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1. 发明授权

US06470210B1 System and method for continuously monitoring classified atrial arrhythmias 有权
标题翻译：连续监测分类房性心律失常的系统和方法
公开(公告)号：US06470210B1
公开(公告)日：2002-10-22
申请号：US09827770
申请日：2001-04-06
申请人： Victor Chen , Gary Seim , Carlos Ricci , LeAnne Eberle , Hal Propp , Clayton Foster
发明人： Victor Chen , Gary Seim , Carlos Ricci , LeAnne Eberle , Hal Propp , Clayton Foster
IPC分类号： A61B5046
CPC分类号： A61N1/3962 , A61N1/395
摘要： Systems and methods are provided for analyzing occurrences of atrial arrhythmias. Occurrences of each of a number of classified atrial arrhythmia rhythms are detected. The classified atrial arrhythmias may, for example, include at least atrial fibrillation and atrial flutter. A duration of time associated with each of the detected atrial arrhythmia rhythms is measured. Trend data is produced with respect to a predetermined period of time using all or selected ones of the measured time durations. The detecting, measuring, and producing processes may also be performed for one or more unclassified atrial arrhythmias.
摘要翻译：提供系统和方法用于分析心房心律失常的发生。检测到各种分类的心房心律失常节律的发生。分类的房性心律失常可以例如至少包括心房颤动和心房扑动。测量与每个检测到的心房心律失常节律相关的持续时间。使用所测量的持续时间中的所有或所选择的时间，相对于预定时间段产生趋势数据。检测，测量和产生过程也可以针对一种或多种未分类的心房心律失常进行。

2. 发明申请

US20060064132A1 Patient controlled atrial shock therapy 有权
公开(公告)号：US20060064132A1
公开(公告)日：2006-03-23
申请号：US11264525
申请日：2005-11-01
申请人： Victor Chen , Gary Seim , Hal Propp , LeAnne Eberle , Lynn TeWinkel
发明人： Victor Chen , Gary Seim , Hal Propp , LeAnne Eberle , Lynn TeWinkel
IPC分类号： A61N1/39
CPC分类号： A61N1/37252 , A61N1/3956
摘要： An implanted cardiac device detects an atrial arrhythmia and provides periodically updated atrial arrhythmia status as long as the arrhythmia is ongoing. A patient may request an indication of ongoing atrial arrhythmia status from external to the patient using a patient activator. The patient activator may include a magnet for closing a reed switch in the implanted device to provide the request or may provide the request over a telemetry link to the implanted device. The implanted device may provide the requested atrial arrhythmia status and other information in the form of an audible tone produced by the implanted device or as a message telemetered from the implanted device to the patient activator. The patient activator may include a tone detector and display for providing a visual indication of the atrial arrhythmia status indication. The magnet activator may also be employed to request or withhold atrial shock therapy.

3. 发明申请

US20060079939A1 Delay to therapy following patient controlled atrial shock therapy request 失效
标题翻译：患者受控心房休克治疗后延迟治疗
公开(公告)号：US20060079939A1
公开(公告)日：2006-04-13
申请号：US11273980
申请日：2005-11-15
申请人： Victor Chen , Gary Seim , Carlos Ricci , Michael Favet , Hal Propp
发明人： Victor Chen , Gary Seim , Carlos Ricci , Michael Favet , Hal Propp
IPC分类号： A61N1/39
CPC分类号： A61N1/3956
摘要： An implantable cardiac device detects a patient therapy request originating from external to the implantable device. A shock therapy delay period is timed in response to the detection of the patient therapy request. Atrial shock therapy is provided to the patient after expiration of the shock therapy delay period (if the presence of an ongoing atrial arrhythmia is detected). The patient therapy request may be provided by a patient activator including a magnet for operating a reed switch in the implanted device to provide the request. A patient activator including an input and receiver/transmitter circuitry may be employed to request the immediate providing of atrial shock therapy, and/or to set the duration the shock therapy delay period. By allowing specific delays to therapy after a therapy request, a patient can prepare for the requested therapy and thereby mitigate therapy discomfort.
摘要翻译：可植入心脏装置检测源自可植入装置外部的患者治疗请求。响应于患者治疗请求的检测，休克治疗延迟期是定时的。在休克治疗延迟期结束后（如果检测到正在进行的心律失常的存在），向患者提供心房休克疗法。患者治疗请求可以由患者激活器提供，包括用于在植入装置中操作舌簧开关的磁体以提供请求。可以使用包括输入和接收器/发射器电路的患者激活器来请求立即提供心房休克疗法和/或设置休克治疗延迟时期的持续时间。通过在治疗请求后允许特定的延迟治疗，患者可以准备所要求的治疗，从而减轻治疗不适。

4. 发明授权

US06895273B2 Temporary tachyarrhythmia therapy modes for electrophysiologic testing 有权
标题翻译：临床快速心律失常治疗方式进行电生理检测
公开(公告)号：US06895273B2
公开(公告)日：2005-05-17
申请号：US09827771
申请日：2001-04-06
申请人： Gary Seim , Victor Chen
发明人： Gary Seim , Victor Chen
IPC分类号： A61N1/362 , A61N1/37 , A61N1/18
CPC分类号： A61N1/37 , A61N1/3622
摘要： Systems and methods implemented with an implantable medical device (IMD) are provided for performing cardiac testing while temporarily disabling all or selected antitachyarrhythmia therapy delivery capabilities of the device. An initiation signal indicative of initiation of a cardiac test, such as an electrophysiologic test, is received by the IMD. In response to the test initiation signal, a capability of delivering tachyarrhythmia therapy to a chamber of the heart is temporarily disabled. While the capability of delivering tachyarrhythmia therapy is disabled, the subject heart chamber is monitored in response to electrophysiologic testing. The capability of delivering tachyarrhythmia therapy is automatically re-enabled to ensure availability of tachyarrhythmia therapy after completion or interruption of the electrophysiologic test.
摘要翻译：提供用可植入医疗装置（IMD）实现的系统和方法用于执行心脏测试，同时临时禁用装置的所有或选定的抗心律失常治疗递送能力。指示心脏检查的起始的起始信号，例如电生理测试，由IMD接收。响应于测试启动信号，暂时禁用将快速性心律失常治疗递送到心脏室的能力。尽管不能进行快速性心律失常治疗的能力，但是应对电生理测试来监测受试者心脏室。自动重新启动提供快速性心律失常治疗的能力，以确保完成或中断电生理检查后快速心律失常治疗的可用性。

5. 发明申请

US20050060000A1 System and method for preventing recurrence of atrial tachyarrhythmia 有权
标题翻译：用于预防房性快速性心律失常复发的系统和方法
公开(公告)号：US20050060000A1
公开(公告)日：2005-03-17
申请号：US10975553
申请日：2004-10-28
申请人： Victor Chen , Gary Seim , Milton Morris
发明人： Victor Chen , Gary Seim , Milton Morris
IPC分类号： A61N1/362 , A61N1/39
CPC分类号： A61N1/3962 , A61N1/3622
摘要： A system and method for providing pacing pulses after a cardioversion/defibrillation shock, where the pacing pulses have a pacing rate at an initial value. The pacing rate is decreased from the initial value until at least one intrinsic cardiac contraction is detected. In one embodiment, the pacing rate is decreased by a set amount after pacing a set number of cardiac cycles. Providing the set number of pacing pulses and decreasing the pacing rate by the set amount is then repeated until at least one intrinsic cardiac contraction is detected. An intrinsic cardiac rate is then determined from the at least one intrinsic cardiac contraction. The pacing rate is then increased and maintained to be above (i.e., greater than) the intrinsic cardiac rate.
摘要翻译：用于在心脏复律/除颤休克之后提供起搏脉冲的系统和方法，其中起搏脉冲具有初始值的起搏速率。起搏速率从初始值降低到检测到至少一个固有心脏收缩。在一个实施例中，起搏速率在起搏设定数量的心动周期后降低设定量。然后重复提供设定数量的起搏脉冲并将起搏速率降低设定量，直到检测到至少一个固有心脏收缩。然后从至少一个固有心脏收缩确定固有心率。然后起搏速率增加并保持在高于（即大于）本征心率。

6. 发明授权

US08000778B2 Atrial tachyarrhythmia detection system and method 有权
标题翻译：心房快速性心律失常检测系统及方法
公开(公告)号：US08000778B2
公开(公告)日：2011-08-16
申请号：US10980009
申请日：2004-11-03
申请人： Gary Seim , David Perschbacher
发明人： Gary Seim , David Perschbacher
IPC分类号： A61B5/0452
CPC分类号： A61N1/3621
摘要： A system and method provide for detecting atrial arrhythmias within an implantable medical device capable of sensing and pacing at least an atrium of a heart. Arrhythmia of the atrium is detected. In response to detecting atrial arrhythmia, delivery of pacing signals to the atrium is inhibited under certain conditions. While delivery of the pacing signals to the atrium is inhibited, the detected arrhythmia of the atrium is confirmed during a period of further evaluation. Delivery of pacing signals to the atrium is enabled upon ceasing of the atrial arrhythmia. Inhibiting delivery of the pacing signals during atrial arrhythmia evaluation advantageously provides for an increase in the rate at which the detected arrhythmia is confirmed.
摘要翻译：一种系统和方法提供用于检测能够感测和起搏至少心脏心房的可植入医疗装置中的心律失常。检测心房心律失常。响应于检测心房心律失常，在某些情况下抑制起搏信号到心房的传递。虽然抑制了起搏信号传递到心房，但在进一步评估期间确认了心房的心律失常。在停止心房心律失常的情况下，能够将起搏信号递送至心房。在心房心律失常评估中抑制起搏信号的传递有利地提供了确定检测到的心律失常的速率的增加。

7. 发明授权

US06904319B2 Method and apparatus for inhibiting atrial tachyarrhythmia therapy 有权
标题翻译：抑制心房快速性心律失常治疗的方法和装置
公开(公告)号：US06904319B2
公开(公告)日：2005-06-07
申请号：US09827775
申请日：2001-04-06
申请人： Gary Seim , Lynn Elliott , Milton Morris
发明人： Gary Seim , Lynn Elliott , Milton Morris
IPC分类号： A61N1/362 , A61N1/18
CPC分类号： A61N1/3622
摘要： A system and method provides for inhibiting delivery of atrial therapy under certain conditions. Inhibiting delivery of atrial therapy involves developing atrial intervals and ventricular intervals from sensed atrial and ventricular events, respectively. An average atrial rate and an average ventricular rate is developed from a predetermined number of the atrial and ventricular intervals, respectively. Delivery of atrial therapy is inhibited if the average atrial rate fails to exceed the average ventricular rate by at least a predetermined factor.
摘要翻译：一种系统和方法提供在某些条件下抑制心房治疗的递送。抑制心房治疗的交付包括分别从感觉到的心房和心室事件发展心房间隔和心室间隔。平均心房率和平均心室率分别从预定数量的心房和心室间隔发展。如果平均心房率不能超过平均心室率至少一个预定的因素，就可以抑制心房治疗的传递。

8. 发明申请

US20050065564A1 Atrial tachyarrhythmia detection system and method 有权
公开(公告)号：US20050065564A1
公开(公告)日：2005-03-24
申请号：US10980009
申请日：2004-11-03
申请人： Gary Seim , David Perschbacher
发明人： Gary Seim , David Perschbacher
IPC分类号： A61N1/362
CPC分类号： A61N1/3621
摘要： A system and method provide for detecting atrial arrhythmias within an implantable medical device capable of sensing and pacing at least an atrium of a heart. Arrhythmia of the atrium is detected. In response to detecting atrial arrhythmia, delivery of pacing signals to the atrium is inhibited under certain conditions. While delivery of the pacing signals to the atrium is inhibited, the detected arrhythmia of the atrium is confirmed during a period of further evaluation. Delivery of pacing signals to the atrium is enabled upon ceasing of the atrial arrhythmia. Inhibiting delivery of the pacing signals during atrial arrhythmia evaluation advantageously provides for an increase in the rate at which the detected arrhythmia is confirmed.

9. 发明授权

US06895272B2 Atrial tachyarrhythmia detection system and method 有权
标题翻译：心房快速性心律失常检测系统及方法
公开(公告)号：US06895272B2
公开(公告)日：2005-05-17
申请号：US09827763
申请日：2001-04-06
申请人： Gary Seim , David Perschbacher
发明人： Gary Seim , David Perschbacher
IPC分类号： A61N1/362 , A61N1/36
CPC分类号： A61N1/3621
摘要： A system and method provide for detecting atrial arrhythmias within an implantable medical device capable of sensing and pacing at least an atrium of a heart. Arrhythmia of the atrium is detected. In response to detecting atrial arrhythmia, delivery of pacing signals to the atrium is inhibited under certain conditions. While delivery of the pacing signals to the atrium is inhibited, the detected arrhythmia of the atrium is confirmed during a period of further evaluation. Delivery of pacing signals to the atrium is enabled upon ceasing of the atrial arrhythmia. Inhibiting delivery of the pacing signals during atrial arrhythmia evaluation advantageously provides for an increase in the rate at which the detected arrhythmia is confirmed.
摘要翻译：一种系统和方法提供用于检测能够感测和起搏至少心脏心房的可植入医疗装置中的心律失常。检测心房心律失常。响应于检测心房心律失常，在某些情况下抑制起搏信号到心房的传递。虽然抑制了起搏信号传递到心房，但在进一步评估期间确认了心房的心律失常。在停止心房心律失常的情况下，能够将起搏信号递送至心房。在心房心律失常评估中抑制起搏信号的传递有利地提供了确定检测到的心律失常的速率的增加。

10. 发明授权

US08412316B2 Atrial tachyarrhythmia detection system and method 有权
公开(公告)号：US08412316B2
公开(公告)日：2013-04-02
申请号：US13210886
申请日：2011-08-16
申请人： Gary Seim , David Perschbacher
发明人： Gary Seim , David Perschbacher
IPC分类号： A61B5/0464
CPC分类号： A61N1/3621
摘要： A system and method provide for detecting atrial arrhythmias within an implantable medical device capable of sensing and pacing at least an atrium of a heart. Arrhythmia of the atrium is detected. In response to detecting atrial arrhythmia, delivery of pacing signals to the atrium is inhibited under certain conditions. While delivery of the pacing signals to the atrium is inhibited, the detected arrhythmia of the atrium is confirmed during a period of further evaluation. Delivery of pacing signals to the atrium is enabled upon ceasing of the atrial arrhythmia. Inhibiting delivery of the pacing signals during atrial arrhythmia evaluation advantageously provides for an increase in the rate at which the detected arrhythmia is confirmed.

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