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1. 发明授权

US5833623A System and method for facilitating rapid retrieval and evaluation of diagnostic data stored by an implantable medical device 失效
标题翻译：用于促进可植入医疗装置存储的诊断数据的快速检索和评价的系统和方法
公开(公告)号：US5833623A
公开(公告)日：1998-11-10
申请号：US851059
申请日：1997-05-05
申请人： Brian M. Mann , Joseph J. Florio , Jason A. Sholder , Leslie S. Miller , Jeffery D. Snell , Kenneth Valikai , Gregory Bevan , J. Kelly Fox , Azita M. Rahbari , Allan R. Schwartz
发明人： Brian M. Mann , Joseph J. Florio , Jason A. Sholder , Leslie S. Miller , Jeffery D. Snell , Kenneth Valikai , Gregory Bevan , J. Kelly Fox , Azita M. Rahbari , Allan R. Schwartz
IPC分类号： A61B5/00 , A61B5/044 , A61N1/37
CPC分类号： G06F19/345 , A61B5/0031 , A61B5/044 , A61N1/3702 , G06F19/3406 , G06F19/3487
摘要： An implantable device programmer includes a variety of features for allowing a clinician to perform an automated and customized follow-up examination of a patient having an implanted cardiac implantable device, the implantable device being of the type which captures and stores various types of diagnostic data for subsequent retrieval and evaluation. A custom protocol feature of the programmer allows the clinician pre-specify and then semi-automatically follow an ordered sequence of protocol steps, each protocol step involving the interrogation of the implantable device and the display by the programmer of associated implantable device data (such as a heart rate histogram, or the results of a ventricular capture test). When the clinician initiates a custom protocol, the programmer automatically retrieves all of the diagnostic data records of the protocol in the protocol order. This automatic retrieval is performed in the background, allowing the clinician to begin viewing the initial diagnostic data records of the protocol while the other items are being retrieved. Via a user interface of the programmer, the clinician can rapidly and efficiently sequence through the data display screens associated with the protocol, to thereby view the various diagnostic data records and/or perform the various diagnostic tests of the protocol.
摘要翻译：可植入装置编程器包括各种特征，用于允许临床医生对具有植入的心脏可植入装置的患者执行自动和定制的随访检查，该可植入装置是捕获和存储各种类型的诊断数据的类型，后续检索和评估。编程器的定制协议特征允许临床医生预先指定然后半自动遵循协议步骤的有序序列，每个协议步骤涉及可植入装置的询问以及程序员对相关的可植入装置数据的显示（例如心率直方图或心室捕获测试的结果）。当临床医生启动自定义协议时，程序员将以协议顺序自动检索协议的所有诊断数据记录。这种自动检索在后台执行，允许临床医生在检索其他项目时开始查看协议的初始诊断数据记录。通过程序员的用户界面，临床医生可以快速有效地顺序通过与协议相关联的数据显示屏幕，从而查看各种诊断数据记录和/或执行协议的各种诊断测试。

2. 发明授权

US4791936A Apparatus for interpreting and displaying cardiac events of a heart connected to a cardiac pacing means 失效
标题翻译：用于解释和显示与心脏起搏装置连接的心脏心脏事件的装置
公开(公告)号：US4791936A
公开(公告)日：1988-12-20
申请号：US876612
申请日：1986-06-20
申请人： Jeffery D. Snell , Brian M. Mann , Jason A. Sholder
发明人： Jeffery D. Snell , Brian M. Mann , Jason A. Sholder
IPC分类号： A61B5/00 , A61N1/372 , A61B5/04
CPC分类号： A61N1/37252 , A61B5/0006
摘要： An apparatus for interpreting and displaying cardiac events of a heart connected to an implanted cardiac pacing means (2) is disclosed. The apparatus includes a telemetry head (4), at least one interpreting means (6), and a controller (14). Information telemetered from the implanted pacing means is separated into identifiable sets of data pertaining to prescribed functions, such as atrial events, ventricular events, pacemaker timed events, sensor events, and the like. Skin ECG information may also be received through another interpreting means (12) in addition to pacemaker telemetered data. Parallel processing channels are employed to process all the received data while maintaining synchronization therebetween. Memory means (16) allow the synchronized processed data to be stored for subsequent print out through a D/A converter (20) and printer (22), or to be displayed on a display monitor (26). The display monitor is controlled by display logic (24) that includes the capability to simultaneously display a plurality of selected data sets while maintaining the synchronization therebetween, and that further allows displayed events to be identified with unique markers (44, 46, 64, 66 ) or synchronized with displayed time intervals (82, 84, 92, 94) associated with the operation of the pacemaker.
摘要翻译：公开了一种用于解释和显示与植入式心脏起搏装置（2）连接的心脏心脏事件的装置。该装置包括遥测头（4），至少一个解释装置（6）和控制器（14）。从植入起搏装置遥测的信息被分离成与规定功能有关的可识别的数据组，例如心房事件，心室事件，起搏器定时事件，传感器事件等。除起搏器遥测数据之外，皮肤ECG信息也可通过另一解释装置（12）接收。采用并行处理通道处理所有接收的数据，同时保持其间的同步。存储器装置（16）允许存储同步处理的数据以便随后通过D / A转换器（20）和打印机（22）打印，或者显示在显示监视器（26）上。显示监视器由显示逻辑（24）控制，显示逻辑（24）包括同时显示多个所选数据集的能力，同时保持它们之间的同步，并且还允许用唯一标记（44,46,64,66 ）或与与起搏器的操作相关联的所显示的时间间隔（82,84,92,94）同步。

3. 发明授权

US4596255A Apparatus for interpreting and displaying cardiac events of a heart connected to a cardiac pacing means 失效
标题翻译：用于解释和显示与心脏起搏装置连接的心脏心脏事件的装置
公开(公告)号：US4596255A
公开(公告)日：1986-06-24
申请号：US701795
申请日：1985-02-15
申请人： Jeffery D. Snell , Brian M. Mann , Jason A. Sholder
发明人： Jeffery D. Snell , Brian M. Mann , Jason A. Sholder
IPC分类号： A61B5/00 , A61N1/08 , A61N1/372 , A61B5/04
CPC分类号： A61N1/37247 , A61B5/0006 , A61N1/08 , A61N1/37252
摘要： The present invention is an apparatus (1) for interpreting and displaying cardiac events of a heart connected to a cardiac pacing means (2) comprising a telemetry head (4), a first interpreting mean 6 with means connected to said telemetry head (4), a second interpreting means (12) with means connected to a plurality of ECG electrodes having paddles 8a at their digital end via electrical conduit (10), a control means (14) with means connected to said first and second interpreting means, (6) and (12) respectively, a multi-section memory means (16) with means connected to said control means (14), a D/A convertor (20) with means connected to said memory (16) a printing means (22) with means connected to said D/A convertor (20), logic means (24) with means connected to said memory means (16) and a display means (26) with means connected to said logic means (24).
摘要翻译：本发明是一种用于解释和显示与包括遥测头（4）的心脏起搏装置（2）连接的心脏的心脏事件的装置（1），具有连接到所述遥测头（4）的装置的第一解释装置6，，具有连接到多个ECG电极的装置的第二解释装置（12），其具有经由电导管（10）的数字端的桨叶8a，具有连接到所述第一和第二解释装置的装置的控制装置（14））和（12）分别具有连接到所述控制装置（14）的装置的多段存储装置（16），具有连接到所述存储器（16）的装置的打印装置（22）的D / A转换器（20）具有连接到所述D / A转换器（20）的装置，具有连接到所述存储装置（16）的装置的逻辑装置（24）和连接到所述逻辑装置（24）的装置的显示装置（26）。

4. 发明授权

US06622045B2 System and method for remote programming of implantable cardiac stimulation devices 有权
公开(公告)号：US06622045B2
公开(公告)日：2003-09-16
申请号：US09823374
申请日：2001-03-29
申请人： Jeffery D. Snell , John W. Poore , Jason A. Sholder
发明人： Jeffery D. Snell , John W. Poore , Jason A. Sholder
IPC分类号： A61N108
CPC分类号： A61N1/37282
摘要： To permit remote programming of implantable cardiac stimulation devices such as pacemakers, a central device programmer is provided in conjunction with a network of remote telemetry units for use in patient homes or in remote clinics. To reprogram a device implanted within a patient, a physician enters programming commands within the central programmer which relays the programming commands to a remote telemetry unit in proximity to the patient. The remote telemetry unit, in turn, forwards the programming commands to the implanted device. In this manner, the patient need not return to the physician for reprogramming of the device. Remote telemetry units may be provided within patient homes, clinics, hospital emergency rooms, hospital patient rooms, and the like. Depending upon the implementation, different levels of programmability may be permitted depending upon the degree of supervision of the patient. For an unsupervised patient, limited programmability is permitted. For a nurse-supervised patient, a greater degree of programmability is permitted. Finally, for a physician-supervised patient, a full range of programmability is permitted. In a specific example described herein, each remote telemetry unit includes minimal hardware and software components necessary to relay programming commands, diagnostic information, and other signals between the central programmer and the implanted device.

5. 发明授权

US5431691A Method and system for recording and displaying a sequential series of pacing events 失效
标题翻译：用于记录，报告和显示一系列连续的起搏事件的方法和系统
公开(公告)号：US5431691A
公开(公告)日：1995-07-11
申请号：US846460
申请日：1992-03-02
申请人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
发明人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
IPC分类号： A61N1/37 , A61N1/372
CPC分类号： A61N1/37247 , A61N1/37
摘要： An implantable pacemaker continuously records pacing events and their respective rates of occurrence in sequence, as they occur, into an Event Record stored in a circular buffer. The circular buffer always contains the most recent events and rates collected. The recording of the pacing events selectively occurs at every event, or at sampling rates of one event per fixed sample interval. A programming device, coupled to the implantable pacemaker through a telemetry link, selectively retrieves the recorded pacing events and rates from the Event Record and reports subsets thereof in condensed or summarized form using numerical and/or graphical formats. The pacing event data collected in the Event Record is three-dimensional in that each pacing event includes a pacemaker event, an associated pacemaker or heart rate, and a real time interval. The programming device also calculates and reports statistical information from the data collected in the Event Record. The Event Record provides a base recording that establishes the behavior of the pacemaker in a particular patient under ascertainable conditions.
摘要翻译：植入式起搏器将发生的起搏事件及其各自发生的发生顺序连续记录到存储在循环缓冲器中的事件记录中。循环缓冲区总是包含最近收集的事件和速率。起搏事件的记录选择性地发生在每个事件或每个固定采样间隔的一个事件的采样率。通过遥测链路耦合到可植入心脏起搏器的编程设备选择性地从事件记录中检索所记录的起搏事件和速率，并使用数字和/或图形格式以浓缩或概括形式报告子集。事件记录中收集的起搏事件数据是三维的，因为每个起搏事件包括起搏器事件，相关起搏器或心率以及实时间隔。编程设备还根据事件记录中收集的数据计算和报告统计信息。事件记录提供基准记录，确定特定病人在确定条件下的起搏器的行为。

6. 发明授权

US5309919A Method and system for recording, reporting, and displaying the distribution of pacing events over time and for using same to optimize programming 失效
标题翻译：方法和系统用于记录，报告和显示起搏事件随时间的分布以及使用它们来优化编程
公开(公告)号：US5309919A
公开(公告)日：1994-05-10
申请号：US846461
申请日：1992-03-02
申请人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
发明人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
IPC分类号： A61N1/37 , A61N1/372 , A61B5/0452
CPC分类号： A61N1/37247 , A61N1/3702
摘要： A method and system for monitoring the behavior of an implanted pacemaker counts (records) the number of times that a given internal event or state change of the pacemaker occurs, and also determines the rate at which each event or state change thus counted occurs. The event counts and their associated rate are stored (recorded) in appropriate memory circuits housed within the pacemaker device. At an appropriate time, the stored event count and rate data are downloaded to an external programming device. The external programming device processes the event count and rate data, and displays a distribution of the event count data as a function of its rate of occurrence, as well as other statistical information derived therefrom. The displayed information, and its associated statistical information, allows a baseline recording to be made that establishes the implanted pacemaker's behavior for a given patient under known conditions. Such baseline recording of event counts in combination with the associated rate of occurrence of such event counts provides significant insight into the past behavior of the pacemaker as implanted in a particular patient. The past behavior of the pacemaker, in turn, may then be used to predict with a high degree of accuracy the future behavior of the pacemaker.
摘要翻译：用于监测植入式起搏器的行为的方法和系统计数（记录）发生起搏器的给定内部事件或状态改变的次数，并且还确定发生每个事件或状态改变的速率。事件计数及其相关速率被存储（记录）在安置在起搏器装置内的适当的存储器电路中。在适当的时间，存储的事件计数和速率数据被下载到外部编程设备。外部编程设备处理事件计数和速率数据，并且显示作为其发生速率的函数的事件计数数据的分布以及从其导出的其他统计信息。显示的信息及其相关的统计信息允许进行基线记录，以在已知条件下确定给定患者的植入式心脏起搏器的行为。事件计数的这种基线记录与这种事件计数的相关发生率相结合提供了对植入在特定患者中的起搏器的过去行为的显着了解。起搏器的过去行为反过来可能被用来高精度地预测起搏器未来的行为。

7. 发明授权

US5487755A Methods for displaying a sequential series of pacing events 失效
标题翻译：显示顺序一系列起搏事件的方法
公开(公告)号：US5487755A
公开(公告)日：1996-01-30
申请号：US328218
申请日：1994-10-25
申请人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
发明人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
IPC分类号： A61N1/37 , A61N1/372
CPC分类号： A61N1/37247 , A61N1/37
摘要： An implantable pacemaker continuously records pacing events and their respective rates of occurrence in sequence, as they occur, into an Event Record stored in a circular buffer. The circular buffer always contains the most recent events and rates collected. The recording of the pacing events selectively occurs at every event, or at sampling rates of one event per fixed sample interval. A programming device, coupled to the implantable pacemaker through a telemetry link, selectively retrieves the recorded pacing events and rates from the Event Record and reports subsets thereof in condensed or summarized form using numerical and/or graphical formats. The pacing event data collected in the Event Record is three-dimensional in that each pacing event includes a pacemaker event, an associated pacemaker or heart rate, and a real time interval. The programming device also calculates and reports statistical information from the data collected in the Event Record. The Event Record provides a base recording that establishes the behavior of the pacemaker in a particular patient under ascertainable conditions.
摘要翻译：植入式起搏器将发生的起搏事件及其各自发生的发生顺序连续记录到存储在循环缓冲器中的事件记录中。循环缓冲区总是包含最近收集的事件和速率。起搏事件的记录选择性地发生在每个事件或每个固定采样间隔的一个事件的采样率。通过遥测链路耦合到可植入心脏起搏器的编程设备选择性地从事件记录中检索所记录的起搏事件和速率，并使用数字和/或图形格式以浓缩或概括形式报告子集。事件记录中收集的起搏事件数据是三维的，因为每个起搏事件包括起搏器事件，相关起搏器或心率以及实时间隔。编程设备还根据事件记录中收集的数据计算和报告统计信息。事件记录提供基准记录，确定特定病人在确定条件下的起搏器的行为。

8. 发明授权

US5487754A Method and apparatus for reporting and displaying a sequential series of pacing events 失效
标题翻译：用于报告和显示一连串的起搏事件的方法和装置
公开(公告)号：US5487754A
公开(公告)日：1996-01-30
申请号：US328217
申请日：1994-10-25
申请人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
发明人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
IPC分类号： A61N1/37 , A61N1/372
CPC分类号： A61N1/37247 , A61N1/37
摘要： An implantable pacemaker continuously records pacing events and their respective rates of occurrence in sequence, as they occur, into an Event Record stored in a circular buffer. The circular buffer always contains the most recent events and rates collected. The recording of the pacing events selectively occurs at every event, or at sampling rates of one event per fixed sample interval. A programming device, coupled to the implantable pacemaker through a telemetry link, selectively retrieves the recorded pacing events and rates from the Event Record and reports subsets thereof in condensed or summarized form using numerical and/or graphical formats. The pacing event data collected in the Event Record is three-dimensional in that each pacing event includes a pacemaker event, an associated pacemaker or heart rate, and a real time interval. The programming device also calculates and reports statistical information from the data collected in the Event Record. The Event Record provides a base recording that establishes the behavior of the pacemaker in a particular patient under ascertainable conditions.
摘要翻译：植入式起搏器将发生的起搏事件及其各自发生的发生顺序连续记录到存储在循环缓冲器中的事件记录中。循环缓冲区总是包含最近收集的事件和速率。起搏事件的记录选择性地发生在每个事件或每个固定采样间隔的一个事件的采样率。通过遥测链路耦合到可植入心脏起搏器的编程设备选择性地从事件记录中检索记录的起搏事件和速率，并使用数字和/或图形格式以浓缩或概括形式报告其子集。事件记录中收集的起搏事件数据是三维的，因为每个起搏事件包括起搏器事件，相关起搏器或心率以及实时间隔。编程设备还根据事件记录中收集的数据计算和报告统计信息。事件记录提供基准记录，确定特定病人在确定条件下的起搏器的行为。

9. 发明申请

US20120265088A1 SYSTEM AND METHOD FOR MONITORING OPERATION OF A CARDIAC MEDICAL DEVICE 审中-公开
标题翻译：用于监测心脏手术器械的操作的系统和方法
公开(公告)号：US20120265088A1
公开(公告)日：2012-10-18
申请号：US13086202
申请日：2011-04-13
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： A61B5/0402
CPC分类号： A61B5/742 , A61B5/0006 , A61B5/0031 , A61B5/0402
摘要： A cardiac monitoring system includes a communication subsystem, a comparison module, and a display module. The communication subsystem receives literal data from a cardiac medical device. The literal data includes cardiac signals and marker data. The cardiac signals represent electrical activity of a heart that is sensed by the medical device. The marker data represents one or more algorithms running on the medical device. The comparison module compares the cardiac signals and marker data to one or more heuristic rules to derive heuristic information about the cardiac signals and the marker data. The heuristic information represents a relationship among the cardiac signals and the marker data. The display module directs a display device to visually present the cardiac signals and a visual indicator representative of the heuristic information. The heuristic information can assist an operator, such as a physician, in changing one or more algorithms running on the medical device.
摘要翻译：心脏监测系统包括通信子系统，比较模块和显示模块。通信子系统从心脏医疗设备接收文字数据。字面数据包括心脏信号和标记数据。心脏信号表示由医疗装置感测到的心脏的电活动。标记数据表示在医疗装置上运行的一种或多种算法。比较模块将心脏信号和标记数据与一个或多个启发式规则进行比较，以得到关于心脏信号和标记数据的启发式信息。启发式信息表示心脏信号和标记数据之间的关系。显示模块指示显示设备可视地呈现心脏信号，以及代表启发式信息的视觉指示符。启发式信息可以帮助诸如医师的操作者改变在医疗设备上运行的一个或多个算法。

10. 发明申请

US20100318153A1 METHOD AND SYSTEM FOR AUTOMATICALLY SWITCHING BETWEEN MODES OF AN IMPLANTABLE MEDICAL DEVICE 有权
标题翻译：可植入医疗器械模式之间的自动切换方法与系统
公开(公告)号：US20100318153A1
公开(公告)日：2010-12-16
申请号：US12483995
申请日：2009-06-12
申请人： Laurence S. Sloman , Jeffery D. Snell
发明人： Laurence S. Sloman , Jeffery D. Snell
IPC分类号： A61N1/37
CPC分类号： A61N1/3712
摘要： An implantable medical device includes a lead, a pulse generator, an autocapture module, an autothreshold module, a fusion detection module, and a control module. The lead includes electrodes configured to be positioned within a heart. At least one of the electrodes is capable of sensing cardiac signals. The pulse generator delivers a stimulus pulse through at least one of the electrodes. The autocapture module senses an evoked response of the heart after delivery of the stimulus pulse when operating in an autocapture mode. The autothreshold module performs a threshold search when operating in an autothreshold mode. The fusion detection module identifies fusion-based behavior in the heart. The control module automatically switches between the autothreshold and autocapture modes based on a presence of the fusion-based behavior.
摘要翻译：可植入医疗装置包括引线，脉冲发生器，自动俘获模块，自动阈值模块，融合检测模块和控制模块。引线包括配置成定位在心脏内的电极。电极中的至少一个能够感测心脏信号。脉冲发生器通过至少一个电极传送刺激脉冲。自动捕获模块在以自动捕获模式操作时感测到在递送刺激脉冲之后心脏的诱发反应。自动阈值模块在自动阈值模式下运行时执行阈值搜索。融合检测模块识别心脏中基于融合的行为。基于基于融合的行为的存在，控制模块在自动阈值和自动捕捉模式之间自动切换。

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