METHOD AND APPARATUS FOR POST-SHOCK EVALUATION USING TISSUE OXYGENATION MEASUREMENTS
First Claim
1. A method for delivering therapy in a medical device, comprising:
- sensing cardiac signals;
detecting a cardiac event in response to the sensed cardiac signals using first detection criteria;
delivering a therapy in response to the detected cardiac event;
controlling light emission of a sensor in response to delivering the therapy;
detecting emitted light scattered by a tissue volume adjacent the sensor to generate a corresponding detected light intensity output signal;
determining tissue oxygenation measurements in response to the output signal;
determining a tissue oxygenation trend in response to the tissue oxygenation measurements;
determining a recovery index in response to the determined tissue oxygenation trend; and
controlling one or both of detecting a cardiac event and delivery of therapy in response to the determined recovery index.
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Accused Products
Abstract
A method and device for delivering therapy that includes an electrode to sense cardiac signals and to deliver a therapy, a monitoring module detecting a cardiac event in response to the sensed cardiac signals using first detection criteria, a sensor emitting light and detecting emitted light scattered by a tissue volume adjacent the sensor to generate a corresponding detected light intensity output signal, a control module coupled to the sensor to control light emission of the sensor in response to delivering the therapy, and a controller coupled to the monitoring module, the therapy delivery module and the sensor, the controller configured to determine tissue oxygenation measurements in response to the output signal, determine a tissue oxygenation trend in response to the tissue oxygenation measurements, determine a recovery index in response to the determined tissue oxygenation trend, and control one or both of detecting a cardiac event by the monitoring module and delivery of therapy by the therapy delivery module in response to the determined recovery index.
52 Citations
21 Claims
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1. A method for delivering therapy in a medical device, comprising:
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sensing cardiac signals; detecting a cardiac event in response to the sensed cardiac signals using first detection criteria; delivering a therapy in response to the detected cardiac event; controlling light emission of a sensor in response to delivering the therapy; detecting emitted light scattered by a tissue volume adjacent the sensor to generate a corresponding detected light intensity output signal; determining tissue oxygenation measurements in response to the output signal; determining a tissue oxygenation trend in response to the tissue oxygenation measurements; determining a recovery index in response to the determined tissue oxygenation trend; and controlling one or both of detecting a cardiac event and delivery of therapy in response to the determined recovery index. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A medical device for delivering a therapy, comprising:
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an electrode to sense cardiac signals and to deliver a therapy; a monitoring module detecting a cardiac event in response to the sensed cardiac signals using first detection criteria; a therapy delivery module coupled to the monitoring module and the electrode to deliver a therapy via the electrode in response to the monitoring module detecting the cardiac event; a sensor emitting light and detecting emitted light scattered by a tissue volume adjacent the sensor to generate a corresponding detected light intensity output signal; a control module coupled to the sensor to control light emission of the sensor in response to delivering the therapy; and a controller coupled to the monitoring module, the therapy delivery module and the sensor, the controller configured to determine tissue oxygenation measurements in response to the output signal, determine a tissue oxygenation trend in response to the tissue oxygenation measurements, determine a recovery index in response to the determined tissue oxygenation trend, and control one or both of detecting a cardiac event by the monitoring module and delivery of therapy by the therapy delivery module in response to the determined recovery index. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A computer readable medium having computer executable instructions for performing a method comprising:
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sensing cardiac signals; detecting a cardiac event in response to the sensed cardiac signals using first detection criteria; delivering a therapy in response to the detected cardiac event; controlling light emission of a sensor in response to delivering the therapy; detecting emitted light scattered by a tissue volume adjacent the sensor to generate a corresponding detected light intensity output signal; determining tissue oxygenation measurements in response to the output signal; determining a tissue oxygenation trend in response to the tissue oxygenation measurements; determining a recovery index in response to the determined tissue oxygenation trend; and controlling one or both of detecting a cardiac event and delivery of therapy in response to the determined recovery index.
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Specification