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    • 1. 发明申请
    • METHOD AND APPARATUS TO PERFORM ELECTRODE COMBINATION SELECTION
    • 执行电极组合选择的方法和装置
    • WO2009020639A1
    • 2009-02-12
    • PCT/US2008/009488
    • 2008-08-07
    • CARDIAC PACEMAKERS, INC.SATHAYE, AlokBROOKE, M., JasonTOCKMAN, BruceACUNA, Andrea, E.
    • SATHAYE, AlokBROOKE, M., JasonTOCKMAN, BruceACUNA, Andrea, E.
    • A61N1/372
    • A61N1/3708A61N1/36185A61N1/3627A61N1/3684A61N1/3686A61N1/37A61N1/3706A61N1/371A61N1/37211A61N1/37241A61N1/3962
    • The present invention involves approaches for selecting one or more electrode combinations. Various method embodiments can include means for implanting a plurality of cardiac electrodes supported by one or more leads in a patient, attaching the one or more leads to a patient external analyzer circuit, means for delivering electrical stimulation to the patient's heart using the plurality of cardiac electrodes and the analyzer circuit, means for evaluating, for each electrode combination of a plurality of electrode combinations of the plurality of cardiac electrodes, one or more first parameters and one or more second parameters produced by the electrical stimulation delivered using the electrode combination, the first parameters supportive of cardiac function consistent with a prescribed therapy and the second parameters not supportive of cardiac function consistent with the prescribed therapy, means for selecting one or more electrode combinations of the plurality of cardiac electrodes based on the evaluation, the one or more electrode combinations selected as being associated with the one or more first parameters and less associated with the one or more second parameters relative to other electrode combinations of the plurality of cardiac electrodes, means for programming an implantable pacing circuit to deliver a cardiac pacing therapy that preferentially uses the selected one or more electrode combinations relative to other electrode combinations of the plurality of cardiac electrodes, means for detaching the one or more leads from the analyzer circuit, means for attaching the one or more leads to the implantable pacing circuit, and means for implanting the implantable pacing circuit.
    • 本发明涉及用于选择一种或多种电极组合的方法。 各种方法实施例可以包括用于植入由患者中的一个或多个引线支撑的多个心脏电极的装置,将一个或多个引线附接到患者外部分析器电路,用于使用多个心脏向患者的心脏递送电刺激的装置 电极和分析器电路,用于评估多个心电极的多个电极组合的每个电极组合的一个或多个第一参数和通过使用电极组合输送的电刺激产生的一个或多个第二参数的装置, 支持心脏功能的第一参数与规定的治疗一致,以及不支持符合规定治疗的心脏功能的第二参数,用于基于评估来选择多个心电极的一个或多个电极组合的装置,所述一个或多个电极 组合选择为联系人 d,其中所述一个或多个第一参数并且相对于所述多个心电极的其它电极组合与所述一个或多个第二参数相关联;用于编程可植入起搏电路以输送优先使用所选择的心脏起搏电路的心脏起搏治疗的装置, 相对于多个心电极的其它电极组合的更多电极组合,用于从分析器电路分离一个或多个引线的装置,用于将一个或多个引线附接到可植入起搏电路的装置,以及用于植入可植入起搏电路的装置 。