公开(公告)号：US06694186B2

公开(公告)日：2004-02-17

申请号：US09929233

申请日：2001-08-13

Applicant: Gust H. Bardy

Inventor： Gust H. Bardy

IPC: A61N139

CPC classification number: A61B5/0452 ,  A61B5/0031 ,  A61B5/046 ,  A61N1/3622 ,  A61N1/37282 ,  G06F19/00 ,  Y10S128/923

Abstract: An automated system and method for diagnosing and monitoring the outcomes of atrial fibrillation is described. A plurality of monitoring sets is retrieved from a database. Each of the monitoring sets include recorded measures relating to patient information recorded on a substantially continuous basis. A patient status change is determined in response to an atrial fibrillation diagnosis by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure. Both recorded measures relate to the same type of patient information. Each patient status change is tested against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared. The indicator threshold corresponds to a quantifiable physiological measure of a pathophysiology resulting from atrial fibrillation.

Abstract translation: 描述了用于诊断和监测心房颤动结果的自动化系统和方法。 从数据库检索多个监视集。 每个监测组包括与基本上连续的基础上记录的患者信息有关的记录措施。 通过将来自每个监测组的至少一个记录的测量值与至少一个其他记录的测量值进行比较来响应于心房颤动诊断来确定患者状态变化。 两种记录的措施都与相同类型的患者信息相关。 根据与所比较的记录措施相同类型的患者信息的指标阈值测试每个患者状态变化。 指标阈值对应于由房颤引起的病理生理学的可量化的生理测量。

公开(公告)号：US06671547B2

公开(公告)日：2003-12-30

申请号：US09879057

申请日：2001-06-13

Applicant: Thomas D. Lyster ,  Carlton B. Morgan ,  Gust H. Bardy ,  Bradford E. Gliner

Inventor： Thomas D. Lyster ,  Carlton B. Morgan ,  Gust H. Bardy ,  Bradford E. Gliner

IPC: A61N139

CPC classification number: A61N1/3925

Abstract: An electrotherapy device including at least one sensor operable to sense at least one physiological parameter of a patient. A controller is operably connected to the at least one sensor operable to receive signals from the at least one sensor corresponding to the at least one physiological parameter. Memory is operable to store computer-programming code executed by the controller. The programming code includes decision-making criteria operable to adapt a patient treatment in response changes to the detected at least one physiological parameter. At least one pair of electrodes is operably connected to the controller and operable to administer the treatment to the patient.

公开(公告)号：US06331160B1

公开(公告)日：2001-12-18

申请号：US09686712

申请日：2000-10-10

Applicant: Gust H. Bardy

Inventor： Gust H. Bardy

IPC: A61N500

CPC classification number: A61B5/0031 ,  A61B5/0205 ,  A61B5/4803 ,  A61B5/7465 ,  A61N1/3627 ,  A61N1/37252 ,  G06F19/00 ,  G06F19/3418 ,  G16H10/60 ,  G16H40/63 ,  G16H50/30 ,  Y02A90/26 ,  Y10S128/92

Abstract: A system and method for providing patient status feedback via an automated patient care system with speech-based wellness monitoring are described. Device measures are collected through an implantable medical device on a substantially continuous basis from an implant recipient. The device measures are received as physiological measures for storage into a patient care record. The physiological measures include at least one of collected or derived physiological measures. Patient wellness indicators are obtained through voice feedback provided by the implant recipient substantially contemporaneous to the collection of at least one set of the device measures. The voice feedback is processed against a stored speech vocabulary into normalized quality of life measures for storage into the patient care record. The physiological measures and the quality of life measures stored in the patient care record are analyzed relative to at least one of other physiological measures and other quality of life measures to generate patient status feedback.

Abstract translation: 描述了通过具有基于语音的健康监测的自动化病人护理系统来提供患者状态反馈的系统和方法。 通过植入物接收器基本上连续地通过可植入医疗装置收集装置措施。 作为用于存储到患者护理记录中的生理措施，接收设备测量。 生理措施包括收集或衍生的生理措施中的至少一种。 通过由植入物接收器提供的语音反馈获得患者健康指示器，其基本同时收集至少一组装置措施。 将语音反馈针对存储的语音词汇进行处理以用于存储到患者护理记录中的归一化生活质量度量。 相对于其他生理测量和其他生活质量措施中的至少一个来分析存储在患者护理记录中的生理测量和生活质量测量措施以产生患者状态反馈。

公开(公告)号：US06238423B1

公开(公告)日：2001-05-29

申请号：US09409230

申请日：1999-09-30

Applicant: Gust H. Bardy

Inventor： Gust H. Bardy

IPC: A61N100

CPC classification number: A61N1/05 ,  A61N1/36007

Abstract: An anticonstipation apparatus, and method, that may include using an implanted stimulus generator that may supply electrical stimuli to the muscles associated with a target portion of the patient's gut, from the esophagus to the anus, through an electrical lead and several pairs of electrodes. The electrical stimuli may be provided to nerves in the autonomic nervous system that are associated with the muscles, or the stimuli may be provided directly to the muscles themselves. The stimuli may be provided sequentially, in a proximal to caudad direction, in order to initiate, enhance or artificially produce peristalsis in the gut's target portion in a proximal to caudad direction. If the gut's target portion is in the descending colon, such stimulation may be coordinated with similar stimulation of the muscles associated with the rectum and anus. A sensor may be provided to detect when the target portion is experiencing constipation.

Abstract translation: 可以包括使用可以通过电引线和几对电极从食道向肛门向与患者的肠的目标部分相关联的肌肉提供电刺激的植入刺激发生器的反兴奋剂装置和方法。 可以将电刺激提供给与肌肉相关的自主神经系统中的神经，或者刺激可以直接提供给肌肉本身。 可以沿近端向后方向依次提供刺激，以便在近端至尾部方向上引发，增强或人为地产生肠道目标部分的蠕动。 如果肠的目标部分在降结肠中，这种刺激可以与对直肠和肛门相关的肌肉的类似刺激进行协调。 可以提供传感器来检测目标部分何时正在经历便秘。

公开(公告)号：US5334221A

公开(公告)日：1994-08-02

申请号：US86278

申请日：1993-06-30

Applicant: Gust H. Bardy

Inventor： Gust H. Bardy

IPC: A61N1/365 ,  A61N1/362

CPC classification number: A61N1/3622

Abstract: A stimulator for providing stimulus pulses to the SA nodal fat pad, in response to heart rate exceeding a predetermined level, in order to reduce the ventricular rate. The device is also provided with a cardiac pacemaker to pace the ventricle in the event that the stimulus pulses reduce the heart rate below a predetermined value. The device is also provided with a feedback regulation mechanism for controlling the parameters of the stimulation pulses applied to the AV nodal fat pad, as a result of their determined effect on heart rate.

Abstract translation: 刺激器，用于响应心率超过预定水平向SA节点脂肪垫提供刺激脉冲，以便降低心室率。 该装置还设置有心脏起搏器，以在刺激脉冲将心率降低到预定值以下的情况下对心室进行加速。 该装置还具有用于控制施加到AV节点脂肪垫的刺激脉冲的参数的反馈调节机构，这是由于它们对心率的确定的影响。

公开(公告)号：US5193535A

公开(公告)日：1993-03-16

申请号：US750679

申请日：1991-08-27

Applicant: Gust H. Bardy ,  Walter H. Olson ,  David K. Peterson ,  Robert T. Taepke

Inventor： Gust H. Bardy ,  Walter H. Olson ,  David K. Peterson ,  Robert T. Taepke

IPC: A61N1/362 ,  A61N1/365 ,  A61N1/39

CPC classification number: A61N1/3621 ,  A61N1/365 ,  A61N1/3962

Abstract: An implantable cardioverter/defibrillator provided with method and apparatus for discrimination between ventricular tachycardia and ventricular fibrillation. The device is provided with two pairs of electrodes, each pair of electrodes coupled to processing circuitry for identifying a predetermined fiducal point in the electrical signal associated with a ventricular depolarization. The cumulative beat to beat variability of the intervals separating the two identified fiducal points, over a series of detected depolarizations is analyzed. The result of this analysis is used to distinguish between ventricular tachycardia and ventricular fibrillation.

Abstract translation: 一种植入式心脏复律器/除颤器，其具有用于区分室性心动过速和心室颤动的方法和装置。 该装置设置有两对电极，每对电极耦合到处理电路，用于识别与心室去极化相关联的电信号中的预定的基准点。 分析了通过一系列检测到的去极化来分离两个识别的基准点的间隔的累积节拍差异的差异。 该分析的结果用于区分室性心动过速和室颤。

公开(公告)号：US08670826B2

公开(公告)日：2014-03-11

申请号：US13599513

申请日：2012-08-30

Applicant: Jay A. Warren ,  Gust H. Bardy

Inventor： Jay A. Warren ,  Gust H. Bardy

IPC: A61N1/368 ,  A61N1/362

CPC classification number: A61N1/3621 ,  A61N1/3943 ,  A61N1/3956

Abstract: Adaptive methods for initiating charging of the high power capacitors of an implantable medical device for therapy delivery after the patient experiences a non-sustained arrhythmia, and devices that perform such methods. The adaptive methods and devices adjust persistence criteria used to analyze an arrhythmia prior to initiating a charging sequence to deliver therapy. Some embodiments apply a specific sequence of X-out-of-Y criteria, persistence criteria, and last event criteria before starting charging for therapy delivery.

Abstract translation: 用于在患者经历非持续性心律失常之后启动用于治疗递送的可植入医疗装置的高功率电容器的充电的自适应方法，以及执行这种方法的装置。 自适应方法和装置调整持续性标准，用于在开始充电序列之前分析心律失常以递送治疗。 一些实施例在开始对治疗递送充电之前应用X-out-of-Y标准，持久性标准和最后事件标准的特定序列。

公开(公告)号：US08435208B2

公开(公告)日：2013-05-07

申请号：US12774191

申请日：2010-05-05

Applicant: Gust H. Bardy

Inventor： Gust H. Bardy

IPC: A61M31/00 ,  A61M29/00

CPC classification number: A61B17/3468 ,  A61B2017/3492 ,  A61B2560/063 ,  A61M37/0069 ,  Y10T29/49826

Abstract: A subcutaneous implantation instrument with a scissored dissecting tool assembly is provided. An incising shaft longitudinally defines a substantially non-circular bore continuously formed to communicatively receive an implantable object and further includes a beveled cutting blade formed on a distal end. A dissecting tool assembly is included. A longitudinally split needle tip forms a pair of blades with cutting edges progressively defined outwardly from the needle tip. A pair of handles are each distally attached to one of the blades and pivotably coupled and disposed for transverse operation, wherein the dissecting tool assembly is removably affixable to the distal end of the incising shaft. A delivery mechanism longitudinally defines a substantially non-circular bore continuously formed to deploy the implantable object into the incising shaft.

Abstract translation: 提供具有剪刀解剖工具组件的皮下植入器械。 切割轴纵向地限定连续形成为可通信地接收可植入物体的基本上非圆形的孔，并且还包括形成在远端上的斜切割刀片。 包括解剖工具组件。 纵向分裂的针尖形成一对刀片，切割刃从针尖向外逐渐地限定。 一对手柄各自远离连接到一个叶片并且可枢转地联接和设置用于横向操作，其中解剖工具组件可拆卸地固定到切割轴的远端。 输送机构纵向地限定连续地形成为将可植入物体部署到切割轴中的基本上非圆形的孔。

公开(公告)号：US08366629B2

公开(公告)日：2013-02-05

申请号：US13073301

申请日：2011-03-28

Applicant: Gust H. Bardy

Inventor： Gust H. Bardy

IPC: A61B5/0402

CPC classification number: A61B5/024 ,  A61B5/0002 ,  A61B5/0004 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/0205 ,  A61B5/02055 ,  A61B5/0245 ,  A61B5/04012 ,  A61B5/0402 ,  A61B5/0452 ,  A61B5/076 ,  A61B5/0816 ,  A61B5/11 ,  A61B5/1112 ,  A61B5/145 ,  A61B5/14532 ,  A61B5/14546 ,  A61B5/486 ,  A61B5/686 ,  A61B5/7275 ,  A61B5/7278 ,  A61B5/7282 ,  A61B2505/03 ,  A61B2560/0242 ,  G06F19/00 ,  G06F19/324 ,  G06F19/325 ,  G06F19/3418 ,  G16H10/60 ,  G16H15/00 ,  G16H50/30 ,  Y10S128/923

Abstract: A system for diagnosing and monitoring congestive heart failure for automated remote patient care is presented. A database stores a plurality of monitoring sets relating to patient information recorded on a substantially continuous basis. A server retrieving and processing the monitoring sets includes a comparison module determining patient status changes by comparing at least one recorded measure from one of the monitoring sets to at least one other recorded measure from another of the monitoring sets with both recorded measures relating to a type of patient information, and an analysis module testing each patient status change for one of an absence, an onset, a progression, a regression, and a status quo of congestive heart failure against a predetermined indicator threshold corresponding to a type of patient information as the recorded measures. The indicator threshold corresponds to a quantifiable physiological measure of a pathophysiology indicative of congestive heart failure. Hysteresis parameters may be used as a temporally-defined threshold for changes in pathophysiology.

Abstract translation: 提出了一种用于诊断和监测充血性心力衰竭用于自动化远程病人护理的系统。 数据库存储与基本上连续的基础上记录的患者信息有关的多个监视组。 检索和处理监视集的服务器包括比较模块，其通过将来自监视集合中的一个监视集合的至少一个记录度量与来自另一个监视集合的至少一个其他记录度量进行比较来确定患者状态变化，其中记录的措施与类型 的患者信息，以及分析模块，根据对应于患者信息类型的预定指示器阈值，针对充血性心力衰竭的缺失，发作，进展，回归和现状中的一个来测试每个患者状态变化，如 记录措施。 指标阈值对应于指示充血性心力衰竭的病理生理学的可量化生理测量。 迟滞参数可用作病理生理学变化的临时定义阈值。

公开(公告)号：US08308650B2

公开(公告)日：2012-11-13

申请号：US12938686

申请日：2010-11-03

Applicant: Gust H. Bardy

Inventor： Gust H. Bardy

IPC: A61B5/02

CPC classification number: A61B5/4884 ,  A61B5/0002 ,  G06F19/00 ,  G06F19/324 ,  G06F19/3418 ,  G06Q50/24 ,  G16H10/60 ,  G16H50/30 ,  Y10S128/92

Abstract: A system and method for generating baseline data for automated management of cardiovascular pressure is disclosed. Collected device measures are accumulated to record raw physiometry for a patient, wherein the patient is regularly monitored by an implantable medical device, beginning with an initial observation period. Derived device measures are generated to provide derivative physiometry determined at least in part from the collected device measures. A patient status indicator is determined by analyzing the collected and derived device measures to diagnose a pathophysiology indicative of an absence, onset, progression, regression, and status quo in cardiovascular pressure, wherein the collected and derived device measures and the patient status indicator originating from the initial observation period include baseline data.

Abstract translation: 公开了一种用于产生自动管理心血管压力的基线数据的系统和方法。 收集的装置措施被累积以记录患者的原始物理测量，其中患者由可植入医疗装置定期监视，从初始观察期开始。 产生衍生的装置度量，以提供至少部分地从所收集的装置措施确定的导数物理测量。 通过分析所收集和导出的装置措施来诊断指示心血管压力的不存在，发作，进展，回归和现状的病理生理学来确定患者状态指示，其中所收集和导出的装置测量和源自 初始观察期包括基线数据。