JP5547405B2 - テンプレート生成を用いて多形性頻脈性不整脈および単形性頻脈性不整脈を区別する埋め込み型医療機器 - Google Patents
テンプレート生成を用いて多形性頻脈性不整脈および単形性頻脈性不整脈を区別する埋め込み型医療機器 Download PDFInfo
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- JP5547405B2 JP5547405B2 JP2008547299A JP2008547299A JP5547405B2 JP 5547405 B2 JP5547405 B2 JP 5547405B2 JP 2008547299 A JP2008547299 A JP 2008547299A JP 2008547299 A JP2008547299 A JP 2008547299A JP 5547405 B2 JP5547405 B2 JP 5547405B2
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- arrhythmia
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Images
Classifications
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- A—HUMAN NECESSITIES
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- 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
- 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
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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
- A61B5/72—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
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- 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
-
- 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
- A61B5/35—Detecting specific parameters of the electrocardiograph cycle by template matching
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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
- A61B5/361—Detecting fibrillation
-
- 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
- A61B5/366—Detecting abnormal QRS complex, e.g. widening
-
- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
- A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
- A61N1/39622—Pacing therapy
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Landscapes
- Health & Medical Sciences (AREA)
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- Cardiology (AREA)
- Engineering & Computer Science (AREA)
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- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
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- General Health & Medical Sciences (AREA)
- Biophysics (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Medical Informatics (AREA)
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- Pathology (AREA)
- Fuzzy Systems (AREA)
- Signal Processing (AREA)
- Psychiatry (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Mathematical Physics (AREA)
- Evolutionary Computation (AREA)
- Electrotherapy Devices (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/312,279 | 2005-12-20 | ||
| US11/312,279 US8532762B2 (en) | 2005-12-20 | 2005-12-20 | Discriminating polymorphic and monomorphic cardiac rhythms using template generation |
| PCT/US2006/047215 WO2007078666A2 (en) | 2005-12-20 | 2006-12-11 | Discriminating polymorphic and monomorphic cardiac rhythms using template generation |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2009520568A JP2009520568A (ja) | 2009-05-28 |
| JP2009520568A5 JP2009520568A5 (enExample) | 2010-01-14 |
| JP5547405B2 true JP5547405B2 (ja) | 2014-07-16 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008547299A Expired - Fee Related JP5547405B2 (ja) | 2005-12-20 | 2006-12-11 | テンプレート生成を用いて多形性頻脈性不整脈および単形性頻脈性不整脈を区別する埋め込み型医療機器 |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US8532762B2 (enExample) |
| EP (1) | EP1968436A2 (enExample) |
| JP (1) | JP5547405B2 (enExample) |
| WO (1) | WO2007078666A2 (enExample) |
Families Citing this family (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7228173B2 (en) * | 2004-11-23 | 2007-06-05 | Cardiac Pacemakers, Inc. | Cardiac tachyarrhythmia therapy selection based on patient response information |
| US7894893B2 (en) * | 2004-09-30 | 2011-02-22 | Cardiac Pacemakers, Inc. | Arrhythmia classification and therapy selection |
| US7908001B2 (en) * | 2005-08-23 | 2011-03-15 | Cardiac Pacemakers, Inc. | Automatic multi-level therapy based on morphologic organization of an arrhythmia |
| 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 |
| CN102056646B (zh) | 2008-03-07 | 2015-10-21 | 卡梅伦保健公司 | 可植入的心脏刺激装置中的准确的心脏事件检测 |
| US8160686B2 (en) | 2008-03-07 | 2012-04-17 | Cameron Health, Inc. | Methods and devices for accurately classifying cardiac activity |
| EP2455132B1 (en) | 2008-05-07 | 2013-06-26 | Cameron Health, Inc. | Devices for accurately classifying cardiac activity |
| JP2011528933A (ja) * | 2008-07-22 | 2011-12-01 | カーディアック ペースメイカーズ, インコーポレイテッド | 埋め込み型医療デバイスにおける形態特徴評価 |
| WO2010068933A1 (en) | 2008-12-12 | 2010-06-17 | Cameron Health, Inc. | Electrode spacing in a subcutaneous implantable cardiac stimulus device |
| US8428697B2 (en) * | 2009-01-22 | 2013-04-23 | Medtronic, Inc. | “Blurred template” approach for arrhythmia detection |
| AU2010273710B2 (en) | 2009-06-29 | 2016-05-26 | Cameron Health, Inc. | Adaptive confirmation of treatable arrhythmia in implantable cardiac stimulus devices |
| US8483808B2 (en) * | 2009-09-25 | 2013-07-09 | Yanting Dong | Methods and systems for characterizing cardiac signal morphology using K-fit analysis |
| EP2490587A1 (en) * | 2009-10-20 | 2012-08-29 | Widemed Ltd. | Method and system for detecting cardiac arrhythmia |
| US8265737B2 (en) | 2009-10-27 | 2012-09-11 | Cameron Health, Inc. | Methods and devices for identifying overdetection of cardiac signals |
| US8744555B2 (en) * | 2009-10-27 | 2014-06-03 | Cameron Health, Inc. | Adaptive waveform appraisal in an implantable cardiac system |
| US8548573B2 (en) | 2010-01-18 | 2013-10-01 | Cameron Health, Inc. | Dynamically filtered beat detection in an implantable cardiac device |
| US8483813B2 (en) * | 2010-06-30 | 2013-07-09 | Medtronic, Inc. | System and method for establishing episode profiles of detected tachycardia episodes |
| US9061155B2 (en) | 2010-12-23 | 2015-06-23 | Medtronic, Inc. | Implanted device data to guide ablation therapy |
| US9095715B2 (en) | 2010-12-23 | 2015-08-04 | Medtronic, Inc. | Implanted device data to guide ablation therapy |
| US8755876B2 (en) | 2011-12-02 | 2014-06-17 | Worcester Polytechnic Institute | Methods and systems for atrial fibrillation detection |
| WO2014164530A1 (en) | 2013-03-11 | 2014-10-09 | Cameron Health, Inc. | Methods and devices implementing dual criteria for arrhythmia detection |
| US9554714B2 (en) | 2014-08-14 | 2017-01-31 | Cameron Health Inc. | Use of detection profiles in an implantable medical device |
| US11058361B2 (en) | 2014-11-06 | 2021-07-13 | Canon Medical Systems Corporation | Signal processing apparatus, imaging apparatus, and signal processing method |
| US10188867B2 (en) * | 2015-01-23 | 2019-01-29 | Medtronic, Inc. | Method and apparatus for beat acquisition during template generation in a medical device having dual sensing vectors |
| US9561005B2 (en) | 2015-01-23 | 2017-02-07 | Medtronic, Inc. | Method and apparatus for beat acquisition during template generation in a medical device having dual sensing vectors |
| DE102019110284A1 (de) * | 2019-04-18 | 2020-10-22 | Biotronik Se & Co. Kg | Implantierbare Anordnung zur Stimulation eines menschlichen oder tierischen Herzens |
| US12076574B2 (en) | 2020-10-08 | 2024-09-03 | Cardiac Pacemakers, Inc. | Cardiac beat classification to avoid delivering shock during ventricular repolarization |
| US20220240832A1 (en) * | 2021-02-02 | 2022-08-04 | West Affum Holdings Corp. | Wearable medical device with zoneless arrhythmia detection |
| US20230158310A1 (en) * | 2021-11-22 | 2023-05-25 | Pacesetter, Inc. | Method and device for ventricular tachycardia polymorphic\monomorphic discriminator |
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2005
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2006
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|---|---|
| US20070142736A1 (en) | 2007-06-21 |
| EP1968436A2 (en) | 2008-09-17 |
| US8532762B2 (en) | 2013-09-10 |
| JP2009520568A (ja) | 2009-05-28 |
| WO2007078666A3 (en) | 2007-08-23 |
| WO2007078666A2 (en) | 2007-07-12 |
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