公开(公告)号：US20130131759A1

公开(公告)日：2013-05-23

申请号：US13303715

申请日：2011-11-23

申请人： Jorge N. Amely-Velez ,  Armando M. Cappa ,  J. Terry Benson ,  Robel Borja ,  Allan R. Schwartz ,  Anthony Li

发明人： Jorge N. Amely-Velez ,  Armando M. Cappa ,  J. Terry Benson ,  Robel Borja ,  Allan R. Schwartz ,  Anthony Li

IPC分类号： A61N1/36

CPC分类号： A61N1/37223 ,  A61N1/16 ,  A61N1/37229

摘要： Disclosed herein is a shield for shielding a telemetry wand from electromagnetical interference capable of interfering with telemetry communications between the telemetry wand and an AIMD in a patient. The telemetry wand may include a first side that is configured to be placed against a patient, a second side generally opposite the first side, a lateral side between the first and second sides, a hole extending between the first and second sides, and a cable extending from the lateral side. The shield may include a shell including a wall that defines a volume and an opening in the shell. The volume may be configured to receive therein the telemetry wand such that the second and lateral sides of the telemetry wand face respective portions of the wall and the first side faces the opening in the shell.

摘要翻译： 本文公开了一种用于屏蔽遥测魔杖免受电磁干扰的屏蔽，能够干扰遥测棒与患者中的AIMD之间的遥测通信。 遥测棒可以包括构造成抵靠患者放置的第一侧，大致与第一侧相对的第二侧，第一和第二侧之间的横向侧，在第一和第二侧之间延伸的孔，以及电缆 从侧面延伸。 护罩可以包括壳体，其包括限定容积的壁和壳中的开口。 体积可以被配置为在其中接收遥测棒，使得遥测棒的第二侧面和侧面面对壁的相应部分，并且第一侧面向壳体中的开口。

公开(公告)号：US06842643B1

公开(公告)日：2005-01-11

申请号：US10051889

申请日：2002-01-16

申请人： Allan R. Schwartz ,  David W. Adinolfi ,  Hakan Hornell ,  Kelly H. McClure ,  Brian M. Mann

发明人： Allan R. Schwartz ,  David W. Adinolfi ,  Hakan Hornell ,  Kelly H. McClure ,  Brian M. Mann

IPC分类号： A61N1/08 ,  A61N1/372

CPC分类号： A61N1/37264 ,  A61N1/37211

摘要： An external programmer is provided with the capability of automatically resetting the programming state of an implantable medical device to a previous programming state. To this end, the pacemaker maintains parameters representative of current and past programming states. In response to a physician-initiated reset function using an external programmer, the pacemaker transfers information pertaining to the programming states to the external programmer along with a pointer identifying the current state. The physician selects one of the previous programming states and the external programmer then updates the pointer to identify the selected state and transmits the pointer back to the pacemaker. The pacemaker accesses the programming parameters stored therein corresponding to the programming state identified by the new pointer and is reprogrammed. Accordingly, the programming state of the pacemaker is reset to the previous programming state without requiring manual reentry of the parameters. The external programmer may also be configured to enable the physician to modify parameters or to display differences between two or more programming states of the medical device. Also, the external programmer may be configured to enable the physician to merge parameters from two or more programming states to create a new programming state.

摘要翻译： 外部编程器具有将可植入医疗装置的编程状态自动复位到先前编程状态的能力。 为此，起搏器保持代表当前和过去编程状态的参数。 响应于使用外部编程器的医师启动的复位功能，起搏器与标识当前状态的指针一起将关于编程状态的信息传送到外部编程器。 医生选择之前的编程状态之一，然后外部编程器更新指针以识别所选择的状态，并将指针发送回起搏器。 起搏器根据由新指针识别的编程状态访问存储在其中的编程参数，并重新编程。 因此，起搏器的编程状态被重置为先前的编程状态，而不需要手动重新进入参数。 外部编程器还可以被配置为使医师能够修改参数或显示医疗设备的两个或多个编程状态之间的差异。 此外，外部编程器可以被配置为使得医师能够合并来自两个或多个编程状态的参数以创建新的编程状态。

公开(公告)号：US08060212B1

公开(公告)日：2011-11-15

申请号：US11736425

申请日：2007-04-17

申请人： Ronald R. Rios ,  Gregory C. Bevan ,  Eliot L. Ostrow ,  Armando M. Cappa ,  Allan R. Schwartz ,  George L. Walls

发明人： Ronald R. Rios ,  Gregory C. Bevan ,  Eliot L. Ostrow ,  Armando M. Cappa ,  Allan R. Schwartz ,  George L. Walls

IPC分类号： A61N1/02

CPC分类号： A61N1/37235 ,  Y10S128/903 ,  Y10S128/904

摘要： Exemplary external medical devices are configurable to communicate with an implantable medical device (IMD). One medical device includes multiple IMD telemetry ports operable to connect IMD telemetry mechanisms to the medical device. The medical device also includes a control unit configured to control the IMD telemetry mechanisms.

摘要翻译： 示例性外部医疗设备可配置为与可植入医疗设备（IMD）通信。 一个医疗设备包括可操作以将IMD遥测机构连接到医疗设备的多个IMD遥测端口。 医疗装置还包括被配置为控制IMD遥测机构的控制单元。

公开(公告)号：US07555348B1

公开(公告)日：2009-06-30

申请号：US11243413

申请日：2005-10-03

申请人： Allan R. Schwartz ,  Monique Prue

发明人： Allan R. Schwartz ,  Monique Prue

IPC分类号： A61N1/00

CPC分类号： A61N1/37282 ,  A61N1/37258

摘要： Patients fitted with an implantable medical device (IMD) must typically return to their medical providers for follow-up sessions where the medical provider retrieves data from the patient's IMD for analysis. A remote monitoring device is described to allow patients to complete a follow-up session from the comfort of their own home or from some other remote location. Specifically, a user interface employing various audio signals, light indicators, and tactile features is described to aid patients with hearing and/or visual disabilities during the remote follow-up session. Different light indicator states are used to aid hearing impaired patients. Different audio sound states are used to aid visually impaired patients. Furthermore, tactile features are used to aid hearing and/or visually impaired patients.

摘要翻译： 装有可植入医疗器械（IMD）的患者通常必须返回其医疗提供者进行后续会议，医疗服务提供者从病人的IMD检索数据进行分析。 描述了一种远程监控设备，以允许患者从自己的家庭或其他远程位置的舒适完成后续会话。 具体地，描述了采用各种音频信号，光指示器和触觉特征的用户界面，以在远程跟进会话期间帮助患有听力和/或视觉障碍的患者。 不同的光指示状态用于帮助听力受损患者。 不同的音频声音状态用于帮助视力障碍患者。 此外，触觉特征用于帮助听力和/或视力受损患者。

公开(公告)号：US5833623A

公开(公告)日：1998-11-10

申请号：US851059

申请日：1997-05-05

申请人： Brian M. Mann ,  Joseph J. Florio ,  Jason A. Sholder ,  Leslie S. Miller ,  Jeffery D. Snell ,  Kenneth Valikai ,  Gregory Bevan ,  J. Kelly Fox ,  Azita M. Rahbari ,  Allan R. Schwartz

发明人： Brian M. Mann ,  Joseph J. Florio ,  Jason A. Sholder ,  Leslie S. Miller ,  Jeffery D. Snell ,  Kenneth Valikai ,  Gregory Bevan ,  J. Kelly Fox ,  Azita M. Rahbari ,  Allan R. Schwartz

IPC分类号： A61B5/00 ,  A61B5/044 ,  A61N1/37

CPC分类号： G06F19/345 ,  A61B5/0031 ,  A61B5/044 ,  A61N1/3702 ,  G06F19/3406 ,  G06F19/3487

摘要： An implantable device programmer includes a variety of features for allowing a clinician to perform an automated and customized follow-up examination of a patient having an implanted cardiac implantable device, the implantable device being of the type which captures and stores various types of diagnostic data for subsequent retrieval and evaluation. A custom protocol feature of the programmer allows the clinician pre-specify and then semi-automatically follow an ordered sequence of protocol steps, each protocol step involving the interrogation of the implantable device and the display by the programmer of associated implantable device data (such as a heart rate histogram, or the results of a ventricular capture test). When the clinician initiates a custom protocol, the programmer automatically retrieves all of the diagnostic data records of the protocol in the protocol order. This automatic retrieval is performed in the background, allowing the clinician to begin viewing the initial diagnostic data records of the protocol while the other items are being retrieved. Via a user interface of the programmer, the clinician can rapidly and efficiently sequence through the data display screens associated with the protocol, to thereby view the various diagnostic data records and/or perform the various diagnostic tests of the protocol.

摘要翻译： 可植入装置编程器包括各种特征，用于允许临床医生对具有植入的心脏可植入装置的患者执行自动和定制的随访检查，该可植入装置是捕获和存储各种类型的诊断数据的类型， 后续检索和评估。 编程器的定制协议特征允许临床医生预先指定然后半自动遵循协议步骤的有序序列，每个协议步骤涉及可植入装置的询问以及程序员对相关的可植入装置数据的显示（例如 心率直方图或心室捕获测试的结果）。 当临床医生启动自定义协议时，程序员将以协议顺序自动检索协议的所有诊断数据记录。 这种自动检索在后台执行，允许临床医生在检索其他项目时开始查看协议的初始诊断数据记录。 通过程序员的用户界面，临床医生可以快速有效地顺序通过与协议相关联的数据显示屏幕，从而查看各种诊断数据记录和/或执行协议的各种诊断测试。

公开(公告)号：US09108065B2

公开(公告)日：2015-08-18

申请号：US13246575

申请日：2011-09-27

申请人： Nishant Srivastava ,  Allan R. Schwartz ,  Curtis A. Knight

发明人： Nishant Srivastava ,  Allan R. Schwartz ,  Curtis A. Knight

IPC分类号： A61N1/08 ,  A61N1/372

CPC分类号： A61N1/37235 ,  A61N1/37211 ,  A61N1/37252

摘要： Dynamically switching between different external RF transceivers for communication with an implantable medical device maintains high communication quality in the face of interference, fading, detuning, or other adverse wireless communication conditions. Quality information associated with communications between an implantable medical device and different external devices is monitored to select one of these external devices to conduct subsequent communication with the implantable medical device. This monitoring is conducted on a repeated basis such that communication is switched to a different RF transceiver whenever such an RF transceiver is able to achieve a higher quality communication than the currently selected RF transceiver. In some embodiments, RF transceivers are deployed in different devices. For example, one or more RF transceivers may be deployed at a portable programmer (e.g., in the form of a computer tablet) and one or more other RF transceivers may be deployed at an associated base station.

摘要翻译： 在与可植入医疗设备通信的不同外部RF收发器之间动态切换在面对干扰，衰落，失谐或其他不利无线通信条件的情况下保持高通信质量。 监测与可植入医疗装置与不同外部装置之间的通信相关联的质量信息，以选择这些外部装置中的一个以进行与可植入医疗装置的后续通信。 这种监视是在重复的基础上进行的，使得每当这样的RF收发器能够实现比当前选择的RF收发器更高质量的通信时，通信被切换到不同的RF收发器。 在一些实施例中，RF收发器部署在不同的设备中。 例如，可以在便携式编程器（例如，以计算机平板电脑的形式）部署一个或多个RF收发器，并且可以在相关联的基站部署一个或多个其他RF收发器。

公开(公告)号：US20130079836A1

公开(公告)日：2013-03-28

申请号：US13246575

申请日：2011-09-27

申请人： Nishant Srivastava ,  Allan R. Schwartz ,  Curtis A. Knight

发明人： Nishant Srivastava ,  Allan R. Schwartz ,  Curtis A. Knight

IPC分类号： A61N1/362 ,  A61N1/39

CPC分类号： A61N1/37235 ,  A61N1/37211 ,  A61N1/37252

摘要： Dynamically switching between different external RF transceivers for communication with an implantable medical device maintains high communication quality in the face of interference, fading, detuning, or other adverse wireless communication conditions. Quality information associated with communications between an implantable medical device and different external devices is monitored to select one,of these external devices to conduct subsequent communication with the implantable medical device. This monitoring is conducted on a repeated basis such that communication is switched to a different RF transceiver whenever such an RF transceiver is able to achieve a higher quality communication than the currently selected RF transceiver. In some embodiments, RF transceivers are deployed in different devices. For example, one or more RF transceivers may be deployed at a portable programmer (e.g., in the form of a computer tablet) and one or more other RF transceivers may be deployed at an associated base station.

摘要翻译： 在与可植入医疗设备通信的不同外部RF收发器之间动态切换在面对干扰，衰落，失谐或其他不利无线通信条件的情况下保持高通信质量。 监测与可植入医疗装置与不同外部装置之间的通信相关联的质量信息，以选择这些外部装置之一，以进行与可植入医疗装置的后续通信。 这种监视是在重复的基础上进行的，使得每当这样的RF收发器能够实现比当前选择的RF收发器更高质量的通信时，通信被切换到不同的RF收发器。 在一些实施例中，RF收发器部署在不同的设备中。 例如，可以在便携式编程器（例如，以计算机平板电脑的形式）部署一个或多个RF收发器，并且可以在相关联的基站部署一个或多个其他RF收发器。

公开(公告)号：US07580755B1

公开(公告)日：2009-08-25

申请号：US11282190

申请日：2005-11-18

申请人： Allan R. Schwartz ,  Leonard Mah

发明人： Allan R. Schwartz ,  Leonard Mah

IPC分类号： A61N1/00

CPC分类号： A61N1/37282 ,  H04L47/10 ,  H04L47/18 ,  H04L47/2416 ,  H04L47/25 ,  H04L47/26 ,  H04L47/70 ,  H04L47/748 ,  H04L65/80 ,  H04L67/12 ,  H04L67/125 ,  H04L67/32 ,  Y10S128/903 ,  Y10S128/904

摘要： A method for connecting to a remote unit via a communications medium, determining a data transfer rate of the connection, setting a sampling rate between the remote unit and an implantable medical device at least in part as a function of the determined data transfer rate and receiving real time data from the remote unit via said communications medium.

摘要翻译： 一种用于经由通信介质连接到远程单元的方法，确定所述连接的数据传输速率，至少部分地根据所确定的数据传送速率和接收来设置所述远程单元与所述可植入医疗设备之间的采样率 通过所述通信介质来自远程单元的实时数据。

公开(公告)号：US06038476A

公开(公告)日：2000-03-14

申请号：US96590

申请日：1998-06-12

申请人： Allan R. Schwartz

发明人： Allan R. Schwartz

IPC分类号： A61N1/37

CPC分类号： A61N1/37

摘要： An implantable stimulation device (ISD) for recording and displaying cardiac episode history for analyzing efficacy of cardiac therapy. The ISD applies anti-bradycardia therapy in patients who suffer from a slow heart rate, and antitachycardia therapy in patients who experience episodes of high heart rate and/or fibrillation. The ISD detects the occurrence of these episodes, applies the necessary therapy, and stores the chronology of these events in a special memory unit. An external device may be employed to telemetrically retrieve the stored data from the ISD memory unit, and display the data in a time-line fashion for analysis by a physician. The recordation of such data provides a valuable tool for the physician to track cardiac episode history and recommend the appropriate therapy for the patient.

摘要翻译： 一种用于记录和显示心脏发作史的植入式刺激装置（ISD），用于分析心脏治疗的功效。 ISD在患有慢心率的患者中应用抗心动过缓治疗，并且在经历高心率和/或颤动发作的患者中使用抗心动过速治疗。 ISD检测这些情节的发生，应用必要的治疗，并将这些事件的年表存储在特殊的记忆单元中。 可以使用外部设备来从ISD存储器单元遥测地检索存储的数据，并且以时间线方式显示数据以供医生分析。 这些数据的记录为医生跟踪心脏发作史提供了宝贵的工具，并为患者推荐适当的治疗方法。

公开(公告)号：US08527060B2

公开(公告)日：2013-09-03

申请号：US13303715

申请日：2011-11-23

申请人： Jorge N. Amely-Velez ,  Armando M. Cappa ,  J. Terry Benson ,  Robel Borja ,  Allan R. Schwartz ,  Anthony Li

发明人： Jorge N. Amely-Velez ,  Armando M. Cappa ,  J. Terry Benson ,  Robel Borja ,  Allan R. Schwartz ,  Anthony Li

IPC分类号： A61N1/36

CPC分类号： A61N1/37223 ,  A61N1/16 ,  A61N1/37229

摘要： Disclosed herein is a shield for shielding a telemetry wand from electromagnetical interference capable of interfering with telemetry communications between the telemetry wand and an AIMD in a patient. The telemetry wand may include a first side that is configured to be placed against a patient, a second side generally opposite the first side, a lateral side between the first and second sides, a hole extending between the first and second sides, and a cable extending from the lateral side. The shield may include a shell including a wall that defines a volume and an opening in the shell. The volume may be configured to receive therein the telemetry wand such that the second and lateral sides of the telemetry wand face respective portions of the wall and the first side faces the opening in the shell.

摘要翻译： 本文公开了一种用于屏蔽遥测魔杖免受电磁干扰的屏蔽，能够干扰遥测棒与患者中的AIMD之间的遥测通信。 遥测棒可以包括构造成抵靠患者放置的第一侧，大致与第一侧相对的第二侧，第一和第二侧之间的横向侧，在第一和第二侧之间延伸的孔，以及电缆 从侧面延伸。 护罩可以包括壳体，其包括限定容积的壁和壳中的开口。 体积可以被配置为在其中接收遥测棒，使得遥测棒的第二侧面和侧面面对壁的相应部分，并且第一侧面向壳体中的开口。