Episode classifier algorithm
First Claim
1. A method comprising:
- receiving stored episode data generated by an implantable medical device, the stored episode data including sensed atrial events and sensed ventricular events for both a near-field channel and a far-field channel;
determining, in response to the received data, instances where the implantable medical device identified a cardiac episode being detected in response to the episode data for at least one of the near-field channel and the far-field channel;
evaluating, in response to the received data, whether the determined instances should have been identified by the implantable medical device as a cardiac episode being detected, the evaluation including;
classifying the cardiac episode as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the near-field channel;
classifying the cardiac episode as unknown, supraventricular tachycardia ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the far-field channel;
comparing the classifications from the near-field channel and the far-field channel to determine a final classification,wherein, when at least one of the classifications is ventricular over-sensing, determining the final classification comprises determining that the final classification is ventricular over-sensing,wherein, when the classifications of both the near-field channel and the far-field channel are unknown, determining the final classification comprises determining that the final classification is unknown,wherein, when the classification of the far-field channel is a known result, determining the final classification comprises determining that the final classification is the classification of the far-field channel, andwherein, when the classification of the near-field channel is a known result and the classification of the far-field channel is unknown, determining the final classification comprises determining that the final classification is the classification of the near-field channel.
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Accused Products
Abstract
The present disclosure is directed to the classification of cardiac episodes using an algorithm. In various examples, an episode classification algorithm evaluates electrogram signal data from a near-field channel and a far-field channel. The episode classification algorithm classifies the cardiac episode based on the evaluation of the electrogram signal data for at least one of the near-field and far-field channels. In some examples, a cardiac episode being classified may be an episode that resulted in treatment being provided by an implantable medical device. Possible classifications of the cardiac episode may include, for example, unknown, inappropriate, appropriate, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation or ventricular over-sensing.
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Citations
19 Claims
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1. A method comprising:
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receiving stored episode data generated by an implantable medical device, the stored episode data including sensed atrial events and sensed ventricular events for both a near-field channel and a far-field channel; determining, in response to the received data, instances where the implantable medical device identified a cardiac episode being detected in response to the episode data for at least one of the near-field channel and the far-field channel; evaluating, in response to the received data, whether the determined instances should have been identified by the implantable medical device as a cardiac episode being detected, the evaluation including; classifying the cardiac episode as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the near-field channel; classifying the cardiac episode as unknown, supraventricular tachycardia ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the far-field channel; comparing the classifications from the near-field channel and the far-field channel to determine a final classification, wherein, when at least one of the classifications is ventricular over-sensing, determining the final classification comprises determining that the final classification is ventricular over-sensing, wherein, when the classifications of both the near-field channel and the far-field channel are unknown, determining the final classification comprises determining that the final classification is unknown, wherein, when the classification of the far-field channel is a known result, determining the final classification comprises determining that the final classification is the classification of the far-field channel, and wherein, when the classification of the near-field channel is a known result and the classification of the far-field channel is unknown, determining the final classification comprises determining that the final classification is the classification of the near-field channel. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A system comprising:
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an implantable medical device including; a processor configured to diagnosis cardiac episodes based on an EGM signal data sensed by a sensing module, the EGM signal data including sensed atrial events and sensed ventricular events for both a near-field channel and a far-field channel; and a memory configured to store episode data comprising a portion of the EGM signal data associated with the diagnosis of the cardiac episodes; and an external computing device configured to; receive episode data stored in the implantable medical device, determine, in response to the received data, instances where the implantable medical device identified a cardiac episode being detected in response to the sensing data for at least one of the near-field channel and the far-field channel; evaluate, in response to the received data, whether the determined instances should have been identified by the implantable medical device as a cardiac episode being detected, the evaluation including; classifying the cardiac episode as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the near-field channel; classifying the cardiac episode as unknown, supraventricular tachycardia, or ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based the episode on the far-field channel; comparing the results from the near-field channel and the far-field channel to determine the final classification, wherein, when at least one of the classifications is ventricular over-sensing, determining the final classification comprises determining that the final classification is ventricular over-sensing, wherein, when the classification of both the near-field channel and far-field channel are unknown, determining the final classification comprises determining the final classification is unknown, wherein, when the classification of the far-field channel is a known result, determining the final classification comprises determining the final classification is the classification of the far-field channel , and wherein, when the classification of the near field channel is a known and the classification of the far-field channel is unknown determining the final classification comprises determining that the final classification is the classification of the near-field channel.
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10. A device comprising:
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a communication module configured to; receive stored episode data, the stored episode data generated by an implantable medical device, the stored episode data including sensed atrial events and sensed ventricular events for both a near-field channel and a far-field channel; and a processor configured to; determine in response to the received data, instances where the implantable medical device identified a cardiac episode being detected in response to the sensing data for at least one of the near-field channel and the far-field channel; evaluate, in response to the received data, whether the determined instances should have been identified by the implantable medical device as a cardiac episodes being detected, the evaluation including; classifying the cardiac episode as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the near-field channel; classifying the cardiac episode as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the far-field channel; comparing the classification the near-field channel and the far-field channel to determine a final classification, wherein, when at least one of the classifications is ventricular over-sensing, determining the final classification comprises determining that the final classification is ventricular over-sensing, wherein, when the classification of both the near-field channel and far-field channel are unknown, determining the final classification comprising determining that the final classification is unknown, wherein, when the classification of the far-field channel is a known result, determining the final classification comprises determining that the final classification is the classification of the far-field channel, and wherein, when the classification of the near-field channel is a known result and the classification of the far-field channel is unknown, determining the final classification is the classification of the near-field channel. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17)
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18. A system comprising:
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means for receiving stored episode data, the stored data generated by an implantable medical device , the stored episode data including sensed atrial events and sensed ventricular events for both a near-field channel and a far-field channel; means for determining in response to the received data, instances where the implantable medical device identified a cardiac event being detected in response to the episode data for at least one of the near-field channel and the far-field channel; means for evaluating, in response to the received data, whether the determined instances should have been identified by the implantable medical device as a cardiac event being detected, the evaluation including; means for classifying the cardiac event as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the near-field channel; means for classifying the cardiac event as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the far-field channel; means for comparing the classifications from the near-field channel and the far-field channel to determine the final classification, wherein, when at least one of the classifications is ventricular over-sensing, determining the final classification comprises determining that the final classification is ventricular over-sensing, wherein, when the classification of the near-field channel and the far-field channel are unknown, determining the final classification comprises determining that the final classification is unknown, wherein, when the classification of the far-field channel as a known result, determining the final classification comprises determining the final classification is the classification of the far-field channel, and wherein, when the classification of near-field channel is a known result and the classification of the far-field channel is unknown, determining the final classification comprises determining that the final classification is the classification of the near-field channel.
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19. A non-transitory computer-readable medium comprising instructions for causing a programmable processor to:
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determine in response to receiving episode data, instances where the implantable medical device identified a cardiac event being detected in response to the episode data for at least one of a near-field channel and a far-field channel, wherein the received episode data includes stored episode data generated by an implantable medical device, the stored episode data includes sensed atrial evens and sensed ventricular event for both the near-field channel and the far-field channel; and evaluate, in response to the received data, whether the determined instances should have been identified by the implantable medical device as a cardiac event being detected, the evaluation including; classifying the cardiac event as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the near-field channel; classifying the cardiac event as unknown, supraventricular tachycardia, ventricular tachycardia/ventricular fibrillation, or ventricular over-sensing based on episode data for the far-field channel; comparing the classifications from the near-field channel and the far-field channel to determine the final classification, wherein, when at least one of the classifications is ventricular over-sensing, determining the final classification comprises determining that the final classification is ventricular over-sensing, wherein, when the classification of both the near-field channel and far-field channel is unknown, determining the final classification comprising determining that the final classification is unknown, wherein, when the classification of the far-field channel is known, determining the final classification comprises determining that the final classification is the classification of the far-field channel, and wherein, when the classification of the near-field channel is a known result and the classification of the far-field channel is unknown, determining the final classification comprises determining that the final classification is the classification of the near-field channel.
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Specification