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21. 发明申请

US20140046690A1 MANAGEMENT AND DISTRIBUTION OF PATIENT INFORMATION 审中-公开
标题翻译：患者信息管理与分配
公开(公告)号：US20140046690A1
公开(公告)日：2014-02-13
申请号：US13570884
申请日：2012-08-09
申请人： Bruce D. Gunderson , Kevin T. Ousdigian , Amisha S. Patel
发明人： Bruce D. Gunderson , Kevin T. Ousdigian , Amisha S. Patel
IPC分类号： G06Q50/24
CPC分类号： G16H40/63 , G06F19/3418 , G06F19/3481 , G16H15/00
摘要： Techniques, systems, and devices, for generating a patient management report based on clinician input and patient data are described. For example, one or more processors may be configured to receive a clinician input selecting at least one reporting characteristic for each of a plurality of diagnostic metrics and organize the diagnostic metrics based on the selected reporting characteristic. In addition, the one or more processors may be configured to receive patient data for at least one patient, determine a value for at least a subset of the diagnostic metrics based on the patient data, and generate a patient management report comprising the diagnostic metrics having a value that exceeds a respective threshold. The diagnostic metrics may be ordered in the patient management report based on the organization.
摘要翻译：描述了用于基于临床医生输入和患者数据生成患者管理报告的技术，系统和设备。例如，一个或多个处理器可以被配置为接收为多个诊断度量中的每一个选择至少一个报告特征的临床医生输入，并且基于所选择的报告特征来组织诊断度量。此外，一个或多个处理器可以被配置为接收至少一个患者的患者数据，基于患者数据确定诊断度量的至少一个子集的值，并且生成患者管理报告，其包括具有超过相应阈值的值。可以根据组织在患者管理报告中订购诊断指标。

22. 发明申请

US20130110834A1 AGGREGATING CARDIAC RESYNCHRONIZATION THERAPY DATA 有权
标题翻译：累积心脏再生治疗数据
公开(公告)号：US20130110834A1
公开(公告)日：2013-05-02
申请号：US13316177
申请日：2011-12-09
申请人： Helen W. Otto , Kevin T. Ousdigian , Julian Sanchez , Sean R. Landman , Robert W. Stadler
发明人： Helen W. Otto , Kevin T. Ousdigian , Julian Sanchez , Sean R. Landman , Robert W. Stadler
IPC分类号： G06F17/30
CPC分类号： G06F19/3443 , G06F19/00 , G16H50/70
摘要： Cardiac resynchronization therapy (CRT) performance data for a number of patients in which an implantable medical device (IMD) is implanted is aggregated and reports of the aggregated data are generated, e.g., for review by organizations or individual clinicians treating the patients. In one example, a method includes collecting CRT performance data correlated to cardiac rhythm event data for a first group of patients in which an IMD configured to deliver CRT is implanted, aggregating, with a computing device, the CRT performance data correlated to the cardiac rhythm event data for a second group of patients from among the first group of patients, and generating, with the computing device, a report comprising the aggregation of the CRT performance data correlated to the cardiac rhythm event data for the second group of patients.
摘要翻译：对植入了植入式医疗装置（IMD）的许多患者的心脏再同步治疗（CRT）性能数据进行聚合，并且生成聚合数据的报告，例如用于治疗患者的组织或个体临床医师的审查。在一个示例中，一种方法包括收集与其中植入用于递送CRT的IMD相关的第一组患者的与心律事件数据相关的CRT性能数据，与计算设备聚合与心律相关的CRT性能数据生成来自第一组患者的第二组患者的事件数据，并且与计算设备一起生成包括与第二组患者的心律事件数据相关的CRT性能数据的聚集的报告。

23. 发明授权

US08200322B2 Electrogram storage for suspected non-physiological episodes 有权
标题翻译：怀疑非生理发作的电图存储
公开(公告)号：US08200322B2
公开(公告)日：2012-06-12
申请号：US12182687
申请日：2008-07-30
申请人： Kevin T. Ousdigian , Catherine R. Condie , Karen J. Kleckner , Bruce D. Gunderson
发明人： Kevin T. Ousdigian , Catherine R. Condie , Karen J. Kleckner , Bruce D. Gunderson
IPC分类号： A61B5/0468
CPC分类号： A61N1/3702 , A61B5/042 , A61B5/046 , A61B5/0464 , A61B5/053 , A61B5/0538 , A61B5/7264 , A61B2560/0276 , A61N1/3704 , A61N2001/083
摘要： Techniques for storing electrograms (EGMS) that are associated with sensed episodes or events that may be non-physiological and, instead, associated with a sensing integrity condition are described. In some examples, a device or system identifies suspected non-physiological NSTs, and stores an EGM for the suspected non-physiological NSTs within an episode log. In some examples, a device or system determines whether to store an EGM for a suspected non-physiological episode or event based on whether an impedance integrity criterion has been satisfied. For example, a device or system may store an EGM for a detected short interval if the impedance integrity criterion has been met. In some examples, a device or system determines whether to buffer EGM data based on whether an impedance integrity criterion or other sensing integrity criterion has been met.
摘要翻译：描述了用于存储与可能是非生理感知的事件相关联的电摄影（EGMS）的技术，并且相反地与感测完整性条件相关联的技术。在一些示例中，设备或系统识别疑似非生理NST，并且在发作日志中存储用于可疑非生理NST的EGM。在一些示例中，设备或系统基于是否已经满足阻抗完整性标准来确定是否存储用于可疑非生理事件或事件的EGM。例如，如果已经满足了阻抗完整性标准，则设备或系统可以存储用于检测到的短间隔的EGM。在一些示例中，设备或系统基于是否已经满足阻抗完整性标准或其他感测完整性标准来确定是否缓冲EGM数据。

24. 发明申请

US20120109243A1 HEART FAILURE MONITORING AND NOTIFICATION 审中-公开
标题翻译：心脏失效监测和通报
公开(公告)号：US20120109243A1
公开(公告)日：2012-05-03
申请号：US12914836
申请日：2010-10-28
申请人： Douglas A. Hettrick , Shantanu Sarkar , Kevin T. Ousdigian
发明人： Douglas A. Hettrick , Shantanu Sarkar , Kevin T. Ousdigian
IPC分类号： A61N1/365 , A61B5/0402
CPC分类号： A61B5/7275 , A61B5/0022 , A61B5/0031 , A61B5/0205 , A61B5/02405 , A61B5/046 , A61B5/0464 , A61B5/0538 , A61B5/1118 , A61B5/4875 , A61B5/686 , G06F19/3418 , G16H50/30
摘要： Techniques for generating a heart failure risk score with detected patient metrics are described. An implantable medical device (IMD) may collect and store patient data regarding therapy use statistics, thoracic impedance, heart rate, patient activity, and other patient metrics. Based on the number of patient metrics exceeding their respective metric thresholds, the IMD may automatically generate a risk score that indicates the likelihood that the patient will suffer from heart failure. The risk score may identify a patient as requiring immediate medical attention to reduce the risk of heart failure. The IMD may push an alert of the heart failure risk score to a clinician, and the clinician may review the patient metric data on an external device. In some examples, a clinician may prioritize patient treatment with a presented list ranking patients with the most severe heart failure risk scores.
摘要翻译：描述用于产生具有检测到的患者度量的心力衰竭风险评分的技术。可植入医疗装置（IMD）可以收集和存储关于治疗使用统计，胸部阻抗，心率，患者活动和其他患者度量的患者数据。基于超过其各自度量阈值的患者指标的数量，IMD可以自动产生指示患者将患有心力衰竭的可能性的风险评分。风险评分可能会确定患者需要立即就医以减少心力衰竭的风险。 IMD可以向临床医生推荐心力衰竭风险评分的警报，并且临床医生可以在外部设备上检查患者度量数据。在一些例子中，临床医生可以用列出的列表对患者治疗进行优先级排序，以评估患有最严重的心力衰竭风险评分的患者。

25. 发明申请

US20090299422A1 ELECTROGRAM STORAGE FOR SUSPECTED NON-PHYSIOLOGICAL EPISODES 有权
标题翻译：电生物存储用于悬浮的非生理性EPISODES
公开(公告)号：US20090299422A1
公开(公告)日：2009-12-03
申请号：US12182687
申请日：2008-07-30
申请人： Kevin T. Ousdigian , Catherine R. Condie , Karen J. Kleckner , Bruce D. Gunderson
发明人： Kevin T. Ousdigian , Catherine R. Condie , Karen J. Kleckner , Bruce D. Gunderson
IPC分类号： A61N1/08 , A61B5/0432
CPC分类号： A61N1/3702 , A61B5/042 , A61B5/046 , A61B5/0464 , A61B5/053 , A61B5/0538 , A61B5/7264 , A61B2560/0276 , A61N1/3704 , A61N2001/083
摘要： Techniques for storing electrograms (EGMS) that are associated with sensed episodes or events that may be non-physiological and, instead, associated with a sensing integrity condition are described. In some examples, a device or system identifies suspected non-physiological NSTs, and stores an EGM for the suspected non-physiological NSTs within an episode log. In some examples, a device or system determines whether to store an EGM for a suspected non-physiological episode or event based on whether an impedance integrity criterion has been satisfied. For example, a device or system may store an EGM for a detected short interval if the impedance integrity criterion has been met. In some examples, a device or system determines whether to buffer EGM data based on whether an impedance integrity criterion or other sensing integrity criterion has been met.
摘要翻译：描述了用于存储与可能是非生理感知的事件相关联的电摄影（EGMS）的技术，并且相反地与感测完整性条件相关联的技术。在一些示例中，设备或系统识别疑似非生理NST，并且在发作日志中存储用于可疑非生理NST的EGM。在一些示例中，设备或系统基于是否已经满足阻抗完整性标准来确定是否存储用于可疑非生理事件或事件的EGM。例如，如果已经满足了阻抗完整性标准，则设备或系统可以存储用于检测到的短间隔的EGM。在一些示例中，设备或系统基于是否已经满足阻抗完整性标准或其他感测完整性标准来确定是否缓冲EGM数据。

26. 发明授权

US06714811B1 Method and apparatus for monitoring heart rate 有权
标题翻译：监测心率的方法和装置
公开(公告)号：US06714811B1
公开(公告)日：2004-03-30
申请号：US09452659
申请日：1999-12-01
申请人： Vasant Padmanabhan , Karen A. Stone , Walter H. Olson , Kevin T. Ousdigian
发明人： Vasant Padmanabhan , Karen A. Stone , Walter H. Olson , Kevin T. Ousdigian
IPC分类号： A61B504
CPC分类号： A61B5/0031 , A61B5/0205 , A61B5/024 , A61B5/11 , A61B2560/0431
摘要： A monitoring device for implant in a patient's body. The device is provided with a physiologic sensor generating output signals, which signals are stored as numerical values. The device defines first monitoring periods limited to time periods during successive nights during which the patient is likely to be asleep, stores the numerical values generated during the first monitoring periods in a memory and calculates values reflecting general levels of the numerical values during the first monitoring periods. The device may also or alternatively define second monitoring periods limited to time periods during successive daytime and store numerical values generated during the second monitoring periods. The physiologic sensor may be an electrogram amplifier or other sensor indicative of metabolic demand for oxygenated blood, such as an activity sensor. The calculated values reflecting general levels of the numerical values generated during the monitoring periods may be average values, such as mean values or over-all total values, depending upon the sensor employed.
摘要翻译：一种用于植入患者体内的监测装置。该装置设置有生成输出信号的生理传感器，该信号被存储为数值。该装置定义了限制在患者可能睡着的连续夜晚的时间段的第一监测时段，将在第一监测周期期间产生的数值存储在存储器中，并且计算反映在第一监测期间的数值的一般水平的值时期。设备还可以或者替代地定义限制在连续白天期间的时间段的第二监视周期，并且存储在第二监视周期期间生成的数值。生理传感器可以是电描记放大器或指示氧合血液的代谢需求的其它传感器，例如活性传感器。反映在监测期间产生的数值的一般水平的计算值可以是平均值，例如平均值或全部总值，这取决于所使用的传感器。

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