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21. 发明申请

US20090312810A1 Post-Shock Management of Implantable Cardiac Device Features 失效
标题翻译：可植入心脏装置功能的冲击后管理
公开(公告)号：US20090312810A1
公开(公告)日：2009-12-17
申请号：US12545643
申请日：2009-08-21
申请人： David J. Yonce , Scott A. Meyer , David J. Ternes
发明人： David J. Yonce , Scott A. Meyer , David J. Ternes
IPC分类号： A61N1/39 , A61N1/37
CPC分类号： A61N1/3962 , A61B5/04525 , A61N1/3712 , A61N1/3943
摘要： Systems and methods of managing features or functions of an implantable cardiac device involve forming a baseline evoked response template prior to delivery of defibrillation therapy to a patient's heart, and acquiring a post-shock evoked response signal subsequent to defibrillation therapy delivery. The baseline evoked response template is compared to the post-shock evoked response signal. A determination is made whether to enable, disable or adjust a cardiac device feature based on the comparison. The cardiac device feature may be a therapy feature, a monitoring feature, or a diagnostic feature.
摘要翻译：管理可植入心脏装置的特征或功能的系统和方法包括在将除颤疗法递送到患者心脏之前形成基线诱发反应模板，以及在除颤治疗递送之后获得后休克诱发反应信号。将基线诱发反应模板与震后诱发反应信号进行比较。基于比较确定是否启用，禁用或调整心脏设备特征。心脏装置特征可以是治疗特征，监测特征或诊断特征。

22. 发明申请

US20090240301A1 Multi Channel Approach to Capture Verfication 有权
标题翻译：多通道捕获检测方法
公开(公告)号：US20090240301A1
公开(公告)日：2009-09-24
申请号：US12435896
申请日：2009-05-05
申请人： Yanting Dong , Scott A. Meyer , Qingsheng Zhu
发明人： Yanting Dong , Scott A. Meyer , Qingsheng Zhu
IPC分类号： A61N1/08
CPC分类号： A61N1/371 , A61B5/04525 , A61B5/7217 , A61B5/7264
摘要： Methods and systems involve classifying the cardiac response to pacing using a multi-channel approach. Multiple cardiac response signals are sensed via multiple sense channels. Each sense channel comprises a distinct combination of electrodes and sensing circuitry. The cardiac response to the pacing pulse is classified based on the morphology of the cardiac response signals. Classifying the cardiac response involves discriminating between capture, fusion, non-capture, and non-capture with intrinsic activity.
摘要翻译：方法和系统包括使用多通道方法对心脏起搏应答进行分类。通过多个感测通道感测多个心脏反应信号。每个感测通道包括电极和感测电路的不同组合。基于心脏反应信号的形态对起搏脉搏的心脏反应进行分类。分类心脏反应包括区分捕获，融合，非捕获和非捕获与内在活动。

23. 发明授权

US07593771B2 Post-shock management of implantable cardiac device features 有权
标题翻译：可植入心脏装置功能的后冲击管理
公开(公告)号：US07593771B2
公开(公告)日：2009-09-22
申请号：US11157244
申请日：2005-06-21
申请人： David J. Yonce , Scott A. Meyer , David J. Ternes
发明人： David J. Yonce , Scott A. Meyer , David J. Ternes
IPC分类号： A61N1/00
CPC分类号： A61N1/3962 , A61B5/04525 , A61N1/3712 , A61N1/3943
摘要： Systems and methods of managing features or functions of an implantable cardiac device involve forming a baseline evoked response template prior to delivery of defibrillation therapy to a patient's heart, and acquiring a post-shock evoked response signal subsequent to defibrillation therapy delivery. The baseline evoked response template is compared to the post-shock evoked response signal. A determination is made whether to enable, disable or adjust a cardiac device feature based on the comparison. The cardiac device feature may be a therapy feature, a monitoring feature, or a diagnostic feature.
摘要翻译：管理可植入心脏装置的特征或功能的系统和方法包括在将除颤疗法递送到患者心脏之前形成基线诱发反应模板，以及在除颤治疗递送之后获得后休克诱发反应信号。将基线诱发反应模板与震后诱发反应信号进行比较。基于比较确定是否启用，禁用或调整心脏设备特征。心脏装置特征可以是治疗特征，监测特征或诊断特征。

24. 发明申请

US20090073387A1 RNFL MEASUREMENT ANALYSIS 有权
标题翻译： RNFL测量分析
公开(公告)号：US20090073387A1
公开(公告)日：2009-03-19
申请号：US12207303
申请日：2008-09-09
申请人： Scott A. Meyer , Mary K. Durbin , Paul F. Stetson , Bagrat Amirbekian
发明人： Scott A. Meyer , Mary K. Durbin , Paul F. Stetson , Bagrat Amirbekian
IPC分类号： A61B3/12 , A61B3/10
CPC分类号： A61B3/12 , A61B3/1241
摘要： One embodiment of the present invention accounts for individual anatomical variation when evaluating optical nerve fiber measurements. In one aspect, contextual information is used to compensate or correct measurement data. In another aspect, reference coordinates are remapped for improved comparison or visualization. In one embodiment of this latter aspect, the method uses measurements of nerve fiber capacity and maps of nerve fiber retinal service to improve sensitivity and specificity in eye function metrics. In one instance, we use the birefringence of nerve fibers to determine the orientation of the fibers within the RNFL. Orientation of the fibers about the ONH is indicative of the service provided by the fibers and is used to improve the interpretation of thickness measurements of the nerve fiber layer. Normalized nerve fiber measurements about the optic nerve head improve specificity and sensitivity as compared to the standard model. These improvements are a result of partitioning the normative database or modifying the measurement data prior to comparison. Statistics on normalized measurements of nerve fiber bundles also show improvements in specificity and sensitivity.
摘要翻译：评估光学神经纤维测量时，本发明的一个实施例解释了个体解剖学变化。在一个方面，使用上下文信息来补偿或校正测量数据。在另一方面，重新映射参考坐标以改善比较或可视化。在后一方面的一个实施例中，该方法使用神经纤维能力的测量和神经纤维视网膜服务的图来提高眼睛功能度量中的灵敏度和特异性。在一种情况下，我们使用神经纤维的双折射来确定RNFL内纤维的取向。关于ONH的纤维的取向指示由纤维提供的服务，并且用于改善对神经纤维层的厚度测量的解释。与标准模型相比，关于视神经头的规范化神经纤维测量提高了特异性和灵敏度。这些改进是在比较之前划分规范性数据库或修改测量数据的结果。关于神经纤维束的归一化测量的统计数据也显示出特异性和灵敏度的改善。

25. 发明申请

US20080228093A1 Systems and methods for enhancing cardiac signal features used in morphology discrimination 审中-公开
标题翻译：用于增强形态学鉴别中使用的心脏信号特征的系统和方法
公开(公告)号：US20080228093A1
公开(公告)日：2008-09-18
申请号：US11717482
申请日：2007-03-13
申请人： Yanting Dong , Jeremy J. Maniak , Scott A. Meyer , Kevin John Stalsberg , Alok S. Sathaye , Benjamin Ettori
发明人： Yanting Dong , Jeremy J. Maniak , Scott A. Meyer , Kevin John Stalsberg , Alok S. Sathaye , Benjamin Ettori
IPC分类号： A61B5/0464
CPC分类号： A61B5/04525 , A61B5/0464 , A61B5/7203 , A61B5/7264 , A61N1/371
摘要： Methods and devices used to classify cardiac events based on morphological analysis of sensed signals are described. A signal comprising a cardiac signal component and a noise signal component is sensed. The sensed signal is processed to preferentially alter morphology of the cardiac signal component. The altered morphology of the cardiac signal component enhances detection of one or more features of the cardiac signal component. The features of the cardiac signal component are detected and the cardiac event is classified using the detected features. Processing the sensed signal may involve the use of adaptable signal processing parameters. For example, the signal processing parameters may be selected to accentuate one or more desirable features of the cardiac signal component or to mitigate one or more undesirable features of the cardiac signal component.
摘要翻译：描述了基于感测信号的形态学分析来分类心脏事件的方法和装置。检测包括心脏信号分量和噪声信号分量的信号。处理感测到的信号以优先改变心脏信号分量的形态。心脏信号分量改变的形态增强了对心脏信号分量的一个或多个特征的检测。检测心脏信号分量的特征，并使用检测到的特征对心脏事件进行分类。处理感测信号可能涉及使用适应性信号处理参数。例如，可以选择信号处理参数以强调心脏信号分量的一个或多个期望特征或减轻心脏信号分量的一个或多个不期望的特征。

26. 发明申请

US20080140145A1 Selection of cardiac signal features detected in multiple classification intervals for cardiac pacing response classification 有权
公开(公告)号：US20080140145A1
公开(公告)日：2008-06-12
申请号：US12070004
申请日：2008-02-14
申请人： Scott A. Meyer , Yanting Dong , Kevin John Stalsberg
发明人： Scott A. Meyer , Yanting Dong , Kevin John Stalsberg
IPC分类号： A61N1/365
CPC分类号： A61B5/0452 , A61B5/7264 , A61N1/362 , A61N1/371
摘要： Cardiac devices and methods involve the detection of cardiac signals features in adjacent classification intervals. Portions of the cardiac signal features detected in adjacent classification intervals are associated and are used to classify the cardiac response to a pacing pulse. Associating the portions of the cardiac signal features may be based on expected signal morphology.

27. 发明授权

US5479744A Movable utility greenhouse 失效
标题翻译：移动式实用温室
公开(公告)号：US5479744A
公开(公告)日：1996-01-02
申请号：US251895
申请日：1994-06-01
申请人： Scott A. Meyer
发明人： Scott A. Meyer
IPC分类号： A01G9/16
CPC分类号： A01G9/16
摘要： A utility greenhouse (10) has a frame (30) comprised of electrical metal tubing (EMT) sections. Main frame members (12) bear the majority of the building's load. Main frame members (12), long side members (14) and short side members (16) all embed into the ground and are shaped to extend vertically upward for a wall height distance then curve upwards and inward so that a pronounced rounded appearance for the frame (30) results. The main frame members (12) and the long frame members (14) intersect the short frame members (16). Ties (26) secure the intersecting frame members together. A continuous sheet plastic skin (24) overlies the frame. The skin (24) is held to the frame (30) at an outer cover brace (18), an inner cover brace (20), and through ties (26) which secure skin (24) to the long and short frame members (14, 16). A door (54) is formed by cutting the skin (24).
摘要翻译：实用温室（10）具有由电气金属管（EMT）部分组成的框架（30）。主架构件（12）占建筑物的大部分负荷。主框架构件（12），长边构件（14）和短边构件（16）全部嵌入地面，并且成形为垂直向上延伸以达到壁高度距离，然后向上和向内弯曲，使得对于框（30）结果。主框架构件（12）和长框架构件（14）与短框架构件（16）相交。领带（26）将交叉的框架构件固定在一起。连续的片状塑料皮肤（24）覆盖在框架上。皮肤（24）在外盖支架（18），内盖支架（20）和穿过连接件（26）的框架（30）处固定，该皮带将皮肤（24）固定到长和短框架构件 14，16）。通过切割皮肤（24）形成门（54）。

28. 外观设计

USD732139S1 Watering can 有权
公开(公告)号：USD732139S1
公开(公告)日：2015-06-16
申请号：US29430912
申请日：2012-08-31
申请人： Kevin L. Robledo , Scott A. Meyer , Robert W. Brickzin , Sara L. Pedersen , Katherine R. Wittenberg , Chad M. Bogdan , Stacy L. Abel
设计人： Kevin L. Robledo , Scott A. Meyer , Robert W. Brickzin , Sara L. Pedersen , Katherine R. Wittenberg , Chad M. Bogdan , Stacy L. Abel

29. 发明授权

US08886300B2 Methods and systems for selecting capture verification modes 有权
标题翻译：选择捕获验证模式的方法和系统
公开(公告)号：US08886300B2
公开(公告)日：2014-11-11
申请号：US13608721
申请日：2012-09-10
申请人： Alok Sathaye , Scott A. Meyer , Derek D. Bohn
发明人： Alok Sathaye , Scott A. Meyer , Derek D. Bohn
IPC分类号： A61B5/05 , A61N1/37 , A61N1/362
CPC分类号： A61N1/3712 , A61N1/3627
摘要： Methods and systems are directed to selecting from a variety of capture verification modes. A plurality of capture verification modes, including a beat by beat capture detection mode and a capture threshold testing mode without intervening beat by beat capture detection is provided. An efficacy of at least one of the capture verification modes is evaluated, and based on the evaluation, a capture verification mode is selected.
摘要翻译：方法和系统旨在从各种捕获验证模式中进行选择。提供了多个拍摄验证模式，包括拍拍拍摄检测模式和拍摄阈值测试模式，而不会通过拍摄捕获检测进行中间拍摄。评估捕获验证模式中的至少一个的功效，并且基于评估，选择捕获验证模式。

30. 发明授权

US08831727B2 Methods and systems for managing fusion and noise in cardiac pacing response classification 有权
标题翻译：用于管理心脏起搏反应分类中的融合和噪声的方法和系统
公开(公告)号：US08831727B2
公开(公告)日：2014-09-09
申请号：US13618486
申请日：2012-09-14
申请人： Kevin John Stalsberg , Yanting Dong , Scott A. Meyer , John Michael Voegele , Derek Daniel Bohn , Eric Keith Enrooth , Clayton Scott Foster , David William Yost
发明人： Kevin John Stalsberg , Yanting Dong , Scott A. Meyer , John Michael Voegele , Derek Daniel Bohn , Eric Keith Enrooth , Clayton Scott Foster , David William Yost
IPC分类号： A61N1/362 , A61B5/00 , A61N1/37 , A61B5/0452
CPC分类号： A61N1/371 , A61B5/0452 , A61B5/7203 , A61B5/7217 , A61B5/7264
摘要： Methods and systems for detecting noise in cardiac pacing response classification processes involve determining that a cardiac response classification is possibly erroneous if unexpected signal content is detected. The unexpected signal content may comprise signal peaks that have polarity opposite to the polarity of peaks used to determine the cardiac response to pacing. Fusion/noise management processes include pacing at a relatively high energy level until capture is detected after a fusion, indeterminate, or possibly erroneous pacing response classification is made. The relatively high energy pacing pulses may be delivered until capture is detected or until a predetermined number of paces are delivered.
摘要翻译：用于检测心脏起搏反应分类过程中的噪声的方法和系统涉及如果检测到意外的信号内容，则确定心脏反应分类可能是错误的。意想不到的信号内容可以包括具有与用于确定对起搏的心脏反应的峰的极性相反的极性的信号峰。融合/噪声管理过程包括在相对高的能量级别进行起搏，直到在融合之后检测到捕获，不确定或可能错误的起搏响应分类。可以递送相对高的能量起搏脉冲，直到检测到捕获或直到传送预定数量的步数。

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