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    • 67. 发明授权
    • Method and apparatus for blanking T-waves from combipolar atrial cardiac signals based on expected T-wave locations
    • 基于预期的T波位置从组合极心房心脏信号消隐T波的方法和装置
    • US06711438B1
    • 2004-03-23
    • US10033410
    • 2001-10-25
    • Kelly H. McClureJoseph J. FlorioGene A. Bornzin
    • Kelly H. McClureJoseph J. FlorioGene A. Bornzin
    • A61N1362
    • A61N1/368A61N1/3704
    • The stimulation device blanks T-waves from the atrial channel of an electrical cardiac signal by employing a T-wave blanking interval localized to the expected location and duration of the T-wave. To this end, the stimulation device determines the average interval between an R-wave and a T-wave in the patient in which the device is implanted and also determines the average duration of a T-wave within the patient. A T-wave blanking interval is initiated following the average R-T interval subsequent to detection of an R-wave and lasts for a period of time equal to the average T-wave duration. In this manner, highly localized T-wave blanking is achieved permitting P-waves or other atrial signals to be detected during remaining non-blanked portions of the atrial channel of the cardiac signal at least for the purposes of atrial rate detection. The relatively short T-wave blanking interval of the invention is particularly well suited for use in combipolar sensing systems. Method and apparatus implementations are described.
    • 刺激装置通过采用局限于T波的预期位置和持续时间的T波消隐间隔来消除来自心电信号心房通道的T波。 为此,刺激装置确定在其中植入装置的患者中的R波和T波之间的平均间隔,并且还确定患者内的T波的平均持续时间。 在检测到R波之后的平均R-T间隔之后开始T波消隐间隔,并且持续一段时间等于平均T波持续时间。 以这种方式,实现高度局部化的T波消隐,允许在心脏信号的心房通道的剩余非消隐部分期间检测P波或其他心房信号,至少用于心房率检测。 本发明的相对较短的T波消隐间隔特别适用于组合极检测系统。 描述了方法和装置实现。
    • 68. 发明授权
    • Cardiac wall motion-based automatic capture verification system and
method
    • 基于心脏壁运动的自动捕获验证系统及方法
    • US5549652A
    • 1996-08-27
    • US152659
    • 1993-11-15
    • Kelly H. McClureSheldon B. Moberg
    • Kelly H. McClureSheldon B. Moberg
    • A61N1/365A61N1/37
    • A61N1/3712A61N1/36578
    • An improved implantable cardiac stimulating device that performs cardiac wall motion-based automatic capture verification system is provided. Pacing pulses of varying energy content are administered to a patient's heart, and the response of the patient's heart is sensed by a cardiac wall motion sensor. The cardiac wall motion sensor provides a signal which is analyzed to determine the patient's capture threshold, defined as the minimum amount of electrical stimulation required to evoke a cardiac contraction. The device then sets the amount of electrical stimulation at a level safely above the measured capture threshold. Capture verification may be performed at predetermined time intervals, on demand, or upon the occurrence of a significant cardiac event. Capture verification can also be performed on every pacing pulse delivered by the implantable cardiac stimulating device.
    • 提供了一种改进的可植入心脏刺激装置,其执行基于心脏壁运动的自动捕获验证系统。 将不同能量的起搏脉冲施用于患者的心脏,并且由心脏壁运动传感器感测患者心脏的反应。 心脏壁运动传感器提供被分析的信号以确定患者的捕获阈值,定义为唤起心脏收缩所需的最小电刺激量。 然后,该装置将电刺激的量设置在高于所测量的捕获阈值的水平。 捕获验证可以按照预定的时间间隔,按需或者发生重要的心脏事件进行。 捕获验证也可以在可植入心脏刺激装置递送的每个起搏脉冲上进行。