公开(公告)号：US20170188871A1

公开(公告)日：2017-07-06

申请号：US15406627

申请日：2017-01-13

申请人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

发明人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

IPC分类号： A61B5/0408 ,  A61B5/0205 ,  A61B5/00

CPC分类号： A61B5/04085 ,  A61B5/0006 ,  A61B5/0022 ,  A61B5/01 ,  A61B5/02055 ,  A61B5/021 ,  A61B5/04017 ,  A61B5/04087 ,  A61B5/04325 ,  A61B5/0452 ,  A61B5/04525 ,  A61B5/0816 ,  A61B5/087 ,  A61B5/091 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/14532 ,  A61B5/14542 ,  A61B5/14551 ,  A61B5/4809 ,  A61B5/6801 ,  A61B5/6823 ,  A61B5/6833 ,  A61B5/7455 ,  A61B2505/07 ,  A61B2560/0271 ,  A61B2560/0412 ,  A61B2560/045 ,  A61B2562/0219 ,  A61B2562/164 ,  G01N27/307

摘要： An electrocardiography patch is provided. A flexible backing is formed of an elongated strip of stretchable material and a pair of electrodes is respectively affixed on a contact surface of each end of the elongated strip. A flexible circuit is affixed on each end of the elongated strip and includes a pair of circuit traces electrically coupled to each electrode. A non-conductive receptacle is securely adhered on the one end of the elongated strip opposite the contact surface and formed to removably receive an electrocardiography monitor and house a battery. Electrical pads are provided on a bottom surface of the non-conductive receptacle to interface with electrical contacts protruding from the electrocardiography monitor. A pair of the electrical pads is formed to electrically couple with the electrodes. A pair of battery leads is formed on the non-conductive receptacle to electrically interface the battery to another pair of the electrical pads.

公开(公告)号：US09144683B2

公开(公告)日：2015-09-29

申请号：US11554185

申请日：2006-10-30

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann

IPC分类号： A61N1/39 ,  A61N1/362 ,  A61N1/375

CPC分类号： A61N1/362 ,  A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3962 ,  A61N1/3968 ,  A61N1/3975

摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.

摘要翻译： 一种用于可植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位并使用引导系统，其不直接接触患者的心脏或者位于胸腔内血管内并且用于向患者的心脏起搏能量提供抗心动过缓起搏能量 心脏，包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过缓起搏能量。

公开(公告)号：US09037477B2

公开(公告)日：2015-05-19

申请号：US12901461

申请日：2010-10-08

申请人： Gust H. Bardy ,  Jon Mikalson Bishay

发明人： Gust H. Bardy ,  Jon Mikalson Bishay

IPC分类号： G06Q50/00 ,  A61B5/00 ,  A61B5/0402 ,  A61B5/0432 ,  G06F19/00

CPC分类号： A61B5/0006 ,  A61B5/0402 ,  A61B5/0432 ,  A61B2562/08 ,  G06F19/00 ,  G16H10/60 ,  G16H40/20 ,  G16H80/00

摘要： A computer-implemented method for evaluating ambulatory electrocardiographic (ECG) monitoring of cardiac rhythm disorders is provided. A patient is registered online and medical records for the patient are assembled. An ambulatory ECG monitor that includes leadless integrated sensing electrodes independently suspended from a flexible housing, is registered to the patient. An electrocardiogram is retrieved from the recording circuitry. The electrocardiogram and the medical records are evaluated against diagnostic criteria. Upon making a finding when the diagnostic criteria is met, the patient is referred to a cardiac rhythm specialist online, which includes sending the cardiac rhythm abnormality finding. As a result, both physicians and patients enjoy an ease-of-use not found with conventional ambulatory ECG monitors. By bypassing determining whether a referral is needed and separately establishing the referral, patients can be treated more completely and more rapidly than through conventional patient referral, especially for serious illness, with less cost and less delay.

摘要翻译： 提供了一种用于评估心律失常心电图（ECG）监测的计算机实现方法。 患者在线注册，患者的医疗记录已组装。 包括独立悬挂在柔性外壳上的无引线集成感测电极的移动式ECG监视器被注册到患者身上。 从记录电路检索心电图。 根据诊断标准评估心电图和医疗记录。 当诊断标准满足时进行发现，患者被称为在线心律专家，其包括发送心律异常发现。 因此，两位医生和患者均享有常规心电图监护仪无法使用的易用性。 通过绕过确定是否需要转诊并单独建立转诊，患者可以比通过常规患者转诊更为完整和更快速地治疗，特别是对于严重疾病，成本较低和延迟较少。

公开(公告)号：US08874200B2

公开(公告)日：2014-10-28

申请号：US11933278

申请日：2007-10-31

申请人： Gust H. Bardy

发明人： Gust H. Bardy

IPC分类号： A61B5/046 ,  A61B5/00 ,  A61N1/372 ,  A61N1/362 ,  A61B5/0452

CPC分类号： A61B5/0452 ,  A61B5/0031 ,  A61B5/046 ,  A61N1/3622 ,  A61N1/37282 ,  G06F19/00 ,  Y10S128/923

摘要： A system and method for automated diagnosis of atrial fibrillation through remote monitoring is described. Physiological measures including data either recorded on a regular basis by a medical device or derived therefrom are stored. Physiological measures recorded during a baseline period are identified. Physiological measures including cardiac rhythm and changes to the cardiac rhythm originating subsequent to the baseline period are identified. Cardiac rhythm changes for palpitations are evaluated and a time course for the cardiac rhythm changes upon an indication of palpitations is determined. A patient status including an onset of atrial fibrillation conditioned on the time course comprising a short duration is formed.

摘要翻译： 描述了通过远程监测自动诊断房颤的系统和方法。 存储包括由医疗装置定期记录或由其导出的数据的生理测量。 确定在基线期间记录的生理指标。 确定包括心律在内的生理测量以及基线期之后发生的心律的改变。 对心律的心律变化进行评估，并且确定心悸指示时心脏节律的时间过程发生变化。 形成包括在包括短持续时间的时间过程的条件下的心房颤动发作的患者状态。

公开(公告)号：US08412320B2

公开(公告)日：2013-04-02

申请号：US11205447

申请日：2005-08-17

申请人： Alan H. Ostroff ,  William J. Rissmann ,  Gary P. Mezack ,  Gust H. Bardy

发明人： Alan H. Ostroff ,  William J. Rissmann ,  Gary P. Mezack ,  Gust H. Bardy

IPC分类号： A61N1/39

CPC分类号： A61N1/0504 ,  A61N1/3621 ,  A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3962 ,  A61N1/3968 ,  A61N1/3975

摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-tachycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-tachycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-tachycardia pacing energy to the capacitor subsystem.

摘要翻译： 一种用于植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位，并且使用不直接接触患者心脏或位于胸内血管内的引导系统，并用于向患者提供抗心动过速起搏能量 心脏，包括用于存储用于递送至患者心脏的抗心动过速起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过速起搏能量。

公开(公告)号：US20120323290A1

公开(公告)日：2012-12-20

申请号：US13599513

申请日：2012-08-30

申请人： Jay A. Warren ,  Gust H. Bardy

发明人： Jay A. Warren ,  Gust H. Bardy

IPC分类号： A61N1/39

CPC分类号： A61N1/3621 ,  A61N1/3943 ,  A61N1/3956

摘要： Adaptive methods for initiating charging of the high power capacitors of an implantable medical device for therapy delivery after the patient experiences a non-sustained arrhythmia, and devices that perform such methods. The adaptive methods and devices adjust persistence criteria used to analyze an arrhythmia prior to initiating a charging sequence to deliver therapy. Some embodiments apply a specific sequence of X-out-of-Y criteria, persistence criteria, and last event criteria before starting charging for therapy delivery.

公开(公告)号：US08277378B2

公开(公告)日：2012-10-02

申请号：US11540251

申请日：2006-09-29

申请人： Gust H. Bardy

发明人： Gust H. Bardy

IPC分类号： A61B5/00

CPC分类号： A61B5/0031 ,  A61B5/0205 ,  G06F19/00 ,  G06F19/3418 ,  G06Q50/24 ,  G16H10/60 ,  G16H40/63 ,  Y10S128/92

摘要： A system and method for collection and analysis of patient information for automated remote patient care is disclosed. Patient care records in a database are collected. Each patient care record is defined and includes collected measurements sets. Each collected measurements set is specified and includes individual measurements, which each relate to patient information recorded by a medical device adapted to be implanted. At least one of the collected measurements sets is processed. A set of the collected measurements regularly stored and periodically sent from the implantable medical device is received. The collected measurements set are stored into the patient care record. One or more of the collected measurements sets are analyzed in the patient care record for the individual patient relative to one or more other collected measurements sets stored in the patient care record. Feedback based on the analysis of the one or more collected measurements sets is sent.

摘要翻译： 公开了用于收集和分析用于自动化远程病人护理的患者信息的系统和方法。 收集数据库中的病人护理记录。 定义每个患者护理记录，并包括收集的测量组。 指定每个收集的测量集，并且包括单独的测量，每个测量涉及由适于被植入的医疗设备记录的患者信息。 所收集的测量集中的至少一个被处理。 接收从植入式医疗装置定期存储并定期发送的一组收集的测量。 收集的测量集存储在患者护理记录中。 相对于存储在患者护理记录中的一个或多个其他收集的测量集，在个体患者的患者护理记录中分析所收集的测量集合中的一个或多个。 发送基于一个或多个收集的测量集的分析的反馈。

公开(公告)号：US08160699B2

公开(公告)日：2012-04-17

申请号：US12901333

申请日：2010-10-08

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/375

CPC分类号： A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： One embodiment of the present invention provides an implantable cardioverter defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing; an electrical circuit located within the housing; a first electrode coupled to the electrical circuit and located on the housing; and a second electrode coupled to the electrical circuit.

摘要翻译： 本发明的一个实施例提供了一种可植入式心律转复除颤器，用于在患者体内的第三肋与第十二肋之间进行皮下定位，所述植入式心律转复除颤器包括壳体; 位于壳体内的电路; 耦合到所述电路并且位于所述壳体上的第一电极; 以及耦合到所述电路的第二电极。

公开(公告)号：US20120089412A1

公开(公告)日：2012-04-12

申请号：US12901433

申请日：2010-10-08

申请人： Gust H. Bardy ,  Jon Mikalson Bishay

发明人： Gust H. Bardy ,  Jon Mikalson Bishay

IPC分类号： G06Q50/00

CPC分类号： G06Q50/22 ,  G16H10/60 ,  G16H40/20 ,  G16H80/00

摘要： A computer-implemented system and method for facilitating patient advocacy through online health care is provided. A patient advocacy database is maintained. General physicians and specialist physicians are listed in database records, as well as a diagnostic criteria for health disorders for each specialist. A patient referral tree is built with each general physician associated with specialists. A medical service network includes the referral tree as designating health care and medical service providers. A patient is enrolled in the network. Medical data provided by the patient is evaluated against the diagnostic criteria of each of the specialists for medical concerns. Each specialist in the referral tree corresponding to findings made under their respective diagnostic criteria is identified. The patient is referred for care to the specialist associated with the patient's general physician. Throughout, the patient is provided with information to make an informed decision with respect to the specialist care received.

摘要翻译： 提供了一种用于通过在线医疗保健促进患者宣传的计算机实现的系统和方法。 保持患者宣传数据库。 一般医师和专科医师被列入数据库记录，以及每个专家的健康障碍诊断标准。 与每位与专家有关的综合医师建立病人转诊树。 医疗服务网络包括转诊树，指定医疗保健和医疗服务提供者。 患者登记在网络中。 根据医疗顾问的每位专家的诊断标准评估患者提供的医疗数据。 确定与根据各自诊断标准作出的结果对应的转诊树中的每位专家。 患者被转诊给与患者的一般医师相关的专家。 在整个过程中，患者被提供有关所收到的专业护理作出知情决定的信息。

公开(公告)号：US20120089001A1

公开(公告)日：2012-04-12

申请号：US12901444

申请日：2010-10-08

申请人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

发明人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

IPC分类号： A61B5/0408 ,  A61B5/0402

CPC分类号： A61B5/04325 ,  A61B5/02438 ,  A61B5/0404 ,  A61B5/04085 ,  A61B5/04282 ,  A61B5/1118 ,  A61B5/6833 ,  A61B5/7207 ,  A61B2560/0412 ,  A61B2560/0468

摘要： A method for performing ambulatory electrocardiographic monitoring is provided. An ambulatory ECG monitor, that includes a plurality of sensing electrodes coupled to self-powered sensing circuitry, is provisioned. A monitoring site is located on the surface of a patient's chest at midline and above the body of the sternum adjacent to the fourth and fifth intercostal spaces. The electrodes are aligned and placed along the midline. The ambulatory ECG monitor is removably adhered to the monitoring site for the duration of monitoring. ECG data is sensed through the sensing electrodes at the monitoring site and the sensed ECG data is recorded into the sensing circuitry.

摘要翻译： 提供了一种执行动态心电图监测的方法。 提供了一种动态ECG监视器，其包括耦合到自供电感测电路的多个感测电极。 监测点位于与第四和第五肋间相邻的胸骨身体中线和上方的患者胸部表面。 电极沿着中线对齐并放置。 在监测期间，动态心电图监护仪可移除地粘附于监测点。 通过监测点处的感测电极感测ECG数据，并将感测到的ECG数据记录到感测电路中。