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    • 86. 发明授权
    • Safety pacing in multi-site CRM devices
    • 多站点CRM设备中的安全起搏
    • US06963774B2
    • 2005-11-08
    • US10291459
    • 2002-11-08
    • Jeffrey E. StahmannAndrew P. KramerHugh Calkins
    • Jeffrey E. StahmannAndrew P. KramerHugh Calkins
    • A61N1/362A61N1/368
    • A61N1/368A61N1/3622A61N1/3627A61N1/3684
    • An apparatus and method for providing pacing pulses to a second site when the pacing pulses are inhibited from being provided to a first site. A first cardiac signal and a second cardiac signal are sensed, where both the first and second cardiac signals include indications of cardiac events. A cardiac rate is determined from the cardiac events in one of the first cardiac signal or the second cardiac signal, and pacing pulses are provided to the first cardiac region in order to maintain the cardiac rate at at least a minimum rate value. A pace protection interval starts when a cardiac event is detected in the first cardiac signal. The pace protection interval inhibits delivery of pacing pulses to the first cardiac region. When pacing pulses to the first cardiac region are inhibited because of the pace protection interval, pacing pulses are provided to the second cardiac region at a safety interval timed from the inhibited pacing pulse to the first cardiac region.
    • 一种用于当起搏脉冲被禁止提供给第一部位时,将起搏脉冲提供给第二部位的装置和方法。 感测第一心脏信号和第二心脏信号,其中第一和第二心脏信号都包括心脏事件的指示。 从第一心脏信号或第二心脏信号之一的心脏事件确定心率,并且将起搏脉冲提供给第一心脏区域,以便将心率保持在至少最小速率值。 当在第一心脏信号中检测到心脏事件时,起搏保护间隔开始。 步速保护间隔禁止将起搏脉冲传送到第一心脏区域。 当起搏脉冲到第一心脏区域由于步速保护间隔而被抑制时,起搏脉冲以从被抑制的起搏脉冲到第一心脏区域的安全间隔提供给第二心脏区域。
    • 90. 发明授权
    • Site reversion in cardiac rhythm management
    • 心脏节律管理中的现场反转
    • US06493586B1
    • 2002-12-10
    • US09650568
    • 2000-08-30
    • Jeffrey E. StahmannAndrew P. Kramer
    • Jeffrey E. StahmannAndrew P. Kramer
    • A61N1368
    • A61N1/3706A61N1/3627A61N2001/083
    • Methods for failure recovery in a cardiac rhythm management system and apparatus capable of carrying out the methods. The methods include applying a first pacing therapy using one or more leads. The methods further include detecting a failure condition on one or more of the leads, wherein the failure condition prohibits or frustrates application of the first pacing therapy. The methods still further include applying a second pacing therapy using one or more of the leads subsequent to detecting the failure condition. The second pacing therapy is preferably chosen such that the detected failure does not interfere with the second pacing therapy. The second pacing therapy may be applied for only one cardiac cycle. The second pacing therapy may further be applied continuously until the failure condition is resolved, or it may be latched such that physician intervention is required to resume the first pacing therapy.
    • 心律管理系统的故障恢复方法和能够执行该方法的装置。 所述方法包括使用一个或多个引线应用第一起搏治疗。 所述方法还包括检测一个或多个引线上的故障状况,其中所述故障条件禁止或阻止所述第一起搏治疗的应用。 所述方法还包括在检测到故障状况之后使用一个或多个引线应用第二起搏治疗。 优选选择第二起搏治疗,使得检测到的失败不会干扰第二起搏治疗。 第二起搏治疗可以仅应用于一个心动周期。 可以进一步连续应用第二起搏治疗直到失败状况得到解决,或者可以锁定第二起搏治疗,以便需要医师介入以恢复第一起搏治疗。