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    • 54. 发明申请
    • SYSTEM AND METHOD FOR SENSING AND DETECTION IN AN EXTRA-CARDIOVASCULAR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR
    • 用于心外膜植入式心脏除颤器除颤器中的感测和检测的系统和方法
    • WO2017189144A1
    • 2017-11-02
    • PCT/US2017/024668
    • 2017-03-29
    • MEDTRONIC, INC.
    • ZHANG, XushengCAO, JianGREENHUT, Saul E.STADLER, Robert W.
    • A61N1/39A61B5/0464
    • An extra-cardiovascular implantable cardioverter defibrillator senses R-waves from a first cardiac electrical signal by a first sensing channel and stores a time segment of a second cardiac electrical signal in response to each sensed R-wave. The ICD determines intervals between successively sensed R-waves and, in response to at least a predetermined number of the intervals being less than a tachyarrhythmia detection interval, analyzes at least a portion of the time segment of the second cardiac electrical signal corresponding to a most recent one of the sensed R-waves to confirm the most recent one of the R-waves. The ICD updates an unconfirmed beat count in response to the most recent one of the R-waves not being confirmed and withholds detection of a tachyarrhythmia episode in response to the unconfirmed beat count being equal to or greater than a rejection threshold.
    • 心外植入式心脏复律除颤器通过第一感测通道感测来自第一心脏电信号的R波,并响应于每个感测的R波存储第二心脏电信号的时间片段。 ICD确定连续感测的R波之间的间隔,并且响应于至少预定数量的间隔小于快速性心律失常检测间隔,分析第二心脏电信号的时间段的至少一部分,该时间段对应于最 最近感受到的R波之一来确认最近的一个R波。 ICD根据未确认的节拍计数更新未确认的节拍计数,以响应最近的一个R波未被确认,并且保留检测到快速性心律失常发作,以响应未确认的节拍计数等于或大于拒绝阈值。
    • 58. 发明申请
    • APPARATUS FOR VERIFYING DISCRIMINATING OF TACHYCARDIA EVENTS IN A MEDICAL DEVICE HAVING DUAL SENSING VECTORS
    • 用于在具有双感测矢量的医疗设备中鉴别TACHYCARDIA事件的装置
    • WO2015161143A1
    • 2015-10-22
    • PCT/US2015/026277
    • 2015-04-17
    • MEDTRONIC, INC.
    • ZHANG, Xusheng
    • A61N1/39
    • A61N1/3987A61B5/04011A61B5/04012A61B5/042A61N1/3925A61N1/3962
    • A method and medical device for detecting a cardiac event that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector sensing a first interval and a second sensing vector sensing a second interval, determining, for each of the first interval and the second interval, whether each beat of the plurality of beats is one of a match beat and a non-match beat, determining whether each beat of the plurality of beats is one of a high confidence beat and a low confidence beat, determining, for each of the first interval and the second interval, the number of beats determined to be both a non-match beat and a high confidence beat being greater than a threshold, and determining whether to deliver therapy in response to identifying of each of the first interval and the second interval as being one of shockable and not shockable.
    • 一种用于检测心脏事件的方法和医疗装置,其包括感测来自形成感测第一间隔的第一感测向量的多个电极的心脏信号和感测第二间隔的第二感测向量,对于第一间隔和第二间隔 间隔,多个节拍中的每个拍子是否是匹配拍子和不匹配拍子之一,确定多个拍子中的每个拍子是否是高置信拍子和低置信拍子之一,为 第一间隔和第二间隔,确定为不匹配搏动和高置信度搏动的搏动次数大于阈值,以及响应于识别第一间隔和 第二间隔是可震荡的,不可震撼的。
    • 59. 发明申请
    • METHOD AND APPARATUS FOR DISCRIMINATING TACHYCARDIA EVENTS IN A MEDICAL DEVICE USING TWO SENSING VECTORS
    • 用于使用两个感测矢量鉴别医疗设备中的TACHYCARDIA事件的方法和装置
    • WO2015157537A1
    • 2015-10-15
    • PCT/US2015/025152
    • 2015-04-09
    • MEDTRONIC, INC.
    • ZHANG, Xusheng
    • A61B5/046A61B5/0464A61B5/0452A61B5/04A61B5/042A61B5/00
    • A61N1/3987A61B5/04011A61B5/0422A61B5/04525A61B5/046A61B5/0464A61B5/7207
    • A method and medical device for detecting a cardiac event that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector sensing a first interval of the cardiac signal during a predetermined time period and a second sensing vector simultaneously sensing a second interval of the cardiac signal during the predetermined time period, identifying each of the first interval and the second interval as being one of shockable and not shockable in response to first processing of the first interval and the second interval and in response to second processing of one or both of the first interval and the second interval, the second processing being different from the first processing, and determining whether to deliver therapy for the cardiac event in response to identifying each of the first interval and the second interval as being one of shockable and not shockable.
    • 一种用于检测心脏事件的方法和医疗装置,其包括感测来自多个电极的心脏信号,所述多个电极形成在预定时间段内感测心脏信号的第一间隔的第一感测向量,以及第二感测向量,同时感测心脏信号的第二间隔 在预定时间段期间,响应于第一间隔和第二间隔的第一处理以及响应于第一间隔和第二间隔中的一个或两者的第二处理,将第一间隔和第二间隔中的每一个识别为可震荡且不可震荡的一个 所述第一间隔和所述第二间隔,所述第二处理与所述第一处理不同,并且响应于将所述第一间隔和所述第二间隔中的每一个识别为可震荡且不可震荡的一个来确定是否为所述心脏事件递送治疗。
    • 60. 发明申请
    • METHOD AND APPARATUS FOR DISCRIMINATING TACHYCARDIA EVENTS IN A MEDICAL DEVICE
    • 用于在医疗设备中鉴别TACHYCARDIA事件的方法和装置
    • WO2015153459A1
    • 2015-10-08
    • PCT/US2015/023341
    • 2015-03-30
    • MEDTRONIC, INC.
    • ZHANG, XushengSTADLER, Robert W.
    • A61N1/39
    • A61N1/39A61B5/0452A61B5/0464A61B5/686A61N1/3925A61N1/3956
    • A method and medical device for detecting a cardiac event that includes determining, during first processing of a first interval sensed along a first sensing vector and a second interval sensed along a second sensing vector, whether one or both of the first interval and the second interval is within one of a ventricular tachycardia shock zone and a ventricular fibrillation shock zone, identifying the cardiac event as a shockable event in response to one or both of the first interval and the second interval being within the ventricular tachycardia shock zone, identifying the cardiac event as a shockable event in response to both of the first interval and the second interval being within the ventricular fibrillation shock zone, and determining whether to confirm the cardiac event being identified as a shockable event in response to the identifying.
    • 一种用于检测心脏事件的方法和医疗装置,包括在沿着第一感测向量感测的第一间隔和沿着第二感测向量感测的第二间隔的第一处理期间确定第一间隔和第二间隔中的一个或两个 在心室心动过速休克区和心室颤动休克区之一内,将心脏事件识别为响应于在心室心动过速休克区内的第一间隔和第二间隔中的一个或两个的可震荡事件,识别心脏事件 作为响应于心室颤动休克区域内的第一间隔和第二间隔两者的可震荡事件,以及响应于识别确定是否确定心脏事件被识别为可震荡事件。