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    Adaptive event storage in implantable device
    2.
    发明授权
    Adaptive event storage in implantable device 有权
    可植入装置中的自适应事件存储

    公开(公告)号：US08649860B2

    公开(公告)日：2014-02-11

    申请号：US12781459

    申请日：2010-05-17

    申请人： Yanting Dong ,  David L. Perschbacher ,  Jeffrey E. Stahmann ,  Dan Li ,  Deepa Mahajan

    发明人： Yanting Dong ,  David L. Perschbacher ,  Jeffrey E. Stahmann ,  Dan Li ,  Deepa Mahajan

    IPC分类号： A61N1/39

    CPC分类号： A61N1/37252 ,  A61B5/02 ,  A61B5/04 ,  A61B5/0452 ,  A61B5/6846 ,  A61N1/025 ,  A61N1/3621 ,  A61N1/3702 ,  A61N1/372 ,  A61N1/3925

    摘要： Monitoring physiological parameter using an implantable physiological monitor in order to detect a condition predictive of a possible future pathological episode and collecting additional physiological data associated with the condition predictive of a possible future pathological episode. Monitoring another physiological parameter in order to detect a condition indicative of the beginning of a present pathological episode and collecting additional pathological data in response to the condition. Determining that the condition predictive of a future episode and the condition indicative of a present episode are associated and, in response thereto, storing all the collected physiological data.

    摘要翻译： 使用植入式生理监测器监测生理参数，以便检测预测可能的未来病理发作的状况并收集与预测可能的未来病理发作相关的条件相关的附加生理数据。 监测另一个生理参数，以便检测指示本病理发作开始的病症，并根据病情收集额外的病理资料。 确定预测未来事件的状况和指示当前情节的状况是相关联的，并且响应于此，存储所有收集的生理数据。

    ADAPTIVE EVENT STORAGE IN IMPLANTABLE DEVICE
    3.
    发明申请
    ADAPTIVE EVENT STORAGE IN IMPLANTABLE DEVICE 有权
    可插入设备中的自适应事件存储

    公开(公告)号：US20100305642A1

    公开(公告)日：2010-12-02

    申请号：US12781459

    申请日：2010-05-17

    申请人： Yanting Dong ,  David L. Perschbacher ,  Jeffrey E. Stahmann ,  Dan Li ,  Deepa Mahajan

    发明人： Yanting Dong ,  David L. Perschbacher ,  Jeffrey E. Stahmann ,  Dan Li ,  Deepa Mahajan

    IPC分类号： A61N1/00

    CPC分类号： A61N1/37252 ,  A61B5/02 ,  A61B5/04 ,  A61B5/0452 ,  A61B5/6846 ,  A61N1/025 ,  A61N1/3621 ,  A61N1/3702 ,  A61N1/372 ,  A61N1/3925

    摘要： Monitoring physiological parameter using an implantable physiological monitor in order to detect a condition predictive of a possible future pathological episode and collecting additional physiological data associated with the condition predictive of a possible future pathological episode. Monitoring another physiological parameter in order to detect a condition indicative of the beginning of a present pathological episode and collecting additional pathological data in response to the condition. Determining that the condition predictive of a future episode and the condition indicative of a present episode are associated and, in response thereto, storing all the collected physiological data.

    摘要翻译： 使用植入式生理监测器监测生理参数，以便检测预测可能的未来病理发作的状况并收集与预测可能的未来病理发作相关的条件相关的附加生理数据。 监测另一个生理参数，以便检测指示本病理发作开始的病症，并根据病情收集额外的病理资料。 确定预测未来事件的状况和指示当前情节的状况是相关联的，并且响应于此，存储所有收集的生理数据。

    OFF-LINE SENSING METHOD AND ITS APPLICATIONS IN DETECTING UNDERSENSING, OVERSENSING, AND NOISE
    5.
    发明申请
    OFF-LINE SENSING METHOD AND ITS APPLICATIONS IN DETECTING UNDERSENSING, OVERSENSING, AND NOISE 有权
    离线感测方法及其在检测过程中的应用，监测和噪声

    公开(公告)号：US20130138004A1

    公开(公告)日：2013-05-30

    申请号：US13483387

    申请日：2012-05-30

    申请人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    发明人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    IPC分类号： A61B5/04 ,  A61N1/39

    CPC分类号： A61B5/04012 ,  A61B5/0245 ,  A61B5/042 ,  A61B5/0452 ,  A61B5/7217 ,  A61N1/3704 ,  A61N1/3937

    摘要： A system and method for performing independent, off-line evaluation of event sensing for collected electrograms, comprising: sensing an electrogram using an implantable medical device (IMD); determining locations of heart beats on at least one channel of the electrogram using a multi-pass process, resulting in a group of multi-pass beat locations; storing the electrogram and device-identified beat locations in a memory location; and retrieving the electrogram and device-identified beat locations from the memory location. The multi-pass process determines locations of heart beats on at least a first channel of the electrogram. The device-identified group of beat locations are then compared to the multi-pass group of beat locations identified using the multi-pass method. Based on the comparing step, oversensing of beats, undersensing of beats, or noise from the device can be detected.

    摘要翻译： 一种用于对收集的电描记图执行事件感测的独立离线评估的系统和方法，包括：使用可植入医疗装置（IMD）感测电描记图; 使用多遍处理确定心电图的至少一个通道上的心跳位置，从而产生一组多通拍位置; 将电描记图和设备识别的节拍位置存储在存储器位置中; 以及从存储器位置检索电描记图和设备标识的拍摄位置。 多遍处理确定心电图的至少第一个通道的位置。 然后将设备识别的拍摄位置组与使用多遍方法识别的拍摄位置的多通道组进行比较。 基于比较步骤，可以检测节拍过度，节拍不足或来自装置的噪音。

    Off-line sensing method and its applications in detecting undersensing, oversensing, and noise
    6.
    发明授权
    Off-line sensing method and its applications in detecting undersensing, oversensing, and noise 有权
    离线感测方法及其在检测不足，过流和噪声方面的应用

    公开(公告)号：US08942791B2

    公开(公告)日：2015-01-27

    申请号：US13483387

    申请日：2012-05-30

    申请人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    发明人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    IPC分类号： A61B5/04 ,  A61N1/39

    CPC分类号： A61B5/04012 ,  A61B5/0245 ,  A61B5/042 ,  A61B5/0452 ,  A61B5/7217 ,  A61N1/3704 ,  A61N1/3937

    摘要： A system and method for performing independent, off-line evaluation of event sensing for collected electrograms, comprising: sensing an electrogram using an implantable medical device (IMD); determining locations of heart beats on at least one channel of the electrogram using a multi-pass process, resulting in a group of multi-pass beat locations; storing the electrogram and device-identified beat locations in a memory location; and retrieving the electrogram and device-identified beat locations from the memory location. The multi-pass process determines locations of heart beats on at least a first channel of the electrogram. The device-identified group of beat locations are then compared to the multi-pass group of beat locations identified using the multi-pass method. Based on the comparing step, oversensing of beats, undersensing of beats, or noise from the device can be detected.

    摘要翻译： 一种用于对收集的电描记图执行事件感测的独立离线评估的系统和方法，包括：使用可植入医疗装置（IMD）感测电描记图; 使用多遍处理确定心电图的至少一个通道上的心跳位置，从而产生一组多通拍位置; 将电描记图和设备识别的节拍位置存储在存储器位置中; 以及从存储器位置检索电描记图和设备标识的拍摄位置。 多遍处理确定心电图的至少第一个通道的位置。 然后将设备识别的拍摄位置组与使用多遍方法识别的拍摄位置的多通道组进行比较。 基于比较步骤，可以检测节拍过度，节拍不足或来自装置的噪音。

    System and method for off-line analysis of cardiac data
    7.
    发明授权
    System and method for off-line analysis of cardiac data 有权
    心脏数据离线分析的系统和方法

    公开(公告)号：US09008760B2

    公开(公告)日：2015-04-14

    申请号：US13483394

    申请日：2012-05-30

    申请人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    发明人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    IPC分类号： A61B5/04 ,  A61B5/0452 ,  A61B5/00 ,  A61B5/0245 ,  A61B5/042 ,  A61N1/37

    CPC分类号： A61B5/0452 ,  A61B5/0245 ,  A61B5/042 ,  A61B5/7217 ,  A61N1/3704

    摘要： A system and method for performing off-line analysis of cardiac electrogram data, comprising: retrieving an electrogram from a memory location; identifying a first-channel group of candidate beats from at least a first channel of the electrogram; and identifying a second-channel group of candidate beats from at least a second channel of an electrogram. For each first-channel beat candidate near a second-channel beat candidate, the amplitude of the first-channel beat candidate is compared with the amplitude of a previous beat and the amplitude of a next beat on the first electrogram channel, and first-channel beat candidates that are outside of a first pre-determined range from either the previous or next beat are removed. Then first-channel beat candidates that are outside of a second pre-determined range from either the previous or next beat candidate are removed.

    摘要翻译： 一种用于执行心电图数据的离线分析的系统和方法，包括：从存储器位置检索电描记图; 从所述电描记图的至少第一通道识别候选节拍的第一通道组; 以及从电描记图的至少第二通道识别候选节拍的第二通道组。 对于靠近第二声道拍子候选的每个第一声道拍子候选，将第一声道拍子候选的幅度与先前拍子的幅度和第一电摄影通道上的下一拍子的幅度进行比较，并且将第一声道 从前一个或下一个节拍中跳出超出第一个预定范围之外的候选人被删除。 然后，除去来自前一个或下一个节拍候选的第二预定范围之外的第一声道拍子候选。

    SYSTEM AND METHOD FOR OFF-LINE ANALYSIS OF CARDIAC DATA
    8.
    发明申请
    SYSTEM AND METHOD FOR OFF-LINE ANALYSIS OF CARDIAC DATA 有权
    心脏数据离线分析的系统与方法

    公开(公告)号：US20130138005A1

    公开(公告)日：2013-05-30

    申请号：US13483394

    申请日：2012-05-30

    申请人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    发明人： Yanting Dong ,  Shijie Zhang ,  Deepa Mahajan ,  Chenguang Liu ,  Dan Li ,  Yayun Lin ,  Derek D. Bohn

    IPC分类号： A61B5/0452

    CPC分类号： A61B5/0452 ,  A61B5/0245 ,  A61B5/042 ,  A61B5/7217 ,  A61N1/3704

    摘要： A system and method for performing off-line analysis of cardiac electrogram data, comprising: retrieving an electrogram from a memory location; identifying a first-channel group of candidate beats from at least a first channel of the electrogram; and identifying a second-channel group of candidate beats from at least a second channel of an electrogram. For each first-channel beat candidate near a second-channel beat candidate, the amplitude of the first-channel beat candidate is compared with the amplitude of a previous beat and the amplitude of a next beat on the first electrogram channel, and first-channel beat candidates that are outside of a first pre-determined range from either the previous or next beat are removed. Then first-channel beat candidates that are outside of a second pre-determined range from either the previous or next beat candidate are removed.

    摘要翻译： 一种用于执行心电图数据的离线分析的系统和方法，包括：从存储器位置检索电描记图; 从所述电描记图的至少第一通道识别候选节拍的第一通道组; 以及从电描记图的至少第二通道识别候选节拍的第二通道组。 对于靠近第二声道拍子候选的每个第一声道拍子候选，将第一声道拍子候选的幅度与先前拍子的幅度和第一电摄影频道上的下一拍子的幅度进行比较，并且将第一声道 从前一个或下一个节拍中跳出超出第一个预定范围之外的候选人被删除。 然后，除去来自前一个或下一个节拍候选的第二预定范围之外的第一声道拍子候选。

    Methods for detecting atrial tachyarrhythmia in implantable devices without dedicated atrial sensing
    9.
    发明授权
    Methods for detecting atrial tachyarrhythmia in implantable devices without dedicated atrial sensing 有权
    在没有专门心房感应的植入式装置中检测心房快速性心律失常的方法

    公开(公告)号：US09510764B2

    公开(公告)日：2016-12-06

    申请号：US12754932

    申请日：2010-04-06

    申请人： Dan Li ,  David L. Perschbacher ,  Yanting Dong ,  Julie Stephenson

    发明人： Dan Li ,  David L. Perschbacher ,  Yanting Dong ,  Julie Stephenson

    IPC分类号： A61B5/0464 ,  A61B5/00 ,  A61B5/04 ,  A61N1/362 ,  A61N1/365

    CPC分类号： A61B5/0464 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/04012 ,  A61B5/686 ,  A61N1/3624 ,  A61N1/36592

    摘要： An apparatus comprises an implantable cardiac signal sensing circuit configured to provide a sensed depolarization signal from a ventricle and a processor. The processor includes a signal analyzer module and a tachyarrhythmia discrimination module. The signal analyzer module is configured to determine a measure of stability of ventricular (V-V) depolarization intervals using the depolarization signal, and determine a rate of change of the measure of stability. The tachyarrhythmia discrimination module is configured to detect an episode of tachyarrhythmia using the depolarization signal, determine whether the detected tachyarrhythmia is indicative of atrial tachyarrhythmia using the determined rate of change, and provide the determination to a user or process.

    摘要翻译： 一种装置包括可植入心脏信号感测电路，其被配置为提供来自心室和处理器的感测去极化信号。 处理器包括信号分析器模块和快速心律失常辨别模块。 信号分析器模块被配置为使用去极化信号来确定心室（V-V）去极化间隔的稳定性的量度，并且确定稳定性测量的变化率。 快速心律失常辨别模块被配置为使用去极化信号来检测快速性心律失常发作，使用确定的变化率确定检测到的快速性心律失常是指示心房快速性心律失常，并且向用户或过程提供确定。

    METHODS FOR DETECTING ATRIAL TACHYARRHYTHMIA IN IMPLANTABLE DEVICES WITHOUT DEDICATED ATRIAL SENSING
    10.
    发明申请
    METHODS FOR DETECTING ATRIAL TACHYARRHYTHMIA IN IMPLANTABLE DEVICES WITHOUT DEDICATED ATRIAL SENSING 有权
    用于在没有专用ATRIAL感觉的可植入器件中检测ATRY TACHYARRHYTHMIA的方法

    公开(公告)号：US20100274149A1

    公开(公告)日：2010-10-28

    申请号：US12754932

    申请日：2010-04-06

    申请人： Dan Li ,  David L. Perschbacher ,  Yanting Dong ,  Julie Stephenson

    发明人： Dan Li ,  David L. Perschbacher ,  Yanting Dong ,  Julie Stephenson

    IPC分类号： A61B5/0464

    CPC分类号： A61B5/0464 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/04012 ,  A61B5/686 ,  A61N1/3624 ,  A61N1/36592

    摘要： An apparatus comprises an implantable cardiac signal sensing circuit configured to provide a sensed depolarization signal from a ventricle and a processor. The processor includes a signal analyzer module and a tachyarrhythmia discrimination module. The signal analyzer module is configured to determine a measure of stability of ventricular (V-V) depolarization intervals using the depolarization signal, and determine a rate of change of the measure of stability. The tachyarrhythmia discrimination module is configured to detect an episode of tachyarrhythmia using the depolarization signal, determine whether the detected tachyarrhythmia is indicative of atrial tachyarrhythmia using the determined rate of change, and provide the determination to a user or process.

    摘要翻译： 一种装置包括可植入心脏信号感测电路，其被配置为提供来自心室和处理器的感测去极化信号。 处理器包括信号分析器模块和快速心律失常辨别模块。 信号分析器模块被配置为使用去极化信号来确定心室（V-V）去极化间隔的稳定性的量度，并且确定稳定性测量的变化率。 快速心律失常辨别模块被配置为使用去极化信号来检测快速性心律失常发作，使用确定的变化率确定检测到的快速性心律失常是指示心房快速性心律失常，并且向用户或过程提供确定。