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61. 发明授权

US08774909B2 Episode classifier algorithm 有权
标题翻译：剧集分类器算法
公开(公告)号：US08774909B2
公开(公告)日：2014-07-08
申请号：US13245585
申请日：2011-09-26
申请人： Amisha S. Patel , Bruce D. Gunderson , Mark L. Brown
发明人： Amisha S. Patel , Bruce D. Gunderson , Mark L. Brown
IPC分类号： A61B5/04
CPC分类号： A61B5/04 , A61B5/046 , A61B5/0464 , A61N1/3702
摘要： The present disclosure is directed to the classification of cardiac episodes using an algorithm. In various examples, an episode classification algorithm evaluates electrogram signal data from a near-field channel and a far-field channel. The episode classification algorithm classifies the cardiac episode based on the evaluation of the electrogram signal data for at least one of the near-field and far-field channels. In some examples, a cardiac episode being classified may be an episode that resulted in treatment being provided by an implantable medical device. Possible classifications of the cardiac episode may include, for example, unknown, inappropriate, appropriate, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation or ventricular over-sensing.
摘要翻译：本公开涉及使用算法对心脏发作的分类。在各种示例中，事件分类算法从近场信道和远场信道评估电描记图信号数据。情节分类算法基于对近场和远场信道中的至少一个的电描记图信号数据的评估来分类心脏发作。在一些实例中，分类的心脏发作可能是导致由可植入医疗装置提供的治疗的发作。心脏事件的可能分类可能包括例如未知的，不适当的，适当的，室上性心动过速，室性心动过速，心室颤动或心室过度感测。

62. 发明授权

US08437840B2 Episode classifier algorithm 有权
标题翻译：剧集分类器算法
公开(公告)号：US08437840B2
公开(公告)日：2013-05-07
申请号：US13245632
申请日：2011-09-26
申请人： Amisha S. Patel , Bruce D. Gunderson , Mark L. Brown
发明人： Amisha S. Patel , Bruce D. Gunderson , Mark L. Brown
IPC分类号： A61B5/04
CPC分类号： A61B5/0464 , A61B5/04525 , A61B5/686 , A61N1/3621 , A61N1/36507
摘要： The present disclosure is directed to the classification of cardiac episodes using an algorithm. In various examples, an episode classification algorithm evaluates electrogram signal data collected by an implantable medical device. The episode classification algorithm may classify may include a sinus template and a comparison of the electrogram signal to the sinus template. Possible classifications of the cardiac episode may include, for example, unknown, inappropriate, appropriate, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation or ventricular over-sensing.
摘要翻译：本公开涉及使用算法对心脏发作的分类。在各种示例中，情节分类算法评估由可植入医疗装置收集的电描记图信号数据。可以分类的发作分类算法可以包括窦模板和电描记信号与窦模板的比较。心脏事件的可能分类可能包括例如未知的，不适当的，适当的，室上性心动过速，室性心动过速，心室颤动或心室过度感测。

63. 发明申请

US20130085403A1 ELECTROGRAM SUMMARY 有权
标题翻译：电机概要
公开(公告)号：US20130085403A1
公开(公告)日：2013-04-04
申请号：US13250515
申请日：2011-09-30
申请人： Bruce D. Gunderson , Karen J. Kleckner , Kevin T. Ousdigian , Amisha S. Patel , Julian Sanchez
发明人： Bruce D. Gunderson , Karen J. Kleckner , Kevin T. Ousdigian , Amisha S. Patel , Julian Sanchez
IPC分类号： A61B5/044 , A61B5/046 , A61B5/0464
CPC分类号： A61B5/044 , A61B5/046 , A61B5/0464 , A61B5/7217
摘要： The present disclosure is directed to an electrogram summary. In various examples, a subset of cardiac episodes are selected and displayed based on a set of summary rules. The subset of cardiac episodes includes at least one episode from each of a plurality of episode categories with at least one cardiac episode. In some examples, the order in which the cardiac episodes selected are displayed is based on the set of summary rules. The electrogram summary may include images or information regarding each of the selected cardiac episodes.
摘要翻译：本公开涉及电描记图。在各种示例中，基于一组汇总规则来选择和显示心脏发作的一个子集。心脏发作的子集包括来自具有至少一个心脏发作的多个发作类别中的每一个的至少一个情节。在一些示例中，显示所选择的心脏发作的顺序是基于汇总规则的集合。电描记图可以包括关于所选心脏发作中的每一个的图像或信息。

64. 发明申请

US20130079651A1 EPISODE CLASSIFIER ALGORITHM 有权
标题翻译： EPISODE分类器算法
公开(公告)号：US20130079651A1
公开(公告)日：2013-03-28
申请号：US13245632
申请日：2011-09-26
申请人： Amisha S. Patel , Bruce D. Gunderson , Mark L. Brown
发明人： Amisha S. Patel , Bruce D. Gunderson , Mark L. Brown
IPC分类号： A61B5/0464
CPC分类号： A61B5/0464 , A61B5/04525 , A61B5/686 , A61N1/3621 , A61N1/36507
摘要： The present disclosure is directed to the classification of cardiac episodes using an algorithm. In various examples, an episode classification algorithm evaluates electrogram signal data collected by an implantable medical device. The episode classification algorithm may classify may include a sinus template and a comparison of the electrogram signal to the sinus template. Possible classifications of the cardiac episode may include, for example, unknown, inappropriate, appropriate, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation or ventricular over-sensing.
摘要翻译：本公开涉及使用算法对心脏发作的分类。在各种示例中，情节分类算法评估由可植入医疗装置收集的电描记图信号数据。可以分类的发作分类算法可以包括窦模板和电描记信号与窦模板的比较。心脏事件的可能分类可能包括例如未知的，不适当的，适当的，室上性心动过速，室性心动过速，心室颤动或心室过度感测。

65. 发明授权

US08260419B2 Non-sustained tachyarrhythmia analysis to identify lead related condition 有权
标题翻译：非持续性快速性心律失常分析，以确定铅相关状况
公开(公告)号：US08260419B2
公开(公告)日：2012-09-04
申请号：US12606899
申请日：2009-10-27
申请人： Bruce D. Gunderson
发明人： Bruce D. Gunderson
IPC分类号： A61N1/365
CPC分类号： A61B5/0422 , A61B5/0031 , A61B5/0424 , A61B5/0452 , A61B5/0464 , A61B2560/0276 , A61N1/3702 , A61N2001/083
摘要： Techniques for determining whether a lead related condition exists based on analysis of a cardiac electrical signal associated with a non-sustained tachyarrhythmia (NST) are described. In some examples, the techniques include determining the duration of intervals between consecutive cardiac events, e.g., R-R intervals, during an NST. The techniques may further include determining one or more metrics based on the durations of the intervals during the NST. Examples of metrics include an average, a minimum, a maximum, a range, a median, a mode, or a mean. A lead related condition is identified based on the values of the one or more metrics, e.g., by comparison to respective thresholds. In some examples, an alert is provided or a therapy modification is suggested if a lead related condition is identified.
摘要翻译：描述了基于与非持续性快速性心律失常（NST）相关的心脏电信号的分析来确定是否存在与铅相关的病症的技术。在一些示例中，技术包括在NST期间确定连续心脏事件之间的间隔的持续时间，例如R-R间隔。所述技术还可以包括基于在NST期间间隔的持续时间确定一个或多个度量。度量的示例包括平均值，最小值，最大值，范围，中值，模式或平均值。基于一个或多个度量的值，例如通过与相应的阈值进行比较来识别引线相关条件。在一些示例中，如果识别出铅相关病症，则提供警报或建议进行治疗修改。

66. 发明申请

US20120191153A1 DIAGNOSIS OF LEAD FRACTURE AND CONNECTION PROBLEMS 审中-公开
标题翻译：诊断铅损和连接问题
公开(公告)号：US20120191153A1
公开(公告)日：2012-07-26
申请号：US13011559
申请日：2011-01-21
申请人： Charles D. Swerdlow , Haresh G. Sachanandani , Bruce D. Gunderson
发明人： Charles D. Swerdlow , Haresh G. Sachanandani , Bruce D. Gunderson
IPC分类号： A61N1/37 , G01R27/28 , A61N1/39
CPC分类号： A61N1/37 , A61N1/372 , A61N2001/083
摘要： Techniques for diagnosing lead fractures and lead connection problems are described. One or more medical leads may be coupled to an implantable medical device (IMD) to position electrodes or other sensors at different locations within a patient than the IMD. The IMD may include a lead diagnostic module configured to diagnose problems with a coupled lead and automatically select between a lead fracture problem and a lead connection problem based on the diagnosis. The diagnosis of either lead fracture problems or lead connection problems may be based on a timing of an increased impedance value with respect to connection of the lead to the IMD, a return to baseline impedance values after the increased impedance value, an abrupt rise of the increased impedance value, maximum impedance values, or oversensing. An external device may present the diagnosis to a user to facilitate appropriate corrective action.
摘要翻译：描述了用于诊断铅骨折和铅连接问题的技术。可以将一个或多个医疗引线耦合到可植入医疗装置（IMD），以将电极或其它传感器定位在患者内不同于IMD的位置。 IMD可以包括引导诊断模块，其被配置为诊断耦合引线的问题，并且基于诊断自动选择引线断裂问题和引线连接问题。铅断裂问题或引线连接问题的诊断可能是基于相对于引线与IMD的连接的增加的阻抗值的时序，在增加的阻抗值之后返回到基线阻抗值，突然上升增加的阻抗值，最大阻抗值或过强。外部设备可以向用户呈现诊断以促进适当的校正动作。

67. 发明授权

US08073537B2 Method and apparatus for post-processing of episodes detected by a medical device 有权
标题翻译：用于后处理由医疗装置检测的发作的方法和装置
公开(公告)号：US08073537B2
公开(公告)日：2011-12-06
申请号：US11564156
申请日：2006-11-28
申请人： Bruce D. Gunderson , Mark L. Brown , Amisha Somabhai Patel
发明人： Bruce D. Gunderson , Mark L. Brown , Amisha Somabhai Patel
IPC分类号： A61N1/362
CPC分类号： A61B5/0452 , A61B5/0006 , A61B5/0031 , A61B5/04525 , A61B2560/0271 , A61N1/368 , A61N1/3702 , A61N1/3706 , A61N1/37211 , A61N1/3925 , A61N1/3962 , G06F19/00 , G06F19/3418
摘要： A system and method for determining oversensing during post-processing of sensing data generated by a medical device that includes transmitting a plurality of stored sensing data generated by the medical device to an access device, the stored sensing data including sensed atrial events and sensed ventricular events. The access device determines, in response to the transmitted data, instances where the medical device identified a cardiac event being detected in response to the sensing data, identifies and removes suspected far-field R-waves, and determines whether a signal including the removed suspected far-field R-waves is regular.
摘要翻译：一种用于在由医疗设备产生的感测数据的后处理期间确定过敏的系统和方法，包括将由医疗设备生成的多个存储的感测数据发送到接入设备，所存储的感测数据包括感测的心房事件和感测的心室事件。接入装置响应于所发送的数据确定响应于感测数据识别出正在检测的心脏事件的情况，识别并移除可疑的远场R波，并且确定包括被移除的可疑的信号的信号远场R波是正常的。

68. 发明授权

US08073536B2 Method and apparatus for post-processing of episodes detected by a medical device 有权
标题翻译：用于后处理由医疗装置检测的发作的方法和装置
公开(公告)号：US08073536B2
公开(公告)日：2011-12-06
申请号：US11564147
申请日：2006-11-28
申请人： Bruce D. Gunderson , Mark L. Brown , Amisha Somabhai Patel
发明人： Bruce D. Gunderson , Mark L. Brown , Amisha Somabhai Patel
IPC分类号： A61N1/362
CPC分类号： A61B5/0452 , A61B5/0006 , A61B5/0031 , A61B5/04525 , A61B2560/0271 , A61N1/368 , A61N1/3702 , A61N1/3706 , A61N1/37211 , A61N1/3925 , A61N1/3962 , G06F19/00 , G06F19/3418
摘要： A method and system for determining undersensing during post-processing of sensing data generated by a medical device that includes transmitting a plurality of stored sensing data generated by the medical device to an access device, the stored sensing data including sensed atrial events and sensed ventricular events. The access device determines, in response to the transmitted data, instances where the medical device identified a cardiac event being detected in response to the sensing data, and determines whether one of a predetermined number of undersensing criteria have been met in response to the transmitted data.
摘要翻译：一种用于在由医疗设备产生的感测数据的后处理期间确定不足感的方法和系统，包括将由医疗设备生成的多个存储的感测数据发送到接入设备，所存储的感测数据包括感测到的心房事件和感测到的心室事件。接入装置响应于所发送的数据确定医疗装置响应于感测数据识别出正在检测的心脏事件并且确定响应于所发送的数据是否已经满足预定数量的不足的标准中的一个。

69. 发明申请

US20100023084A1 LEAD INTEGRITY TESTING TRIGGERED BY SENSED SIGNAL SATURATION 有权
标题翻译：通过感应信号饱和引起的引导完整性测试
公开(公告)号：US20100023084A1
公开(公告)日：2010-01-28
申请号：US12180911
申请日：2008-07-28
申请人： Bruce D. Gunderson
发明人： Bruce D. Gunderson
IPC分类号： A61N1/37
CPC分类号： A61N1/3706 , A61N1/3702 , A61N2001/083
摘要： Techniques for performing a lead integrity test in response to, e.g., during or after saturation of a sensed signal, e.g., a cardiac electrogram (EGM) signal, are described. A lead integrity test may comprise one or more impedance measurements for one or more leads. Possible causes of saturation of a sensed signal include lead conductor or connector issues, or other lead related conditions. A lead integrity test triggered in response to the saturation may be able to detect any lead related condition causing the saturation. A lead integrity test triggered in response to the saturation may advantageously be able to detect an intermittent lead related condition, due to the temporal proximity of the test to the saturation.
摘要翻译：描述了响应例如感测信号例如心电图（EGM）信号的饱和期间或之后执行引线完整性测试的技术。引线完整性测试可以包括对一个或多个引线的一个或多个阻抗测量。可能的感测信号的饱和原因包括引线导体或连接器问题，或其他引线相关的条件。触发响应于饱和度的引线完整性测试可能能够检测导致饱和的任何引线相关状况。由于测试与饱和度的时间接近，响应于饱和而触发的引线完整性测试可以有利地能够检测间歇的引线相关状况。

70. 发明授权

US07369893B2 Method and apparatus for identifying lead-related conditions using prediction and detection criteria 有权
标题翻译：使用预测和检测标准来识别引线相关条件的方法和装置
公开(公告)号：US07369893B2
公开(公告)日：2008-05-06
申请号：US11115607
申请日：2005-04-27
申请人： Bruce D. Gunderson
发明人： Bruce D. Gunderson
IPC分类号： A61N1/08
CPC分类号： A61N1/3704 , A61N1/3621 , A61N1/3706 , A61N1/3925 , A61N2001/083
摘要： A method for delivering therapy in a medical device that includes a two-tiered approach of determining the presence of a lead-related condition, and determining, in response to a lead-related condition being present, the presence of oversensing. Deliver of therapy by the medical device is controlled in response to determining that both the lead-related condition and oversensing are present.
摘要翻译：一种用于在包括确定引线相关状况的存在的双层方法的医疗设备中进行治疗的方法，以及响应于存在的与引线相关的状况来确定过敏的存在。响应于确定引线相关状况和过敏两者存在，由医疗设备进行治疗的控制。

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