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    • 6. 发明公开
    • Apparatus and method for the detection and treatment of arrhythmias using a neural network
    • 装置和方法有用于心律不齐的检测和治疗神经网络。
    • EP0465241A2
    • 1992-01-08
    • EP91306051.3
    • 1991-07-03
    • TELECTRONICS N.V.
    • Nickolls, PeterDrane, GeoffFlower, BarryLunsmann, PaulDodd, RobertBassin, DavidWickham, JohnMurphy, Tony
    • A61N1/365A61N1/39
    • A61N1/36514A61N1/3962
    • An apparatus and method for the detection and treatment of arrhythmias using a processor having a neural network (21) with a hierarchical arrangement including a first lower level (21A) for classifying individual waveforms, a second higher level (21B) for diagnosing detected arrhythmias and a third higher level (21C) for the application of therapy in response to a diagnosed arrhythmia. The neural network (21) may be a back propogation neural network or an associative memory type neural network. The arrhythmias detected may be at least one of bradycardia, tachycardia and fibrillation. The apparatus may include a cardioverting/defibrillating packmaker (15). In general, the apparatus acquires physiological signals representative of heart activity in a patient. A neural network (21) receives the physiological signals and determines if any arrhythmia is present, and if present, selects therapy to be applied to the heart. A therapy generator then applies the therapy selected by the neural network (21). The physioligical signals may be processed or unprocessed ECG signal, signals indicative of the properties of the blood, and blood flow signals or signals representative of ventricular wall impedance or ventricular volume.
    • 用于检测和治疗使用具有分层布置,其包括用于各个波形进行分类的第一下部水平(21A)一个神经网络(21)的处理器心律失常的装置和方法,第二较高水平(21B)用于诊断检测心律失常和 用于治疗响应于诊断心律失常的应用的第三更高的水平(图21C)。 神经网络(21)可以是一个回传播史神经网络或相关存储器类型神经网络。 检测到的心律失常可以是心动过缓,心动过速和纤维性颤动中的至少一个。 该装置可以包括一个复律/除颤包机(15)。 一般而言,装置获取生理代表心脏活动的患者中的信号。 神经网络(21)接收生理信号而确定的地雷如果任何心律失常存在,并且如果存在的话,治疗选择将被施加到心脏。 甲治疗发生器然后应用由神经网络(21)所选择的治疗。 所述physioligical信号可以被处理或未经处理的ECG信号,信号指示所述血液的特性,和有代表性的心室壁阻抗或心室体积的血流信号或信号。