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91. 发明授权

US09339662B2 Methods and devices for accurately classifying cardiac activity 有权
公开(公告)号：US09339662B2
公开(公告)日：2016-05-17
申请号：US14057416
申请日：2013-10-18
申请人： Cameron Health, Inc.
发明人： Venugopal Allavatam , Surekha Palreddy , Rick Sanghera , Jay A. Warren
IPC分类号： A61B5/04 , A61N1/39 , A61B5/0452 , A61N1/37 , A61B5/00
CPC分类号： A61N1/3987 , A61B5/024 , A61B5/04014 , A61B5/0452 , A61B5/6847 , A61B5/726 , A61N1/3704 , A61N1/3956
摘要： Methods, systems, and devices for signal analysis in an implanted cardiac monitoring and treatment device such as an implantable cardioverter defibrillator. In illustrative examples, captured data including detected events is analyzed to identify likely overdetection of cardiac events. In some illustrative examples, when overdetection is identified, data may be modified to correct for overdetection, to reduce the impact of overdetection, or to ignore overdetected data. New methods for organizing the use of morphology and rate analysis in an overall architecture for rhythm classification and cardiac signal analysis are also discussed.

92. 发明申请

US20160045132A1 PEAK SELECTION FOR SELF CORRELATION ANALYSIS OF CARDIAC RATE IN AN IMPLANTABLE MEDICAL DEVICES 有权
标题翻译：用于自动相关分析的可选择医疗器械中心脏率的峰值选择
公开(公告)号：US20160045132A1
公开(公告)日：2016-02-18
申请号：US14819851
申请日：2015-08-06
申请人： CAMERON HEALTH, INC.
发明人： Krzysztof Z. Siejko
IPC分类号： A61B5/04 , A61B5/0456 , A61B5/042 , A61B5/00
CPC分类号： A61B5/04012 , A61B5/0245 , A61B5/04011 , A61B5/04014 , A61B5/0422 , A61B5/04525 , A61B5/0456 , A61B5/046 , A61B5/0464 , A61B5/4836 , A61B5/686 , A61B5/7246 , A61N1/3704 , A61N1/3925 , A61N1/3956 , A61N1/3987 , G06F17/11 , G06F17/16 , G06F19/3418 , G16H10/60 , G16H40/67
摘要： Self-correlation enhancements and implementations are described. In particular, certain examples demonstrate the use of a peak selector to identify peaks of a self-correlation function which serve as candidate cardiac rates for an implantable medical device. The approach may enable an alternative calculation of cardiac rate in an implantable medical device as a stand-alone rate detector or as a double-check of other rate calculations.
摘要翻译：描述了自相关增强和实现。特别地，某些实例证明使用峰选择器来识别用作可植入医疗装置的候选心率的自相关函数的峰值。该方法可以使得在可植入医疗装置中作为独立速率检测器或作为其他速率计算的双重检查来替代地计算心率。

93. 发明申请

US20160045129A1 USE OF DETECTION PROFILES IN AN IMPLANTABLE MEDICAL DEVICE 有权
标题翻译：在可植入医疗器械中使用检测型材
公开(公告)号：US20160045129A1
公开(公告)日：2016-02-18
申请号：US14815267
申请日：2015-07-31
申请人： CAMERON HEALTH, INC.
发明人： Venugopal Allavatam
IPC分类号： A61B5/04 , A61N1/37 , A61B5/00 , A61B5/042 , A61B5/0452
CPC分类号： A61B5/04012 , A61B5/04017 , A61B5/042 , A61B5/0422 , A61B5/0452 , A61B5/0472 , A61B5/686 , A61N1/3704
摘要： Implantable medical device systems and methods configured to use a detection profile selected from among a plurality of detection profiles to define a detection threshold for identifying cardiac events, in which a close call definition is used to determine which of the plurality of detection profiles is to be chosen. Upon identifying a close call, in which an overdetection nearly occurred but did not actually take place, a relatively less sensitive detection profile is chosen.
摘要翻译：可植入医疗装置系统和方法，被配置为使用从多个检测轮廓中选出的检测轮廓来定义用于识别心脏事件的检测阈值，其中使用紧密呼叫定义来确定多个检测轮廓中的哪一个将是选择。在识别到几乎发生但实际上没有发生过度检测的紧密呼叫时，选择相对较不敏感的检测曲线。

94. 发明授权

US09144683B2 Post-shock treatment in a subcutaneous device 有权
标题翻译：皮下装置后冲击治疗
公开(公告)号：US09144683B2
公开(公告)日：2015-09-29
申请号：US11554185
申请日：2006-10-30
申请人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann
发明人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann
IPC分类号： A61N1/39 , A61N1/362 , A61N1/375
CPC分类号： A61N1/362 , A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3962 , A61N1/3968 , A61N1/3975
摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.
摘要翻译：一种用于可植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位并使用引导系统，其不直接接触患者的心脏或者位于胸腔内血管内并且用于向患者的心脏起搏能量提供抗心动过缓起搏能量心脏，包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过缓起搏能量。

95. 发明授权

US09079035B2 Electrode spacing in a subcutaneous implantable cardiac stimulus device 有权
标题翻译：皮下可植入心脏刺激装置中的电极间距
公开(公告)号：US09079035B2
公开(公告)日：2015-07-14
申请号：US13911308
申请日：2013-06-06
申请人： Cameron Health, Inc.
发明人： Rick Sanghera , Eric F. King , Don E. Scheck , Abdulkader O. Sudam , Jay A. Warren
IPC分类号： A61N1/04 , A61N1/37 , A61N1/05 , A61N1/39
CPC分类号： A61N1/3704 , A61N1/048 , A61N1/0504 , A61N1/0563 , A61N1/3702 , A61N1/3968 , A61N1/3987
摘要： Methods and implantable cardiac stimulus devices that include leads designed to avoid post-shock afterpotentials. Some examples are directed toward lead-electrode designs that reduce the impact of an applied stimulus on sensing attributes. These examples may find particular use in systems that provide both sensing and therapy delivery from subcutaneous location.
摘要翻译：方法和可植入的心脏刺激装置，包括设计用于避免后冲击后电位的引线。一些例子涉及引线电极设计，其减少了应用的刺激对感测属性的影响。这些实施例可以在从皮下位置提供感测和治疗递送的系统中发现特别的用途。

96. 发明申请

US20140350423A1 IMPLANTABLE CARDIAC DEVICE SENSING WITH REFRACTORY PERIOD ALIGNMENT TO SIGNAL PEAK 审中-公开
标题翻译：可触发的心脏装置感测与信号峰值的定期周期对齐
公开(公告)号：US20140350423A1
公开(公告)日：2014-11-27
申请号：US13898711
申请日：2013-05-21
申请人： Cameron Health, Inc.
发明人： Rick Sanghera , Venugopal Allavatam , Mark Schroeder
IPC分类号： A61B5/0472
CPC分类号： A61B5/0472 , A61B5/04 , A61B5/0456
摘要： Methods and devices for addressing difficulty with cardiac event sensing that can arise if the starting point of the cardiac cycle is not well aligned to the intended starting point of a detection profile used for sensing. As an improvement, illustrative methods and devices provide an addition to cardiac sensing operations by adjusting the starting point of a detection profile to align with a desired point in the cardiac signal.
摘要翻译：用于解决心脏事件感测困难的方法和设备，如果心动周期的起始点与用于感测的检测曲线的预期起点不完全对齐，则可能出现这种情况。作为改进，说明性方法和装置通过调整检测曲线的起点以与心脏信号中的期望点对准来提供对心脏感测操作的补充。

97. 发明申请

US20140172032A1 DATA MANIPULATION FOLLOWING DELIVERY OF A CARDIAC STIMULUS IN AN IMPLANTABLE CARDIAC STIMULUS DEVICE 审中-公开
标题翻译：在可移植的心脏刺激装置中传送心脏刺激物的数据处理
公开(公告)号：US20140172032A1
公开(公告)日：2014-06-19
申请号：US14184758
申请日：2014-02-20
申请人： CAMERON HEALTH, INC.
发明人： Surekha Palreddy , Venugopal Allavatam
IPC分类号： A61N1/39
CPC分类号： A61N1/3943 , A61B5/0468 , A61N1/0504 , A61N1/3704 , A61N1/3756 , A61N1/3925 , A61N1/3987
摘要： Methods of cardiac rhythm analysis in an implantable cardiac stimulus device, and devices configured for such methods. In an illustrative embodiment, certain data relating to cardiac event rate or amplitude is modified following delivery of a cardiac stimulus. In another embodiment, cardiac rhythm analysis is performed using one of plural states, with the plural states using different criteria, such as a detection threshold, to detect cardiac events in a sensed signal. Following delivery of a cardiac stimulus, data is manipulated to force the analysis into one of the states, where stimulus is delivered, in the illustrative embodiment, only after a different state is invoked. Implantable devices incorporating operational circuitry for performing such methods are also included in other illustrative embodiments.
摘要翻译：可植入心脏刺激装置中的心律分析方法以及为这种方法配置的装置。在说明性实施例中，在心脏刺激递送之后修改与心脏事件发生率或幅度有关的某些数据。在另一个实施例中，使用多个状态中的一个来执行心律分析，其中多个状态使用不同的标准，例如检测阈值，以检测感测信号中的心脏事件。在递送心脏刺激之后，仅在不同状态被调用之后，数据被操纵以迫使分析进入在说明性实施例中传送刺激的状态之一。包含用于执行这些方法的操作电路的可植入装置也包括在其它说明性实施例中。

98. 发明授权

US08718793B2 Electrode insertion tools, lead assemblies, kits and methods for placement of cardiac device electrodes 有权
标题翻译：电极插入工具，引线组件，用于放置心脏装置电极的试剂盒和方法
公开(公告)号：US08718793B2
公开(公告)日：2014-05-06
申请号：US11497203
申请日：2006-08-01
申请人： Stephen A. P. O'Connor
发明人： Stephen A. P. O'Connor
IPC分类号： A61N1/05
CPC分类号： A61N1/0587 , A61N1/05
摘要： Insertion tools, lead assemblies, kits, and methods for placement of cardiac device electrodes. In some embodiments, an insertion tool having a proximal end and a distal, dissecting end includes a structure configured to receive or engage a structure on a lead assembly. Some embodiments include a lead assembly having an end including a structure configured for engaging the distal end of an associated insertion tool. Some embodiments include kits or systems including both an insertion tool and a lead assembly, each having a structure for engaging the other. In these embodiments, the engaging structures may take several forms including threads, small posts, circular or semi-circular receiving members, and/or a slot. Some embodiments also include methods for placement of cardiac device electrodes with the assistance of an associated insertion tool, wherein the cardiac device electrodes are associated with a lead assembly having an end configured to engage a distal, dissecting portion of an associated insertion tool.
摘要翻译：插入工具，引线组件，试剂盒和放置心脏装置电极的方法。在一些实施例中，具有近端和远端解剖端的插入工具包括构造成接收或接合引线组件上的结构的结构。一些实施例包括具有端部的引线组件，该端部包括构造成用于接合相关插入工具的远端的结构。一些实施例包括包括插入工具和引线组件的套件或系统，每个具有用于接合另一个的结构。在这些实施例中，接合结构可以采取几种形式，包括螺纹，小柱，圆形或半圆形接收构件和/或槽。一些实施例还包括在相关联的插入工具的帮助下放置心脏装置电极的方法，其中心脏装置电极与引导组件相关联，导线组件的端部配置成与相关插入工具的远端解剖部分接合。

99. 发明授权

US08700152B2 Data manipulation following delivery of a cardiac stimulus in an implantable cardiac stimulus device 有权
标题翻译：在可植入的心脏刺激装置中递送心脏刺激后的数据操作
公开(公告)号：US08700152B2
公开(公告)日：2014-04-15
申请号：US13898738
申请日：2013-05-21
申请人： Cameron Health, Inc.
发明人： Surekha Palreddy , Venugopal Allavatam
IPC分类号： A61N1/365
CPC分类号： A61N1/3943 , A61B5/0468 , A61N1/0504 , A61N1/3704 , A61N1/3756 , A61N1/3925 , A61N1/3987
摘要： Methods of cardiac rhythm analysis in an implantable cardiac stimulus device, and devices configured for such methods. In an illustrative embodiment, certain data relating to cardiac event rate or amplitude is modified following delivery of a cardiac stimulus. In another embodiment, cardiac rhythm analysis is performed using one of plural states, with the plural states using different criteria, such as a detection threshold, to detect cardiac events in a sensed signal. Following delivery of a cardiac stimulus, data is manipulated to force the analysis into one of the states, where stimulus is delivered, in the illustrative embodiment, only after a different state is invoked. Implantable devices incorporating operational circuitry for performing such methods are also included in other illustrative embodiments.
摘要翻译：可植入心脏刺激装置中的心律分析方法以及为这种方法配置的装置。在说明性实施例中，在心脏刺激递送之后修改与心脏事件发生率或幅度有关的某些数据。在另一个实施例中，使用多个状态中的一个来执行心律分析，其中多个状态使用不同的标准，例如检测阈值，以检测感测信号中的心脏事件。在递送心脏刺激之后，仅在不同状态被调用之后，数据被操纵以迫使分析进入在说明性实施例中传送刺激的状态之一。包含用于执行这些方法的操作电路的可植入装置也包括在其它说明性实施例中。

100. 发明申请

US20140046396A1 METHODS AND DEVICES FOR ACCURATELY CLASSIFYING CARDIAC ACTIVITY 有权
标题翻译：用于精确分类心脏病活动的方法和装置
公开(公告)号：US20140046396A1
公开(公告)日：2014-02-13
申请号：US14058495
申请日：2013-10-21
申请人： Cameron Health, Inc.
发明人： Jay A. Warren , Rick Sanghera , Venugopal Allavatam , Surekha Palreddy
IPC分类号： A61N1/365
CPC分类号： A61B5/4836 , A61B5/04012 , A61B5/0422 , A61B5/0452 , A61B5/04525 , A61B5/046 , A61B5/0464 , A61B5/0468 , A61B5/7203 , A61B5/7221 , A61B5/726 , A61B5/7264 , A61N1/3621 , A61N1/36514 , A61N1/36592 , A61N1/37 , A61N1/3987
摘要： Methods, systems, and devices for signal analysis in an implanted cardiac monitoring and treatment device such as an implantable cardioverter defibrillator. In some examples, captured data including detected events is analyzed to identify likely overdetection of cardiac events. In some illustrative examples, when overdetection is identified, data may be modified to correct for overdetection, to reduce the impact of overdetection, or to ignore overdetected data. Several examples emphasize the use of morphology analysis using correlation to static templates and/or inter-event correlation analysis.
摘要翻译：植入心脏监测和治疗装置如植入式心律转复除颤器中的信号分析方法，系统和装置。在一些示例中，分析包括检测到的事件的捕获数据以识别心脏事件的可能过度检测。在一些说明性示例中，当识别出过度检测时，可以修改数据以校正过度检测，以减少过度检测的影响或忽略过度检测的数据。几个例子强调使用与静态模板和/或事件间相关分析相关的形态分析。

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