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    • 24. 发明授权
    • High-energy anti-tachycardia therapy
    • 高能抗心动过速治疗
    • US08412325B2
    • 2013-04-02
    • US12419074
    • 2009-04-06
    • Allan Charles ShurosShantha Arcot-KrishnamurthyDan Li
    • Allan Charles ShurosShantha Arcot-KrishnamurthyDan Li
    • A61N1/362
    • A61N1/3621A61N1/3906
    • Embodiments of the invention are related to medical devices and methods for delivery high-energy anti-tachycardia therapy to a subject, amongst other things. In an embodiment, the invention includes a medical device including a controller module configured to administer a plurality of electrical pulses to a patient in response to a detected tachycardia, the electrical pulses comprising an amplitude of greater than 3 Volts and less than 40 Volts, the controller configured to modulate the amplitude of the electrical pulses. In an embodiment, the invention includes a method of treating a tachyarrhythmia including administering a first series of electrical pulses to a patient with an implantable medical device, the electrical pulses including an amplitude of greater than 8 Volts and less than 40 Volts, the first series of electrical pulses having an interval of less than about 600 ms in between individual pulses. Other embodiments are also included herein.
    • 本发明的实施例涉及用于向对象递送高能抗心动过速疗法的医疗装置和方法。 在一个实施例中,本发明包括医疗装置,其包括控制器模块,其被配置为响应于检测到的心动过速向患者施加多个电脉冲,所述电脉冲包括大于3伏且小于40伏的振幅, 控制器被配置为调制电脉冲的幅度。 在一个实施方案中,本发明包括治疗快速性心律失常的方法,包括用可植入医疗装置向患者施用第一系列电脉冲,所述电脉冲包括大于8伏且小于40伏特的振幅,第一系列 在各个脉冲之间具有小于约600ms的间隔的电脉冲。 本文还包括其它实施例。
    • 26. 发明申请
    • METHOD AND DEVICE FOR PROVIDING ANTI-TACHYARRHYTHMIA THERAPY
    • 用于提供抗TACHYARRHYTHMIA治疗的方法和装置
    • US20120296383A1
    • 2012-11-22
    • US13569208
    • 2012-08-08
    • Dan Li
    • Dan Li
    • A61N1/365A61N1/39
    • A61N1/3621A61N1/3605A61N1/36114A61N1/36564A61N1/3962
    • Various system embodiments comprise at least one sensor input adapted to receive at least one sensed signal associated with a tachyarrhythmia, a feature set extractor adapted to extract at least two features from the at least one sensed signal associated with the tachyarrhythmia, a feature set generator adapted to form a feature set using the at least two features extracted by the feature set extractor, at least one generator adapted for use to selectively apply an anti-tachycardia pacing (ATP) therapy and a neural stimulation (NS) therapy, and a controller adapted to respond to the feature set. The controller is adapted to initiate the NS therapy when the feature set corresponds to criteria for applying the NS therapy to modify the tachyarrhythmia, and initiate the ATP therapy to terminate the modified tachyarrhythmia. Other aspects and embodiments are provided herein.
    • 各种系统实施例包括适于接收与快速性心律失常相关联的至少一个感测信号的至少一个传感器输入,适于从与快速性心律失常相关联的至少一个感测信号中提取至少两个特征的特征集提取器,适于 以使用由所述特征集提取器提取的所述至少两个特征来形成特征集合,适于用于选择性地应用抗心动过速起搏(ATP)治疗和神经刺激(NS)治疗)的至少一个发生器,以及适于 以响应功能集。 当特征集合对应于应用NS治疗来修改快速性心律失常的标准时,控制器适于启动NS治疗,并且启动ATP治疗以终止改变的快速性心律失常。 本文提供了其它方面和实施例。
    • 28. 发明授权
    • Method and device for providing anti-tachyarrhythmia therapy
    • 提供抗快速性心律失常治疗的方法和装置
    • US08255049B2
    • 2012-08-28
    • US11382120
    • 2006-05-08
    • Dan Li
    • Dan Li
    • A61N1/372
    • A61N1/3621A61N1/3605A61N1/36114A61N1/36564A61N1/3962
    • Various system embodiments comprise at least one sensor input adapted to receive at least one sensed signal associated with a tachyarrhythmia, a feature set extractor adapted to extract at least two features from the at least one sensed signal associated with the tachyarrhythmia, a feature set generator adapted to form a feature set using the at least two features extracted by the feature set extractor, at least one generator adapted for use to selectively apply an anti-tachycardia pacing (ATP) therapy and a neural stimulation (NS) therapy, and a controller adapted to respond to the feature set. The controller is adapted to initiate the NS therapy when the feature set corresponds to criteria for applying the NS therapy to modify the tachyarrhythmia, and initiate the ATP therapy to terminate the modified tachyarrhythmia. Other aspects and embodiments are provided herein.
    • 各种系统实施例包括适于接收与快速性心律失常相关联的至少一个感测信号的至少一个传感器输入,适于从与快速性心律失常相关联的至少一个感测信号中提取至少两个特征的特征集提取器,适于 以使用由所述特征集提取器提取的所述至少两个特征来形成特征集合,适于用于选择性地应用抗心动过速起搏(ATP)治疗和神经刺激(NS)治疗)的至少一个发生器,以及适于 以响应功能集。 当特征集合对应于应用NS治疗来修改快速性心律失常的标准时,控制器适于启动NS治疗,并且启动ATP治疗以终止改变的快速性心律失常。 本文提供了其它方面和实施例。
    • 29. 发明授权
    • Atrial arrhythmia detection and discrimination based on intracardiac impedance
    • 基于心内阻力的房性心律失常检测和鉴别
    • US08239011B2
    • 2012-08-07
    • US12757125
    • 2010-04-09
    • Dan Li
    • Dan Li
    • A61B5/02
    • A61B5/0464A61B5/6846A61B5/7264
    • An apparatus comprises an implantable impedance sensing circuit configured to sense an atrial impedance signal when coupled to a plurality of implantable electrodes, and an impedance signal analyzer circuit configured to detect a sudden change in a characteristic of the sensed atrial impedance signal that indicates atrial tachyarrhythmia. The impedance signal analyzer circuit classifies the atrial tachyarrhythmia indication as ST when the detected sudden change satisfies an ST threshold value of the characteristic, classifies the atrial tachyarrhythmia indication as AT when the detected sudden change satisfies an AT threshold value of the characteristic that is different from the ST threshold value, classifies the atrial tachyarrhythmia indication as AF when the detected sudden change satisfies an AF threshold value of the characteristic that is different from the ST and AT amplitude threshold values, and provides a classification of the tachyarrhythmia to a user or process.
    • 一种装置包括可植入阻抗感测电路,其配置成当耦合到多个可植入电极时感测心房阻抗信号,以及阻抗信号分析器电路,被配置为检测所述感测的心房阻抗信号的特征突然变化,其指示房性快速性心律失常。 阻抗信号分析仪电路将检测到的突发性变化满足特征的ST阈值时,将房性快速性心律失常指示分类为ST,当检测到的突变变得满足不同于特征的特征的AT阈值时,将心房快速性心律失常指示分类为AT ST阈值,当检测到的突然变化满足与ST和AT振幅阈值不同的特征的AF阈值时,将心房快速性心律失常指示分类为AF,并且向用户或过程提供快速性心律失常的分类。