Method and apparatus for beat alignment and comparison
First Claim
1. An implantable defibrillator comprising:
- a lead electrode assembly including a number of electrodes; and
a canister housing operational circuitry;
wherein;
the lead electrode assembly is coupled to the canister;
the operational circuitry is configured to analyze cardiac events using a template having a template data set and template parameters, the template parameters including definition of an amplitude peak of the template data set as a fiducial point and start and end points surrounding the fiducial point; and
the operational circuitry is configured to perform the steps of;
capturing a signal using electrodes implanted in a patient'"'"'s torso;
configuring the captured signal in accordance with the template parameters, including defining a signal fiducial point in the captured signal, wherein the captured signal includes a plurality of signal samples and the signal fiducial point is set as a peak signal sample;
aligning the template data set with the configured captured signal using the template and signal fiducial points; and
comparing the aligned template data set to the signal samples in the configured captured signal, including comparing the template fiducial point to the sample fiducial point.
1 Assignment
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Accused Products
Abstract
Methods of using a template having a template data set and template parameters to provide improved alignment of captured cardiac signal data to a stored template. More particularly, in an illustrative method, a captured cardiac signal is first configured using template parameters for a stored template. Then, once configured, the captured cardiac signal is then compared to the stored template. Other embodiments include implantable cardiac treatment devices including operational circuitry configured to perform the illustrative method. In a further embodiment, more than one stored templates may be used. Each template can have independently constructed parameters, such that a single captured cardiac signal may be configured using first parameters for comparison to a first template, and using second parameters for comparison to a second template.
48 Citations
19 Claims
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1. An implantable defibrillator comprising:
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a lead electrode assembly including a number of electrodes; and a canister housing operational circuitry; wherein; the lead electrode assembly is coupled to the canister; the operational circuitry is configured to analyze cardiac events using a template having a template data set and template parameters, the template parameters including definition of an amplitude peak of the template data set as a fiducial point and start and end points surrounding the fiducial point; and the operational circuitry is configured to perform the steps of; capturing a signal using electrodes implanted in a patient'"'"'s torso; configuring the captured signal in accordance with the template parameters, including defining a signal fiducial point in the captured signal, wherein the captured signal includes a plurality of signal samples and the signal fiducial point is set as a peak signal sample; aligning the template data set with the configured captured signal using the template and signal fiducial points; and comparing the aligned template data set to the signal samples in the configured captured signal, including comparing the template fiducial point to the sample fiducial point. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. An implantable defibrillator comprising a canister and a lead electrode assembly, the lead electrode assembly being coupled to the canister, with operational circuitry disposed in the canister for performing cardiac signal analysis and delivering electrical cardiac stimulus using a plurality of electrodes disposed on the canister and lead electrode assembly, wherein the operational circuitry is configured such that it performs a method comprising:
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capturing electrical cardiac signals; storing a template comprising template data and template parameters, the template data including a number of sample values disposed about a fiducial point, the template parameters indicating a number of data points in the template and a relative location of the fiducial point within the number of data points; configuring a captured electrical cardiac signal using the template parameters such that a signal fiducial point of the captured electrical cardiac signal is defined with a predetermined number of samples on either side of the signal fiducial point; calculating a correlation of the configured captured electrical cardiac signal to the template data by aligning the template data fiducial point with the signal fiducial point and comparing the template data including the template data fiducial point to the configured captured electrical cardiac signal including the signal fiducial point; using the calculated correlation to determine whether the captured electrical cardiac signal is normal or abnormal; tracking the number of normal and abnormal captured signals; determining whether therapy is indicated using the number of normal and abnormal captured signals; and if therapy is indicated, delivering therapy; wherein the template fiducial point is defined by identifying an amplitude or magnitude peak of the template data, and the signal fiducial point is defined by identifying an amplitude or magnitude peak of the signal data. - View Dependent Claims (16, 17)
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18. A method of cardiac signal analysis comprising:
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an implanted defibrillator capturing a cardiac electrical signal; the implanted defibrillator comparing the cardiac electrical signal to a first stored template having first template parameters including a first template fiducial point definition and first template window definition predetermining a number of samples before and after the first template fiducial point that form the first template, the step of comparing the cardiac electrical signal to the first stored template including defining a first signal fiducial point in the cardiac electrical signal, a first start point and a first end point for the cardiac electrical signal and using the first signal fiducial point and first template fiducial point to align the template to the cardiac electrical signal and using the first template window definition to determine how much of the cardiac electrical signal to compare to the first template; the implanted defibrillator comparing the cardiac electrical signal to a second stored template having second template parameters including a second template fiducial point definition and second template window definition predetermining a number of samples before and after the second template fiducial point that form the second template, the step of comparing the cardiac electrical signal to the second stored template including defining a second signal fiducial point in the cardiac electrical signal and using the second signal fiducial point and second template fiducial point to align the template to the cardiac electrical signal and using the second template window definition to determine how much of the cardiac electrical signal to compare to the second template; the implantable defibrillator using the results of comparison to the first and second stored templates to determine whether the cardiac electrical signal indicates malignant function of the patient'"'"'s heart; and if the patient'"'"'s heart function is malignant, the implantable defibrillator delivering stimulus to the patient; wherein the first template window definition and the second template window definition are different from one another. - View Dependent Claims (19)
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Specification