公开(公告)号：US20060149157A1

公开(公告)日：2006-07-06

申请号：US11367685

申请日：2006-03-03

申请人： Max Weil ,  Joe Bisera ,  Yonggin Li

发明人： Max Weil ,  Joe Bisera ,  Yonggin Li

IPC分类号： A61B5/0402

CPC分类号： A61B5/046 ,  A61B5/0464 ,  A61B5/0472 ,  A61B5/7207 ,  A61B5/7239 ,  A61B5/726 ,  A61N1/3925

摘要： A method is provided for analyzing the condition of a patient to determine whether or not a defibrillation shock should be applied, without stopping CPR (primarily chest compressions). While chest compressions continue to be applied to the victim, the system differentiates between (1) a perfusing rhythm that has the capability of leading to a beating heart without a shock and (2) ventricular fibrillation (VF) which sometimes occurs in the presence of ventricular tachycardia (VT), in which there is no capability for leading to a beating heart without a shock. Defibrillation shocks should be applied only when needed and that is in the presence of VF and sometimes in the presence of VT. Electrocardiographic (ECG or EKG) signals obtained from electrodes applied to the patient's chest are analyzed so that the presence of a QRS signal characteristic of a rhythm which has the potential of supporting a beating heart, or the absence of a QRS signal which indicates ventricular fibrillation, may be detected in the presence of artifacts resulting from chest compressions.

公开(公告)号：US06171257B2

公开(公告)日：2001-01-09

申请号：US09385537

申请日：1999-08-30

申请人： Max Harry Weil ,  Wanchun Tang ,  Joe Bisera

发明人： Max Harry Weil ,  Wanchun Tang ,  Joe Bisera

IPC分类号： A61B5046

CPC分类号： A61N1/39 ,  A61N1/36592 ,  A61N1/3925

摘要： A method and system (30, 50) for predicting the immediate success of a defibrillatory shock during cardiac arrest are shown. The sequencing of cardiopulmonary resuscitation is determined by an electronic computer (80) based on the probability of success as determined by a comparison of the amplitude spectrum area or the power spectrum area of an electrocardiogram sample and to empirical data. When the probability of successful resuscitation is 80% or greater, immediate defibrillation is implemented. When the probability of success is 20% or less, advanced cardiopulmonary resuscitation is implemented. When the probability of success remains greater than 20% but less than 80% for a period of four minutes, the patient is also defibrillated.

摘要翻译： 示出了用于预测心脏骤停期间除颤器休克的直接成功的方法和系统（30,50）。 基于通过心电图样本的振幅谱面积或功率谱面积的比较确定的成功概率与经验数据，由电子计算机（80）确定心肺复苏的顺序。 当成功复苏的概率为80％以上时，立即进行除颤。 当成功的概率在20％以下时，进行先进的心肺复苏。 当成功的概率在四分钟的时间内保持大于20％但小于80％时，患者也被除颤。

公开(公告)号：US07570993B2

公开(公告)日：2009-08-04

申请号：US09953032

申请日：2001-09-12

申请人： Max Harry Weil ,  Wanchun Tang ,  Joe Bisera

发明人： Max Harry Weil ,  Wanchun Tang ,  Joe Bisera

IPC分类号： A61N1/39

CPC分类号： A61N1/046 ,  A61N1/0472 ,  A61N1/0484 ,  A61N1/14

摘要： Apparatus is provided for treatment of a victim to reverse cardiac arrest by chest compression and by electrical defibrillation through electrodes applied to the chest area of the victim. The apparatus includes a dielectric layer which is placed on the victim to electrically isolate the rescuer who is performing chest compressions. The protective sheet includes a layer of electrically conductive material sandwiched between two dielectric layers to electrically isolate the rescuer. The sandwiched conductive layer is connected to a location on the body of the victim that is spaced a plurality of inches from each of the electrodes.

公开(公告)号：US07039457B2

公开(公告)日：2006-05-02

申请号：US10741302

申请日：2003-12-19

申请人： Clayton Young ,  Joe Bisera ,  Max Harry Weil

发明人： Clayton Young ,  Joe Bisera ,  Max Harry Weil

IPC分类号： A61B5/402

CPC分类号： A61B5/7207 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/7239 ,  A61B5/726 ,  A61N1/3925

摘要： A method is provided for controlling an automatic external defibrillator without stopping CPR (primarily chest compressions). While chest compressions continue to be applied to the victim, the system differentiates between (1) a perfusing rhythm that has the capability of leading to a beating heart without a shock and (2) ventricular fibrillation (VF) which sometimes occurs in the presence of ventricular tachycardia (VT), in which there is no capability for leading to a beating heart without a shock. Defibrillation shocks should be applied only when needed and that is in the presence of VF and sometimes in the presence of VT. Electrocardiographic (ECG or EKG) signals obtained from electrodes applied to the patient's chest are analyzed so that the presence of a QRS signal characteristic of a rhythm which has the potential of supporting a beating heart, or the absence of a QRS signal which indicates ventricular fibrillation, may be detected in the presence of artifacts resulting from chest compressions.

摘要翻译： 提供了一种用于控制自动外部除颤器而不停止CPR（主要是胸部按压）的方法。 虽然胸部按压继续应用于受害者，但是该系统区分（1）具有导致跳动心脏而没有休克的能力的灌注节律和（2）有时在存在下发生的心室颤动（VF）的情况下 室性心动过速（VT），其中没有导致跳动的心脏没有震动的能力。 除颤应该仅在需要时才应用，并且在VF的存在下并且有时在VT的存在下应用。 分析从施加到患者胸部的电极获得的心电图（ECG或EKG）信号，使得存在具有支持跳动心脏的潜力的节律特征的QRS信号的存在，或者不存在表示心室颤动的QRS信号 可以在胸部按压引起的假象的存在下检测。

公开(公告)号：US20050137628A1

公开(公告)日：2005-06-23

申请号：US10741302

申请日：2003-12-19

申请人： Clayton Young ,  Joe Bisera ,  Max Weil

发明人： Clayton Young ,  Joe Bisera ,  Max Weil

IPC分类号： A61B5/046 ,  A61B5/0464 ,  A61N1/39

CPC分类号： A61B5/7207 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/7239 ,  A61B5/726 ,  A61N1/3925

摘要： A method is provided for controlling an automatic external defibrillator without stopping CPR (primarily chest compressions). While chest compressions continue to be applied to the victim, the system differentiates between (1) a perfusing rhythm that has the capability of leading to a beating heart without a shock and (2) ventricular fibrillation (VF) which sometimes occurs in the presence of ventricular tachycardia (VT), in which there is no capability for leading to a beating heart without a shock. Defibrillation shocks should be applied only when needed and that is in the presence of VF and sometimes in the presence of VT. Electrocardiographic (ECG or EKG) signals obtained from electrodes applied to the patient's chest are analyzed so that the presence of a QRS signal characteristic of a rhythm which has the potential of supporting a beating heart, or the absence of a QRS signal which indicates ventricular fibrillation, may be detected in the presence of artifacts resulting from chest compressions.

摘要翻译： 提供了一种用于控制自动外部除颤器而不停止CPR（主要是胸部按压）的方法。 虽然胸部按压继续应用于受害者，但是该系统区分（1）具有导致跳动心脏而没有休克的能力的灌注节律和（2）有时在存在下发生的心室颤动（VF）的情况下 室性心动过速（VT），其中没有导致跳动的心脏没有震动的能力。 除颤应该仅在需要时才应用，并且在VF的存在下并且有时在VT的存在下应用。 分析从施加到患者胸部的电极获得的心电图（ECG或EKG）信号，使得存在具有支持跳动心脏的潜力的节律特征的QRS信号的存在，或者不存在表示心室颤动的QRS信号 可以在胸部按压引起的假象的存在下检测。

公开(公告)号：US08626528B2

公开(公告)日：2014-01-07

申请号：US13212124

申请日：2011-08-17

申请人： Joe Bisera ,  Wanchun Tang

发明人： Joe Bisera ,  Wanchun Tang

IPC分类号： G06Q50/00

CPC分类号： A61M5/00 ,  A61B5/0006 ,  A61B5/0205 ,  A61B5/746 ,  A61M5/16831 ,  A61M5/1684 ,  A61M2005/16863 ,  A61M2205/18

摘要： A patient in intensive care is monitored by connecting the outputs of a plurality of sensors to a computer, where the sensors all relate to one mode of functioning such as heart beating, respiration, infusion of a liquid into the patient, etc. The sensor outputs are delivered to a computer that sounds an alarm, only if all sensors that indicate one function (e.g. heart beating) indicate dangerously low operation of that function. This avoids many false alarms caused by one sensor having a low output such as due to accidental disconnection of a wire.

摘要翻译： 通过将多个传感器的输出连接到计算机来监测重症监护病人，其中传感器全部涉及一种功能模式，例如心脏跳动，呼吸，液体输入患者等。传感器输出 只有当指示一个功能的所有传感器（例如心脏跳动）表明该功能的操作非常危险时才会发送到发出报警的计算机。 这避免了由于一个低输出的传感器引起的许多假警报，例如由于电线意外断开。

公开(公告)号：US20130046158A1

公开(公告)日：2013-02-21

申请号：US13212124

申请日：2011-08-17

申请人： Joe Bisera ,  Wanchun Tang

发明人： Joe Bisera ,  Wanchun Tang

IPC分类号： A61B5/0205 ,  A61M5/14

CPC分类号： A61M5/00 ,  A61B5/0006 ,  A61B5/0205 ,  A61B5/746 ,  A61M5/16831 ,  A61M5/1684 ,  A61M2005/16863 ,  A61M2205/18

摘要： A patient in intensive care is monitored by connecting the outputs of a plurality of sensors to a computer, where the sensors all relate to one mode of functioning such as heart beating, respiration, infusion of a liquid into the patient, etc. The sensor outputs are delivered to a computer that sounds an alarm, only if all sensors that indicate one function (e.g. heart beating) indicate dangerously low operation of that function. This avoids many false alarms caused by one sensor having a low output such as due to accidental disconnection of a wire.

摘要翻译： 通过将多个传感器的输出连接到计算机来监测重症监护病人，其中传感器全部涉及一种功能模式，例如心脏跳动，呼吸，液体输入患者等。传感器输出 只有当指示一个功能的所有传感器（例如心脏跳动）表明该功能的操作非常危险时才会发送到发出报警的计算机。 这避免了由于一个低输出的传感器引起的许多假警报，例如由于电线意外断开。

公开(公告)号：US20080086057A1

公开(公告)日：2008-04-10

申请号：US11524866

申请日：2006-09-21

申请人： Alain L. Fymat ,  Max Harry Weil ,  Wanchun Tang ,  Joe Bisera ,  Giuseppe Ristagno

发明人： Alain L. Fymat ,  Max Harry Weil ,  Wanchun Tang ,  Joe Bisera ,  Giuseppe Ristagno

IPC分类号： A61B6/00

CPC分类号： A61B5/0059 ,  A61B5/02007 ,  A61B5/0261 ,  A61B5/412

摘要： A real time image is created of blood circulation deep (e.g. a plurality of millimeters) below the surface of living tissue to aid in evaluating a patient. A first beam (26) of circularly polarized light is directed forwardly (F) against an outer surface (14) of the tissue, the circularly polarized beam penetrating into a deep region (12) of the tissue. Along shallow depths (42), light of the first beam is scattered a minimum amount from tissue and a portion of such light that passes rearwardly and out of the tissue remains polarized. Along greater depths (12), light of the first beam is scattered much more and becomes depolarized, and a portion of that deep light travels rearwardly (R) and back illuminates the overlying tissue. Light emerging from the outer surface of the tissue and traveling rearwardly, which constitutes a second beam (36), is passed through a depolarizing filter (24) that passes primarily only unpolarized light, so light from a shallow depth is largely blocked. The unpolarized light of the filtered second beam is focused on a photodetector (48) that creates electrical signals representing a real time image. Light spots (54) on the image that move, represent spaces between blood platelets (52) that are moving through a capillary, and indicates the velocity of blood through the capillary.

摘要翻译： 在生物体组织表面下方深层（例如，多个毫米）产生血液循环的实时图像，以帮助评估患者。 圆偏振光的第一光束（26）向前（F）指向组织的外表面（14），圆偏振光束穿透组织的深部区域（12）。 沿着浅深度（42），第一光束的光从组织中散射最小量，并且这些光向后通过并从组织出来的部分保持偏振。 沿着更深的深度（12），第一光束的光被散射得更多并且变得去极化，并且该一部分深光向后行进（R）并且向后照射上覆的组织。 构成第二光束（36）的从组织的外表面向后移动的光通过仅主要通过非偏振光的去极化滤光器（24），因此来自浅深度的光被大大阻挡。 被滤波的第二光束的非偏振光聚焦在产生表示实时图像的电信号的光电检测器（48）上。 移动的图像上的光点（54）表示在血细胞移动的血小板（52）之间的空间，并且指示通过毛细管的血液的速度。

公开(公告)号：US20050203362A1

公开(公告)日：2005-09-15

申请号：US10860829

申请日：2004-06-04

申请人： Carlos Castillo ,  Max Weil ,  Joe Bisera ,  Clayton Young

发明人： Carlos Castillo ,  Max Weil ,  Joe Bisera ,  Clayton Young

IPC分类号： A61B5/00 ,  A61B5/05 ,  A61B5/08 ,  H03H11/26

CPC分类号： A61B5/682 ,  A61B5/061 ,  A61B5/08 ,  A61B5/145

摘要： Devices for treating a patient by measuring a condition, such as the partial pressure of CO2, at a location on a mucosal membrane surface in the mouth region of the patient, includes a sensor (14, 16) with an end (44, 46) that lies against the mucosal surface, and a seal (20) that extends 360° around the sensor end and presses against the mucosal surface. The sensor end and the seal lie on the first end portion (24) of a holder (22) which has a second end portion (26) that presses against the outside of the patient at a location opposite the sensor and seal. The holder is a clasp which can be formed as a single piece of resilient material that extends in a loop, or which can be formed in the manner of a clothespin with a spring that pivots two bars to urge their end portions towards each other.

摘要翻译： 用于通过在患者口腔区域的粘膜表面上的位置测量诸如CO 2分压的状况来治疗患者的装置包括传感器（14,16） 其具有抵靠粘膜表面的端部（44,46）和围绕传感器端部360度延伸并压靠粘膜表面的密封件（20）。 传感器端部和密封件位于保持器（22）的第一端部（24）上，该保持器具有在与传感器和密封件相对的位置处挤压患者外部的第二端部（26）。 保持器是可以形成为以环形延伸的单个弹性材料的扣件，或者可以以具有枢转两个杆以将它们的端部朝向彼此推动的弹簧的形式形成为晾衣架的方式。

公开(公告)号：US20050015026A1

公开(公告)日：2005-01-20

申请号：US10620481

申请日：2003-07-16

申请人： Max Well ,  Joe Bisera ,  Clayton Young ,  Carlost Castillo

发明人： Max Well ,  Joe Bisera ,  Clayton Young ,  Carlost Castillo

IPC分类号： A61H9/00 ,  A61H31/00

CPC分类号： A61M16/10 ,  A61H9/0071 ,  A61H31/006 ,  A61H2031/003 ,  A61H2201/1238 ,  A61M16/06 ,  A61M2202/0208

摘要： Apparatus for repeatedly compressing the chest of a patient to stimulate blood circulation and breathing, includes an energizable actuator (16) that repeatedly presses against the patient's chest, a torso wrap (32) that wraps to the back of the patient, and a stabilizer (130) that minimizes tilt of the actuator. The stabilizer is generally in the form of an inflatable toroid, or foam toroid, which extends substantially completely around the actuator to prevent tilting in any direction. The actuator includes a reciprocating member (14) that is not only moved down to compress the chest, but that is also pushed up to allow the chest to rise more rapidly. A pressing member (68) at the bottom of the reciprocating member, can tilt. The means for cycling includes compressed breathing gas for cyclically pushing down the reciprocating member, the actuator exhaust being delivered to the patient for breathing. Chest compression and chest recovery, respectively occupy under 30%, and over 70% of the duration of each cycle.

摘要翻译： 用于反复压缩患者胸部以刺激血液循环和呼吸的装置包括反复压靠患者胸部的可激励致动器（16），包裹患者背部的躯干包裹物（32）和稳定器 130）使致动器的倾斜最小化。 稳定器通常为充气环形或泡沫环形的形式，其基本上完全延伸在致动器周围以防止在任何方向上的倾斜。 致动器包括不仅向下移动以压缩胸部的往复运动构件（14），而且还被向上推动以允许胸部更快地上升。 往复运动件底部的按压件（68）可以倾斜。 用于循环的装置包括用于循环地向下推动往复运动构件的压缩呼吸气体，致动器排气被输送到患者呼吸。 胸部压缩和胸部恢复分别占30％以下，超过每周期持续时间的70％以上。