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公开(公告)号：US09770183B2
公开(公告)日：2017-09-26
申请号：US12910677
申请日：2010-10-22
申请人： Joseph L. Sullivan
发明人： Joseph L. Sullivan
IPC分类号： A61B5/00 , A61B5/0452 , A61N1/39
CPC分类号： A61B5/0452 , A61N1/3925
摘要： Medical devices, software and methods are provided, for making a decision as to whether to pause patient chest compression treatment in connection with administering electric shock therapy to the patient. The decision is made depending whether signal spikes identified in the ECG data are determined to be QRS complexes, or merely likely impulsive artifact caused by the chest compressions.
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公开(公告)号：US09566440B2
公开(公告)日：2017-02-14
申请号：US13225181
申请日：2011-09-02
申请人： Joseph L. Sullivan
发明人： Joseph L. Sullivan
IPC分类号： A61N1/362
CPC分类号： A61N1/3625
摘要： External pacemaker systems and methods deliver pacing waveforms that minimize hydrolysis of the electrode gel. Compensating pulses are interleaved with the pacing pulses, with a polarity and duration that balance the net charge at the electrode locations. The compensating pulses are preferably rectangular for continuous pacing, and decay individually for on-demand pacing.
摘要翻译： 外部起搏器系统和方法提供最小化电极凝胶水解的起搏波形。 补偿脉冲与起搏脉冲交错，极性和持续时间平衡电极位置处的净电荷。 补偿脉冲优选为用于连续起搏的矩形，并且单独衰减用于按需起搏。
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3.发明授权公开(公告)号：US08838233B2
公开(公告)日：2014-09-16
申请号：US13050462
申请日：2011-03-17
CPC分类号： A61N1/39 , A61N1/3975
摘要： Methods and apparatus are provided for minimizing the inherent time delays within external defibrillators. The methods and apparatuses utilize timing schemes for initiation and completion of charging of an energy storage device of an external defibrillator, measuring one or physical parameters of the patient and conducting a physiology analysis of the patient. The initiation and completion of one or more of these activities are arranged so that the energy storage device is charged to a desired level and available for a defibrillation shock to the patient with minimal delay after activation of the external defibrillator.
摘要翻译： 提供了用于最小化外部除颤器内固有的时间延迟的方法和装置。 所述方法和装置利用定时方案来启动和完成外部除颤器的能量存储装置的充电，测量患者的一个或物理参数并对患者进行生理分析。 这些活动中的一个或多个的启动和完成被布置成使能量存储装置被充电到期望的水平，并且可以在外部除颤器激活之后以最小的延迟对患者进行除颤电击。
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4.发明申请公开(公告)号：US20140107541A1
公开(公告)日：2014-04-17
申请号：US13836062
申请日：2013-03-15
申请人： Joseph L. Sullivan , Ronald Eugene Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred Chapman
发明人： Joseph L. Sullivan , Ronald Eugene Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred Chapman
IPC分类号： A61H31/00
CPC分类号： 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
摘要： 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.
摘要翻译： 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。
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公开(公告)号：US08135460B2
公开(公告)日：2012-03-13
申请号：US12567261
申请日：2009-09-25
IPC分类号： A61N1/00
CPC分类号： G06F19/3481 , A61N1/39 , A61N1/3931 , A61N1/3993 , G06F19/00
摘要： Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator using a measurement of elapsed time. The present invention provides a defibrillator with a timer function. Upon activation of the defibrillator, an internal timer begins to run. By closely associating the activation of the defibrillator with the onset of the patient's attack, and by making allowances for inherent time differences between these events, the timer provides a measure of the elapsed time between the onset of the patient's emergency and the presentation of the defibrillator at the patient's side. Using this measure of elapsed time, the defibrillator determines an appropriate treatment therapy, such as CPR or defibrillation therapy.
摘要翻译： 提供了用于使用经过时间的测量来确定外部除颤器中的除颤治疗方案的方法和装置。 本发明提供具有定时器功能的除颤器。 激活除颤器后，内部定时器开始运行。 通过将除颤器的激活与患者的攻击的开始密切相关，并且通过对这些事件之间的固有时间差进行限制，定时器提供了患者紧急情况发生和除颤器的呈现之间经过的时间的量度 在病人身边。 使用这种测量时间，除颤器确定适当的治疗方法，如CPR或除颤治疗。
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公开(公告)号：US08036742B2
公开(公告)日：2011-10-11
申请号：US10357267
申请日：2003-01-31
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3925
摘要： The invention is directed to techniques for attempting to restore a patient to a normal sinus rhythm. In a patient experiencing asystole or pulseless electrical activity, defibrillation therapy may be ineffective. The invention is directed to techniques for delivering one or more shocks to induce ventricular fibrillation in the patient, followed by one or more defibrillation shocks to restore normal sinus rhythm. A defibrillator may deliver the fibrillation and defibrillation therapies. The invention may also include techniques for estimating the probability that the patient will respond favorably to the defibrillation therapy, and delivering defibrillation therapy when the therapy has a good probability of success.
摘要翻译： 本发明涉及用于尝试将患者恢复到正常窦性心律的技术。 在经历停搏或无脉搏电活动的患者中，除颤疗法可能无效。 本发明涉及用于递送一次或多次冲击以诱发患者心室颤动的技术，随后进行一次或多次除颤休克以恢复正常窦性心律。 除颤器可以递送原纤维和除颤疗法。 本发明还可以包括用于估计患者对除颤治疗有利的响应的可能性的技术，以及当治疗具有良好的成功概率时递送除颤疗法。
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7.发明申请公开(公告)号：US20110166615A1
公开(公告)日：2011-07-07
申请号：US13050462
申请日：2011-03-17
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3975
摘要： Methods and apparatus are provided for minimizing the inherent time delays within external defibrillators. The methods and apparatuses utilize timing schemes for initiation and completion of charging of an energy storage device of an external defibrillator, measuring one or physical parameters of the patient and conducting a physiology analysis of the patient. The initiation and completion of one or more of these activities are arranged so that the energy storage device is charged to a desired level and available for a defibrillation shock to the patient with minimal delay after activation of the external defibrillator.
摘要翻译： 提供了用于最小化外部除颤器内固有的时间延迟的方法和装置。 所述方法和装置利用定时方案来启动和完成外部除颤器的能量存储装置的充电，测量患者的一个或物理参数并进行患者的生理学分析。 这些活动中的一个或多个的启动和完成被布置成使能量存储装置被充电到期望的水平，并且可以在外部除颤器激活之后以最小的延迟对患者进行除颤电击。
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公开(公告)号：US07904152B2
公开(公告)日：2011-03-08
申请号：US11008876
申请日：2004-12-09
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3931 , A61N1/3987 , A61N1/3993
摘要： A method of delivering electrical therapy to a patient by a medical device includes activating the medical device and performing a first analysis of a first set of data signals sensed by the medical device. If the first analysis shows the first set of data signals meets a first criterion, then charging of an energy delivery circuit is commenced upon completion of the first analysis. A second analysis of a second set of data signals from the patient is performed, and if the second analysis determines that the second set of data signals meet a second criterion, the therapy is delivered. The steps of performing the first analysis and performing the second analysis may be begun at substantially the same time. The step of charging may overlap in time with the step of performing a second analysis. The medical device may be an external defibrillator and the therapy may be a defibrillating shock.
摘要翻译： 通过医疗装置将电疗法递送给患者的方法包括激活医疗装置并执行由医疗装置感测的第一组数据信号的第一分析。 如果第一分析显示第一组数据信号满足第一标准，则在完成第一次分析之后开始对能量传递电路进行充电。 执行来自患者的第二组数据信号的第二分析，并且如果第二分析确定第二组数据信号满足第二标准，则传递治疗。 执行第一次分析和执行第二次分析的步骤可以在几乎相同的时间开始。 充电步骤可能与执行第二次分析的步骤时间重叠。 该医疗装置可以是外部除颤器，并且该治疗可能是去纤颤性休克。
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公开(公告)号：US07526345B2
公开(公告)日：2009-04-28
申请号：US10865232
申请日：2004-06-10
IPC分类号： A61N1/39
CPC分类号： A61N1/0492 , A61N1/046 , A61N1/048 , A61N1/3931 , A61N2001/083
摘要： The invention presents an apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.
摘要翻译： 本发明提供了一种用于确定诸如与自动外部除颤器耦合的除颤电极之类的医用电极是否处于替换状态的装置和技术。 该确定可以作为一个或多个数据的函数。 在一个示例性实施例中，确定是测试模块中水凝胶桥的阻抗的一个或多个测量的函数。 在另一个示例性实施例中，确定是来自一个或多个环境传感器的一个或多个环境条件数据的函数。
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10.发明授权公开(公告)号：US07272441B1
公开(公告)日：2007-09-18
申请号：US10712469
申请日：2003-11-12
IPC分类号： A61N1/00
CPC分类号： A61N1/3987 , A61N1/3931 , Y10S128/908
摘要： Methods and apparatus are provided for minimizing the inherent time delays within external defibrillators and allowing operators to administer CPR therapy as close in time as possible to the delivery of a defibrillation shock to a patient. The methods and apparatuses utilize timing schemes for initiation and completion of charging or maintaining the charge of an energy storage device of an external defibrillator for at least a portion of a predetermined CPR therapy delivery time.
摘要翻译： 提供的方法和装置用于最小化外部除颤器内的固有时间延迟，并允许操作者尽可能接近时间地施用CPR治疗以向病人递送除颤电击。 所述方法和装置利用定时方案来启动和完成充电或维持外部除颤器的能量存储装置的电荷至少部分预定的CPR治疗递送时间。
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