Systems and methods for automatically classifying wide complex tachycardias (wcts)
US-2024423549-A1 · Dec 26, 2024 · US
US9681816B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9681816-B2 |
| Application number | US-201514594288-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jan 12, 2015 |
| Priority date | Feb 13, 2014 |
| Publication date | Jun 20, 2017 |
| Grant date | Jun 20, 2017 |
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A device and method that detects a lead failure condition for a lead having at least one electrode in contact with body tissue, wherein the lead is connected to the device. The device includes a first filter that filters an electric signal sensed by the at least one electrode to a first filtered signal, and a lead failure detection unit that detects signal characteristics of the first filtered signal. The lead failure detection unit indicates a lead failure condition when the detected signal characteristics correspond to a step response of the first filter.
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What is claimed is: 1. A method to detect a lead failure condition for a lead having at least one electrode in contact with body tissue comprising: sensing an electric signal from the body tissue using said at least one electrode, filtering the sensed electric signal using a first filter to a first filtered signal by wideband filtering to enable low frequencies and high frequencies to pass through said first filter, detecting signal characteristics of the first filtered signal based on said low frequencies and said high frequencies, indicating a lead failure condition when said detected signal characteristics correspond to a step response of said first filter based on said low frequencies and said high frequencies wherein said detected signal characteristics comprise an exponential return of the amplitude to a previous mean signal amplitude, filtering the first filtered signal using a second filter to filter out the low frequencies to create a second filtered signal, detecting body signals in the second filtered signal, and, marking detected body signals as invalid when a lead failure condition is indicated. 2. The method of claim 1 , wherein the second filter is a high-pass filter with a pre-defined low frequency cut-off value. 3. The method of claim 1 , wherein the detection of an abrupt change of the amplitude comprises a step of detecting a minimum slew rate of the amplitude. 4. The method of claim 1 , wherein said exponential return of the signal amplitude to a previous mean signal amplitude is detected when a time between the abrupt change of the amplitude and said exponential return exceeds a predetermined time. 5. The method of claim 1 , wherein the electric signals are cardiac signals. 6. A device that detects a lead failure condition for a lead connected to the device and having at least one electrode in contact with body tissue, wherein the device comprises: a first filter that filters an electric signal sensed by the at least one electrode to a first filtered signal as a wideband filtered signal to enable low frequency signals and high frequency signals to pass through said first filter; a lead failure detection unit that detects signal characteristics of the first filtered signal as said low frequency signals and said high frequency signals; wherein a lead failure condition is indicated by the lead failure detection unit when said detected signal characteristics correspond to a step response of said first filter based on said low frequency signals and said high frequency signals wherein said detected signal characteristics comprise an exponential return of the amplitude to a previous mean signal amplitude; a second filter that filters the first filtered signal to filter out the low frequency signals to create a second filtered signal; and, a signal processing unit that detects body signals in the second filtered signal; wherein said detected body signals are marked as invalid when a lead failure condition is indicated. 7. The device of claim 6 , wherein the second filter is a high-pass filter with a predefined low frequency cut-off value. 8. The device of claim 6 , wherein said abrupt change of the amplitude is detected by detecting a minimum slew rate of the amplitude. 9. The device according to claim 6 , wherein said exponential return of the amplitude to a previous mean signal amplitude is detected when a time between the abrupt change of the signal amplitude and said exponential return exceeds a predetermined time. 10. The device according to claim 6 , wherein the electric signals are cardiac signals.
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