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1. 发明授权

US08249709B2 Methods and apparatus for automatically tracking heart failure status 有权
标题翻译：自动跟踪心力衰竭状态的方法和装置
公开(公告)号：US08249709B2
公开(公告)日：2012-08-21
申请号：US13037817
申请日：2011-03-01
申请人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
发明人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
IPC分类号： A61N1/37
CPC分类号： A61N1/3627
摘要： Assessing symptomatic and asymptomatic physiologic changes due to chronic heart failure involves apparatus and methods for gauging degradation and possible improvement using automated measurement of inter-ventricular conduction time, both alone and in combination with other automated physiologic tests. Conduction times increase due to the greater distance a wavefront must traverse as a heart enlarges. Analysis of conduction time can be used to verify the occurrence of cardiac remodeling due to heart failure as well as beneficial reverse remodeling due to successful heart failure therapy delivery. Patient activity level(s) and presence/increase in pulmonary fluids can also be used to automatically determine changes in heart failure status and/or predict hospitalization. Conduction time is monitored between electrodes positioned in the left and right ventricles of the heart via endocardial or epicardial electrodes.
摘要翻译：评估因慢性心力衰竭引起的症状和无症状的生理变化涉及用于测量降解的设备和方法，并且可以通过自动测量心室间传导时间来单独测量并与其他自动化生理测试结合使用。由于随着心脏的扩大，波前必须穿越的距离越大，传导时间就会增加。传导时间分析可以用于验证由于心力衰竭导致的心脏重构的发生以及由于成功的心力衰竭治疗递送而导致的有益的反向重建。患者活动水平和肺流体的存在/增加也可用于自动确定心力衰竭状态的变化和/或预测住院治疗。通过心内膜或心外膜电极监测位于心脏左心室和右心室的电极之间的传导时间。

2. 发明申请

US20110152660A1 METHODS AND APPARATUS FOR AUTOMATICALLY TRACKING HEART FAILURE STATUS 有权
标题翻译：自动跟踪心脏失败状态的方法和装置
公开(公告)号：US20110152660A1
公开(公告)日：2011-06-23
申请号：US13037817
申请日：2011-03-01
申请人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
发明人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
IPC分类号： A61B5/044 , A61B5/042
CPC分类号： A61N1/3627
摘要： Assessing symptomatic and asymptomatic physiologic changes due to chronic heart failure involves apparatus and methods for gauging degradation and possible improvement using automated measurement of inter-ventricular conduction time, both alone and in combination with other automated physiologic tests. Conduction times increase due to the greater distance a wavefront must traverse as a heart enlarges. Analysis of conduction time can be used to verify the occurrence of cardiac remodeling due to heart failure as well as beneficial reverse remodeling due to successful heart failure therapy delivery. Patient activity level(s) and presence/increase in pulmonary fluids can also be used to automatically determine changes in heart failure status and/or predict hospitalization. Conduction time is monitored between electrodes positioned in the left and right ventricles of the heart via endocardial or epicardial electrodes.
摘要翻译：评估因慢性心力衰竭引起的症状和无症状的生理变化涉及用于测量降解的设备和方法，并且可以通过自动测量心室间传导时间来单独测量并与其他自动化生理测试结合使用。由于随着心脏的扩大，波前必须穿越的距离越大，传导时间就会增加。传导时间分析可以用于验证由于心力衰竭导致的心脏重构的发生以及由于成功的心力衰竭治疗递送而导致的有益的反向重建。患者活动水平和肺流体的存在/增加也可用于自动确定心力衰竭状态的变化和/或预测住院治疗。通过心内膜或心外膜电极监测位于心脏左心室和右心室的电极之间的传导时间。

3. 发明申请

US20070288059A1 METHODS AND APPARATUS FOR AUTOMATICALLY TRACKING HEART FAILURE STATUS 有权
标题翻译：自动跟踪心脏失败状态的方法和装置
公开(公告)号：US20070288059A1
公开(公告)日：2007-12-13
申请号：US11691266
申请日：2007-03-26
申请人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
发明人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
IPC分类号： A61N1/362
CPC分类号： A61N1/3627
摘要： Assessing symptomatic and asymptomatic physiologic changes due to chronic heart failure involves apparatus and methods for gauging degradation and possible improvement using automated measurement of inter-ventricular conduction time, both alone and in combination with other automated physiologic tests. Conduction times increase due to the greater distance a wavefront must traverse as a heart enlarges. Analysis of conduction time can be used to verify the occurrence of cardiac remodeling due to heart failure as well as beneficial reverse remodeling due to successful heart failure therapy delivery. Patient activity level(s) and presence/increase in pulmonary fluids can also be used to automatically determine changes in heart failure status and/or predict hospitalization. Conduction time is monitored between electrodes positioned in the left and right ventricles of the heart via endocardial or epicardial electrodes.
摘要翻译：评估因慢性心力衰竭引起的症状和无症状的生理变化涉及用于测量降解的设备和方法，并且可以通过自动测量心室间传导时间来单独测量并与其他自动化生理测试结合使用。由于随着心脏的扩大，波前必须穿越的距离越大，传导时间就会增加。传导时间分析可以用于验证由于心力衰竭导致的心脏重构的发生以及由于成功的心力衰竭治疗递送而导致的有益的反向重建。患者活动水平和肺流体的存在/增加也可以用于自动确定心力衰竭状态的变化和/或预测住院治疗。通过心内膜或心外膜电极监测位于心脏左心室和右心室的电极之间的传导时间。

4. 发明授权

US09744365B2 Presentation of information associated with medical device therapy 有权
公开(公告)号：US09744365B2
公开(公告)日：2017-08-29
申请号：US12986683
申请日：2011-01-07
申请人： Jon P. Davis , Steven M. Goetz , James Zimmerman , Lynn A. Davenport , Rajeev M. Sahasrabudhe , David Simons
发明人： Jon P. Davis , Steven M. Goetz , James Zimmerman , Lynn A. Davenport , Rajeev M. Sahasrabudhe , David Simons
IPC分类号： A61N1/08 , A61N1/372 , A61M5/142 , A61M5/172 , G06F19/00 , A61N1/36
CPC分类号： A61N1/37247 , A61M5/14276 , A61M5/1723 , A61M2205/502 , A61M2230/62 , A61M2230/63 , A61N1/08 , A61N1/36071 , A61N1/36132 , A61N1/36135 , G06F19/00 , G16H40/63
摘要： This disclosure is related to techniques for presenting therapy factors related to medical device therapy in a manner that allows a user, such as a patient or a clinician, to receive, comprehend and evaluate information relating to therapy delivered by the medical device efficiently. In one aspect, a method comprises obtaining a data set corresponding to a therapy factor associated with delivery of a medical therapy to a patient with a medical system including an implantable medical device, receiving a user selection associated with a subset of the data set, the subset of the data set including less than all the information relating to the therapy factor in the data set, and presenting a representation, corresponding to the subset of the data set, of the therapy factor on a display of a programmer.

5. 发明授权

US08744591B2 Storing image of therapy region in implantable medical device 有权
标题翻译：将治疗区域的图像存储在植入式医疗设备中
公开(公告)号：US08744591B2
公开(公告)日：2014-06-03
申请号：US12771652
申请日：2010-04-30
申请人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Wende L. Dewing , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Brent A. Huhta
发明人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Wende L. Dewing , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Brent A. Huhta
IPC分类号： A61N1/08
CPC分类号： A61N1/37247 , A61N1/372 , A61N1/37211 , A61N1/37264
摘要： This disclosure describes techniques for obtaining an image of an anatomical implant region where leads associated with an implantable medical device are implanted in a patient, manipulating the image to show lead locations and placements, performing necessary image compression and manipulations, adjusting the image to associate it with information (e.g., patient, metadata, annotations, etc.) useful to a subsequent programmer retrieving the image, and transferring a copy of the captured image to the implantable medical device. The image stored in the implantable medical device may be retrieved at a later time by a user of programmer, where the user can use the image and other associated information to program subsequent therapy.
摘要翻译：本公开描述了用于获得解剖植入区域的图像的技术，其中与植入式医疗装置相关联的引线植入患者体内，操纵图像以显示引导位置和放置，执行必要的图像压缩和操作，调整图像以使其相关联具有对随后的程序员检索图像有用的信息（例如，患者，元数据，注释等），以及将捕获的图像的副本传送到可植入医疗装置。存储在可植入医疗装置中的图像可以在稍后由编程器的用户检索，其中用户可以使用图像和其他相关信息来编程后续治疗。

6. 发明申请

US20110093047A1 STORING IMAGE OF THERAPY REGION IN IMPLANTABLE MEDICAL DEVICE 有权
标题翻译：在可植入医疗器械中存储治疗区域的图像
公开(公告)号：US20110093047A1
公开(公告)日：2011-04-21
申请号：US12771652
申请日：2010-04-30
申请人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Wende L. Dewing , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Brent A. Huhta
发明人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Wende L. Dewing , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Brent A. Huhta
IPC分类号： A61N1/08
CPC分类号： A61N1/37247 , A61N1/372 , A61N1/37211 , A61N1/37264
摘要： This disclosure describes techniques for obtaining an image of an anatomical implant region where leads associated with an implantable medical device are implanted in a patient, manipulating the image to show lead locations and placements, performing necessary image compression and manipulations, adjusting the image to associate it with information (e.g., patient, metadata, annotations, etc.) useful to a subsequent programmer retrieving the image, and transferring a copy of the captured image to the implantable medical device. The image stored in the implantable medical device may be retrieved at a later time by a user of programmer, where the user can use the image and other associated information to program subsequent therapy.
摘要翻译：本公开描述了用于获得解剖植入区域的图像的技术，其中与植入式医疗装置相关联的引线植入患者体内，操纵图像以显示引导位置和放置，执行必要的图像压缩和操作，调整图像以使其相关联具有对随后的程序员检索图像有用的信息（例如，患者，元数据，注释等），以及将捕获的图像的副本传送到可植入医疗装置。存储在可植入医疗装置中的图像可以在稍后由编程器的用户检索，其中用户可以使用图像和其他相关信息来编程后续治疗。

7. 发明授权

US07899538B2 Methods and apparatus for automatically tracking heart failure status 有权
标题翻译：自动跟踪心力衰竭状态的方法和装置
公开(公告)号：US07899538B2
公开(公告)日：2011-03-01
申请号：US11691266
申请日：2007-03-26
申请人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
发明人： Lynn A. Davenport , Purvee P. Parikh , Todd J. Sheldon
IPC分类号： A61N1/37
CPC分类号： A61N1/3627
摘要： Assessing symptomatic and asymptomatic physiologic changes due to chronic heart failure involves apparatus and methods for gauging degradation and possible improvement using automated measurement of inter-ventricular conduction time, both alone and in combination with other automated physiologic tests. Conduction times increase due to the greater distance a wavefront must traverse as a heart enlarges. Analysis of conduction time can be used to verify the occurrence of cardiac remodeling due to heart failure as well as beneficial reverse remodeling due to successful heart failure therapy delivery. Patient activity level(s) and presence/increase in pulmonary fluids can also be used to automatically determine changes in heart failure status and/or predict hospitalization. Conduction time is monitored between electrodes positioned in the left and right ventricles of the heart via endocardial or epicardial electrodes.
摘要翻译：评估因慢性心力衰竭引起的症状和无症状的生理变化涉及用于测量降解的设备和方法，并且可以通过自动测量心室间传导时间来单独测量并与其他自动化生理测试结合使用。由于随着心脏的扩大，波前必须穿越的距离越大，传导时间就会增加。传导时间分析可以用于验证由于心力衰竭导致的心脏重构的发生以及由于成功的心力衰竭治疗递送而导致的有益的反向重建。患者活动水平和肺流体的存在/增加也可用于自动确定心力衰竭状态的变化和/或预测住院治疗。通过心内膜或心外膜电极监测位于心脏左心室和右心室的电极之间的传导时间。

8. 发明申请

US20110093051A1 ASSIGNMENT AND MANIPULATION OF IMPLANTABLE LEADS IN DIFFERENT ANATOMICAL REGIONS WITH IMAGE BACKGROUND 审中-公开
标题翻译：具有图像背景的不同解剖学领域的可植入引线的分配和处理
公开(公告)号：US20110093051A1
公开(公告)日：2011-04-21
申请号：US12771763
申请日：2010-04-30
申请人： Jon P. Davis , Steven M. Goetz , Ashish Singal , Lynn A. Davenport , Dennis J. Bourget , Rajeev M. Sahasrabudhe , Brent A. Huhta , Shanthi Kandikonda , Jason D. Rahn
发明人： Jon P. Davis , Steven M. Goetz , Ashish Singal , Lynn A. Davenport , Dennis J. Bourget , Rajeev M. Sahasrabudhe , Brent A. Huhta , Shanthi Kandikonda , Jason D. Rahn
IPC分类号： A61N1/00
CPC分类号： A61N1/37247 , A61N1/372 , A61N1/37211 , A61N1/37264
摘要： This disclosure describes techniques for combining an image of a region defined by the user to receive stimulation therapy with an image of representation of leads which will deliver the therapy to the defined region, and importing the combined image on an implantable medical device connected to the leads that will deliver the stimulation therapy. During the process of combining the images, the user manipulates one or both of the images to combine the image such that the leads are placed for accurate therapy delivery. In some examples where more than one region is to receive stimulation therapy, each region can have a different image and/or a different set of leads associated therewith, and a combined image of each region may be produced, manipulated, and imported on the implantable medical device.
摘要翻译：本公开描述了用于组合由用户定义的区域的图像以接收刺激治疗与将将治疗递送到限定区域的引线的图像的图像的技术，以及将组合的图像导入连接到引线的可植入医疗设备这将提供刺激疗法。在组合图像的过程中，用户操纵一个或两个图像以组合图像，使得放置引线用于精确的治疗递送。在一些例子中，多于一个区域要接收刺激疗法，每个区域可以具有不同的图像和/或与之相关联的不同的一组引线，并且可以在可植入物上产生，操纵和导入每一区域的组合图像医疗装置。

9. 发明申请

US20100198295A1 PERFORMING EXTENDED CAPTURE DETECTION TEST AFTER DETECTING INADEQUATE CAPTURE 审中-公开
标题翻译：在检测到不正确的捕获后执行扩展捕获检测测试
公开(公告)号：US20100198295A1
公开(公告)日：2010-08-05
申请号：US12362905
申请日：2009-01-30
申请人： Todd Sheldon , Lynn A. Davenport
发明人： Todd Sheldon , Lynn A. Davenport
IPC分类号： A61N1/37
CPC分类号： A61N1/371
摘要： Techniques are described for performing an extended capture detection test after detecting inadequate capture during a first capture detection test. An example system includes an implantable medical device that delivers pacing pulses to a patient, that periodically performs a first capture detection test to detect capture or loss of capture of the pacing pulses, and that detects inadequate capture during the first capture detection test, wherein in response to detecting the inadequate capture, the implantable medical device performs a second capture detection test that is longer than the first test. The system also includes a programmer device that programs the implantable medical device and that retrieves data from the implantable medical device corresponding to the second capture detection test. The example system may conserve battery power and prevent loss of current by performing the extended capture detection test only after detection of inadequate capture during the first test.
摘要翻译：描述了在第一捕获检测测试中检测到不充分捕获之后进行扩展捕获检测测试的技术。示例性系统包括向患者传送起搏脉冲的可植入医疗装置，其周期性地执行第一捕获检测测试以检测起搏脉冲的捕获或丢失，并且在第一捕获检测测试期间检测不充分的捕获，其中响应于检测到不充分的捕获，可植入医疗装置执行比第一测试更长的第二捕获检测测试。该系统还包括编程器设备，其对可植入医疗设备进行编程，并从与第二捕获检测测试相对应的可植入医疗设备中检索数据。该示例系统可以仅在第一次测试中检测到不充分的捕获之后执行扩展捕获检测测试来节省电池电力并防止电流损失。

10. 发明授权

US10204706B2 User interface for optimizing energy management in a neurostimulation system 有权
公开(公告)号：US10204706B2
公开(公告)日：2019-02-12
申请号：US12771475
申请日：2010-04-30
申请人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Shyam Gokaldas , Joel A. Anderson , Leroy L. Perz , Scott E. Straka
发明人： Jon P. Davis , Steven M. Goetz , Nathan A. Torgerson , Ashish Singal , Lynn A. Davenport , Rajeev M. Sahasrabudhe , Shyam Gokaldas , Joel A. Anderson , Leroy L. Perz , Scott E. Straka
IPC分类号： A61N1/08 , G16H40/63 , G06F19/00
摘要： In one aspect, a programmer for an implantable medical device comprises a user interface that receives user input corresponding to one or more selected stimulation therapy parameters for delivering stimulation therapy to a patient with the implantable medical device and presents an energy consumption estimate of a power source based on the selected stimulation therapy parameters; and a processor that determines one or more programming options that, if selected, would alter the selected stimulation therapy parameters and reduce the energy consumption estimate. The user interface presents at least one of the programming options to reduce the energy consumption estimate to the user with an indication that user selection of one or more of the presented programming options would alter the selected stimulation therapy parameters to reduce energy consumption of the implantable medical device.

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