JP5281393B2 - 遠方界心臓内電位図及びマーカーチャネルを用いてオーバーセンシングを特定するための方法及び装置 - Google Patents

遠方界心臓内電位図及びマーカーチャネルを用いてオーバーセンシングを特定するための方法及び装置 Download PDF

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JP5281393B2
JP5281393B2 JP2008507801A JP2008507801A JP5281393B2 JP 5281393 B2 JP5281393 B2 JP 5281393B2 JP 2008507801 A JP2008507801 A JP 2008507801A JP 2008507801 A JP2008507801 A JP 2008507801A JP 5281393 B2 JP5281393 B2 JP 5281393B2
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signal
event
egm
amplitude
wave
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JP2008536633A (ja
JP2008536633A5 (enExample
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ガンダーソン，ブルース・ディー
パテル，アミシャ・エス
バウンズ，チャド・エイ
ブラウン，マーク・エル
ザビエル，ラヴィ
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Medtronic Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/352—Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/363—Detecting tachycardia or bradycardia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters
    • A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7239—Details of waveform analysis using differentiation including higher order derivatives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2008507801A 2005-04-18 2006-04-17 遠方界心臓内電位図及びマーカーチャネルを用いてオーバーセンシングを特定するための方法及び装置 Active JP5281393B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/108,472 2005-04-18
US11/108,472 US7567835B2 (en) 2005-04-18 2005-04-18 Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels
PCT/US2006/014539 WO2006113698A1 (en) 2005-04-18 2006-04-17 Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels

Publications (3)

Publication Number Publication Date
JP2008536633A JP2008536633A (ja) 2008-09-11
JP2008536633A5 JP2008536633A5 (enExample) 2009-05-21
JP5281393B2 true JP5281393B2 (ja) 2013-09-04

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US (3) US7567835B2 (enExample)
EP (1) EP1877137B1 (enExample)
JP (1) JP5281393B2 (enExample)
CA (1) CA2605167A1 (enExample)
WO (1) WO2006113698A1 (enExample)

Families Citing this family (153)

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Publication number Priority date Publication date Assignee Title
US7567835B2 (en) * 2005-04-18 2009-07-28 Medtronic, Inc. Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels
US8401644B2 (en) * 2005-11-28 2013-03-19 Medtronic, Inc. Method and apparatus for post-processing of episodes detected by a medical device
US8073537B2 (en) * 2005-11-28 2011-12-06 Medtronic, Inc. Method and apparatus for post-processing of episodes detected by a medical device
US8200341B2 (en) 2007-02-07 2012-06-12 Cameron Health, Inc. Sensing vector selection in a cardiac stimulus device with postural assessment
US8788023B2 (en) * 2006-05-26 2014-07-22 Cameron Health, Inc. Systems and methods for sensing vector selection in an implantable medical device
US7831304B2 (en) * 2006-09-29 2010-11-09 Medtronic, Inc. Method for determining oversensing in an implantable device
US20080270036A1 (en) * 2007-04-27 2008-10-30 Webb James D Systems and methods facilitating auxiliary analysis of data from implanted medical devices
US8095206B2 (en) * 2007-05-01 2012-01-10 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a medical device
US7774049B2 (en) * 2007-05-01 2010-08-10 Medtronic, Inc. Method and apparatus for determining oversensing in a medical device
US7937135B2 (en) * 2007-05-01 2011-05-03 Medtronic, Inc. Method and apparatus for adjusting a sensing parameter
US8260404B1 (en) * 2007-07-11 2012-09-04 Pacesetter, Inc. Systems and methods for employing multiple filters to detect T-wave oversensing and to improve tachyarrhythmia detection within an implantable medical device
US8504144B2 (en) * 2007-07-11 2013-08-06 Pacesetter, Inc. Systems and methods for employing multiple filters to detect T-wave oversensing and to improve tachyarrhythmia detection within an implantable medical device
US8064996B2 (en) * 2007-10-03 2011-11-22 Medtronic, Inc. Automatic determination of T-shock vulnerable window
WO2009092055A1 (en) 2008-01-18 2009-07-23 Cameron Health, Inc. Data manipulation following delivery of a cardiac stimulus in an implantable cardiac stimulus device
EP2268358B1 (en) 2008-03-07 2013-05-22 Cameron Health, Inc. Accurate cardiac event detection in an implantable cardiac stimulus device
US8160686B2 (en) * 2008-03-07 2012-04-17 Cameron Health, Inc. Methods and devices for accurately classifying cardiac activity
JP5656293B2 (ja) * 2008-05-07 2015-01-21 キャメロン ヘルス、 インコーポレイテッド 埋め込み型心臓刺激（ｉｃｓ）システム
AU2013267073B2 (en) * 2008-05-07 2016-07-07 Cameron Health, Inc. Methods and Devices for Accurately Classifying Cardiac Activity
US8676303B2 (en) 2008-05-13 2014-03-18 The Regents Of The University Of California Methods and systems for treating heart instability
WO2009148428A1 (en) * 2008-06-02 2009-12-10 Medtronic, Inc. Electrode lead integrity reports
US20090299421A1 (en) * 2008-06-02 2009-12-03 Medtronic, Inc. Evaluation of implantable medical device sensing integrity based on evoked signals
WO2009148425A1 (en) * 2008-06-02 2009-12-10 Medtronic, Inc. Impedance variability analysis to identify lead-related conditions
WO2009148429A1 (en) 2008-06-02 2009-12-10 Medtronic, Inc. Electrogram storage for suspected non-physiological episodes
EP2320999A1 (en) * 2008-06-02 2011-05-18 Medtronic, Inc. Sensing integrity determination based on cardiovascular pressure
US7974690B2 (en) * 2008-06-30 2011-07-05 Medtronic, Inc. Lead integrity testing during suspected tachyarrhythmias
US8565865B2 (en) * 2008-07-24 2013-10-22 Medtronic, Inc. Methods for the determination of T-shock vulnerable window from far-field electrograms in implantable cardioverter defibrillators
US8644923B2 (en) * 2008-07-24 2014-02-04 Medtronic, Inc. Determination of upper limit of vulnerability using a variable number of shocks
US9522277B2 (en) * 2008-07-28 2016-12-20 Medtronic, Inc. Lead integrity testing triggered by sensed signal saturation
US8050751B2 (en) * 2008-07-31 2011-11-01 Medtronic, Inc. Periodic beat detection to detect artifacts in a cardiac electrogram
US7953488B2 (en) * 2008-07-31 2011-05-31 Medtronic, Inc. Pre-qualification of an alternate sensing configuration
AU2009302220B2 (en) 2008-10-09 2014-03-27 The Regents Of The University Of California Methods, system and apparatus for the detection, diagnosis and treatment of biological rhythm disorders
US8078277B2 (en) 2008-10-29 2011-12-13 Medtronic, Inc. Identification and remediation of oversensed cardiac events using far-field electrograms
US10118042B2 (en) 2008-10-31 2018-11-06 Medtronic, Inc. Lead integrity testing triggered by sensed asystole
US8483841B2 (en) 2008-12-12 2013-07-09 Cameron Health, Inc. Electrode spacing in a subcutaneous implantable cardiac stimulus device
US8050750B2 (en) * 2009-01-27 2011-11-01 Medtronic, Inc. Event discrimination using unipolar and bipolar signal differences
AU2010273710B2 (en) 2009-06-29 2016-05-26 Cameron Health, Inc. Adaptive confirmation of treatable arrhythmia in implantable cardiac stimulus devices
US8914109B2 (en) 2009-07-07 2014-12-16 Pacesetter, Inc. Method and system for identifying a potential lead failure in an implantable medical device
US8825158B2 (en) * 2009-08-25 2014-09-02 Lamda Nu, Llc Method and apparatus for detection of lead conductor anomalies using dynamic electrical parameters
US8798750B2 (en) * 2009-08-26 2014-08-05 Medtronic, Inc. Identifying a lead related condition based on detecting noise subsequent to signal delivery
US10398326B2 (en) 2013-03-15 2019-09-03 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
US10434319B2 (en) 2009-10-09 2019-10-08 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
US9392948B2 (en) 2011-12-09 2016-07-19 The Regents Of The University Of California System and method of identifying sources for biological rhythms
US9332915B2 (en) 2013-03-15 2016-05-10 The Regents Of The University Of California System and method to identify sources associated with biological rhythm disorders
US8260419B2 (en) * 2009-10-27 2012-09-04 Medtronic, Inc. Non-sustained tachyarrhythmia analysis to identify lead related condition
US8744555B2 (en) 2009-10-27 2014-06-03 Cameron Health, Inc. Adaptive waveform appraisal in an implantable cardiac system
US8265737B2 (en) 2009-10-27 2012-09-11 Cameron Health, Inc. Methods and devices for identifying overdetection of cardiac signals
US20110106191A1 (en) * 2009-10-30 2011-05-05 Medtronic, Inc. Implantable medical device noise mode
US20110112597A1 (en) * 2009-11-06 2011-05-12 Pacesetter, Inc. Systems and methods for off-line reprogramming of implantable medical device components to reduce false detections of cardiac events
US8521276B2 (en) * 2010-01-12 2013-08-27 Cardiac Pacemakers, Inc. Use of significant point methodology to prevent inappropriate therapy
US8548573B2 (en) 2010-01-18 2013-10-01 Cameron Health, Inc. Dynamically filtered beat detection in an implantable cardiac device
US8396543B2 (en) * 2010-01-28 2013-03-12 Medtronic, Inc. Storage of data for evaluation of lead integrity
WO2011099986A1 (en) * 2010-02-11 2011-08-18 Medtronic, Inc. Rejecting oversensing due to noise
WO2011115579A1 (en) * 2010-03-17 2011-09-22 Web Biotechnology Pte Ltd Electrocardiographic monitoring system
FR2957512A1 (fr) * 2010-03-22 2011-09-23 Sorin Crm Sas Dispositif medical actif comprenant des moyens de detection et de filtrage d'artefacts par analyse du vectogramme cardiaque
BR112012025470A2 (pt) 2010-04-08 2019-09-24 Univ California sistema para reconstruir informações cardíacas, montagem para facilitar a reconstruçã de informações cardíacas, e método para reconstrução de informações cardíacas
US8315699B2 (en) 2010-04-28 2012-11-20 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
US8983585B2 (en) 2010-04-28 2015-03-17 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
US8543198B2 (en) 2010-04-28 2013-09-24 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
US8301235B2 (en) 2010-04-28 2012-10-30 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
US20110270102A1 (en) 2010-04-28 2011-11-03 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
US8406872B2 (en) 2010-04-28 2013-03-26 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
US8306614B2 (en) 2010-04-28 2012-11-06 Medtronic, Inc. Method of dual EGM sensing and heart rate estimation in implanted cardiac devices
US8271073B2 (en) 2010-04-28 2012-09-18 Michael C. Soldner Method and apparatus for detecting and discriminating tachycardia
US8437842B2 (en) 2010-04-28 2013-05-07 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
US8401629B2 (en) 2010-04-28 2013-03-19 Medtronic, Inc. Method and apparatus for detecting and discriminating tachycardia
DE102010024965A1 (de) * 2010-06-24 2011-12-29 Siemens Aktiengesellschaft Verfahren zur Bestimmung eines charakteristischen Verlaufs einer R-Zacke in einem EKG-Signal, Computerprogrammprodukt und elektronisch lesbarer Datenträger zur Durchführung des Verfahrens
US8229559B2 (en) 2010-07-15 2012-07-24 Medtronic, Inc. Evaluation of implantable medical device data
US8948837B2 (en) 2011-01-13 2015-02-03 Rhythmia Medical, Inc. Electroanatomical mapping
US9002442B2 (en) 2011-01-13 2015-04-07 Rhythmia Medical, Inc. Beat alignment and selection for cardiac mapping
CN102670196A (zh) * 2011-01-18 2012-09-19 王卫东 R波奇异性分析方法
US8744556B2 (en) 2011-02-04 2014-06-03 Cardiac Pacemakers, Inc. Noise detection in implantable medical devices
US8165666B1 (en) 2011-05-02 2012-04-24 Topera, Inc. System and method for reconstructing cardiac activation information
WO2012151301A1 (en) 2011-05-02 2012-11-08 Topera, Inc. System and method for targeting heart rhythm disorders using shaped ablation
US9050006B2 (en) 2011-05-02 2015-06-09 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9107600B2 (en) 2011-05-02 2015-08-18 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US8538524B2 (en) * 2011-09-12 2013-09-17 Pacesetter, Inc. Systems and methods for detecting far-field oversensing based on signals sensed by the proximal electrode of a multipolar LV lead
US8774909B2 (en) 2011-09-26 2014-07-08 Medtronic, Inc. Episode classifier algorithm
US8437840B2 (en) 2011-09-26 2013-05-07 Medtronic, Inc. Episode classifier algorithm
US9668668B2 (en) 2011-09-30 2017-06-06 Medtronic, Inc. Electrogram summary
US8744560B2 (en) 2011-09-30 2014-06-03 Medtronic, Inc. Electrogram summary
US8886296B2 (en) 2011-10-14 2014-11-11 Medtronic, Inc. T-wave oversensing
US8521281B2 (en) 2011-10-14 2013-08-27 Medtronic, Inc. Electrogram classification algorithm
US9510772B2 (en) 2012-04-10 2016-12-06 Cardionxt, Inc. System and method for localizing medical instruments during cardiovascular medical procedures
US8583221B1 (en) 2012-04-26 2013-11-12 Medtronic, Inc. Method and apparatus for display of cardiac signal episodes with over- or under-sensing
US8812103B2 (en) 2012-06-01 2014-08-19 Lamda Nu, Llc Method for detecting and treating insulation lead-to-housing failures
US9272150B2 (en) * 2012-06-01 2016-03-01 Lambda Nu Technology Llc Method for detecting and localizing insulation failures of implantable device leads
US9554847B2 (en) * 2012-07-02 2017-01-31 Biosense Webster (Israel) Ltd. Real time assessment of ablation from electrocardiogram signals
US9572990B2 (en) 2012-07-11 2017-02-21 Medtronic, Inc. System and method for identifying lead dislodgement
US9675799B2 (en) 2012-12-05 2017-06-13 Lambda Nu Technology Llc Method and apparatus for implantable cardiac lead integrity analysis
CN105208928B (zh) 2013-03-11 2018-10-19 卡梅伦保健公司 实施心律失常检测双重标准的设备
US9579065B2 (en) 2013-03-12 2017-02-28 Cameron Health Inc. Cardiac signal vector selection with monophasic and biphasic shape consideration
US9950155B2 (en) 2013-03-15 2018-04-24 Medtronic, Inc. Identify insulation breach using electrograms
US10293155B2 (en) 2013-03-15 2019-05-21 Medtronic, Inc. Identify insulation breach using electrograms
US9008773B2 (en) * 2013-03-15 2015-04-14 Medtronic, Inc. Identification of insulation breach using electrograms
US10039919B2 (en) 2013-04-30 2018-08-07 Lambda Nu Technology Llc Methods and apparatus for detecting and localizing partial conductor failures of implantable device leads
US9486624B2 (en) * 2013-06-13 2016-11-08 Lambda Nu Technology Llc Detection of implantable lead failures by differential EGM analysis
US10118031B2 (en) 2013-06-28 2018-11-06 Lambda Nu Technology Llc Method and apparatus for implantable cardiac lead integrity analysis
EP3035843B1 (en) 2013-08-22 2021-11-03 AFTx, Inc. Methods, systems, and apparatus for identification and characterization of rotors associated with atrial fibrillation
US9302100B2 (en) 2014-02-13 2016-04-05 Medtronic, Inc. Lead monitoring frequency based on lead and patient characteristics
US9409026B2 (en) 2014-02-13 2016-08-09 Medtronic, Inc. Lead monitoring frequency based on lead and patient characteristics
US9399141B2 (en) 2014-02-13 2016-07-26 Medtronic, Inc. Lead monitoring frequency based on lead and patient characteristics
US9636500B2 (en) 2014-03-25 2017-05-02 Lambda Nu Technology Llc Active surveillance of implanted medical leads for lead integrity
EP3139830A4 (en) 2014-05-05 2018-01-24 Cardionxt, Inc. Methods, systems, and apparatus for identification, characterization, and treatment of rotors associated with fibrillation
US20150342540A1 (en) * 2014-05-30 2015-12-03 Cardiac Pacemakers, Inc. Heart failure event detection and risk stratification using heart rate trend
US9554714B2 (en) 2014-08-14 2017-01-31 Cameron Health Inc. Use of detection profiles in an implantable medical device
US9381370B2 (en) 2014-09-11 2016-07-05 Medtronic, Inc. Method and apparatus for determining parameters for oversensing in an implantable medical device
US9199078B1 (en) 2014-10-24 2015-12-01 Medtronic, Inc. Identifying lead problems using amplitudes of far-field cardiac events
EP3212074B1 (en) * 2014-10-30 2020-04-22 Kardium Inc. Systems for ablating tissue
US10581685B2 (en) * 2014-12-08 2020-03-03 Arris Enterprises Llc Method for automatic tracking of hybrid fiber coaxial upstream service upgrades
US9597525B2 (en) 2015-05-06 2017-03-21 Medtronic, Inc. T-wave oversensing rejection
US9737223B2 (en) * 2015-05-13 2017-08-22 Medtronic, Inc. Determining onset of cardiac depolarization and repolarization waves for signal processing
JP6304450B2 (ja) 2015-06-25 2018-04-04 パナソニックＩｐマネジメント株式会社 心電位検出装置および心電位検出方法
US9782094B2 (en) 2015-07-31 2017-10-10 Medtronic, Inc. Identifying ambiguous cardiac signals for electrophysiologic mapping
US10143424B2 (en) * 2015-08-14 2018-12-04 Medtronic, Inc. Detection of medical electrical lead issues
US9533165B1 (en) 2015-08-19 2017-01-03 Medtronic, Inc. Detection of medical electrical lead issues and therapy control
EP3352662B1 (en) 2015-09-26 2019-08-14 Boston Scientific Scimed Inc. Intracardiac egm signals for beat matching and acceptance
US10362948B2 (en) 2015-10-23 2019-07-30 Cardiac Pacemakers, Inc. Multi-vector sensing in cardiac devices with detection combinations
US10252068B2 (en) 2015-11-06 2019-04-09 Medtronic, Inc. Reducing false positive lead integrity alerts
US10252069B1 (en) 2015-11-19 2019-04-09 Lambda Nu Technology Llc Micro-charge ICD lead testing method and apparatus
US11027132B2 (en) 2016-03-16 2021-06-08 Medtronic, Inc. Synchronization of anti-tachycardia pacing in an extra-cardiovascular implantable system
US10252071B2 (en) 2016-04-29 2019-04-09 Medtronic, Inc. Multi-threshold sensing of cardiac electrical signals in an extracardiovascular implantable cardioverter defibrillator
US10328274B2 (en) 2016-06-08 2019-06-25 Medtronic, Inc. System and method for identifying and responding to P-wave oversensing in a cardiac system
US20180028087A1 (en) * 2016-07-27 2018-02-01 Medtronic, Inc. Cardiac electrical signal gross morphology-based noise detection for rejection of ventricular tachyarrhythmia detection
US10850113B2 (en) * 2016-07-27 2020-12-01 Medtronic, Inc. Cardiac electrical signal morphology and pattern-based T-wave oversensing rejection
US10583306B2 (en) 2017-01-26 2020-03-10 Medtronic, Inc. Detection of electromagnetic interference in a cardiac electrical signal by an implantable medical device
US10406373B2 (en) 2017-01-26 2019-09-10 Medtronic, Inc. Noise detection and frequency determination in an extra-cardiovascular implantable cardioverter defibrillator system
US10543364B2 (en) 2017-04-07 2020-01-28 Lambda Nu Technology Llc Detection of lead electrode dislodgement using cavitary electrogram
US11426578B2 (en) 2017-09-15 2022-08-30 Medtronic, Inc. Electrodes for intra-cardiac pacemaker
US10799710B2 (en) 2017-10-23 2020-10-13 Medtronic, Inc. Multi-threshold sensing of cardiac electrical signals in an implantable medical device
US11419539B2 (en) 2017-12-22 2022-08-23 Regents Of The University Of Minnesota QRS onset and offset times and cycle selection using anterior and posterior electrode signals
US11383089B2 (en) * 2018-04-26 2022-07-12 Pacesetter, Inc. Method and device utilizing far field signals to identify and treat under-detected arrhythmias
US10856761B2 (en) 2018-05-07 2020-12-08 Pacesetter, Inc. Method and system to detect P-waves in cardiac arrhythmic patterns
US11020036B2 (en) * 2018-05-07 2021-06-01 Pacesetter, Inc. Method and system to detect R-waves in cardiac arrhythmic patterns
US10729346B2 (en) 2018-05-07 2020-08-04 Pacesetter, Inc. Method and system for second pass confirmation of detected cardiac arrhythmic patterns
US11564632B2 (en) * 2018-05-07 2023-01-31 Pacesetter, Inc. Method and system to detect noise in cardiac arrhythmic patterns
US10874322B2 (en) 2018-05-07 2020-12-29 Pacesetter, Inc. Method and system to detect premature ventricular contractions in cardiac activity signals
US10932686B2 (en) * 2018-05-22 2021-03-02 Biosense Webster (Israel) Ltd. Identifying activations in an atrial fibrillation electrogram
US10799135B2 (en) * 2018-06-13 2020-10-13 Pacesetter, Inc. Method and system to detect R-waves in cardiac activity signals
US11219774B2 (en) 2019-05-29 2022-01-11 Pacesetter, Inc. Ventricular leadless implantable medical device with dual chamber sensing and method for same
US11786739B2 (en) 2019-08-19 2023-10-17 Medtronic Inc. Ventricular sensing control in a cardiac pacing system
US11931585B2 (en) 2019-12-09 2024-03-19 Medtronic, Inc. Method and apparatus for detecting cardiac event oversensing
CN111189627A (zh) * 2020-01-20 2020-05-22 北京航空航天大学 石化装置动设备失效模式诊断方法
US11559242B2 (en) 2020-01-30 2023-01-24 Pacesetter, Inc. Methods and systems for distinguishing over-sensed R-R intervals from true R-R intervals
US11464984B2 (en) 2020-02-04 2022-10-11 Pacesetter, Inc. Leadless pacemaker systems, devices and methods that monitor for atrial capture
US11647940B2 (en) 2020-05-04 2023-05-16 Pacesetter, Inc R-R interval pattern recognition for use in arrhythmia discrimination
US11766207B2 (en) 2020-06-01 2023-09-26 Pacesetter, Inc. Methods, devices and systems for improving R-wave detection and arrhtymia detection accuracy
US11931590B2 (en) 2020-06-01 2024-03-19 Pacesetter, Inc. Ventricular far-field sensing to guide atrial leadless pacemaker and beyond
US12161474B2 (en) 2020-06-02 2024-12-10 Pacesetter, Inc. Methods, devices and systems for identifying false R-R intervals and false arrhythmia detections due to R-wave undersensing or intermittent AV conduction block
WO2022076704A1 (en) 2020-10-08 2022-04-14 Cardiac Pacemakers, Inc. Cardiac beat classification to avoid delivering shock during ventricular repolarization
US12390167B2 (en) 2021-06-22 2025-08-19 Pacesetter, Inc. Methods and systems for determining whether R-wave detections should be classified as false due to T-wave oversensing (TWO) or P-wave oversensing (PWO)
US12350059B2 (en) 2021-09-07 2025-07-08 Pacesetter, Inc. Robust ventricular sensing of far-field EGM or ECG signals that avoids oversensing of ventricular sensed events
WO2025078897A1 (en) 2023-10-13 2025-04-17 Medtronic, Inc. Medical device communication for controlling a medical device system function
WO2025078899A1 (en) 2023-10-13 2025-04-17 Medtronic, Inc. Medical device communication for controlling adjustment of control parameters by a medical device

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4374382A (en) * 1981-01-16 1983-02-15 Medtronic, Inc. Marker channel telemetry system for a medical device
US5117824A (en) 1990-11-14 1992-06-02 Medtronic, Inc. Apparatus for monitoring electrical physiologic signals
US5193535A (en) * 1991-08-27 1993-03-16 Medtronic, Inc. Method and apparatus for discrimination of ventricular tachycardia from ventricular fibrillation and for treatment thereof
FR2699413B1 (fr) * 1992-12-23 1995-02-24 Ela Medical Sa Stimulateur cardiaque implantable.
US5381803A (en) * 1993-03-12 1995-01-17 Hewlett-Packard Corporation QRS detector for defibrillator/monitor
US5545186A (en) * 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
US5558098A (en) 1995-11-02 1996-09-24 Ventritex, Inc. Method and apparatus for detecting lead sensing artifacts in cardiac electrograms
US5891180A (en) * 1998-04-29 1999-04-06 Medtronic Inc. Interrogation of an implantable medical device using audible sound communication
US6029087A (en) * 1998-09-22 2000-02-22 Vitatron Medical, B.V. Cardiac pacing system with improved physiological event classification based on DSP
US6070097A (en) * 1998-12-30 2000-05-30 General Electric Company Method for generating a gating signal for cardiac MRI
US6308095B1 (en) * 1999-02-12 2001-10-23 Cardiac Pacemakers, Inc. System and method for arrhythmia discrimination
US6539259B1 (en) * 1999-07-15 2003-03-25 Pacesetter, Inc. System and method of automatically adjusting sensitivity in an implantable cardiac stimulation device
US6526311B2 (en) * 2000-08-11 2003-02-25 Medtronic, Inc. System and method for sensing and detecting far-field R-wave
US6650931B1 (en) * 2001-11-14 2003-11-18 Pacesetter, Inc. System and method of automatically determining the onsets and ends of cardiac events and far-field signals
US7139604B1 (en) * 2002-03-28 2006-11-21 Pacesetter, Inc. Cardiac stimulation system and method for discriminating sinus from non-sinus events
US7283863B2 (en) * 2002-04-29 2007-10-16 Medtronic, Inc. Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms
US7783354B2 (en) 2002-04-29 2010-08-24 Medtronic, Inc. Method and apparatus for identifying cardiac and non-cardiac oversensing using intracardiac electrograms
US6934585B1 (en) * 2002-06-21 2005-08-23 Pacesetter, Inc. System and method for far-field R-wave detection
US7027858B2 (en) * 2002-09-11 2006-04-11 Medtronic, Inc. Methods and apparatus for cardiac R-wave sensing in a subcutaneous ECG waveform
US20040185388A1 (en) * 2003-01-29 2004-09-23 Hiroyuki Hirai Printed circuit board, method for producing same, and ink therefor
JP2004264619A (ja) * 2003-03-03 2004-09-24 Ricoh Co Ltd 帯電ローラクリーニング機構、プロセスカートリッジ、画像形成装置
US7139605B2 (en) * 2003-03-18 2006-11-21 Massachusetts Institute Of Technology Heart rate monitor
GB0307212D0 (en) 2003-03-28 2003-04-30 Advanced Medical Diagnostics G Method and apparatus for identifying features in an ECG signal
US7082327B2 (en) * 2003-04-16 2006-07-25 Medtronic, Inc. Biomedical signal analysis techniques using wavelets
US7167747B2 (en) * 2003-05-13 2007-01-23 Medtronic, Inc. Identification of oversensing using sinus R-wave template
SE0301743D0 (sv) * 2003-06-12 2003-06-12 St Jude Medical A heart stimulating device, a system including such a device and use of the system
US7266409B2 (en) * 2004-12-01 2007-09-04 Medtronic, Inc. Method and apparatus for determining oversensing in a medical device
US8577455B2 (en) 2005-01-18 2013-11-05 Medtronic, Inc. Method and apparatus for arrhythmia detection in a medical device
US7567835B2 (en) * 2005-04-18 2009-07-28 Medtronic, Inc. Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels

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