Sensing vector selection in a cardiac stimulus device with postural assessment
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-005/02
A61B-005/04
A61B-005/00
A61B-005/042
A61B-005/11
A61N-001/37
A61N-001/372
A61N-001/39
A61N-001/368
A61N-001/365
출원번호
US-0812029
(2015-07-29)
등록번호
US-9357969
(2016-06-07)
발명자
/ 주소
Sanghera, Rick
Allavatam, Venugopal
출원인 / 주소
CAMERON HEALTH, INC.
대리인 / 주소
Seager, Tufte & Wickhem LLP
인용정보
피인용 횟수 :
0인용 특허 :
237
초록▼
Methods, implantable medical devices and systems configured to perform analysis of captured signals from implanted electrodes to identify cardiac arrhythmias. In an illustrative embodiment, signals captured from two or more sensing vectors are analyzed, where the signals are captured with a patient
Methods, implantable medical devices and systems configured to perform analysis of captured signals from implanted electrodes to identify cardiac arrhythmias. In an illustrative embodiment, signals captured from two or more sensing vectors are analyzed, where the signals are captured with a patient in at least first and second body positions. Analysis is performed to identify primary or default sensing vectors and/or templates for event detection.
대표청구항▼
1. A programmer for use with an implantable medical device, the implantable medical device including therapy circuitry for providing electrical therapy output using one or more electrodes disposed on a lead configured for attachment thereto, implant communications circuitry for communicating with th
1. A programmer for use with an implantable medical device, the implantable medical device including therapy circuitry for providing electrical therapy output using one or more electrodes disposed on a lead configured for attachment thereto, implant communications circuitry for communicating with the programmer, and operational circuitry for controlling at least the therapy circuitry and communications circuitry, the programmer including a user interface screen for providing instructions and information to a user thereof, an input for taking an input from a user thereof, and programmer communication circuitry for communicating with the implantable medical device, the programmer configured to perform the following method: present a plurality of posture states via the user interface screen and obtain an input from a user indicating that a patient having the implantable medical device has assumed a first posture of the plurality of posture states;upon receiving an input from the user indicating that the first posture has been assumed by the patient, directing, via the programmer communication circuitry, the implantable medical device to capture information for the first posture; anddirecting the implantable medical device to store a first sensing parameter using at least the captured information for the first posture. 2. The programmer of claim 1 wherein the programmer is further configured to: obtain an input from the user indicating that the patient has assumed a second posture of the plurality of posture states; andupon receiving an input from the user indicating that the second posture of the plurality of posture states has been assumed by the patient, directing, via the programmer communication circuitry, the implantable medical device to capture information for the second posture;wherein the step of directing the implantable medical device to store a first sensing parameter includes using the captured information for the second posture. 3. The programmer of claim 1 wherein the step of directing the implantable medical device to store a first sensing parameter includes receiving and analyzing the captured information for at least the first posture from the implantable medical device. 4. The programmer of claim 1 wherein the step of directing the implantable medical device to store a first sensing parameter includes indicating to the implantable medical device that postural analysis is complete and the implantable medical device may calculate and store the first parameter. 5. The programmer of claim 1 wherein the first sensing parameter is related to a sensing vector for use in sensing patient condition information. 6. The programmer of claim 1 wherein the first sensing parameter defines which of a plurality of cardiac signal sensing vectors the implantable device is to use for sensing patient condition information. 7. The programmer of claim 1 wherein the implantable medical device comprises a position sensor including an accelerometer and the first sensing parameter is used to define one or more output ranges of the accelerometer. 8. The programmer of claim 7 wherein the first sensing parameter defines which of several cardiac signal sensing vectors available to the implantable medical device to use in response to the accelerometer signal. 9. The programmer of claim 1 wherein the plurality of posture states include at least standing and lying down. 10. A medical device system comprising: an implantable lead having a plurality of electrodes and a connector;an implantable medical device comprising therapy circuitry for providing electrical therapy output, implant communications circuitry for communicating with the programmer, operational circuitry for controlling at least the therapy circuitry and communications circuitry, and a port for receiving the connector of the lead;a programmer for use with the implantable medical device, the programmer including a user interface screen for providing instructions and information to a user thereof, an input for taking an input from a user thereof, and programmer communication circuitry for communicating with the implantable medical device;wherein the programmer and the implantable medical device are configured for cooperative operation as follows:the programmer is configured to present a plurality of posture states via the user interface screen to a user and obtain an input from the user indicating that a patient having the implantable medical device has assumed a first posture of the plurality of posture states;the programmer is configured to direct, via the programmer communication circuitry issuing a first communication, the implantable medical device to capture information for the first posture, upon the programmer receiving an input from the user indicating that the first posture has been assumed by the patient;the implantable medical device is configured to receive the first communication and capture information for the first posture; andthe implantable medical device is configured to store a first sensing parameter using the captured information for the first posture. 11. The system of claim 10 wherein the programmer is further configured to: obtain an input from the user indicating that the patient has assumed a second posture of the plurality of posture states; anddirect, via the programmer communication circuitry, the implantable medical device to capture information for the second posture upon receiving the input from the user indicating that the second posture of the plurality of posture states has been assumed by the patient;and further wherein the first sensing parameter is determined using both the captured information for the first posture, and the captured information for the second posture. 12. The system of claim 10 wherein the programmer is configured to receive and analyze the captured information for at least the first posture from the implantable medical device, determine the first sensing parameter, and communicate the first sensing parameter to the implantable medical device. 13. The system of claim 10 wherein the implantable medical device is configured to analyze the captured information for at least the first posture and determine the first sensing parameter therefrom. 14. The system of claim 10 wherein the first sensing parameter is related to a sensing vector for use in sensing patient condition information. 15. The system of claim 14 wherein the first sensing parameter defines which of a plurality of cardiac signal sensing vectors the implantable device is to use for sensing patient condition information. 16. The system of claim 10 wherein the implantable medical device comprises a position sensor having an accelerometer and the first sensing parameter is used to define one or more output ranges of the accelerometer. 17. The system of claim 16 wherein the first sensing parameter defines which of several cardiac signal sensing vectors available to the implantable medical device to use in response to the accelerometer signal. 18. The system of claim 10 wherein the plurality of posture states include at least standing and lying down. 19. A method of operation in an implantable medical device system, the system comprising: an implantable lead having a plurality of electrodes and a connector;an implantable medical device comprising therapy circuitry for providing electrical therapy output, implant communications circuitry for communicating with the programmer, operational circuitry for controlling the therapy circuitry, and implant communications circuitry, and a port for receiving the connector of the lead;a programmer for use with the implantable medical device, the programmer including a user interface screen for providing instructions and information to a user thereof, an input for taking an input from a user thereof, and programmer communication circuitry for communicating with the implantable medical device;the method comprising:the programmer presenting at least one posture state via the user interface screen to a user;the programmer obtaining an input from the user indicating that a patient having the implantable medical device has assumed a first posture of the plurality of posture states;the programmer directing, via a first communication from the programmer communication circuitry, the implantable medical device to capture information for the first posture upon receiving an input from the user indicating that the first posture has been assumed by the patient;the implantable medical device capturing information for the first posture upon receiving the first communication from the programmer; andthe implantable medical device storing a first sensing parameter determined by analysis of at least the captured information for the first posture. 20. The method of claim 19 wherein the implantable medical device includes a position sensor which comprises an accelerometer and the first sensing parameter is used to define one or more output ranges of the accelerometer.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (237)
Neisz Hans J. (Coon Rapids MN), Active can emulator and method of use.
Haefner Paul A. (Crystal MN) Stockburger Mark A. (Inver Grove Heights MN) Linder William J. (Golden Valley MN), After potential removal in cardiac rhythm management device.
Weinberg Alvin H. (Moorpark CA), Apparatus and method for mounting an activity sensor or other component within a pacemaker using a contoured hybrid lid.
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.
Kraf Teri J. (Point Pleasant NJ) Frisbie William R. (Sag Harbor NY) Rosner Allan (East Patchogue NY), Autonomic neuropathy detection and method of analysis.
Bardy, Gust H.; Cappato, Riccardo; Rissmann, William J., Biphasic waveform for anti-tachycardia pacing for a subcutaneous implantable cardioverter-defibrillator.
Dahl Roger W. (Andover MN) Swanson David K. (Roseville MN) Hahn Stephen J. (Roseville MN) Lang Douglas J. (Arden Hills MN) Heil John E. (St. Paul MN), Body implantable defibrillation system.
Spinelli, Julio C.; Zhu, Qingsheng; Stahmann, Jeffrey E.; Kramer, Andrew P., Cardiac rhythm management system with arrhythmia classification and electrode selection.
Schwartz,Mark; Bocek,Joseph M.; Kim,Jaeho, Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms.
Bardy,Gust H.; Cappato,Riccardo; Rissmann,William J.; Sanders,Gary H., Cardioverter-defibrillator having a focused shocking area and orientation thereof.
Bardy,Gust H.; Cappato,Riccardo; Rissmann,William J.; Ostroff,Alan H., Ceramics and/or other material insulated shell for active and non-active S-ICD can.
Langer Alois A. (2405 Velvet Valley Way Pittsburgh PA) Heilman Marlin S. (2405 Velvet Valley Way Gibsonia PA) Mower Morton M. (2405 Velvet Valley Way Baltimore MD) Mirowski Mieczyslaw (2405 Velvet Va, Circuit for monitoring a heart and for effecting cardioversion of a needy heart.
Ostroff, Alan H.; Rissmann, William J.; Mezack, Gary P., Current waveforms for anti-tachycardia pacing for a subcutaneous implantable cardioverter- defibrillator.
Sweeney, Robert J.; Lovett, Eric G., Curvature based method for selecting features from an electrophysiologic signals for purpose of complex identification and classification.
KenKnight Bruce H. (Minneapolis MN) Hall Jeffrey A. (Bloomington MN), Defibrillation patch electrode having conductor-free resilient zone for minimally invasive deployment.
Stoop Gustaaf A. P.,NLX ; Wohlgemuth Werner P.,DEX ; Westendorp Hendrikus A.,NLX, Dual chamber pacemaker with single pass lead and with bipolar and unipolar signal processing capability.
Anderson Kenneth M. (Bloomington MN) Adams Theodore P. (Edina MN) Supino Charles G. (Arden Hills MN) Kroll Mark W. (Minnetonka MN), Electrode system for implantable defibrillator.
Mar Craig E. (Fremont CA) Pless Benjamin D. (Menlo Park CA) Bush M. Elizabeth (Fremont CA), Flexible defibrillation electrode of improved construction.
Collins Kenneth A. (Neutral Bay AUX) Maker Philip J. (Sydney AUX), Implantable automatic and haemodynamically responsive cardioverting/defibrillating pacemaker with means for minimizing b.
Cooke Daniel J. (Lake Jackson TX) Prutchi David (Lake Jackson TX) Paul Patrick J. (Lake Jackson TX), Implantable cardiac stimulation device with warning system having elongated stimulation electrode.
Causey ; III James D. (Simi Valley CA), Implantable cardioversion-defibrillation patch electrodes having means for passive multiplexing of discharge pulses.
Engle William R. (Blaine MN) Moore ; Jr. E. Neil (Wallingford PA) Spear ; Jr. Joseph F. (Philadelphia PA) Rockland Ronald H. (Parsippany NJ), Implantable cardioverter.
Kroll Mark W. (Minnetonka MN) Adams Theodore P. (Edina MN) Anderson Kenneth M. (Bloomington MN) Smith Charles U. (Minnetonka MN), Implantable cardioverter defibrillator having a smaller displacement volume.
Kroll Mark W. (Minnetonka MN) Adams Theodore P. (Edina MN) Anderson Kenneth M. (Bloomington MN) Smith Charles U. (Minnetonka MN), Implantable cardioverter defibrillator having a smaller displacement volume.
Kroll Mark W. ; Adams Theodore P. ; Anderson Kenneth M. ; Smith Charles U., Implantable cardioverter defibrillator having a smaller energy storage capacity.
Kroll Mark W. (Minnetonka MN) Nelson Randall S. (Pine Springs MN) Adams Theodore P. (Edina MN), Implantable cardioverter defibrillator pulse generator kite-tail electrode system.
Adams Theodore P. (Edina MN) Supino Charles G. (Arden Hills MN) Kroll Mark W. (Minnetonka MN), Implantable cardioverter defibrillator system having independently controllable electrode discharge pathway.
Heilman Marlin S. (Gibsonia PA) Langer Alois A. (Pittsburgh PA) Mirowski Mieczyslaw (Owings Mills MD) Mower Morton M. (Baltimore MD) Reilly David M. (Pittsburgh PA), Implantable electrodes for accomplishing ventricular defibrillation and pacing and method of electrode implantation and.
Langer Alois A. (2405 Velvet Valley Way Pittsburgh PA) Kolenik Steve A. (2405 Velvet Valley Way Leechburg PA) Heilman Marlin S. (2405 Velvet Valley Way Gibsonia PA) Mirowski Mieczyslaw (2405 Velvet V, Implantable heart stimulator and stimulation method.
Hauser Robert G. (Long Lake MN), Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode.
Hauser Robert G. (Long Lake MN) Dahl Roger W. (Andover MN) KenKnight Bruce H. (Robbinsdale MN), Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode.
Hauser Robert G. ; Dahl Roger W. ; KenKnight Bruce H., Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode.
Hauser Robert G. ; Dahl Roger W. ; Kenknight Bruce H., Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode.
Deno, D. Curtis; Mulligan, Lawrence J.; Bennett, Tom D.; Igel, David A.; Hill, Michael R. S.; Shaw, Richard J., Implantable medical device for treating cardiac mechanical dysfunction by electrical stimulation.
Wohlgemuth, Peter; Westendorp, Henk A.; De Bruyn, Harry W. M.; Munneke, J. Dave, Implantable medical device with autosensitivity algorithm for controlling sensing of cardiac signals.
Levine Paul A. ; Sholder Jason A. ; Bornzin Gene A. ; Florio Joseph J. ; Valikai Kenneth ; Weinberg Lisa P., Implantable stimulation device having means for operating in a preemptive pacing mode to prevent tachyarrhythmias and method thereof.
Gabriel Mouchawar ; James D. Causey, III ; Kenneth Valikai, Implantable stimulation system for providing dual bipolar sensing using an electrode positioned in proximity to the tricuspid valve and programmable polarity.
Dahl Roger W. (Andover MN) Kadera James D. (St. Paul MN) Wickham Robert W. (Harris MN) Hoch J. Michael (Plymouth MN) Heil John (St. Paul MN), Insertion and tunneling tool for a subcutaneous wire patch electrode.
Lindemans Fred (Limbricht MN NLX) Padgett Clare (Minneapolis MN) Kiekhafer Thomas (Coon Rapids MN) Holleman Timothy (Ham Lake MN) Keimel John (New Brighton MN) Peterson David (Mounds View MN), Medical electrical lead.
Adams Isabelle M. (Woodland Hills CA) Carlson James M. (Chatsworth CA) Rooks James B. (Canyon Country CA) Yeshaya Amalia (Los Angeles CA), Method and apparatus for ECG rhythm analysis.
Kolenik Steve (Leechburg PA) Langer Alois A. (Pittsburgh PA), Method and apparatus for effecting automatic ventricular defibrillation and/or demand cardioversion through the means of.
Stadler Robert ; Nelson Shannon ; Stylos Lee ; Sheldon Todd J., Method and apparatus for filtering electrocardiogram (ECG) signals to remove bad cycle information and for use of physiologic signals determined from said filtered ECG signals.
Tockman Bruce A. (Minneapolis MN) Spinelli Julio C. (Shoreview MN) Salo Rodney W. (Fridley MN), Method and apparatus to automatically optimize the pacing mode and pacing cycle parameters of a dual chamber pacemaker.
Ostroff Alan H. (Philadelphia PA), Method and device for measuring subthreshold defibrillation electrode resistance and providing a constant energy shock d.
Saksena Sanjeev (33 Fairway Dr. Glenbrook NJ 08812), Method for high energy defibrillation of ventricular fibrillation in humans without a thoracotomy.
Bardy, Gust H.; Cappato, Riccardo; Rissmann, William J.; Sanders, Gary H., Method of insertion and implantation of implantable cardioverter-defibrillator canisters.
Fogarty Thomas J. (5660 Alpine Rd. Portola Valley CA 94028) Howell Thomas A. (Palo Alto CA), Methods and apparatus for rolling a defibrillator electrode.
Fogarty Thomas J. (5660 Alpine Rd. Portola Valley CA 94028) Howell Thomas A. (Palo Alto CA), Methods of surgically implanting a defibrillator electrode within a patient.
Klein George J.,CAX ; Warkentin Dwight H. ; Riff Kenneth M. ; Lee Brian B. ; Carney James K. ; Turi Gregg ; Varrichio Anthony J., Minimally invasive implantable device for monitoring physiologic events.
Bardy,Gust H.; Cappato,Riccardo; Rissmann,William J., Monophasic waveform for anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator.
Miesel Keith A. ; Roberts Jonathan P. ; Olson John C. ; LaFond Roger ; Chatelle Brenda ; Stetz Eric M., Multiple sensor assembly for medical electric lead.
Dahl Roger W. (Andover MN) Swanson David K. (Roseville MN) Hahn Stephen J. (Roseville MN) Lang Douglas J. (Arden Hills MN) Heil John E. (St. Paul MN), Process for implanting subcutaneous defibrillation electrodes.
Pless Benjamin D. (Atherton CA) Mitchell Steven M. (Palo Alto CA) Bush M. Elizabeth (Fremont CA), Pulse generator with case that can be active or inactive.
Anderson Kenneth M. (Bloomington MN) Adams Theodore P. (Edina MN) Supino Charles G. (Arden Hills MN) Kroll Mark W. (Minnetonka MN), Safety system for an implantable defibrillator.
Goetz, Steven M.; Houchins, Andrew H.; Keacher, Jeffrey T.; King, Gary W.; Heruth, Kenneth T.; Testerman, Roy L.; Lee, Michael T.; Torgerson, Nathan A.; Nolan, Joseph J., Shifting between electrode combinations in electrical stimulation device.
Dahl Roger W. (Andover MN) Swanson David K. (Roseville MN) Hahn Stephen J. (Roseville MN) Lang Douglas J. (Arden Hills MN) Heil John E. (St. Paul MN), Subcutaneous defibrillation electrodes.
Dahl Roger W. (Andover) Swanson David K. (Roseville) Hahn Stephen J. (Roseville) Lang Douglas J. (Arden Hills) Heil John E. (St. Paul MN), Subcutaneous defibrillation electrodes.
Bardy, Gust H.; Cappato, Riccardo; Rissmann, William J.; Sanders, Gary H., Subcutaneous electrode for transthoracic conduction with low-profile installation appendage and method of doing same.
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.
Florio, Joseph J., System and method for distinguishing electrical events originating in the atria from far-field electrical events originating in the ventricles as detected by an implantable medical device.
Brian B. Lee ; Michael R. Kane ; Eric J. Panken ; James D. Reinke, System and method for non-invasive determination of optimal orientation of an implantable sensing device.
McClure, Kelly H.; Bornzin, Gene A.; Mai, Junyu, System and method of automatically adjusting sensing parameters based on temporal measurement of cardiac events.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.