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1. 发明授权

US06347249B1 Method and system for detecting dislodgement of an implanted right atrial endocardial lead using a sensing period derived from a ventrical lead 有权
标题翻译：使用源自于通气引线的感测周期来检测植入的右心房心内膜的脱落的方法和系统
公开(公告)号：US06347249B1
公开(公告)日：2002-02-12
申请号：US09553911
申请日：2000-04-20
申请人： Jaeho Kim , Phillip D. Foshee, Jr. , John M. Adams
发明人： Jaeho Kim , Phillip D. Foshee, Jr. , John M. Adams
IPC分类号： A61N137
CPC分类号： A61N1/3704
摘要： A system and method are provided for detecting dislodgment of a right atrial endocardial lead implanted within a heart right atrium wherein the lead includes an electrode. Heart activity of the right ventricle of the heart and heart activity with the endocardial lead electrode are sensed during a time period. The sensed heart activity is stored in memory. The stored heart activity is analyzed to establish a first time window from the sensed ventricle activity and a second time window spaced from and preceding the first time window. The heart activity sensed with the endocardial lead electrode during the first time window is then compared to the heart activity sensed with the endocardial lead electrode during the second time window. In another embodiment, whenever heart activity is sensed with the atrial endocardial lead during the first time period, the atrial endocardial lead is considered dislodged.
摘要翻译：提供了一种系统和方法，用于检测植入在心脏右心房内的右心房心内膜的脱落，其中所述引线包括电极。在一段时间内，感测心脏和心脏活动的心脏心脏心脏活动与心内膜引导电极的心脏活动。所感知的心脏活动被存储在存储器中。分析存储的心脏活动以从感测到的心室活动建立第一时间窗口，并且与第一时间窗口间隔开并在第一时间窗口之前的第二时间窗口。然后在第一时间窗口期间用心内膜引导电极感测的心脏活动与在第二时间窗口期间用心内膜引导电极感测的心脏活动进行比较。在另一个实施方案中，每当在第一时间段内用心房心内膜的心脏感测心脏活动时，心房心内膜的铅被认为是脱出的。

2. 发明授权

US5910120A Method and system for detecting dislodgment of an implanted right atrial endocardial lead 失效
标题翻译：用于检测植入的右心房心内膜的脱落的方法和系统
公开(公告)号：US5910120A
公开(公告)日：1999-06-08
申请号：US102844
申请日：1998-06-23
申请人： Jaeho Kim , Phillip D. Foshee, Jr.
发明人： Jaeho Kim , Phillip D. Foshee, Jr.
IPC分类号： A61B5/0452 , A61N1/05 , A61N1/08 , A61N1/37 , A61N1/39
CPC分类号： A61N1/3706 , A61N1/3962 , A61N2001/083
摘要： A system and method are provided for detecting dislodgment of a right atrial endocardial lead implanted within a heart right atrium wherein the lead includes an electrode. Heart activity of the right atrium of the heart, and heart activity of the right ventricle of the heart, and heart activity with the endocardial lead electrode are sensed during a time period. The sensed heart activity is stored in memory. The stored heart activity is analyzed to establish a first time window from the sensed heart activity of the right atrium and a second time window from the sensed heart activity of the right ventricle. The heart activity sensed with the endocardial lead electrode during the first time window is then compared to the heart activity sensed with the endocardial lead electrode during the second time window.
摘要翻译：提供了一种系统和方法，用于检测植入在心脏右心房内的右心房心内膜的脱落，其中所述引线包括电极。在一段时间内感测心脏右心房的心脏活动，心脏右心室的心脏活动以及心内膜引导电极的心脏活动。所感知的心脏活动被存储在存储器中。分析存储的心脏活动，以从右心房的感测心脏活动建立第一时间窗口，并从右心室感测的心脏活动开始第二时间窗口。然后在第一时间窗口期间用心内膜引导电极感测的心脏活动与在第二时间窗口期间用心内膜引导电极感测的心脏活动进行比较。

3. 发明授权

US5991662A Method and system for detecting dislodgment of an implanted right atrial endocardial lead using sensing periods established with one other lead 失效
标题翻译：用于使用与另一个引线建立的感测周期来检测植入的右心房心内膜导联的移位的方法和系统
公开(公告)号：US5991662A
公开(公告)日：1999-11-23
申请号：US102855
申请日：1998-06-23
申请人： Jaeho Kim , Phillip D. Foshee, Jr.
发明人： Jaeho Kim , Phillip D. Foshee, Jr.
IPC分类号： A61N1/37
CPC分类号： A61N1/37
摘要： A system and method are provided for detecting dislodgment of a right atrial endocardial lead implanted within a heart right atrium wherein the lead includes an electrode. Atrial and ventricular activity of the heart are sensed with one other lead during a time period. Also during the time period, heart activity is sensed with the endocardial lead electrode. The sensed heart activity is stored in memory. The stored heart activity sensed with the one other lead is analyzed to establish a first time window from the sensed atrial heart activity and a second time window from the sensed ventricular activity. The heart activity sensed with the endocardial lead electrode during the first time window is then compared to the heart activity sensed with the endocardial lead electrode during the second time window.
摘要翻译：提供了一种系统和方法，用于检测植入在心脏右心房内的右心房心内膜的脱落，其中所述引线包括电极。心脏的心房和心室活动在一段时间内用另一个铅感测。同时在这段时间内，用心内膜引导电极检测心脏活动。所感知的心脏活动被存储在存储器中。分析用另一个引线感测到的存储的心脏活动，以从所感测的心房心脏活动建立第一时间窗口，并从感测到的心室活动中建立第二时间窗口。然后在第一时间窗口期间用心内膜引导电极感测的心脏活动与在第二时间窗口期间用心内膜引导电极感测的心脏活动进行比较。

4. 发明授权

US08583231B2 Method and system for characterizing supraventricular rhythm during cardiac pacing 有权
公开(公告)号：US08583231B2
公开(公告)日：2013-11-12
申请号：US13159686
申请日：2011-06-14
申请人： Joseph Bocek , Jaeho Kim , Anthony S. Harrington , Lorenzo A. DiCarlo , Harley G. White , Phillip D. Foshee , David L. Perschbacher
发明人： Joseph Bocek , Jaeho Kim , Anthony S. Harrington , Lorenzo A. DiCarlo , Harley G. White , Phillip D. Foshee , David L. Perschbacher
IPC分类号： A61N1/00
CPC分类号： A61N1/3622
摘要： A method and system for generating a characterization of one beat of a patient's supraventricular rhythm (SVR) involves performing such characterization while the heart is being paced. During SVR characterization, various pacing parameters are modified and the patient's supraventricular rhythm is characterized while the pacing parameters are modified. The SVR characterization process is effective in single and multiple chamber pacing modes.

5. 发明授权

US6067469A Method and system for detecting dislodgment of an implanted right atrial endocardial lead using a sensing period derived from a ventricular lead 失效
标题翻译：使用来自心室导联的感测周期来检测植入的右心房心内膜的脱落的方法和系统
公开(公告)号：US6067469A
公开(公告)日：2000-05-23
申请号：US103218
申请日：1998-06-23
申请人： Jaeho Kim , Phillip D. Foshee, Jr. , John M. Adams
发明人： Jaeho Kim , Phillip D. Foshee, Jr. , John M. Adams
IPC分类号： A61N1/37 , A61N1/362
CPC分类号： A61N1/3704
摘要： A system and method are provided for detecting dislodgment of a right atrial endocardial lead implanted within a heart right atrium wherein the lead includes an electrode. Heart activity of the right ventricle of the heart and heart activity with the endocardial lead electrode are sensed during a time period. The sensed heart activity is stored in memory. The stored heart activity is analyzed to establish a first time window from the sensed ventricle activity and a second time window spaced from and preceding the first time window. The heart activity sensed with the endocardial lead electrode during the first time window is then compared to the heart activity sensed with the endocardial lead electrode during the second time window. In another embodiment, whenever heart activity is sensed with the atrial endocardial lead during the first time period, the atrial endocardial lead is considered dislodged.
摘要翻译：提供了一种系统和方法，用于检测植入在心脏右心房内的右心房心内膜的脱落，其中所述引线包括电极。在一段时间内，感测心脏和心脏活动的心脏心脏心脏活动与心内膜引导电极的心脏活动。所感知的心脏活动被存储在存储器中。分析存储的心脏活动以从感测到的心室活动建立第一时间窗口，并且与第一时间窗口间隔开并在第一时间窗口之前的第二时间窗口。然后在第一时间窗口期间用心内膜引导电极感测的心脏活动与在第二时间窗口期间用心内膜引导电极感测的心脏活动进行比较。在另一个实施方案中，每当在第一时间段内用心房心内膜的心脏感测心脏活动时，心房心内膜的铅被认为是脱出的。

6. 发明申请

US20120065696A1 Method and System for Characterizing Supraventricular Rhythm during Cardiac Pacing 有权
标题翻译：心脏起搏过程中表现室性节律的方法与系统
公开(公告)号：US20120065696A1
公开(公告)日：2012-03-15
申请号：US13159686
申请日：2011-06-14
申请人： Joseph Bocek , Jaeho Kim , Anthony S. Harrington , Lorenzo A. DiCarlo , Harley G. White , Phillip D. Foshee , David L. Perschbacher
发明人： Joseph Bocek , Jaeho Kim , Anthony S. Harrington , Lorenzo A. DiCarlo , Harley G. White , Phillip D. Foshee , David L. Perschbacher
IPC分类号： A61N1/365
CPC分类号： A61N1/3622
摘要： A method and system for generating a characterization of one beat of a patient's supraventricular rhythm (SVR) involves performing such characterization while the heart is being paced. During SVR characterization, various pacing parameters are modified and the patient's supraventricular rhythm is characterized while the pacing parameters are modified. The SVR characterization process is effective in single and multiple chamber pacing modes.
摘要翻译：用于产生患者室上性节律（SVR）的一搏的表征的方法和系统涉及在心脏起搏时进行这种表征。在SVR表征期间，修改了各种起搏参数，并对患者的室上节律进行了表征，同时对起搏参数进行了修改。 SVR表征过程在单腔和多腔起搏模式中有效。

7. 发明授权

US5827197A System for detecting atrial fibrillation notwithstanding high and variable ventricular rates 失效
标题翻译：用于检测心房颤动的系统，尽管具有高和可变的心室率
公开(公告)号：US5827197A
公开(公告)日：1998-10-27
申请号：US970879
申请日：1997-11-14
申请人： Joseph M. Bocek , David P. Finch , Phillip D. Foshee, Jr. , Jaeho Kim
发明人： Joseph M. Bocek , David P. Finch , Phillip D. Foshee, Jr. , Jaeho Kim
IPC分类号： A61N1/39
CPC分类号： A61N1/3956 , A61N1/395
摘要： There is disclosed an implantable atrial defibrillator for applying cardioverting electrical energy to the atria of a heart when the atria are in need of cardioversion. The atrial defibrillator includes a sense channel adapted to be associated with at least one atrium of the heart to provide a cardiac signal during a plurality of cardiac cycles of the heart and a timer which determines a cardiac interval duration for each of the cardiac cycles. The defibrillator further includes an atrial detector for analyzing the cardiac signal provided by the sense channel during selected ones of the cardiac cycles wherein each one of the selected ones of the cardiac cycles has a cardiac interval greater than a predetermined duration. A cardioverter applies cardioverting electrical energy to the atria responsive to the atrial detector detecting atrial fibrillation of the heart.
摘要翻译：公开了一种可植入心房除颤器，用于当心房需要心脏复律时，将心电图转移到心脏的心房。心房除颤器包括适于与心脏的至少一个心房相关联的感测通道，以在心脏的多个心脏周期期间提供心脏信号，以及确定每个心动周期的心脏间隔持续时间的定时器。除颤器还包括心脏检测器，用于在所选择的心脏周期期间分析由感测通道提供的心脏信号，其中所选心脏周期中的每一个具有大于预定持续时间的心脏间隔。心律转复器根据心房检测器检测心脏心房颤动，向心房施加心脏转复电能。

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