Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay
    91.
    发明授权
    Method and system for delivering cardiac resynchronization therapy with variable atrio-ventricular delay 有权
    用心脏再同步治疗可变心房延迟的方法和系统

    公开(公告)号:US08121685B2

    公开(公告)日:2012-02-21

    申请号:US12622602

    申请日:2009-11-20

    CPC classification number: A61N1/36585 A61N1/3627 A61N1/3682 A61N1/3684

    Abstract: A pacing system computes optimal cardiac resynchronization pacing parameters using intrinsic conduction intervals. In various embodiments, values for atrio-ventricular delay intervals are each computed as a function of an intrinsic atrio-ventricular interval and a parameter reflective of an interventricular conduction delay. Examples of the parameter reflective of the interventricular conduction delay include QRS width and interval between right and left ventricular senses.

    Abstract translation: 起搏系统使用内在导电间隔计算最佳心脏再同步起搏参数。 在各种实施例中,心室间隔延迟间隔的值各自被计算为内在房室间隔和反映室间传导延迟的参数的函数。 反映室间传导延迟的参数的示例包括QRS宽度和右心室感觉和左心室感觉之间的间隔。

    Cardiac pacing using adjustable atrio-ventricular delays
    92.
    发明授权
    Cardiac pacing using adjustable atrio-ventricular delays 有权
    心脏起搏使用可调节的心房延迟

    公开(公告)号:US08103345B2

    公开(公告)日:2012-01-24

    申请号:US12955218

    申请日:2010-11-29

    CPC classification number: E21B17/01 A61N1/3627 A61N1/3682 E21B43/36

    Abstract: A pacing system for providing optimal hemodynamic cardiac function for parameters such as contractility (peak left ventricle pressure change during systole or LV+dp/dt), or stroke volume (aortic pulse pressure) using system for calculating atrio-ventricular delays for optimal timing of a ventricular pacing pulse. The system providing an option for near optimal pacing of multiple hemodynamic parameters. The system deriving the proper timing using electrical or mechanical events having a predictable relationship with an optimal ventricular pacing timing signal.

    Abstract translation: 一种起搏系统,用于为诸如收缩性(收缩期峰值左心室压力变化或LV + dp / dt)之间的参数或行程体积(主动脉脉压)提供最佳血液动力学心脏功能,使用用于计算心室延迟的系统以获得最佳时机 心室起搏脉搏。 该系统为多个血液动力学参数的近似最佳起搏提供了选择。 该系统使用与最佳心室起搏定时信号具有可预测关系的电或机械事件导出适当的定时。

    Selective resynchronization therapy optimization based on user preference
    93.
    发明授权
    Selective resynchronization therapy optimization based on user preference 有权
    基于用户偏好的选择性再同步治疗优化

    公开(公告)号:US08041426B2

    公开(公告)日:2011-10-18

    申请号:US12565344

    申请日:2009-09-23

    CPC classification number: A61N1/3627 A61N1/36564 A61N1/3682 A61N1/3684

    Abstract: A method and system for calculating an atrio-ventricular delay interval based upon an inter-atrial delay exhibited by a patient's heart. The aforementioned atrio-ventricular delay interval may optimize the stroke volume exhibited by a patient's heart. The aforementioned atrio-ventricular delay interval may be blended with another atrio-ventricular delay interval that may optimize another performance characteristic, such as left ventricular contractility. Such blending may include finding an arithmetic mean, geometric mean, or weighted mean of two or more proposed atrio-ventricular delay intervals.

    Abstract translation: 一种用于根据患者心脏表现的心房间延迟来计算心房延迟间隔的方法和系统。 上述的心室延迟间隔可以优化患者心脏展示的搏动量。 上述房室延迟间隔可以与可以优化另一性能特征(例如左心室收缩力)的另一心房延迟间隔混合。 这种混合可以包括找到两个或更多个提出的心房延迟间隔的算术平均值,几何平均值或加权平均值。

    Method and apparatus for optimizing ventricular synchrony during DDD resynchronization therapy using adjustable atrio-ventricular delays
    94.
    发明授权
    Method and apparatus for optimizing ventricular synchrony during DDD resynchronization therapy using adjustable atrio-ventricular delays 有权
    在使用可调节心室延迟的DDD再同步治疗期间优化心室同步的方法和装置

    公开(公告)号:US08032214B2

    公开(公告)日:2011-10-04

    申请号:US12424136

    申请日:2009-04-15

    Abstract: A pacing system for providing optimal hemodynamic cardiac function for parameters such as ventricular synchrony or contractility (peak left ventricle pressure change during systole or LV+dp/dt), or stroke volume (aortic pulse pressure) using system for calculating atrio-ventricular delays for optimal timing of a ventricular pacing pulse. The system providing an option for near optimal pacing of multiple hemodynamic parameters. The system deriving the proper timing using electrical or mechanical events having a predictable relationship with an optimal ventricular pacing timing signal.

    Abstract translation: 用于为诸如心室同步或收缩性(收缩期左心室压力峰值或LV + dp / dt)之间的参数提供最佳血液动力学心脏功能或行程体积(主动脉脉压)的起搏系统,用于计算心室间期延迟 心室起搏脉冲的最佳时机。 该系统为多个血液动力学参数的近似最佳起搏提供了选择。 该系统使用与最佳心室起搏定时信号具有可预测关系的电或机械事件导出适当的定时。

    CARDIAC RHYTHM MANAGEMENT SYSTEM SELECTING BETWEEN MULTIPLE SAME-CHAMBER ELECTRODES FOR DELIVERING CARDIAC THERAPY
    95.
    发明申请
    CARDIAC RHYTHM MANAGEMENT SYSTEM SELECTING BETWEEN MULTIPLE SAME-CHAMBER ELECTRODES FOR DELIVERING CARDIAC THERAPY 有权
    CARDIAC RHYTHM管理系统选择用于提供心脏治疗的多个相同电极

    公开(公告)号:US20110137366A1

    公开(公告)日:2011-06-09

    申请号:US13026917

    申请日:2011-02-14

    CPC classification number: A61N1/3684 A61N1/3627 A61N1/36514 A61N1/368

    Abstract: A cardiac rhythm management system selects one of multiple electrodes associated with a particular heart chamber based on a relative timing between detection of a depolarization fiducial point at the multiple electrodes, or based on a delay between detection of a depolarization fiducial point at the multiple electrodes and detection of a reference depolarization fiducial point at another electrode associated with the same or a different heart chamber. Subsequent contraction-evoking stimulation therapy is delivered from the selected electrode.

    Abstract translation: 心脏节律管理系统基于在多个电极处的去极化基准点的检测之间的相对定时或基于在多个电极之间的去极化基准点的检测之间的延迟来选择与特定心室相关联的多个电极中的一个,以及 在与相同或不同的心室相关联的另一电极处检测参考去极化基准点。 随后的收缩诱导刺激疗法从所选择的电极递送。

    Cardiac rhythm management system selecting between multiple same-chamber electrodes for delivering cardiac therapy
    96.
    发明授权
    Cardiac rhythm management system selecting between multiple same-chamber electrodes for delivering cardiac therapy 有权
    心脏节律管理系统选择多个相同室电极之间进行心脏治疗

    公开(公告)号:US07890169B2

    公开(公告)日:2011-02-15

    申请号:US11742655

    申请日:2007-05-01

    CPC classification number: A61N1/3684 A61N1/3627 A61N1/36514 A61N1/368

    Abstract: A cardiac rhythm management system selects one of multiple electrodes associated with a particular heart chamber based on a relative timing between detection of a depolarization fiducial point at the multiple electrodes, or based on a delay between detection of a depolarization fiducial point at the multiple electrodes and detection of a reference depolarization fiducial point at another electrode associated with the same or a different heart chamber. Subsequent contraction-evoking stimulation therapy is delivered from the selected electrode.

    Abstract translation: 心脏节律管理系统基于在多个电极处的去极化基准点的检测之间的相对定时或基于在多个电极之间的去极化基准点的检测之间的延迟来选择与特定心室相关联的多个电极中的一个,以及 在与相同或不同的心室相关联的另一电极处检测参考去极化基准点。 随后的收缩诱导刺激疗法从所选择的电极递送。

    Dynamic device therapy control for treating post myocardial infarction patients
    97.
    发明授权
    Dynamic device therapy control for treating post myocardial infarction patients 有权
    用于治疗心肌梗死后患者的动态装置治疗控制

    公开(公告)号:US07844330B2

    公开(公告)日:2010-11-30

    申请号:US11689646

    申请日:2007-03-22

    CPC classification number: A61N1/365

    Abstract: A cardiac rhythm management system includes an implantable device executing a dynamic pacing algorithm after an myocardial infarction (MI) event. The dynamic pacing algorithm dynamically adjusts one or more pacing parameters based on a person's gross physical activity level. Examples of the one or more pacing parameters include atrioventricular pacing delays and pacing channels/sites. The dynamic pacing algorithm provides for improved hemodynamic performance when a person's metabolic need is high, and post MI remodeling control when the person's metabolic need is low.

    Abstract translation: 心律管理系统包括在心肌梗死(MI)事件之后执行动态起搏算法的可植入装置。 动态起搏算法根据人的总身体活动水平动态调整一个或多个起搏参数。 一个或多个起搏参数的示例包括房室起搏延迟和起搏通道/部位。 当人的代谢需求高时,动态起搏算法提供改善的血液动力学性能,并且当人的代谢需求低时,进行MI重建控制。

    Dynamic Cardiac Resynchronization Therapy by Tracking Intrinsic Conduction
    99.
    发明申请
    Dynamic Cardiac Resynchronization Therapy by Tracking Intrinsic Conduction 有权
    通过跟踪内在传导的动态心脏再同步治疗

    公开(公告)号:US20100087889A1

    公开(公告)日:2010-04-08

    申请号:US12570167

    申请日:2009-09-30

    Abstract: Systems and methods for pacing the heart using resynchronization pacing delays that achieve improvement of cardiac function are described. An early activation pacing interval is calculated based on an optimal AV delay and an atrial to early ventricular activation interval between an atrial event and early activation of a ventricular depolarization. The early activation pacing interval for the ventricle is calculated by subtracting the measured AVEA from the calculated optimal AV delay. The early activation pacing interval is initiated responsive to sensing early activation of the ventricle and pacing is delivered relative to expiration of the early activation pacing interval.

    Abstract translation: 描述了实现心脏功能改善的再同步起搏延迟来起搏心脏的系统和方法。 基于最佳AV延迟和心房事件与心室去极化的早期激活之间的早期心室激活间隔来计算早期激活起搏间隔。 通过从计算的最佳AV延迟中减去测量的AVEA来计算心室的早期激活起搏间隔。 响应于感测心室的早期激活而启动早期激活起搏间隔,并且相对于早期激活起搏间隔的期满而递送起搏。

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