VALIDITY TEST ADAPTIVE CONSTRAINT MODIFICATION FOR CARDIAC DATA USED FOR DETECTION OF STATE CHANGES
First Claim
1. A non-transitory computer readable program storage unit encoded with instructions that, when executed by a computer, perform a method for determining a time of beat sequence of the patient'"'"'s heart, comprising:
- obtaining a time series of fiducial time markers for candidate heart beats;
identifying valid heart beats from said candidate heart beats by subjecting a plurality of said candidate heart beats to at least one beat validity test, said at least one beat validity test comprising at least one interbeat interval test applied to a candidate heart beat interval derived from a candidate heart beat and at least one prior heart beat;
accepting as valid heart beats the candidate heart beats that pass said at least one beat validity test, wherein a constraint used in defining said pass is modified after a time period since the most recent prior valid heart beat reaches or exceeds a constraint modification time threshold, wherein said accepting comprises accepting as a valid heart beat at least one candidate heart beat that failed said at least one beat validity test prior to said constraint being modified;
detecting an epileptic seizure using a seizure detection algorithm based on said accepted valid heart beats; and
performing at least one responsive action selected from the group consisting ofissuing a detection for an epileptic seizure event;
delivering a neurostimulation therapy to the patient to treat an epileptic seizure event;
warning at least one of a caregiver, the patient, or a physician; and
logging said modified constraint to a memory.
8 Assignments
0 Petitions
Accused Products
Abstract
Methods, systems, and apparatus for quantifying the quality of a fiducial time marker for a candidate heart beat, quantifying the quality of a candidate heart beat, or determining a time of beat sequence of the patient'"'"'s heart. A fiducial time marker is obtained for a candidate heart beat. A quality index of said candidate heart beat is set to a first value. The candidate heart beat is tested with at least one beat validity test. At least a second value is added to said quality index of said candidate heart beat if said candidate heart beat passes said at least one beat validity test. The candidate heart beat is tested with at least a second heart beat validity test. At least a third value is added to said quality index of said candidate heart beat if said candidate heart beat passes said at least second heart beat validity test. In one class of beat validity test, a constraint defining a pass is modified at one or more times after the most recent prior valid heart beat that is greater than a constraint modification time threshold
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Citations
20 Claims
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1. A non-transitory computer readable program storage unit encoded with instructions that, when executed by a computer, perform a method for determining a time of beat sequence of the patient'"'"'s heart, comprising:
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obtaining a time series of fiducial time markers for candidate heart beats; identifying valid heart beats from said candidate heart beats by subjecting a plurality of said candidate heart beats to at least one beat validity test, said at least one beat validity test comprising at least one interbeat interval test applied to a candidate heart beat interval derived from a candidate heart beat and at least one prior heart beat; accepting as valid heart beats the candidate heart beats that pass said at least one beat validity test, wherein a constraint used in defining said pass is modified after a time period since the most recent prior valid heart beat reaches or exceeds a constraint modification time threshold, wherein said accepting comprises accepting as a valid heart beat at least one candidate heart beat that failed said at least one beat validity test prior to said constraint being modified; detecting an epileptic seizure using a seizure detection algorithm based on said accepted valid heart beats; and performing at least one responsive action selected from the group consisting of issuing a detection for an epileptic seizure event; delivering a neurostimulation therapy to the patient to treat an epileptic seizure event; warning at least one of a caregiver, the patient, or a physician; and logging said modified constraint to a memory. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A method, comprising:
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identifying a plurality of candidate heart beats in a first time window, wherein said plurality of candidate heart beats comprises a first fiducial marker for a most recent candidate heart beat and at least a second fiducial marker for a prior candidate heart beat, wherein said prior candidate heart beat did not pass a beat validity test; applying a first beat validity test to each said candidate heart beat, said a least one beat validity test comprising at least one interbeat interval test applied to a candidate heart beat interval derived from a fiducial marker for the candidate heart beat and a fiducial marker for an immediately preceding candidate heart beat; accepting said most recent candidate heart beat as a valid heart beat if said most recent candidate heart beat passes said at least one beat validity test; accepting said prior candidate heart beat as a valid heart beat within said first time window if the time period from said second fiducial marker to said first fiducial marker reaches or exceeds a constraint modification time threshold; detecting an epileptic seizure using a seizure detection algorithm based on said accepted valid heart beats; and performing at least one responsive action selected from the group consisting of issuing a detection for an epileptic seizure event; delivering a neurostimulation therapy to the patient to treat an epileptic seizure event; warning at least one of a caregiver, the patient, or a physician; and logging said modified constraint to a memory. - View Dependent Claims (13, 14, 15, 16)
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17. A non-transitory computer readable program storage unit encoded with instructions that, when executed by a computer, perform a method for determining a time of beat sequence of the patient'"'"'s heart, comprising:
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obtaining a time series of fiducial markers for candidate heart beats, wherein said time series comprises a first fiducial marker for a most recent candidate heart beat and at least a second fiducial marker for a prior candidate heart beat; subjecting at least said most recent candidate heart beat to at least one beat validity test, said at least one beat validity test comprising at least one interbeat interval test applied to a most recent candidate heart beat interval derived from the most recent candidate heart beat and at least one prior candidate heart beat; performing at least one of accepting said most recent candidate heart beat as a valid heart beat if said most recent candidate heart beat passes said at least one beat validity test, and rejecting said most recent candidate heart beat to provide a rejected most recent candidate heart beat if said most recent candidate heart beat does not pass said at least one beat validity test; accepting said rejected most recent candidate heart beat as a valid heart beat after the lapse of a constraint threshold time following said first time marker; using said valid heart beat in a seizure detection algorithm; and in response to a seizure detection by said seizure detection algorithm, performing at least one responsive action selected from the group consisting of issuing a detection for an epileptic seizure event; delivering a neurostimulation therapy to the patient to treat an epileptic seizure event; warning at least one of a caregiver, the patient, or a physician; and logging said modified constraint to a memory. - View Dependent Claims (18, 19, 20)
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Specification