Tool for insertion of implanatable monitoring device and method
    22.
    发明授权
    Tool for insertion of implanatable monitoring device and method 有权
    用于插入可注入监控设备和方法的工具

    公开(公告)号:US06412490B1

    公开(公告)日:2002-07-02

    申请号:US09384176

    申请日:1999-08-27

    申请人: Brian B. Lee

    发明人: Brian B. Lee

    IPC分类号: A61M3100

    CPC分类号: A61N1/375

    摘要: A minimally invasive implant, means for insertion, and description of how to most efficiently use it are described n several embodiments. This implant preferably has a segmented looping memory for storing triggered physiologic events. Preferred events for setting autotriggers to record physiologic signals occurring during events include arrhythmias and syncopal events. Preferably the device can function without a microprocessor. An outside device or other patient activated manual trigger is included. Auto triggers and manually set triggers may be of different sizes. The preferred physiologic events are ECG signals. Electrode spacing can be critical. Additional sensors may be provided to the device. Preferred communications with the device is through telemetry such as is used for pacemakers and other implanted devices.

    摘要翻译: 在几个实施例中描述了微创植入物,用于插入的手段和如何最有效地使用它的描述。 该植入物优选地具有用于存储触发的生理事件的分段循环存储器。 设置自动跟踪器记录事件中发生的生理信号的首选事件包括心律失常和晕厥事件。 优选地,该装置可以在没有微处理器的情况下工作。 包括外部设备或其他患者激活的手动触发器。 自动触发器和手动设置触发器可能具有不同的大小。 优选的生理事件是ECG信号。 电极间距可能很重要。 可以向设备提供附加的传感器。 与设备的首选通信是通过诸如用于起搏器和其他植入设备的遥测。

    Servo muscle control
    23.
    发明授权
    Servo muscle control 失效
    伺服肌肉控制

    公开(公告)号:US5300094A

    公开(公告)日:1994-04-05

    申请号:US854542

    申请日:1992-03-19

    IPC分类号: A61N1/36 A61N1/08

    CPC分类号: A61N1/3601

    摘要: A method of and apparatus for controlling one or more parameters of an electrical stimulation generator in response to measured results of the stimulation. In the preferred mode, this technique is employed in a system for the treatment of obstructive sleep apnea. Sensors are used to determine the effectiveness of the stimulation. Amplitude and pulse width are modified in response to the measurements from the sensors.

    摘要翻译: 响应于刺激的测量结果控制电刺激发生器的一个或多个参数的方法和装置。 在优选模式中,该技术用于治疗阻塞性睡眠呼吸暂停的系统。 传感器用于确定刺激的有效性。 响应于传感器的测量,修改幅度和脉冲宽度。

    Multi-level averaging scheme for acquiring hemodynamic data
    26.
    发明授权
    Multi-level averaging scheme for acquiring hemodynamic data 有权
    用于获取血液动力学数据的多级平均方案

    公开(公告)号:US07766826B2

    公开(公告)日:2010-08-03

    申请号:US10723364

    申请日:2003-11-26

    IPC分类号: A61B5/00

    摘要: A system and method for storing and processing physiological data in a medical recording device that allows continuous data collection and storage of such data in multiple time-resolved levels are provided. The method includes: sampling one or more physiological signals at a selected sampling rate; deriving physiological parameter values from the sampled signal; storing the parameter values as they are determined in a temporary memory buffer for a predetermined storage interval; determining a statistical aspect of the stored parameter values upon expiration of the storage interval; and writing the statistical aspect to a long-term memory buffer. A number of long-term memory buffers may be designated for storing a statistical aspect of a physiological parameter at uniquely different time resolutions. The resolution of each long-term memory buffer is determined by the storage interval defined for an associated temporary memory buffer, which stores parameter values from which statistical aspects are computed.

    摘要翻译: 提供一种在医疗记录装置中存储和处理生理数据的系统和方法,其允许以多个时间分辨级别连续数据收集和存储这些数据。 该方法包括:以选定的采样速率对一个或多个生理信号进行采样; 从采样信号中得到生理参数值; 将其在临时存储器缓冲器中确定的参数值存储在预定的存储间隔中; 在所述存储间隔期满时确定所存储的参数值的统计方面; 并将统计方面写入长期内存缓冲区。 可以指定多个长期记忆缓冲器用于以独特的不同时间分辨率存储生理参数的统计方面。 每个长期存储器缓冲器的分辨率由为关联的临时存储器缓冲器定义的存储间隔确定,其存储从其计算统计方面的参数值。

    Implantable medical device with sensor self-test feature
    27.
    发明申请
    Implantable medical device with sensor self-test feature 审中-公开
    具有传感器自检功能的植入式医疗设备

    公开(公告)号:US20080081958A1

    公开(公告)日:2008-04-03

    申请号:US11789438

    申请日:2007-04-24

    IPC分类号: A61B5/00

    摘要: An implantable medical device (IMD) applies a sensor self-test when a sensing device generates a sensor signal indicating an event, or when the sensor is used to validate an event detected by another device. The event may be based on a sensed condition that triggers an operational adjustment, such as a therapy or diagnostic adjustment within the IMD. A sensor self-test verifies that an implantable sensing device is functional, and can be performed with or without activating the sensor. Activating the sensor may involve, application of an electrical input signal that causes the sensor to generate an output signal. Alternatively, the sensor self-test may be performed without activating the sensor by analyzing the continuity of a signal path between the sensor and sensor interface circuitry. In either case, a sensor self-test verifies proper operation so that operational adjustments can be made with greater confidence.

    摘要翻译: 当感测装置产生指示事件的传感器信号时,或者当传感器用于验证另一个设备检测到的事件时,可植入医疗设备(IMD)应用传感器自检。 事件可以基于触发操作调整的感测条件,例如IMD内的治疗或诊断调整。 传感器自检可以验证可植入的感测装置是否起作用,并且可以在启动或不启动传感器的情况下执行。 激活传感器可能涉及施加导致传感器产生输出信号的电输入信号。 或者,可以通过分析传感器和传感器接口电路之间的信号路径的连续性而不激活传感器来执行传感器自检。 在任一种情况下,传感器自检将验证正确的操作,以便可以更有信心地进行操作调整。

    Apparatus and method for chronically monitoring heart sounds for deriving estimated blood pressure
    28.
    发明授权
    Apparatus and method for chronically monitoring heart sounds for deriving estimated blood pressure 有权
    用于长期监测心音的装置和方法,用于导出估计的血压

    公开(公告)号:US06869404B2

    公开(公告)日:2005-03-22

    申请号:US10376063

    申请日:2003-02-26

    摘要: A minimally invasive, implantable heart sound and ECG monitor and associated method for deriving blood pressure from heart sound data. The device is equipped with an acoustical sensor for detecting first and second heart sounds which are sampled and stored during sensing windows following R-wave and T-wave detections, respectively. ECG and heart sound data are stored in a continuous, looping memory, and segments of data are stored in long-term memory upon an automatic or manual data storage triggering event. Estimated blood pressure is calculated based on custom spectral analysis and processing of the first and second heart sounds. A calibration method includes measuring a patient's blood pressure using a standard clinical method and performing regression analysis on multiple spectral variables to identify a set of best fit weighted equations for predicting blood pressure. Concurrent ECG and estimated blood pressure may be displayed for review by a physician.

    摘要翻译: 一种用于从心脏声音数据导出血压的微创植入式心音和ECG监测器及相关方法。 该装置配备有用于检测在R波和T波检测之后的感测窗口期间被采样和存储的第一和第二心音的声学传感器。 ECG和心音数据存储在连续的环路存储器中,并且数据段在自动或手动数据存储触发事件时存储在长期存储器中。 基于自定义频谱分析和第一和第二心脏声音的处理来计算估计的血压。 校准方法包括使用标准临床方法测量患者的血压并对多个光谱变量执行回归分析以识别用于预测血压的一组最佳拟合加权方程式。 并发ECG和估计的血压可能会被显示出来供医师审查。

    Implantable medical device with multi-vector sensing electrodes
    29.
    发明授权
    Implantable medical device with multi-vector sensing electrodes 有权
    具有多向量感应电极的植入式医疗器械

    公开(公告)号:US06699200B2

    公开(公告)日:2004-03-02

    申请号:US09797031

    申请日:2001-03-01

    IPC分类号: A61B502

    摘要: A medical device for multi-vector sensing of cardiac depolarization signals is disclosed. Specialized algorithm is implemented to enhance multi-vector electrode sensing. Further a geometric shape is optimized to enable space-volume efficiencies for deployment and navigation of the medical device for implant in a patient.

    摘要翻译: 公开了用于心脏去极化信号的多向量感测的医疗装置。 实现专门的算法来增强多矢量电极感测。 此外,优化几何形状以使空间体积效率用于医疗装置在患者体内植入的部署和导航。

    Servo muscle control
    30.
    发明授权
    Servo muscle control 失效
    伺服肌肉控制

    公开(公告)号:US5211173A

    公开(公告)日:1993-05-18

    申请号:US947826

    申请日:1992-09-21

    IPC分类号: A61N1/36

    CPC分类号: A61N1/3601

    摘要: A method of and apparatus for controlling one or more parameters of an electrical stimulation generator in response to measured results of the stimulation. In the preferred mode, this technique is employed in a system for the treatment of obstructive sleep apnea. Sensors are used to determine the effectiveness of the stimulation. Amplitude and pulse width are modified in response to the measurements from the sensors.

    摘要翻译: 响应于刺激的测量结果控制电刺激发生器的一个或多个参数的方法和装置。 在优选模式中,该技术用于治疗阻塞性睡眠呼吸暂停的系统。 传感器用于确定刺激的有效性。 响应于传感器的测量,修改幅度和脉冲宽度。