公开(公告)号：WO2007100276A1

公开(公告)日：2007-09-07

申请号：PCT/SE2006/000264

申请日：2006-02-28

Applicant: ST. JUDE MEDICAL AB ,  HOLMSTRÖM, Nils ,  ÖHLANDER, Malin

Inventor： HOLMSTRÖM, Nils ,  ÖHLANDER, Malin

IPC: A61N1/37 ,  A61B5/053 ,  A61N1/362

CPC classification number: A61N1/3627 ,  A61B5/0402 ,  A61B5/7264 ,  A61N1/36514 ,  A61N1/3702

Abstract: The present invention relates to a method for creating hemodynamic sensor signal templates using an implantable medical device being connectable to a patient. A heart activity of a patient is sensed in order to identify a paced or sensed sequence of events of a heart cycle; hemodynamic sensor signals for consecutive heart cycles is sensed; and the sensed hemodynamic sensor signals for consecutive heart cycles is stored. Furthermore, sensed sensor signals are classified on basis of at least one predetermined heart event sequence condition and, for example, a template may be created using said classified sensor signals. The invention also relates to an implantable medical device for creating hemodynamic sensor signal templates, a computer program product, and a computer readable medium comprising instructions for bringing a computer to perform the method.

Abstract translation: 本发明涉及使用可连接到患者的可植入医疗装置来产生血液动力学传感器信号模板的方法。 感测患者的心脏活动以便识别心跳周期的起搏或感测的事件序列; 感测连续心脏周期的血流动力学传感器信号; 并且存储用于连续心脏周期的感测的血液动力学传感器信号。 此外，感测的传感器信号基于至少一个预定的心脏事件序列条件进行分类，并且例如，可以使用所分类的传感器信号来创建模板。 本发明还涉及用于产生血液动力学传感器信号模板的可植入医疗装置，计算机程序产品和包括用于使计算机执行该方法的指令的计算机可读介质。

公开(公告)号：WO2007001219A1

公开(公告)日：2007-01-04

申请号：PCT/SE2005/001030

申请日：2005-06-29

Applicant: ST. JUDE MEDICAL AB ,  ÖHLANDER, Malin ,  HOLMSTRÖM, Nils ,  NOREN, Kjell

Inventor： ÖHLANDER, Malin ,  HOLMSTRÖM, Nils ,  NOREN, Kjell

IPC: A61B5/053 ,  A61B5/103 ,  A61B5/11

CPC classification number: G06F19/34 ,  A61B5/0031 ,  A61B5/01 ,  A61B5/029 ,  A61B5/053 ,  A61B5/0816 ,  A61B5/1116 ,  A61B5/4561 ,  A61B5/686

Abstract: The present invention relates to a method for determining the posture of a patient. The method comprises the steps of: initiating (50, 52) a patient posture determining session by performing an electrical bio-impedance measurement session in at least one of a number of different electrode configurations in order to measure an impedance value for the at least one configuration; obtaining reference impedance values (54) stored in advance for the at least one configuration and for at least one potential posture of the patient; comparing (54) the measured impedance value for the at least one configuration with corresponding stored reference impedance values for at least one potential posture of the patient; and determining (56) the present posture of the patient by using results from the comparison between measured impedance values and the stored reference impedance values. Furthermore, the invention relates to a medical device for determining the posture of a patient and a computer readable medium comprising instructions for bringing a computer to perform the inventive method.

Abstract translation: 本发明涉及一种用于确定患者姿势的方法。 该方法包括以下步骤：通过在多个不同电极配置中的至少一个中执行电生物阻抗测量会话来启动（50,52）患者姿势确定会话，以便测量所述至少一个 组态; 获得针对所述至少一个配置预先存储的参考阻抗值（54）和所述患者的至少一个潜在姿势; 将所述至少一个配置的测量阻抗值与所述患者的至少一个潜在姿势的相应存储的参考阻抗值进行比较（54） 以及通过使用测量的阻抗值与存储的参考阻抗值之间的比较的结果来确定（56）患者的当前姿势。 此外，本发明涉及一种用于确定患者的姿势的医疗装置和包括用于使计算机执行本发明的方法的指令的计算机可读介质。

公开(公告)号：WO2006126918A1

公开(公告)日：2006-11-30

申请号：PCT/SE2005/000777

申请日：2005-05-24

Applicant: ST. JUDE MEDICAL AB ,  HOLMSTRÖM, Nils ,  ÖHLANDER, Malin

Inventor： HOLMSTRÖM, Nils ,  ÖHLANDER, Malin

IPC: A61B5/11 ,  A61B5/00 ,  A61B5/103 ,  A61N1/36

CPC classification number: A61B5/103 ,  A61B5/0205 ,  A61B5/1116 ,  A61B5/686 ,  A61B5/7264 ,  A61N1/3702

Abstract: The present invention relates to a method for evaluating the prevalence of different postures of a patient. The method includes the steps of: sensing (60) signals indicating the posture of the patient during a monitoring period having a predetermined length; determining (60) specific body postures of the patient during the monitoring period using the signals; measuring (62) the amount of time the patient spends in each of the specific postures; storing (62) information regarding each specific posture and the amount of time spent in each posture; and evaluating (64) the prevalence of the different postures of the patient by classifying the stored information with respect of specific postures and the amount of time spent in corresponding postures. Furthermore, the invention relates to a medical device (20) for evaluating the prevalence of different postures of a patient and a computer readable medium comprising instructions for bringing a computer to perform the inventive method.

Abstract translation: 本发明涉及一种评估患者不同姿势流行率的方法。 该方法包括以下步骤：在具有预定长度的监视期间内检测（60）指示患者姿势的信号; 在监测期间使用信号确定（60）患者的特定身体姿势; 测量（62）患者在每个特定姿势中花费的时间量; 存储关于每个特定姿势的信息和每个姿势花费的时间量; 并通过对存储的信息进行分类来评估（64）患者的不同姿势的流行率，以及在相应姿势中花费的时间量。 此外，本发明涉及一种用于评估患者的不同姿势的患病率的医疗装置（20）和包括用于使计算机执行本发明的方法的指令的计算机可读介质。

公开(公告)号：WO2009096819A1

公开(公告)日：2009-08-06

申请号：PCT/SE2008/000077

申请日：2008-01-28

Applicant: ST.JUDE MEDICAL AB ,  BLOMQVIST, Andreas ,  HOLMSTRÖM, Nils ,  ÖHLANDER, Malin ,  HEDBERG, Sven-Erik

Inventor： BLOMQVIST, Andreas ,  HOLMSTRÖM, Nils ,  ÖHLANDER, Malin ,  HEDBERG, Sven-Erik

IPC: A61N1/365 ,  A61B5/053

CPC classification number: A61N1/36521 ,  A61B5/053 ,  A61B5/0538 ,  A61N1/3684

Abstract: Implantable heart stimulator connectable to an electrode arrangement comprising a pulse generator adapted to deliver stimulation pulses to a heart of a subject; an impedance measurement unit adapted monitor at least one heart chamber of the heart of the subject to measure the impedance in the at least one monitored heart chamber for generating an impedance signal corresponding to the measured impedance. The impedance signal is applied to a processing means where the signal is processed, according to specified criteria, and a fractionation index value is determined represented by the curve length of the impedance signal during a predetermined measurement period. The fractionation index value being a measure of different degrees of mechanical dyssynchrony of the heart.

Abstract translation: 可植入心脏刺激器，其可连接到电极装置，所述电极装置包括适于将刺激脉冲输送到对象的心脏的脉冲发生器; 阻抗测量单元适于监测所述受试者心脏的至少一个心室，以测量所述至少一个监测的心室中的阻抗，以产生对应于所测量的阻抗的阻抗信号。 根据规定的标准将阻抗信号施加到处理信号的处理装置，并且在预定测量周期期间由阻抗信号的曲线长度确定分数指数值。 分离指数值是心脏不同程度的机械不同步的量度。

公开(公告)号：WO2009078758A1

公开(公告)日：2009-06-25

申请号：PCT/SE2007/001134

申请日：2007-12-19

Applicant: ST. JUDE MEDICAL AB ,  BLOMQVIST, Andreas ,  HOLMSTRÖM, Nils ,  HEDBERG, Sven-Erik ,  ÖHLANDER, Malin

Inventor： BLOMQVIST, Andreas ,  HOLMSTRÖM, Nils ,  HEDBERG, Sven-Erik ,  ÖHLANDER, Malin

IPC: A61N1/365 ,  A61B5/053

CPC classification number: A61N1/36521 ,  A61B5/0456 ,  A61B5/053 ,  A61B5/0538 ,  A61N1/3622 ,  A61N1/3684

Abstract: The invention concerns an implantable heart monitoring device (10) comprising, inter alia, a control circuit (14) configured to be able to measure an impedance across at least part of an atrium, such that the variation of the impedance is related to the volume change of the atrium. The control circuit (14) is configured to carry out certain steps, and to store values at different occasions that indicate the rate of change of the meas¬ ured impedance. The stored values have been determined such that, when the device (10) is used in a living being, the variation of the stored values will be related to the variation of the speed with which the atrium is filled with blood during the atrial dias¬ tole. The invention also concerns a corresponding system and method.

Abstract translation: 本发明涉及可植入心脏监测装置（10），其特别地包括控制电路（14），其被配置为能够测量穿过至少部分心房的阻抗，使得阻抗的变化与体积 改变中庭。 控制电路（14）被配置为执行某些步骤，并且在指示所测量的阻抗的变化率的不同场合存储值。 存储的值已经被确定为使得当在生物体中使用装置（10）时，所存储的值的变化将与心房中的心脏充满血液的速度的变化有关 托勒。 本发明还涉及相应的系统和方法。

公开(公告)号：WO2008105698A1

公开(公告)日：2008-09-04

申请号：PCT/SE2007/000855

申请日：2007-09-27

Applicant: ST. JUDE MEDICAL AB ,  BJÖRLING, Anders ,  ÖHLANDER, Malin ,  ERIKSSON, Tom ,  ECKERDAL, Johan ,  LÖNN, Urban ,  NILSSON, Kenth ,  TUVSTEDT, Cecilia ,  SVAHN, Johan ,  JOHANSSON, Anna-Karin ,  NOREN, Kjell ,  BROOME, Michael

Inventor： BJÖRLING, Anders ,  ÖHLANDER, Malin ,  ERIKSSON, Tom ,  ECKERDAL, Johan ,  LÖNN, Urban ,  NILSSON, Kenth ,  TUVSTEDT, Cecilia ,  SVAHN, Johan ,  JOHANSSON, Anna-Karin ,  NOREN, Kjell ,  BROOME, Michael

IPC: A61N1/372 ,  A61B5/0205 ,  A61B5/145

CPC classification number: A61B5/14542 ,  A61B5/0031 ,  A61B5/076 ,  A61B5/1459 ,  A61B2562/0219 ,  A61N1/3627 ,  A61N1/36542 ,  A61N1/36557 ,  A61N1/36585

Abstract: A device and method of a medical implant for monitoring progression of heart failure in a human heart. An activity sensor provides information related to the activity level of a patient and an oxygen sensor provides information related to the level of oxygen content in venous blood. A determined level of venous oxygen content at a determined activity level is obtained, and that level of venous oxygen content is compared to stored values at a corresponding activity level. The result of the comparison is used as a basis for determining a degree of heart failure.

Abstract translation: 用于监测人类心脏心脏衰竭进展的医用植入物的装置和方法。 活动传感器提供与患者的活动水平相关的信息，氧传感器提供与静脉血中氧含量水平相关的信息。 在确定的活性水平获得确定水平的静脉氧含量，并将静脉氧含量的水平与在相应活动水平的储存值进行比较。 将比较结果用作确定心力衰竭程度的基础。

公开(公告)号：WO2008118041A1

公开(公告)日：2008-10-02

申请号：PCT/SE2007/000288

申请日：2007-03-23

Applicant: ST. JUDE MEDICAL AB ,  HOLMSTRÖM, Nils ,  ÖHLANDER, Malin ,  NOREN, Kjell ,  BLOMQVIST, Andreas ,  LJUNGSTRÖM, Karin

Inventor： HOLMSTRÖM, Nils ,  ÖHLANDER, Malin ,  NOREN, Kjell ,  BLOMQVIST, Andreas ,  LJUNGSTRÖM, Karin

IPC: A61N1/365 ,  A61N1/37

CPC classification number: A61N1/36521 ,  A61B5/0215 ,  A61B5/02405 ,  A61B5/053 ,  A61B5/4035 ,  A61B5/4836 ,  A61B5/7257 ,  A61N1/36564 ,  A61N1/36578 ,  A61N1/36592 ,  A61N1/3702

Abstract: An implantable cardiac device comprises a heart stimulator (10, 12) for electricly stimulating the heart of a patient, detecting means (2, 4) for measuring a physiologic parameter which is affected by the status of a cardiovascular disease associated with sympathetic activation, signal processing means (6) for determining at least one of a low frequency, LF, and a very low frequency, VLF, Mayer wave component in the measured parameter, and an analysor for analyzing the determined Mayer wave component in relation to a predetermined reference value to determine the status of the cardiovascular disease. The detecting means comprise measuring means (2) arranged to measure, as said physiologic parameter, a mechanical change in at least one of the four chambers of the heart. In a corresponding method for monitoring the status of a cardiovascular disease associated with sympathetic activation of a patient having an implantable electric heart stimulator (10, 12) a physiologic parameter affected by the cardiac disease is measured. At least one of a low frequency, LF, and a very low frequency, VLF, Mayer wave component in the parameter is determined, and the wave component is analysed in relation to a predetermined reference value to determine the status of the cardiovascular disease. A mechanical change in at least one of the four chambers of the heart is measured as the physiologic parameter.

Abstract translation: 可植入心脏装置包括用于电刺激患者心脏的心脏刺激器（10,12），用于测量受到与交感神经激活相关的心血管疾病状态影响的生理参数的检测装置（2,4），信号 用于确定所测量的参数中的低频，低频和极低频，伏尔伏特梅耶波分量中的至少一个的处理装置（6），以及用于相对于预定参考值分析所确定的梅尔波分量的分析器 以确定心血管疾病的状况。 检测装置包括测量装置（2），其被布置成根据所述生理参数测量心脏的四个腔室中的至少一个中的机械变化。 在用于监测与具有可植入电心脏刺激器（10,12）的患者的交感神经激活相关的心血管疾病的状态的相应方法中，测量受心脏病影响的生理参数。 确定参数中的低频，低频和极低频VLF，梅耶波分量中的至少一个，并且相对于预定参考值分析波分量以确定心血管疾病的状态。 测量心脏四个腔室中的至少一个的机械变化作为生理参数。

公开(公告)号：WO2007100283A1

公开(公告)日：2007-09-07

申请号：PCT/SE2007/000165

申请日：2007-02-22

Applicant: ST. JUDE MEDICAL AB ,  ÖHLANDER, Malin ,  NOREN, Kjell ,  ECKERDAL, Johan ,  HIETANEN, Mika ,  NILSSON, Kenth ,  LÖNN, Urban

Inventor： ÖHLANDER, Malin ,  NOREN, Kjell ,  ECKERDAL, Johan ,  HIETANEN, Mika ,  NILSSON, Kenth ,  LÖNN, Urban

IPC: A61B5/02 ,  A61B5/1455

CPC classification number: A61B5/02055 ,  A61B5/0086 ,  A61B5/053 ,  A61B5/0538 ,  A61B5/14535 ,  A61N1/36521 ,  G06F19/00 ,  G06Q50/22

Abstract: The present invention generally relates to cardiac pacing systems and, in particular, to a method and an implantable medical device (2; 20) for monitoring physiological parameters such as hematocrit and SvO2 levels of a patient to determine a patient status. The implantable medical device (2; 20) comprises a blood constituent determining device (30) adapted to determine a present hematocrit level and a SvO2 level and a patient status determining device (31) adapted to determine a patient status based on an evaluation of a present hematocrit level and a present SvO2 level, wherein a change of a condition of the patient can be derived.

Abstract translation: 本发明一般涉及心脏起搏系统，尤其涉及一种用于监测患者的生理参数例如血细胞比容和SvO2水平以确定患者状态的方法和可植入医疗装置（2; 20）。 可植入医疗装置（2; 20）包括适于确定当前血细胞比容水平和SvO2水平的血液成分确定装置（30）和适于基于对所述血液成分确定装置的评估来确定患者状态的患者状态确定装置（31） 目前的血细胞比容水平和目前的SvO2水平，其中可以导出患者状况的改变。

公开(公告)号：WO2005107582A1

公开(公告)日：2005-11-17

申请号：PCT/SE2004/000698

申请日：2004-05-06

Applicant: ST. JUDE MEDICAL AB ,  TORPO, Maria ,  ÖHLANDER, Malin ,  BJÖRLING, Anders ,  LJUNGSTRÖM, Karin

Inventor： TORPO, Maria ,  ÖHLANDER, Malin ,  BJÖRLING, Anders ,  LJUNGSTRÖM, Karin

IPC: A61B5/02

CPC classification number: A61N1/3627 ,  A61B8/06 ,  A61B8/13

Abstract: An implantable medical apparatus for detecting diastolic heart failure, DHF, comprises a DHF determining device for determining at least one DHF parameter for detecting a DHF state of the heart of a patient. The DHF determining device comprises a means for determining, as said DHF parameter, the time length (DT,IVRT) of a predetermined phase of diastole. A pacemaker comprises such an apparatus and control means for optimising pacing therapy and pacemaker settings depending on the determined time length. A corresponding method of detecting diastolic heart failure, DHF, comprises the step of determining at least one DHF parameter for detecting a DHF state of the heart of a patient. This step comprises determining, as said DHF parameter, the time length (DT,IVRT) of a predetermined phase of diastole.

Abstract translation: 用于检测舒张性心力衰竭的可植入医疗装置DHF包括DHF确定装置，用于确定用于检测患者心脏的DHF状态的至少一个DHF参数。 DHF确定装置包括用于根据所述DHF参数确定舒张期的预定阶段的时间长度（DT，IVRT）的装置。 起搏器包括用于根据确定的时间长度优化起搏治疗和起搏器设置的这种装置和控制装置。 检测舒张性心力衰竭DHF的相应方法包括确定至少一个DHF参数以检测患者心脏的DHF状态的步骤。 该步骤包括根据所述DHF参数确定舒张期的预定相位的时间长度（DT，IVRT）。

公开(公告)号：WO2009082284A1

公开(公告)日：2009-07-02

申请号：PCT/SE2007/001155

申请日：2007-12-21

Applicant: ST. JUDE MEDICAL AB ,  BLOMQVIST, Andreas ,  HOLMSTRÖM, Nils ,  HEDBERG, Sven-Erik ,  ÖHLANDER, Malin

Inventor： BLOMQVIST, Andreas ,  HOLMSTRÖM, Nils ,  HEDBERG, Sven-Erik ,  ÖHLANDER, Malin

IPC: A61B5/053 ,  A61B5/0245 ,  A61N1/365

CPC classification number: A61B5/053 ,  A61B5/0245 ,  A61B5/0452

Abstract: An implantable medical device (100) comprises an impedance determiner (120) for determining a cardiogenic impedance signal (20, 30) based on electric signals sensed by connected electrodes. A parameter calculator (130) processes the impedance signal (20, 30) to calculate an impedance parameter representative of the cardiogenic impedance in connection with the diastolic phase of a heart cycle. This parameter is then employed by the device (100) for monitoring acute decompensated heart failure status of a subject (1).

Abstract translation: 可植入医疗装置（100）包括阻抗确定器（120），用于基于由连接的电极感测的电信号来确定心源阻抗信号（20,30）。 参数计算器（130）处理阻抗信号（20,30）以计算与心脏循环的舒张期相关的代表心源阻抗的阻抗参数。 该装置（100）然后使用该参数来监测对象（1）的急性失代偿性心力衰竭状态。