METHODS AND DEVICES FOR ACCURATELY CLASSIFYING CARDIAC ACTIVITY
    2.
    发明申请
    METHODS AND DEVICES FOR ACCURATELY CLASSIFYING CARDIAC ACTIVITY 审中-公开
    用于准确分类心脏活动的方法和装置

    公开(公告)号:WO2009111766A3

    公开(公告)日:2009-11-05

    申请号:PCT/US2009036434

    申请日:2009-03-06

    Abstract: Methods, systems, and devices for signal analysis in an implanted cardiac monitoring and treatment device such as an implantable cardioverter defibrillator. In illustrative examples, captured data including detected events is analyzed to identify likely overdetection of cardiac events. In some illustrative examples, when overdetection is identified, data may be modified to correct for overdetection, to reduce the impact of overdetection, or to ignore overdetected data. New methods for organizing the use of morphology and rate analysis in an overall architecture for rhythm classification and cardiac signal analysis are also discussed.

    Abstract translation: 用于在植入式心脏监测和治疗设备(例如植入式心脏复律除颤器)中进行信号分析的方法,系统和设备。 在说明性示例中,分析包括检测到的事件的捕获数据以识别心脏事件可能的过度检测。 在一些说明性示例中,当识别出过度检测时,可修改数据以校正过度检测,减少过度检测的影响或忽略过度检测的数据。 还讨论了在节律分类和心脏信号分析的整体结构中组织使用形态学和速率分析的新方法。

    ADAPTIVE SHOCK DELIVERY IN AN IMPLANTABLE CARDIAC STIMULUS DEVICE
    3.
    发明申请
    ADAPTIVE SHOCK DELIVERY IN AN IMPLANTABLE CARDIAC STIMULUS DEVICE 审中-公开
    在可移植的心脏刺激装置中的自适应冲击输送

    公开(公告)号:WO2009097597A2

    公开(公告)日:2009-08-06

    申请号:PCT/US2009/032783

    申请日:2009-01-31

    CPC classification number: A61N1/3956 A61N1/3686

    Abstract: Methods and devices that are configured to deliver cardiac stimuli in a particular fashion. In an illustrative embodiment, a method is used wherein a first stimulus is delivered using a first polarity, and, if the first stimulus fails to successfully convert an arrhythmia, a second stimulus having a second polarity that is different from or opposite of the first polarity is then delivered. Subsequent stimuli, if needed, are delivered in a continuing alternating-polarity manner. The first polarity may be determined by observing whether successfully-converting stimulus has been delivered previously and, if so, the polarity of the most recent stimulus that resulted in successful conversion is used as the first polarity. In additional embodiments, electrode configuration may be changed instead of or in addition to polarity, following unsuccessful stimulus delivery. Devices configured to perform such methods are included in additional illustrative embodiments.

    Abstract translation: 被配置为以特定方式递送心脏刺激的方法和装置。 在说明性实施例中,使用其中使用第一极性传送第一刺激的方法,并且如果第一刺激不能成功转换心律失常,则具有与第一极性不同或相反的第二极性的第二刺激 然后交付。 如果需要,随后的刺激以连续的交替极性方式递送。 第一极性可以通过观察成功转换刺激是否已经被传递来确定,如果是,则将导致成功转换的最近的刺激的极性用作第一极性。 在另外的实施例中,在不成功的刺激递送之后,可以改变电极配置而不是极性或除了极性之外。 被配置为执行这些方法的装置包括在另外的说明性实施例中。

    PATIENT SCREENING TOOLS FOR IMPLANTABLE CARDIAC STIMULUS SYSTEMS
    4.
    发明申请
    PATIENT SCREENING TOOLS FOR IMPLANTABLE CARDIAC STIMULUS SYSTEMS 审中-公开
    用于植入式心脏刺激系统的患者筛查工具

    公开(公告)号:WO2009026571A2

    公开(公告)日:2009-02-26

    申请号:PCT/US2008074118

    申请日:2008-08-22

    Abstract: Tools and devices are provided for determining whether a patient is well suited to receiving an implantable cardiac stimulation device by analyzing cardiac signals captured using external or cutaneous electrodes. Some of the illustrative tools include shapes for visual comparison to printed ECG strips. Automatic devices are also disclosed which perform at least some analytical functions electronically for a user. In an example, a printed ECG strip is visually compared to a shape in order to ensure a patient is well suited to receiving a cardiac stimulation device having a particular implant location and/or cardiac signal analysis method implementation.

    Abstract translation: 提供了用于通过分析使用外部或皮肤电极捕获的心脏信号来确定患者是否非常适合接收可植入心脏刺激设备的工具和设备。 一些说明性工具包括用于与印刷的ECG带进行视觉比较的形状。 还公开了自动设备,其为用户电子地执行至少一些分析功能。 在一个示例中,印刷的ECG带在视觉上与形状相比较以便确保患者非常适合于接收具有特定植入位置和/或心脏信号分析方法实现的心脏刺激设备。

    PROGRAMMERS AND ASSOCIATED METHODS FOR USE IN SENSING VECTOR SELECTION WITH AN IMPLANTABLE MEDICAL DEVICE
    5.
    发明申请
    PROGRAMMERS AND ASSOCIATED METHODS FOR USE IN SENSING VECTOR SELECTION WITH AN IMPLANTABLE MEDICAL DEVICE 审中-公开
    使用可植入医疗器械的感应矢量选择中的编程器和相关方法

    公开(公告)号:WO2007140209A2

    公开(公告)日:2007-12-06

    申请号:PCT/US2007/069544

    申请日:2007-05-23

    Abstract: Methods and devices configured for analyzing sensing vectors in an implantable cardiac stimulus system. In an illustrative example, a first sensing vector is analyzed to determine whether it is suitable, within given threshold conditions, for use in cardiac event detection and analysis. If so, the first sensing vector may be selected for detection and analysis. Otherwise, and in other examples, one or more additional sensing vectors are analyzed. A polynomial may be used during analysis to generate a metric indicating the suitability of the sensing vector for use in cardiac event detection and analysis. Additional illustrative examples include systems and devices adapted to perform at least these methods, including implantable medical devices, and/or programmers for implantable medical devices, and/or systems having both programmers and implantable medical devices that cooperatively analyze sensing vectors.

    Abstract translation: 配置用于分析可植入心脏刺激系统中的感测向量的方法和装置。 在说明性示例中,分析第一感测向量以确定在给定阈值条件内是否适合用于心脏事件检测和分析。 如果是,则可以选择第一感测矢量进行检测和分析。 否则,在其他示例中,分析一个或多个附加感测向量。 在分析期间可以使用多项式来生成指示用于心脏事件检测和分析的感测矢量的适合性的度量。 附加的说明性示例包括适于执行至少这些方法的系统和设备,包括可植入医疗设备和/或用于可植入医疗设备的程序员,和/或具有共同分析感测向量的程序员和可植入医疗设备的系统。

    CARDIOVERTER-DEFIBRILLATOR HAVING A FOCUSED SHOCKING AREA AND ORIENTATION THEREOF
    6.
    发明申请
    CARDIOVERTER-DEFIBRILLATOR HAVING A FOCUSED SHOCKING AREA AND ORIENTATION THEREOF 审中-公开
    具有聚焦震动区域的减速器 - 定位器及其方位

    公开(公告)号:WO03018126A8

    公开(公告)日:2004-02-12

    申请号:PCT/IB0203484

    申请日:2002-08-26

    Abstract: One embodiment of the present invention provides an implantable cardioverter defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing; an electrical circuit located within the housing; a first electrode coupled to the electrical circuit and located on the housing; and a second electrode coupled to the electrical circuit.

    Abstract translation: 本发明的一个实施例提供了一种可植入式心律转复除颤器,用于在患者体内的第三肋与第十二肋之间进行皮下定位,所述植入式心律转复除颤器包括壳体; 位于壳体内的电路; 耦合到所述电路并且位于所述壳体上的第一电极; 以及耦合到所述电路的第二电极。

    CURRENT WAVEFORMS FOR ANTI-BRADYCARDIA PACING FOR A SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR
    9.
    发明申请
    CURRENT WAVEFORMS FOR ANTI-BRADYCARDIA PACING FOR A SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR 审中-公开
    用于抗逆转录病毒抗逆转录酶抑制剂的抗肿瘤药物的当前波形

    公开(公告)号:WO2003039666A1

    公开(公告)日:2003-05-15

    申请号:PCT/IB2002/004498

    申请日:2002-10-28

    Abstract: A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathorasic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.

    Abstract translation: 一种用于可植入式心律转复除颤器的电源,用于在第三肋骨和第十二肋骨之间皮下定位,并且使用不直接接触患者心脏或位于血管内的血管内的引导系统,并且用于将抗心动过缓起搏能量提供给 心脏,包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统,用于向电容器子系统提供抗心动过缓起搏能量。

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