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61. 发明申请

US20090163966A1 ANTI-TACHYARRHYTHMIA SYSTEM WITH UNIFIED ATRIAL TACHYARRHYTHMIA RATE THRESHOLD 有权
标题翻译：具有统一ATRACE TACHYARRHYTHMIA RATE THRESHOLD的抗TACHYARRHYTHMIA系统
公开(公告)号：US20090163966A1
公开(公告)日：2009-06-25
申请号：US12264778
申请日：2008-11-04
申请人： David L. Perschbacher , James O. Gilkerson , James Kalgren
发明人： David L. Perschbacher , James O. Gilkerson , James Kalgren
IPC分类号： A61N1/39 , A61N1/365
CPC分类号： A61N1/3621 , A61N1/3624 , A61N1/37247 , A61N1/395
摘要： A cardiac rhythm management (CRM) system includes an implantable cardioverter defibrillator (ICD) and an external system. The ICD includes a plurality of functional modules performing tachyarrhythmia classification and therapy control functions using atrial tachyarrhythmia rate thresholds that are set to a unified value. In one embodiment, the CRM system allows a user to activate and deactivate each of the functional modules and program the unified value using the external system.
摘要翻译：心律管理（CRM）系统包括植入式心律转复除颤器（ICD）和外部系统。 ICD包括多个功能模块，其使用被设置为统一值的心房快速性心律失常率阈值来执行快速性心律失常分类和治疗控制功能。在一个实施例中，CRM系统允许用户激活和停用每个功能模块，并使用外部系统对统一值进行编程。

62. 发明申请

US20090157137A1 Vector Configuration Detection and Corrective Response Systems and Methods 有权
标题翻译：矢量配置检测和纠正响应系统和方法
公开(公告)号：US20090157137A1
公开(公告)日：2009-06-18
申请号：US12333165
申请日：2008-12-11
申请人： James O. Gilkerson , David L. Perschbacher , James Kalgren , Les N. Peterson , Mitchell Lanz
发明人： James O. Gilkerson , David L. Perschbacher , James Kalgren , Les N. Peterson , Mitchell Lanz
IPC分类号： A61N1/362
CPC分类号： A61N1/368 , A61N1/3686 , A61N1/37211 , A61N1/37247 , A61N2001/083 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing, the implantable medical device configured to compare the programmed electrode pairs with the valid electrode pair listing and to execute a corrective action procedure if one or more of the programmed electrode pairs are not included within the valid electrode pair listing. Other embodiments are also included herein.
摘要翻译：在一个方面，一种系统包括配置成询问脉冲发生器的外部通信设备，通信地耦合到外部通信设备的外部编程器设备; 所述外部编程器装置被配置为通过所述外部通信装置从所述脉冲发生器接收有效电极对的列表，所述外部编程器装置被配置为防止起搏，感测或震动矢量被用户编程，如果需要一对电极对于矢量不包括在有效电极对的列表中。在另一方面，一种系统包括可植入医疗装置，其被配置为检测在植入的刺激引线上存在或不存在电极，所述植入刺激引线耦合到所述可植入医疗装置并产生有效的电极对列表，所述可植入医疗装置被配置为将编程的电极对其中有效电极对列出并且如果一个或多个编程的电极对不包括在有效电极对列表内，则执行校正动作过程。本文还包括其它实施例。

63. 发明申请

US20090157133A1 SUPRAVENTRICULAR TACHY SENSING VECTOR 审中-公开
公开(公告)号：US20090157133A1
公开(公告)日：2009-06-18
申请号：US12277101
申请日：2008-11-24
申请人： David L. Perschbacher , James O. Gilkerson , Ron A. Balczewski
发明人： David L. Perschbacher , James O. Gilkerson , Ron A. Balczewski
IPC分类号： A61N1/362
摘要： A system includes a pulse generator including a can electrode and a lead couplable to the pulse generator, the lead including a distal coil electrode and a proximal coil electrode, wherein both of the coil electrodes are electrically uncoupled from the can electrode such that a unipolar sensing vector is provided between at least one of the coil electrodes and the can electrode.
摘要翻译：一种系统包括脉冲发生器，其包括罐电极和可连接到脉冲发生器的引线，所述引线包括远端线圈电极和近端线圈电极，其中两个线圈电极与罐电极电耦合，使得单极检测向量设置在至少一个线圈电极和罐电极之间。

64. 发明授权

US06845269B2 Pacemaker passive measurement testing system and method 有权
公开(公告)号：US06845269B2
公开(公告)日：2005-01-18
申请号：US10118601
申请日：2002-04-08
申请人： Vickie L. Conley , James O. Gilkerson , David L. Perschbacher
发明人： Vickie L. Conley , James O. Gilkerson , David L. Perschbacher
IPC分类号： A61N1/37 , A61N1/362
CPC分类号： A61N1/3706 , A61N1/3702
摘要： A system and method for passively testing a cardiac pacemaker in which sensing signal amplitudes and lead impedance values are measured and stored while the pacemaker is functioning in its programmed mode. The amplitude and impedance data may be gotten and stored periodically at regular intervals to generate a historical record for diagnostic purposes. Sensing signal amplitudes may also be measured and stored from a sensing channel which is currently not programmed to be active as long as the pacemaker is physically configured to support the sensing channel. Such data can be useful in evaluating whether a switch in the pacemaker's operating mode is desirable.

65. 发明授权

US06522922B1 Method and apparatus for breaking pacemaker mediated bradycardia 失效
公开(公告)号：US06522922B1
公开(公告)日：2003-02-18
申请号：US09615546
申请日：2000-07-13
申请人： David L. Perschbacher , Ankur Garg , James O. Gilkerson
发明人： David L. Perschbacher , Ankur Garg , James O. Gilkerson
IPC分类号： A61N136
CPC分类号： A61N1/3622
摘要： A cardiac pacemaker programmed to pace in a demand mode with hysteresis is further programmed to recognize and correct a pacemaker mediated bradycardia. Such a pacemaker mediated bradycardia is the result of an idioventricular rhythm that occurs while hysteresis is operative and which inhibits the pacemaker from further pacing.

66. 发明授权

US06370432B1 Pacemaker passive measurement testing system and method 有权
公开(公告)号：US06370432B1
公开(公告)日：2002-04-09
申请号：US09378315
申请日：1999-08-20
申请人： Vickie L. Conley , James O. Gilkerson , David L. Perschbacher
发明人： Vickie L. Conley , James O. Gilkerson , David L. Perschbacher
IPC分类号： A61N137
CPC分类号： A61N1/3706 , A61N1/3702
摘要： A system and method for passively testing a cardiac pacemaker in which sensing signal amplitudes and lead impedance values are measured and stored while the pacemaker is functioning in its programmed mode. The amplitude and impedance data may be gotten and stored periodically at regular intervals to generate a historical record for diagnostic purposes. Sensing signal amplitudes may also be measured and stored from a sensing channel which is currently not programmed to be active as long as the pacemaker is physically configured to support the sensing channel. Such data can be useful in evaluating whether a switch in the pacemaker's operating mode is desirable.

67. 发明授权

US09849294B2 Systems and methods for controlling rate responsive pacing 有权
公开(公告)号：US09849294B2
公开(公告)日：2017-12-26
申请号：US12537362
申请日：2009-08-07
申请人： Jonathan H. Kelly , James Kalgren , David L. Perschbacher , James O. Gilkerson , Les N. Peterson
发明人： Jonathan H. Kelly , James Kalgren , David L. Perschbacher , James O. Gilkerson , Les N. Peterson
IPC分类号： A61N1/00 , A61N1/372 , A61N1/365
CPC分类号： A61N1/37247 , A61N1/36514 , A61N1/36542
摘要： Embodiments of the invention are related to medical systems and methods that can be used to control features of implanted medical devices, amongst other things. In an embodiment, the invention includes a medical system including an external medical device. The external medical device including a video output and a processor in communication with the video output. The system can be configured to display information through the video output as a graph, the graph comprising data representing pacing rates of an implantable device as a function of activity level over time. The system can further be configured to accept user input through direct manipulation of the graph. Other embodiments are also included herein.

68. 发明授权

US09101773B2 Cross-channel noise detector in implantable medical devices 有权
标题翻译：可植入医疗器械中的跨通道噪声检测器
公开(公告)号：US09101773B2
公开(公告)日：2015-08-11
申请号：US12693512
申请日：2010-01-26
申请人： Dan Li , David L. Perschbacher
发明人： Dan Li , David L. Perschbacher
IPC分类号： A61N1/365 , A61N1/37 , A61N1/39
CPC分类号： A61N1/3704 , A61N1/3718 , A61N1/3925
摘要： An apparatus comprises a primary cardiac signal sensing circuit to sense a first cardiac signal, a secondary cardiac signal sensing to sense a second cardiac signal, and an arrhythmia detection circuit. The primary sensing circuit includes at least first and second implantable electrodes, and the secondary sensing circuit includes a third implantable electrode to deliver high-energy shock therapy. The arrhythmia detection circuit detects tachyarrhythmia using the primary sensing circuit, determines correspondence between events sensed with the primary sensing circuit and events sensed with the secondary sensing circuit, and deems whether a detected rhythm is indicative of noise or is indicative of an arrhythmia according to the determined correspondence.
摘要翻译：一种装置包括用于感测第一心脏信号的主要心脏信号感测电路，感测第二心脏信号的次要心脏信号感测和心律失常检测电路。主感测电路至少包括第一和第二可植入电极，并且次级感测电路包括用于输送高能量休克疗法的第三可植入电极。心律失常检测电路使用主感测电路检测快速性心律失常，确定用主感测电路感测的事件与由次级感测电路感测的事件之间的对应关系，并且考虑检测到的节奏是指示噪声还是指示心律失常根据确定的信件。

69. 发明授权

US08849682B2 Adaptive data storage and download in a medical device 有权
标题翻译：在医疗设备中自适应数据存储和下载
公开(公告)号：US08849682B2
公开(公告)日：2014-09-30
申请号：US12887852
申请日：2010-09-22
申请人： Deepa Mahajan , Yanting Dong , David L. Perschbacher
发明人： Deepa Mahajan , Yanting Dong , David L. Perschbacher
IPC分类号： A61B5/00 , H03M7/30 , A61B5/0452 , A61B5/0205 , A61N1/37 , A61B5/04 , A61B5/0432 , A61N1/39 , A61N1/372 , A61N1/362
CPC分类号： A61N1/3702 , A61B5/0002 , A61B5/0205 , A61B5/04012 , A61B5/04325 , A61B5/7232 , A61N1/3621 , A61N1/37252 , A61N1/3962 , G06F19/00
摘要： In an example, a medical device includes a physiological data monitor (PDM), a memory, and a processor. The PDM is configured to monitor a physiological data parameter. The memory circuit is configured to store data collected by the PDM. The processor is configured to detect a data capture event and capture a first segment of physiological data associated with the data capture event. The processor is also configured to determine an amount of memory storage space available and determine a first priority level for the first segment of physiological data. The processor is further configured to determine a second priority level for a second segment of physiological data stored previously and select a processing scheme using the first and second priority levels. Finally, the processor is configured to process, using the processing scheme, the first and second segments of physiological data and store the first segment of physiological data.
摘要翻译：在一个示例中，医疗设备包括生理数据监视器（PDM），存储器和处理器。 PDM被配置为监视生理数据参数。存储器电路被配置为存储由PDM收集的数据。处理器被配置为检测数据捕获事件并捕获与数据捕获事件相关联的生理数据的第一段。处理器还被配置为确定可用的存储器空间的量并且确定生理数据的第一段的第一优先级。处理器还被配置为确定先前存储的生理数据的第二段的第二优先级，并且使用第一和第二优先级选择处理方案。最后，处理器被配置为使用处理方案来处理生理数据的第一和第二段并存储生理数据的第一段。

70. 发明授权

US08744556B2 Noise detection in implantable medical devices 有权
标题翻译：植入式医疗器械中的噪声检测
公开(公告)号：US08744556B2
公开(公告)日：2014-06-03
申请号：US13357085
申请日：2012-01-24
申请人： Deepa Mahajan , David L. Perschbacher , LeAnne M. Eberle , Yanting Dong , Vijay Aditya Tadipatri
发明人： Deepa Mahajan , David L. Perschbacher , LeAnne M. Eberle , Yanting Dong , Vijay Aditya Tadipatri
IPC分类号： A61B5/0402
CPC分类号： A61B5/024 , A61B5/046 , A61B5/0464 , A61B5/686 , A61B5/7203 , A61N1/37 , A61N1/3704
摘要： An apparatus comprises a primary cardiac signal sensing circuit configured to sense at least a first cardiac signal, a secondary cardiac signal sensing circuit configured to sense a secondary cardiac signal, and a control circuit. The control circuit includes a noise detection circuit that has an alignment circuit. The alignment circuit is configured to align a segment of the sensed first cardiac signal with a segment of the sensed secondary cardiac signal. The noise detection circuit configured to determine a number of turns in the first cardiac signal segment, determine a number of turns in the secondary cardiac signal segment, generate an indication of noise in the first and secondary cardiac signals according to the determined number of turns, and provide the indication of noise to a user or process.
摘要翻译：一种装置包括被配置为感测至少第一心脏信号的主心脏信号感测电路，被配置为感测次级心脏信号的次级心脏信号感测电路和控制电路。控制电路包括具有对准电路的噪声检测电路。对准电路被配置为将感测到的第一心脏信号的片段与感测到的次级心脏信号的片段对准。噪声检测电路被配置为确定第一心脏信号段中的匝数，确定次级心脏信号段中的匝数，根据确定的匝数产生第一和第二心脏信号中的噪声指示，并向用户或进程提供噪声指示。

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