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    SYSTEMS AND METHODS FOR PRESENTING PHYSIOLOGIC DATA
    1.
    发明申请
    SYSTEMS AND METHODS FOR PRESENTING PHYSIOLOGIC DATA 审中-公开

    公开(公告)号：WO2020028094A1

    公开(公告)日：2020-02-06

    申请号：PCT/US2019/042986

    申请日：2019-07-23

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： PERSCHBACHER, David L. ,  SAHA, Sunipa ,  MAHAJAN, Deepa ,  BOHN, Derek D.

    IPC: A61N1/372 ,  G16H50/70 ,  A61N1/08 ,  A61N1/37

    Abstract: Systems and methods for presenting physiologic data to a user are discussed. An exemplary system includes a presentation control circuit configured to generate signal metrics from data subsets of a physiologic signal corresponding to a device-detected presence of a physiologic event. The signal metrics represent characteristics of the physiologic event. The presentation control circuit may determine, from the plurality of data subsets, a target subset of clinical significance, which has the corresponding signal metric satisfying a specific condition. The presentation control circuit may present the recognized target subset over other subsets of the physiologic data. A user may adjudicate the device detection of the physiologic event or adjust device parameters.

    AUTO-THRESHOLD TEST FOR HIS-BUNDLE PACING
    2.
    发明申请
    AUTO-THRESHOLD TEST FOR HIS-BUNDLE PACING 审中-公开

    公开(公告)号：WO2019173003A1

    公开(公告)日：2019-09-12

    申请号：PCT/US2019/014923

    申请日：2019-01-24

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： BRISBEN, Amy Jean ,  TERNES, David J. ,  SHUROS, Allan Charles ,  MAHAJAN, Deepa ,  PERSCHBACHER, David L.

    IPC: A61N1/37 ,  A61N1/36

    Abstract: Systems and methods for pacing cardiac conductive tissue are described. A medical system includes an electrostimulation circuit to generate His-bundle pacing (HBP) pulses. A sensing circuit senses a physiologic signal, and detect a local His-bundie activation discrete from a pacing artifact of the HBP pulse. A control circuit verifies capture status in response to the HBP pulses. Based on the capture status, the control circuit determines one or more pacing thresholds including a selective HBP threshold representing a threshold strength to capture only the His bundle but not the local myocardium, and a non-selective HBP threshold representing a threshold strength to capture both the His bundle and the local myocardium. The electrostimulation circuit may deliver HBP pulses based on the selective and non-selective HBP thresholds.

    DYNAMIC CONTROL OF HEART FAILURE THERAPY
    3.
    发明申请
    DYNAMIC CONTROL OF HEART FAILURE THERAPY 审中-公开

    公开(公告)号：WO2018231996A1

    公开(公告)日：2018-12-20

    申请号：PCT/US2018/037350

    申请日：2018-06-13

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： TERNES, David J. ,  YU, Yinghong ,  HUMPHREY, Jason ,  PERSCHBACHER, David L. ,  DUFRESNE, Michael James ,  MACEWEN, Adam ,  HERRMANN, Keith L.

    IPC: A61N1/368

    Abstract: Systems and methods for monitoring and treating patients with heart failure (HF) are discussed. The system may sense cardiac signals, and receives information about patient physiological or functional conditions. A stimulation parameter table that includes recommended values of atrioventricular delay (AVD) or other timing parameters maybe created at a multitude of patient physiological or functional conditions. The system may periodically reassess patient physiological or functional conditions. A therapy programmer circuit may dynamically switch between left ventricular-only pacing and biventricular pacing, or switch between single site pacing and multisite pacing based on the patient condition. The therapy programmer circuit may adjust AVD and other timing parameters using the cardiac signal input and the stored stimulation parameter table. A HF therapy may be delivered according to the determined stimulation site, stimulation mode, and the stimulation timing.

    POST-HOC ATRIAL FIBRILLATION DETECTION
    4.
    发明申请
    POST-HOC ATRIAL FIBRILLATION DETECTION 审中-公开

    公开(公告)号：WO2018164840A1

    公开(公告)日：2018-09-13

    申请号：PCT/US2018/018974

    申请日：2018-02-21

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： PERSCHBACHER, David L. ,  SAHA, Sunipa

    IPC: A61N1/362 ,  A61N1/365 ,  A61N1/39

    Abstract: An apparatus comprises an arrhythmia detection circuit configured to: detect atrial arrhythmia in a first portion of a sensed cardiac signal using a first arrhythmia detection criteria, wherein the sensed cardiac signal is representative of cardiac activity of a subject; and upon detection of the atrial arrhythmia, analyze a second portion of the cardiac signal that is prior in time to the first portion using a second different arrhythmia detection criteria to detect the presence or absence of the atrial arrhythmia in the second portion of the cardiac signal.

    ATRIAL FIBRILLATION DETECTION
    5.
    发明申请
    ATRIAL FIBRILLATION DETECTION 审中-公开
    ATRIAL FIBRILLATION检测

    公开(公告)号：WO2016160674A1

    公开(公告)日：2016-10-06

    申请号：PCT/US2016/024463

    申请日：2016-03-28

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： PERSCHBACHER, David L. ,  MAHAJAN, Deepa ,  SIMMS JR., Howard D.

    IPC: A61N1/39 ,  A61B5/00 ,  A61B5/0464 ,  A61N1/362

    CPC classification number: A61B5/046 ,  A61B5/0031 ,  A61B5/0245 ,  A61B5/042 ,  A61B5/0432 ,  A61B5/0464 ,  A61B5/686 ,  A61N1/3621 ,  A61N1/3956 ,  A61N1/3962 ,  A61N1/3987

    Abstract: An apparatus includes a sensing circuit configured to generate a sensed physiological signal representative of cardiac activity of a subject, and an arrhythmia detection circuit. The arrhythmia detection circuit is configured to monitor information corresponding to ventricular depolarization (V-V) intervals using the sensed physiological signal; determine a V-V interval distribution; determine a heart rate density index (HRDI) as a portion of samples of the V-V interval distribution corresponding to a V-V interval occurring most often in the distribution; and generate an indication of atrial fibrillation (AF) using the HRDI.

    Abstract translation: 一种装置包括：感测电路，被配置为产生表示受试者的心脏活动的感测生理信号，以及心律失常检测电路。 心律失常检测电路被配置为使用感测到的生理信号监视与心室去极化（V-V）间隔相对应的信息; 确定V-V间隔分布; 确定心率密度指数（HRDI）作为对应于在分布中最常出现的V-V间隔的V-V间隔分布的样本的一部分; 并使用HRDI产生心房颤动（AF）的指征。

    ADAPTIVE EVENT STORAGE IN AN IMPLANTABLE DEVICE
    7.
    发明申请
    ADAPTIVE EVENT STORAGE IN AN IMPLANTABLE DEVICE 审中-公开
    自适应事件存储在可移植设备中

    公开(公告)号：WO2010138332A1

    公开(公告)日：2010-12-02

    申请号：PCT/US2010/035133

    申请日：2010-05-17

    Applicant: CARDIAC PACEMAKERS, INC. ,  DONG, Yanting ,  PERSCHBACHER, David L. ,  STAHMANN, Jeffrey E. ,  LI, Dan ,  MAHAJAN, Deepa

    Inventor： DONG, Yanting ,  PERSCHBACHER, David L. ,  STAHMANN, Jeffrey E. ,  LI, Dan ,  MAHAJAN, Deepa

    IPC: A61N1/372 ,  A61B5/00

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

    Abstract: 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, using the physiological monitor, 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.

    Abstract translation: 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。 使用生理监测器监测另一种生理参数，以便检测指示本病理发作开始的病症并响应于该病症收集额外的病理数据。 确定预测未来事件的条件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。

    SYSTEM FOR ENHANCING ATRIAL FIBRILLATION DETECTION
    8.
    发明申请
    SYSTEM FOR ENHANCING ATRIAL FIBRILLATION DETECTION 审中-公开

    公开(公告)号：WO2020146518A1

    公开(公告)日：2020-07-16

    申请号：PCT/US2020/012768

    申请日：2020-01-08

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： PERSCHBACHER, David L. ,  SAHA, Sunipa ,  MAHAJAN, Deepa

    IPC: A61B5/046 ,  A61N1/39 ,  A61N1/365 ,  A61B5/0205 ,  A61B5/00 ,  A61B5/0468 ,  A61B5/024 ,  A61B5/042

    Abstract: An example of a system may include a sensing circuit and an atrial fibrillation (AF) detection circuit. The sensing circuit may be configured to sense a cardiac signal indicative of atrial and ventricular depolarizations. The AF detection circuit may be configured to detect AF using the cardiac signal and may include a detector and a detection enhancer. The detector may be configured to detect the ventricular depolarizations using the cardiac signal, to measure ventricular intervals each between two successively detected ventricular depolarizations, and to detect the AF using the ventricular intervals. The detection enhancer may include a respiratory sinus arrhythmia (RSA) detector configured to detect RSA using the cardiac signal and may be configured to verify each detection of the AF based on whether the RSA is detected.

    SUPERVISED CARDIAC EVENT DETECTION
    9.
    发明申请
    SUPERVISED CARDIAC EVENT DETECTION 审中-公开

    公开(公告)号：WO2020014045A1

    公开(公告)日：2020-01-16

    申请号：PCT/US2019/040338

    申请日：2019-07-02

    Applicant: CARDIAC PACEMAKERS, INC.

    Inventor： MAHAJAN, Deepa ,  PERSCHBACHER, David L. ,  SAHA, Sunipa

    IPC: A61B5/04 ,  A61B5/0452

    Abstract: Systems and methods for detecting physiologic events in a patient are described herein. An embodiment of a medical system includes a memory circuit to store physiologic event episodes detected and recorded by a medical device. The system includes a control circuit to analyze the stored physiologic event episodes, and determine a presence of a target cardiac event under a plurality of detection settings. Using the determined presence of the target cardiac event from the stored physiologic event episodes, and user adjudication of the stored event episodes, the control circuit may select, from the plurality of detection settings, a detection setting to detect a subsequent target cardiac event. The control circuit may also prioritize the physiologic event episodes for storage in the memory circuit.

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