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1. 发明申请

WO2019152383A1 SYSTEMS FOR PRESENTING ARRHYTHMIA EPISODES 审中-公开
公开(公告)号：WO2019152383A1
公开(公告)日：2019-08-08
申请号：PCT/US2019/015603
申请日：2019-01-29
申请人： CARDIAC PACEMAKERS, INC.
发明人： MAHAJAN, Deepa , PERSCHBACHER, David, L. , SAHA, Sunipa
IPC分类号： A61N1/362 , A61N1/37 , A61N1/372
CPC分类号： A61N1/37247 , A61B5/046 , A61B5/0468 , A61B5/7475 , A61N1/3621 , A61N1/3627 , A61N1/3702 , A61N1/3704
摘要： Systems and methods for managing machine-generated alert notifications of medical events detected from one or more patients are described herein. An embodiment of a data management system may receive an adjudication of a medical event episode including an episode characterization. A storage unit stores an association between one or more episode characterizations and corresponding detection algorithms for detecting a medical event having respective episode characterizations. An episode management circuit may detect from a subsequent episode, using the stored association, a medical event having an episode characterization of at least one medical event episode presented for adjudication, and schedule presenting at least a portion of the subsequent episode based on the detection.

2. 发明申请

WO2005097258A1 METHOD AND APPARATUS FOR ANTI-TACHYCARDIA PACING AND DEFIBRILLATION 审中-公开
标题翻译：方法和装置用于抗惊厥药和抗衰老
公开(公告)号：WO2005097258A1
公开(公告)日：2005-10-20
申请号：PCT/US2005/011769
申请日：2005-04-04
申请人： CARDIAC PACEMAKERS, INC. , PERSCHBACHER, David, L. , ROOF, Karin, K. , BLOOMFIELD, Rebecca
发明人： PERSCHBACHER, David, L. , ROOF, Karin, K. , BLOOMFIELD, Rebecca
IPC分类号： A61N1/362
CPC分类号： A61N1/3621 , A61N1/3962 , A61N1/3987
摘要： An implantable cardioverter/defibrillator (ICD) includes an Anti-Tachycardia Pacing Before Charge (ATP-BC) mode according to which one or more high-voltage capacitors for storing defibrillation energy are charged in preparation of delivering a defibrillation shock only if a ventricular tachycardia (VT) sustains after an ATP delivery. Fast ATP delivery and effect verification methods are applied to avoid significant delay in delivering the defibrillation shock when found necessary to terminate the VT. A switch is provided such that a user decides whether to activate the ATP-BC mode or to deliver the defibrillation shock without delivering the ATP.
摘要翻译：植入式心脏复律器/除颤器（ICD）包括在充电前的抗心动过速起搏（ATP-BC）模式，根据该模式，用于存储除颤能量的一个或多个高压电容器用于仅在心室性心动过速（VT）在ATP递送后维持。应用快速的ATP递送和效果验证方法，以避免在发现终止VT时必需的递送除颤电击的显着延迟。提供开关，使得用户决定是否激活ATP-BC模式或者在不输送ATP的情况下递送除颤电击。

3. 发明申请

WO2016123161A1 PHYSIOLOGIC EVENT DETECTION AND DATA STORAGE 审中-公开
标题翻译：生理事件检测和数据存储
公开(公告)号：WO2016123161A1
公开(公告)日：2016-08-04
申请号：PCT/US2016/015013
申请日：2016-01-27
申请人： CARDIAC PACEMAKERS, INC.
发明人： MAHAJAN, Deepa , PERSCHBACHER, David, L.
IPC分类号： A61N1/362 , A61B5/00 , A61B5/0452 , A61N1/37
CPC分类号： A61B5/0452 , A61B5/02405 , A61B5/0245 , A61B5/04012 , A61B5/046 , A61B5/0464 , A61B5/686 , A61B5/7264 , A61B5/7275 , A61B5/7282 , A61N1/3622 , A61N1/3627 , A61N1/3702 , G06F19/00
摘要： Systems and methods for detecting a target physiologic event and storing physiologic information associated with the detected physiologic event are disclosed. A system can receive a physiologic signal obtained from a subject, and detect the target physiologic event using a first portion of the received physiologic signal. The system can confirm the target physiologic event using a second portion of the received physiologic signal. If the target physiologic event is confirmed, the system can store physiologic information associated with the confirmed target physiologic event in a memory.
摘要翻译：公开了用于检测目标生理事件并存储与检测到的生理事件相关联的生理信息的系统和方法。系统可以接收从对象获得的生理信号，并使用所接收的生理信号的第一部分来检测目标生理事件。该系统可以使用所接收的生理信号的第二部分来确认目标生理事件。如果目标生理事件得到确认，系统可以将与确认的目标生理事件相关联的生理信息存储在记忆中。

4. 发明申请

WO2020118154A1 SYSTEMS AND METHODS FOR DETECTING ARRHYTHMIAS 审中-公开
公开(公告)号：WO2020118154A1
公开(公告)日：2020-06-11
申请号：PCT/US2019/064879
申请日：2019-12-06
申请人： CARDIAC PACEMAKERS, INC.
发明人： PERSCHBACHER, David, L. , MAHAJAN, Deepa , SAHA, Sunipa
IPC分类号： A61N1/39 , A61B5/046 , A61N1/05
摘要： Systems and methods for detecting cardiac arrhythmias such as atrial tachyarrhythmia (AT) are discussed. An exemplary system includes a ventricular beat analyzer circuit to detect ventricular beats and assess ventricular activity, such as to evaluate a ventricular rate stability. The system includes an arrhythmia detector circuit to detect respective AT indications in distinct time periods using portions of received physiologic information during the distinct time periods. A control circuit can monitor the ventricular beats on a beat-by-beat basis, in response to the detected ventricular beats satisfying an instability condition, trigger AT detections during the distinct time periods and withhold AT detection in a subsequent time period if no AT is detected in the present time period. An AT characteristic may be generated using the detected AT indications. A therapy may be delivered in accordance with the AT characteristic.

5. 发明申请

WO2018118568A1 LEARNING TECHNIQUES FOR CARDIAC ARRHYTHMIA DETECTION 审中-公开
公开(公告)号：WO2018118568A1
公开(公告)日：2018-06-28
申请号：PCT/US2017/066050
申请日：2017-12-13
申请人： CARDIAC PACEMAKERS, INC.
发明人： HERRMANN, Keith, L. , SAHA, Sunipa , SHARMA, Arjun, D. , PERSCHBACHER, David, L. , BOHN, Derek, D. , SIEJKO, Krzysztof, Z.
IPC分类号： A61B5/00 , A61B5/0452
摘要： This document discusses, among other things, systems and methods to adjust arrhythmia detection using physiological information of a patient, including detecting a candidate cardiac event about a threshold, displaying the detected candidate cardiac event to a user, receiving user information about the detected candidate cardiac event, and adjusting an arrhythmia detection threshold based upon the received user information.

6. 发明申请

WO2017139340A1 TRIGGERING STORAGE OF ONSET OF PHYSIOLOGIC CONDITION 审中-公开
标题翻译：触发生理条件下的存储
公开(公告)号：WO2017139340A1
公开(公告)日：2017-08-17
申请号：PCT/US2017/016952
申请日：2017-02-08
申请人： CARDIAC PACEMAKERS, INC.
发明人： MAHAJAN, Deepa , PERSCHBACHER, David, L. , SHARMA, Arjun, D.
IPC分类号： A61N1/362 , A61B5/00
CPC分类号： A61B5/0205 , A61B5/0022 , A61B5/0024 , A61B5/0031 , A61B5/021 , A61B5/0215 , A61B5/0245 , A61B5/0422 , A61B5/0456 , A61B5/046 , A61B5/08 , A61B5/0816 , A61B5/1117 , A61B5/686 , A61B5/6869 , A61B5/7246 , A61B5/7282 , A61B5/7285 , A61B7/02 , A61N1/3624 , A61N1/36507 , A61N1/3956 , A61N1/3987 , G06F19/00 , G16H40/67
摘要： An apparatus includes a sensing circuit configured to generate a sensed physiological signal that includes physiological information of a subject, a detection circuit, and a control circuit. The detection circuit detects a physiological condition of a subject using the physiological signal. The control circuit stores sampled values of a segment of the physiological signal in temporary memory storage; and stores the sampled values in non-temporary storage in response to receiving an indication of continued detection of the physiological condition.
摘要翻译：一种装置包括感测电路，感测电路被配置为生成感测生理信号，感测生理信号包括对象的生理信息，检测电路和控制电路。检测电路使用生理信号检测对象的生理状况。控制电路将生理信号的片段的采样值存储在临时存储器中; 并且响应于接收到持续检测生理状况的指示，将采样值存储在非临时存储器中。

7. 发明申请

WO2012003122A1 RHYTHM CORRELATION DIAGNOSTIC MEASUREMENT 审中-公开
标题翻译： RHYTHM相关诊断测量
公开(公告)号：WO2012003122A1
公开(公告)日：2012-01-05
申请号：PCT/US2011/041381
申请日：2011-06-22
申请人： CARDIAC PACEMAKERS, INC. , EBERLE, LeAnne, M. , PERSCHBACHER, David, L.
发明人： EBERLE, LeAnne, M. , PERSCHBACHER, David, L.
IPC分类号： A61N1/37 , A61N1/372 , A61B5/0452 , A61B5/046 , A61B5/0464 , A61N1/39
CPC分类号： A61N1/3702 , A61B5/04525 , A61B5/0464 , A61B5/7246 , A61B5/7445 , A61N1/37247 , A61N1/3962 , A61N1/3993
摘要： An ambulatory medical device includes a cardiac activity sensing circuit and a processing circuit. The processor circuit includes a correlation circuit and a rhythm discrimination circuit. The correlation circuit generates an indication of correlation between each of at least a portion of the cardiac depolarizations and a stored template representative of a normal sinus rhythm. The rhythm discrimination circuit is configured to compare the indications of correlation to a specified correlation threshold value, classify the information representative of cardiac activity as a specific cardiac rhythm using the comparison, and identify at least one indication of correlation that determines the classification. The processing circuit provides the identified indication of correlation to a user or process.
摘要翻译：移动医疗装置包括心脏活动检测电路和处理电路。处理器电路包括相关电路和节律判别电路。相关电路产生心脏去极化的至少一部分中的每一者与代表正常窦性心律的存储模板之间的相关性的指示。节律判别电路被配置为将相关指示与指定的相关阈值进行比较，并且使用比较将表示心脏活动的信息分类为特定心律，并且确定确定分类的至少一个相关指示。处理电路提供所识别的与用户或过程相关的指示。

8. 发明申请

WO2010090896A1 CROSS-CHANNEL NOISE DETECTOR IN IMPLANTABLE DEVICES 审中-公开
标题翻译：交叉通道噪声检测器在可移植设备中
公开(公告)号：WO2010090896A1
公开(公告)日：2010-08-12
申请号：PCT/US2010/022028
申请日：2010-01-26
申请人： CARDIAC PACEMAKERS, INC. , LI, Dan , PERSCHBACHER, David, L.
发明人： LI, Dan , PERSCHBACHER, David, L.
IPC分类号： A61N1/37 , A61N1/08
CPC分类号： A61N1/3704 , A61N1/3718 , A61N1/3925
摘要： An apparatus comprises a primary cardiac signal sensing circuit to sense a first cardiac signal, a secondary cardiac signal sensing to sense a second cardiac signal, and an arrhythmia detection circuit. The primary sensing circuit includes at least first and second implantable electrodes, and the secondary sensing circuit includes a third implantable electrode to deliver high-energy shock therapy. The arrhythmia detection circuit detects tachyarrhythmia using the primary sensing circuit, determines correspondence between events sensed with the primary sensing circuit and events sensed with the secondary sensing circuit, and deems whether a detected rhythm is indicative of noise or is indicative of an arrhythmia according to the determined correspondence.
摘要翻译：一种装置包括用于感测第一心脏信号的主要心脏信号感测电路，感测第二心脏信号的次要心脏信号感测和心律失常检测电路。主感测电路至少包括第一和第二可植入电极，并且次级感测电路包括用于输送高能量休克疗法的第三可植入电极。心律失常检测电路使用主感测电路检测快速性心律失常，确定用主感测电路感测的事件与由次级感测电路感测的事件之间的对应关系，并且考虑检测到的节奏是指示噪声还是指示心律失常根据确定的信件。

9. 发明申请

WO2009073159A1 DISABLE FOR ATRIOVENTRICULAR DELAY ADJUSTMENT 审中-公开
标题翻译：禁止进行心律失常调整
公开(公告)号：WO2009073159A1
公开(公告)日：2009-06-11
申请号：PCT/US2008/013247
申请日：2008-12-01
申请人： CARDIAC PACEMAKERS, INC. , PERSCHBACHER, David, L.
发明人： PERSCHBACHER, David, L.
IPC分类号： A61B5/0464 , A61N1/362 , A61N1/372 , A61B5/00 , A61N1/368
CPC分类号： A61N1/3622 , A61B5/0464 , A61N1/3682 , A61N1/37258
摘要： An apparatus comprises an electrical stimulation circuit, a ventricular sensing circuit, a ventricular sensing timer, and an atrial pacing timer. The ventricular sensing circuit detects an intrinsic ventricular tachyarrhythmia depolarization. The ventricular sensing timer initiates timing of a lowest tachy rate (LTR) zone interval and also a ventricular pace interval that is calculated using a lower rate limit (LRL). The atrial pacing timer calculates an atrial pace interval to follow the intrinsic ventricular depolarization using the ventricular pace interval less a paced atrioventricular (AV) delay interval, delays generation of the atrial pace until after expiration of the LTR zone interval by decreasing the paced AV delay interval when the calculated atrial pace interval is within the LTR zone interval, and disables decreasing of the paced AV delay interval when the LRL interval less the paced AV delay interval at the LRL is less than the LTR zone interval.
摘要翻译：一种装置包括电刺激电路，心室感测电路，心室感测计时器和心房起搏定时器。心室感知电路检测内部室性快速性心律失常去极化。心室感知计时器启动最低速度（LTR）区间隔的定时，以及使用较低速率限制（LRL）计算的心室起搏间隔。心房起搏定时器计算心房起搏间隔，以使用心室起搏间隔较小的起搏房室（AV）延迟间隔来跟随内部心室去极化，延迟产生心房起搏直到LTR区间隔期到期之后，通过降低节奏的AV延迟当计算出的心房起搏间隔在LTR区间内时间间隔，并且当LRL间隔小于LRL处的起搏AV延迟间隔小于LTR区间隔时，禁止降低节奏的AV延迟间隔。

10. 发明公开

EP2427105A1 ADJUDICATION OF ARRHYTHMIA EPISODE DATA SYSTEMS AND METHODS 审中-公开
标题翻译：系统ZERWEISUNG VON ARRHYTHMIE-EPISODENDATEN
公开(公告)号：EP2427105A1
公开(公告)日：2012-03-14
申请号：EP10717393.2
申请日：2010-05-03
申请人： Cardiac Pacemakers, Inc.
发明人： DONG, Yanting , LI, Dan , PERSCHBACHER, David, L. , ZHANG, Shijie , MAHAJAN, Deepa , PATANGAY, Abhalish , SHARMA, Arjun
IPC分类号： A61B5/04 , A61B5/0464 , G06K9/00 , G06F19/00
CPC分类号： A61B5/04012 , A61B5/042 , A61B5/046 , A61B5/0464 , A61B5/7264 , A61B5/7267 , A61B5/7475 , A61N1/37247 , G06F19/324 , G06Q50/22 , G16H15/00 , G16H40/63
摘要： A system and method for automatically adjudicating arrhythmia episode information is described, and includes an episode database having episode data regarding a plurality of different arrhythmia episodes and an adjudication processor configured to output characterization data characterizing the input episode data. The characterization data includes an arrhythmia classification. The system further includes an episode processor configured to process the characterization data and episode data, provide at least one report on the characterization data related to a plurality of the different arrhythmia episodes, and provide at least one programming recommendation or at least one alert.
摘要翻译：描述了用于自动判断心律失常发作信息的系统和方法，并且包括具有关于多个不同心律失常发作的剧集数据的剧集数据库，以及被配置为输出表征输入剧集数据的表征数据的裁定处理器。表征数据包括心律失常分类。该系统还包括配置用于处理表征数据和发作数据的情节处理器，提供关于与多个不同心律失常发作有关的表征数据的至少一个报告，并提供至少一个节目推荐或至少一个警报。

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