公开(公告)号：US5893881A

公开(公告)日：1999-04-13

申请号：US920645

申请日：1997-08-29

申请人： Dennis D. Elsberry ,  Rahul Mehra ,  Lynn M. Otten ,  Mark T. Rise ,  David L. Thompson

发明人： Dennis D. Elsberry ,  Rahul Mehra ,  Lynn M. Otten ,  Mark T. Rise ,  David L. Thompson

IPC分类号： A61N1/34 ,  A61N1/39

CPC分类号： A61N1/3962 ,  A61N1/36071

摘要： An implantable cardioverter for providing cardioversion electrical energy to at least one chamber of a patient's heart in need of cardioversion and applying a pain alleviating therapy at an appropriate site in the patient's body prior to or in conjunction with the delivery of the cardioversion energy to the heart chamber to alleviate propagated pain perceived by the patient. The combined cardioversion and pain alleviating therapies are preferably realized in a single implantable, multiprogrammable medical device or separate implantable cardioversion and pain control devices with means for communicating operating and status commands between the devices through the patient's body.

摘要翻译： 一种植入式心律转换器，用于向需要复律的患者心脏的至少一个室提供心脏复律电能，并且在将心脏复律能量递送至心脏之前或与之结合时在患者体内的适当部位施加疼痛缓解疗法 室以缓解患者感觉到的增生疼痛。 组合的心脏复律和疼痛缓解疗法优选地在单个可植入的可编程医学装置或单独的可植入心脏复律和疼痛控制装置中实现，其具有用于通过患者身体在装置之间传递操作和状态命令的装置。

公开(公告)号：US5662689A

公开(公告)日：1997-09-02

申请号：US525995

申请日：1995-09-08

申请人： Dennis D. Elsberry ,  Rahul Mehra ,  Lynn M. Otten ,  Mark T. Rise ,  David L. Thompson

发明人： Dennis D. Elsberry ,  Rahul Mehra ,  Lynn M. Otten ,  Mark T. Rise ,  David L. Thompson

IPC分类号： A61N1/34 ,  A61N1/39

CPC分类号： A61N1/3962 ,  A61N1/36071

摘要： An implantable cardioverter for providing cardioversion electrical energy to at least one chamber of a patient's heart in need of cardioversion and applying a pain alleviating therapy at an appropriate site in the patient's body prior to or in conjunction with the delivery of the cardioversion energy to the heart chamber to alleviate propagated pain perceived by the patient. The combined cardioversion and pain alleviating therapies are preferably realized in a single implantable, multi-programmable medical device or separate implantable cardioversion and pain control devices with means for communicating operating and status commands between the devices through the patient's body.

摘要翻译： 一种植入式心律转换器，用于向需要复律的患者心脏的至少一个室提供心脏复律电能，并且在将心脏复律能量递送至心脏之前或与之结合时在患者体内的适当部位施加疼痛缓解疗法 室以缓解患者感觉到的增生疼痛。 组合的心脏复律和疼痛缓解疗法优选地在单个可植入，多可编程医疗装置或单独的可植入心脏复律和疼痛控制装置中实现，其具有用于通过患者身体在装置之间传递操作和状态命令的装置。

公开(公告)号：US5411531A

公开(公告)日：1995-05-02

申请号：US125579

申请日：1993-09-23

申请人： Michael R. S. Hill ,  Rahul Mehra

发明人： Michael R. S. Hill ,  Rahul Mehra

IPC分类号： A61N1/362 ,  A61N1/368

CPC分类号： A61N1/3622 ,  A61N1/3627

摘要： A device for controlling the duration of A-V conduction intervals in a patient's heart. Stimulation of the AV nodal fat pad is employed to maintain the durations of the A-V conduction intervals within a desired interval range, which may vary as a function of sensed heart rate or other physiologic parameter. AV nodal fat pad stimulation may also be triggered in response to defined heart rhythms such as a rapid rate or the occurrence of PVC's, to terminate or prevent induction of arrhythmias.

摘要翻译： 用于控制患者心脏中A-V导通间隔的持续时间的装置。 使用AV节点脂肪垫的刺激来将A-V传导间期的持续时间保持在期望的间隔范围内，其可以根据感测的心率或其他生理参数而变化。 AV节点脂肪垫刺激也可以响应定义的心律（例如快速率或PVC的发生）触发，以终止或阻止心律不齐的诱导。

公开(公告)号：US5342414A

公开(公告)日：1994-08-30

申请号：US86289

申请日：1993-07-01

申请人： Rahul Mehra

发明人： Rahul Mehra

IPC分类号： A61N1/04 ,  A61N1/05

CPC分类号： A61N1/0563

摘要： A defibrillation lead provided with an elongated defibrillation electrode and a bipolar electrode pair for cardiac pacing and sensing. The cardiac pacing and sensing electrodes comprise an extendable helical electrode and a ring or ring tip electrode located on or adjacent the distal end of the lead body. Inter-electrode separation for pacing and sensing is provided by means of insulation applied to the helical electrode, leaving only the tip portion exposed. The overall configuration of the lead allows the defibrillation electrode to be located very close to the distal end of the lead body, while preserving the ability to employ a bipolar electrode pair for cardiac pacing and sensing.

摘要翻译： 除颤线设置有细长的除颤电极和用于心脏起搏和感测的双极电极对。 心脏起搏和感测电极包括可延伸的螺旋电极和位于引线本体的远端上或邻近引线本体的远端的环或环尖端电极。 用于起搏和感测的电极间分离通过施加到螺旋电极的绝缘来提供，仅留下尖端部分。 引线的整体结构允许除颤电极位于非常靠近引线主体的远端的位置，同时保持采用用于心脏起搏和感测的双极电极对的能力。

公开(公告)号：US5336253A

公开(公告)日：1994-08-09

申请号：US21408

申请日：1993-02-23

申请人： Pat L. Gordon ,  John T. Meador ,  John G. Keimel ,  Rahul Mehra

发明人： Pat L. Gordon ,  John T. Meador ,  John G. Keimel ,  Rahul Mehra

IPC分类号： A61N1/05

CPC分类号： A61N1/056

摘要： A combined pacing and cardioversion lead system with internal electrical switching components for unipolar or bipolar sensing of electrograms, pacing at normal pacing voltages and cardioversion or defibrillation. In bipolar embodiments, an indifferent electrode, closely spaced to a sensing and pacing electrode, is coupled in common through the integral switching circuitry to a large surface area cardioversion electrode. In these embodiments, pacing and sensing is accomplished through a pair of conductors extending through the lead system to the closely spaced active and indifferent electrode pair. When cardioversion energy is applied to the indifferent electrode, the cardioversion energy is also directed to the cardioversion electrode through operation of the switching circuitry in response to the magnitude of the applied cardioversion pulse. In unipolar embodiments, a distal sensing and pacing electrode is coupled through integral switching circuitry to a large surface area cardioversion electrode. In these embodiments, only a single conductor extending through the lead to the pacing and sensing electrode is required. When cardioversion energy is applied to the pacing and sensing electrode, the cardioversion energy is also directed to the cardioversion electrode through operation of the switching circuitry in response to the magnitude of the applied cardioversion pulse.

摘要翻译： 组合起搏和心律转复引导系统，具有用于单极或双极感测电描记图，起搏正常起搏电压和心脏复律或除颤的内部电气开关组件。 在双极实施例中，与感测和起搏电极紧密隔开的无关电极通过整体开关电路共同耦合到大表面积的复律电极。 在这些实施例中，起搏和感测通过一对延伸穿过导线系统的导体实现到紧密间隔的有源和无关电极对。 当心脏复律能量被施加到无关电极时，响应于所应用的心脏复律脉冲的幅度，复律能量也通过开关电路的操作而被引导到心脏复律电极。 在单极实施例中，远端感测和起搏电极通过整体开关电路耦合到大表面积的心脏复律电极。 在这些实施例中，仅需要将穿过引线延伸到起搏和感测电极的单个导体。 当心律转换能量被施加到起搏和感测电极时，响应于所应用的心律转复脉冲的幅度，复律能量也通过开关电路的操作而被引导到心脏复律电极。

公开(公告)号：US5018522A

公开(公告)日：1991-05-28

申请号：US112861

申请日：1987-10-26

申请人： Rahul Mehra

发明人： Rahul Mehra

IPC分类号： A61N1/362

CPC分类号： A61N1/3625

摘要： A non-invasive electrical stimulator for pacing the heart. The stimulator generates a ramped current waveform which reduces muscle stimulation and pain associated with external stimulation of the heart.

公开(公告)号：US10355867B2

公开(公告)日：2019-07-16

申请号：US14378962

申请日：2012-02-15

申请人： Anthony Pickering ,  Rahul Mehra ,  Erik Hietbrink

发明人： Anthony Pickering ,  Rahul Mehra ,  Erik Hietbrink

IPC分类号： H04L9/32 ,  H04N21/2343 ,  H04N21/2347 ,  H04N21/2389 ,  H04N21/4405 ,  H04N21/8358

摘要： A method for generating, from initial content data, output content data for provision to one or more receivers, wherein the initial content data is encoded according to a coding scheme, wherein for a quantity of data encoded according to the coding scheme, the coding scheme provides a mechanism for including in the quantity of encoded data additional data such that a decoder for the coding scheme, upon decoding the quantity of encoded data, does not use the additional data to generate decoded data, the method comprising: selecting one or more portions of the initial content data; for each selected portion, generating a data construct that comprises a plurality of data structures, each data structure comprising data, including a version of the selected portion, that is encrypted using a corresponding encryption process different from each encryption process used to encrypt data in the other data structures, wherein the data construct is arranged such that using a decryption process that corresponds to the encryption process for one data structure on the encrypted data in each data structure in the data construct produces a quantity of data encoded according to the coding scheme that uses the mechanism so that a decoder for the coding scheme would not use any data structure in the data construct other than said one data structure; and using the generated data constructs in the initial content data instead of their corresponding selected portions to form the output content data.

公开(公告)号：US08386703B2

公开(公告)日：2013-02-26

申请号：US09802021

申请日：2001-03-08

申请人： Rahul Mehra ,  Brendan Lynskey

发明人： Rahul Mehra ,  Brendan Lynskey

IPC分类号： G06F13/00

CPC分类号： H04N5/76 ,  G06F3/06 ,  G11B2020/10638 ,  H04N21/42661 ,  H04N21/4334

摘要： Means which allows the storage and subsequent retrieval of data on a storage means such as, for example, a storage means in the form of, and known as, a hard disk drive. The storage of data is in the form of video, audio and/or auxiliary data transmitted from a remote location and received by receiver apparatus for the processing and subsequent generation of video, audio, and/or auxiliary data via a television screen connected to or including the receiver. In some instances the data is not decoded and displayed immediately, and the decoding and/or the display of the data, when it does occur may be obtained from the storage means. The control system of the storage means includes a First In First Out (FIFO) buffer which in conjunction with a Central Processing Unit (CPU) controls the generation of the control signals and the storage of the incoming data.

摘要翻译： 允许在诸如例如硬盘驱动器的形式的存储装置的存储装置上存储和随后检索数据的装置。 数据的存储是从远程位置发送并由接收机设备接收的视频，音频和/或辅助数据的形式，用于经由电视屏幕连接的视频，音频和/或辅助数据的处理和后续生成， 包括接收器。 在一些情况下，数据不被立即解码和显示，并且可以从存储装置获得数据的解码和/或显示。 存储装置的控制系统包括先进先出（FIFO）缓冲器，其结合中央处理单元（CPU）来控制控制信号的产生和输入数据的存储。

公开(公告)号：US07533401B2

公开(公告)日：2009-05-12

申请号：US09805867

申请日：2001-03-14

申请人： Rahul Mehra

发明人： Rahul Mehra

IPC分类号： H04N7/18

CPC分类号： H04N21/4341 ,  H04N21/2365 ,  H04N21/2368 ,  H04N21/4334 ,  H04N21/434 ,  H04N21/4344 ,  H04N21/4347 ,  H04N21/8352

摘要： The invention relates to a system and method for the generation of television channels and which allows the generation of the same by the processing and selection of designated packets of data from multiple data transport streams, which each transport stream including numerous packets of data. In each transport stream the packet of data is identified by the allocations of a packet identification code (PID) and each is held in the transport packet which is transmitted as part of each transport stream. In accordance with the invention, and in order to prevent errors and inaccurate packet selection, a Transport Stream Identification Code (TSID) is allocated to each of the transport streams of data received. Typically the TSID is located in the transport packet for each transport stream of data. In the selection of a packet of data, the appropriate TSID is referred to identify the appropriate transport stream and the PID then referred to identify the packet of data from that transport stream.

摘要翻译： 本发明涉及一种用于生成电视频道的系统和方法，并且其允许通过处理和选择来自多个数据传输流的指定数据分组来生成电视频道，每个传输数据流包括许多数据分组。 在每个传输流中，通过分组识别码（PID）的分配来识别数据分组，并且每个传输流被保存在作为每个传输流的一部分传输的传输分组中。 根据本发明，为了防止错误和不准确的分组选择，传输流识别码（TSID）被分配给接收的每个传输数据流。 通常，TSID位于每个传输数据流的传输数据包中。 在选择数据分组时，参考适当的TSID来识别适当的传输流，然后参考PID来识别来自该传输流的数据分组。

公开(公告)号：US20070276453A1

公开(公告)日：2007-11-29

申请号：US11837811

申请日：2007-08-13

申请人： Michael Hill ,  Gary King ,  Thomas Mullen ,  Xiaohong Zhou ,  Rahul Mehra

发明人： Michael Hill ,  Gary King ,  Thomas Mullen ,  Xiaohong Zhou ,  Rahul Mehra

IPC分类号： A61N1/36

CPC分类号： A61N1/36114 ,  A61N1/0504 ,  A61N1/36017 ,  A61N1/36021 ,  A61N1/36071

摘要： A method and apparatus are provided for protecting cardiac tissue from insult. The method comprises identifying the occurrence of an insult, such as a heart attack, and delivering electrical stimulation to one or more predetermined nerves in a patient's body in response to identifying the occurrence of the insult. The stimulation may be provided to peripheral nerves, intrinsic cardiac nerves, sympathetic ganglia, cranial nerves, and may generally be directed to the vertebral column, or within the chest wall of the patient.

摘要翻译： 提供了一种用于保护心脏组织免受侮辱的方法和装置。 所述方法包括识别呃等的发生，例如心脏病发作，并且响应于识别侮辱的发生而向患者身体中的一个或多个预定神经传递电刺激。 刺激可以提供给外周神经，内在的心脏神经，交感神经节，颅神经，并且通常可以被引导到脊柱或患者的胸壁内。