JP6533569B2 - 検出されるペーシングパルスに応答した植え込み型医療装置(imd)の感知修正 - Google Patents
検出されるペーシングパルスに応答した植え込み型医療装置(imd)の感知修正 Download PDFInfo
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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
- A61B5/363—Detecting tachycardia or bradycardia
-
- 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/686—Permanently implanted devices, e.g. pacemakers, other stimulators, biochips
-
- 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)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
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Description
12 患者
14 皮下ICDシステム
16 リードレス心臓ペーシング装置
18 心臓
20 植え込み型心臓除細動器(ICD)
22 植え込み型心臓除細動リード
24 除細動電極
26、28 感知電極
30 制御モジュール
32 感知モジュール
34 療法モジュール
36 パワー源
38 通信モジュール
40 メモリ
42 アンテナ
50 前置フィルタ
52 前置増幅器
54 低域通過フィルタ
56 アナログデジタル変換器
58 デシメータ
60 ブランキングモジュール
62、62’ ペースパルス検出器
64 ブランキング制御モジュール、パルス除去制御モジュール
66 感知デジタルフィルタ
67 形態デジタルフィルタ
68 診断ECGデジタルフィルタ
70 ペーシング列
72 ペーシングパルス
74 スルーレート信号
76 スパイク
78 スルーレート閾値
90 フィルタ
91 微分(dV/dT)フィルタ
92 整流器
94 ペースアーチファクト検出器
96 ペーススパイク検出器
180 デシメータ
182 カスケード・インテグレータ・コーム(CIC)フィルタ
184 移動平均フィルタ
186 帯域通過フィルタ
188 微分(dV/dt)フィルタ
190A、190B、190C 閾値検出器
192A、192B ノイズ検出器
194 沈黙タイマー
Claims (3)
- 植え込み型医療装置において、
前記植え込み型医療装置へ連結されている1つ又はそれ以上の電極によって感知される電気信号を処理する複数の構成要素を含んでいる感知チャネルと、
第2の植え込み型医療装置によって送達されるペーシングパルスを、前記感知される電気信号の前記処理に基づいて検出するペースパルス検出器と、
ブランキングモジュールと、
前記ペースパルス検出器が前記ペーシングパルスを検出していることに応えて、前記ブランキングモジュールに前記感知チャネルの前記電気信号をブランキングさせて前記感知される電気信号から前記ペーシングパルスを除去するように構成されているブランキング制御モジュールと、
を備え、
前記ブランキング制御モジュールは、前記感知される電気信号のブランキングが以前に閾値時間期間内に起こっていたかどうかを判定し、前記感知チャネルのブランキングが以前に前記閾値時間期間内に起こっていたらブランキングの開始を差し控える、
植え込み型医療装置。 - 前記ブランキングモジュールは前記感知される電気信号を前記ペーシングパルスより前の当該感知される電気信号の値に保持して前記感知される電気信号から前記ペーシングパルスを除去しており、前記ブランキングモジュールは、前記感知される電気信号を、大凡20ミリ秒より短い又は大凡20ミリ秒に等しい間、前記値に保持する、請求項1に記載の装置。
- 前記植え込み型医療装置は、各々が異なった感知される電気信号を処理し各々がブランキングモジュールを含んでいる複数の感知チャネルを含んでおり、
前記ペースパルス検出器は、前記複数の感知チャネルの第1の感知チャネル上に前記ペーシングパルスを検出し、
前記ブランキング制御モジュールは、前記複数の感知チャネルの各々の前記ブランキングモジュールに当該複数の感知チャネルの各々での前記感知される電気信号をブランキングさせて各感知される電気信号上の前記ペーシングパルスを除去する、請求項1又は2に記載の装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201461984233P | 2014-04-25 | 2014-04-25 | |
US61/984,233 | 2014-04-25 | ||
US14/686,947 US10448855B2 (en) | 2014-04-25 | 2015-04-15 | Implantable medical device (IMD) sensing modifications responsive to detected pacing pulses |
US14/686,947 | 2015-04-15 | ||
PCT/US2015/026094 WO2015164167A1 (en) | 2014-04-25 | 2015-04-16 | Implantable medical device (imd) sensing modifications responsive to detected pacing pulses |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017518846A JP2017518846A (ja) | 2017-07-13 |
JP6533569B2 true JP6533569B2 (ja) | 2019-06-19 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017507680A Active JP6533569B2 (ja) | 2014-04-25 | 2015-04-16 | 検出されるペーシングパルスに応答した植え込み型医療装置(imd)の感知修正 |
Country Status (5)
Country | Link |
---|---|
US (1) | US10448855B2 (ja) |
EP (1) | EP3134175B1 (ja) |
JP (1) | JP6533569B2 (ja) |
CN (1) | CN106231994B (ja) |
WO (1) | WO2015164167A1 (ja) |
Families Citing this family (86)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106068141B (zh) | 2014-01-10 | 2019-05-14 | 心脏起搏器股份公司 | 用于检测心脏心律失常的系统和方法 |
US20150196769A1 (en) | 2014-01-10 | 2015-07-16 | Cardiac Pacemakers, Inc. | Methods and systems for improved communication between medical devices |
EP3185952B1 (en) | 2014-08-28 | 2018-07-25 | Cardiac Pacemakers, Inc. | Implantable cardiac rhythm system and an associated method for triggering a blanking period through a second device |
US10052494B2 (en) | 2014-12-23 | 2018-08-21 | Medtronic, Inc. | Hemodynamically unstable ventricular arrhythmia detection |
CN107206240B (zh) | 2015-02-06 | 2021-01-22 | 心脏起搏器股份公司 | 用于治疗心律不齐的系统和方法 |
WO2016126968A1 (en) | 2015-02-06 | 2016-08-11 | Cardiac Pacemakers, Inc. | Systems and methods for safe delivery of electrical stimulation therapy |
WO2016130477A2 (en) | 2015-02-09 | 2016-08-18 | Cardiac Pacemakers, Inc. | Implantable medical device with radiopaque id tag |
CN107530002B (zh) | 2015-03-04 | 2021-04-30 | 心脏起搏器股份公司 | 用于治疗心律失常的系统和方法 |
US10050700B2 (en) | 2015-03-18 | 2018-08-14 | Cardiac Pacemakers, Inc. | Communications in a medical device system with temporal optimization |
EP3270768B1 (en) | 2015-03-18 | 2023-12-13 | Cardiac Pacemakers, Inc. | Communications in a medical device system with link quality assessment |
US10143424B2 (en) | 2015-08-14 | 2018-12-04 | Medtronic, Inc. | Detection of medical electrical lead issues |
WO2017031221A1 (en) | 2015-08-20 | 2017-02-23 | Cardiac Pacemakers, Inc. | Systems and methods for communication between medical devices |
EP3337559B1 (en) | 2015-08-20 | 2019-10-16 | Cardiac Pacemakers, Inc. | Systems and methods for communication between medical devices |
US9956414B2 (en) | 2015-08-27 | 2018-05-01 | Cardiac Pacemakers, Inc. | Temporal configuration of a motion sensor in an implantable medical device |
US9968787B2 (en) | 2015-08-27 | 2018-05-15 | Cardiac Pacemakers, Inc. | Spatial configuration of a motion sensor in an implantable medical device |
CN108136189B (zh) | 2015-08-28 | 2021-10-15 | 心脏起搏器股份公司 | 用于行为响应信号检测和治疗递送的系统 |
US10226631B2 (en) | 2015-08-28 | 2019-03-12 | Cardiac Pacemakers, Inc. | Systems and methods for infarct detection |
US10159842B2 (en) | 2015-08-28 | 2018-12-25 | Cardiac Pacemakers, Inc. | System and method for detecting tamponade |
WO2017044389A1 (en) | 2015-09-11 | 2017-03-16 | Cardiac Pacemakers, Inc. | Arrhythmia detection and confirmation |
CN108136185B (zh) | 2015-10-08 | 2021-08-31 | 心脏起搏器股份公司 | 用于调整可植入医疗装置中的起搏速率的装置和方法 |
EP3389775B1 (en) | 2015-12-17 | 2019-09-25 | Cardiac Pacemakers, Inc. | Conducted communication in a medical device system |
US10905886B2 (en) | 2015-12-28 | 2021-02-02 | Cardiac Pacemakers, Inc. | Implantable medical device for deployment across the atrioventricular septum |
US10583303B2 (en) | 2016-01-19 | 2020-03-10 | Cardiac Pacemakers, Inc. | Devices and methods for wirelessly recharging a rechargeable battery of an implantable medical device |
EP3411113B1 (en) | 2016-02-04 | 2019-11-27 | Cardiac Pacemakers, Inc. | Delivery system with force sensor for leadless cardiac device |
US10004414B2 (en) | 2016-02-09 | 2018-06-26 | Apn Health, Llc | Detecting stimulus pulses |
CN108883286B (zh) | 2016-03-31 | 2021-12-07 | 心脏起搏器股份公司 | 具有可充电电池的可植入医疗设备 |
US10232182B2 (en) * | 2016-04-28 | 2019-03-19 | Medtronic, Inc. | Detecting and responding to anti-tachyarrhythmia shocks |
US10286221B2 (en) | 2016-04-29 | 2019-05-14 | Medtronic, Inc. | Operation of an extracardiovascular implantable cardioverter defibrillator (ICD) during implantation of another medical device |
US10328272B2 (en) | 2016-05-10 | 2019-06-25 | Cardiac Pacemakers, Inc. | Retrievability for implantable medical devices |
US10668294B2 (en) | 2016-05-10 | 2020-06-02 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker configured for over the wire delivery |
JP6764956B2 (ja) | 2016-06-27 | 2020-10-07 | 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 | 再同期ペーシング管理に皮下で感知されたp波を使用する心臓治療法システム |
WO2018009569A1 (en) | 2016-07-06 | 2018-01-11 | Cardiac Pacemakers, Inc. | Method and system for determining an atrial contraction timing fiducial in a leadless cardiac pacemaker system |
US10426962B2 (en) | 2016-07-07 | 2019-10-01 | Cardiac Pacemakers, Inc. | Leadless pacemaker using pressure measurements for pacing capture verification |
CN109475743B (zh) | 2016-07-20 | 2022-09-02 | 心脏起搏器股份公司 | 在无引线心脏起搏器系统中利用心房收缩定时基准的系统 |
EP3500342B1 (en) | 2016-08-19 | 2020-05-13 | Cardiac Pacemakers, Inc. | Trans-septal implantable medical device |
EP3503970B1 (en) | 2016-08-24 | 2023-01-04 | Cardiac Pacemakers, Inc. | Cardiac resynchronization using fusion promotion for timing management |
US10780278B2 (en) | 2016-08-24 | 2020-09-22 | Cardiac Pacemakers, Inc. | Integrated multi-device cardiac resynchronization therapy using P-wave to pace timing |
US10758737B2 (en) | 2016-09-21 | 2020-09-01 | Cardiac Pacemakers, Inc. | Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter |
EP3515553B1 (en) | 2016-09-21 | 2020-08-26 | Cardiac Pacemakers, Inc. | Leadless stimulation device with a housing that houses internal components of the leadless stimulation device and functions as the battery case and a terminal of an internal battery |
WO2018057626A1 (en) | 2016-09-21 | 2018-03-29 | Cardiac Pacemakers, Inc. | Implantable cardiac monitor |
US11986321B2 (en) * | 2016-09-22 | 2024-05-21 | Safeop Surgical, Inc. | System and method for detecting and removing periodic non-physiological artifact from evoked potentials |
WO2018081275A1 (en) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Multi-device cardiac resynchronization therapy with timing enhancements |
US10434314B2 (en) | 2016-10-27 | 2019-10-08 | Cardiac Pacemakers, Inc. | Use of a separate device in managing the pace pulse energy of a cardiac pacemaker |
US10561330B2 (en) | 2016-10-27 | 2020-02-18 | Cardiac Pacemakers, Inc. | Implantable medical device having a sense channel with performance adjustment |
WO2018081225A1 (en) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Implantable medical device delivery system with integrated sensor |
CN109890458B (zh) | 2016-10-27 | 2023-08-11 | 心脏起搏器股份公司 | 具有压力传感器的可植入医疗设备 |
US10413733B2 (en) | 2016-10-27 | 2019-09-17 | Cardiac Pacemakers, Inc. | Implantable medical device with gyroscope |
JP6843235B2 (ja) | 2016-10-31 | 2021-03-17 | 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 | 活動レベル・ペーシングのためのシステムおよび方法 |
WO2018081713A1 (en) | 2016-10-31 | 2018-05-03 | Cardiac Pacemakers, Inc | Systems for activity level pacing |
WO2018089311A1 (en) | 2016-11-08 | 2018-05-17 | Cardiac Pacemakers, Inc | Implantable medical device for atrial deployment |
CN109952129B (zh) | 2016-11-09 | 2024-02-20 | 心脏起搏器股份公司 | 为心脏起搏设备设定心脏起搏脉冲参数的系统、设备和方法 |
US10639486B2 (en) | 2016-11-21 | 2020-05-05 | Cardiac Pacemakers, Inc. | Implantable medical device with recharge coil |
JP6781346B2 (ja) | 2016-11-21 | 2020-11-04 | 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 | マルチモード通信を備えたリードレス心臓ペースメーカ |
JP6843240B2 (ja) | 2016-11-21 | 2021-03-17 | 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 | 透磁性ハウジング及びハウジングの周りに配置された誘導コイルを備える植込み型医療装置 |
US10881869B2 (en) | 2016-11-21 | 2021-01-05 | Cardiac Pacemakers, Inc. | Wireless re-charge of an implantable medical device |
EP3541471B1 (en) | 2016-11-21 | 2021-01-20 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker providing cardiac resynchronization therapy |
US11207532B2 (en) | 2017-01-04 | 2021-12-28 | Cardiac Pacemakers, Inc. | Dynamic sensing updates using postural input in a multiple device cardiac rhythm management system |
EP3573709A1 (en) | 2017-01-26 | 2019-12-04 | Cardiac Pacemakers, Inc. | Leadless device with overmolded components |
JP7000438B2 (ja) | 2017-01-26 | 2022-01-19 | 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 | 冗長メッセージ送信を伴う人体デバイス通信 |
US10737102B2 (en) | 2017-01-26 | 2020-08-11 | Cardiac Pacemakers, Inc. | Leadless implantable device with detachable fixation |
US10905872B2 (en) | 2017-04-03 | 2021-02-02 | Cardiac Pacemakers, Inc. | Implantable medical device with a movable electrode biased toward an extended position |
EP3606605B1 (en) | 2017-04-03 | 2023-12-20 | Cardiac Pacemakers, Inc. | Cardiac pacemaker with pacing pulse energy adjustment based on sensed heart rate |
WO2019036568A1 (en) | 2017-08-18 | 2019-02-21 | Cardiac Pacemakers, Inc. | IMPLANTABLE MEDICAL DEVICE COMPRISING A FLOW CONCENTRATOR AND A RECEPTION COIL PROVIDED AROUND THE FLOW CONCENTRATOR |
CN111032148B (zh) | 2017-08-18 | 2024-04-02 | 心脏起搏器股份公司 | 具有压力传感器的可植入医疗设备 |
JP6938778B2 (ja) | 2017-09-20 | 2021-09-22 | 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 | 複数の作動モードを備えた移植式医療用装置 |
US11185703B2 (en) | 2017-11-07 | 2021-11-30 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker for bundle of his pacing |
US11813463B2 (en) | 2017-12-01 | 2023-11-14 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker with reversionary behavior |
EP3717059A1 (en) | 2017-12-01 | 2020-10-07 | Cardiac Pacemakers, Inc. | Methods and systems for detecting atrial contraction timing fiducials within a search window from a ventricularly implanted leadless cardiac pacemaker |
WO2019108545A1 (en) | 2017-12-01 | 2019-06-06 | Cardiac Pacemakers, Inc. | Methods and systems for detecting atrial contraction timing fiducials during ventricular filling from a ventricularly implanted leadless cardiac pacemaker |
EP3717063B1 (en) | 2017-12-01 | 2023-12-27 | Cardiac Pacemakers, Inc. | Systems for detecting atrial contraction timing fiducials and determining a cardiac interval from a ventricularly implanted leadless cardiac pacemaker |
US11529523B2 (en) | 2018-01-04 | 2022-12-20 | Cardiac Pacemakers, Inc. | Handheld bridge device for providing a communication bridge between an implanted medical device and a smartphone |
CN111556773A (zh) | 2018-01-04 | 2020-08-18 | 心脏起搏器股份公司 | 无逐搏通信的双腔起搏 |
WO2019183512A1 (en) | 2018-03-23 | 2019-09-26 | Medtronic, Inc. | Vfa cardiac resynchronization therapy |
CN111886046A (zh) | 2018-03-23 | 2020-11-03 | 美敦力公司 | Av同步vfa心脏治疗 |
EP3768160B1 (en) | 2018-03-23 | 2023-06-07 | Medtronic, Inc. | Vfa cardiac therapy for tachycardia |
WO2020065582A1 (en) | 2018-09-26 | 2020-04-02 | Medtronic, Inc. | Capture in ventricle-from-atrium cardiac therapy |
US11033745B2 (en) | 2018-10-26 | 2021-06-15 | Medtronic, Inc. | Pacemaker and method for delivering leading pacing pulses |
US11951313B2 (en) | 2018-11-17 | 2024-04-09 | Medtronic, Inc. | VFA delivery systems and methods |
US11679265B2 (en) | 2019-02-14 | 2023-06-20 | Medtronic, Inc. | Lead-in-lead systems and methods for cardiac therapy |
US11697025B2 (en) | 2019-03-29 | 2023-07-11 | Medtronic, Inc. | Cardiac conduction system capture |
US11213676B2 (en) | 2019-04-01 | 2022-01-04 | Medtronic, Inc. | Delivery systems for VfA cardiac therapy |
US11712188B2 (en) | 2019-05-07 | 2023-08-01 | Medtronic, Inc. | Posterior left bundle branch engagement |
US11305127B2 (en) | 2019-08-26 | 2022-04-19 | Medtronic Inc. | VfA delivery and implant region detection |
US11813466B2 (en) | 2020-01-27 | 2023-11-14 | Medtronic, Inc. | Atrioventricular nodal stimulation |
US11911168B2 (en) | 2020-04-03 | 2024-02-27 | Medtronic, Inc. | Cardiac conduction system therapy benefit determination |
US11813464B2 (en) | 2020-07-31 | 2023-11-14 | Medtronic, Inc. | Cardiac conduction system evaluation |
Family Cites Families (115)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4226245A (en) | 1978-11-06 | 1980-10-07 | Medtronic, Inc. | System for detecting heart pacemaker pulses |
US4328807A (en) * | 1980-04-07 | 1982-05-11 | Medtronic, Inc. | Output pulse artifact rejection in demand pacemakers |
JPS6022068A (ja) | 1983-07-19 | 1985-02-04 | Toyota Motor Corp | 燃料噴射弁装置 |
US4539999A (en) | 1983-07-22 | 1985-09-10 | Datascope Corp. | Method and device for subtracting a pacer signal from an ECG signal |
US4664116A (en) | 1984-04-18 | 1987-05-12 | Hewlett-Packard Company | Pace pulse identification apparatus |
US4832041A (en) * | 1987-02-26 | 1989-05-23 | Hewlett-Packard Company | Pace pulse eliminator |
US4787389A (en) | 1987-07-16 | 1988-11-29 | Tnc Medical Devices Pte. Ltd. | Using an implantable antitachycardia defibrillator circuit |
US5010888A (en) | 1988-03-25 | 1991-04-30 | Arzco Medical Electronics, Inc. | Method and apparatus for detection of posterior ischemia |
US5127401A (en) | 1990-11-09 | 1992-07-07 | Medtronic, Inc. | Method of and apparatus for multi-vector pacing artifact detection |
AU654552B2 (en) | 1991-04-05 | 1994-11-10 | Medtronic, Inc. | Subcutaneous multi-electrode sensing system |
US5448997A (en) | 1993-10-15 | 1995-09-12 | Medtronic, Inc. | Heart pacing pulse detection system |
US5660184A (en) * | 1995-05-15 | 1997-08-26 | Johnson & Johnson Medical, Inc. | Pacemaker pulse detection and artifact rejection |
US5682902A (en) | 1995-10-16 | 1997-11-04 | Hewlett-Packard Company | ECG pace pulse detection and processing |
US5776167A (en) | 1996-02-27 | 1998-07-07 | Pacesetter, Inc. | System and method for alleviating the effects of pacemaker crosstalk |
US5772692A (en) | 1996-10-29 | 1998-06-30 | Sulzer Intermedics Inc. | Implantable medical device with automatic adjustment to externally generated shocks |
US5913828A (en) | 1996-10-29 | 1999-06-22 | Hewlett-Packard Company | Method and apparatus for distinguishing pacing pulses in an EKG using conduction velocity calculations |
JP2956625B2 (ja) | 1996-12-09 | 1999-10-04 | 日本電気株式会社 | 監視装置 |
US5951483A (en) | 1998-01-26 | 1999-09-14 | Physio-Control Manufacturing Corporation | Method and apparatus for detecting an internal pacemaker pulse |
US6477404B1 (en) | 2000-03-01 | 2002-11-05 | Cardiac Pacemakers, Inc. | System and method for detection of pacing pulses within ECG signals |
US7801606B2 (en) | 2000-08-29 | 2010-09-21 | Cardiac Pacemakers, Inc. | Implantable pulse generator and method having adjustable signal blanking |
US20020035377A1 (en) | 2000-09-18 | 2002-03-21 | Cameron Health, Inc. | Subcutaneous electrode for transthoracic conduction with insertion tool |
US20020107544A1 (en) | 2000-09-18 | 2002-08-08 | Cameron Health, Inc. | Current waveform for anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
US6754528B2 (en) | 2001-11-21 | 2004-06-22 | Cameraon Health, Inc. | Apparatus and method of arrhythmia detection in a subcutaneous implantable cardioverter/defibrillator |
US6988003B2 (en) | 2000-09-18 | 2006-01-17 | Cameron Health, Inc. | Implantable cardioverter-defibrillator having two spaced apart shocking electrodes on housing |
US7146212B2 (en) | 2000-09-18 | 2006-12-05 | Cameron Health, Inc. | Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
US20020035378A1 (en) | 2000-09-18 | 2002-03-21 | Cameron Health, Inc. | Subcutaneous electrode for transthoracic conduction with highly maneuverable insertion tool |
US6952610B2 (en) | 2000-09-18 | 2005-10-04 | Cameron Health, Inc. | Current waveforms for anti-tachycardia pacing for a subcutaneous implantable cardioverter- defibrillator |
US7092754B2 (en) | 2000-09-18 | 2006-08-15 | Cameron Health, Inc. | Monophasic waveform for anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
US20020035381A1 (en) | 2000-09-18 | 2002-03-21 | Cameron Health, Inc. | Subcutaneous electrode with improved contact shape for transthoracic conduction |
US6721597B1 (en) | 2000-09-18 | 2004-04-13 | Cameron Health, Inc. | Subcutaneous only implantable cardioverter defibrillator and optional pacer |
US7069080B2 (en) | 2000-09-18 | 2006-06-27 | Cameron Health, Inc. | Active housing and subcutaneous electrode cardioversion/defibrillating system |
US7039465B2 (en) | 2000-09-18 | 2006-05-02 | Cameron Health, Inc. | Ceramics and/or other material insulated shell for active and non-active S-ICD can |
US7751885B2 (en) | 2000-09-18 | 2010-07-06 | Cameron Health, Inc. | Bradycardia pacing in a subcutaneous device |
US6856835B2 (en) | 2000-09-18 | 2005-02-15 | Cameron Health, Inc. | Biphasic waveform for anti-tachycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
US7149575B2 (en) | 2000-09-18 | 2006-12-12 | Cameron Health, Inc. | Subcutaneous cardiac stimulator device having an anteriorly positioned electrode |
US7090682B2 (en) | 2000-09-18 | 2006-08-15 | Cameron Health, Inc. | Method and apparatus for extraction of a subcutaneous electrode |
US6937907B2 (en) | 2000-09-18 | 2005-08-30 | Cameron Health, Inc. | Subcutaneous electrode for transthoracic conduction with low-profile installation appendage and method of doing same |
US7043299B2 (en) | 2000-09-18 | 2006-05-09 | Cameron Health, Inc. | Subcutaneous implantable cardioverter-defibrillator employing a telescoping lead |
US6834204B2 (en) | 2001-11-05 | 2004-12-21 | Cameron Health, Inc. | Method and apparatus for inducing defibrillation in a patient using a T-shock waveform |
US7076296B2 (en) | 2000-09-18 | 2006-07-11 | Cameron Health, Inc. | Method of supplying energy to subcutaneous cardioverter-defibrillator and pacer |
US20020035379A1 (en) | 2000-09-18 | 2002-03-21 | Bardy Gust H. | Subcutaneous electrode for transthoracic conduction with improved installation characteristics |
US7194302B2 (en) | 2000-09-18 | 2007-03-20 | Cameron Health, Inc. | Subcutaneous cardiac stimulator with small contact surface electrodes |
US7392085B2 (en) | 2001-11-21 | 2008-06-24 | Cameron Health, Inc. | Multiple electrode vectors for implantable cardiac treatment devices |
US7330757B2 (en) | 2001-11-21 | 2008-02-12 | Cameron Health, Inc. | Method for discriminating between ventricular and supraventricular arrhythmias |
US7248921B2 (en) | 2003-06-02 | 2007-07-24 | Cameron Health, Inc. | Method and devices for performing cardiac waveform appraisal |
US7027858B2 (en) | 2002-09-11 | 2006-04-11 | Medtronic, Inc. | Methods and apparatus for cardiac R-wave sensing in a subcutaneous ECG waveform |
US20040199082A1 (en) | 2003-04-03 | 2004-10-07 | Ostroff Alan H. | Selctable notch filter circuits |
US7236819B2 (en) | 2003-04-11 | 2007-06-26 | Cardiac Pacemakers, Inc. | Separation of a subcutaneous cardiac signal from a plurality of composite signals |
US8825157B2 (en) | 2003-07-28 | 2014-09-02 | Cameron Health, Inc. | Vector switching in an implantable cardiac stimulus system |
US7583995B2 (en) | 2003-10-30 | 2009-09-01 | Cardiac Pacemakers, Inc. | Temporary disablement feature for implantable device with anti-tachyarrhythmia functions |
US7277754B2 (en) | 2003-12-24 | 2007-10-02 | Cardiac Pacemakers, Inc. | Method and system for removing pacing artifacts from subcutaneous electrocardiograms |
US7471977B2 (en) | 2004-06-30 | 2008-12-30 | General Electric Company | Method and system for detecting pace pulses |
CN100337583C (zh) | 2004-07-26 | 2007-09-19 | 深圳迈瑞生物医疗电子股份有限公司 | 在心电波形测量过程中纠正起搏脉冲影响的方法和电路 |
US7376458B2 (en) | 2004-11-29 | 2008-05-20 | Cameron Health, Inc. | Method for defining signal templates in implantable cardiac devices |
US7477935B2 (en) | 2004-11-29 | 2009-01-13 | Cameron Health, Inc. | Method and apparatus for beat alignment and comparison |
US7655014B2 (en) | 2004-12-06 | 2010-02-02 | Cameron Health, Inc. | Apparatus and method for subcutaneous electrode insertion |
WO2006069215A2 (en) | 2004-12-21 | 2006-06-29 | Ebr Systems, Inc. | Leadless cardiac system for pacing and arrhythmia treatment |
US8160697B2 (en) | 2005-01-25 | 2012-04-17 | Cameron Health, Inc. | Method for adapting charge initiation for an implantable cardioverter-defibrillator |
US8229563B2 (en) | 2005-01-25 | 2012-07-24 | Cameron Health, Inc. | Devices for adapting charge initiation for an implantable cardioverter-defibrillator |
US20060173498A1 (en) | 2005-01-31 | 2006-08-03 | Isabelle Banville | Communication between an external defibrillator and an implantable medical device |
US20060206151A1 (en) | 2005-02-16 | 2006-09-14 | Fei Lu | Heart rhythm management system |
US20060241700A1 (en) | 2005-04-26 | 2006-10-26 | Ghanem Raja N | Level crossing detector for detecting noise, sinus rhythm and ventricular fibrillation in subcutaneous or body surface signals |
US7991467B2 (en) | 2005-04-26 | 2011-08-02 | Medtronic, Inc. | Remotely enabled pacemaker and implantable subcutaneous cardioverter/defibrillator system |
US8391990B2 (en) | 2005-05-18 | 2013-03-05 | Cardiac Pacemakers, Inc. | Modular antitachyarrhythmia therapy system |
US8116867B2 (en) | 2005-08-04 | 2012-02-14 | Cameron Health, Inc. | Methods and devices for tachyarrhythmia sensing and high-pass filter bypass |
EP1948296B2 (en) | 2005-10-14 | 2017-10-11 | Pacesetter, Inc. | Leadless cardiac pacemaker and system |
US7991471B2 (en) | 2006-03-29 | 2011-08-02 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a subcutaneous medical device |
US7769452B2 (en) | 2006-03-29 | 2010-08-03 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a medical device |
US7894894B2 (en) | 2006-03-29 | 2011-02-22 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a subcutaneous medical device |
US7783340B2 (en) | 2007-01-16 | 2010-08-24 | Cameron Health, Inc. | Systems and methods for sensing vector selection in an implantable medical device using a polynomial approach |
US20070276452A1 (en) | 2006-05-26 | 2007-11-29 | Cameron Health, Inc. | Implantable medical device systems having initialization functions and methods of operation |
US7623909B2 (en) | 2006-05-26 | 2009-11-24 | Cameron Health, Inc. | Implantable medical devices and programmers adapted for sensing vector selection |
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 |
US8718793B2 (en) | 2006-08-01 | 2014-05-06 | Cameron Health, Inc. | Electrode insertion tools, lead assemblies, kits and methods for placement of cardiac device electrodes |
US7623913B2 (en) | 2006-08-01 | 2009-11-24 | Cameron Health, Inc. | Implantable medical devices using heuristic filtering in cardiac event detection |
US8014851B2 (en) | 2006-09-26 | 2011-09-06 | Cameron Health, Inc. | Signal analysis in implantable cardiac treatment devices |
US8095206B2 (en) | 2007-05-01 | 2012-01-10 | Medtronic, Inc. | Method and apparatus for detecting arrhythmias in a medical device |
US7937135B2 (en) | 2007-05-01 | 2011-05-03 | Medtronic, Inc. | Method and apparatus for adjusting a sensing parameter |
US7774049B2 (en) | 2007-05-01 | 2010-08-10 | Medtronic, Inc. | Method and apparatus for determining oversensing in a medical device |
US7726596B2 (en) | 2007-05-03 | 2010-06-01 | Andritz Inc. | Refiner with spiral inlet and dual tangential discharge outlet |
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 |
US8244349B2 (en) | 2008-02-02 | 2012-08-14 | Cameron Health, Inc. | Adaptive shock delivery in an implantable cardiac stimulus device |
JP5457376B2 (ja) | 2008-03-07 | 2014-04-02 | 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デバイスにおける的確な心臓事象検出 |
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 |
US8050751B2 (en) | 2008-07-31 | 2011-11-01 | Medtronic, Inc. | Periodic beat detection to detect artifacts in a cardiac electrogram |
US20100069986A1 (en) | 2008-08-14 | 2010-03-18 | Cardiac Pacemakers, Inc | Systems and methods for increasing pacing output after external high-energy electrical shock |
US9775987B2 (en) | 2008-10-31 | 2017-10-03 | Medtronic, Inc. | Implantable medical device crosstalk evaluation and mitigation |
US8712523B2 (en) | 2008-12-12 | 2014-04-29 | Cameron Health Inc. | Implantable defibrillator systems and methods with mitigations for saturation avoidance and accommodation |
WO2011008550A1 (en) | 2009-06-29 | 2011-01-20 | Cameron Health, Inc. | Adaptive confirmation of treatable arrhythmia in implantable cardiac stimulus devices |
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 |
JP5600751B2 (ja) | 2009-12-08 | 2014-10-01 | 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 | 埋め込み型医療装置における併用療法検出 |
US8831711B2 (en) | 2012-06-04 | 2014-09-09 | Cameron Health, Inc. | Implantable cardiac systems with baseline correction in response to noise detection |
US8548573B2 (en) | 2010-01-18 | 2013-10-01 | Cameron Health, Inc. | Dynamically filtered beat detection in an implantable cardiac device |
CA2805947A1 (en) | 2010-07-21 | 2012-01-26 | Kyma Medical Technologies Ltd. | Implantable dielectrometer |
US9974944B2 (en) | 2010-07-29 | 2018-05-22 | Cameron Health, Inc. | Subcutaneous leads and methods of implant and explant |
US8145307B2 (en) | 2010-08-26 | 2012-03-27 | Medtronic, Inc. | Method and apparatus for enhancing treatable arrhythmia detection specificity by using accumulated patient activity |
US8170654B1 (en) | 2010-10-13 | 2012-05-01 | Medtronic, Inc. | Sequential discrimination approach for detecting treatable cardiac rhythms |
US8588895B2 (en) | 2011-04-22 | 2013-11-19 | Cameron Health, Inc. | Robust rate calculation in an implantable cardiac stimulus or monitoring device |
US9849291B2 (en) | 2011-06-09 | 2017-12-26 | Cameron Health, Inc. | Antitachycardia pacing pulse from a subcutaneous defibrillator |
EP2785413B1 (en) | 2011-11-28 | 2018-02-14 | Cardiac Pacemakers, Inc. | Managing cross therapy sensing in a multiple therapy implantable device |
CN104023788B (zh) * | 2011-12-27 | 2016-08-24 | 心脏起搏器股份公司 | 在多重治疗可植入装置中控制交叉治疗递送 |
US8634914B2 (en) | 2012-01-27 | 2014-01-21 | Medtronic, Inc. | Pacemaker event queue to control device processor operating power |
US8744572B1 (en) | 2013-01-31 | 2014-06-03 | Medronic, Inc. | Systems and methods for leadless pacing and shock therapy |
JP2016512460A (ja) | 2013-03-11 | 2016-04-28 | キャメロン ヘルス、 インコーポレイテッド | 不整脈検出のための二重基準を実現する方法及び装置 |
US9579065B2 (en) | 2013-03-12 | 2017-02-28 | Cameron Health Inc. | Cardiac signal vector selection with monophasic and biphasic shape consideration |
US8825145B1 (en) | 2013-03-14 | 2014-09-02 | Medtronic, Inc. | Beat-morphology matching scheme for cardiac sensing and event detection |
US8983586B2 (en) | 2013-03-14 | 2015-03-17 | Medtronic, Inc. | Beat-morphology matching scheme for cardiac sensing and event detection |
US20140276159A1 (en) | 2013-03-14 | 2014-09-18 | Medtronic, Inc. | Beat-morphology matching scheme for cardiac sensing and event detection |
US9002443B2 (en) | 2013-03-15 | 2015-04-07 | Medtronic, Inc. | System and method for avoiding undersensing of ventricular fibrillation |
CN105492263B (zh) | 2013-09-02 | 2017-10-10 | 三菱电机株式会社 | 车辆行驶装置以及车辆的行驶控制方法 |
CN103736206B (zh) | 2014-01-23 | 2015-11-25 | 北京品驰医疗设备有限公司 | 一种具有失效安全保护功能的植入式医疗设备 |
US9808640B2 (en) | 2014-04-10 | 2017-11-07 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors |
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