MANAGING PRELOAD RESERVE BY TRACKING THE VENTRICULAR OPERATING POINT WITH HEART SOUNDS
    63.
    发明申请
    MANAGING PRELOAD RESERVE BY TRACKING THE VENTRICULAR OPERATING POINT WITH HEART SOUNDS 有权
    通过用心脏声音追踪心室操作点来管理前端保留

    公开(公告)号:US20090312659A1

    公开(公告)日:2009-12-17

    申请号:US12547207

    申请日:2009-08-25

    IPC分类号: A61B5/02

    摘要: A system and method for managing preload reserve and tracking the inotropic state of a patient's heart. The S1 heart sound is measured as a proxy for direct measurement of stroke volume. The S3 heart sound may be measured as a proxy for direct measurement of preload level. The S1-S3 pair yield a point on a Frank Starling type of curve, and reveal information regarding the patient's ventricular operating point and inotropic state. As an alternative, or in addition to, measurement of the S3 heart sound, the S4 heart sound may be measured or a direct pressure measurement may be made for the sake of determining the patient's preload level. The aforementioned measurements may be made by a cardiac rhythm management device, such as a pacemaker or implantable defibrillator.

    摘要翻译: 一种用于管理预负荷储备并跟踪患者心脏的变力状态的系统和方法。 测量S1心音作为直接测量行程体积的代理。 可以将S3心音测量为用于直接测量预载水平的代理。 S1-S3对在Frank Starling曲线上产生一个点,并显示关于患者的心室手术点和变力状态的信息。 作为S3心音的测量或除了测量S3心音之外,也可以测量S4心音,或者为了确定患者的预压水平可以进行直接的压力测量。 上述测量可以由诸如起搏器或可植入除颤器的心律管理装置进行。

    System and method for assessing cardiac performance through cardiac vibration monitoring
    64.
    发明申请
    System and method for assessing cardiac performance through cardiac vibration monitoring 有权
    通过心脏振动监测评估心脏性能的系统和方法

    公开(公告)号:US20060155204A1

    公开(公告)日:2006-07-13

    申请号:US11367852

    申请日:2006-03-03

    IPC分类号: A61B5/02

    CPC分类号: A61B7/04 A61B5/021 A61B7/00

    摘要: A system and method for assessing cardiac performance through cardiac vibration monitoring is described. Cardiac vibration measures are directly collected through an implantable medical device. Cardiac events including at least one first heart sound reflected by the cardiac vibration measures are identified. The first heart sound is correlated to cardiac dimensional measures relative to performance of an intrathoracic pressure maneuver. The cardiac dimensional measures are grouped into at least one measures set corresponding to a temporal phase of the intrathoracic pressure maneuver. The at least one cardiac dimensional measures set is evaluated against a cardiac dimensional trend for the corresponding intrathoracic pressure maneuver temporal phase to represent cardiac performance.

    摘要翻译: 描述了通过心脏振动监测来评估心脏性能的系统和方法。 通过植入式医疗设备直接收集心脏振动。 识别心脏事件,包括由心脏振动测量反射的至少一个第一心音。 第一个心音与胸腔内压力作用的心脏尺寸相关。 心脏尺寸测量被分组为对应于胸内压力操纵的时间相位的至少一个测量组。 针对相应的胸内压力机动时间阶段的心脏尺寸趋势来评估至少一个心脏尺寸测量集合以表示心脏性能。

    Optical sensor and method for measuring concentration of a chemical constituent using its intrinsic optical absorbance

    公开(公告)号:US07002670B2

    公开(公告)日:2006-02-21

    申请号:US10167796

    申请日:2002-06-12

    申请人: Ramesh Wariar Li Pan

    发明人: Ramesh Wariar Li Pan

    IPC分类号: G01N33/48

    摘要: An improved optical sensor and method for measuring concentration of a chemical constituent where measurement interference from other chemical compounds is present in the solution is provided. More specifically, the invention relates to a system for measuring the amount of creatinine in effluent dialysate during, before, or following a kidney dialysis procedure and a method for using the same. Alternatively, the method may be used with blood and other body fluids or solutions that contact the patient. The system may use an enzyme or other chemical process to specifically remove or convert an analyte with an intrinsic optical absorbance. By measuring the absorbance before and after the chemical process the analyte can be measured with high accuracy and specificity. The method may be extended to multiple analyte measurements using cascaded chemical processes.

    System and method for promoting diuresis and natriuresis by the application of electric fields to the kidney
    69.
    发明授权
    System and method for promoting diuresis and natriuresis by the application of electric fields to the kidney 有权
    通过向肾脏施加电场来促进利尿和利尿的系统和方法

    公开(公告)号:US08457761B2

    公开(公告)日:2013-06-04

    申请号:US12683553

    申请日:2010-01-07

    申请人: Ramesh Wariar

    发明人: Ramesh Wariar

    IPC分类号: A61N1/00

    摘要: A system and method of applying an electric field to the kidney of a subject can reduce renal salt and water retention through the process of electrophoresis. The system includes a first and a second electrode, at least of which is implantably associated with the kidney. The electric field can be controlled to affect the removal of a first constituent (e.g. sodium) from the kidney while the level of a second constituent (e.g. potassium) is maintained within normal physiological range.

    摘要翻译: 将电场施加到受试者的肾脏的系统和方法可以通过电泳过程减少肾盐和保水。 该系统包括第一和第二电极,其至少可植入地与肾相关联。 可以控制电场以影响从肾脏中去除第一组分(例如钠),同时将第二组分(例如钾)的水平保持在正常生理范围内。