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1. 发明授权

US5782876A Method and apparatus using windows and an index value for identifying cardic arrhythmias 失效
标题翻译：使用窗口的方法和装置以及用于识别心律失常的指标值
公开(公告)号：US5782876A
公开(公告)日：1998-07-21
申请号：US632699
申请日：1996-04-15
申请人： Daniel Flammang
发明人： Daniel Flammang
IPC分类号： A61N1/362 , A61N1/39 , A61N1/368
CPC分类号： A61N1/3962 , A61N1/3622 , A61N1/395
摘要： A method and apparatus for identifying cardiac arrhythmias. In the preferred embodiment the invention is embodied in an implantable pulse generator. The IPG features a system to analyze the sensed ECG. The system utilizes an algorithm able to quantify continuously the sensed cardiac rhythm. The algorithm features essentially two parts, a pre-diagnostic program ("PDP"), which is able to discriminate up to 95% of all sensed rhythms, and a diagnostic program ("DP"), which is able to discriminate the remaining sensed rhythms. The pre-diagnostic program is relatively quicker and draws less energy as compared to the diagnostic program. The pre-diagnostic program functions by regularly measuring the dv/dt of the sensed ECG. These values are then converted into an index value to thereby quantify the sensed cardiac rhythm. After any noise is rejected, the algorithm permits an automatic discrimination of normal sinus rhythm from atrial fibrillation, atrial flutter, ventricular tachycardia, ventricular fibrillation and ventricular flutter. In cases where other rhythms are sensed, the algorithm then utilizes the diagnostic program. The diagnostic program compares a series of sensed values from the sensed ECG to a series of references values. Through the various values examined, a discrimination among various arrhythmias is accomplished.
摘要翻译：一种用于识别心律失常的方法和装置。在优选实施例中，本发明体现在可植入脉冲发生器中。 IPG具有分析感测ECG的系统。该系统利用能够连续量化感测心律的算法。该算法基本上具有两部分，其能够区分高达所有感觉节律的95％的预诊断程序（“PDP”）以及能够区分剩余感测的诊断程序（“DP”）节奏与诊断程序相比，预诊断程序相对较快，能量消耗更少。预诊断程序通过定期测量感测ECG的dv / dt来起作用。然后将这些值转换成索引值，从而量化感测的心律。在任何噪声被拒绝之后，该算法允许自动区分正常窦性心律从心房颤动，心房扑动，室性心动过速，心室颤动和心室颤动。在感测到其他节奏的情况下，算法然后利用诊断程序。诊断程序将来自感测ECG的一系列感测值与一系列参考值进行比较。通过检查的各种价值观，可以实现各种心律失常之间的区别。

2. 发明授权

US06889093B1 Electrode lead with multiple branches 有权
标题翻译：电极引线有多个分支
公开(公告)号：US06889093B1
公开(公告)日：2005-05-03
申请号：US09586942
申请日：2000-06-02
申请人： Daniel Flammang
发明人： Daniel Flammang
IPC分类号： A61N1/05 , A61N1/39 , A61N1/08
CPC分类号： A61N1/0563 , A61N1/3918
摘要： An electrode arrangement, in particular for the intracardial discharge of defibrillation pulses in the atrium of a heart, comprising an electrode line which in the region of its distal end has a plurality of electrically conductive surface portions as electrodes which can be electrically connected by way of the electrode line to an electrical pulsedischarging device such as defibrillator, wherein the electrode line is adapted to be split in the electrode-bearing region of its distal end into at least two respectively electrode-bearing branches.
摘要翻译：一种电极装置，特别是用于心脏心房中的除颤脉冲的心内放电，其包括电极线，该电极线在其远端区域中具有多个导电表面部分作为电极，该电极可以通过电除颤器等电脉冲充电装置的电极线，其中电极线适于在其远端的电极承载区域中分成至少两个分别带电极的分支。

3. 发明授权

US06516231B1 Endocardial electrode lead with multiple branches 有权
标题翻译：心内膜电极引线多支
公开(公告)号：US06516231B1
公开(公告)日：2003-02-04
申请号：US09586940
申请日：2000-06-02
申请人： Daniel Flammang
发明人： Daniel Flammang
IPC分类号： A61N105
CPC分类号： A61N1/3918 , A61N1/0563
摘要： A cardioversion arrangement having an electrode arrangement for the intracardial discharge of electrical pulses in the atrium of a heart, having an electrode line and in the region of its distal end a plurality of electrodes which can be electrically connected by way of the electrode line to an electrical pulse-discharging device and a defibrillator, wherein the electrode-bearing region at the distal end of the electrode line is split into two branches of which one is in the form of a septal branch and the other is in the form of a lateral branch for assuming a septal position and a lateral position in the atrium of a heart, wherein the branches are respectively provided with electrodes in such a way that each electrode of a branch is associated in pair-wise manner with an electrode of the other branch, for the discharge of bipolar pulses, and the cardioversion arrangement is designed to record intra-atrial electrograms by means of the electrodes by receiving electrical signals between a respective two of the electrodes in the bipolar mode of operation.
摘要翻译：一种心脏复律装置，具有用于在心脏的心房中心电放电脉冲的电极装置，具有电极线，并且在其远端的区域中，多个电极可以通过电极线电连接到电脉冲放电装置和除颤器，其中在电极线的远端处的电极承载区域被分成两个分支，其中一个分支是间隔分支的形式，另一个分支是侧向分支的形式用于在心脏的心房中设置间隔位置和横向位置，其中分支分别设置有电极，使得分支的每个电极与成对方式与另一分支的电极相关联，用于双极脉冲的放电和心脏复律布置被设计成通过接收电极之间的电信号来记录心电图在双极操作模式下的相应的两个电极。

4. 发明授权

US5172694A Single pacing lead and method utilizing two different floating bipoles 失效
标题翻译：采用两种不同浮选泡沫的单层铅和方法
公开(公告)号：US5172694A
公开(公告)日：1992-12-22
申请号：US707444
申请日：1991-05-30
申请人： Daniel Flammang , Frits M. van Krieken
发明人： Daniel Flammang , Frits M. van Krieken
IPC分类号： A61N1/05
CPC分类号： A61N1/056
摘要： There is provided a pacemaker lead for use in a dual chamber pacemaker system, wherein the single lead provides for ventricular pacing and atrial sensing. The lead has at least two floating bipoles positioned for placement in the atrium. A first whole-ring bipole is positioned a distance from the distal end so as to be positioned in the lower atrium of an average patient when the distal end is in position for ventricular pacing, and a second split-ring bipole is placed on the lead proximal from the first bipole so as to be positioned in the upper atrium of the normal patient. The method thus comprises positioning a floating whole-ring bipole in the lower atrium, and/or positioning a floating split-ring bipole in the upper atrium. The pair of bipoles so placed provide for atrial sensing with a high degree of ventricular far-field rejection, enabling VDD pacing and also monitoring of P-wave direction and conduction duration.
摘要翻译：提供了用于双室心脏起搏器系统的起搏器引线，其中单个引线提供心室起搏和心房感测。引线具有至少两个浮置的双极位于放置在心房中。当远端位于心室起搏位置时，第一全环双极与远端定位成一定距离，以便定位在平均患者的下心房中，并且将第二分开环双极放置在引线上从第一双极近端位于正常患者的上心房。因此，该方法包括将浮动全环双极定位在下心房中，和/或将浮动的分裂环双极定位在上心房中。如此放置的这对双极子可以提供高度心室远场抑制的心房感应，使得能够进行起搏并且还监测P波方向和导通持续时间。

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