Apparatus and method for automatic sensing threshold determinati

Surgery – Diagnostic testing – Cardiovascular

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600509, 600517, 607 9, A61B 50402, A61B 50456, A61B 50452

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active

059578572

ABSTRACT:
An automatic sensing system for an implantable cardiac rhythm management device comprises a variable gain amplifier and associated filters where the gain of the amplifier is adjusted as a function of the peak amplitude of a cardiac depolarization signal (either a P-wave or an R-wave) and especially the relationship of the peak value to a maximum value dictated by the circuit's power supply rail. The trip point comparator has its trip point adjusted as a function of the difference between the detected peak value of the signal of interest and the peak value of noise not eliminated by the filtering employed.

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Pan et al A Real Time QRS Detection Algorithm, IEEE Trans. Biomed Eng. vol. BME-32, No. 3, Mar. 1995 pp. 230-236.

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