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1. 发明申请

US20080221635A1 IMPLANTABLE CARDIAC RHYTHM MANAGEMENT SYSTEM HAVING MULTIPLE THERAPY MODALITIES 有权
标题翻译：具有多种治疗方式的可持续心脏健康管理系统
公开(公告)号：US20080221635A1
公开(公告)日：2008-09-11
申请号：US12048144
申请日：2008-03-13
申请人： Julio C. Spinelli , Qingsheng Zhu , Bruce H. Kenknight , Yinghong Yu , Jiang Ding
发明人： Julio C. Spinelli , Qingsheng Zhu , Bruce H. Kenknight , Yinghong Yu , Jiang Ding
IPC分类号： A61N1/365
CPC分类号： A61N1/3627
摘要： A cardiac rhythm management system for providing a plurality of therapy modalities. For example, the system may include a cardiac resynchronization therapy module for providing cardiac resynchronization therapy and a pacemaker module for providing bradycardia therapy, as well as a selector module coupled to the cardiac resynchronization therapy module and the bradycardia module. The selector module may select an operating mode from among a plurality of operating modes including the cardiac resynchronization therapy module and the pacemaker module. Various manual and automatic methods may be used to select the operating mode. In addition, a reversion management system may be included to assist the cardiac rhythm management system to recover in case of a disruption to the system.
摘要翻译：一种用于提供多种治疗方式的心律管理系统。例如，该系统可以包括用于提供心脏再同步治疗的心脏再同步治疗模块和用于提供心动过缓治疗的起搏器模块，以及耦合到心脏再同步治疗模块和心动过缓模块的选择器模块。选择器模块可以从包括心脏再同步治疗模块和起搏器模块的多个操作模式中选择操作模式。可以使用各种手动和自动方法来选择操作模式。此外，还可以包括回归管理系统以帮助心律管理系统在系统中断的情况下恢复。

2. 发明授权

US07346393B2 Implantable cardiac rhythm management system having multiple therapy modalities 有权
标题翻译：具有多种治疗方式的植入式心律管理系统
公开(公告)号：US07346393B2
公开(公告)日：2008-03-18
申请号：US10460975
申请日：2003-06-12
申请人： Julio Spinelli , Qingsheng Zhu , Bruce H. Kenknight , Yinghong Yu , Jiang Ding
发明人： Julio Spinelli , Qingsheng Zhu , Bruce H. Kenknight , Yinghong Yu , Jiang Ding
IPC分类号： A61N1/36
CPC分类号： A61N1/3627
摘要： A cardiac rhythm management system for providing a plurality of therapy modalities. For example, the system may include a cardiac resynchronization therapy module for providing cardiac resynchronization therapy and a pacemaker module for providing bradycardia therapy, as well as a selector module coupled to the cardiac resynchronization therapy module and the bradycardia module. The selector module may select an operating mode from among a plurality of operating modes including the cardiac resynchronization therapy module and the pacemaker module. Various manual and automatic methods may be used to select the operating mode. In addition, a reversion management system may be included to assist the cardiac rhythm management system to recover in case of a disruption to the system.
摘要翻译：一种用于提供多种治疗方式的心律管理系统。例如，该系统可以包括用于提供心脏再同步治疗的心脏再同步治疗模块和用于提供心动过缓治疗的起搏器模块，以及耦合到心脏再同步治疗模块和心动过缓模块的选择器模块。选择器模块可以从包括心脏再同步治疗模块和起搏器模块的多个操作模式中选择操作模式。可以使用各种手动和自动方法来选择操作模式。此外，还可以包括回归管理系统以帮助心律管理系统在系统中断的情况下恢复。

3. 发明申请

US20060041298A1 Method and apparatus for sensing cardiac contractile function 有权
公开(公告)号：US20060041298A1
公开(公告)日：2006-02-23
申请号：US11254344
申请日：2005-10-20
申请人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
发明人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
IPC分类号： A61N1/05
CPC分类号： A61N1/3627 , A61N1/36514 , A61N1/36542 , A61N2001/0585
摘要： Systems and methods for detecting and measuring cardiac contractile function of a heart using an acceleration sensor unit inserted within the heart, such as within a vein of the cardiac wall are disclosed. The systems and methods involve detecting the occurrence of electrical events within the patient's heart by inserting and positioning an implantable lead having an electrode near a cardiac wall as well as detecting mechanical events within the patient's heart by then inserting and positioning a cardiac motion sensor unit through the inner lumen of the implantable lead. Furthermore, the systems and methods do not require dedicated leads and may be used with preexisting implantable leads.

4. 发明授权

US07904155B2 Cardiac resynchronization method and apparatus employing mechanical measurement of cardiac walls 有权
标题翻译：心脏再同步化方法和采用机械测量心脏壁的装置
公开(公告)号：US07904155B2
公开(公告)日：2011-03-08
申请号：US11549676
申请日：2006-10-16
申请人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
发明人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
IPC分类号： A61N1/365
CPC分类号： A61N1/36578 , A61N1/3627 , A61N1/36542 , A61N1/3684
摘要： Methods and devices are disclosed for employing mechanical measurements to synchronize contractions of ventricular wall locations. Accelerometers that may be placed within electrode leads are positioned at ventricular wall locations, such as the left ventricle free wall, right ventricle free wall, and the anterior wall/septum wall. The accelerometers produce signals in response to the motion of the ventricular wall locations. A processor may then compare the signals to determine a difference in the synchronization of the ventricular wall location contractions. The difference in synchronization can be determined in various ways such as computing a phase difference and/or amplitude difference between the accelerometer signals. One or more stimulation pulses may be provided per cardiac cycle to resynchronize the contractions as measured by the accelerometers to thereby constantly and automatically optimize the cardiac resynchronization therapy.
摘要翻译：公开了用于采用机械测量来同步心室壁位置收缩的方法和装置。可以放置在电极引线内的加速度计定位在心室壁位置，例如左心室游离壁，右心室游离壁和前壁/隔膜壁。加速度计响应于心室壁位置的运动产生信号。然后，处理器可以比较信号以确定心室壁位置收缩的同步的差异。可以以各种方式确定同步差异，例如计算加速度计信号之间的相位差和/或振幅差。可以在每个心动周期提供一个或多个刺激脉冲，以重新同步由加速度计测量的收缩，从而不断地和自动地优化心脏再同步治疗。

5. 发明授权

US07206634B2 Method and apparatus for optimizing cardiac pumping performance 有权
标题翻译：用于优化心脏泵送性能的方法和装置
公开(公告)号：US07206634B2
公开(公告)日：2007-04-17
申请号：US10206131
申请日：2002-07-26
申请人： Jiang Ding , Yinghong Yu , Qingsheng Zhu
发明人： Jiang Ding , Yinghong Yu , Qingsheng Zhu
IPC分类号： A61N1/365
CPC分类号： A61N1/36542 , A61N1/36514 , A61N1/3682 , A61N1/3684
摘要： A cardiac rhythm and function management device configured to automatically adjust stimulation parameters used in delivering cardiac resynchronization therapy. Mechanical contraction intervals are measured using appropriately placed accelerometers and compared with optimum values. The stimulation parameters can then be adjusted accordingly in a manner that moves the mechanical contraction intervals toward their optimum values.
摘要翻译：心律和功能管理装置被配置为自动调整用于递送心脏再同步治疗的刺激参数。使用适当放置的加速度计测量机械收缩间隔，并与最佳值进行比较。然后可以以使机械收缩间隔向其最佳值移动的方式相应地调节刺激参数。

6. 发明授权

US08792980B2 Cardiac resynchronization system employing mechanical measurement of cardiac walls 有权
标题翻译：心脏再同步系统采用心脏壁的机械测量
公开(公告)号：US08792980B2
公开(公告)日：2014-07-29
申请号：US12980417
申请日：2010-12-29
申请人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
发明人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
IPC分类号： A61N1/368 , A61N1/365
CPC分类号： A61N1/36578 , A61N1/3627 , A61N1/36542 , A61N1/3684
摘要： Methods and devices are disclosed for employing mechanical measurements to synchronize contractions of ventricular wall locations. Accelerometers that may be placed within electrode leads are positioned at ventricular wall locations, such as the left ventricle free wall, right ventricle free wall, and the anterior wall/septum wall. The accelerometers produce signals in response to the motion of the ventricular wall locations. A processor may then compare the signals to determine a difference in the synchronization of the ventricular wall location contractions. The difference in synchronization can be determined in various ways such as computing a phase difference and/or amplitude difference between the accelerometer signals. One or more stimulation pulses may be provided per cardiac cycle to resynchronize the contractions as measured by the accelerometers to thereby constantly and automatically optimize the cardiac resynchronization therapy.
摘要翻译：公开了用于采用机械测量来同步心室壁位置收缩的方法和装置。可以放置在电极引线内的加速度计定位在心室壁位置，例如左心室游离壁，右心室游离壁和前壁/隔膜壁。加速度计响应于心室壁位置的运动产生信号。然后，处理器可以比较信号以确定心室壁位置收缩的同步的差异。可以以各种方式确定同步差异，例如计算加速度计信号之间的相位差和/或振幅差。可以在每个心动周期提供一个或多个刺激脉冲，以重新同步由加速度计测量的收缩，从而不断地和自动地优化心脏再同步治疗。

7. 发明申请

US20080015650A1 CAPTURE VERIFICATION FOR CARDIAC RESYNCHRONIZATION PACING OPTIMIZATION 有权
标题翻译： CARDIAC RESYNCHRONIZATION PACING优化的获取验证
公开(公告)号：US20080015650A1
公开(公告)日：2008-01-17
申请号：US11776699
申请日：2007-07-12
申请人： Qingsheng Zhu , Julio Spinelli , Jiang Ding , Yinghong Yu
发明人： Qingsheng Zhu , Julio Spinelli , Jiang Ding , Yinghong Yu
IPC分类号： A61N1/372
CPC分类号： A61N1/3627 , A61N1/3682 , A61N1/3684 , A61N1/3688 , A61N1/371
摘要： A system and method for automatically selecting among a plurality of pacing modes based upon capture detection. Patients suffering from heart failure may be optimally treated with different resynchronization pacing modes or configurations. By detecting whether capture is being achieved by a particular configuration or mode, a device is able to automatically switch to one that is both optimal in treating the patient and is successful in capturing the heart with pacing pulses.
摘要翻译：一种用于基于捕获检测在多个起搏模式之间自动选择的系统和方法。患有心力衰竭的患者可以用不同的再同步起搏模式或配置进行最佳治疗。通过检测是否通过特定配置或模式实现捕获，设备能够自动切换到在治疗患者时是最佳的并且成功地用起搏脉冲捕获心脏。

8. 发明授权

US06768924B2 Method and apparatus for capture verification based on propagated electrical activity 有权
标题翻译：基于传播电活动的捕获验证方法和装置
公开(公告)号：US06768924B2
公开(公告)日：2004-07-27
申请号：US10038225
申请日：2002-01-03
申请人： Jiang Ding , Yinghong Yu , Julio C. Spinelli , Qingsheng Zhu
发明人： Jiang Ding , Yinghong Yu , Julio C. Spinelli , Qingsheng Zhu
IPC分类号： A61N1362
CPC分类号： A61N1/3712 , A61N1/3684 , A61N1/3714
摘要： An implantable cardiac rhythm/function management device that automatically determines whether or not a pacing stimulus to the ventricles results in capture by detecting propagated depolarizations at stimulating and non-stimulating electrodes. The device of the present invention is suitable for use in either a single or multiple electrode pacing/sensing configuration and may be utilized to verify either atrial or ventricular capture of a heart having either normal or abnormal intrinsic AV conduction.
摘要翻译：一种植入式心律/功能管理装置，其自动确定对心室的起搏刺激是否通过检测刺激和非刺激电极处的传播去极化而导致捕获。本发明的装置适用于单电极或多电极起搏/感测配置，并且可用于验证具有正常或异常固有AV传导的心脏的心房或心室捕获。

9. 发明申请

US20070129781A1 CARDIAC RESYNCHRONIZATION SYSTEM EMPLOYING MECHANICAL MEASUREMENT OF CARDIAC WALLS 有权
标题翻译：心脏康复系统采用机械心脏测量
公开(公告)号：US20070129781A1
公开(公告)日：2007-06-07
申请号：US11549676
申请日：2006-10-16
申请人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
发明人： Yinghong Yu , Jiang Ding , Qingsheng Zhu
IPC分类号： A61N1/365
CPC分类号： A61N1/36578 , A61N1/3627 , A61N1/36542 , A61N1/3684
摘要： Methods and devices are disclosed for employing mechanical measurements to synchronize contractions of ventricular wall locations. Accelerometers that may be placed within electrode leads are positioned at ventricular wall locations, such as the left ventricle free wall, right ventricle free wall, and the anterior wall/septum wall. The accelerometers produce signals in response to the motion of the ventricular wall locations. A processor may then compare the signals to determine a difference in the synchronization of the ventricular wall location contractions. The difference in synchronization can be determined in various ways such as computing a phase difference and/or amplitude difference between the accelerometer signals. One or more stimulation pulses may be provided per cardiac cycle to resynchronize the contractions as measured by the accelerometers to thereby constantly and automatically optimize the cardiac resynchronization therapy.
摘要翻译：公开了用于采用机械测量来同步心室壁位置收缩的方法和装置。可以放置在电极引线内的加速度计定位在心室壁位置，例如左心室游离壁，右心室游离壁和前壁/隔膜壁。加速度计响应于心室壁位置的运动产生信号。然后，处理器可以比较信号以确定心室壁位置收缩的同步的差异。可以以各种方式确定同步差异，例如计算加速度计信号之间的相位差和/或振幅差。可以在每个心动周期提供一个或多个刺激脉冲，以重新同步由加速度计测量的收缩，从而不断地和自动地优化心脏再同步治疗。

10. 发明授权

US06937901B2 Capture verification for cardiac resynchronization pacing optimization 有权
公开(公告)号：US06937901B2
公开(公告)日：2005-08-30
申请号：US09999255
申请日：2001-10-31
申请人： Qingsheng Zhu , Julio C. Spinelli , Jiang Ding , Yinghong Yu
发明人： Qingsheng Zhu , Julio C. Spinelli , Jiang Ding , Yinghong Yu
IPC分类号： A61N1/362 , A61N1/368 , A61N1/37 , A61N1/18
CPC分类号： A61N1/3627 , A61N1/3682 , A61N1/3684 , A61N1/3688 , A61N1/371
摘要： A system and method for automatically selecting among a plurality of pacing modes based upon capture detection. Patients suffering from heart failure may be optimally treated with different resynchronization pacing modes or configurations. By detecting whether capture is being achieved by a particular configuration or mode, a device is able to automatically switch to one that is both optimal in treating the patient and is successful in capturing the heart with pacing pulses.

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