公开(公告)号：US20120116481A1

公开(公告)日：2012-05-10

申请号：US13226399

申请日：2011-09-06

申请人： Daniel R. Greeninger ,  David A. Dinsmoor ,  Vincent Larik ,  Receveur Rogier ,  David L. Thompson

发明人： Daniel R. Greeninger ,  David A. Dinsmoor ,  Vincent Larik ,  Receveur Rogier ,  David L. Thompson

IPC分类号： A61N1/36

CPC分类号： A61N1/3787 ,  A61N1/08 ,  A61N1/378

摘要： An integrated activation system for an implantable medical device (IMD) sharing a power source, the activation system comprising a switching circuit having first and second inputs and having an output coupled to the acute use device, a gating element coupled to the first input and configured to gate power from the power source to the switching circuit, and a sensing element coupled to the second input of the switching circuit. The sensing element is configured to sense an activation condition, enable an operation interval of the switching circuit, and transmit a signal to the switching circuit during the activation condition. The switching circuit is configured to transmit power to the acute use device upon receipt of a pre-determined number of signals from the sensing element.

摘要翻译： 一种用于共享电源的可植入医疗装置（IMD）的集成激活系统，所述激活系统包括具有第一和第二输入并且具有耦合到所述急性使用装置的输出的切换电路，耦合到所述第一输入并配置的门控元件 从电源到开关电路的栅极电力，以及耦合到开关电路的第二输入的感测元件。 感测元件被配置为感测激活条件，启用开关电路的操作间隔，并且在激活条件期间将信号发送到开关电路。 开关电路被配置为在接收到来自感测元件的预定数量的信号时将功率传送到急用设备。

公开(公告)号：US08014872B2

公开(公告)日：2011-09-06

申请号：US11343354

申请日：2006-01-31

申请人： Daniel R. Greeninger ,  David A. Dinsmoor ,  Vincent Larik ,  Receveur Rogier ,  David L. Thompson

发明人： Daniel R. Greeninger ,  David A. Dinsmoor ,  Vincent Larik ,  Receveur Rogier ,  David L. Thompson

IPC分类号： A61N1/08

CPC分类号： A61N1/3787 ,  A61N1/08 ,  A61N1/378

摘要： An integrated activation system for an implantable medical device (IMD) sharing a power source, the activation system comprising a switching circuit having first and second inputs and having an output coupled to the acute use device, a gating element coupled to the first input and configured to gate power from the power source to the switching circuit, and a sensing element coupled to the second input of the switching circuit. The sensing element is configured to sense an activation condition, enable an operation interval of the switching circuit, and transmit a signal to the switching circuit during the activation condition. The switching circuit is configured to transmit power to the acute use device upon receipt of a pre-determined number of signals from the sensing element.

摘要翻译： 一种用于共享电源的可植入医疗装置（IMD）的集成激活系统，所述激活系统包括具有第一和第二输入并且具有耦合到所述急性使用装置的输出的切换电路，耦合到所述第一输入并配置的门控元件 从电源到开关电路的栅极电力，以及耦合到开关电路的第二输入的感测元件。 感测元件被配置为感测激活条件，启用开关电路的操作间隔，并且在激活条件期间将信号发送到开关电路。 开关电路被配置为在接收到来自感测元件的预定数量的信号时将功率传送到急用设备。

公开(公告)号：US07239916B2

公开(公告)日：2007-07-03

申请号：US10714123

申请日：2003-11-14

申请人： David L. Thompson ,  Steven D. Goedeke ,  Gregory J. Haubrich ,  Ryan Cobian ,  Eric Bonde ,  John L. Sommer ,  Jonathan Werder ,  Nels Nerison ,  Eric V. Blaha

发明人： David L. Thompson ,  Steven D. Goedeke ,  Gregory J. Haubrich ,  Ryan Cobian ,  Eric Bonde ,  John L. Sommer ,  Jonathan Werder ,  Nels Nerison ,  Eric V. Blaha

IPC分类号： A61N1/362

CPC分类号： A61N1/37252 ,  A61B5/0031 ,  A61B2560/0219 ,  A61N1/025 ,  A61N1/05 ,  A61N1/37223 ,  A61N1/3752 ,  A61N2001/0585

摘要： An automated identification and configuration system for use with an implantable medical device (IMD) is disclosed. The system includes a first communication circuit that is attached to, or otherwise carried by, a detachable component associated with the IMD such as a medical lead. The communication circuit stores data such as model numbers, serial numbers, technical data, and/or calibration information that describes the additional component. This information may be transferred by the first communications circuit to a second communications circuit that is external to the additional component. This transferred data can be used to automatically configure the internal circuitry and connection functions of the IMD to properly interface with, and support, the additional component. For example, the data can be used to automatically adjust amplifier gains or other sensor circuitry, or to configure a connector block to properly couple to the component. The data may further be entered into a patient record on an external programmer, or may be transferred to a central storage location to be generally accessible to health care providers. In one embodiment, the first communication circuit is a passive RF transponder. This first communication circuit may include a receiver as well as a transmitter to allow the circuit to programmably receive data at the time of component manufacture.

摘要翻译： 公开了一种用于可植入医疗装置（IMD）的自动识别和配置系统。 该系统包括第一通信电路，其连接到与IMD相关联的可拆卸部件（例如医疗引线）或由其携带。 通信电路存储诸如型号，序列号，技术数据和/或描述附加组件的校准信息的数据。 该信息可以由第一通信电路传送到附加组件外部的第二通信电路。 该传输的数据可用于自动配置IMD的内部电路和连接功能，以正确地连接和支持附加组件。 例如，数据可用于自动调整放大器增益或其他传感器电路，或配置连接器块以正确耦合到组件。 数据可以进一步输入到外部编程器上的病人记录中，或者可以被传送到中央存储位置，以便卫生保健提供者通常可访问。 在一个实施例中，第一通信电路是无源RF应答器。 该第一通信电路可以包括接收器以及发射器，以允许电路在组件制造时可编程地接收数据。

公开(公告)号：US07069444B2

公开(公告)日：2006-06-27

申请号：US10058233

申请日：2002-01-25

申请人： Brent A. Lowensohn ,  David A. Bellenger ,  Jimmy E. Braun ,  Richard C. Grosser ,  David L. Thompson ,  William J. Woodmancy ,  Steven R. Pomerantz

发明人： Brent A. Lowensohn ,  David A. Bellenger ,  Jimmy E. Braun ,  Richard C. Grosser ,  David L. Thompson ,  William J. Woodmancy ,  Steven R. Pomerantz

IPC分类号： H04L9/10 ,  H04L29/02

CPC分类号： G06F21/35

摘要： A portable wireless system for providing a user with access to a computer-based system includes a BARB Badge to interface with the user's body, responsive to a disruption in the interface and including a transceiver to communicate with an external source, a BARB Base to detect a presence of said BARB Badge in a vicinity of said BARB Base and relay secure communications between said BARB Badge and said computer-based system; and an administrator subsystem to regulate interfacing operations of said BARB Badge and said computer-based system based on predetermined administrative protocols. In this way, the overall security of the computer-based system is enhanced while the amount of operational burdens associated with accessing the computer-based system are reduced.

摘要翻译： 用于向用户提供对基于计算机的系统的访问的便携式无线系统包括响应于接口中断并且包括与外部源通信的收发器的BARB徽章，用于与用户身体接口以检测 在所述BARB Base附近存在所述BARB徽章，并且中继所述BARB徽章和所述基于计算机的系统之间的安全通信; 以及管理员子系统，用于基于预定的管理协议来调节所述BARB徽章和所述基于计算机的系统的接口操作。 以这种方式，增强了基于计算机的系统的总体安全性，同时减少了与访问基于计算机的系统相关联的操作负担量。

公开(公告)号：US06922592B2

公开(公告)日：2005-07-26

申请号：US09825909

申请日：2001-04-04

申请人： David L. Thompson ,  Daniel R. Greeninger ,  Steven D. Goedeke

发明人： David L. Thompson ,  Daniel R. Greeninger ,  Steven D. Goedeke

IPC分类号： A61B5/00 ,  A61B5/024 ,  A61B5/026 ,  A61N1/08 ,  A61N1/372 ,  A61N1/362

CPC分类号： A61N1/37235 ,  A61B5/0031 ,  A61B5/02427 ,  A61B5/02438 ,  A61B5/0261 ,  A61B5/6807 ,  A61B5/6824 ,  A61B5/6826 ,  A61B5/6838 ,  A61N1/08 ,  A61N1/37252

摘要： The operational and functional aspects of one or more IMDs is controlled by physiological data acquired from an external device. Various externally deployed devices collect vital signals for transmission to the IMD. Upon receipt of the signals the IMD cooperatively modifies therapy and diagnostic procedures to be substantially compliant with the received signals. Further, the IMD may store some of the signals for future follow-up or patient data management as needed.

摘要翻译： 一个或多个IMD的操作和功能方面由从外部设备获取的生理数据控制。 各种外部部署的设备收集重要信号以传输到IMD。 在接收到信号后，IMD协调地将治疗和诊断程序修改为基本上符合所接收的信号。 此外，IMD可以根据需要存储一些信号用于将来的随访或患者数据管理。

公开(公告)号：USD502923S1

公开(公告)日：2005-03-15

申请号：US29202600

申请日：2004-04-01

申请人： David L. Thompson ,  Garry L. Sjolander ,  Janette M. Moré ,  Melanie G. Gover

设计人： David L. Thompson ,  Garry L. Sjolander ,  Janette M. Moré ,  Melanie G. Gover

公开(公告)号：US06735479B2

公开(公告)日：2004-05-11

申请号：US09944720

申请日：2001-08-31

申请人： Willa Fabian ,  David Moore ,  Hal Kaufman ,  David L. Thompson

发明人： Willa Fabian ,  David Moore ,  Hal Kaufman ,  David L. Thompson

IPC分类号： A61N108

CPC分类号： A61B5/0031 ,  A61N1/08 ,  A61N1/37 ,  Y10S128/903

摘要： A patient monitoring system in cooperation with IMDs provides information, direction and counseling to patients. Specifically, a combination of lifestyle parameters, such as, for example, diet, exercise, weight, medication and environmental factors such as, for example, temperature, UV factor, pollen count, humidity, air pollution index, are integrated to provide a seamless, comprehensive, chronic monitoring system and support for patients. The system includes a home monitor, IMD, and a remote expert station in operable data communications therebetween. Personal data such as weight, environmental data, food data from refrigerators and pantry, type of exercise equipment, medication, physiologically significant events, physician treatment plan and the like are integrated with IMD data to provide continuous patient care, counseling, consultation and notification. The remote expert station enables doctors and other health care providers to review, monitor current and long-term trends of the patient's health status and dispense clinical care as needed.

摘要翻译： 与IMD合作的患者监测系统为患者提供信息，指导和咨询。 具体地说，整合了诸如例如饮食，运动，体重，药物和环境因素（例如温度，UV因子，花粉计数，湿度，空气污染指数）的生活方式参数的组合以提供无缝 全面，长期的监测系统和对患者的支持。 该系统包括家庭监视器，IMD和远程专家站之间可操作的数据通信。 将体重，环境数据，冰箱和食品室的食物数据，运动器材类型，药物，生理重要事件，医师治疗计划等个人数据与IMD数据相结合，提供持续的病人护理，咨询，咨询和通知。 远程专家站使医生和其他保健提供者能够检查，监测患者健康状况的当前和长期趋势，并根据需要分配临床护理。

公开(公告)号：US06669663B1

公开(公告)日：2003-12-30

申请号：US09302593

申请日：1999-04-30

申请人： David L. Thompson

发明人： David L. Thompson

IPC分类号： A61M3100

CPC分类号： A61B5/4839 ,  A61B5/0002 ,  A61B5/0028 ,  A61B5/14532

摘要： A device to determine the level of a substance of interest in a patient's body and provide a therapeutic amount of medicament is disclosed. The level of a substance of interest in the patient's body is determined by iontopheretically sampling the patient's blood and then analyzing the resulting sample to determine the level of the substance of interest. The information about the level of a substance of interest is transmitted to an implanted drug pump in the patient's body. In the preferred embodiment, the substance of interest sensor is an external sensor applied to the user's skin. In an alternate embodiment, the sensor may be implanted. The preferred method of transmitting information about the level of a substance of interest determined by the sensor is transmitted to an implanted drug pump in the patient's body is via a so called “body bus”. The “body bus” is a telemetry system where the patient's own body provides the interconnection between the iontopheretic device and the implanted drug pump.

摘要翻译： 公开了一种用于确定患者体内感兴趣物质的水平并提供治疗量的药物的装置。 患者体内感兴趣的物质的水平通过对患者的血液进行离子电离取样来确定，然后分析所得样品以确定感兴趣物质的水平。 关于感兴趣物质的水平的信息被传送到患者体内的植入药物泵。 在优选实施例中，感兴趣的物质传感器是应用于使用者皮肤的外部传感器。 在替代实施例中，可以植入传感器。 传送关于感兴趣物质确定的物质的水平的信息的优选方法通过所谓的“身体总线”传送到患者体内的植入药物泵。 “身体总线”是一种遥测系统，其中病人自己的身体提供了离子电影装置和植入的药物泵之间的互连。

公开(公告)号：US06539253B2

公开(公告)日：2003-03-25

申请号：US09729845

申请日：2000-12-05

申请人： David L. Thompson ,  Gregory J. Haubrich ,  Steven D. Goedeke

发明人： David L. Thompson ,  Gregory J. Haubrich ,  Steven D. Goedeke

IPC分类号： A61N116

CPC分类号： A61N1/08 ,  A61N1/025 ,  A61N1/37 ,  A61N1/37211 ,  A61N1/37229

摘要： Implantable medical devices (IMDs) having sense amplifiers for sensing physiologic signals and parameters, RF telemetry capabilities for uplink transmitting patient data and downlink receiving programming and interrogation commands to and from an external programmer or other medical device are disclosed. At least one IC chip and discrete components have a volume and dimensions that are optimally minimized to reduce its volumetric form factor. Miniaturization techniques include forming notch filters of MEMS structures or forming discrete circuit notch filters by one or more of: (1) IC fabricating inductors into one or more IC chips mounted to the RF module substrate; (2) mounting each IC chip into a well of the RF module substrate and using short bonding wires to electrically connect bond pads of the RF module substrate and the IC chip; and (3) surface mounting discrete capacitors over IC chips to reduce space taken up on the RF module substrate. The IC fabricated inductors are preferably fabricated as planar spiral wound conductive traces formed of high conductive metals to reduce trace height and width while maintaining low resistance, thereby reducing parasitic capacitances between adjacent trace side walls and with a ground plane of the IC chip. The spiral winding preferably is square or rectangular, but having truncated turns to eliminate 90° angles that cause point-to-point parasitic capacitances. The planar spiral wound conductive traces are further preferably suspended over the ground plane of the IC chip substrate by micromachining underlying substrate material away to thereby reduce parasitic capacitances.

公开(公告)号：US06535766B1

公开(公告)日：2003-03-18

申请号：US09648604

申请日：2000-08-26

申请人： David L. Thompson ,  Gregory J. Haubrich ,  Steven D. Goedeke

发明人： David L. Thompson ,  Gregory J. Haubrich ,  Steven D. Goedeke

IPC分类号： A61N136

CPC分类号： A61N1/37229 ,  A61N1/025 ,  A61N1/08 ,  A61N1/37 ,  A61N1/37211

摘要： A telemetry receiver for an implantable medical device such as a cardiac pacemaker has an RF antenna coupled to a telemetry circuit that includes an out-of-band rejection filter comprising a microelectromechanical filter. The telemetry circuit further includes an amplifier coupled to the microelectromechanical filter and a demodulator coupled to the amplifier. The filter, amplifier and demodulator are all fabricated on a common integrated circuit die. A multichannel telemetry receiver for an implantable medical device has a plurality of microelectromechanical bandpass filters defining individual channels. A multiplexing circuit selects the signal of an individual bandpass filter channel for application to a demodulator circuit that recovers programming data from a modulated RF transmission from a programming unit. Identification of a preferred data transmission channel for communication of programming data to the implanted medical device is determined by obtaining samples of the signals being passed by each of a plurality of microelectromechanical bandpass filters that define individual channels and evaluating the samples to determine the noise level for each channel. The implantable medical device may be programmed to receive downlink telemetry communications from a programming unit on the channel identified as being the preferred data transmission channel having the lowest noise level.

摘要翻译： 用于诸如心脏起搏器的可植入医疗装置的遥测接收器具有耦合到遥测电路的RF天线，该遥测电路包括包括微机电滤波器的带外抑制滤波器。 遥测电路还包括耦合到微机电滤波器的放大器和耦合到放大器的解调器。 滤波器，放大器和解调器全部在公共集成电路管芯上制造。 用于可植入医疗装置的多通道遥测接收器具有限定各个通道的多个微机电带通滤波器。 复用电路选择单个带通滤波器信道的信号，以应用于从编程单元从调制的RF传输中恢复编程数据的解调器电路。 通过获得定义各个通道的多个微机电带通滤波器中的每一个通过的信号样本来确定用于将编程数据传送到植入的医疗装置的优选数据传输通道的识别，并评估样本以确定噪声水平 每个频道。 可植入医疗设备可以被编程为从识别为具有最低噪声电平的优选数据传输信道的信道上的编程单元接收下行链路遥测通信。