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    • 1. 发明授权
    • Self adjusting optimal waveforms
    • 自适应最佳波形
    • US07283871B1
    • 2007-10-16
    • US11102002
    • 2005-04-07
    • Steve HofstadterMark W. Kroll
    • Steve HofstadterMark W. Kroll
    • A61N1/39
    • A61N1/3906
    • An exemplary method includes detecting fibrillation, measuring impedance of a defibrillation circuit that includes myocardial tissue, determining one or more defibrillation shock parameters based at least in part on the impedance, delivering a defibrillation shock using the one or more defibrillation shock parameters and, if the shock was unsuccessful, adjusting a membrane time constant and determining one or more new defibrillation shock parameters based at least in part on the adjusted membrane time constant. Various other exemplary methods are disclosed as well as various exemplary devices, systems, etc.
    • 示例性方法包括检测原纤维化,测量包括心肌组织的除颤电路的阻抗,至少部分地基于阻抗确定一个或多个除颤冲击参数,使用一个或多个去纤维颤动参数递送除颤休克,以及如果 冲击不成功,调整膜时间常数并且至少部分地基于调整的膜时间常数来确定一种或多种新的除颤冲击参数。 公开了各种其它示例性方法以及各种示例性装置,系统等
    • 2. 发明申请
    • IMPLANTABLE MEDICAL DEVICE WITH AUTOMATIC SENSING ADJUSTMENT
    • 具有自动感应调节的可植入医疗器械
    • US20100049271A1
    • 2010-02-25
    • US12560008
    • 2009-09-15
    • Steve HofstadterChristopher KochMark W. Kroll
    • Steve HofstadterChristopher KochMark W. Kroll
    • A61N1/08
    • A61N1/3702A61N1/3688
    • An implantable medical device system that senses physiologic processes via multiple sensor signal configurations. The device can further process the sensor configurations to obtain additional processed signal configurations. The device can utilize the processed configurations for ongoing sensing of the physiologic process. The device can also automatically evaluate the multiple sensor configurations as well as the processed configurations and select the configuration offering the best signal discrimination to reduce oversensing or erroneously interpreting secondary characteristics of the physiologic process as corresponding to primary characteristics of the process as in double-counting. The signal discrimination can be evaluated as an absolute margin and/or a ratio between amplitudes of the primary and secondary characteristics. The signal discrimination can also be evaluated based at least in part on a calculated mean and standard deviation according to each configuration.
    • 可植入式医疗设备系统,通过多个传感器信号配置感测生理过程。 该装置可以进一步处理传感器配置以获得额外的处理信号配置。 该设备可以利用经处理的配置来持续感测生理过程。 该设备还可以自动评估多个传感器配置以及处理的配置,并选择提供最佳信号辨别的配置,以减少过敏或错误地解释生理过程的次要特征,如对应于过程的主要特征,如双重计数 。 信号辨别可以被评估为绝对余量和/或初级和次级特征幅度之间的比值。 还可以至少部分地根据每个配置的计算的平均值和标准偏差来评估信号鉴别。
    • 3. 发明授权
    • Self-adjusting optimal waveforms
    • 自适应最优波形
    • US08060200B2
    • 2011-11-15
    • US12131736
    • 2008-06-02
    • Steve HofstadterMark W. Kroll
    • Steve HofstadterMark W. Kroll
    • A61N1/39
    • A61N1/3937A61B5/053A61N1/3906A61N1/3912
    • An exemplary method includes detecting fibrillation, measuring impedance of a defibrillation circuit that includes myocardial tissue, determining one or more defibrillation shock parameters based at least in part on the impedance, delivering a defibrillation shock using the one or more defibrillation shock parameters and, if the shock was unsuccessful, adjusting a membrane time constant and determining one or more new defibrillation shock parameters based at least in part on the adjusted membrane time constant. Various other exemplary methods are disclosed as well as various exemplary devices, systems, etc.
    • 示例性方法包括检测原纤维化,测量包括心肌组织的除颤电路的阻抗,至少部分地基于阻抗确定一个或多个除颤冲击参数,使用一个或多个去纤维颤动参数递送除颤休克,以及如果 冲击不成功,调整膜时间常数并且至少部分地基于调整的膜时间常数来确定一种或多种新的除颤冲击参数。 公开了各种其它示例性方法以及各种示例性装置,系统等
    • 4. 发明授权
    • Implantable medical device with automatic sensing adjustment
    • 具有自动感应调节功能的植入式医疗设备
    • US07610090B1
    • 2009-10-27
    • US11366929
    • 2006-03-01
    • Steve HofstadterChristopher KochMark W. Kroll
    • Steve HofstadterChristopher KochMark W. Kroll
    • A61N1/08
    • A61N1/3702A61N1/3688
    • An implantable medical device system that senses physiologic processes via multiple sensor signal configurations. The device can further process the sensor configurations to obtain additional processed signal configurations. The device can utilize the processed configurations for ongoing sensing of the physiologic process. The device can also automatically evaluate the multiple sensor configurations as well as the processed configurations and select the configuration offering the best signal discrimination to reduce oversensing or erroneously interpreting secondary characteristics of the physiologic process as corresponding to primary characteristics of the process as in double-counting. The signal discrimination can be evaluated as an absolute margin and/or a ratio between amplitudes of the primary and secondary characteristics. The signal discrimination can also be evaluated based at least in part on a calculated mean and standard deviation according to each configuration.
    • 可植入式医疗设备系统,通过多个传感器信号配置感测生理过程。 该装置可以进一步处理传感器配置以获得额外的处理信号配置。 该设备可以利用经处理的配置来持续感测生理过程。 该设备还可以自动评估多个传感器配置以及处理的配置,并选择提供最佳信号辨别的配置,以减少过敏或错误地解释生理过程的次要特征,如对应于过程的主要特征,如双重计数 。 信号辨别可以被评估为绝对余量和/或初级和次级特征幅度之间的比值。 还可以至少部分地根据每个配置的计算的平均值和标准偏差来评估信号鉴别。
    • 5. 发明授权
    • Self adjusting optimal waveforms
    • 自适应最佳波形
    • US07398122B1
    • 2008-07-08
    • US11102331
    • 2005-04-07
    • Steve HofstadterMark W. Kroll
    • Steve HofstadterMark W. Kroll
    • A61N1/39
    • A61N1/3937A61B5/053A61N1/3906A61N1/3912
    • An exemplary method includes detecting fibrillation, measuring impedance of a defibrillation circuit that includes myocardial tissue, determining one or more defibrillation shock parameters based at least in part on the impedance, delivering a defibrillation shock using the one or more defibrillation shock parameters and, if the shock was unsuccessful, adjusting a membrane time constant and determining one or more new defibrillation shock parameters based at least in part on the adjusted membrane time constant. Various other exemplary methods are disclosed as well as various exemplary devices, systems, etc.
    • 示例性方法包括检测原纤维化,测量包括心肌组织的除颤电路的阻抗,至少部分地基于阻抗确定一个或多个除颤冲击参数,使用一个或多个去纤维颤动参数递送除颤休克,以及如果 冲击不成功,调整膜时间常数并且至少部分地基于调整的膜时间常数来确定一种或多种新的除颤冲击参数。 公开了各种其它示例性方法以及各种示例性装置,系统等
    • 6. 发明授权
    • Implantable medical device with automatic sensing adjustment
    • 具有自动感应调节功能的植入式医疗设备
    • US08750972B2
    • 2014-06-10
    • US12560008
    • 2009-09-15
    • Steve HofstadterChristopher KochMark W. Kroll
    • Steve HofstadterChristopher KochMark W. Kroll
    • A61N1/08
    • A61N1/3702A61N1/3688
    • An implantable medical device system that senses physiologic processes via multiple sensor signal configurations. The device can further process the sensor configurations to obtain additional processed signal configurations. The device can utilize the processed configurations for ongoing sensing of the physiologic process. The device can also automatically evaluate the multiple sensor configurations as well as the processed configurations and select the configuration offering the best signal discrimination to reduce oversensing or erroneously interpreting secondary characteristics of the physiologic process as corresponding to primary characteristics of the process as in double-counting. The signal discrimination can be evaluated as an absolute margin and/or a ratio between amplitudes of the primary and secondary characteristics. The signal discrimination can also be evaluated based at least in part on a calculated mean and standard deviation according to each configuration.
    • 可植入式医疗设备系统,通过多个传感器信号配置感测生理过程。 该装置可以进一步处理传感器配置以获得额外的处理信号配置。 该设备可以利用经处理的配置来持续感测生理过程。 该设备还可以自动评估多个传感器配置以及处理的配置,并选择提供最佳信号辨别的配置,以减少过敏或错误地解释生理过程的次要特征,如对应于过程的主要特征,如双重计数 。 信号辨别可以被评估为绝对余量和/或初级和次级特征幅度之间的比值。 还可以至少部分地根据每个配置的计算的平均值和标准偏差来评估信号鉴别。