公开(公告)号：US09174061B2

公开(公告)日：2015-11-03

申请号：US10960311

申请日：2004-10-06

申请人： Gary A. Freeman ,  James E. Brewer ,  Michael L. Lopin

发明人： Gary A. Freeman ,  James E. Brewer ,  Michael L. Lopin

IPC分类号： A61N1/39 ,  A61B5/053

CPC分类号： A61N1/3912 ,  A61B5/0536 ,  A61N1/046 ,  A61N1/3906 ,  A61N1/3918 ,  A61N1/3937 ,  A61N1/3987

摘要： External electromagnetic stimulation of the interior of the body by applying three or more electrodes to the exterior of the patient to establish at least two electrical paths across the interior of the patient, determining impedance information representative of an impedance distribution across the interior of the body, delivering an electromagnetic waveform across each of the at least two electrical paths, wherein at least one parameter of the waveform is selected using the impedance information to produce a selected current density distribution at one or more locations within the interior of the body.

摘要翻译： 通过将三个或更多个电极施加到患者外部以建立穿过患者内部的至少两个电路径，确定表示穿过身体内部的阻抗分布的阻抗信息来对身体内部进行外部电磁刺激， 在所述至少两个电路径中的每一个上递送电磁波形，其中使用所述阻抗信息来选择所述波形的至少一个参数，以在所述身体内部的一个或多个位置处产生选定的电流密度分布。

公开(公告)号：US08983507B1

公开(公告)日：2015-03-17

申请号：US13453637

申请日：2012-04-23

申请人： Scott D. Kell ,  Anthony J. Hiller ,  James E. Brewer

发明人： Scott D. Kell ,  Anthony J. Hiller ,  James E. Brewer

IPC分类号： H04W4/00 ,  H04M9/00 ,  H04M11/04 ,  H04M3/42 ,  H04W40/00 ,  H04W24/00 ,  H04M1/00 ,  H04L12/28 ,  H04L12/26 ,  H04L12/413

CPC分类号： H04W40/00 ,  H04L45/00 ,  H04L65/1053 ,  H04M3/42314 ,  H04M7/0075 ,  H04M7/009 ,  H04M9/00 ,  H04M11/04

摘要： A private packet network backbone exchange (PPNBE) may include a capability for determining a variable call termination location corresponding to a called party. The PPNBE may directly query one or more data sources administered by a communications service provider other than the provider of the PPNBE to determine a current location to which an originating call is to be terminated, and the PPNBE may provide a “one-hop” call connection between the originating entity and the terminating entity of the call without traversing or communicating with any other exchanges. The PPNBE may re-direct established calls by directly querying the one or more data sources. Multiple data sources administered by one or more other communications service provider may be directly accessed by the PPNBE for call termination and/or re-direction purposes.

摘要翻译： 私有分组网络骨干交换机（PPNBE）可以包括用于确定对应于被叫方的可变呼叫终止位置的能力。 PPNBE可以直接查询由除了PPNBE的提供商之外的通信服务提供商管理的一个或多个数据源，以确定要终止始发呼叫的当前位置，并且PPNBE可以提供“一跳”呼叫 始发实体和呼叫的终止实体之间的连接，而不与任何其他交换机通过或通信。 PPNBE可以通过直接查询一个或多个数据源来重新定向已建立的呼叫。 一个或多个其他通信服务提供商管理的多个数据源可以由PPNBE直接访问以用于呼叫终止和/或重定向目的。

公开(公告)号：US08401166B1

公开(公告)日：2013-03-19

申请号：US12469500

申请日：2009-05-20

申请人： Scott D. Kell ,  James E. Brewer ,  Anthony J. Hiller

发明人： Scott D. Kell ,  James E. Brewer ,  Anthony J. Hiller

IPC分类号： H04M7/00 ,  H04L12/66

CPC分类号： H04M15/47 ,  H04M3/42238 ,  H04M3/42314 ,  H04M7/1285 ,  H04Q3/62

摘要： Systems and methods for mitigating phantom call traffic in a communication system are disclosed. A call may be received at a communications exchange. A jurisdiction of the call may be determined in real-time, and egress signaling information and a route of the call to a terminating local exchange may be determined based on the jurisdiction. At least a portion of the egress signaling information may be provided to the terminating exchange in call signaling and/or in call detail billing records so that the terminating exchange is enabled to correctly charge for call termination.

公开(公告)号：US08284765B1

公开(公告)日：2012-10-09

申请号：US12469454

申请日：2009-05-20

申请人： Scott D. Kell ,  James E. Brewer ,  Anthony J. Hiller

发明人： Scott D. Kell ,  James E. Brewer ,  Anthony J. Hiller

IPC分类号： H04L12/66

CPC分类号： H04M15/47 ,  H04M3/42238 ,  H04M3/42314 ,  H04M7/1285 ,  H04Q3/62

摘要： Systems and methods for providing communication service using a private packet network backbone exchange (PPNBE) are disclosed. The private packet network backbone exchange may include a logical call control entity, a logical routing database, one or more PPNBE gateways, and a private packet network. The PPNBE may provide “one-hop” call connection between a call-originating entity and a call-terminating entity without traversal of any other exchanges. The PPNBE may simultaneously support both one-hop local and long distance calls. The PPNBE architecture is easily scalable and incorporated into existing communication networks for on-net and off-net service. Methods and systems for providing access tandem communication service using a PPNBE are also disclosed.

摘要翻译： 公开了使用专用分组网骨干交换机（PPNBE）提供通信业务的系统和方法。 私有分组网络骨干交换机可以包括逻辑呼叫控制实体，逻辑路由数据库，一个或多个PPNBE网关和专用分组网络。 PPNBE可以在呼叫发起实体和呼叫终止实体之间提供一跳呼叫连接，而不遍历任何其他交换机。 PPNBE可以同时支持一跳本地和长途呼叫。 PPNBE架构易于扩展，并入现有的通信网络，用于网络和网外服务。 还公开了使用PPNBE提供接入串联通信服务的方法和系统。

公开(公告)号：US08226543B2

公开(公告)日：2012-07-24

申请号：US11567883

申请日：2006-12-07

申请人： Qing Tan ,  Gary A. Freeman ,  Frederick J. Geheb ,  James E. Brewer

发明人： Qing Tan ,  Gary A. Freeman ,  Frederick J. Geheb ,  James E. Brewer

IPC分类号： A61N1/362 ,  A61N1/00 ,  A61H31/00

CPC分类号： A61B5/04014 ,  A61B5/0402 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/4839 ,  A61B5/7207 ,  A61B5/7257 ,  A61B5/726 ,  A61H31/005 ,  A61H2201/5015 ,  A61H2230/04 ,  A61N1/39 ,  A61N1/3925

摘要： A method of automatically determining which type of treatment is most appropriate for a cardiac arrest victim, the method comprising transforming one or more time domain electrocardiogram (ECG) signals into a frequency domain representation comprising a plurality of discrete frequency bands, combining the discrete frequency bands into a plurality of analysis bands, wherein there are fewer analysis bands than discrete frequency bands,determining the content of the analysis bands, and determining the type of treatment based on the content of the analysis bands.

公开(公告)号：US07076300B1

公开(公告)日：2006-07-11

申请号：US10746303

申请日：2003-12-24

申请人： Mark W. Kroll ,  James E. Brewer ,  Lisa M. Clem

发明人： Mark W. Kroll ,  James E. Brewer ,  Lisa M. Clem

IPC分类号： A61N1/18

CPC分类号： A61N1/3962 ,  A61N1/3622 ,  A61N1/3925 ,  A61N1/395

摘要： An implantable cardiac stimulation device discriminates and treats accelerated atrial arrhythmias of a patient's heart. The device includes a sensing circuit that senses cardiac activity of one of the patient's atria to provide an atrial activity signal, a detector that detects an accelerated atrial arrhythmia of the patient's heart, and a classifying circuit that measures relative correspondence between successive P waves of the atrial activity signal to classify the detected accelerated atrial arrhythmia as either atrial tachycardia or atrial fibrillation. A therapy circuit provides anti-tachycardia pacing therapy responsive to a classified atrial tachycardia and defibrillation therapy responsive to a classified atrial fibrillation.

摘要翻译： 可植入心脏刺激装置辨别和治疗患者心脏加速的房性心律失常。 该装置包括感测电路，其感测患者心房中的一个心脏的心脏活动以提供心房活动信号，检测器，其检测患者心脏的加速心房心律失常;以及分类电路，其测量相邻P波的相对对应关系 心房活动信号将检测到的加速心房心律失常分为房性心动过速或心房颤动。 治疗电路提供响应于分类的房性心动过速的反心动过速起搏治疗和对分类的心房颤动的除颤治疗。

公开(公告)号：US07020521B1

公开(公告)日：2006-03-28

申请号：US10291267

申请日：2002-11-08

申请人： James E. Brewer ,  Mark W. Kroll

发明人： James E. Brewer ,  Mark W. Kroll

IPC分类号： A61N1/365

CPC分类号： A61N1/3627 ,  A61N1/0551 ,  A61N1/36514

摘要： Methods and apparatuses are provided for assisting with the diagnosis, monitoring, and/or treatment of patients that are suffering from asymptomatic heart failure or may be susceptible to asymptomatic heart failure. The methods and apparatuses can be implemented with implantable devices. In certain implementations, a method is provided which includes sensing muscle sympathetic nerve activity using at least one nerve sensing electrode that is in electrical contact with a patient's efferent muscle-nerve structure, acquiring a muscle sympathetic nerve activity signal from the sensed nerve activity using a nerve activity sensing circuit operatively coupled to the nerve sensing electrode, and analyzing the nerve activity signal for changes in nerve burst activity indicative of the presence and/or severity of asymptomatic heart failure.

摘要翻译： 提供了方法和装置，用于帮助诊断，监测和/或治疗患有无症状心力衰竭的患者或可能对无症状的心力衰竭易感。 该方法和装置可以用可植入装置实现。 在某些实施方式中，提供了一种方法，其包括使用与患者的传出肌肉 - 神经结构电接触的至少一个神经感测电极感测肌肉交感神经活动，使用感测到的神经活动从感测到的神经活动获得肌肉交感神经活动信号 神经活动感测电路可操作地耦合到神经感测电极，并且分析神经活动信号以指示无症状心力衰竭的存在和/或严重性的神经突发活动的变化。

公开(公告)号：US06904314B1

公开(公告)日：2005-06-07

申请号：US10119590

申请日：2002-04-09

申请人： James E. Brewer ,  Mark W. Kroll

发明人： James E. Brewer ,  Mark W. Kroll

IPC分类号： A61N1/39

CPC分类号： A61N1/3943

摘要： An implantable cardiac stimulating device employs an automatic defibrillation threshold tracking process that uses a measured pacing stimulation threshold to estimate the patient's defibrillation threshold on a dynamic, ongoing basis, using changes in the defibrillation threshold to re-calculate new defibrillation parameters (e.g., energy settings) on a periodic basis as a patient's heart changes over time. The defibrillation threshold estimation formula may involve a variety of variables, such as, for example, the patient's age and/or gender, and may include a selected safety margin. New defibrillation parameters are loaded into the appropriate locations of the device's memory, replacing the prior parameters, and are thereafter available for use by the device for defibrillation therapy. The defibrillation threshold tracking technique may be used in an external device, such as a programmer or external cardiac stimulation device.

摘要翻译： 可植入心脏刺激装置采用自动除颤阈值跟踪过程，该过程使用测量的起搏刺激阈值在动态持续的基础上使用除颤阈值的变化来估计患者的除颤阈值，以重新计算新的除颤参数（例如能量设定 ）作为患者的心脏随着时间的推移而定期进行。 除颤阈值估计公式可以涉及各种变量，例如患者的年龄和/或性别，并且可以包括所选择的安全裕度。 新的除颤参数被加载到设备的存储器的适当位置，替换了先前的参数，然后可用于设备用于除颤疗法。 除颤阈值跟踪技术可以用在诸如编程器或外部心脏刺激装置的外部装置中。

公开(公告)号：US06662645B2

公开(公告)日：2003-12-16

申请号：US10068284

申请日：2002-02-05

申请人： James E. Brewer

发明人： James E. Brewer

IPC分类号： E21B4400

CPC分类号： E21B47/0006

摘要： A device to monitor and quantify the tension and compression forces acting on a well logging instrument string during deployment. The device eliminates the undesirable effects of downhole hydrostatic pressure on the sensors, and eliminates the need for a costly, complex, and high maintenance hydraulic pressure equalizing system in the force gage assembly. The device provides improved measurement accuracy, provides enhanced reliability and longer life of the sensors, and allows lower cost of manufacture and maintenance.

公开(公告)号：US06539255B1

公开(公告)日：2003-03-25

申请号：US09354300

申请日：1999-07-16

申请人： James E. Brewer ,  Patrick J. Tchou

发明人： James E. Brewer ,  Patrick J. Tchou

IPC分类号： A61N139

CPC分类号： A61N1/3906 ,  A61N1/3912

摘要： The characteristics of a full-tilt exponential waveform are developed through use of a charge burping model or through use of a transthoracic cell response model. These characteristics are implemented within a pulse delivery circuit, which itself is implemented within an internal defibrillator or within an external defibrillator. The pulse delivery circuit includes at least one switch which starts and stops the delivery of the defibrillation pulse. Delivery of the defibrillation pulse is started by the switch when there is sufficient stored energy to deliver a desired pulse. Delivery of the defibrillation pulse is stopped by the switch when the current flowing through the switch is substantially zero and the exponential waveform of the pulse is substantially fully decayed.

摘要翻译： 通过使用电荷打嗝模型或通过使用经胸腔细胞反应模型开发全倾斜指数波形的特征。 这些特征在脉冲输送电路内实现，脉冲输送电路本身在内部除颤器内部或在外部除颤器内实现。 脉冲输送电路包括至少一个开关，其开始和停止除颤脉冲的输送。 当存在足够的存储能量以递送期望的脉冲时，开关递送除颤脉冲。 当流过开关的电流基本为零并且脉冲的指数波形基本上完全衰减时，通过开关停止除颤脉冲的传递。