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    • 3. 发明申请
    • PACE PULSE DETECTOR FOR AN IMPLANTABLE MEDICAL DEVICE
    • 用于可植入医疗装置的脉冲检测器
    • WO2015164172A1
    • 2015-10-29
    • PCT/US2015/026107
    • 2015-04-16
    • MEDTRONIC, INC.
    • REINKE, James D.ZHANG, XushengSHARMA, VinodNIKOLSKI, Vladimir P.TERRY, Michael B.HARELAND, Scott A.HANSEN, Daniel L.SALMI, Donna M.
    • A61N1/39A61B5/04
    • A61B5/0464A61B5/04017A61B5/686A61N1/371A61N1/3962
    • In situations in which an implantable medical device (e.g., a subcutaneous ICD) is co-implanted with a leadless pacing device (LPD), it may be important that the subcutaneous ICD knows when the LPD is delivering pacing, such as anti-tachycardia pacing (ATP). Techniques are described herein for detecting, with the ICD and based on the sensed electrical signal, pacing pulses and adjusting operation to account for the detected pulses, e.g., blanking the sensed electrical signal or modifying a tachyarrhythmia detection algorithm. In one example, the ICD includes a first pace pulse detector configured to obtain a sensed electrical signal and analyze the sensed electrical signal to detect a first type of pulses having a first set of characteristics and a second pace pulse detector configured to obtain the sensed electrical signal and analyze the sensed electrical signal to detect a second type of pulses having a second set of characteristics.
    • 在可植入医疗器械(例如皮下ICD)与无引线起搏器(LPD)共同植入的情况下,皮下ICD知道LPD何时发出起搏,例如抗心动过速起搏 (ATP)。 本文描述了用于利用ICD并基于所感测到的电信号,用于检测起搏脉冲和调整操作以考虑检测到的脉冲的技术,例如消隐感测的电信号或修改快速性心律失常检测算法。 在一个示例中,ICD包括第一速度脉冲检测器,其被配置为获得感测的电信号并且分析所感测的电信号以检测具有第一组特性的第一类型的脉冲和被构造成获得感测的电 信号并分析所感测的电信号以检测具有第二组特性的第二类型的脉冲。