Patents by Inventor Abhilash Patangay
Abhilash Patangay has filed for patents to protect the following inventions. This listing includes patent applications that are pending as well as patents that have already been granted by the United States Patent and Trademark Office (USPTO).
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Patent number: 8597197Abstract: A system comprises an implantable medical device (IMD) including an implantable heart sound sensor circuit configured to produce an electrical heart sound signal representative of a heart sound of a subject and a processor circuit. The processor circuit is coupled to the heart sound sensor circuit and includes a detection circuit, a heart sound feature circuit and a trending circuit. The detection circuit configured to detect a physiologic perturbation and the heart sound feature circuit is configured to identify a heart sound feature in the electrical signal. The processor circuit is configured to trigger the heart sound feature circuit in relation to a detected physiologic perturbation. The trending circuit is configured to trend the heart sound feature in relation to a recurrence of the physiologic perturbation. The processor circuit is configured to declare a change in a physiologic condition of the patient according to the trending.Type: GrantFiled: June 8, 2012Date of Patent: December 3, 2013Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Jeffrey E. Stahmann, Robert J. Sweeney
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Publication number: 20130289476Abstract: The health state of a subject is automatically evaluated or predicted using at least one implantable device. In varying examples, the health state is determined by sensing or receiving information about at least one physiological process having a circadian rhythm whose presence, absence, or baseline change is associated with impending disease, and comparing such rhythm to baseline circadian rhythm prediction criteria. Other chronobiological rhythms beside circadian may also be used. The baseline prediction criteria may be derived using one or more past physiological process observation of the subject or population of subjects in a non-disease health state. The prediction processing may be performed by the at least one implantable device or by an external device in communication with the implantable device. Systems and methods for invoking a therapy in response to the health state, such as to prevent or minimize the consequences of predicted impending heart failure, are also discussed.Type: ApplicationFiled: March 19, 2013Publication date: October 31, 2013Applicant: Cardiac Pacemakers, Inc.Inventors: Yi Zhang, John D. Hatlestad, Gerrard M. Carlson, Yousufali Dalal, Marina V. Brockway, Kent Lee, Richard O. Kuenzler, Carlos Haro, Krzysztof Z. Siejko, Abhilash Patangay
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Publication number: 20130226078Abstract: The health state of a subject is automatically evaluated or predicted using at least one implantable device. In varying examples, the health state is determined by sensing or receiving information about at least one physiological process having a circadian rhythm whose presence, absence, or baseline change is associated with impending disease, and comparing such rhythm to baseline circadian rhythm prediction criteria. Other chronobiological rhythms beside circadian may also be used. The baseline prediction criteria may be derived using one or more past physiological process observation of the subject or population of subjects in a non-disease health state. The prediction processing may be performed by the at least one implantable device or by an external device in communication with the implantable device. Systems and methods for invoking a therapy in response to the health state, such as to prevent or minimize the consequences of predicted impending heart failure, are also discussed.Type: ApplicationFiled: March 18, 2013Publication date: August 29, 2013Applicant: Cardiac Pacemakers, Inc.Inventors: Yi Zhang, John D. Hatlestad, Gerrard M. Carlson, Yousufali Dalal, Marina V. Brockway, Kent Lee, Richard O. Kuenzler, Carlos Haro, Krzysztof Z. Siejko, Abhilash Patangay
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Patent number: 8494619Abstract: In an example, a cardiac rhythm management system includes an implantable physiological data monitor, a processor, a memory, and a display. The implantable physiological data monitor can be configured to monitor a plurality of cardiac responses. The processor can be configured to classify the cardiac response into one of at least three classes including pace-dominant, fusion, and pseudo-fusion. The processor can also be configured to calculate statistical information regarding the classified cardiac responses. In this example, the pace-dominant, fusion, and pseudo-fusion classes correspond to a cardiac response resulting from a corresponding electrostimulation. The memory is configured to store the classified cardiac responses and calculated statistical information for future use by the processor or for display. The display is configured to display the statistical information stored in the memory for diagnostic and device programming purposes.Type: GrantFiled: May 17, 2010Date of Patent: July 23, 2013Assignee: Cardiac Pacemakers, Inc.Inventors: Theodore J. Schulte, Yanting Dong, Shibaji Shome, Abhilash Patangay
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Publication number: 20130123653Abstract: A patient QRS duration can be received or determined, such as using one or more patient physiological sensors. A portion of the QRS duration can be determined, such as a right or left ventricular activation time. In an example, the right ventricular activation time can be determined by identifying an onset of a QRS complex and an R-wave peak in the QRS complex. In an example, when the QRS duration exceeds a threshold duration, and the RV activation time does not exceed a second threshold duration, an indication of a cardiac conduction dysfunction can be provided, such as for discriminating between left bundle branch block and right bundle branch block.Type: ApplicationFiled: November 15, 2012Publication date: May 16, 2013Inventors: Barun Maskara, Shibaji Shome, Pramodsingh Hirasingh Thakur, Abhilash Patangay
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Publication number: 20130096451Abstract: A system and method provide heart sound tracking, including an input circuit, configured to receive heart sound information, and a heart sound recognition circuit. The heart sound recognition circuit can be coupled to the input circuit and can be configured to recognize, within a particular heart sound of a particular heart sound waveform, a first intra heart sound energy indication and a corresponding first intra heart sound time indication using the heart sound information from the particular heart sound waveform and the heart sound information from at least one other heart sound waveform. The particular heart sound can include at least a portion of one of S1, S2, S3, and S4. Further, the first intra heart sound energy indication and the corresponding first intra heart sound time indication can correspond to the at least a portion of one of S1, S2, S3, and S4, respectively.Type: ApplicationFiled: December 7, 2012Publication date: April 18, 2013Inventors: Abhilash Patangay, Krzysztof Z. Siejko, Gerrard M. Carlson
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Patent number: 8403860Abstract: A cardiac rhythm management system provides for ambulatory monitoring of hemodynamic performance based on quantitative measurements of heart sound related parameters for diagnostic and therapeutic purposes. Monitoring of such heart sound related parameters allows the cardiac rhythm management system to determine a need for delivering a therapy and/or therapy parameter adjustments based on conditions of a heart. This monitoring also allows a physician to observe or assess the hemodynamic performance for diagnosing and making therapeutic decisions. Because the conditions of the heart may fluctuate and may deteriorate significantly between physician visits, the ambulatory monitoring, performed on a continuous or periodic basis, ensures a prompt response by the cardiac rhythm management system that may save a life, prevent hospitalization, or prevent further deterioration of the heart.Type: GrantFiled: October 26, 2011Date of Patent: March 26, 2013Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Krzysztof Z. Siejko
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Patent number: 8401636Abstract: The health state of a subject is automatically evaluated or predicted using at least one implantable device. In varying examples, the health state is determined by sensing or receiving information about at least one physiological process having a circadian rhythm whose presence, absence, or baseline change is associated with impending disease, and comparing such rhythm to baseline circadian rhythm prediction criteria. Other chronobiological rhythms beside circadian may also be used. The baseline prediction criteria may be derived using one or more past physiological process observation of the subject or population of subjects in a non-disease health state. The prediction processing may be performed by the at least one implantable device or by an external device in communication with the implantable device. Systems and methods for invoking a therapy in response to the health state, such as to prevent or minimize the consequences of predicted impending heart failure, are also discussed.Type: GrantFiled: August 15, 2011Date of Patent: March 19, 2013Assignee: Cardiac Pacemakers, Inc.Inventors: Yi Zhang, John D. Hatlestad, Gerrard M. Carlson, Yousufali Dalal, Marina V. Brockway, Kent Lee, Richard O. Kuenzler, Carlos Haro, Krzysztof Z. Siejko, Abhilash Patangay
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Patent number: 8364263Abstract: A system and method provide for systolic interval analysis. In an example, an implantable device measures a cardiac impedance signal. A transformation of the cardiac impedance interval is generated. The device also measures a heart sound signal. A time interval between a point on the transformed signal of the cardiac impedance signal and a point on the heart sound signal is calculated.Type: GrantFiled: October 26, 2006Date of Patent: January 29, 2013Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Krzysztof Z. Siejko, Gerrard M. Carlson, Loell Boyce Moon
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Patent number: 8360983Abstract: An apnea classification system provides for apnea monitoring and differentiation based on several sleep apnea related parameters for diagnostic and therapeutic purposes. Monitoring of such sleep apnea related parameters allows the apnea classification system to differentiate among the different types of apnea and hypopnea and to identify an occurrence of periodic respiration. This information may then be used to determine the best method of therapy, or adjust current therapy parameters to more effectively treat a subject.Type: GrantFiled: June 29, 2011Date of Patent: January 29, 2013Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Yachuan Pu
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Patent number: 8352032Abstract: Method and systems related to monitoring right ventricular function during pacing by a cardiac rhythm management device are described. One or more pacing parameters are selected to provide cardiac resynchronization therapy. For example, the one or more pacing parameters may be selected to provide an optimal or improved therapy. The heart is paced using the selected pacing parameters. While pacing with the selected parameters, pressure is sensed via a pressure sensor disposed the pulmonary artery. The sensed pressure is analyzed to determine right ventricular function achieved during the pacing using the selected pacing parameters. A signal, such as an alert signal or control signal, is generated based on the right ventricular function achieved during the pacing.Type: GrantFiled: September 22, 2008Date of Patent: January 8, 2013Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Barun Maskara, Jonathan Kwok, Jiang Ding, Yinghong Yu
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Patent number: 8332034Abstract: A system and method provide heart sound tracking, including an input circuit, configured to receive heart sound information, and a heart sound recognition circuit. The heart sound recognition circuit can be coupled to the input circuit and can be configured to recognize, within a particular heart sound of a particular heart sound waveform, a first intra heart sound energy indication and a corresponding first intra heart sound time indication using the heart sound information from the particular heart sound waveform and the heart sound information from at least one other heart sound waveform. The particular heart sound can include at least a portion of one of S1, S2, S3, and S4. Further, the first intra heart sound energy indication and the corresponding first intra heart sound time indication can correspond to the at least a portion of one of S1, S2, S3, and S4, respectively.Type: GrantFiled: December 10, 2010Date of Patent: December 11, 2012Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Krzysztof Z. Siejko, Gerrard M. Carlson
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Publication number: 20120310101Abstract: A system comprises a cardiac signal sensing circuit and a processor circuit. To detect a QRS duration, the processor circuit determines an isoelectric amplitude value of the cardiac signal segment, identifies a time where the cardiac signal segment amplitude deviates from the first isoelectric amplitude value by a specified threshold deviation value as a Q time, determines an isoelectric value time after the determined maxima and minima times that the cardiac signal segment returns to the same or a different isoelectric amplitude value, identifies a time that follows both the determined maxima and minima times and precedes the isoelectric value time as an S time, wherein the cardiac signal segment amplitude at the identified S time satisfies a specified amplitude change criterion from an isoelectric amplitude value, and determines a time duration of the QRS complex in the cardiac signal segment using the identified Q and S times.Type: ApplicationFiled: May 16, 2012Publication date: December 6, 2012Inventors: Abhilash Patangay, Shibaji Shome, Pramodsingh Hirasingh Thakur, Dan Li, Stevens L. Martin
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Publication number: 20120310099Abstract: A system comprises an implantable medical device (MID) including an implantableimplantabie heart sound sensor circuit configured to produce an electrical heart sound signal representative of a heart sound of a subject and a processor circuit. The processor circuit is coupled to the heart sound sensor circuit and includes a detection circuit, a heart sound feature circuit and a trending circuit. The detection circuit configured to detect a physiologic perturbation and the heart sound feature circuit is configured to identify a heart sound feature in the electrical signal. The processor circuit is configured to trigger the heart sound feature circuit in relation to a detected physiologic perturbation. The trending circuit is configured to trend the heart sound feature in relation to a recurrence of the physiologic perturbation. The processor circuit is configured to declare a change in a physiologic condition of the patient according to the trending.Type: ApplicationFiled: June 8, 2012Publication date: December 6, 2012Inventors: Abhilash Patangay, Jeffrey E. Stahmann, Robert J. Sweeney
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Patent number: 8319648Abstract: In an example, physiologic information about a patient can be obtained and mapped to a first set of fuzzy logic membership functions, and a symptom status can be derived from the mapping of the physiologic information using a first fuzzy logic inference. In an example, the symptom status can be mapped to a second set of fuzzy logic membership functions, and a disease status can be derived from the mapping of the symptom status to the second set of fuzzy logic membership functions using a second fuzzy logic inference.Type: GrantFiled: September 21, 2009Date of Patent: November 27, 2012Assignee: Cardiac Pacemakers, Inc.Inventors: Krzysztof Z. Siejko, Viktoria A. Averina, Abhilash Patangay
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Publication number: 20120259183Abstract: Patient posture information can be received, such as to indicate a change in patient posture by at least a threshold amount. A transient response signal indicative of a change in a physiological parameter can be received at multiple instances near a change in patient posture. Waveform morphology features can be extracted from a transient response signal and used to provide an indication of a cardiac status, such as a heart failure status.Type: ApplicationFiled: April 2, 2012Publication date: October 11, 2012Inventors: Pramodsingh Hirasingh Thakur, Abhilash Patangay, John D. Hatlestad, Kenneth C. Beck
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Publication number: 20120232607Abstract: Systolic timing intervals are measured in response to delivering pacing energy to a pacing site of a patient's heart. An estimate of a patient's acute response to cardiac resynchronization therapy (CRT) for the pacing site is determined using the measured systolic timing intervals. The estimate is compared to a threshold. The threshold preferably distinguishes between acute responsiveness and non-responsiveness to CRT for a patient population. An indication of acute responsiveness to CRT for the pacing site may be produced in response to the comparison.Type: ApplicationFiled: May 24, 2012Publication date: September 13, 2012Inventors: Abhilash Patangay, Krzysztof Siejko, Mohan Krishnan, Gerrard M. Carlson
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Patent number: 8229557Abstract: Systolic timing intervals are measured in response to delivering pacing energy to a pacing site of a patient's heart. An estimate of a patient's acute response to cardiac resynchronization therapy (CRT) for the pacing site is determined using the measured systolic timing intervals. The estimate is compared to a threshold. The threshold preferably distinguishes between acute responsiveness and non-responsiveness to CRT for a patient population. An indication of acute responsiveness to CRT for the pacing site may be produced in response to the comparison.Type: GrantFiled: March 29, 2007Date of Patent: July 24, 2012Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Krzysztof Siejko, Mohan Krishnan, Gerrard M. Carlson
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Patent number: 8211034Abstract: This document discusses, among other things, a system comprising an implantable medical device (IMD) including an implantable heart sound sensor circuit configured to produce an electrical heart sound signal representative of a heart sound of a subject and a processor circuit. The processor circuit is coupled to the heart sound sensor circuit and includes a detection circuit, a heart sound feature circuit and a trending circuit. The detection circuit configured to detect a physiologic perturbation and the heart sound feature circuit is configured to identify a heart sound feature in the electrical signal. The processor circuit is configured to trigger the heart sound feature circuit in relation to a detected physiologic perturbation. The trending circuit is configured to trend the heart sound feature in relation to a recurrence of the physiologic perturbation. The processor circuit is configured to declare a change in a physiologic condition of the patient according to the trending.Type: GrantFiled: July 13, 2007Date of Patent: July 3, 2012Assignee: Cardiac Pacemakers, Inc.Inventors: Abhilash Patangay, Jeffrey E. Stahmann, Robert J. Sweeney
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Publication number: 20120157864Abstract: Physiological data, such as thoracic impedance data, can be obtained over a first time window to establish a baseline, or can be used to form one or more data clusters. Additional physiological data, such as thoracic impedance test data acquired over a later time window, can be obtained and compared to the baseline or data clusters to determine an indication of worsening heart failure. In an example, a quantitative attribute of one or more data clusters can be monitored and used to provide an indication of worsening heart failure. A posture discrimination metric can be obtained, such as using the physiological data obtained over the first time window. The additional physiological data, such as can be obtained over a second time window, can be compared to the posture discrimination metric to provide a patient posture status.Type: ApplicationFiled: December 13, 2011Publication date: June 21, 2012Inventors: Pramodsingh Hirasingh Thakur, Abhilash Patangay