公开(公告)号：US06961448B2

公开(公告)日：2005-11-01

申请号：US09750739

申请日：2000-12-29

申请人： Timothy J. Nichols ,  David L. Thompson

发明人： Timothy J. Nichols ,  David L. Thompson

IPC分类号： A61B5/117 ,  A61N1/372 ,  G06K9/00

CPC分类号： A61N1/37235 ,  A61B5/117 ,  A61B5/1171 ,  A61N1/37247 ,  A61N1/37252

摘要： A user authentication system utilizes biometric traits such as fingerprints, vein print, voice print, facial images, iris/retina and similar distinguishing characteristics to allow access to programmers, ETPs, PSAs and similar instruments associated with implantable medical devices (IMDs). The authentication system provides a hierarchical scheme that allows access based on expertise and need basis.

摘要翻译： 用户认证系统利用诸如指纹，静脉打印，语音打印，面部图像，虹膜/视网膜和类似的区别特征之类的生物测定特征来允许访问与可植入医疗装置（IMD）相关联的程序员，ETP，PSA和类似仪器。 认证系统提供了一种基于专业知识和需求依据的分层方案。

公开(公告)号：US06868288B2

公开(公告)日：2005-03-15

申请号：US10007538

申请日：2001-11-09

申请人： David L. Thompson

发明人： David L. Thompson

IPC分类号： A61N1/08 ,  A61N1/37 ,  A61N1/372 ,  A61N1/362

CPC分类号： A61N1/08 ,  A61N1/025 ,  A61N1/37 ,  A61N1/37211 ,  A61N1/37229

摘要： A telemetry receiver for an implantable medical device (IMD) such as a cardiac pacemaker has an RF antenna coupled to a telemetry circuit that includes an out-of-band rejection filter comprising a thin film bulk acoustic resonator filter. The telemetry circuit includes an amplifier coupled to the thin film bulk acoustic resonator filter and a demodulator coupled to the amplifier. The filter, amplifier and demodulator are all fabricated on a common integrated circuit die. A multichannel telemetry receiver for an IMD has a plurality of thin film bulk acoustic resonator bandpass filters defining individual channels. Identification of a preferred data transmission channel for communication of programming data to the IMD is determined by obtaining samples of the signals being passed by each of a plurality of thin film bulk acoustic resonator bandpass filters that define individual channels and evaluating the samples to determine the noise level for each channel.

摘要翻译： 用于诸如心脏起搏器的可植入医疗装置（IMD）的遥测接收器具有耦合到遥测电路的RF天线，所述遥测电路包括包括薄膜体声波谐振器滤波器的带外抑制滤波器。 遥测电路包括耦合到薄膜体声波谐振器滤波器的放大器和耦合到放大器的解调器。 滤波器，放大器和解调器全部在公共集成电路管芯上制造。 用于IMD的多通道遥测接收器具有限定各个通道的多个薄膜体声波谐振器带通滤波器。 通过获得定义各个通道的多个薄膜体声波谐振器带通滤波器中的每一个通过的信号的样本来确定用于将编程数据传送到IMD的优选数据传输通道的识别，并评估样本以确定噪声 每个频道的级别。

公开(公告)号：US06804552B2

公开(公告)日：2004-10-12

申请号：US10004025

申请日：2001-10-31

申请人： David L. Thompson ,  Daniel R. Greeninger

发明人： David L. Thompson ,  Daniel R. Greeninger

IPC分类号： A61N100

CPC分类号： A61N1/37 ,  A61N1/368 ,  A61N1/3718 ,  A61N1/3912 ,  A61N1/3956

摘要： An improved switching system for use with an implantable medical device (IMD) is described. The system utilizes Micro-Electrical-Mechanical system (MEMs) switches in place of one or more switches formerly implemented using transistor networks. Any type of switching circuit used within an IMD may be implemented using this technology. For example, MEMs switches may be utilized in a circuit for selectably delivering electrical stimulation to a patient, and/or in a circuit for providing surge protection. The fabrication of the MEMs switches may be performed using one or more separate tubs or wells on a silicon substrate to isolate switching circuitry from other IMD circuitry.

摘要翻译： 描述了一种用于可植入医疗装置（IMD）的改进的切换系统。 该系统采用微机电系统（MEM）开关代替先前使用晶体管网络实现的一个或多个开关。 可以使用该技术来实现在IMD内使用的任何类型的开关电路。 例如，可以在电路中使用MEM开关，以可选择地向患者输送电刺激，和/或在用于提供浪涌保护的电路中。 可以使用硅衬底上的一个或多个单独的桶或阱来执行MEM开关的制造，以将开关电路与其他IMD电路隔离开来。

公开(公告)号：US06622050B2

公开(公告)日：2003-09-16

申请号：US09821518

申请日：2001-03-30

申请人： David L. Thompson

发明人： David L. Thompson

IPC分类号： A61N108

CPC分类号： A61N1/37282 ,  A61N1/37252 ,  G06F19/00 ,  G06F19/3418 ,  G06Q50/22 ,  Y10S128/903

摘要： The present invention provides for an encryption apparatus, system, and method in which data from an Implantable Medical Device (IMD) and a data center could be transferred based on a differentiated encryption system. The encryption scheme allows for the differentiation, segregation, and classification of data at required or needed levels of security. Before transfer of the data, either from an IMD or any other part of a support network for the IMDs, the encryption device begins to distinguish the data. The variable data is then classified based on various levels of security having distinct encryption protocols. After classification the data is encrypted based on the data's level of security. The data is then transmitted. Upon being received the data is then segregated based on whether the data is encrypted. The encrypted data is then de-encrypted and interpreted.

摘要翻译： 本发明提供一种加密装置，系统和方法，其中可以基于差分加密系统来传输来自可植入医疗设备（IMD）和数据中心的数据。 加密方案允许在必需或需要的安全级别对数据进行差异化，隔离和分类。 在从IMD或IMD的支持网络的任何其他部分传输数据之前，加密设备开始区分数据。 然后，可变数据基于具有不同加密协议的各种安全级别进行分类。 分类后，根据数据的安全级别对数据进行加密。 然后传输数据。 在接收到数据之后，根据数据是否被加密来分离数据。 然后对加密的数据进行解密和解密。

公开(公告)号：US06577901B2

公开(公告)日：2003-06-10

申请号：US09887223

申请日：2001-06-22

申请人： David L. Thompson

发明人： David L. Thompson

IPC分类号： A61N108

CPC分类号： A61N1/37282 ,  A61N1/37223 ,  G06F19/00

摘要： A network compatible RF Wireless Link for Medical Device Data Management includes apparatus for establishing a communication link between an IMD, a patient-worn device, and a remote monitoring station while at the same time minimizing device current drain. The minimal current drain is achieved by scheduling periodic interrogation of the data collected by the IMDs for subsequent transmission to a remote location. Generally, the communication system is implemented to transmit data preferably telemetered from the IMD to a patient-worn device. The data from the patient-worn device is transmitted to a transceiver that sends the data to a remote information network. The patient-worn device may be equipped with a Bluetooth (BT) or Home RF communication system. The transceiver is preferably similarly equipped with BT or Home RF technology having a plurality of nodes. In one aspect of the invention, the patient-worn device would transmit data to the transceiver, which may be connected to a phone line, cellular phone, satellite communication systems, telemetry or equivalent wireless data transmission system. The system provides patient mobility while enabling data transmission and interrogation of one or more implanted medical devices in the patient.

公开(公告)号：US06567703B1

公开(公告)日：2003-05-20

申请号：US09708307

申请日：2000-11-08

申请人： David L. Thompson ,  Gregory J. Haubrich

发明人： David L. Thompson ,  Gregory J. Haubrich

IPC分类号： A61N100

CPC分类号： A61N1/3758 ,  A61N1/37223 ,  Y10S977/932 ,  Y10S977/94

摘要： Implantable medical devices (IMDS) having RF telemetry capabilities for uplink transmitting patient data and downlink receiving programming commands to and from an external programmer having an improved RF module configured to occupy small spaces within the IMD housing to further effect the miniaturization thereof. An RF module formed of an RF module substrate and at least one IC chip and discrete components has a volume and dimensions that are optimally minimized to reduce its volumetric form factor. Miniaturization techniques include: (1) integrating inductors into one or more IC chips mounted to the RF module substrate; (2) mounting each IC chip into a well of the RF module substrate and using short bonding wires to electrically connect bond pads of the RF module substrate and the IC chip; and (3) surface mounting discrete capacitors over IC chips to reduce space taken up on the RF module substrate. The integrated inductors are preferably fabricated as planar spiral wound conductive traces formed of high conductive metals to reduce trace height and width while maintaining low resistance, thereby reducing parasitic capacitances between adjacent trace side walls and with a ground plane of the IC chip. The spiral winding preferably is square or rectangular, but having truncated turns to eliminate 90° angles that cause point-to-point parasitic capacitances. The planar spiral wound conductive traces are further preferably suspended over the ground plane of the RF module substrate by micromachining underlying substrate material away to thereby reduce parasitic capacitances.

摘要翻译： 具有用于上行链路的RF遥测能力的可植入医疗设备（IMDS）用于上行链路发送患者数据，以及下行链路接收来自具有改进的RF模块的外部编程器的编程命令，该改进的RF模块被配置为占据IMD外壳内的小空间以进一步实现其小型化。 由RF模块基板和至少一个IC芯片和分立元件形成的RF模块具有最佳化的体积和尺寸以减小其体积形状因数。 小型化技术包括：（1）将电感器集成到安装到RF模块衬底的一个或多个IC芯片中; （2）将每个IC芯片安装到RF模块基板的阱中，并使用短接合线来电连接RF模块基板和IC芯片的接合焊盘; 和（3）通过IC芯片表面安装分立电容，以减少RF模块基板上占用的空间。 集成电感器优选地被制造为由高导电金属形成的平面螺旋卷绕导电迹线，以便在保持低电阻的同时降低迹线高度和宽度，从而降低相邻迹线侧壁与IC芯片的接地平面之间的寄生电容。 螺旋绕组优选地是正方形或矩形，但具有截尖以消除导致点对点寄生电容的90°角。 平面螺旋卷绕导电迹线进一步优选通过将下面的衬底材料微加工而远离RF模块衬底的接地平面，从而减小寄生电容。

公开(公告)号：US06512949B1

公开(公告)日：2003-01-28

申请号：US09352179

申请日：1999-07-12

申请人： William J. Combs ,  Catherine R. Condie ,  Roy Martin ,  Dwight H. Warkentin ,  John D. Wahlstrand ,  David L. Thompson ,  Li Wang

发明人： William J. Combs ,  Catherine R. Condie ,  Roy Martin ,  Dwight H. Warkentin ,  John D. Wahlstrand ,  David L. Thompson ,  Li Wang

IPC分类号： A61B500

CPC分类号： A61N1/36521 ,  A61B5/0535 ,  A61B5/7207 ,  A61N1/3627

摘要： An impedance monitor for discerning edema through evaluation of respiratory rate. Preferred embodiment includes edema monitor and trigger to initiate diagnostic reporting or corrective action when activated. Recording of Long Term Average and Short Term Average values for secondary edema measure based on DC signal level are described as are methods and apparatus for removing unwanted recurring noise.

摘要翻译： 通过评估呼吸频率来辨别水肿的阻抗监测仪。 优选实施例包括水肿监测和触发以在被激活时启动诊断报告或纠正动作。 长期平均和短期记录基于直流信号电平的次级水肿测量的平均值被描述为用于消除不期望的重复噪声的方法和装置。

公开(公告)号：US06453195B1

公开(公告)日：2002-09-17

申请号：US09811685

申请日：2001-03-19

申请人： David L. Thompson

发明人： David L. Thompson

IPC分类号： A61N1362

CPC分类号： A61N1/30 ,  A61N1/3956

摘要： A transdermal drug delivery device in communication with at least one IMD is externally mounted to deliver pain analgesics and/or threshold reduction medications prior to or contemporaneous with a shock associated with a pacer, a defibrillator and similar therapy device. The drug delivery device includes an attachable strip with a storage for medications and is epidermally mounted. The medications are released into the bloodstream in response to an indication that the IMD is about to deliver a shock. The drug delivery device is adapted for use with various drugs. Further, the delivery of drugs could be controlled by the patient to provide a semi-automatic use and/or to terminate delay shock. The transdermal drug delivery device and the IMD include system status indicators to provide real-time operational data of the drug delivery device and the IMD individually and in combination. The drug delivery device is also implemented with a CHF monitor to treat CHF patients.

摘要翻译： 与至少一个IMD通信的透皮药物递送装置被外部安装以在与起搏器，除颤器和类似治疗装置相关的冲击之前或同时发生疼痛镇痛药和/或阈值减少药物。 药物递送装置包括具有用于药物的储存器的可附接条带并且被表皮地安装。 药物被释放到血液中，以反映IMD即将发生冲击的迹象。 药物输送装置适用于各种药物。 此外，药物的输送可以由患者控制以提供半自动使用和/或终止延迟休克。 透皮药物递送装置和IMD包括系统状态指示器，以单独和组合地提供药物递送装置和IMD的实时操作数据。 药物输送装置还用CHF监测器来治疗CHF患者。

公开(公告)号：US06438422B1

公开(公告)日：2002-08-20

申请号：US09467288

申请日：1999-12-20

申请人： Carl A. Schu ,  Daniel R. Greeninger ,  David L. Thompson

发明人： Carl A. Schu ,  Daniel R. Greeninger ,  David L. Thompson

IPC分类号： A61N1362

CPC分类号： G06F1/324 ,  A61N1/025 ,  A61N1/3605 ,  A61N1/362 ,  A61N1/378 ,  G06F1/3203 ,  G06F1/3296 ,  H03K19/0019 ,  Y02D10/126 ,  Y02D10/172

摘要： A system for minimizing power dissipation within an implantable medical device through use of adiabatic logic is disclosed. The system includes a first and a second sub-circuit of the implantable medical device. An electrical connection interconnects the first and the second sub-circuits, the electrical connection including a capacitive element. Circuitry, which charges the capacitive element of the electrical connection to generate a ramp logic signal, is connected to the capacitive element. The ramp logic signal includes a frequency of less than 500 kilohertz, thereby creating a low frequency, low power system which reduces energy dissipation to the surrounding environment.

摘要翻译： 公开了一种通过使用绝热逻辑来最小化可植入医疗装置内的功率耗散的系统。 该系统包括可植入医疗装置的第一和第二子电路。 电连接将第一和第二子电路互连，电连接包括电容元件。 将电连接的电容元件充电以产生斜坡逻辑信号的电路连接到电容元件。 斜坡逻辑信号包括小于500千赫的频率，从而产生低频，低功率系统，从而减少对周围环境的能量耗散。

公开(公告)号：US06438420B1

公开(公告)日：2002-08-20

申请号：US09867097

申请日：2001-05-29

申请人： David L. Thompson

发明人： David L. Thompson

IPC分类号： A61N100

CPC分类号： A61N1/3956 ,  A61N1/3912

摘要： A battery powered cardioverter or defibrillator employing a DC-DC converter for charging high voltage output capacitors and for delivering biphasic cardioversion or defibrillation pulses through a bridge circuit including high and low side drive circuits under the control of a microprocessor controlled arrhythmia detection system. Upon the detection of an arrhythmia and the selection of cardioversion/defibrillation therapy, the charging of the high voltage output capacitors is commenced and the capacitor voltage enables a regulated voltage source for the high and low side drive circuits for the high power IGTs of each branch of the bridge circuit. High voltage switching transients are suppressed from re-triggering or otherwise affecting operation of the drive circuits. Fail-safe circuitry disables operation of the drive circuits in the event that the first and second control signals are inadvertently provided simultaneously or overlap.

摘要翻译： 一种电池供电的心律转复器或除颤器，其采用DC-DC转换器来对高压输出电容器进行充电，并且在微处理器控制的心律失常检测系统的控制下通过包括高侧和低侧驱动电路的桥接电路输送双相心脏复律或除颤脉冲。 在检测到心律失常和心脏复律/除颤治疗的选择时，高压输出电容器的充电开始，并且电容器电压使每个分支的高功率IGT的高侧和低侧驱动电路的稳压电源 的桥电路。 抑制高压开关瞬变以重新触发或以其它方式影响驱动电路的工作。 在第一和第二控制信号无意中同时提供或重叠的情况下，故障安全电路禁止驱动电路的操作。