Invention Grant
- Patent Title: Method and apparatus for identifying oversensing using far-field intracardiac electrograms and marker channels
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Application No.: US12476733Application Date: 2009-06-02
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Publication No.: US08386024B2Publication Date: 2013-02-26
- Inventor: Bruce D. Gunderson , Amisha S. Patel , Chad A. Bounds , Mark L. Brown
- Applicant: Bruce D. Gunderson , Amisha S. Patel , Chad A. Bounds , Mark L. Brown
- Applicant Address: US MN Minneapolis
- Assignee: Medtronic, Inc.
- Current Assignee: Medtronic, Inc.
- Current Assignee Address: US MN Minneapolis
- Agent Stephen W. Bauer; Michael J. Ostrom
- Main IPC: A61B5/0456
- IPC: A61B5/0456

Abstract:
A method for identifying and classifying various types of oversensing in implantable medical devices (IMDs), such as implantable cardioverter defibrillators (ICDs), to assist a physician in choosing corrective action to reduce the likelihood of oversensing and inappropriate therapy delivery. Far-field electrogram (EGM) signals are analyzed to detect the occurrence of R-waves, and the result is compared to the number and pattern of R-waves sensed by the IMD and indicated on the marker channel. A marker channel with more sensed R-waves than indicated by analysis of the far-field EGM indicates the presence of oversensing, including double-counting of R-waves, T-wave oversensing, lead malfunction or failure, poor lead connections, noise associated with electromagnetic interference, non-cardiac myopotentials, etc. Identification of the type of oversensing may be determined by analysis of the number and pattern of marker channel sensed R-waves with respect to the timing of the R-waves detected from the far-field EGM.
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