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1. 发明申请

WO2016069720A1 GRAVITY LOCKING MECHANISM 审中-公开
标题翻译： GRAVITY锁定机构
公开(公告)号：WO2016069720A1
公开(公告)日：2016-05-06
申请号：PCT/US2015/057767
申请日：2015-10-28
申请人： ROBERT BOSCH GMBH , ZHANG, Xusheng
发明人： ZHANG, Xusheng
IPC分类号： E05B63/00
CPC分类号： B25H1/08 , B25H1/0064 , F16M11/041 , F16M13/022
摘要： A gravity locking system includes a mounting structure and an article which includes an alignment structure, gravity load structure, and locking structure. The alignment structure is fixed to the article and aligns the article with the mounting structure. The gravity load structure is movable on the article and biased toward an unrestrained position. As the article moves toward the mounting structure, the gravity load structure moves away from the unrestrained position. The locking structure is movable on the article such that movement of the gravity load structure away from and toward the unrestrained position corresponds with movement of the locking structure toward and away from a closed position respectively. When weight of the article is supported by the gravity load structure on the mounting structure, the locking structure is urged against the mounting structure to lock the locking mechanism.
摘要翻译：重力锁定系统包括安装结构和包括对准结构，重力负载结构和锁定结构的物品。对准结构固定在物品上并将物品与安装结构对准。重力负载结构可在物品上移动并偏向无限制位置。当物品朝向安装结构移动时，重力负载结构移动远离无限制位置。锁定结构可以在物品上移动，使得重力装载结构远离和朝向无限制位置的运动分别对应于锁定结构朝向和远离关闭位置的运动。当物品的重量由安装结构上的重力负载结构支撑时，锁定结构被推靠在安装结构上以锁定锁定机构。

2. 发明申请

WO2011136949A1 METHOD AND APPARATUS FOR DETECTING AND DISCRIMINATING TACHYCARDIA 审中-公开
标题翻译：用于检测和鉴定TACHYCARDIA的方法和装置
公开(公告)号：WO2011136949A1
公开(公告)日：2011-11-03
申请号：PCT/US2011/032817
申请日：2011-04-18
申请人： MEDTRONIC, INC. , STADLER, Robert W. , ZHANG, Xusheng
发明人： STADLER, Robert W. , ZHANG, Xusheng
IPC分类号： A61N1/39 , A61B5/0464
CPC分类号： A61N1/3925 , A61B5/024 , A61B5/02405 , A61B5/14532 , A61B5/7203
摘要： A medical device and associated method for discriminating cardiac events includes determining whether a cardiac evidence counter is greater than a predetermined detection threshold, determining whether to advance from a current state to a next state in response to the evidence counter being greater than the predetermined detection threshold, determining whether advancing from a previous state to the current state occurred while in one of a low variability mode and a high variability mode during the previous state, and determining whether to advance from the current state to a previous state in response to determining whether advancing from a previous state to the current state occurred while operating in one of a low variability mode and a high variability mode during the previous state.
摘要翻译：用于鉴别心脏事件的医疗装置和相关联的方法包括确定心脏证据计数器是否大于预定检测阈值;响应于证据计数器大于预定检测阈值来确定是否从当前状态提前到下一状态在先前状态下，确定是否从先前状态进入到当前状态，同时以低可变性模式和高可变性模式之一发生，并且响应于是否前进而确定是否从当前状态前进到先前状态在先前状态期间以低变异性模式和高可变性模式之一操作时发生从先前状态到当前状态。

3. 发明申请

WO2011002535A1 HEART SOUND SENSING TO REDUCE INAPPROPRIATE TACHYARRHYTHMIA THERAPY 审中-公开
标题翻译：心脏感觉减少不明显的TACHYARRHYTHMIA治疗
公开(公告)号：WO2011002535A1
公开(公告)日：2011-01-06
申请号：PCT/US2010/030268
申请日：2010-04-07
申请人： MEDTRONIC, INC. , ZHANG, Xusheng , ANDERSON, David, A. , HUSTON, Jeffrey, M. , GILLBERG, Jeffrey, M.
发明人： ZHANG, Xusheng , ANDERSON, David, A. , HUSTON, Jeffrey, M. , GILLBERG, Jeffrey, M.
IPC分类号： A61N1/362 , A61N1/365
CPC分类号： A61N1/3621 , A61N1/3624 , A61N1/36528 , A61N1/36535
摘要： Techniques for detecting heart sounds to reduce inappropriate tachyarrhythmia therapy are described. In some examples, a medical device determines that a cardiac rhythm of the patient is treatable with a therapy, such as a defibrillation pulse, based on a cardiac electrogram (EGM). The medical device analyzes detected heart sounds, and withholds or allows the therapy based on the analysis of the heart sounds.
摘要翻译：描述了用于检测心音以减少不适当的快速性心律失常治疗的技术。在一些示例中，医疗装置通过基于心电图（EGM）的治疗，例如除颤脉冲来确定患者的心律是可治疗的。医疗器械分析检测到的心脏声音，并根据对心脏声音的分析，保留或允许进行治疗。

4. 发明申请

WO2008137539A9 METHOD AND APPARATUS FOR DETECTING ARRHYTHMIAS IN A MEDICAL DEVICE 审中-公开
标题翻译：用于检测医疗设备中的心律失常的方法和设备
公开(公告)号：WO2008137539A9
公开(公告)日：2008-12-31
申请号：PCT/US2008062206
申请日：2008-05-01
申请人： MEDTRONIC INC , GHANEM RAJA N , STADLER ROBERT W , ZHANG XUSHENG , KLECKNER KARIN J , KRAUSE PAUL G
发明人： GHANEM RAJA N , STADLER ROBERT W , ZHANG XUSHENG , KLECKNER KARIN J , KRAUSE PAUL G
IPC分类号： A61B5/046 , A61B5/0464 , A61B5/0472 , A61N1/362 , A61N1/39
CPC分类号： A61B5/0464 , A61B5/7239 , A61N1/3621 , A61N1/3704 , A61N1/3925
摘要： A method and apparatus for determining oversensing in a medical device that includes sensing cardiac signals, determining an oversensing characteristic associated with cardiac signals sensed during a predetermined sensing window, identifying oversensing in response to the oversensing characteristic, determining, in response to oversensing being identified, an adjusting characteristic associated with cardiac signals sensed during the predetermined sensing window, and updating a sensing parameter in response to the determined adjusting characteristic.
摘要翻译： 1.一种用于确定医疗设备中的过度感测的方法和设备，所述过度感测包括感测心脏信号，确定与在预定感测窗口期间感测的心脏信号相关联的过度感测特征，响应于过度感测特征识别过度感测，响应于识别出过度感测，与在预定感测窗口期间感测的心脏信号相关联的调整特性，以及响应于所确定的调整特性来更新感测参数。

5. 发明申请

WO2008137529A2 METHOD AND APPARATUS FOR DETECTING ARRHYTHMIAS IN A MEDICAL DEVICE 审中-公开
标题翻译：用于检测医疗设备中的心律失常的方法和设备
公开(公告)号：WO2008137529A2
公开(公告)日：2008-11-13
申请号：PCT/US2008/062193
申请日：2008-05-01
申请人： MEDTRONIC, INC. , GHANEM, Raja, N. , STADLER, Robert, W. , ZHANG, Xusheng , KLECKNER, Karin, J. , KRAUSE, Paul, G.
发明人： GHANEM, Raja, N. , STADLER, Robert, W. , ZHANG, Xusheng , KLECKNER, Karin, J. , KRAUSE, Paul, G.
IPC分类号： A61B5/0456 , A61B5/046 , A61B5/0464 , A61B5/0468 , A61B5/0472 , A61N1/362
CPC分类号： A61N1/3704 , A61B5/046 , A61B5/0464 , A61B5/7239 , A61N1/05 , A61N1/0563 , A61N1/3925
摘要： A method and apparatus for determining oversensing of cardiac signals that includes a housing containing electronic circuitry, an electrode coupled to the electronic circuitry to sense cardiac signals, and a processor, positioned within the housing, to determine an oversensing characteristic associated with the cardiac signals sensed over a predetermined sensing window, and to identify oversensing in response to the determined oversensing characteristic.
摘要翻译：一种用于确定心脏信号的过度感测的方法和设备，所述方法和设备包括：包含电子电路的外壳，耦合到电子电路以感测心脏信号的电极，以及位于外壳内的处理器，以确定过度感测特征与在预定感测窗口上感测的心脏信号相关联，并且响应于所确定的过度感测特征来识别过度感测。

6. 发明申请

WO2012058148A1 A SYSTEM FOR DERIVING RESPIRATION FROM INTRACARDIAC ELECTROGRAMS (EGM) OR ECG SIGNALS 审中-公开
标题翻译：用于从内脏电子（EGM）或ECG信号传递呼吸的系统
公开(公告)号：WO2012058148A1
公开(公告)日：2012-05-03
申请号：PCT/US2011/057473
申请日：2011-10-24
申请人： MEDTRONIC, INC. , ZHANG, Xusheng , GILLBERG, Jeffrey M.
发明人： ZHANG, Xusheng , GILLBERG, Jeffrey M.
IPC分类号： A61B5/08
CPC分类号： A61B5/0452 , A61B5/0816 , A61B5/7239 , A61B5/7278 , A61B5/7282
摘要： An apparatus for monitoring respiration in a patient sense a cardiac electrical signal and detect signal peaks from the cardiac electrical signal. A peak amplitude waveform is generated from the signal peaks. A first derivative of the peak amplitude waveform is computed. Inspiration pulses are derived from the first derivative signal, and a respiration metric can be computed using the inspiration pulses derived from the cardiac electrical signal.
摘要翻译：用于监测患者呼吸的装置感测到心电信号，并检测心电信号的信号峰值。从信号峰值产生峰值振幅波形。计算峰值幅度波形的一阶导数。启发脉冲从一阶导数信号导出，并且可以使用从心电信号导出的吸气脉冲来计算呼吸度量。

7. 发明申请

WO2012058141A1 OPTIMIZATION OF ARRHYTHMIA DETECTION BASED ON PATIENT ACTIVITY 审中-公开
标题翻译：基于患者活动的ARRHYTHMIA检测优化
公开(公告)号：WO2012058141A1
公开(公告)日：2012-05-03
申请号：PCT/US2011/057444
申请日：2011-10-24
申请人： MEDTRONIC, INC. , BHUNIA, Sourav K. , ZHANG, Xusheng
发明人： BHUNIA, Sourav K. , ZHANG, Xusheng
IPC分类号： A61N1/362 , A61N1/365 , A61N1/37
CPC分类号： A61N1/3621 , A61N1/36542 , A61N1/3702
摘要： An implantable medical device is configured to perform a method for detecting cardiac events by sensing a patient activity signal and determining a patient activity trend in response to the activity signal. A cardiac event detection threshold is set in response to the patient activity trend. The device senses a cardiac signal and detects a cardiac event in response to the cardiac signal and the detection threshold.
摘要翻译：可植入医疗装置被配置为执行用于通过感测患者活动信号来检测心脏事件并且响应于活动信号确定患者活动趋势的方法。响应于患者活动趋势设置心脏事件检测阈值。该装置感测心脏信号并且响应于心脏信号和检测阈值来检测心脏事件。

8. 发明申请

WO2012051163A1 A SEQUENTIAL DISCRIMINATION APPROACH FOR DETECTING TREATABLE CARDIAC RHYTHMS 审中-公开
标题翻译：用于检测可治疗心脏病的顺序分析方法
公开(公告)号：WO2012051163A1
公开(公告)日：2012-04-19
申请号：PCT/US2011/055732
申请日：2011-10-11
申请人： MEDTRONIC, INC. , ZHANG, Xusheng , STADLER, Robert, W. , GILLBERG, Jeffrey M.
发明人： ZHANG, Xusheng , STADLER, Robert, W. , GILLBERG, Jeffrey M.
IPC分类号： A61B5/0464 , A61N1/39
CPC分类号： A61B5/7267 , A61B5/0422 , A61B5/046 , A61B5/0464 , A61B5/686 , A61B5/7239 , A61N1/3624 , A61N1/3962
摘要： A system and method for use in a medical device for discriminating cardiac events establishes population-based thresholds corresponding to cardiac signal morphology metrics for discriminating between a first cardiac event and a second cardiac event. A population-based threshold criterion for discriminating cardiac events is established. The population-based threshold criterion is applied to a cardiac signal segment and the segment is classified if the criterion is satisfied. A patient-specific threshold is established in response to the sensed cardiac signal segment not being classified after applying the population-based threshold criterion. The sensed signal segment is classified in response to the patient-specific threshold comparison.
摘要翻译：用于辨别心脏事件的医疗装置中的系统和方法建立了对应于心脏信号形态度量的基于群体的阈值，用于区分第一心脏事件和第二心脏事件。建立了基于人群的阈值判别标准，用于辨别心脏事件。基于人群的阈值标准被应用于心脏信号段，并且如果满足标准，则对该段进行分类。响应于在应用基于群体的阈值标准之后未被分类的感测到的心脏信号段建立患者特异性阈值。感测的信号段根据患者特异性阈值比较进行分类。

9. 发明申请

WO2011139531A1 METHOD AND APPARATUS FOR DETECTING AND DISCRIMINATING TACHYCARDIA 审中-公开
标题翻译：用于检测和鉴定TACHYCARDIA的方法和装置
公开(公告)号：WO2011139531A1
公开(公告)日：2011-11-10
申请号：PCT/US2011/032820
申请日：2011-04-18
申请人： MEDTRONIC, INC. , STADLER, Robert , W. , ZHANG, Xusheng , GILLBERG, Jeffrey, M.
发明人： STADLER, Robert , W. , ZHANG, Xusheng , GILLBERG, Jeffrey, M.
IPC分类号： A61N1/362 , A61B5/0464 , A61N1/39
CPC分类号： A61B5/02405 , A61B5/0031 , A61B5/04011 , A61B5/0464 , A61B5/0468 , A61B5/686 , A61B5/6869 , A61B5/7203 , A61N1/3622 , A61N1/36507 , A61N1/37264
摘要： A medical device and associated method for monitoring a patient's heart rhythm sense cardiac events and detect a sudden change in the heart rhythm in response to the sensed cardiac events. Detecting the sudden change includes determining a variability of intervals between the sensed cardiac events and switching between a low variability mode of operation and a high variability mode of operation in response to the variability of intervals. During the low variability mode, detecting the sudden change includes detecting an increase in the rate of cardiac events. During the high variability mode, detecting the sudden change includes detecting a sudden decrease in the variability of the cardiac event intervals. A concerning cardiac rhythm is detected in response to detecting the sudden change.
摘要翻译：用于监测患者心律的医疗装置和相关联的方法感测心脏事件并且响应于感测到的心脏事件来检测心律的突然变化。检测突然变化包括响应于间隔的可变性来确定所感测的心脏事件之间的间隔的可变性和低变异性操作模式与高变异性操作模式之间的切换。在低变异性模式期间，检测突然变化包括检测心脏事件发生率的增加。在高可变性模式期间，检测突然变化包括检测心脏事件间隔的变异性的突然降低。响应于检测到突然变化而检测到关于心律的A。

10. 发明申请

WO2011136916A1 METHOD AND APPARATUS FOR DETECTING AND DISCRIMINATING TACHYCARDIA 审中-公开
标题翻译：用于检测和鉴定TACHYCARDIA的方法和装置
公开(公告)号：WO2011136916A1
公开(公告)日：2011-11-03
申请号：PCT/US2011/032004
申请日：2011-04-12
申请人： MEDTRONIC, INC. , ZHANG, Xusheng , STADLER, Robert W. , GILLBERG, Jeffrey M.
发明人： ZHANG, Xusheng , STADLER, Robert W. , GILLBERG, Jeffrey M.
IPC分类号： A61N1/39 , A61B5/0452
CPC分类号： A61B5/04525 , A61B5/02405 , A61B5/7203 , A61N1/3962
摘要： A medical device and associated method for discriminating cardiac events includes sensing a cardiac signal spatially located across approximately a full duration of a predetermined sensing window. A match score is determined corresponding to the sensed cardiac signal. A beat feature of multiple beat features across less than the full duration of the sensing window is determined, the beat feature being selected from the multiple beat features in response to the match score. Cardiac event evidence is accumulated in response to the match score and the determined beat feature, and cardiac events are discriminated in response to the accumulated cardiac evidence.
摘要翻译：用于鉴别心脏事件的医疗装置和相关联的方法包括感测在预定感测窗口的大约整个持续时间上空间定位的心脏信号。根据感测的心脏信号确定匹配分数。确定在小于感测窗口的整个持续时间的多个拍子特征的拍子特征，响应于匹配分数，从多拍特征中选择节拍特征。响应于匹配得分和确定的搏动特征累积心脏事件证据，并且响应于累积的心脏证据来区分心脏事件。

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