ventriculo-ventricular delay (VVD) intervals for delivering ventricular resynchronization pacing in an atrial tracking or atrial sequential pacing mode. Evoked response electrograms recorded at different AVD and VVD intervals are used to determine the extent of paced and intrinsic activation.

    摘要翻译: 一种用于确定用于在心房跟踪或心房顺序起搏模式中递送心室再同步起搏的最佳房室延迟(AVD)间隔和/或心室 - 心室延迟(VVD)间隔的方法和系统。 以不同的AVD和VVD间隔记录的诱发反应电图用于确定起搏和内在激活的程度。

    ELECTROGRAM MORPHOLOGY-BASED CRT OPTIMIZATION
    10.
    发明申请
    ELECTROGRAM MORPHOLOGY-BASED CRT OPTIMIZATION 有权
    基于电化学形态的CRT优化

    公开(公告)号:US20090264949A1

    公开(公告)日:2009-10-22

    申请号:US12494628

    申请日:2009-06-30

    IPC分类号: A61N1/365

    摘要: A method and system for determining an optimum atrioventricular delay (AVD) interval and/or ventriculo-ventricular delay (VVD) intervals for delivering ventricular resynchronization pacing in an atrial tracking or atrial sequential pacing mode. Evoked response electrograms recorded at different AVD and VVD intervals are used to determine the extent of paced and intrinsic activation.

    摘要翻译: 一种用于确定用于在心房跟踪或心房顺序起搏模式中递送心室再同步起搏的最佳房室延迟(AVD)间隔和/或心室 - 心室延迟(VVD)间隔的方法和系统。 以不同的AVD和VVD间隔记录的诱发反应电图用于确定起搏和内在激活的程度。