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    • 64. 发明申请
    • METHOD AND APPARATUS FOR CONCURRENT ATRIO-VENTRICULAR ANTI-TACHYCARDIA PACING
    • 相关性ATRIO-VENTRICULAR ANTI-TACHYCARDIA PACING的方法和装置
    • US20120215273A1
    • 2012-08-23
    • US13457630
    • 2012-04-27
    • Dan LiJaeho KimJoseph M. Bocek
    • Dan LiJaeho KimJoseph M. Bocek
    • A61N1/365
    • A61N1/3621A61N1/368A61N1/3688
    • An implantable medical device delivers anti-tachyarrhythmia therapies including anti-tachycardia pacing (ATP). If a detected tachyarrhythmia is classified as a type suitable for treatment using ATP, the implantable medical device selects one of an atrial ATP (A-ATP) mode, a ventricular ATP (V-ATP) mode, and a concurrent atrio-ventricular ATP (concurrent AV-ATP) mode according to the characteristics of the detected tachyarrhythmia. The concurrent ATP mode is an ATP mode during which the atrial pacing pulses and the ventricular pacing pulses are delivered concurrently. In one embodiment, the concurrent AV-ATP mode includes a synchronized atrio-ventricular ATP (synchronized AV-ATP) mode during which atrial and ventricular pacing pulses are delivered synchronously and an independent atrio-ventricular ATP (independent AV-ATP) mode during which atrial and ventricular pacing pulses are delivered concurrently but timed independently.
    • 植入式医疗装置提供抗心律失常疗法,包括抗心动过速起搏(ATP)。 如果检测到的快速性心律失常被分类为适合于使用ATP治疗的类型,则可植入医疗装置选择心房ATP(A-ATP)模式,心室ATP(V-ATP)模式和并发心室ATP 并发AV-ATP)模式,根据检测到的快速性心律失常的特点。 并发ATP模式是ATP模式,其中心房起搏脉冲和心室起搏脉冲同时传递。 在一个实施方案中,并发的AV-ATP模式包括同步的心房ATP(同步的AV-ATP)模式,其中同步递送心房和心室起搏脉冲以及独立的心房ATP(独立的AV-ATP)模式,在此期间 心房和心室起搏脉冲同时传递,但可以独立计时。
    • 66. 发明授权
    • Arrhythmia classification and therapy selection
    • 心律失常分类与治疗选择
    • US08185195B2
    • 2012-05-22
    • US12708106
    • 2010-02-18
    • Jaeho KimJoseph BocekEric G. Lovett
    • Jaeho KimJoseph BocekEric G. Lovett
    • A61N1/36
    • A61B5/7264A61B5/04525
    • Different types of cardiac arrhythmia are classified based on the morphology of the arrhythmic beats. Cardiac beats associated with an arrhythmic episode are compared to a plurality of representative beat morphologies, each representative beat morphology characterizing a type of arrhythmia of the heart. An arrhythmic episode may be classified as a particular type of arrhythmia if the morphology of the arrhythmic cardiac beats matches a representative beat morphology characterizing the particular type of arrhythmia. An appropriate therapy for the particular type of arrhythmia may be selected based on the arrhythmia classification. A particular type of arrhythmia may be associated with one or more therapies used to treat the arrhythmia. The therapy used to treat the arrhythmia may comprise a therapy identified as a previously successful therapy.
    • 基于心律失常节律的形态分类不同类型的心律失常。 与心律失常发作相关的心脏搏动与多个代表性搏动形态进行比较,每个代表性搏动形态表征心脏心律失常的类型。 如果心律失常心跳的形态与表征特定类型的心律失常的代表性搏动形态匹配,则心律失常发作可被分类为特定类型的心律失常。 可以基于心律失常分类来选择针对特定类型的心律失常的适当疗法。 特定类型的心律失常可能与用于治疗心律失常的一种或多种治疗相关联。 用于治疗心律失常的治疗可以包括被确定为先前成功的治疗的治疗。
    • 67. 发明授权
    • Method and apparatus for concurrent atrio-ventricular anti-tachycardia pacing
    • 并发房室性心动过速起搏方法及装置
    • US08170669B2
    • 2012-05-01
    • US12234840
    • 2008-09-22
    • Dan LiJaeho KimJoseph M. Bocek
    • Dan LiJaeho KimJoseph M. Bocek
    • A61N1/365
    • A61N1/3621A61N1/368A61N1/3688
    • An implantable medical device delivers anti-tachyarrhythmia therapies including anti-tachycardia pacing (ATP). If a detected tachyarrhythmia is classified as a type suitable for treatment using ATP, the implantable medical device selects one of an atrial ATP (A-ATP) mode, a ventricular ATP (V-ATP) mode, and a concurrent atrio-ventricular ATP (concurrent AV-ATP) mode according to the characteristics of the detected tachyarrhythmia. The concurrent ATP mode is an ATP mode during which the atrial pacing pulses and the ventricular pacing pulses are delivered concurrently. In one embodiment, the concurrent AV-ATP mode includes a synchronized atrio-ventricular ATP (synchronized AV-ATP) mode during which atrial and ventricular pacing pulses are delivered synchronously and an independent atrio-ventricular ATP (independent AV-ATP) mode during which atrial and ventricular pacing pulses are delivered concurrently but timed independently.
    • 植入式医疗装置提供抗心律失常疗法,包括抗心动过速起搏(ATP)。 如果检测到的快速性心律失常被分类为适合于使用ATP治疗的类型,则可植入医疗装置选择心房ATP(A-ATP)模式,心室ATP(V-ATP)模式和并发心室ATP 并发AV-ATP)模式,根据检测到的快速性心律失常的特点。 并发ATP模式是ATP模式,其中心房起搏脉冲和心室起搏脉冲同时传递。 在一个实施方案中,并发的AV-ATP模式包括同步的心房ATP(同步的AV-ATP)模式,其中同步递送心房和心室起搏脉冲以及独立的心房ATP(独立的AV-ATP)模式,在此期间 心房和心室起搏脉冲同时传递,但可以独立计时。
    • 69. 发明申请
    • POST-SHOCK RECOVERY MONITORING FOR TACHYARRHYTHMIA DISCRIMINATION
    • 用于TACHYARRHYTHMIA分辨率的震后恢复监测
    • US20110288603A1
    • 2011-11-24
    • US13195425
    • 2011-08-01
    • Jaeho KimJoseph M. BocekEric G. Lovett
    • Jaeho KimJoseph M. BocekEric G. Lovett
    • A61N1/39
    • A61B5/0464A61N1/3925A61N1/3962
    • A cardiac rhythm management device is configured to discriminate between ventricular and supraventricular tachycardias (referred to as SVT/VT discrimination) by utilizing a morphology criterion in which the morphology of electrogram waveforms during ventricular beats are analyzed to determine if the beats are normally conducted. After the delivery of a cardioversion/defibrillation shock, however, the intraventricular conduction system is left in a modified state which alters the subsequently generated electrogram signal. Use of the morphology criterion for to SVT/VT discrimination is discontinued after delivery of such a shock and resumed after a predetermined minimum number of normally conducted ventricular beats has been detected.
    • 心律管理装置被配置为通过利用形态学标准来区分心室和室上性心动过速(称为SVT / VT鉴别),其中分析心室搏动时的电描记图波形的形态以确定节拍是否正常进行。 然而,在输出心脏复律/除颤休克之后,心室内传导系统处于改变随后产生的电描记图信号的修改状态。 在发生这种休克之后,停止使用SVT / VT鉴别的形态学标准,并且在检测到预定的最小数量的正常进行的心室搏动之后恢复。