公开(公告)号：US20090306729A1

公开(公告)日：2009-12-10

申请号：US12480093

申请日：2009-06-08

申请人： Thomas Doerr

发明人： Thomas Doerr

IPC分类号： A61N1/39

CPC分类号： A61N1/3962 ,  A61N1/3622

摘要： An electrotherapy system, particularly an implantable heart stimulator, is configured as an electronic implant for electrical anti-tachycardia therapy of the heart, and includes at least one programmable therapy sequence (i.e. a sequence of several therapies that are delivered, one after the other, to treat a VT/VF episode). The implant has a therapy success memory for storing therapy success statistics for each therapy, as well as a therapy control unit that is configured to automatically undertake adaptation of the order of the therapies within a therapy sequence as a function of currently stored therapy success statistics.

摘要翻译： 电疗系统，特别是可植入心脏刺激器，被配置为用于心脏的电抗心动过速治疗的电子植入物，并且包括至少一个可编程治疗序列（即，一系列递送的几种疗法， 治疗VT / VF发作）。 植入物具有用于存储每个治疗的治疗成功统计的治疗成功记忆，以及治疗控制单元，其被配置为根据当前存储的治疗成功统计信息自动地进行治疗序列内治疗的顺序的适应。

公开(公告)号：US20090264945A1

公开(公告)日：2009-10-22

申请号：US12403266

申请日：2009-03-12

申请人： Thomas Doerr ,  Frank Tscherch ,  Ulrich Tietze

发明人： Thomas Doerr ,  Frank Tscherch ,  Ulrich Tietze

IPC分类号： A61N1/39 ,  A61N1/362

CPC分类号： A61N1/371 ,  A61N1/3627 ,  A61N1/3684 ,  A61N1/3962

摘要： An implantable cardiac stimulator having an at least partially electrically conductive housing, a ventricular stimulation unit connectable to left ventricular or right ventricular stimulation electrode and designed to generate ventricular stimulation pulses for stimulation of heart ventricle, having terminal for right ventricular defibrillation electrode. Has far-field electrogram detection unit (FFEDU) and stimulation success detecting unit (SSDU), of which FFEDU has first input connected to the terminal for right ventricular defibrillation electrode and second input connected to housing. FFEDU detects far-field electrocardiogram based on electric potentials applied to inputs and deliver these potentials to SSDU. SSDU has electrogram input and signal input receives a far-field electrogram generated by FFEDU and receives stimulation signal that represents a ventricular stimulation pulse generated and delivered by ventricular stimulation unit and analyzes section of received far-field electrogram immediately following delivery of ventricular stimulation impulse to determine whether it represents an effective or ineffective ventricular stimulation.

摘要翻译： 一种植入式心脏刺激器，其具有至少部分导电的壳体，心室刺激单元，其可连接到左心室或右心室刺激电极，并被设计成产生用于刺激心室的心室刺激脉冲，具有用于右心室除颤电极的端子。 具有远场电描记图检测单元（FFEDU）和刺激成功检测单元（SSDU），其中FFEDU首先输入连接到右心室除颤电极的端子，第二输入连接到外壳。 FFEDU根据施加到输入端的电位检测远场心电图，并将这些电位传递给SSDU。 SSDU具有电描记图输入，并且信号输入接收由FFEDU产生的远场电描记图并接收表示由心室刺激单元生成和递送的心室刺激脉冲的刺激信号，并且在心室刺激脉冲递送后立即分析所接收的远场电描记的部分 确定它是否代表有效或无效的心室刺激。

公开(公告)号：US20090139240A1

公开(公告)日：2009-06-04

申请号：US12232324

申请日：2008-09-15

申请人： Leif Rackwitz ,  Imon-Kalyan Bagchi ,  Thomas Doerr

发明人： Leif Rackwitz ,  Imon-Kalyan Bagchi ,  Thomas Doerr

IPC分类号： F02C1/00

CPC分类号： F23D11/107 ,  F23R3/343

摘要： A gas-turbine lean combustor includes a combustion chamber (2) and a fuel nozzle (1) which includes a pilot fuel injection (17) and a main fuel injection (18). The main fuel injection (18) includes central recesses (23) for a controlled inhomogeneous fuel injection, the number of said recesses on the circumference ranging from 8 to 40 and said recesses having an angle of inclination δ2 in circumferential direction of 10°≦δ2≦60° and an axial angle of inclination δ1 relative to the combustor axis (4) between −10°≦δ1≦90°.

摘要翻译： 燃气轮机薄型燃烧器包括燃烧室（2）和燃料喷嘴（1），燃料喷嘴（1）包括引燃燃料喷射（17）和主燃料喷射（18）。 主燃料喷射器（18）包括用于受控不均匀燃料喷射的中心凹槽（23），圆周上的所述凹槽的数量为8至40，并且所述凹槽在圆周方向上的倾斜角度δ2为10°< δ2<= 60°，相对于燃烧器轴线（4）的轴向倾斜角δ1在-10°<=Δ1<= 90°之间。

公开(公告)号：US20090018598A1

公开(公告)日：2009-01-15

申请号：US12167311

申请日：2008-07-03

申请人： Thomas Doerr ,  Joachim Reinke

发明人： Thomas Doerr ,  Joachim Reinke

IPC分类号： A61N1/362

CPC分类号： G16H40/40 ,  G06F19/00

摘要： The invention comprises a system and a method for secure remote programming of an implant. For this purpose, a TAN list is generated on the part of the programming device and both stored in the implant (10) and also provided to a physician. The TAN list is preferably indexed and the implant predefines the index of a TAN in each case, which a physician must input to have a programming instruction executed by the implant.

摘要翻译： 本发明包括用于植入物的安全远程编程的系统和方法。 为此，在编程设备的一部分上生成TAN列表，并且都存储在植入物（10）中并且还提供给医师。 TAN列表优选地被索引，并且植入物预先定义每种情况下的TAN的索引，医师必须输入该索引以具有由植入物执行的编程指令。

公开(公告)号：US09079038B2

公开(公告)日：2015-07-14

申请号：US13301686

申请日：2011-11-21

申请人： Thomas Doerr ,  Ingo Weiss

发明人： Thomas Doerr ,  Ingo Weiss

IPC分类号： A61N1/05 ,  A61N1/37 ,  A61N1/08 ,  A61B18/14

CPC分类号： A61N1/3718 ,  A61B18/1492 ,  A61N1/056 ,  A61N1/08 ,  A61N1/086

摘要： An implantable medical device having at least one elongated electrical function conductor and an electrode pole connected to the at least one elongated function conductor. The at least one elongated function conductor transmits therapeutic signals or diagnostic signals or both. The electrode pole delivers electrical current or field or sense electrical potentials, or both, in surrounding tissue during use. The implantable medical device includes a sensing device connected to a field-generating electrode pole, a potential-sensing electrode pole, and a reference pole. The sensing device detects generated electrical potentials via the potential-sensing electrode pole in relation to the reference pole, and generates an output signal that represents a detected electrical potential. The implantable medical device includes a control device connected to the sensing device to evaluate an output signal generated by the sensing device, and to control the medical device as a function of the potential detected by the sensing device.

摘要翻译： 一种可植入医疗装置，具有至少一个细长的电功能导体和连接至该至少一个细长功能导体的电极。 至少一个细长功能导体传输治疗信号或诊断信号或两者。 电极在使用过程中在周围的组织中提供电流或场或感应电位或两者。 可植入医疗装置包括连接到场产生电极，感测电极和参考极的感测装置。 感测装置通过电位感测电极极相对于参考极检测产生的电势，并产生表示检测到的电位的输出信号。 可植入医疗装置包括连接到感测装置的控制装置，以评估由感测装置产生的输出信号，并且根据感测装置检测到的电位来控制医疗装置。

公开(公告)号：US08942825B2

公开(公告)日：2015-01-27

申请号：US13301651

申请日：2011-11-21

申请人： Thomas Doerr ,  Ingo Weiss

发明人： Thomas Doerr ,  Ingo Weiss

IPC分类号： A61N1/37 ,  A61N1/05 ,  A61B18/14 ,  A61N1/08

CPC分类号： A61N1/05 ,  A61B18/1492 ,  A61N1/056 ,  A61N1/08 ,  A61N1/086

摘要： A temporarily or permanently implantable medical device having at least one elongated electrical function conductor for transmitting therapeutic signals or diagnostic signals or both. At least one additional conductor is provided which together with the function conductor forms, at least in places, a double line which is separated from the function conductor by a dielectric and which is coupled to the function conductor via a coupling impedance. The coupling impedance is dimensioned so that the value of the line wave impedance of the function conductor for frequency ranges far above a frequency range of the therapeutic or diagnostic signals is much greater than the in the frequency range of the therapeutic or diagnostic signals, so that currents in a frequency range above the frequency range of the therapeutic or diagnostic signals are damped more intensely than the currents which form therapeutic or diagnostic signals.

摘要翻译： 一种临时或永久可植入的医疗装置，其具有用于传送治疗信号或诊断信号或两者的至少一个细长电功能导体。 提供至少一个额外的导体，其与功能导体一起至少在某些地方形成双线，该双线通过电介质与功能导体分离，并通过耦合阻抗耦合到功能导体。 耦合阻抗的大小被确定为使得远远高于治疗或诊断信号的频率范围的功能导体的线路波阻抗的值远远大于治疗或诊断信号的频率范围，使得 在治疗或诊断信号的频率范围之上的频率范围内的电流比形成治疗或诊断信号的电流更强。

公开(公告)号：US08810245B2

公开(公告)日：2014-08-19

申请号：US13353318

申请日：2012-01-19

申请人： Thomas Doerr ,  Ingo Weiss

发明人： Thomas Doerr ,  Ingo Weiss

IPC分类号： G01V3/00 ,  G01R33/421 ,  G01R33/422

CPC分类号： G01R33/286 ,  G01R33/288 ,  G01R33/4215 ,  G01R33/422

摘要： A device for generating opposing fields for shielding an implant in the body of a patient during a magnetic resonance imaging, which device comprises a field generation unit with one or more field generation configured to generate field pulses and a control unit coupled with the field generation unit, and which is configured in such a manner that field pulses can be generated as opposing fields through which, within a spatial zone which contains the implant at least in sections, high-frequency electromagnetic field pulses and/or magnetic gradient field pulses used during the magnetic resonance imaging can be reduced or cancelled out in their intensity through superposition.

摘要翻译： 一种用于在磁共振成像期间产生用于屏蔽患者体内的植入物的相对场的装置，所述装置包括具有被配置为产生场脉冲的一个或多个场产生的场产生单元和与场发生单元耦合的控制单元 并且其被配置为使得可以产生场脉冲作为相对的场，在至少包含植入物的空间区域内至少部分地产生高频电磁场脉冲和/或在该时间段期间使用的磁梯度场脉冲 磁共振成像可以通过叠加强度降低或抵消。

公开(公告)号：US08781588B2

公开(公告)日：2014-07-15

申请号：US12970290

申请日：2010-12-16

申请人： Thomas Doerr ,  Ingo Weiss

发明人： Thomas Doerr ,  Ingo Weiss

IPC分类号： A61B5/05 ,  A61N1/37

CPC分类号： A61N1/37 ,  A61N1/3718

摘要： Device and method for detecting electromagnetic fields occurring in imaging magnetic resonance tomography MRT/MRI tests. Relates to an implantable medical device (IMD) comprising a hermetically sealed housing, control unit(s), detection unit(s) for MRT interference fields connected/connectable to control unit(s) and to electrode(s) and/or to antenna(s) and/or coil(s), wherein the MRT interference detection unit contains at least one electro-optical converter which converts induced voltages from the electrode(s) and/or the antenna(s) and/or the coil(s) to optical signals, which are optically transmitted in a potential-free manner within the detection unit for MRT interference fields to an evaluation unit for the detection unit for MRT interference fields, and when a threshold for the optical signal and/or a predetermined periodic occurrence of the optical signals is exceeded, the evaluation unit triggers switching to an MRI-safe state or transmits a corresponding signal to the control unit(s).

摘要翻译： 用于检测成像磁共振断层扫描MRT / MRI测试中发生的电磁场的装置和方法。 涉及包括密封壳体，控制单元，用于连接/连接到控制单元和电极和/或天线的MRT干扰场的检测单元的可植入医疗装置（IMD） 一个或多个线圈，其中所述MRT干扰检测单元包含至少一个电光转换器，其转换来自所述电极和/或所述天线和/或所述线圈的感应电压 ）到在用于MRT干扰场的检测单元内以无电势方式光学传输到用于MRT干扰场的检测单元的评估单元的光信号，以及当光信号和/或预定周期 超过光信号的发生，评估单元触发切换到MRI安全状态或者将相应的信号发送到控制单元。

公开(公告)号：US08750963B2

公开(公告)日：2014-06-10

申请号：US13418326

申请日：2012-03-12

申请人： Thomas Doerr ,  Ingo Weiss

发明人： Thomas Doerr ,  Ingo Weiss

IPC分类号： A61B5/055 ,  A61N1/02 ,  A61N1/37 ,  A61N1/372

CPC分类号： A61N1/025 ,  A61B2560/063 ,  A61B2560/066 ,  A61N1/37 ,  A61N1/3718 ,  A61N1/37282

摘要： An implantable electromedical device, having a detection unit for capturing possible device-impairing effects, a control unit, which is connected to the detection unit, a diagnostic and/or treatment unit, and a test unit, of which the test unit is designed to test the diagnostic-treatment unit, and to output test results for storage, of which the diagnostic and/or treatment unit includes sensor units and/or treatment delivery units as components and is designed to record physiological parameters and/or bring about delivery of a treatment, and of which the control unit is designed to actuate the test unit for testing the diagnostic-treatment unit.

摘要翻译： 一种具有用于捕获可能的器件损害效应的检测单元的可植入电动医疗装置，连接到检测单元的诊断和/或治疗单元和测试单元的控制单元，其中测试单元被设计成 测试诊断处理单元，并输出用于存储的测试结果，其中诊断和/或治疗单元包括传感器单元和/或治疗递送单元作为组件，并被设计成记录生理参数和/或实现 治疗，并且其控制单元被设计成致动测试单元以测试诊断治疗单元。

公开(公告)号：US08682427B2

公开(公告)日：2014-03-25

申请号：US12575499

申请日：2009-10-08

申请人： Thomas Doerr

发明人： Thomas Doerr

IPC分类号： A61N1/36

CPC分类号： A61B5/0464 ,  A61B5/7264 ,  A61N1/3622

摘要： A single-chamber heart stimulator has an electrically conductive housing, first and second detection units, and a VT/SVT discrimination unit. The first detection unit is connected to an electrode pair of a ventricular electrode lead for obtaining a first electrocardiogram signal recorded in bipolar fashion, and is designed to sense and classify ventricular heartbeats. The second detection unit is connected on one side to an electrode of the ventricular electrode lead, and on the other side to the electrically conductive housing, for obtaining a second electrocardiogram signal containing signal features characteristic of atrial heartbeats. The VT/SVT discrimination unit is connected to the first and second detection units, and effects discrimination between ventricular and supraventricular tachycardias based on ventricular heartbeats measured through the first detection unit, and on atrial heartbeats measured through the second detection unit to the extent the rate of measured ventricular heartbeats exceeds a threshold value (VT zone threshold).

摘要翻译： 单室心脏刺激器具有导电壳体，第一和第二检测单元以及VT / SVT鉴别单元。 第一检测单元连接到心室电极引线的电极对，用于获得以双极方式记录的第一心电图信号，并且被设计为感测和分类心室心跳。 第二检测单元在一侧连接到心室电极引线的电极，另一侧连接到导电外壳，用于获得包含心房心跳特征的信号特征的第二心电图信号。 VT / SVT鉴别单元连接到第一和第二检测单元，并且基于通过第一检测单元测量的心室心跳和通过第二检测单元测量的心房心跳的影响，影响区室和室上性心动过速之间的区别， 测量的心室心跳超过阈值（VT区阈值）。