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    • 81. 发明授权
    • ECG signal power vector detection of ischemia or infarction
    • 心电信号功率矢量检测缺血或梗塞
    • US07567836B2
    • 2009-07-28
    • US11275800
    • 2006-01-30
    • Yi Zhang
    • Yi Zhang
    • A61B5/0452
    • A61B5/0452A61B5/04011A61B5/7207A61B5/7285
    • A system comprising a processor that includes a cardiac signal vector module and an ischemia detection module. The cardiac signal vector module is configured to measure a first dominant vector corresponding to a direction and magnitude of maximum signal power of a first segment of at least one cardiac cycle of a subject and at least a second dominant vector corresponding to a direction and magnitude of maximum signal power of a second segment of the cardiac cycle from an electrical cardiac signal. The ischemia detection module is configured to measure a change in the first dominant vector, to form a difference by subtracting a measured change in the second dominant vector from a measured change in the first dominant vector, and to declare whether an ischemic event occurred using the difference.
    • 一种系统,包括包括心脏信号矢量模块和缺血检测模块的处理器。 心脏信号矢量模块被配置为测量对应于受试者的至少一个心动周期的第一段的最大信号功率的方向和幅度的第一显性矢量,以及对应于对象的方向和幅度的至少第二显性矢量 来自心电信号的心动周期的第二段的最大信号功率。 局部缺血检测模块被配置为测量第一显性矢量的变化,以通过从第一显性矢量的测量变化中减去第二显性矢量的测量变化来形成差异,并且声明是否使用 区别。
    • 83. 发明授权
    • Daytime/nighttime respiration rate monitoring
    • 白天/夜间呼吸率监测
    • US07530956B2
    • 2009-05-12
    • US11820002
    • 2007-06-15
    • Aaron LewickeYi ZhangJohn D. Hatlestad
    • Aaron LewickeYi ZhangJohn D. Hatlestad
    • A61B5/00
    • A61B5/0816A61B5/0205A61B5/1116A61B5/7264G06F19/00
    • A device and method can monitor or trend a patient's respiration rate measurements according to the time of day. The device, which may be implantable or external, collects and classifies respiration rate measurements over time. The trended information about particular classes of respiration rate measurements is then communicated to a remote external device, which in turn provides an indication of heart failure decompensation. Examples of classes of respiration rate measurements include a daily maximum respiration rate value, a daily minimum respiration rate value, a daily maximum respiration rate variability value, a daily minimum respiration rate variability value, and a daily central respiration rate value. These respiration rate measurements can be further classified into daytime or nighttime respiration rate measurements.
    • 一种装置和方法可以根据一天中的时间来监视或趋向于患者的呼吸速率测量。 该装置可以植入或外部收集和分类呼吸速率测量随时间的变化。 关于呼吸率测量的特定类别的趋势化信息然后被传送到远程外部设备,远程外部设备又提供心力衰竭失代偿指示。 呼吸速率测量类别的实例包括每日最大呼吸率值,每日最小呼吸率值,每日最大呼吸率变异值,每日最小呼吸率变异性值和每日中心呼吸率值。 这些呼吸率测量可以进一步分为白天或夜间呼吸率测量。
    • 86. 发明授权
    • Closed loop cardiac resynchronization therapy using cardiac activation sequence information
    • 闭环心脏再同步治疗使用心脏激活序列信息
    • US07457664B2
    • 2008-11-25
    • US11125068
    • 2005-05-09
    • Yi ZhangYinghong YuAaron R. McCabeJiang DingJeffrey E. StahmannCarlos Alberto RicciScott A. Meyer
    • Yi ZhangYinghong YuAaron R. McCabeJiang DingJeffrey E. StahmannCarlos Alberto RicciScott A. Meyer
    • A61N1/365
    • A61N1/3712A61N1/3627A61N1/365G06F19/00
    • Cardiac monitoring and/or stimulation methods and systems that provide one or more of monitoring, diagnosing, defibrillation, and pacing. Cardiac signal separation is employed to detect, monitor, track, and/or trend closed-loop cardiac resynchronization therapy using cardiac activation sequence information. Devices and methods involve sensing a plurality of composite cardiac signals using a plurality of electrodes, the electrodes configured for implantation in a patient. A source separation is performed using the sensed plurality of composite cardiac signals, producing one or more cardiac signal vectors associated with all or a portion of one or more cardiac activation sequences. A cardiac resynchronization therapy is adjusted using one or both of the one or more cardiac signal vectors and the signals associated with the one or more cardiac signal vectors. In further embodiments, the cardiac resynchronization therapy may be initiated, terminated, or one or more parameters of the resynchronization therapy may be altered.
    • 提供一种或多种监测,诊断,除颤和起搏的心脏监测和/或刺激方法和系统。 心脏信号分离用于使用心脏激活序列信息来检测,监测,跟踪和/或趋向闭环心脏再同步治疗。 设备和方法包括使用多个电极感测多个复合心脏信号,所述电极被配置用于植入患者体内。 使用所感测的多个复合心脏信号进行源分离,产生与一个或多个心脏激活序列的全部或一部分相关联的一个或多个心脏信号载体。 使用一个或多个心脏信号向量和与一个或多个心脏信号载体相关联的信号中的一个或两个来调整心脏再同步治疗。 在另外的实施方案中,心脏再同步治疗可以被启动,终止,或者可以改变再同步治疗的一个或多个参数。
    • 88. 发明申请
    • USING RESPIRATION DISTRESS MANIFESTATIONS FOR HEART FAILURE DETECTION
    • 使用呼吸部分心理失调检测
    • US20080262360A1
    • 2008-10-23
    • US11736058
    • 2007-04-17
    • Yousufali DalalJohn D. HatlestadYi ZhangAaron LewickeJeffrey E. Stahmann
    • Yousufali DalalJohn D. HatlestadYi ZhangAaron LewickeJeffrey E. Stahmann
    • A61B5/0205
    • A61B5/0205A61B5/0816A61B5/1116A61B5/4818A61B5/686A61N1/3627
    • Systems and methods for diagnosing one or more respiration distress manifestations by implantably recognizing their occurrence and evaluating information about the same to provide an indication of present or impending worsening heart failure are discussed. Using information produced by an implantable respiration sensor circuit and an implantable physiological sensor circuit, such as at least one of a physical activity sensor circuit or a posture sensor circuit, an implantable or external processor circuit may detect a respiration disturbance and an associated subsequent arousal from stable state occurrence and thereafter evaluate over time arousal from stable state occurrences to provide the indication of present or impending worsening heart failure. In one example, information about a fluid level within a subject is used in determining the indication of worsening heart failure. In various examples, a regimen is initiated or adjusted in response to the indication of present or impending worsening heart failure.
    • 讨论了通过可植入地识别其发生并评估关于其的信息来诊断一种或多种呼吸困扰表现的系统和方法,以提供现在或即将恶化的心力衰竭的指征。 使用由可植入呼吸传感器电路和植入式生理传感器电路产生的信息,例如物理活动传感器电路或姿势传感器电路中的至少一个,可植入或外部处理器电路可以检测呼吸障碍和相关联的随后的唤醒 稳定状态发生,然后评估来自稳定状态发生的随着时间的兴奋,以提供目前或即将恶化的心力衰竭的指征。 在一个示例中,关于受试者内的液位水平的信息用于确定恶化的心力衰竭的指示。 在各种实例中,响应于目前或即将恶化的心力衰竭的指征开始或调整方案。