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    • 2. 发明申请
    • METHODS AND APPARATUS FOR DETECTION OF MYOCARDIAL ISCHEMIA UPON EXERTION
    • 用于检测心肌梗塞的方法和装置
    • WO2010014497A1
    • 2010-02-04
    • PCT/US2009/051579
    • 2009-07-23
    • CARDIAC PACEMAKERS, INC.ZHANG, YiBECK, Kenneth, C.LEWICKE, AaronZHANG, Yunlong
    • ZHANG, YiBECK, Kenneth, C.LEWICKE, AaronZHANG, Yunlong
    • A61B5/0215
    • A61B5/0205A61B5/02055A61B5/0215A61B5/03A61B5/4519
    • Various method embodiments of the present invention concern sensing patient- internal pressure measurements indicative of physiological exertion, identifying one or more steady state periods of physiological exertion based on the patient-internal pressure measurements, sensing extra-cardiac response data and cardiac response data corresponding to the one or more physiological exertion steady state periods, respectively comparing the extra-cardiac response data and the cardiac response data to extra-cardiac response information and cardiac response information associated with equivalent levels of physiological exertion intensity of the one or more steady state periods, and determining the likelihood that myocardial ischemia occurred during the one or more steady state periods based on the comparison of the extra-cardiac response data to the extra-cardiac response information and the cardiac response data to the cardiac response information.
    • 本发明的各种方法实施例涉及检测指示生理消耗的患者内部压力测量,基于患者内部的压力测量,感测心外反应数据和对应于心脏的心脏反应数据识别生理用药的一个或多个稳态时期 一个或多个生理活动稳态时段,分别将心外反应数据和心脏响应数据与心脏外反应信息和与一个或多个稳态周期的等效生理消耗强度的等效水平相关联的心脏反应信息进行比较, 以及基于心外反应数据与心外反应信息和对心脏反应信息的心脏反应数据的比较,确定在一个或多个稳态期间发生心肌缺血的可能性。
    • 8. 发明申请
    • LUNG FLUID STATUS MONITORING USING ACOUSTIC ENERGY
    • 使用声学能量的肺液体状态监测
    • WO2009020571A1
    • 2009-02-12
    • PCT/US2008/009342
    • 2008-08-01
    • CARDIAC PACEMAKERS, INC.ZHANG, YunlongZHANG, YongxingZAREMBO, Paul E.
    • ZHANG, YunlongZHANG, YongxingZAREMBO, Paul E.
    • A61B5/00A61B8/08
    • A61B8/12A61B5/0031A61B5/08A61B5/4878A61B8/4472
    • Systems and methods for monitoring lung edema fluid status, such as monitoring the presence or absence of pulmonary edema, in a subject using information about responsive acoustic energy echoes from a lung are described. The system comprises, among other things, an implantable device including an acoustic transducer configured to emit acoustic energy to a lung and to receive one or more responsive acoustic energy echoes from a lung. In an example, the implantable device includes a cardiac function management device having an acoustic window in a body thereof. In another example, the implantable device includes one or more subcutaneous leads. An implantable or external processor circuit is configured to receive information about the acoustic energy echoes to compute and provide a lung edema fluid status indication; such information may include an increased number or special pattern of acoustic energy echoes received or a decreased time between successively received echoes.
    • 描述了使用关于来自肺的响应性声能回波的信息来监测受试者肺水肿液体状态的系统和方法,例如监测受试者是否存在肺水肿。 除其他之外,该系统包括可植入装置,其包括被配置为向肺发出声能并且接收来自肺的一个或多个响应声能回波的声学换能器。 在一个示例中,可植入装置包括在其体内具有声窗口的心脏功能管理装置。 在另一示例中,可植入装置包括一个或多个皮下引线。 植入式或外部处理器电路被配置为接收关于声能回波的信息,以计算并提供肺水肿状态指示; 这样的信息可以包括接收的声能回波的增加的数量或特殊模式或连续接收的回波之间的减少的时间。