公开(公告)号：US20110015701A1

公开(公告)日：2011-01-20

申请号：US12891338

申请日：2010-09-27

申请人： Bruce H. KenKnight ,  Eric G. Lovett ,  Robert J. Sweeney ,  Scott T. Mazar ,  Yatheendhar Manicka

发明人： Bruce H. KenKnight ,  Eric G. Lovett ,  Robert J. Sweeney ,  Scott T. Mazar ,  Yatheendhar Manicka

IPC分类号： A61N1/08

CPC分类号： A61N1/36514 ,  A61N1/3627 ,  A61N1/37211 ,  A61N1/37235 ,  A61N1/37282 ,  G06F19/00

摘要： An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician.

摘要翻译： 一种用于基于包括上下文信息的数据来调整植入装置的性能的装置和方法。 上下文信息，包括关于植入装置的操作和性能数据以及具有植入装置的患者，由便携式电子装置存储。 在一个实施例中，便携式电子设备适用于电池操作并且包括个人数字助理（PDA）。 便携式电子设备适于用作与植入的设备进行无线通信的接口。 在一个实施例中，便携式电子设备与临床程序员接口以供医生使用。

公开(公告)号：US07860733B2

公开(公告)日：2010-12-28

申请号：US12796082

申请日：2010-06-08

申请人： Robert J. Sweeney

发明人： Robert J. Sweeney

IPC分类号： G06Q50/00 ,  A61B5/02

CPC分类号： A61B5/0031 ,  G06F19/00 ,  G06Q50/22 ,  G06Q50/24

摘要： Advanced patient management systems include a unit for collecting data from a device associated with a patient, and a host in communication with the unit, the host identifying a time for the device to update data on the device. The system can identify a time for the device to update data associated with the device by developing a histogram of the availability of the device for interrogation. The system can also optimize processing loads for the system by developing a histogram of the time at which the caregiver is most likely to access the system to review the collected and processed data. Methods for optimizing device data update and processing times are also included.

公开(公告)号：US20100250287A1

公开(公告)日：2010-09-30

申请号：US12796082

申请日：2010-06-08

申请人： Robert J. Sweeney

发明人： Robert J. Sweeney

IPC分类号： G06Q50/00 ,  G06Q10/00 ,  G06F17/30

CPC分类号： A61B5/0031 ,  G06F19/00 ,  G06Q50/22 ,  G06Q50/24

摘要： Advanced patient management systems include a unit for collecting data from a device associated with a patient, and a host in communication with the unit, the host identifying a time for the device to update data on the device. The system can identify a time for the device to update data associated with the device by developing a histogram of the availability of the device for interrogation. The system can also optimize processing loads for the system by developing a histogram of the time at which the caregiver is most likely to access the system to review the collected and processed data. Methods for optimizing device data update and processing times are also included.

摘要翻译： 高级患者管理系统包括用于从与患者相关联的设备收集数据的单元以及与该单元通信的主机，主机标识设备更新设备上的数据的时间。 系统可以通过开发用于询问的设备的可用性的直方图来识别设备更新与设备相关联的数据的时间。 系统还可以通过开发监护人最有可能访问系统的时间的直方图来优化收集和处理的数据来优化系统的处理负荷。 还包括优化设备数据更新和处理时间的方法。

公开(公告)号：US07706866B2

公开(公告)日：2010-04-27

申请号：US10876008

申请日：2004-06-24

申请人： Yi Zhang ,  Marina Brockway ,  Carlos Alberto Ricci ,  Ron Heil ,  Douglas R. Daum ,  Robert J. Sweeney ,  Aaron McCabe

发明人： Yi Zhang ,  Marina Brockway ,  Carlos Alberto Ricci ,  Ron Heil ,  Douglas R. Daum ,  Robert J. Sweeney ,  Aaron McCabe

IPC分类号： A61B5/04

CPC分类号： A61B5/0006 ,  A61B5/0031 ,  A61B5/04011 ,  A61B5/0422 ,  A61B5/7207 ,  A61B5/7217 ,  A61N1/3756 ,  G06K9/624

摘要： Cardiac monitoring and/or stimulation methods and systems provide monitoring, defibrillation and/or pacing therapies. A signal processor receives a plurality of composite signals associated with a plurality of sources, separates a signal using a source separation algorithm, and identifies a cardiac signal using a selected vector. The signal processor may iteratively separate signals from the plurality of composite signals until the cardiac signal is identified. The selected vector may be updated if desired or necessary. A method of signal separation involves detecting a plurality of composite signals at a plurality of locations, separating a signal using source separation, and selecting a vector that provides a cardiac signal. The separation may include a principal component analysis and/or an independent component analysis. Vectors may be selected and updated based on changes of position and/or orientation of implanted components and changes in patient parameters such as patient condition, cardiac signal-to-noise ratio, and disease progression.

摘要翻译： 心脏监测和/或刺激方法和系统提供监测，除颤和/或起搏治疗。 信号处理器接收与多个源相关联的多个复合信号，使用源分离算法分离信号，并使用所选择的向量来识别心脏信号。 信号处理器可以迭代地分离来自多个复合信号的信号，直到识别出心脏信号。 如果需要或必要，可以更新所选择的向量。 信号分离的方法包括在多个位置检测多个复合信号，使用源分离分离信号，以及选择提供心脏信号的向量。 分离可以包括主成分分析和/或独立成分分析。 可以基于植入组件的位置和/或取向的改变以及患者参数（例如患者状况，心脏信噪比和疾病进展）的变化来选择和更新载体。

公开(公告)号：US20090275811A1

公开(公告)日：2009-11-05

申请号：US12502059

申请日：2009-07-13

申请人： Kelly Schatz ,  Robert J. Sweeney

发明人： Kelly Schatz ,  Robert J. Sweeney

IPC分类号： A61B5/0255 ,  A61B5/07

CPC分类号： A61N1/37 ,  A61N1/08 ,  A61N1/37211

摘要： A patient management system is described that includes an implantable device for collecting one or more physiological parameter values and associated timestamps indicating the time at which the value is collected. The system is then configured to determine the periodic variation, if any, of a particular physiological parameter and use that periodicity in assessing changes in the parameter values over time.

摘要翻译： 描述了一种患者管理系统，其包括用于收集一个或多个生理参数值的可植入装置和指示收集该值的时间的相关联的时间戳。 然后将该系统配置为确定特定生理参数的周期性变化（如果有的话），并且使用该周期性来评估参数值随时间的变化。

公开(公告)号：US20080294228A1

公开(公告)日：2008-11-27

申请号：US11752377

申请日：2007-05-23

申请人： M. Jason Brooke ,  Allan C. Shuros ,  Robert J. Sweeney ,  Alok S. Sathaye

发明人： M. Jason Brooke ,  Allan C. Shuros ,  Robert J. Sweeney ,  Alok S. Sathaye

IPC分类号： A61N1/05

CPC分类号： A61N1/326 ,  A61N1/08

摘要： A device and method for controllably augmenting the flow of lymphatic fluid through one or more lymphatic vessels. The device may utilize various means of modulating the flow of lymph, including neural, mechanical and/or chemical stimulation and could be a stand-alone device or be incorporated into any cardiac, neuromodulation and/or drug delivery device.

摘要翻译： 一种用于可控地增加通过一个或多个淋巴管的淋巴液流动的装置和方法。 该装置可以利用调节淋巴液流动的各种手段，包括神经，机械和/或化学刺激，并且可以是独立装置，或并入任何心脏，神经调节和/或药物输送装置中。

公开(公告)号：US20080162183A1

公开(公告)日：2008-07-03

申请号：US11616460

申请日：2006-12-27

申请人： Haresh G. Sachanandani ,  Shelley Cazares ,  Jon Peterson ,  Robert J. Sweeney ,  Kevin J. Stalsberg ,  Krzysztof Z. Siejko ,  Gerrard M. Carlson

发明人： Haresh G. Sachanandani ,  Shelley Cazares ,  Jon Peterson ,  Robert J. Sweeney ,  Kevin J. Stalsberg ,  Krzysztof Z. Siejko ,  Gerrard M. Carlson

IPC分类号： G06Q50/00

CPC分类号： G06Q50/22 ,  G06F19/00 ,  G06Q10/10 ,  G16H50/20

摘要： This document discusses, among other things, systems and methods to enable physician labels on a remote server and use labels to verify and improve algorithm results. A method comprises using patient data in an automated analysis to obtain a result; receiving a message from the user, wherein the message is related to the result; and using at least a portion of the message to automatically modify the analysis.

摘要翻译： 本文档讨论了在远程服务器上启用医师标签的系统和方法，并使用标签来验证和改进算法结果。 一种方法包括在自动分析中使用患者数据以获得结果; 从所述用户接收消息，其中所述消息与所述结果相关; 并使用消息的至少一部分来自动修改分析。

公开(公告)号：US20080162182A1

公开(公告)日：2008-07-03

申请号：US11616430

申请日：2006-12-27

申请人： Shelley Cazares ,  Jon Peterson ,  Haresh G. Sachanandani ,  Kevin J. Stalsberg ,  Robert J. Sweeney ,  Krzysztof Z. Siejko ,  Gerrard M. Carlson

发明人： Shelley Cazares ,  Jon Peterson ,  Haresh G. Sachanandani ,  Kevin J. Stalsberg ,  Robert J. Sweeney ,  Krzysztof Z. Siejko ,  Gerrard M. Carlson

IPC分类号： G06Q10/00

CPC分类号： G06Q50/22 ,  A61B5/0031 ,  A61N1/37282 ,  G06F19/00 ,  G16H50/20 ,  G16H50/30 ,  G16H50/50 ,  G16H50/70

摘要： This document discusses, among other things, systems and methods for using between-patient comparisons for risk stratification of future heart failure decompensation. A method comprises receiving patient data of a current patient, the patient data collected by a patient monitoring device; determining a reference group related to the patient; determining a reference group dataset selected from the reference group, wherein the dataset includes patient data that is of a similar type received from the patient monitoring device; generating a model of the reference group dataset; and automatically comparing the received physiological data to a model to derive an index for the patient.

摘要翻译： 本文件除了其他内容之外还讨论了使用患者间比较以预测未来心力衰竭代偿失调的风险分层的系统和方法。 一种方法包括接收当前患者的患者数据，由患者监测装置收集的患者数据; 确定与患者相关的参考组; 确定从所述参考组中选择的参考组数据集，其中所述数据集包括从所述患者监视装置接收到的类似类型的患者数据; 生成参考组数据集的模型; 并且将接收到的生理数据自动地与模型进行比较以导出患者的指标。

公开(公告)号：US20080119750A1

公开(公告)日：2008-05-22

申请号：US11777739

申请日：2007-07-13

申请人： Abhilash Patangay ,  Jeffrey E. Stahmann ,  Robert J. Sweeney

发明人： Abhilash Patangay ,  Jeffrey E. Stahmann ,  Robert J. Sweeney

IPC分类号： A61B5/02 ,  A61N1/36

CPC分类号： A61B5/025 ,  A61B5/0031 ,  A61B5/0205 ,  A61B5/029 ,  A61B5/0295 ,  A61B5/0402 ,  A61B5/053 ,  A61B5/0816 ,  A61B5/103 ,  A61B7/00 ,  A61B7/04 ,  A61N1/36521 ,  A61N1/36542 ,  A61N1/36578

摘要： This document discusses, among other things, a system comprising an implantable medical device (IMD) including an implantable heart sound sensor circuit configured to produce an electrical heart sound signal representative of a heart sound of a subject and a processor circuit. The processor circuit is coupled to the heart sound sensor circuit and includes a detection circuit, a heart sound feature circuit and a trending circuit. The detection circuit configured to detect a physiologic perturbation and the heart sound feature circuit is configured to identify a heart sound feature in the electrical signal. The processor circuit is configured to trigger the heart sound feature circuit in relation to a detected physiologic perturbation. The trending circuit is configured to trend the heart sound feature in relation to a recurrence of the physiologic perturbation. The processor circuit is configured to declare a change in a physiologic condition of the patient according to the trending.

摘要翻译： 本文件尤其涉及一种包括可植入医疗装置（IMD）的系统，该可植入医疗装置（IMD）包括可植入的心音传感器电路，该可植入心音传感器电路被配置为产生表示被检体的心脏声音的电心音信号和处理器电路。 处理器电路耦合到心脏声音传感器电路，并且包括检测电路，心脏声音特征电路和趋势电路。 被配置为检测生理扰动的检测电路和心音特征电路被配置为识别电信号中的心音特征。 处理器电路被配置为相对于检测到的生理扰动触发心音特征电路。 趋势电路被配置为相对于生理扰动的复发趋向心音特征。 处理器电路被配置为根据趋势来声明患者的生理状况的变化。

公开(公告)号：US07151958B2

公开(公告)日：2006-12-19

申请号：US10211222

申请日：2002-08-02

申请人： William Hsu ,  Robert J. Sweeney ,  Eric G. Lovett

发明人： William Hsu ,  Robert J. Sweeney ,  Eric G. Lovett

IPC分类号： A61B5/046

CPC分类号： A61N1/3702 ,  A61N1/3622

摘要： A method and system for classifying tachyarrhythmia episodes as associated or disassociated. Primary and auxiliary depolarizations are detected from different cardiac regions during a tachycardia episode. A first time interval is positioned to surround each of one or more primary depolarizations, including auxiliary depolarizations that occur in the first time interval. The auxiliary depolarizations occurring in the first time interval are then counted. Based on the number and the location of the auxiliary depolarizations counted in the first time intervals, the one or more primary depolarizations and the auxiliary depolarizations of the tachycardia episode are classified as disassociated or associated.