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1. 发明申请

WO2007062246A3 METHOD AND SYSTEM FOR POST-PROCESSING OF EPISODES DETECTED BY A MEDICAL DEVICE 审中-公开
标题翻译：用于医疗装置检测的EPISOD的后处理方法和系统
公开(公告)号：WO2007062246A3
公开(公告)日：2007-07-12
申请号：PCT/US2006045527
申请日：2006-11-28
申请人： MEDTRONIC INC , GUNDERSON BRUCE D , BROWN MARK L , PATEL AMISHA SOMABHAI
发明人： GUNDERSON BRUCE D , BROWN MARK L , PATEL AMISHA SOMABHAI
IPC分类号： A61B5/0452 , A61N1/362
CPC分类号： A61B5/0452 , A61B5/0006 , A61B5/0031 , A61B5/04525 , A61B2560/0271 , A61N1/368 , A61N1/3702 , A61N1/3706 , A61N1/37211 , A61N1/3925 , A61N1/3962 , G06F19/3418
摘要： A system and method for post-processing of sensing data generated by a medical device (220) that includes transmitting a plurality of stored sensing data generated by a medical device to an access device (240) , the stored sensing data including sensed atrial events and sensed ventricular events. The access device determines, in response to the transmitted data, instances where the medical device identified a cardiac event being detected in response to the sensing data, and verifies, in response to the transmitted data, whether the determined instances should have been identified by the medical device as a cardiac event being detected.
摘要翻译：一种用于后处理由医疗设备（220）生成的感测数据的系统和方法，包括将由医疗设备生成的多个存储的感测数据发送到接入设备（240），所存储的感测数据包括感测的心房事件和感觉到心室事件。接入设备响应于所发送的数据确定响应于感测数据识别出正在检测的心脏事件的实例，并且响应于所发送的数据来验证所确定的实例是否应当由被检测为心脏事件的医疗装置。

2. 发明申请

WO2007117813A3 METHOD AND APPARATUS FOR ARRHYTHMIA EPISODE CLASSIFICATION 审中-公开
标题翻译： ARRHYTHMIA EPISODE分类方法与装置
公开(公告)号：WO2007117813A3
公开(公告)日：2008-06-19
申请号：PCT/US2007063750
申请日：2007-03-12
申请人： MEDTRONIC INC , PATEL AMISHA SOMABHAI , WEBB JAMES D , GUNDERSON BRUCE D , BROWN MARK L , CARLSON DAN B
发明人： PATEL AMISHA SOMABHAI , WEBB JAMES D , GUNDERSON BRUCE D , BROWN MARK L , CARLSON DAN B
IPC分类号： A61B5/046
CPC分类号： A61B5/0464 , A61B5/046 , A61B5/7264 , A61N1/3622 , A61N1/37211 , A61N1/3956 , G16H50/20
摘要： Apparatus and methods are provided for analyzing an episode stored by an implantable medical device (IMD) using prior probability and conditional probability information to determine the likelihood of a particular diagnosis for a given stored episode. Certain embodiments include retrieving information about a stored episode from an IMD, including an episode metric, and retrieving domain expert information about potential diagnoses and episode metrics to determine the likelihood that the stored episode was due to a particular potential diagnosis. Certain embodiments also include retrieving patient information including a patient metric, such as patient demographics, or patient history. Certain embodiments of the invention include the ability to automatically or manually update or change the domain expert information.
摘要翻译：提供了装置和方法，用于使用先验概率和条件概率信息来分析由可植入医疗装置（IMD）存储的发作，以确定针对给定存储事件的特定诊断的可能性。某些实施例包括从IMD检索关于存储的剧集的信息，包括剧集度量，以及检索有关潜在诊断和发作量度的域专家信息，以确定所存储的情节是由于特定潜在诊断的可能性。某些实施例还包括检索包括患者度量（例如患者人口统计学）或患者病史的患者信息。本发明的某些实施例包括自动地或手动地更新或改变域专家信息的能力。

3. 发明申请

WO2007062246A9 METHOD AND SYSTEM FOR POST-PROCESSING OF EPISODES DETECTED BY A MEDICAL DEVICE 审中-公开
标题翻译：用于医疗设备检测的方块后处理的方法和系统
公开(公告)号：WO2007062246A9
公开(公告)日：2007-10-11
申请号：PCT/US2006045527
申请日：2006-11-28
申请人： MEDTRONIC INC , GUNDERSON BRUCE D , BROWN MARK L , PATEL AMISHA SOMABHAI
发明人： GUNDERSON BRUCE D , BROWN MARK L , PATEL AMISHA SOMABHAI
IPC分类号： A61B5/0452 , A61N1/362
CPC分类号： A61B5/0452 , A61B5/0006 , A61B5/0031 , A61B5/04525 , A61B2560/0271 , A61N1/368 , A61N1/3702 , A61N1/3706 , A61N1/37211 , A61N1/3925 , A61N1/3962 , G06F19/3418
摘要： A system and method for post-processing of sensing data generated by a medical device (220) that includes transmitting a plurality of stored sensing data generated by a medical device to an access device (240) , the stored sensing data including sensed atrial events and sensed ventricular events. The access device determines, in response to the transmitted data, instances where the medical device identified a cardiac event being detected in response to the sensing data, and verifies, in response to the transmitted data, whether the determined instances should have been identified by the medical device as a cardiac event being detected.
摘要翻译：一种用于对由医疗设备（220）生成的感测数据进行后处理的系统和方法，所述系统和方法包括将由医疗设备生成的多个存储的感测数据发送到访问设备（240），所存储的感测数据包括感测到的心房事件和感知心室事件。访问设备响应于传输的数据确定医疗设备响应于传感数据而识别出被检测到的心脏事件的情况，并且响应于传输的数据来验证所确定的情况是否应该由医疗设备作为心脏事件被检测到。

4. 发明申请

WO2006116430A3 METHOD AND APPARATUS FOR IDENTIFYING LEAD-RELATED CONDITIONS USING PREDICTION AND DETECTION CRITERIA 审中-公开
标题翻译：使用预测和检测标准识别与铅相关的条件的方法和装置
公开(公告)号：WO2006116430A3
公开(公告)日：2006-12-28
申请号：PCT/US2006015683
申请日：2006-04-24
申请人： MEDTRONIC INC , GUNDERSON BRUCE D
发明人： GUNDERSON BRUCE D
IPC分类号： A61N1/37
CPC分类号： A61N1/3704 , A61N1/3621 , A61N1/3706 , A61N1/3925 , A61N2001/083
摘要： A method for delivering therapy in a medical device that includes a two-tiered approach of determining the presence of a lead-related condition, and determining, in response to a lead-related condition being present, the presence of oversensing. Deliver of therapy by the medical device is controlled in response to determining that both the lead-related condition and oversensing are present.
摘要翻译：一种用于在包括确定引线相关状况的存在的双层方法的医疗设备中进行治疗的方法，以及响应于存在的与引线相关的状况来确定过敏的存在。响应于确定引线相关状况和过敏两者存在，由医疗设备进行治疗的控制。

5. 发明申请

WO2004093974A2 METHOD AND APPARATUS FOR IDENTIFYING CARDIAC AND NON-CARDIAC OVERSENSING USING INTRACARDIAC ELECTROGRAMS 审中-公开
标题翻译：使用心动过程电子识别心脏和非心脏过度的方法和设备
公开(公告)号：WO2004093974A2
公开(公告)日：2004-11-04
申请号：PCT/US2004011124
申请日：2004-04-09
申请人： MEDTRONIC INC , GUNDERSON BRUCE D
发明人： GUNDERSON BRUCE D
IPC分类号： A61B5/0402 , A61B5/0452 , A61B5/0464 , A61B5/0488 , A61N1/362 , A61N1/365 , A61N1/37 , A61N1/39 , A61N1/00
CPC分类号： A61B5/0452 , A61B5/04525 , A61B5/0456 , A61B5/0464 , A61B5/7203 , A61N1/3622 , A61N1/3702 , A61N1/3925
摘要： A method and apparatus for automatically identifying various types of cardiac and non-cardiac oversensing and automatically performing a corrective action to reduce the likelihood of oversensing is provided. EGM data, including time intervals between sensed and paced events and signal morphologies, are analyzed for patterns indicative of various types of oversensing, including oversensing of far-field R-waves, R-waves, T-waves, or noise associated with electromagnetic interference, non-cardiac myopotentials, a lead fracture, or a poor lead connection. Identification of oversensing and its suspected cause are reported so that corrective action may be taken. The corrective action may include, for example, adjusting sensing parameters such as blanking periods, decay constants, decay delays, threshold values, sensitivity values, electrode configurations and the like.
摘要翻译：提供了用于自动识别各种类型的心脏和非心脏过度感应并自动执行矫正动作以降低过度感测可能性的方法和设备。 EGM数据（包括感知和起搏事件与信号形态之间的时间间隔）分析指示各种类型的过度感测的模式，包括远场R波，R波，T波或与电磁干扰相关的噪声的过度感测，非心脏肌电，铅导致骨折或导联连接不良。报告识别超量感及其可疑原因，以便采取纠正措施。校正动作可以包括例如调整诸如消隐周期，衰减常数，衰减延迟，阈值，灵敏度值，电极配置等的感测参数。

6. 发明申请

WO2012057865A8 AUTOMATIC ADJUSTMENT OF ARRHYTHMIA DETECTION PARAMETERS 审中-公开
标题翻译：自动调整ARRHYTHMIA检测参数
公开(公告)号：WO2012057865A8
公开(公告)日：2013-04-25
申请号：PCT/US2011034474
申请日：2011-04-29
申请人： MEDTRONIC INC , ZHOU XIAOHONG , STADLER ROBERT , GUNDERSON BRUCE D , OLSON WALTER H
发明人： ZHOU XIAOHONG , STADLER ROBERT , GUNDERSON BRUCE D , OLSON WALTER H
IPC分类号： A61N1/37 , A61B5/0464
CPC分类号： A61N1/3706 , A61B5/046 , A61B5/0464 , A61B5/4836 , A61N1/3621
摘要： Methods and/or devices for initiating an automatic adjustment of arrhythmia detection parameters (e.g., upon delivery of cardiac therapy after detection of VT/VF).
摘要翻译：用于启动心律失常检测参数的自动调整的方法和/或装置（例如，在检测到VT / VF之后递送心脏治疗）。

7. 发明申请

WO2004103172A3 IDENTIFICATION OF OVERSENSING USING SINUS R-WAVE TEMPLATE 审中-公开
标题翻译：使用SINUS R波模板进行识别
公开(公告)号：WO2004103172A3
公开(公告)日：2005-01-27
申请号：PCT/US2004015138
申请日：2004-05-13
申请人： MEDTRONIC INC , GUNDERSON BRUCE D , GILLBERG JEFFREY M , WILCOX JAY M
发明人： GUNDERSON BRUCE D , GILLBERG JEFFREY M , WILCOX JAY M
IPC分类号： A61N1/362 , A61N1/37 , A61B5/0452 , G06F17/00
CPC分类号： A61N1/3704 , A61N1/3622
摘要： A method and apparatus delivering therapy in an implantable medical device that includes sensing a first cardiac signal and detecting cardiac events via a first electrode configuration, determining the presence of an episode requiring therapy in response to the detected cardiac events, sensing a second cardiac signal via a second electrode configuration, comparing, in response to an episode being present, portions of the second cardiac signal corresponding to the detected cardiac events with a predetermined template, and determining whether to deliver therapy in response to the comparing.
摘要翻译：一种在可植入医疗装置中递送治疗的方法和装置，其包括感测第一心脏信号并经由第一电极配置检测心脏事件，确定响应于检测到的心脏事件需要治疗的发作的存在，通过第二电极配置，响应于存在的发作，将具有预定模板的与检测到的心脏事件相对应的第二心脏信号的部分进行比较，以及响应于比较来确定是否递送治疗。

8. 发明申请

WO2004028617A3 METHOD AND APPARATUS FOR IDENTIFYING LEAD-RELATED CONDITIONS USING LEAD IMPEDANCE MEASUREMENTS 审中-公开
标题翻译：使用铅阻抗测量来识别铅相关条件的方法和设备
公开(公告)号：WO2004028617A3
公开(公告)日：2004-05-21
申请号：PCT/US0331043
申请日：2003-09-30
申请人： MEDTRONIC INC
发明人： GUNDERSON BRUCE D , BONDS CHAD A , PATEL AMISHA S , DUFFIN EDWIN G
IPC分类号： A61B5/0424 , A61N1/08 , A61N1/39 , A61N1/37
CPC分类号： A61N1/3925 , A61B5/0424 , A61N2001/083
摘要： A method and apparatus for automatically detecting and diagnosing lead-related conditions is provided. Specifically, relatively short-term and relatively long-term impedance parameters are determined for detecting an impedance trend indicative of a lead-related condition such as an open circuit, which may be due to a conductor fracture or poor connection to an associated implantable medical device, or a short circuit due to an insulation breach. Monitoring of multiple lead impedance parameters is performed to diagnose a lead-related condition based on a number of diagnostic criteria. Supplementary analysis of multiple lead impedance parameter trends may be performed to identify lead-specific conditions, such as metal ion oxidation induced insulation degradation. A lead-related condition diagnosis and supporting data are stored in memory for uplinking to an external device for review by a clinician. A recommended corrective action and/or a patient notification signal for a lead-related condition may optionally be provided.
摘要翻译：提供了用于自动检测和诊断引线相关状况的方法和设备。具体而言，确定相对短期和相对长期的阻抗参数，以用于检测指示与引线相关的状况（例如开路）的阻抗趋势，这可能是由于导体断裂或与相关联的可植入医疗设备，或由于绝缘破坏而导致的短路。执行多个导联阻抗参数的监测以基于多个诊断标准诊断导联相关状况。可以执行对多个铅阻抗参数趋势的补充分析以识别铅特定条件，例如金属离子氧化引起的绝缘劣化。引导相关的状况诊断和支持数据被存储在存储器中用于上传到外部设备以供临床医生审查。可以可选地提供用于铅相关病症的推荐校正动作和/或患者通知信号。

9. 发明申请

WO2016003666A3 IDENTIFY INSULATION BREACH USING ELECTROGRAMS 审中-公开
标题翻译：使用电子技术鉴定绝缘线
公开(公告)号：WO2016003666A3
公开(公告)日：2016-03-24
申请号：PCT/US2015036541
申请日：2015-06-19
申请人： MEDTRONIC INC
发明人： GUNDERSON BRUCE D , STANTON MARSHALL S
IPC分类号： A61N1/08 , A61N1/37
CPC分类号： A61N1/3706 , A61B5/0402 , A61B5/0424 , A61B5/0452 , A61B5/7221 , A61B2560/0276 , A61N2001/083 , G01R31/025
摘要： An implantable medical device capable of sensing cardiac signals and delivering cardiac electrical stimulation therapies is enabled to detect a short circuit event. A signal is sensed by a sensing module coupled to electrodes. A controller detects a short circuit event in response to a slope of the sensed signal exceeding a short circuit threshold.
摘要翻译：能够感测心脏信号并递送心脏电刺激疗法的可植入医疗装置能够检测短路事件。信号由耦合到电极的感测模块感测。控制器响应于感测信号的斜率超过短路阈值来检测短路事件。

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