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1. 发明申请

WO2016205684A1 INTRA PREDICTION AND INTRA MODE CODING 审中-公开
标题翻译：内部预测和内部模式编码
公开(公告)号：WO2016205684A1
公开(公告)日：2016-12-22
申请号：PCT/US2016/038132
申请日：2016-06-17
申请人： QUALCOMM INCORPORATED
发明人： ZHAO, Xin , CHEN, Jianle , ZHANG, Li , KARCZEWICZ, Marta
IPC分类号： H04N19/176 , H04N19/593 , H04N19/11 , H04N19/117 , H04N19/463 , H04N19/136 , H04N19/182 , H04N19/82 , H04N19/59
CPC分类号： H04N19/176 , H04N19/11 , H04N19/117 , H04N19/124 , H04N19/136 , H04N19/174 , H04N19/182 , H04N19/463 , H04N19/513 , H04N19/59 , H04N19/593 , H04N19/82
摘要： A device includes one or more processors configured to derive M most probable modes (MPMs) for intra prediction of a block of video data. As part of deriving the M most probable modes, the one or more processors define a representative intra prediction mode for a left neighboring column and use the representative intra prediction mode for the left neighboring column as an MPM for the left neighboring column, and/or define a representative intra prediction mode for an above neighboring row and use the representative intra prediction mode for the above neighboring row as an MPM for the above neighboring row. A syntax element that indicates whether an MPM index or a non-MPM index is used to indicate a selected intra prediction mode for intra prediction of the block is decoded. The one or more processors reconstruct the block based on the selected intra prediction mode.
摘要翻译：一种设备包括被配置为导出M个最可能模式（MPM）的一个或多个处理器，用于视频数据块的帧内预测。作为导出M个最可能模式的一部分，一个或多个处理器为左相邻列定义代表性的帧内预测模式，并将左邻近列的代表性帧内预测模式用作左相邻列的MPM，和/或定义上述相邻行的代表性帧内预测模式，并将上述相邻行的代表性帧内预测模式用作上述相邻行的MPM。指示用于指示用于块的帧内预测的所选择的帧内预测模式的MPM索引或非MPM索引的语法元素被解码。一个或多个处理器基于所选择的帧内预测模式重构块。

2. 发明申请

WO2016064962A1 ATRIAL ARRHYTHMIA DETECTION DURING INTERMITTENT INSTANCES OF VENTRICULAR PACING IN A CARDIAC MEDICAL DEVICE 审中-公开
标题翻译：心脏手术器官静脉血栓形成过程中的心律失常检测
公开(公告)号：WO2016064962A1
公开(公告)日：2016-04-28
申请号：PCT/US2015/056593
申请日：2015-10-21
申请人： MEDTRONIC, INC.
发明人： CAO, Jian , DEGROOT, Paul J.
IPC分类号： A61B5/046 , A61N1/362
CPC分类号： A61B5/046 , A61B5/7217 , A61N1/3962
摘要： A method and medical device for determining a cardiac event that includes sensing a cardiac signal, determining a predetermined number of sensed cardiac events in response to the sensed cardiac signal, determining a plurality of sensed event windows in response to the predetermined number of the sensed cardiac events, determining, for each of the plurality of sensed event windows, whether a number of paced events is less than a paced event threshold, determining whether intervals within the sensed event windows having a number of paced events less than the paced event threshold are greater than an interval threshold, determining an interval difference factor for each of the plurality of windows having intervals less than the interval threshold, and determining the cardiac event in response to the interval difference factors determined for each of the plurality of windows.
摘要翻译：一种用于确定心脏事件的方法和医疗装置，包括感测心脏信号，响应于所感测到的心脏信号确定感测的心脏事件的预定数量，响应于感测的心脏的预定数量确定多个感测到的事件窗口事件，对于多个感测到的事件窗口中的每一个，确定一些节奏事件是否小于节奏事件阈值，确定感测事件窗口内具有小于起搏事件阈值的多个节奏事件中的间隔是否更大确定具有小于所述间隔阈值的间隔的所述多个窗口中的每一个的间隔差因子，以及响应于针对所述多个窗口中的每一个确定的间隔差异因子确定所述心脏事件。

3. 发明申请

WO2015161143A1 APPARATUS FOR VERIFYING DISCRIMINATING OF TACHYCARDIA EVENTS IN A MEDICAL DEVICE HAVING DUAL SENSING VECTORS 审中-公开
标题翻译：用于在具有双感测矢量的医疗设备中鉴别TACHYCARDIA事件的装置
公开(公告)号：WO2015161143A1
公开(公告)日：2015-10-22
申请号：PCT/US2015/026277
申请日：2015-04-17
申请人： MEDTRONIC, INC.
发明人： ZHANG, Xusheng
IPC分类号： A61N1/39
CPC分类号： A61N1/3987 , A61B5/04011 , A61B5/04012 , A61B5/042 , A61N1/3925 , A61N1/3962
摘要： A method and medical device for detecting a cardiac event that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector sensing a first interval and a second sensing vector sensing a second interval, determining, for each of the first interval and the second interval, whether each beat of the plurality of beats is one of a match beat and a non-match beat, determining whether each beat of the plurality of beats is one of a high confidence beat and a low confidence beat, determining, for each of the first interval and the second interval, the number of beats determined to be both a non-match beat and a high confidence beat being greater than a threshold, and determining whether to deliver therapy in response to identifying of each of the first interval and the second interval as being one of shockable and not shockable.
摘要翻译：一种用于检测心脏事件的方法和医疗装置，其包括感测来自形成感测第一间隔的第一感测向量的多个电极的心脏信号和感测第二间隔的第二感测向量，对于第一间隔和第二间隔间隔，多个节拍中的每个拍子是否是匹配拍子和不匹配拍子之一，确定多个拍子中的每个拍子是否是高置信拍子和低置信拍子之一，为第一间隔和第二间隔，确定为不匹配搏动和高置信度搏动的搏动次数大于阈值，以及响应于识别第一间隔和第二间隔是可震荡的，不可震撼的。

4. 发明申请

WO2015157537A1 METHOD AND APPARATUS FOR DISCRIMINATING TACHYCARDIA EVENTS IN A MEDICAL DEVICE USING TWO SENSING VECTORS 审中-公开
标题翻译：用于使用两个感测矢量鉴别医疗设备中的TACHYCARDIA事件的方法和装置
公开(公告)号：WO2015157537A1
公开(公告)日：2015-10-15
申请号：PCT/US2015/025152
申请日：2015-04-09
申请人： MEDTRONIC, INC.
发明人： ZHANG, Xusheng
IPC分类号： A61B5/046 , A61B5/0464 , A61B5/0452 , A61B5/04 , A61B5/042 , A61B5/00
CPC分类号： A61N1/3987 , A61B5/04011 , A61B5/0422 , A61B5/04525 , A61B5/046 , A61B5/0464 , A61B5/7207
摘要： A method and medical device for detecting a cardiac event that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector sensing a first interval of the cardiac signal during a predetermined time period and a second sensing vector simultaneously sensing a second interval of the cardiac signal during the predetermined time period, identifying each of the first interval and the second interval as being one of shockable and not shockable in response to first processing of the first interval and the second interval and in response to second processing of one or both of the first interval and the second interval, the second processing being different from the first processing, and determining whether to deliver therapy for the cardiac event in response to identifying each of the first interval and the second interval as being one of shockable and not shockable.
摘要翻译：一种用于检测心脏事件的方法和医疗装置，其包括感测来自多个电极的心脏信号，所述多个电极形成在预定时间段内感测心脏信号的第一间隔的第一感测向量，以及第二感测向量，同时感测心脏信号的第二间隔在预定时间段期间，响应于第一间隔和第二间隔的第一处理以及响应于第一间隔和第二间隔中的一个或两者的第二处理，将第一间隔和第二间隔中的每一个识别为可震荡且不可震荡的一个所述第一间隔和所述第二间隔，所述第二处理与所述第一处理不同，并且响应于将所述第一间隔和所述第二间隔中的每一个识别为可震荡且不可震荡的一个来确定是否为所述心脏事件递送治疗。

5. 发明申请

WO2015153459A1 METHOD AND APPARATUS FOR DISCRIMINATING TACHYCARDIA EVENTS IN A MEDICAL DEVICE 审中-公开
标题翻译：用于在医疗设备中鉴别TACHYCARDIA事件的方法和装置
公开(公告)号：WO2015153459A1
公开(公告)日：2015-10-08
申请号：PCT/US2015/023341
申请日：2015-03-30
申请人： MEDTRONIC, INC.
发明人： ZHANG, Xusheng , STADLER, Robert W.
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61B5/0452 , A61B5/0464 , A61B5/686 , A61N1/3925 , A61N1/3956
摘要： A method and medical device for detecting a cardiac event that includes determining, during first processing of a first interval sensed along a first sensing vector and a second interval sensed along a second sensing vector, whether one or both of the first interval and the second interval is within one of a ventricular tachycardia shock zone and a ventricular fibrillation shock zone, identifying the cardiac event as a shockable event in response to one or both of the first interval and the second interval being within the ventricular tachycardia shock zone, identifying the cardiac event as a shockable event in response to both of the first interval and the second interval being within the ventricular fibrillation shock zone, and determining whether to confirm the cardiac event being identified as a shockable event in response to the identifying.
摘要翻译：一种用于检测心脏事件的方法和医疗装置，包括在沿着第一感测向量感测的第一间隔和沿着第二感测向量感测的第二间隔的第一处理期间确定第一间隔和第二间隔中的一个或两个在心室心动过速休克区和心室颤动休克区之一内，将心脏事件识别为响应于在心室心动过速休克区内的第一间隔和第二间隔中的一个或两个的可震荡事件，识别心脏事件作为响应于心室颤动休克区域内的第一间隔和第二间隔两者的可震荡事件，以及响应于识别确定是否确定心脏事件被识别为可震荡事件。

6. 发明申请

WO2015123483A1 LEAD MONITORING FREQUENCY BASED ON LEAD AND PATIENT CHARACTERISTICS 审中-公开
标题翻译：基于铅和患者特征的铅监测频率
公开(公告)号：WO2015123483A1
公开(公告)日：2015-08-20
申请号：PCT/US2015/015732
申请日：2015-02-13
申请人： MEDTRONIC, INC.
发明人： GUNDERSON, Bruce D.
IPC分类号： A61N1/37
CPC分类号： A61N1/3706 , A61N1/056 , A61N1/08 , A61N2001/083
摘要： A method and device for updating a frequency of determining whether a lead condition is occurring in a medical device that includes sensing a cardiac signal, determining whether a lead condition is occurring in response to the sensed cardiac signal, determining a patient characteristic, and updating a frequency of determining whether the lead condition is occurring in response to the determined patient characteristic.
摘要翻译：一种用于更新确定包括感测心脏信号的医疗装置中是否发生引导条件的频率的方法和装置，响应于感测到的心脏信号确定是否发生引导条件，确定患者特征，以及更新响应于所确定的患者特征来确定引导条件是否发生的频率。

7. 发明申请

WO2014176314A1 A STAGED RHYTHM DETECTION SYSTEM AND METHOD 审中-公开
标题翻译：标准RHYTHM检测系统和方法
公开(公告)号：WO2014176314A1
公开(公告)日：2014-10-30
申请号：PCT/US2014/035100
申请日：2014-04-23
申请人： MEDTRONIC, INC.
发明人： ZHANG, Xusheng , BROWN, Mark L. , GREENHUT, Saul E. , STADLER, Robert W.
IPC分类号： A61B5/0464 , A61N1/362 , A61N1/372
CPC分类号： A61B5/4836 , A61B5/04012 , A61B5/0464 , A61B5/7246 , A61N1/3621 , A61N1/3702 , A61N1/37264 , A61N1/37282 , A61N1/385 , A61N1/39
摘要： A medical device and associated method for detecting and treating tachyarrhythmias acquires a cardiac signal using electrodes coupled to a sensing module. During an initial detection process, a shockable cardiac rhythm is detected by a processing module configured to compare the cardiac signal to a first set of detection criteria. By analyzing the cardiac signal, the processing module establishes at least one patient-specific detection threshold during the initial detection process. Upon establishing the at least one patient-specific detection threshold, the initial detection process is stopped, and a next detection process is started which includes comparing the cardiac signal to a second set of detection criteria including the at least one patient-specific detection threshold. In some embodiments, user programming of tachyarrhythmia detection parameters is not required.
摘要翻译：用于检测和治疗快速性心律失常的医疗装置和相关联的方法使用耦合到感测模块的电极获取心脏信号。在初始检测过程中，通过被配置为将心脏信号与第一组检测标准进行比较的处理模块来检测可震荡的心律。通过分析心脏信号，处理模块在初始检测过程中建立至少一个患者特异性检测阈值。在建立至少一个患者特异性检测阈值时，停止初始检测处理，并开始下一个检测过程，其中包括将心脏信号与包括至少一个患者特异性检测阈值的第二组检测标准进行比较。在一些实施例中，不需要用于快速心律失常检测参数的用户编程。

8. 发明申请

WO2013078010A1 METHOD AND APPARATUS FOR ADAPTIVE CARDIAC RESYNCHRONIZATION THERAPY EMPLOYING A MULTIPOLAR LEFT VENTRICULAR LEAD 审中-公开
标题翻译：自适应心脏再生治疗方法和装置采用多孔左心室导联
公开(公告)号：WO2013078010A1
公开(公告)日：2013-05-30
申请号：PCT/US2012/064029
申请日：2012-11-08
申请人： MEDTRONIC, INC.
发明人： STADLER, Robert W. , SAMBELASHVILI, Aleksandre T. , SPLETT, Vincent E.
IPC分类号： A61N1/362 , A61N1/368
CPC分类号： A61N1/3627 , A61N1/3684 , A61N1/3686 , A61N1/3688
摘要： A medical device and associated method control the delivery of a cardiac pacing therapy by selecting first and second pacing sites along a first ventricle of a patient's heart and delivering the pacing therapy by pacing the first ventricle using the first pacing site during the periods of a first ventricular pacing mode and using the second pacing site during periods of a second ventricular pacing mode. In one embodiment, the device determines activation times at multiple sites along a ventricle in response to pacing pulses being delivered to the opposite ventricle. A first pacing site is selected in response to the activation time determination. The device delivers the pacing therapy by pacing the first ventricle using the first pacing site during periods of the first ventricular pacing mode.
摘要翻译：医疗装置和相关联的方法通过沿着患者心脏的第一脑室选择第一和第二起搏部位来控制心脏起搏治疗的递送，并且通过在第一时间段期间使用第一起搏部位起搏第一心室来递送起搏治疗心室起搏模式，并且在第二心室起搏模式期间使用第二起搏部位。在一个实施例中，该装置响应于递送到相对心室的起搏脉冲，沿着心室确定多个部位的激活时间。响应于激活时间确定选择第一起搏站点。该装置通过在第一次心室起搏模式期间使用第一起搏部位起搏第一脑室来进行起搏治疗。

9. 发明申请

WO2013066741A1 CARDIAC RESYNCHRONIZATION THERAPY LOSS DIAGNOSTICS 审中-公开
标题翻译： CARDIAC RESYNCHRONIZATION治疗失败诊断
公开(公告)号：WO2013066741A1
公开(公告)日：2013-05-10
申请号：PCT/US2012/062052
申请日：2012-10-26
申请人： MEDTRONIC, INC.
发明人： LANDMAN, Sean R. , STADLER, Robert W.
IPC分类号： A61N1/372 , A61N1/368 , A61N1/362
CPC分类号： A61N1/37282 , A61N1/3622 , A61N1/3627 , A61N1/3682 , A61N1/37235
摘要： In some examples, an IMD provides CRT data that indicates an amount of time that CRT was not delivered by the IMD, such as the %CRT. In some examples, a CRT loss diagnosis module apportions the amount of time that CRT was not delivered amongst predetermined reasons for loss of CRT based on the CRT data and sensed cardiac data from the IMD. An external computing device may present a representation of the apportionment to a user, e.g., a clinician. The external computing device may also analyze the apportionment, and recommend programming changes for the delivery of CRT by the IMD based on the analysis.
摘要翻译：在一些示例中，IMD提供CRT数据，其指示CRT未由IMD递送的时间量，例如％CRT。在一些示例中，CRT损失诊断模块基于CRT数据和来自IMD的感测的心脏数据来分配在CRT的丢失的预定原因之间没有输送CRT的时间量。外部计算设备可以向用户（例如临床医师）呈现分配的表示。外部计算设备还可以分析分析，并且基于分析推荐由IMD传送CRT的编程改变。

10. 发明申请

WO2012058067A1 SYSTEM AND METHOD FOR RETRIEVAL OF AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：用于检索可植入医疗器械的系统和方法
公开(公告)号：WO2012058067A1
公开(公告)日：2012-05-03
申请号：PCT/US2011/056875
申请日：2011-10-19
申请人： MEDTRONIC, INC. , BONNER, Matthew, D. , USHER, Raymond, W.
发明人： BONNER, Matthew, D. , USHER, Raymond, W.
IPC分类号： A61N1/05 , A61N1/375
CPC分类号： A61N1/372 , A61N1/3756 , A61N2001/0578
摘要： System and method for extracting an implantable medical device. An implantable medical device has a fixation member operatively coupled to the housing having an engaged state configured to engage tissue of a patient, the medical device being magnetically attractable. A catheter has a lumen and a distal portion configured for insertion in proximity of the implantable medical device. A magnetic element is configured to pass through the lumen of the catheter and to magnetically engage the implantable medical device when inserted toward the distal portion of the catheter.
摘要翻译：用于提取可植入医疗装置的系统和方法。可植入医疗装置具有可操作地联接到壳体的固定构件，其具有被配置为接合患者的组织的接合状态，该医疗装置是磁吸引的。导管具有被配置为插入在可植入医疗装置附近的内腔和远侧部分。磁性元件构造成穿过导管的内腔，并且当插入到导管的远端部分时磁性地接合可植入医疗装置。

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