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公开(公告)号:US20120109258A1
公开(公告)日:2012-05-03
申请号:US12915788
申请日:2010-10-29
申请人: Can Cinbis , David A. Anderson , Michael A. Reinert , Xiaonan Shen , James K. Carney , Michael B. Terry
发明人: Can Cinbis , David A. Anderson , Michael A. Reinert , Xiaonan Shen , James K. Carney , Michael B. Terry
IPC分类号: A61N1/08
CPC分类号: A61N1/37217 , A61B5/0028 , A61N1/08 , H04B13/005
摘要: Aspects of the present disclosure include a medical device system including an implantable medical device and an external device with three or more electrodes configured to contact a patient's skin. The external device either transmits or receives a test signal to or from the implantable medical device using a plurality of possible receive dipoles, where each possible receive dipole is formed by a pair of electrodes. A signal quality monitor, either at the implantable medical device or at the external device, measures a signal quality for the possible receive dipoles.
摘要翻译: 本公开的方面包括包括可植入医疗装置的医疗装置系统和具有被配置为接触患者皮肤的三个或更多个电极的外部装置。 外部设备使用多个可能的接收偶极子向可植入医疗设备发送测试信号或从可植入医疗设备接收测试信号,其中每个可能的接收偶极由一对电极形成。 在可植入医疗设备或外部设备处的信号质量监视器测量可能的接收偶极子的信号质量。
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公开(公告)号:US08038626B2
公开(公告)日:2011-10-18
申请号:US12039326
申请日:2008-02-28
申请人: Can Cinbis , James K. Carney
发明人: Can Cinbis , James K. Carney
IPC分类号: A61B5/02
CPC分类号: A61B5/1459 , A61B5/0059 , A61B5/024 , A61B5/046 , A61B5/0464 , A61B5/14542 , A61B5/7214 , A61N1/3925
摘要: A medical device system for sensing cardiac events that includes a plurality of electrodes sensing cardiac signals utilized to identify a cardiac event, a plurality of light sources capable of emitting light at a plurality of wavelengths, and a detector to detect the emitted light. A processor determines a plurality of light measurements in response to the emitted light detected by the detector, determines changes in perfusion in response to first changes in the plurality of light measurements in a direction indicative of a decrease in blood oxygenation and second changes in a direction indicative of a decrease in blood volume, and adjusts delivery of therapy by the device in response to the determined loss of perfusion.
摘要翻译: 一种用于感测心脏事件的医疗装置系统,其包括感测用于识别心脏事件的心脏信号的多个电极,能够发射多个波长的光的多个光源和检测发射光的检测器。 处理器响应于由检测器检测到的发射光来确定多个光测量值,响应于多个光测量中指示血氧饱和度降低的方向和方向上的第二变化的方向响应于第一变化来确定灌注变化 指示血容量的减少,并且响应于确定的灌注损失来调整装置的治疗递送。
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公开(公告)号:US20110190610A1
公开(公告)日:2011-08-04
申请号:US12765434
申请日:2010-04-22
申请人: Jonathan L. Kuhn , Thomas A. Anderson , Can Cinbis , Jeffrey M. Jelen , Timothy Davis , James K. Carney
发明人: Jonathan L. Kuhn , Thomas A. Anderson , Can Cinbis , Jeffrey M. Jelen , Timothy Davis , James K. Carney
IPC分类号: A61B5/1455 , A61N1/05 , H01R43/00
CPC分类号: A61N1/3702 , A61B5/14503 , A61B5/14532 , A61B5/1455 , A61B5/6846 , A61N1/36557 , Y10T29/49002
摘要: An optical sensor for a medical device includes a fixed lens spacing between emit and receive modules to achieve target sensor sensitivity, while varying other sensor parameters in order to increase signal amplitude without increasing power demand. The arrangement of an opto-electronic component within an optical sensor receive module is improved by masking the receive module lens with an opaque member to create a masked lens leading edge that is aligned with a leading edge of the opto-electronic component.
摘要翻译: 用于医疗装置的光学传感器包括发射和接收模块之间的固定透镜间隔,以实现目标传感器灵敏度,同时改变其它传感器参数,以便增加信号幅度而不增加功率需求。 通过用不透明部件掩蔽接收模块透镜来改善光学传感器接收模块内的光电子部件的布置,以产生与光电子部件的前沿对准的掩蔽透镜前缘。
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公开(公告)号:US20110190609A1
公开(公告)日:2011-08-04
申请号:US12765396
申请日:2010-04-22
申请人: Jonathan L. Kuhn , Thomas A. Anderson , Can Cinbis , Jeffrey M. Jelen , Timothy Davis , James K. Carney
发明人: Jonathan L. Kuhn , Thomas A. Anderson , Can Cinbis , Jeffrey M. Jelen , Timothy Davis , James K. Carney
IPC分类号: A61B5/1455 , H01L31/0232 , A61N1/04
CPC分类号: A61N1/3702 , A61B5/14503 , A61B5/14532 , A61B5/1455 , A61B5/6846 , A61N1/36557 , Y10T29/49002
摘要: An optical sensor for a medical device includes a fixed lens spacing between emit and receive modules to achieve target sensor sensitivity, while varying other sensor parameters in order to increase signal amplitude without increasing power demand. An optical sensor connected to a housing of a medical device includes a circuit board, an opto-electronic component, a wall, a lens, and a ferrule. The circuit board is arranged within the housing. The opto-electronic component is mounted on a surface of the circuit board. The wall protrudes from the surface of the circuit board and surrounds the opto-electronic component. The lens is offset from the surface of the circuit board. The ferrule is connected to the housing, the lens and the wall. An inner surface of the wall mates with an outer surface of the ferrule.
摘要翻译: 用于医疗装置的光学传感器包括发射和接收模块之间的固定透镜间隔,以实现目标传感器灵敏度,同时改变其它传感器参数,以便增加信号幅度而不增加功率需求。 连接到医疗装置的壳体的光学传感器包括电路板,光电子部件,壁,透镜和套圈。 电路板布置在外壳内。 光电子部件安装在电路板的表面上。 壁从电路板的表面突出并围绕光电子部件。 透镜偏离电路板的表面。 套圈连接到外壳,透镜和墙壁。 壁的内表面与套圈的外表面配合。
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公开(公告)号:US20080208067A1
公开(公告)日:2008-08-28
申请号:US12039281
申请日:2008-02-28
申请人: Can Cinbis , James K. Carney
发明人: Can Cinbis , James K. Carney
IPC分类号: A61B5/02
CPC分类号: A61B5/1459 , A61B5/0059 , A61B5/024 , A61B5/046 , A61B5/0464 , A61B5/14542 , A61B5/7214 , A61N1/3925
摘要: A medical device for sensing cardiac events that includes a plurality of electrodes sensing cardiac signals utilized to identify a cardiac event, a plurality of light sources capable of emitting light at a plurality of wavelengths, and a detector to detect the emitted light. A processor determines a plurality of light measurements in response to the emitted light detected by the detector, and generates a blood volume index in response to a light source of the plurality of light sources emitting light at an isobestic wavelength. The blood volume index is then utilized to verify the identifying of the cardiac event.
摘要翻译: 一种用于感测心脏事件的医疗装置,其包括感测用于识别心脏事件的心脏信号的多个电极,能够发射多个波长的光的多个光源以及检测发射光的检测器。 处理器响应于由检测器检测到的发射光来确定多个光测量,并且响应于以异常波长发射光的多个光源的光源产生血液体积指数。 然后利用血容量指数来验证心脏事件的识别。
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公开(公告)号:US20080208020A1
公开(公告)日:2008-08-28
申请号:US12039263
申请日:2008-02-28
申请人: Can Cinbis , James K. Carney
发明人: Can Cinbis , James K. Carney
IPC分类号: A61B5/1455
CPC分类号: A61B5/1459 , A61B5/0059 , A61B5/024 , A61B5/046 , A61B5/0464 , A61B5/14542 , A61B5/7214 , A61N1/3925
摘要: A medical device for sensing cardiac events that includes a plurality of light sources capable of emitting light at a plurality of wavelengths, and a detector to detect the emitted light. A processor determines a plurality of light measurements in response to the emitted light detected by the detector, updates, for each of the plurality of wavelengths, a first normalization coefficient and a second normalization coefficient in response to the detected emitted light, and adjusts the determined plurality of light measurements in response to the first normalization coefficient and the second normalization coefficient.
摘要翻译: 一种用于感测心脏事件的医疗装置,其包括能够发射多个波长的光的多个光源,以及检测器,用于检测发射的光。 处理器响应于由检测器检测到的发射光来确定多个光测量,响应于检测到的发射光,针对多个波长中的每一个更新第一归一化系数和第二归一化系数,并且调整所确定的 响应于第一归一化系数和第二归一化系数的多个光测量。
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公开(公告)号:US08275432B2
公开(公告)日:2012-09-25
申请号:US11955056
申请日:2007-12-12
申请人: Jonathan L. Kuhn , Timothy J. Davis , Can Cinbis , Robert M. Ecker , Shawn D. Knowles , Thomas A. Anderson , Jeffrey M. Jelen
发明人: Jonathan L. Kuhn , Timothy J. Davis , Can Cinbis , Robert M. Ecker , Shawn D. Knowles , Thomas A. Anderson , Jeffrey M. Jelen
IPC分类号: A61B5/1455
CPC分类号: A61B5/14542 , A61B5/0084 , A61B5/0086 , A61B5/14532 , A61B5/14552 , A61B5/1459 , A61B5/6846 , A61B2562/02 , A61B2562/043 , A61B2562/146
摘要: An implantable optical sensor and associated manufacturing method include a sensor housing having an inner surface and an outer surface and a window formed in the housing extending between the housing inner surface and the housing outer surface. An opto-electronic device enclosed within the housing and having a photonic surface is operatively positioned proximate the window for emitting light through the window or detecting light through the window. An optical coupling member is positioned between the opto-electronic device and the window for reducing light reflection at a surface within the implantable optical sensor.
摘要翻译: 可植入光学传感器和相关联的制造方法包括具有内表面和外表面的传感器外壳和形成在壳体中的窗口,该壳体在壳体内表面和壳体外表面之间延伸。 封闭在壳体内并且具有光子表面的光电器件可操作地定位在窗口附近,用于通过窗口发射光或通过窗口检测光。 光耦合构件位于光电器件和窗口之间,用于减少可植入光学传感器内的表面处的光反射。
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公开(公告)号:US08983619B2
公开(公告)日:2015-03-17
申请号:US12732403
申请日:2010-03-26
申请人: Can Cinbis , H. Toby Markowitz
发明人: Can Cinbis , H. Toby Markowitz
CPC分类号: A61B5/0028 , A61B5/0031 , A61B2034/2053 , A61B2560/0271 , A61N1/37205 , A61N1/37217 , A61N1/37241 , A61N1/3756
摘要: A system and method are described for testing communication through a patient during implantation using telemetry coupling electrodes on a delivery catheter. In one example, at least two telemetry coupling electrodes may be placed on or within a delivery catheter to test conductive communication with external body electrodes during implantation. In some instances, the telemetry coupling electrodes of the delivery catheter may approximate the spacing of telemetry electrodes on an IMD. In this manner, testing conductively coupled communication with telemetry coupling electrodes of the catheter may be used to mimic the telemetry electrodes on the IMD and determine a target position and/or orientation of an electrode or electrodes of the IMD for successful conductive communication through the body.
摘要翻译: 描述了一种系统和方法,用于在植入期间通过患者使用传送导管上的遥测耦合电极来测试通信。 在一个示例中,至少两个遥测耦合电极可以放置在输送导管上或内部,以在植入期间测试与外部身体电极的导电连通。 在一些情况下,输送导管的遥测耦合电极可以接近IMD上遥测电极的间距。 以这种方式,测试与导管的遥测耦合电极的导电耦合通信可以用于模拟IMD上的遥测电极,并且确定IMD的电极或电极的目标位置和/或取向以便通过身体成功地导电连通 。
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公开(公告)号:US08942818B2
公开(公告)日:2015-01-27
申请号:US12732433
申请日:2010-03-26
申请人: H. Toby Markowitz , Can Cinbis
发明人: H. Toby Markowitz , Can Cinbis
CPC分类号: A61B5/0028 , A61B5/0031 , A61B2034/2053 , A61B2560/0271 , A61N1/37205 , A61N1/37217 , A61N1/37241 , A61N1/3756
摘要: A system and method are described for delivering an implantable medical device in a patient and through a catheter. The delivery catheter comprises telemetry means for communicatively coupling the implantable medical device with an external instrumentation during implantation.
摘要翻译: 描述了用于将可植入医疗装置递送到患者体内并通过导管的系统和方法。 递送导管包括用于在植入期间将可植入医疗装置与外部装置通信地连接的遥测装置。
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公开(公告)号:US08244339B2
公开(公告)日:2012-08-14
申请号:US12852740
申请日:2010-08-09
申请人: Xiaonan Shen , Can Cinbis
发明人: Xiaonan Shen , Can Cinbis
IPC分类号: A61B5/04
CPC分类号: A61B5/6846 , A61B5/0245 , A61B5/0538 , A61N1/3937 , A61N1/3956 , A61N1/3987
摘要: An implantable medical device system and associated method monitor changes in transimpedance in a body tissue due to changes in cardiac pulsatility. A first dipole is used to deliver a non-stimulating electrical current. The first dipole includes a first electrode and a second electrode adapted to be deployed along a first body location. A second dipole is used to measure a voltage resulting from the non-stimulating electrical current being conducted through a portion of a patient's body. The second dipole includes a third electrode and a fourth electrode different than the first electrode and the second electrode and adapted to be deployed along a second body location spaced apart from the first body location.
摘要翻译: 可植入医疗装置系统和相关方法监测由于心脏搏动的变化而导致的身体组织中的跨阻抗变化。 第一偶极子用于传递非刺激电流。 第一偶极子包括适于沿着第一身体位置展开的第一电极和第二电极。 使用第二偶极子来测量通过患者身体的一部分传导的非刺激性电流产生的电压。 第二偶极子包括不同于第一电极和第二电极的第三电极和第四电极,并且适于沿着与第一主体位置间隔开的第二主体位置展开。
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