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    • 4. 发明授权
    • Patient stratification for implantable subcutaneous cardiac monitoring and therapy
    • 可植入式皮下心脏监测和治疗的患者分层
    • US07047071B2
    • 2006-05-16
    • US10799341
    • 2004-03-12
    • Darrell Orvin WagnerAdam W. CatesCurtis Charles Lindstrom
    • Darrell Orvin WagnerAdam W. CatesCurtis Charles Lindstrom
    • A61N1/18A61N1/38
    • A61N1/3962A61N1/05A61N1/36542A61N1/36585A61N1/3956
    • Systems and methods of verifying that implantable cardiac devices operate as intended in a particular patient involve one or more of determining proper placement of system components, determining stimulus levels useful for individual patient stratification, and determining stimulus levels that indicate efficacy of devices, implantable within a given patient. A pacing stimulus set at a surface pacing level is delivered to a patient's heart using surface electrodes. The patient is determined to not be a candidate for implantation of a subcutaneous defibrillation system if the surface pacing level needed to capture the heart exceeds a predetermined level. The patient may be determined to be a candidate for implantation of a subcutaneous system if the surface pacing level needed to effect capture is within an acceptance level. Such determinations are preferably based on a proportionality relationship between a subcutaneous defibrillation level and a surface pacing level.
    • 验证可植入心脏装置如预期在特定患者中操作的系统和方法涉及确定系统组件的适当放置的一个或多个,确定对于个体患者分层有用的刺激水平,以及确定指示可植入在内部的装置的功效的刺激水平 给予病人 使用表面电极将设置在表面起搏水平的起搏刺激传递给患者的心脏。 如果需要捕获心脏的表面起搏水平超过预定水平,则患者被确定为不是用于植入皮下除颤系统的候选者。 如果需要进行捕获的表面起搏水平处于接受程度之内,则患者可能被确定为植入皮下系统的候选者。 这种测定优选基于皮下除颤水平和表面起搏水平之间的比例关系。