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Method and apparatus for detecting arrhythmias in a subcutaneous medical device 원문보기

IPC분류정보
국가/구분 United States(US) Patent 등록
국제특허분류(IPC7판)
  • A61N-001/39
출원번호 US-0687108 (2007-03-16)
등록번호 US7894894 (2011-02-08)
발명자 / 주소
  • Stadler, Robert W.
  • Ghanem, Raja N.
  • Zhang, Xusheng
출원인 / 주소
  • Medtronic, Inc.
대리인 / 주소
    Michael C., Soldner
인용정보 피인용 횟수 : 73  인용 특허 : 38

초록

A method and apparatus for detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes, the plurality of electrodes forming a first sensing vector and a second sensing vector different from the first sensing vector, determining a characteristic

대표청구항

We claim: 1. A method of treating a cardiac event with a medical device having therapeutic componentry and a plurality of electrodes, comprising:sensing cardiac signals from the plurality of electrodes, the plurality of electrodes forming a first sensing vector and a second sensing vector different

이 특허에 인용된 특허 (38)

  1. Goedeke Steven D. (Forest Lake MN) Haubrich Gregory J. (Champlin MN) Keimel John G. (New Brighton MN) Thompson David L. (Fridley MN), Adaptive, performance-optimizing communication system for communicating with an implanted medical device.
  2. Wang Xiangsheng (Beijing CNX), Apparatus and method for detecting heart characteristics by way of electrical stimulation.
  3. Keimel John G. (New Brighton MN), Apparatus and method for treating a tachyarrhythmia.
  4. Bardy, Gust H.; Rissmann, William J.; Ostroff, Alan H.; Erlinger, Paul J.; Allavatam, Venugopal, Apparatus and method of arrhythmia detection in a subcutaneous implantable cardioverter/defibrillator.
  5. Keimel John G. (New Brighton MN), Apparatus for delivering single and multiple cardioversion and defibrillation pulses.
  6. Bardy Gust H. (Seattle WA) Olson Walter H. (North Oaks MN) Peterson David K. (Mounds View MN) Taepke Robert T. (Fridley MN), Apparatus for detection of and discrimination between tachycardia and fibrillation and for treatment of both.
  7. Erickson Mark K. (Minneapolis MN) Bennett Tom D. (Shoreview MN), Apparatus for discrimination of stable and unstable ventricular tachycardia and for treatment thereof.
  8. Keimel John G. (New Brighton MN) Ballis Joseph A. (Shoreview MN) Roline Glenn M. (Anoka MN), Apparatus for monitoring electrical physiologic signals.
  9. Adams Theodore P. (Edina MN) Kroll Mark W. (Minnetonka MN) Supino Charles G. (Arden Hills MN), Arrhythmia-detection criteria process for a cardioverter/defibrillator.
  10. Taylor James W. ; Stickney Ronald E., Automatic detection and reporting of cardiac asystole.
  11. Robert W. Stadler ; Shannon Nelson, Axis shift analysis of electrocardiogram signal parameters especially applicable for multivector analysis by implantable medical devices, and use of same.
  12. William Hsu, Classification of supraventricular and ventricular cardiac rhythms using cross channel timing algorithm.
  13. Simson Michael B. (Cherry Hill NJ), Electrocardiographic means and method for detecting potential ventricular tachycardia.
  14. Wielders, Pierre G. E.; Leinders, Robert, Energy converter for implantable cardioverter.
  15. Plicchi Gianni (77/7 Via Mascarella Bologna ITX) Canducci Giancarlo (27 ; Via Cesare Pavese Bologna ITX), Implantable cardiac pacemaker.
  16. Hassler Beth A. (White Bear Lake MN) Donders Adrianus P. (Andover MN), Implantable medical device with multi-layered ceramic enclosure.
  17. Cao, Jian; Lee, Brian B.; Hurd, Spencer R., Implantable medical device with multi-vector sensing electrodes.
  18. Anderson Kenneth M. (Bloomington MN), Lead connector for a body implantable stimulator.
  19. Markowitz Harold T. (Anoka MN), Marker channel telemetry system for a medical device.
  20. Alt Eckhard (Ottobrunn DEX), Medical interventional device responsive to sudden hemodynamic change.
  21. Sheldon Todd J. (Eagan MN), Medical service employing multiple DC accelerometers for patient activity and posture sensing and method.
  22. Keimel John G. (New Brighton MN), Method and apparatus for detection and treatment of tachycardia and fibrillation.
  23. Stadler, Robert W.; Gunderson, Bruce D.; Gillberg, Jeffrey M.; Olson, Walter H., Method and apparatus for detection and treatment of tachycardia and fibrillation.
  24. Bardy Gust H. (Seattle WA) Olson Walter H. (North Oaks MN) Peterson David K. (Mounds View MN) Taepke Robert T. (Fridley MN), Method and apparatus for discrimination of ventricular tachycardia from ventricular fibrillation and for treatment there.
  25. Zhang,Yi; McCabe,Aaron; Yonce,David J.; Thompson,Julie, Methods and apparatuses for arrhythmia detection and classification using wireless ECG.
  26. Ferek-Petric, Bozidar, Methods for adjusting cardiac detection criteria and implantable medical devices using same.
  27. Lee Brian B. ; Kane Michael R. ; Turi Gregg, Noise rejection for monitoring ECG's.
  28. Olson Walter H. ; Kaemmerer William F., Prioritized rule based method and apparatus for diagnosis and treatment for arrhythmias.
  29. Olson Walter H. (North Oaks MN) Kaemmerer William F. (Edina MN), Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias.
  30. Wagner,Darrell Orvin; Haefner,Paul, Subcutaneous cardiac stimulation system with patient activity sensing.
  31. Wagner,Darrell Orvin; Cates,Adam W.; Larsen Kelly,Kristine M., Subcutaneous cardiac stimulator employing post-shock transthoracic asystole prevention pacing.
  32. Bennett Tom D. (Shoreview MN) Combs William J. (Eden Prairie MN) Kallok ; Michael J. (New Brighton MN) Lee Brian B. (Golden Valley MN) Mehra Rahul (Stillwater MN) Klein George J. (London CAX), Subcutaneous multi-electrode sensing system, method and pacer.
  33. Fraley, Mary A.; Hoch, Ronald F.; Johnstone, George; Lessar, Joseph F.; Seifried, Lynn M.; Strom, James, Subcutaneous sensing feedthrough/electrode assembly.
  34. Brabec, Scott J.; Brennen, Kenneth R.; Schindeldecker, William; Strom, James, Subcutaneous spiral electrode for sensing electrical signals of the heart.
  35. Ceballos, Thomas I.; Nicholson, John E.; Panken, Eric J.; Reinke, James D.; Strom, James; Tidemand, Kevin K., Surround shroud connector and electrode housings for a subcutaneous electrode array and leadless ECGS.
  36. Lee, Brian B.; Panken, Eric J.; Reinke, James D., System and method for deriving a virtual ECG or EGM signal.
  37. Wyborny Paul B. (Fridley MN) Roline Glenn M. (Anoka MN) Nichols Lucy M. (Maple Grove MN) Thompson David L. (Fridley MN), Telemetry format for implanted medical device.
  38. Thompson, David L.; Bennett, Robert M.; Roline, Glenn M., Telemetry system for a medical device.

이 특허를 인용한 특허 (73)

  1. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Accurate cardiac event detection in an implantable cardiac stimulus device.
  2. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Accurate cardiac event detection in an implantable cardiac stimulus device.
  3. Warren, Jay A.; Sanghera, Rick; Allavatam, Venugopal, Adaptive confirmation of treatable arrhythmia in implantable cardiac stimulus devices.
  4. Warren, Jay A.; Sanghera, Rick; Allavatam, Venugopal, Adaptive confirmation of treatable arrhythmia in implantable cardiac stimulus devices.
  5. Allavatam, Venugopal; Sanghera, Rick; Warren, Jay A., Adaptive waveform appraisal in an implantable cardiac system.
  6. Allavatam, Venugopal; Sanghera, Rick; Warren, Jay A., Adaptive waveform appraisal in an implantable cardiac system.
  7. Stadler, Robert W.; Sambelashvili, Aleksandre T., Apparatus and method for selecting a preferred pacing vector in a cardiac resynchronization device.
  8. Kane, Michael J.; Shuros, Allan Charles; Schmidt, Brian L.; Huelskamp, Paul; Haasl, Benjamin J., Arrhythmia detection and confirmation.
  9. Maile, Keith R.; Kane, Michael J.; Huelskamp, Paul; Juffer, Lance E.; Stahmann, Jeffrey E., Communication between a plurality of medical devices using time delays between communication pulses to distinguish between symbols.
  10. Maile, Keith R.; Kane, Michael J.; Huelskamp, Paul; Juffer, Lance E.; Stahmann, Jeffrey E., Communications in a medical device system.
  11. Maile, Keith R.; Koop, Brendan E.; Schmidt, Brian L.; Kane, Michael J.; Ludwig, Jacob M.; Stahmann, Jeffrey E.; Juffer, Lance E., Communications in a medical device system with link quality assessment.
  12. Ludwig, Jacob M.; Kane, Michael J.; Koop, Brendan E.; Linder, William J.; Maile, Keith R.; Stahmann, Jeffrey E., Communications in a medical device system with temporal optimization.
  13. Kane, Michael J.; Schmidt, Brian L.; Koop, Brendan Early, Conducted communication in a medical device system.
  14. Palreddy, Surekha; Allavatam, Venugopal, Data manipulation following delivery of a cardiac stimulus in an implantable cardiac stimulus device.
  15. Palreddy, Surekha; Allavatam, Venugopal, Data manipulation following delivery of a cardiac stimulus in an implantable cardiac stimulus device.
  16. Palreddy, Surekha; Allavatam, Venugopal, Data manipulation following delivery of a cardiac stimulus in an implantable cardiac stimulus device.
  17. Huelskamp, Paul; Kane, Michael J.; Gifford, Douglas J., Devices and methods for adjusting pacing rates in an implantable medical device.
  18. Keefe, James M., Dynamically filtered beat detection in an implantable cardiac device.
  19. Sanghera, Rick; King, Eric F.; Scheck, Don E.; Sudam, Abdulkader O.; Warren, Jay A., Electrode spacing in a subcutaneous implantable cardiac stimulus device.
  20. Stadler, Robert W.; Zhang, Xusheng; Sharma, Vinod; Reinke, James D.; Schmid, Barbara J., Implantable cardioverter-defibrillator (ICD) tachyarrhythmia detection modifications responsive to detected pacing.
  21. Sanghera, Rick; Allavatam, Venugopal; Palreddy, Surekha; Warren, Jay A., Implantable defibrillator systems and methods with mitigations for saturation avoidance and accommodation.
  22. Schmidt, Brian L.; Swackhamer, Bryan J.; Jones, Robert A.; Kubow, Steven A., Implantable medical device with radiopaque ID tag.
  23. Strommer, Gera M.; Fishel, Robert S.; Broder, Avi, Injectable subcutaneous string heart device.
  24. Rajan, Vinayakrishnan, Integrated wireless non-invasive perfusion sensor and method of use.
  25. Webb, Erin Kristen; Williams, Thomas Lee; Sachs, Dana; Frankson, Danielle, Leadless device with overmolded components.
  26. Stahmann, Jeffrey E.; Kane, Michael J.; Huelskamp, Paul; Maile, Keith R., Medical device with triggered blanking period.
  27. Greenhut, Saul E.; Stadler, Robert W.; Zhang, Xusheng, Method and apparatus for accurate separation of supraventricular tachycardia from ventricular tachycardia during posture changes.
  28. Greenhut, Saul E; Stadler, Robert W; Zhang, Xusheng, Method and apparatus for adjusting a blanking period during transitioning between operating states in a medical device.
  29. Greenhut, Saul E; Stadler, Robert W; Zhang, Xusheng, Method and apparatus for adjusting a blanking period for selecting a sensing vector configuration in a medical device.
  30. Maile, Keith R.; Kane, Michael J.; Huelskamp, Paul; Juffer, Lance E.; Stahmann, Jeffrey E., Method and apparatus for communicating between medical devices.
  31. Zhang, Xusheng; Stadler, Robert W, Method and apparatus for discriminating tachycardia events in a medical device.
  32. Zhang, Xusheng, Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors.
  33. Zhang, Xusheng, Method and apparatus for selecting a sensing vector configuration in a medical device.
  34. Zhang, Xusheng, Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors.
  35. Zhang, Xusheng, Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors.
  36. Zhang, Xusheng, Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors.
  37. Zhang, Xusheng, Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors.
  38. Stadler, Robert W.; Demmer, Wade M.; Sheldon, Todd J., Method and apparatus to determine the relative energy expenditure for a plurality of pacing vectors.
  39. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Methods and devices for accurately classifying cardiac activity.
  40. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Methods and devices for accurately classifying cardiac activity.
  41. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Methods and devices for accurately classifying cardiac activity.
  42. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Methods and devices for accurately classifying cardiac activity.
  43. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Methods and devices for accurately classifying cardiac activity.
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  45. Allavatam, Venugopal; Palreddy, Surekha; Sanghera, Rick; Warren, Jay A., Methods and devices for accurately classifying cardiac activity.
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  49. Warren, Jay A.; Sanghera, Rick; Allavatam, Venugopal; Palreddy, Surekha, Methods and devices for accurately classifying cardiac activity.
  50. Warren, Jay A.; Sanghera, Rick; Allavatam, Venugopal; Palreddy, Surekha, Methods and devices for accurately classifying cardiac activity.
  51. Warren, Jay A.; Sanghera, Rick; Allavatam, Venugopal; Palreddy, Surekha, Methods and devices for accurately classifying cardiac activity.
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  53. Warren, Jay A.; Allavatam, Venugopal; Sanghera, Rick; Palreddy, Surekha, Methods and devices for identifying overdetection of cardiac signals.
  54. Allavatam, Venugopal; Sanghera, Rick, Methods and devices implementing dual criteria for arrhythmia detection.
  55. Allavatam, Venugopal; Sanghera, Rick, Methods and devices implementing dual criteria for arrhythmia detection.
  56. Sanghera, Rick; Allavatam, Venugopal, Methods and devices implementing dual criteria for arrhythmia detection.
  57. Reinke, James D.; Zhang, Xusheng; Sharma, Vinod; Nikolski, Vladimir P.; Terry, Michael B.; Hareland, Scott A.; Hansen, Daniel L.; Salmi, Donna M., Pace pulse detector for an implantable medical device.
  58. Rajan, Vinayakrishnan; Schneider, Raphael Alexander, Quantifying laser-doppler perfusion signal for arrhythmia detection and disease monitoring.
  59. Strommer, Gera; Broder, Avraham, Rechargeable impantable cardioverter defibrillator.
  60. Strommer, Gera; Broder, Avraham, Rechargeable implantable cardioverter defibrillator.
  61. Stadler, Robert W.; Zhang, Xusheng, Rhythm discriminator with immunity to body posture.
  62. Kane, Michael J.; Linder, William J.; Balczewski, Ron A.; Mi, Bin; Hatlestad, John D.; Huelskamp, Paul; Maile, Keith R., Spatial configuration of a motion sensor in an implantable medical device.
  63. Kane, Michael J.; Shuros, Allan Charles; Schmidt, Brian L.; Maile, Keith R.; Haasl, Benjamin J., System and method for detecting tamponade.
  64. Kane, Michael J.; Linder, William J.; Juffer, Lance Eric; Haasl, Benjamin J.; Schmidt, Brian L.; Huelskamp, Paul; Maile, Keith R., Systems and methods for behaviorally responsive signal detection and therapy delivery.
  65. Schmidt, Brian L.; Juffer, Lance Eric; Maile, Keith R.; Kane, Michael J.; Koop, Brendan Early, Systems and methods for communication between medical devices.
  66. Stahmann, Jeffrey E.; Simms, Jr., Howard D.; Maile, Keith R.; Kane, Michael J.; Linder, William J., Systems and methods for detecting cardiac arrhythmias.
  67. Kane, Michael J.; Shuros, Allan Charles; Schmidt, Brian L.; Maile, Keith R.; Haasl, Benjamin J., Systems and methods for infarct detection.
  68. Huelskamp, Paul; Ludwig, Jacob M.; Juffer, Lance E.; Maile, Keith R., Systems and methods for safe delivery of electrical stimulation therapy.
  69. Koop, Brendan E., Systems and methods for treating cardiac arrhythmias.
  70. Koop, Brendan E., Systems and methods for treating cardiac arrhythmias.
  71. Kane, Michael J.; Linder, William J.; Haasl, Benjamin J.; Huelskamp, Paul; Maile, Keith R.; Balczewski, Ron A.; Mi, Bin; Hatlestad, John D.; Shuros, Allan Charles, Temporal configuration of a motion sensor in an implantable medical device.
  72. Allavatam, Venugopal, Use of detection profiles in an implantable medical device.
  73. Sullivan, Joseph L., Wearable cardioverter defibrillator (WCD) system making shock/no shock determinations by aggregating aspects of multiple patient parameters.
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