公开(公告)号：EP0689854A1

公开(公告)日：1996-01-03

申请号：EP95850121.5

申请日：1995-06-27

申请人： Pacesetter AB

发明人： Fröberg, Paul ,  Franberg, Per ,  Högnelid, Kurt ,  Killander, Fredrik ,  Magnusson, Peter ,  Nyman, Per

IPC分类号： A61N1/08 ,  A61N1/372 ,  G01R31/04 ,  H01R13/703

CPC分类号： A61N1/3931 ,  A61N1/08 ,  A61N1/3752 ,  G01R31/046 ,  H01R12/7094 ,  H01R13/641

摘要： The invention relates to a device for indicating that an electrode cable (2) is correctly connected to an implant (1) for emitting electrical pulses, the implant (1) by being equipped with a connection part (3) for the electrode cable's proximal end (11). The indication device contains a contact means (9) for electrically seating the proximal end (11) of the electrode cable and an indication means (10), the contact means (9) electrically causing the indication means (10) to emit at least one indication signal (18) which is perceptible outside the implant (1) when the electrode cable (2) is correctly attached to the implant (1).

摘要翻译： 本发明涉及一种用于指示电极电缆（2）正确连接到用于发射电脉冲的植入物（1）的装置，所述植入物（1）通过装备有用于电极电缆的近端的连接部分（3） （11）。 指示装置包括用于电气安置电极电缆的近端（11）的接触装置（9）和指示装置（10），所述接触装置（9）电引起指示装置（10）发射至少一个 当电极电缆（2）正确地附接到植入物（1）时，可以在植入物（1）外部感知到的指示信号（18）。 $$

公开(公告)号：EP0551746A3

公开(公告)日：1994-12-21

申请号：EP92311525.7

申请日：1992-12-16

申请人： PHYSIO-CONTROL CORPORATION

发明人： Sjoquist, Steven E. ,  Taylor, James W.

IPC分类号： A61N1/37 ,  A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3706 ,  A61N1/3931

摘要： A defibrillator/monitor (10) is disclosed employing a motion detection circuit 18 and control and processing circuit (20) that cooperatively detect motion at a patient-electrode interface. In that regard, an impedance measurement circuit (24) produces an output indicative of the impedance of the interface. This output is then processed by a number of filter elements before being analyzed by a motion detection routine (52). The motion detection routine includes subroutines (62 and 64) that compare the impedance against distinct upper and lower limits and then monitor the time at which the signal is above and below the limits. Basically, motion is indicated if the signal undergoes relatively large variations for a short time, or smaller variations for a longer time. A third motion clear subroutine (66) is used to determine when motion is no longer detected. Finally, a similar scheme (102) is employed to quickly restore the various filter elements after saturation.

摘要翻译： 公开了一种除颤器/监视器（10），其采用运动检测电路18和控制和处理电路（20），该电路协作检测患者 - 电极接口处的运动。 就此而言，阻抗测量电路（24）产生表示接口阻抗的输出。 该输出然后在被运动检测例程（52）分析之前由多个滤波器元件处理。 运动检测程序包括子程序（62和64），将阻抗与不同的上限和下限进行比较，然后监测信号高于和低于限制的时间。 基本上，如果信号在短时间内经历相对较大的变化，或者在较长时间内变化较小，则指示运动。 第三个运动清除子程序（66）用于确定何时不再检测到运动。 最后，采用类似的方案（102）来在饱和之后快速恢复各种滤波器元件。

公开(公告)号：EP0584397A1

公开(公告)日：1994-03-02

申请号：EP92114797.1

申请日：1992-08-28

申请人： Pacesetter AB

发明人： Högnelid, Kurt ,  Nilsson, Kenth

IPC分类号： A61N1/39

CPC分类号： A61N1/3931 ,  A61N1/3912

摘要： Die Defibrillation eines Herzens erfolgt in bekannter Weise dadurch, daß eine Ladekapazität über eine steuerbare Schalteinrichtung mit im Bereich des Herzens angeordneten Elektroden verbunden wird und dabei über das Herzgewebe entladen wird.
Um dabei den Anfangsstrom auf einen unschädlichen Wert zu begrenzen, weist die steuerbare Schalteinrichtung (10) zwei Kontakte (25,29) auf, zwischen denen ein unter der Einwirkung eines elektromechanischen Wandlers (25,33) deformierbares Schaltstück (32), beispielsweise ein Quecksilbertropfen, in der Weise angeordnet ist, daß das Schaltstück (32) bei einer vorgegebenen Auslenkung des elektromechanischen Wandlers (25,33) die beiden Kontakte (25,29) miteinander verbindet und bei einer von der vorgegebenen Auslenkung ausgehenden Änderung der Auslenkung den elektrischen Widerstand zwischen den Kontakten (25,29) verändert. Die Ansteuerung der steuerbaren Schalteinrichtung (10) erfolgt durch Einschaltimpulse mit einer zum Einstellen des gewünschten elektrischen Widerstands zwischen den Kontakten (25,29) veränderbaren Impulshöhe.

摘要翻译： 以已知的方式进行心脏的除颤，因为充电电容器经由可控电路装置连接到布置在心脏区域中的电极，并由此通过心脏组织排出。 此外，为了将初始电流限制到无害值，可控电路装置（10）具有两个触点（25,29），在该触点之间布置有接触片（32），例如汞滴，可在下 机电式变压器（25,33）的影响以使得接触片（32）以机电变压器（25,33）的预定偏移将两个触头（25,29）彼此连接的方式变化， 在预定的偏移开始的偏移变化时，触头（25,29）之间的电阻。 可控电路装置（10）的激活通过可以改变的脉冲幅度的启动脉冲进行，以调节触点（25,29）之间的期望的电阻。

公开(公告)号：EP0546666A2

公开(公告)日：1993-06-16

申请号：EP92309586.3

申请日：1992-10-21

申请人： PHYSIO-CONTROL CORPORATION

发明人： Morgan, Carlton B. ,  Yerkovich, Daniel

IPC分类号： A61N1/39

CPC分类号： A61N1/3937 ,  A61N1/3912 ,  A61N1/3931

摘要： An energy transfer circuit (40) for delivering a cardiac defibrillation pulse to a patient (50). An energy storage capacitor (16) is coupled to a pair of electrodes (52a, 52b) through an electronic switch (42). The electronic switch is controlled by a control circuit (20). A current shunt 56 is connected in parallel with a pair of defibrillation electrodes (52a, 52b) to divert a leakage current that flows through the electronic switch away from the patient when a defibrillation pulse is not being delivered. A current sensor (64) or a voltage sensor (72) provide a feedback signal to the control circuit to regulate the energy of the defibrillation pulse that flows through the patient.

摘要翻译： 一种用于将心脏除颤脉冲传送到患者（50）的能量传递电路（40）。 储能电容器（16）通过电子开关（42）耦合到一对电极（52a，52b）。 电子开关由控制电路（20）控制。 电流分流器56与一对除颤电极（52a，52b）并联连接，以便在不输送除颤脉冲时将流过电子开关的泄漏电流从病人转出。 电流传感器（64）或电压传感器（72）向控制电路提供反馈信号以调节流过患者的除颤脉冲的能量。

公开(公告)号：EP0299338A3

公开(公告)日：1989-03-08

申请号：EP88110738.7

申请日：1988-07-05

申请人： Nihon Kohden Corporation

发明人： Miyajima, Nobukazu ,  Tanaka, Akira ,  Shinoda, Masaru

IPC分类号： A61N1/39 ,  A61N1/08

CPC分类号： A61N1/3937 ,  A61N1/08 ,  A61N1/3931

摘要： A defibrillator for applying a high voltage, with which a high-voltage capacitor circuit (2) is charged through electrodes (4) to a body of a patient. The high-voltage capacitor circuit (2) comprises metallized plastic film capacitors. A charge abnormality detecting circuit (5) is provided for detecting a dielectric breakdown of the capacitor circuit (2). A notifier (6) indicates any abnormality in response to a detection signal of the detecting circuit (5). A switch circuit (1a) inhibits, in response to the detection signal, further supply of high voltage from a high-voltage generating circuit (1).

公开(公告)号：EP3335623A1

公开(公告)日：2018-06-20

申请号：EP16207509.7

申请日：2016-12-30

申请人： Draeger Medical Systems, Inc.

发明人： BAKALOS, Pericles Nicholas

IPC分类号： A61B5/00 ,  A61B5/0476

CPC分类号： A61B18/00 ,  A61B5/04017 ,  A61B5/0402 ,  A61B5/0408 ,  A61B5/6824 ,  A61B5/6828 ,  A61B5/7217 ,  A61B18/16 ,  A61B2018/00642 ,  A61B2018/00678 ,  A61B2018/00839 ,  A61B2018/00869 ,  A61B2018/00892 ,  A61B2018/1293 ,  A61N1/3931

摘要： Methods and apparatuses are provided for neutral drive feedback loop compensation of detected electrosurgical unit signals. An apparatus includes an electrosurgery unit (ESU) signal detection circuit, a compensation switch, and an ESU filter switch. Both switches activate based on an output of the ESU signal detection circuit. A neutral drive feedback loop circuit is configured to compensate for a phase change characteristic of an ESU filter circuit.

公开(公告)号：EP3131624A1

公开(公告)日：2017-02-22

申请号：EP15707214.1

申请日：2015-02-12

申请人： Cardiac Pacemakers, Inc.

发明人： LUDWIG, Jacob M.

IPC分类号： A61N1/39 ,  A61N1/362 ,  A61B5/0402

CPC分类号： A61N1/3962 ,  A61B5/042 ,  A61B5/0464 ,  A61B5/4836 ,  A61N1/0504 ,  A61N1/0563 ,  A61N1/3621 ,  A61N1/3622 ,  A61N1/3931

摘要： In an example, an apparatus is described that includes an implantable housing, a heart signal sensing circuit configured to sense intrinsic electrical heart signals, a ventricular tachyarrhythmia (VT) detector circuit, operatively coupled to the heart signal sensing circuit, the detector circuit operable to detect a VT based on the sensed heart signals, a processor configured to control delivery of an anti-tachyarrhythmia pacing (ATP) therapy based on the detected VT, and an energy delivery circuit configured to deliver the ATP therapy in response to the detected VT, wherein the apparatus does not include a shock circuit capable of delivering a therapeutically-effective cardioverting or defibrillating shock.

摘要翻译： 在一个示例中，描述了一种装置，其包括可植入壳体，被配置为感测固有电气心脏信号的心脏信号感测电路，可操作地耦合到心脏信号感测电路的心室快速性心律失常（VT）检测器电路，该检测器电路可操作以 基于感测到的心脏信号检测VT，处理器，被配置为基于检测到的VT来控制抗心动过速起搏（ATP）治疗的递送，以及能量递送电路，被配置为响应于检测到的VT递送ATP治疗， 其中所述装置不包括能够递送治疗有效的心律转复或去颤的休克的冲击电路。

公开(公告)号：EP2939707A1

公开(公告)日：2015-11-04

申请号：EP15165014.0

申请日：2015-04-24

申请人： Nihon Kohden Corporation

发明人： Wakabayashi, Tsutomu ,  Tsumura, Ikuhiro ,  Kubota, Takayuki

IPC分类号： A61N1/39

CPC分类号： A61N1/3931 ,  A61N1/3975

摘要： To provide a medical apparatus capable of appropriately reporting an abnormal state to the user. An indicator 9 outputs whether an AED 1 is in an abnormal state. A power supply control unit 8 controls the AED 1. A monitoring unit 15 detects an operation abnormality in the power supply control unit 8. The power supply control unit 8 performs the operation monitoring of the monitoring unit 15 and, when detecting an operation abnormality, causes the indicator 9 to output an abnormal state. The monitoring unit 15 performs the operation monitoring of the power supply control unit 8 and, when detecting an operation abnormality, causes the indicator 9 to output an abnormal state.

摘要翻译： 提供一种能够适当地向用户报告异常状态的医疗设备。 指示器9输出AED 1是否处于异常状态。 电源控制单元8控制AED1。监视单元15检测电源控制单元8中的操作异常。电源控制单元8执行监视单元15的操作监视，并且当检测到操作异常时， 导致指示器9输出异常状态。 监视单元15执行电力供给控制单元8的操作监视，并且当检测到操作异常时，使指示器9输出异常状态。

公开(公告)号：EP2750761A4

公开(公告)日：2015-04-22

申请号：EP12826705

申请日：2012-08-29

申请人： ZOLL MEDICAL CORP

发明人： VOLPE SHANE S ,  KAIB THOMAS E

IPC分类号： A41D13/12 ,  A61B5/00 ,  A61B5/024 ,  A61B5/0452 ,  A61B5/053 ,  A61B5/113 ,  A61N1/04 ,  A61N1/39 ,  G01R27/26

CPC分类号： A61B5/7221 ,  A41D13/1281 ,  A61B5/0205 ,  A61B5/02438 ,  A61B5/0452 ,  A61B5/053 ,  A61B5/1135 ,  A61B5/6804 ,  A61B5/6805 ,  A61B5/6844 ,  A61B5/742 ,  A61B5/7455 ,  A61N1/046 ,  A61N1/0484 ,  A61N1/3925 ,  A61N1/3931 ,  A61N1/3968 ,  A61N1/3975 ,  A61N1/3987 ,  G01R27/2611

摘要： A wearable therapeutic device to facilitate care of a subject is provided. The wearable therapeutic device can include a garment having a sensing electrode. The garment includes at least one of an inductive element and a capacitive element, and a controller identifies an inductance of the inductive element or a capacitance of the capacitive element, and determines a confidence level of information received from the sensing electrode based on the inductance or the capacitance. The wearable therapeutic device also includes an alarm module coupled with the controller and configured to provide a notification to a subject based on the confidence level.

公开(公告)号：EP2859364A1

公开(公告)日：2015-04-15

申请号：EP13796833.5

申请日：2013-05-30

申请人： Lamda Nu, LLC

发明人： KROLL, Mark, William ,  SWERDLOW, Charles, Dennis

IPC分类号： G01R31/12 ,  A61N1/39

CPC分类号： A61N1/08 ,  A61N1/0563 ,  A61N1/37 ,  A61N1/3906 ,  A61N1/3925 ,  A61N1/3931 ,  A61N1/3956 ,  A61N2001/083

摘要： Disclosed is a method for the diagnosis of conductor anomalies, such as an insulation failure resulting in a short circuit, in an implantable medical device, such as an implantable cardioverter defibrillator (ICD). Upon determining if a specific defibrillation pathway is shorted, the method excludes the one electrode from the defibrillation circuit, delivering defibrillation current only between functioning defibrillation electrodes. Protection can be provided against a short in the right-ventricular coil-CAN defibrillation pathway of a pectoral, transvenous ICD with a dual-coil defibrillation lead. If a short caused by an in-pocket abrasion is present, the CAN is excluded from the defibrillation circuit, delivering defibrillation current only between the right -ventricular and superior vena cava defibrillation coils. Determination that the defibrillation pathway is shorted may be made by conventional low current measurements or delivery of high current extremely short test pulses.