公开(公告)号：US20140107541A1

公开(公告)日：2014-04-17

申请号：US13836062

申请日：2013-03-15

Applicant: Joseph L. Sullivan ,  Ronald Eugene Stickney ,  Robert G. Walker ,  Daniel Piraino ,  Isabelle Banville ,  Fred Chapman

Inventor： Joseph L. Sullivan ,  Ronald Eugene Stickney ,  Robert G. Walker ,  Daniel Piraino ,  Isabelle Banville ,  Fred Chapman

IPC: A61H31/00

CPC classification number: A61N1/3987 ,  A61B5/04014 ,  A61B5/04015 ,  A61B5/04017 ,  A61B5/04018 ,  A61B5/044 ,  A61B5/046 ,  A61B5/4836 ,  A61B5/486 ,  A61B5/7207 ,  A61B5/7217 ,  A61B5/725 ,  A61B5/7475 ,  A61H31/00 ,  A61H31/005 ,  A61H31/006 ,  A61H2201/5007 ,  A61H2201/5043 ,  A61H2201/5097 ,  A61H2230/045 ,  A61H2230/206 ,  A61H2230/208 ,  A61H2230/305 ,  A61N1/3925 ,  A61N1/3993

Abstract: The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

Abstract translation: 该系统和方法提供心电图分析和优化患者定制的心肺复苏和治疗递送。 外部医疗装置包括壳体和外壳内的处理器。 处理器可以被配置为接收用于接收胸部按压的患者的输入信号，并且选择至少一个过滤器机构并且将过滤器机构应用于信号以至少从信号中去除胸部压缩伪像。 应用心律的实时动态分析来调整和整合医疗器械的CPR提示。 使用节律评估仪便于实时心律的质量。

公开(公告)号：US07937146B2

公开(公告)日：2011-05-03

申请号：US11044871

申请日：2005-01-26

Applicant: Isabelle Banville ,  David Robert Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

Inventor： Isabelle Banville ,  David Robert Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

IPC: A61N1/39

CPC classification number: A61N1/39 ,  A61N1/3993

Abstract: Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

Abstract translation: 提供了用于确定外部除颤器中的除颤治疗方案的方法和装置，由此用户可以覆盖CPR-first默认协议。 该方法包括配置在去纤颤器控制器中发出查询的以下步骤; 等待询问回复一段时间; 如果在设定的时间内没有收到响应，则订购CPR处理协议; 分析回应; 在收到对查询的非肯定回应后订购CPR治疗方案; 并在收到对查询的肯定回应时订购冲击治疗方案。 选择休克治疗方案后，除颤器在休克治疗方案下进行休克分析，如果冲击分析没有表示休克治疗，则可以订购CPR治疗方案，或者如果通过休克分析指示休克治疗，则提供除颤休克 。 查询可以以视觉，听觉或视觉和听觉格式呈现给用户。

公开(公告)号：US20060167505A1

公开(公告)日：2006-07-27

申请号：US11044871

申请日：2005-01-26

Applicant: Isabelle Banville ,  David Hampton ,  Gregory Kavounas ,  Richard Nova

Inventor： Isabelle Banville ,  David Hampton ,  Gregory Kavounas ,  Richard Nova

IPC: A61N1/39

CPC classification number: A61N1/39 ,  A61N1/3993

Abstract: Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

Abstract translation: 提供了用于确定外部除颤器中的除颤治疗方案的方法和装置，由此用户可以覆盖CPR-first默认协议。 该方法包括配置在去纤颤器控制器中发出查询的以下步骤; 等待询问回复一段时间; 如果在设定的时间内没有收到响应，则订购CPR处理协议; 分析回应; 在收到对查询的非肯定回应后订购CPR治疗方案; 并在收到对查询的肯定回应时订购冲击治疗方案。 选择休克治疗方案后，除颤器在休克治疗方案下进行休克分析，如果冲击分析没有表示休克治疗，则可以订购CPR治疗方案，或者如果通过休克分析指示休克治疗，则提供除颤休克 。 查询可以以视觉，听觉或视觉和听觉格式呈现给用户。

公开(公告)号：US07047067B2

公开(公告)日：2006-05-16

申请号：US10160319

申请日：2002-05-31

Applicant: Richard A. Gray ,  Xiaozhong Chen ,  Isabelle Banville

Inventor： Richard A. Gray ,  Xiaozhong Chen ,  Isabelle Banville

IPC: A61B5/452

CPC classification number: A61B5/0464

Abstract: Methods, systems, and computer program products can be provided for evaluating a risk of the occurrence of cardiac arrhythmias in a heart. The system can include at least one sensing electrode and a controller. The sensing electrode can be configured to sense electrical signals from a heart over a range of heart rates. The controller can be configured to determine values of a at least one restitution property of the heart from the sensed electrical signals and to evaluate the risk of the occurrence of cardiac arrhythmias from the determine values of the at least one restitution property.

Abstract translation: 可以提供方法，系统和计算机程序产品来评估心脏心律失常发生的风险。 该系统可以包括至少一个感测电极和控制器。 感测电极可以被配置为在心率范围内感测来自心脏的电信号。 控制器可以被配置为从感测到的电信号中确定心脏的至少一个恢复属性的值，并且根据至少一个恢复属性的确定值来评估心律不齐发生的风险。

公开(公告)号：US09248304B2

公开(公告)日：2016-02-02

申请号：US13085053

申请日：2011-04-12

Applicant: Isabelle Banville ,  David R. Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

Inventor： Isabelle Banville ,  David R. Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

IPC: A61N1/39

CPC classification number: A61N1/3987 ,  A61N1/39

Abstract: Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

公开(公告)号：US20130304143A1

公开(公告)日：2013-11-14

申请号：US13890236

申请日：2013-05-08

Applicant: Isabelle Banville

Inventor： Isabelle Banville

IPC: A61N1/39

CPC classification number: A61N1/3993 ,  A61B5/0205 ,  A61B5/0402 ,  A61B90/98 ,  A61N1/39 ,  A61N1/3925

Abstract: An external medical device can include a medical data collection port for collecting medical data corresponding to a person using the external medical device, a radio frequency identification (RFID) communication module, and a processor configured to cause the RFID communication module to provide the medical data to an RFID device that is external to the external medical device.

Abstract translation: 外部医疗设备可以包括用于收集与使用外部医疗设备的人对应的医疗数据的医疗数据收集端口，射频识别（RFID）通信模块和被配置为使得RFID通信模块提供医疗数据的处理器 涉及外部医疗装置外部的RFID装置。

公开(公告)号：US20110190836A1

公开(公告)日：2011-08-04

申请号：US13085053

申请日：2011-04-12

Applicant: Isabelle Banville ,  David Robert Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

Inventor： Isabelle Banville ,  David Robert Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

IPC: A61N1/39

CPC classification number: A61N1/3987 ,  A61N1/39

Abstract: Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

Abstract translation: 提供了用于确定外部除颤器中的除颤治疗方案的方法和装置，由此用户可以覆盖CPR-first默认协议。 该方法包括配置在去纤颤器控制器中发出查询的以下步骤; 等待询问回复一段时间; 如果在设定的时间内没有收到响应，则订购CPR处理协议; 分析回应; 在收到对查询的非肯定回应后订购CPR治疗方案; 并在收到对查询的肯定回应时订购冲击治疗方案。 选择休克治疗方案后，除颤器在休克治疗方案下进行休克分析，如果冲击分析没有表示休克治疗，则可以订购CPR治疗方案，或者如果通过休克分析指示休克治疗，则提供除颤休克 。 查询可以以视觉，听觉或视觉和听觉格式呈现给用户。

公开(公告)号：US20060173499A1

公开(公告)日：2006-08-03

申请号：US11048303

申请日：2005-01-31

Applicant: David Hampton ,  Isabelle Banville

Inventor： David Hampton ,  Isabelle Banville

IPC: A61N1/39

CPC classification number: A61N1/3962 ,  A61H31/005 ,  A61H2031/002 ,  A61M5/1723 ,  A61M2230/005 ,  A61M2230/04 ,  A61N1/025 ,  A61N1/385 ,  A61N1/39 ,  A61N1/3925 ,  A61N1/3987

Abstract: An external defibrillator system is disclosed that generates and applies a diagnostic signal to the patient in conjunction with defibrillation therapy. The diagnostic signal is designed to elicit a physiologic response from the patient's heart, namely, mechanical cardiac response and electrical cardiac response, electrical cardiac response only, or no cardiac response. Depending upon the type of cardiac response detected, the system selects an appropriate resuscitation protocol that considers the likely responsiveness of the patient to defibrillation therapy. In one practical embodiment, a stimulus signal is applied to patients that show mechanical and electrical capture in response to the diagnostic signal. The stimulus signal maintains the mechanical capture (and, therefore, perfusion) for a period of time prior to the delivery of a defibrillation pulse.

Abstract translation: 公开了一种外部除颤器系统，其与除颤疗法结合产生诊断信号并将其应用于患者。 诊断信号被设计为引起来自患者心脏的生理反应，即机械心脏反应和电心脏反应，仅仅是心脏心脏反应，或者没有心脏反应。 根据检测到的心脏反应的类型，系统选择适当的复苏方案，其考虑患者对除颤治疗的可能响应性。 在一个实际实施例中，刺激信号被应用于响应于诊断信号显示机械和电捕获的患者。 刺激信号在输送除颤脉冲之前的一段时间内保持机械捕获（以及因此灌注）。

公开(公告)号：US20060173498A1

公开(公告)日：2006-08-03

申请号：US11047482

申请日：2005-01-31

Applicant: Isabelle Banville ,  Fred Chapman ,  Robert Walker ,  Joseph Sullivan ,  Richard Nova

Inventor： Isabelle Banville ,  Fred Chapman ,  Robert Walker ,  Joseph Sullivan ,  Richard Nova

IPC: A61N1/39

CPC classification number: A61N1/39 ,  A61N1/3605 ,  A61N1/37211

Abstract: An external defibrillator used to treat a patient wirelessly communicates with an implantable medical device (IMD) implanted in the patient. In some embodiments, a telemetry head may be removably coupled to the external defibrillator to facilitate communication with the IMD. The defibrillator may receive information, such as patient, device, physiological, and treatment information, from the IMD. The defibrillator may use some or all of this information during treatment of the patient. For example, the defibrillator may prompt a user, or modify programmed user prompts based on the information. The defibrillator may deliver therapy based on the information. The information may include real-time values of physiological parameters monitored by the IMD, which may be displayed by the external defibrillator. The external defibrillator may control delivery of therapy by the IMD. The defibrillator may collect medical event information during treatment of the patient, and store the medical event information in the IMD.

Abstract translation: 用于治疗患者的外部除颤器与植入患者的可植入医疗装置（IMD）无线地通信。 在一些实施例中，遥测头可以可移除地耦合到外部除颤器以便于与IMD的通信。 除颤器可以从IMD接收诸如患者，装置，生理和治疗信息的信息。 在治疗患者期间，除颤器可以使用这些信息中的一些或全部。 例如，除颤器可以提示用户，或者基于该信息修改编程的用户提示。 除颤器可以基于该信息进行治疗。 信息可以包括由IMD监测的生理参数的实时值，其可由外部除颤器显示。 外部除颤器可以控制IMD的治疗递送。 除颤器可以在治疗患者期间收集医疗事件信息，并将医疗事件信息存储在IMD中。

公开(公告)号：US08731658B2

公开(公告)日：2014-05-20

申请号：US11048303

申请日：2005-01-31

Applicant: David R. Hampton ,  Isabelle Banville

Inventor： David R. Hampton ,  Isabelle Banville

IPC: A61N1/39 ,  A61N1/38

CPC classification number: A61N1/3962 ,  A61H31/005 ,  A61H2031/002 ,  A61M5/1723 ,  A61M2230/005 ,  A61M2230/04 ,  A61N1/025 ,  A61N1/385 ,  A61N1/39 ,  A61N1/3925 ,  A61N1/3987

Abstract: An external defibrillator system is disclosed that generates and applies a diagnostic signal to the patient in conjunction with defibrillation therapy. The diagnostic signal is designed to elicit a physiologic response from the patient's heart, namely, mechanical cardiac response and electrical cardiac response, electrical cardiac response only, or no cardiac response. Depending upon the type of cardiac response detected, the system selects an appropriate resuscitation protocol that considers the likely responsiveness of the patient to defibrillation therapy. In one practical embodiment, a stimulus signal is applied to patients that show mechanical and electrical capture in response to the diagnostic signal. The stimulus signal maintains the mechanical capture (and, therefore, perfusion) for a period of time prior to the delivery of a defibrillation pulse.

Abstract translation: 公开了一种外部除颤器系统，其与除颤疗法结合产生诊断信号并将其应用于患者。 诊断信号被设计为引起来自患者心脏的生理反应，即机械心脏反应和电心脏反应，仅有电心脏反应或没有心脏反应。 根据检测到的心脏反应的类型，系统选择适当的复苏方案，其考虑患者对除颤治疗的可能响应性。 在一个实际实施例中，刺激信号被应用于响应于诊断信号显示机械和电捕获的患者。 刺激信号在输送除颤脉冲之前的一段时间内保持机械捕获（以及因此灌注）。