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Apparatus and method for identifying atrial arrhythmia by far-field sensing 원문보기

IPC분류정보
국가/구분 United States(US) Patent 등록
국제특허분류(IPC7판)
  • A61N-001/00
  • A61N-001/39
  • A61B-005/0452
  • A61B-005/0456
출원번호 US-0838152 (2015-08-27)
등록번호 US-9522283 (2016-12-20)
발명자 / 주소
  • Bardy, Gust H.
  • Rissmann, William J.
  • Ostroff, Alan H.
  • Erlinger, Paul J.
  • Allavatam, Venugopal
출원인 / 주소
  • CAMERON HEALTH INC.
대리인 / 주소
    Seager, Tufte & Wickhem LLP
인용정보 피인용 횟수 : 0  인용 특허 : 289

초록

In a subcutaneous implantable cardioverter/defibrillator, cardiac arrhythmias are detected to determine necessary therapeutic action. Cardiac signal information is sensed from far field electrodes implanted in a patient. The sensed cardiac signal information is then amplified and filtered. Parameter

대표청구항

1. An implantable medical device (IMD) configured for monitoring a patient's cardiac rhythm to determine whether an arrhythmia is occurring, the IMD comprising: a housing containing a battery and operational circuitry for the IMD; andat least first and second electrodes on the housing and electrical

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  183. de Coriolis Paul E. (Miami FL) Batty ; Jr. John R. (Miami FL) Shook Bruce J. (North Andover MA), Method and apparatus for applying asymmetric biphasic truncated exponential countershocks.
  184. Armstrong Randolph K. (Missouri City TX), Method and apparatus for automatic shock electrode enabling.
  185. Warman Eduardo N. ; Mehra Rahul, Method and apparatus for diagnosis and treatment of arrhythmias.
  186. Peterson David K. (Mounds View MN), Method and apparatus for discrimination of monomorphic and polymorphic arrhythmias and for treatment thereof.
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  189. Armstrong Randolph K. ; Deno D. Curtis ; Cook Douglas J. ; Truong Dat H., Method and apparatus for dual chambered tachyarrhythmia classification and therapy.
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  191. Hocherl Manfred (Efringen-Kirchen DEX) Reinhardt Jorg (Grenzach-Wyhlen DEX), Method and apparatus for extracting pacemaker electrodes embedded in the heart.
  192. Ramsey ; III Maynard, Method and apparatus for incremental cardioversion or defibrillation.
  193. Adams Theodore P. (Edina MN), Method and apparatus for independent atrial and ventricular defibrillation.
  194. Kallok Michael J. (New Brighton MN), Method and apparatus for low energy endocardial defibrillation.
  195. Kleks Jonathan A. (Northridge CA), Method and apparatus for micropower analog-to-digital conversion in an implantable medical device.
  196. Padmanabhan, Vasant; Olson, Walter H., Method and apparatus for monitoring heart rate.
  197. Kevin T. Ousdigian ; Karen A. Stone ; Vasant Padmanabhan, Method and apparatus for monitoring physiologic parameters conjunction with a treatment.
  198. Pless Benjamin D. (Atherton CA), Method and apparatus for producing configurable biphasic defibrillation waveforms.
  199. Kroll Mark W. (Minnetonka MN), Method and apparatus for progressive recruitment of cardiac fibrillation.
  200. Swerdlow Charles D. ; Swerdlow Neal R. ; Brewer James E., Method and apparatus for reduction of pain from electric shock therapies.
  201. Kroll Kai ; Kroll Mark W., Method and apparatus for temporarily electrically forcing cardiac output in a tachyarrhythmia patient.
  202. Martinez Gonzalo ; Lipson David ; Laske Timothy G., Method and apparatus for termination of tachyarrhythmias.
  203. Berg Gary L. (Edina MN) Rossing Martin A. (Ramsey MN) Peterson David K. (Mounds View MN) Neumann Robert A. (Blaine MN), Method and apparatus for termination of ventricular tachycardia and ventricular fibrillation.
  204. Hansen Daniel L. (Aurora CO) Ujhazy Anthony J. (Denver CO), Method and apparatus for testing compatibility of lead polarity and polarity programming of a cardiac stimulator.
  205. KenKnight, Bruce H., Method and apparatus for treating cardiac arrhythmia.
  206. KenKnight Bruce H. ; Ideker Raymond E. ; Booker ; III Robert S. ; Hahn Stephen J., Method and apparatus for treating cardiac arrhythmia using auxiliary pulse.
  207. Pless Benjamin D. (Atherton CA) Province Rose A. (San Francisco CA), Method and apparatus for treating cardiac tachyarrhythmia.
  208. Rosborough John P. ; Deno D. Curtis, Method and apparatus for treatment of cardiac electromechanical dissociation.
  209. Duffin ; Jr. Edwin G. (New Brighton MN), Method and apparatus for wide area antitachycardia pacing.
  210. Schreieder, Josef; Scherdel, Stefan; Hintler, Franz; Reihl, Heiner; Ferber, Otto; Topp, Winfried, Method and controlling means for regulating the position of a band-shaped image carrier in an electrographic apparatus.
  211. Ostroff Alan H. (Philadelphia PA), Method and device for measuring subthreshold defibrillation electrode resistance and providing a constant energy shock d.
  212. Marcovecchio,Alan F.; Hsu,William, Method and system for verifying the integrity of normal sinus rhythm templates.
  213. Saksena Sanjeev (33 Fairway Dr. Glenbrook NJ 08812), Method for high energy defibrillation of ventricular fibrillation in humans without a thoracotomy.
  214. Chin Albert K. (Palo Alto CA) Fogarty Thomas J. (Palo Alto CA), Method for implanting automatic implantable defibrillator.
  215. Heilman Marlin S. (Gibsonia PA), Method for implanting cardiac electrodes.
  216. Graves Richard M. ; Herber Martin C., Method for preparing a high definition window in a conformally coated medical device.
  217. KenKnight Bruce H., Method for the monitoring and treatment of spontaneous cardiac arrhythmias.
  218. Mouchawar Gabriel (Newhall CA), Methods and apparatus for applying charge-balanced antiarrhythmia shocks.
  219. Cao,Jian; Brian,Lee B.; Kane,Michael R.; Hurd,Spencer R., Methods and apparatus for cardiac R-wave sensing in a subcutaneous ECG waveform.
  220. Florio, Joseph J.; Bornzin, Gene A.; Poore, John W.; Kurschinski, Douglas T., Methods and apparatus for overdrive pacing heart tissue using an implantable cardiac stimulation device.
  221. Fogarty Thomas J. (5660 Alpine Rd. Portola Valley CA 94028) Howell Thomas A. (Palo Alto CA), Methods and apparatus for rolling a defibrillator electrode.
  222. Lu,Richard; Brown,Corey, Methods and systems for automatically switching electrode configurations.
  223. Carney Andrew L. (222 Forest Ave. Oak Park IL 60302), Methods of securing electrodes to the heart.
  224. 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.
  225. 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.
  226. Lu Richard, Minute volume pacemakers that require only a single distal electrode.
  227. Salo Rodney W. ; Kadhiresan V. A. ; Nugent Kevin G., Multi-site impedance sensor using coronary sinus/vein electrodes.
  228. Sluetz James E. (Lake Jackson TX) Calfee Richard V. (Houston TX), Multiple function lead assembly.
  229. Miesel Keith A. ; Roberts Jonathan P. ; Olson John C. ; LaFond Roger ; Chatelle Brenda ; Stetz Eric M., Multiple sensor assembly for medical electric lead.
  230. Sramek Bohumir (Irvine CA), Noninvasive continuous cardiac output monitor.
  231. Kroll Mark W. (13011 Brenwood Trail Minnetonka MN 55343) Dahl Roger W. (112 150th La. NW. Andover MN 55304) Sundquist Stephen K. (18027 Turnberry Cir. Minnetonka MN 55345) Nelson Randall S. (7419 Pin, One piece disposable threshold test can electrode for use with an implantable cardioverter defibrillator system.
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  233. Kroll Mark W. (Minnetonka MN) Gilman Byron L. (Plymouth MN), Optimized field defibrillation catheter.
  234. Shipko Frederick J. (Spring Church PA), Organ-stimulating apparatus and insulating set screw for such apparatus.
  235. Trabucco Hctor O. (2926 Sante Fe Avenue ; 6th Fl. “B”1425 Buenos Aires ARX) Gavrielides Jordn (4029 Rocamora St. 1184 Buenos Aires ARX), Pacemaker.
  236. Sanchez-Zambrano Sergio, Pacemaker housing.
  237. Sholder Jason A. (21037 Cantara St. Canoga Park CA 91304), Pacemaker system and method for measuring and monitoring cardiac activity and for determining and maintaining capture.
  238. von Sturm Ferdinand (Erlangen DT) Richter Gerhard (Erlangen DT), Pacemaker with biofuel cell.
  239. Callaghan Francis J. (Miami FL) Vollmann William (Lauderhill FL), Pacemaker with improved automatic output regulation.
  240. Bihn Daniel (Aptos CA) Gordon Pat L. (West Columbia TX), Pacer analyzer.
  241. Duggan Stephen R. (Rosemount MN), Pacer output circuit.
  242. Whigham Robert H. (Aurora CO) Nappholz Tibor A. (Englewood CO), Pacing pulse compensation.
  243. Hull John R. (Flagstaff AZ) Lack Craig D. (Newark DE) Mortimer ; Jr. William P. (Conowingo MD) Staley Richard A. (Flagstaff AZ), Patch electrode.
  244. Doan Phong D. (Stevenson Ranch CA) Mouchawar Gabriel (Newhall CA) Causey ; III James D. (Simi Valley CA), Patch electrode for an implantable defibrillator.
  245. Kolenik Steve A. (Leechburg PA), Pediatric cardiac pacer system.
  246. Giemborek, Vladimir; Hussain, Syed; Chih, David, Power consumption management in a video graphics accelerator.
  247. Leysieffer Hans,DEX, Power supply module for an implantable device.
  248. Chen Philip H., Printed circuit substrate with cavities for encapsulating integrated circuits.
  249. Leinders Robert (Sittard NLX), Protection circuit for implantable cardioverter.
  250. 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.
  251. Mehra Rahul (Stillwater MN), Ramped waveform non-invasive pacemaker.
  252. Deno Don C. (Missouri City TX), Rate responsive cardiac pacemaker with biphasic impedance sensing and method.
  253. Munshi Mohammed Z. (Missouri City TX) Nedungadi Ashok P. (Lake Jackson TX), Rechargeable biomedical battery powered devices with recharging and control system therefor.
  254. Harguth Robert S. ; Balczewski Ron ; Linder William J. ; Munson Gregory Scott ; Paris Michael Wesley, Reforming wet-tantalum capacitors in implantable defibrillators and other medical devices.
  255. Stein Paul M. ; Bennett Tom D. ; Williams Terrell M., Respiratory muscle electromyographic rate responsive pacemaker.
  256. 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.
  257. Yang Min-Yaug (Monterey Park CA), Sense array intelligent patch lead for an implantable defibrillator and method.
  258. Muto ; Rudolph, Shallow, dome-shaped pacer with bottom storage means for catheter.
  259. Schindler Robert A. (Hillsborough CA) Byers Charles L. (Santa Clarita CA) Mann Alfred E. (Beverly Hills CA) Beazell James W. (Rancho Palos Verdes CA), Shield for conductors of an implantable device.
  260. Long David K. (Sunnyvale CA), Single slope A/D converter with sample and hold.
  261. Sharp Russell G. (Sugar Land TX) Reed Charles C. (Houston TX) Cooley Denton A. (Houston TX) Crane Terry N. (Houston TX) Wilkinson William R. (Missouri City TX), Sterilized medical tubing cover.
  262. Kerver Harry B.,NLX ; Vonk Bernardus F. M.,NLX, Stimulus system with controllable switched capacitor output stage.
  263. Williams Terrell M., Stretchable pacing lead.
  264. Neubauer Heinz (Jrflla SEX) Bowald Staffan (Almunge SEX) Hirschberg Jakub (Tby SEX), Subcostal patch electrode.
  265. Lovett, Eric G.; Cates, Adam W.; Wagner, Darrell Orvin; Favet, Mike; Kamath, Apurv, Subcutaneous cardiac rhythm management with asystole prevention therapy.
  266. Haefner, Paul, Subcutaneous cardiac signal discrimination employing non-electrophysiologic signal.
  267. 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.
  268. 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.
  269. Bardy,Gust H.; Cappato,Riccardo; Rissmann,William J.; Sanders,Gary H., Subcutaneous electrode with improved contact shape for transthorasic conduction.
  270. Erlinger,Paul J.; Bardy,Gust H., Subcutaneous implantable cardioverter-defibrillator employing a telescoping lead.
  271. Bardy, Gust H.; Cappato, Riccardo; Ostroff, Alan H.; Rissmann, William J.; Sanders, Gary H., Subcutaneous implantable cardioverter-defibrillator placement methods.
  272. Olson,Walter H., Subcutaneous implantable cardioverter/defibrillator.
  273. 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.
  274. Bardy, Gust H.; Cappato, Riccardo, Subcutaneous only implantable cardioverter defibrillator and optional pacer.
  275. 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.
  276. Doan,Phong D.; Helland,John R., Switch for electrode selections in Single-pass Atrial/Ventricular leads.
  277. Pedersen Brad D., Switched discharge pathways for ICD having multiple output capacitors.
  278. Kroll Mark W. (Minnetonka MN) Brewer James E. (Maplewood MN), System and method inducing fibrillation using an implantable defibrillator.
  279. Fishler, Matthew G.; Mouchawar, Gabriel A.; Kroll, Mark W., System and method of generating an optimal three-step defibrillation waveform for use in an implantable cardioverter/defibrillator (ICD).
  280. Cohen Todd J. (Port Washington NY), System for and method of treating a malfunctioning heart.
  281. Dimmer, Steven C., System for excitation of a leadless miniature marker.
  282. Kieval Robert S., System for providing hyperpolarization of cardiac to enhance cardiac function.
  283. Kroll Mark W., System having a surrogate defibrillation electrode for testing implantable cardioverter-defibrillators during implant.
  284. Spence Paul A., Temporary pacemaker lead.
  285. Manabe Kenji (Tsukuba JPX) Niwano Masahiro (Tsukuba JPX) Hikasa Tadashi (Sodegaura JPX), Thermoplastic elastomer composition.
  286. Haefner Paul A. (Crystal MN) Stockburger Mark A. (Inver Grove Heights MN), Threshold templating for digital AGC.
  287. Fujiwara Gen\ichi (Hyogo JPX), Two-wire to four-wire switching exchanger.
  288. Bardy, Gust H.; Cappato, Riccardo, Unitary subcutaneous only implantable cardioverter-defibrillator and optional pacer.
  289. Weinberg Alvin H. ; Truex Buehl E., Vertically integrated semiconductor package for an implantable medical device.
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