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1. 发明申请

WO2007115104A3 METHOD AND APPARATUS FOR DETECTING ARRHYTHMIAS IN A MEDICAL DEVICE 审中-公开
公开(公告)号：WO2007115104A3
公开(公告)日：2007-10-11
申请号：PCT/US2007/065520
申请日：2007-03-29
申请人： MEDTRONIC, INC , ZHANG, Xusheng , STADLER, Robert W. , GHANEM, Raja N. , KLECKNER, Karen J. , KRAUSE, Paul G. , MAHAJAN, Veerdhaval
发明人： ZHANG, Xusheng , STADLER, Robert W. , GHANEM, Raja N. , KLECKNER, Karen J. , KRAUSE, Paul G. , MAHAJAN, Veerdhaval
IPC分类号： A61B5/046 , A61B5/0464 , H04B15/00 , A61N1/39
摘要： A method of detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector and a second sensing vector, determining inflections of the sensed cardiac signals, generating a pulse amplitude threshold in response to the determined inflections, determining whether the sensed cardiac signals are corrupted by noise in response to the determined inflections and the generated pulse amplitude threshold, and determining, in response to the sensed cardiac signals being corrupted by noise, whether the sensed cardiac signals are both corrupted by noise and shockable.

2. 发明申请

WO2008137539A1 METHOD AND APPARATUS FOR DETECTING ARRHYTHMIAS IN A MEDICAL DEVICE 审中-公开
标题翻译：用于检测医疗器械中的ARRHYTHMIAS的方法和装置
公开(公告)号：WO2008137539A1
公开(公告)日：2008-11-13
申请号：PCT/US2008/062206
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. , KRAUSE, Paul, G.
发明人： GHANEM, Raja N. , STADLER, Robert W. , ZHANG, Xusheng , KLECKNER, Karin J. , KRAUSE, Paul, G. , 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：一种用于确定医疗装置中的过度感测的方法和装置，包括感测心脏信号，确定与在预定感测窗口期间感测到的心脏信号相关联的过度感应特征，响应于过敏特性识别过敏，响应于被识别的过冷而确定，与在预定感测窗口期间感测到的心脏信号相关联的调整特性，以及响应于确定的调整特性来更新感测参数。

3. 发明申请

WO2008137536A1 METHOD AND APPARATUS FOR DETECTING ARRHYTHMIAS IN A MEDICAL DEVICE 审中-公开
标题翻译：用于检测医疗器械中的ARRHYTHMIAS的方法和装置
公开(公告)号：WO2008137536A1
公开(公告)日：2008-11-13
申请号：PCT/US2008/062201
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： A61N1/3704 , A61B5/046 , A61B5/0464 , A61B5/7239 , A61N1/3621 , A61N1/3925
摘要： A method and apparatus for adjusting a sensing parameter in a medical device that includes a sensing electrode sensing cardiac signals, a processor to determine an adjusting characteristic associated with the cardiac signals sensed over a predetermined sensing window, and a control unit to update the sensing parameter in response to the determined adjusting characteristic.
摘要翻译：一种用于调整包括感测心脏信号的感测电极的医疗装置中的感测参数的方法和装置，用于确定与在预定感测窗口上感测到的心脏信号相关联的调整特性的处理器以及用于更新感测参数的控制单元响应于确定的调整特性。

4. 发明申请

WO2007117822A1 METHOD AND APPARATUS FOR DETECTING ARRHYTHMIAS IN A SUBCUTANEOUS MEDICAL DEVICE 审中-公开
标题翻译：用于检测亚急性医疗器械中的ARRHYTHMIAS的方法和装置
公开(公告)号：WO2007117822A1
公开(公告)日：2007-10-18
申请号：PCT/US2007/063784
申请日：2007-03-12
申请人： MEDTRONIC, INC. , STADLER, Robert W. , GHANEM, Raja N. , ZHANG, Xusheng , GREENHUT, Saul E.
发明人： STADLER, Robert W. , GHANEM, Raja N. , ZHANG, Xusheng , GREENHUT, Saul E.
IPC分类号： A61B5/046 , A61B5/0464 , A61N1/39
CPC分类号： A61N1/3956 , A61B5/046 , A61B5/0464 , A61B5/7239 , A61N1/3621
摘要： A method and apparatus for detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector and a second sensing vector, advancing from a first state to a second state in response to processing of an interval associated with a cardiac cycle of the sensed cardiac signals, and advancing from the second state in response to processing of a cardiac signal sensed during a predetermined sensing window.
摘要翻译：一种用于检测医疗装置中的心脏事件的方法和装置，包括：感测来自形成第一感测向量的多个电极的心脏信号和响应于间隔的处理从第一状态进入第二状态的第二感测向量与感测的心脏信号的心动周期相关联，并且响应于在预定感测窗口期间感测的心脏信号的处理而从第二状态前进。

5. 发明申请

WO2011136926A1 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：WO2011136926A1
公开(公告)日：2011-11-03
申请号：PCT/US2011/032265
申请日：2011-04-13
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 , A61N1/362
CPC分类号： A61B5/0464 , A61B5/7203 , A61N1/3622 , A61N1/36507 , A61N1/37264
摘要： A medical device and associated method for discriminating cardiac events includes determining whether a first match score is within a first match zone having a first correlation with a non-treatable cardiac event, a second match zone having a second correlation with the non-treatable cardiac event less than the first correlation with the non-treatable event, a third match zone having a first correlation with a treatable cardiac event, and a fourth match zone having a second correlation with the treatable cardiac event greater than the first correlation with the treatable cardiac event. A determination is made as to whether a second match score and a third match score are within the first match zone, the second match zone, the third match zone and the fourth match zone to generate a first adjusting factor, and cardiac event evidence is accumulated in response to the first adjusting factor for discriminating cardiac events.
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第一匹配得分是否在与不可治疗心脏事件具有第一相关性的第一匹配区域内，与不可治疗心脏事件具有第二相关性的第二匹配区域小于与不可治疗事件的第一相关性，具有与可治疗心脏事件的第一相关性的第三匹配区，以及与可治疗心脏事件具有大于与可治疗心脏事件的第一相关性的第二相关性的第四匹配区。确定第二匹配分数和第三匹配分数是否在第一匹配区域，第二匹配区域，第三匹配区域和第四匹配区域内，以产生第一调整因子，并且累积心脏事件证据响应于用于区分心脏事件的第一调整因子。

6. 发明申请

WO2011136923A1 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：WO2011136923A1
公开(公告)日：2011-11-03
申请号：PCT/US2011/032208
申请日：2011-04-13
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 , A61N1/362
CPC分类号： A61B5/0464 , A61B5/04525 , A61B5/686 , A61B5/6869 , A61B5/7203 , A61N1/3621 , A61N1/3624 , A61N1/3962
摘要： A medical device and associated method for discriminating cardiac events includes determining whether a first match score is within a first match zone having a first correlation with a non-treatable cardiac event, a second match zone having a second correlation with the non-treatable cardiac event less than the first correlation, a third match zone having a first correlation with a treatable cardiac event, and a fourth match zone having a second correlation with the treatable cardiac event greater than the first correlation with the treatable cardiac event. In response to the first match score being within one of the first and second match zones, a determination is made whether consecutive match scores are within the first match zone and whether a break in the treatable cardiac event has occurred. Cardiac evidence is accumulated in response to determining whether a break has occurred and utilized to discriminate cardiac events.
摘要翻译：用于识别心脏事件的医疗装置和相关联的方法包括确定第一匹配得分是否在与不可治疗心脏事件具有第一相关性的第一匹配区域内，与不可治疗心脏事件具有第二相关性的第二匹配区域小于第一相关性，具有与可治疗心脏事件的第一相关性的第三匹配区，以及与可治疗心脏事件具有大于与可治疗心脏事件的第一相关性的第二相关性的第四匹配区。响应于第一匹配分数在第一和第二匹配区域之一内，确定连续匹配分数是否在第一匹配区域内，以及是否发生可治疗心脏事件的中断。响应于确定是否发生休息并利用心脏事件来积累心脏证据。

7. 发明申请

WO2011136950A1 APPARATUS FOR DETECTING AND DISCRIMINATING TACHYCARDIA 审中-公开
标题翻译：用于检测和鉴定TACHYCARDIA的装置
公开(公告)号：WO2011136950A1
公开(公告)日：2011-11-03
申请号：PCT/US2011/032819
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： A61N1/3956 , A61B5/0255 , A61B5/0464 , A61B5/686 , 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, advancing from a concerned state to a convinced state in response to the evidence counter being greater than the predetermined detection threshold, determining whether a reduction in the cardiac evidence counter occurs while in the convinced state, determining whether one of a first rate corresponding to the first sensing vector and a second rate corresponding to the second sensing vector is less than a predetermined rate limit, and determining whether to advance from the convinced state to one of a therapy delivery state, the concerned state and the unconcerned state in response to determining whether one of the first rate and the second rate is less than a predetermined rate limit..
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，从有关状态进入确信状态，确定是否在令人信服的状态下，发生心脏证据计数器的减少，确定对应于第一感测向量的第一速率和对应于第二感测向量的第二速率中的一个是否小于预定速率限制，并且确定是否前进响应于确定第一速率和第二速率之一是否小于预定速率限制，从确定状态到治疗传递状态之一，有关状态和不关心状态。

8. 发明申请

WO2010126703A1 IMPLANTABLE MEDICAL DEVICE WITH MEANS FOR DISTINGUISHING BETWEEN TREATABLE AND NON-TREATABLE HEART RHYTHMS 审中-公开
标题翻译：具有可治疗和不可治疗心脏疾病之间差异的手段的可植入医疗器械
公开(公告)号：WO2010126703A1
公开(公告)日：2010-11-04
申请号：PCT/US2010/030711
申请日：2010-04-12
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： A61N1/362
CPC分类号： A61N1/3621 , A61B5/04525 , A61B5/046 , A61B5/0464 , A61B5/726 , A61B5/7264 , A61N1/36507 , A61N1/3962 , G06F19/00
摘要： Techniques are described for distinguishing between treatable and non-treatable heart rhythms. A medical device that operates in accordance with the techniques analyzes characteristics over several cardiac event intervals to detect initiation of a sudden rate onset. After detection of the initiation of the sudden rate onset, the IMD analyzes a morphology of an EGM associated with a selected cardiac event within the first several beats after the initiation of sudden rate onset. In one example, the IMD analyzes the morphology of the EGM associated with the first cardiac event immediately subsequent to the initiation of the sudden rate onset. If the morphology of the EGM of the selected cardiac event is abnormal compared to template EGM, the rhythm is classified as treatable. Otherwise, the rhythm is classified as non-treatable.
摘要翻译：描述了用于区分可治疗和不可治疗的心脏节律的技术。根据该技术操作的医疗装置分析几个心脏事件间隔的特征，以检测突然发生率的起始。在检测到突发性发作起始之后，IMD分析在突然发病起始之后的前几次心跳中与所选心脏事件相关的EGM的形态。在一个实例中，IMD分析与突然发病起始之后紧接着的第一次心脏事件相关的EGM的形态。如果所选心脏事件的EGM的形态与模板EGM相比异常，则将节律分类为可治疗的。否则，节奏被分类为不可治疗。

9. 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。

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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