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公开(公告)号：US09675268B2
公开(公告)日：2017-06-13
申请号：US12940293
申请日：2010-11-05
CPC分类号： A61B5/0456 , A61B5/1116 , A61B5/1118 , A61B5/1135 , A61B5/4806 , A61B5/4809 , A61B5/4818 , A61B7/003 , A61B2562/0219
摘要： A vector method for monitoring a subject's sleep-disordered breathing utilizing a single, anatomy-attached (anatomically outside or implanted inside), three-orthogonal-axis accelerometer(s), including the steps of (1) collecting from a sleeping subject three-orthogonal-axis data relating to at least one of sound data, subject posture, subject activity, snoring, and respiration, and (2) following such collecting, processing and analyzing collected data to detect associated, disordered breathing including assessing the presence of at least one of (a) sleep-disordered breathing generally, (b) sleep apnea specifically, and (c) differentiation between central and obstructive sleep apnea. Further involved is the acquiring of ECG data, and that the mentioned processing and analyzing include recognition of such acquired ECG data.
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2.发明申请公开(公告)号：US20090112108A1
公开(公告)日：2009-04-30
申请号：US12288746
申请日：2008-10-22
IPC分类号： A61B5/0402 , A61N1/37
CPC分类号： A61B5/0402 , A61B5/0452 , A61B7/026
摘要： A method utilizing computer processing for detecting, within a cardiac cycle, the earliest onset of global, Q-onset, ventricular depolarization in the presence of an operating pacemaker. The method, in general terms, features (a) gathering a plurality of ECG-obtained QRS heart-cycles waveforms, (b) identifying and categorizing of evidences and specific timings therein of intrinsic Q-onset and pacemaker spike events, (c) looking in a single, selected QRS waveform, between specific, defined first and second time marks, for the most significant slope change appearing in that waveform, and (d) designating to be the correct Q-onset that event which immediately precedes that slope change.
摘要翻译： 一种使用计算机处理的方法，用于在心脏周期内检测在起搏器操作的情况下全球性，Q发作，心室去极化的最早发作。 一般来说，该方法的特征（a）收集多个ECG获得的QRS心脏周期波形，（b）识别和分类其中的证据和其中的固有Q起始和起搏器猝发事件的具体时间，（c） 在特定的，定义的第一和第二时间标记之间的单个选择的QRS波形中，用于在该波形中出现的最显着的斜率变化，以及（d）指定为恰好在该斜率变化之前的恰好的Q起始事件。
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公开(公告)号：US06381492B1
公开(公告)日：2002-04-30
申请号：US09545665
申请日：2000-04-07
申请人： Martin G. Rockwell , Gregory D. Brink , Jonathan N. Andrews , David L. Burton , Patricia A. Arand , Nancy H. Forman , Kenneth S. Rucker , John Kent , Daniel J. Powers
发明人： Martin G. Rockwell , Gregory D. Brink , Jonathan N. Andrews , David L. Burton , Patricia A. Arand , Nancy H. Forman , Kenneth S. Rucker , John Kent , Daniel J. Powers
IPC分类号： A61N139
CPC分类号： A61N1/39 , A61N1/3925 , Y10S128/903
摘要： A defibrillator having infrared communication capability is provided. The wireless communications capability is implemented using infrared light or RF communications and standardized communications protocols such as the IrDA protocol to allow for ready communication between defibrillators such as during handoffs of patient along the Chain of Survival. The wireless communications network also allows for communications between a defibrillator and a host computer such as a palmtop for incident report generation after each handoff. Another embodiment of the present invention provides for a defibrillator having an infrared mode switch to allow for restricted access to advanced cardiac life support (ACLS) features of the defibrillator. A further embodiment of the present invention provides for a defibrillator having a remote training mode that is implemented via wireless communications. Another embodiment of the present invention provides for a defibrillator test system that is implemented via wireless communications. A further embodiment of the present invention provides for a live ECG telemetry data link using the wireless communications system.
摘要翻译： 提供具有红外通信能力的除颤器。 无线通信能力使用红外光或RF通信以及诸如IrDA协议的标准化通信协议来实现，以允许除颤器之间的准备好的通信，例如沿着生存链的患者的切换期间。 无线通信网络还允许除颤器和诸如掌上电脑的主计算机之间的通信，用于在每次切换之后生成事件报告。 本发明的另一个实施例提供一种除颤器，其具有红外模式开关以允许限制地访问除颤器的高级心脏生命支持（ACLS）特征。 本发明的另一实施例提供一种具有通过无线通信实现的远程训练模式的除颤器。 本发明的另一个实施例提供了一种通过无线通信实现的除颤器测试系统。 本发明的另一实施例提供使用无线通信系统的实时ECG遥测数据链路。
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公开(公告)号：US6021349A
公开(公告)日：2000-02-01
申请号：US126905
申请日：1998-07-31
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3993
摘要： A dual-mode defibrillator has ECG electrodes connected to an ECG front end for producing signals for the controller to use in determining the defibrillator operation in accordance with the manual and automatic procedures stored in a memory. The controller provides appropriate signals to the high voltage delivery system which when energized, applies defibrillation energy to the electrodes.
摘要翻译： 双模式除颤器具有连接到ECG前端的ECG电极，用于根据存储在存储器中的手动和自动程序产生控制器用于确定除颤器操作的信号。 控制器为高压输送系统提供适当的信号，当通电时，向电极施加除颤能量。
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公开(公告)号：US08577448B2
公开(公告)日：2013-11-05
申请号：US12287915
申请日：2008-10-14
CPC分类号： A61B7/00 , A61B5/0402 , A61B5/0816 , A61B5/4818 , A61B5/726
摘要： A computer-based detection method employable with a sleeping subject for aiding in the differential-character diagnosis and treatments of apneic events includes gathering heart-sound data, including S1 data and S2 data. A combined time-frequency-intensity (TFI) analysis, of the gathered data is performed, in a continuous manner, over a selected time period. Based on the performing and the performed TFI analysis, an output is produced which is indicative of the presence and character of any detected apneic event.
摘要翻译： 用于辅助差异字符诊断和呼吸暂停事件处理的睡眠对象的基于计算机的检测方法包括收集包括S1数据和S2数据的心音数据。 在所选择的时间段内以连续的方式执行所收集的数据的组合时频强度（TFI）分析。 基于执行和执行的TFI分析，产生指示任何检测到的呼吸暂停事件的存在和特性的输出。
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6.发明授权Combining to a singularity plural-anatomical-site, heart-functionality measurements 有权结合单个复数解剖位点，心脏功能测量公开(公告)号：US08105241B2
公开(公告)日：2012-01-31
申请号：US12288712
申请日：2008-10-22
IPC分类号： A61B5/04
CPC分类号： A61B5/0402 , A61B5/0452 , A61B7/026
摘要： Combining, to a singularity, from a plurality of anatomical sites, and over a plurality of heart cycles a collection of selected heart-functionality parameter measurements, such as EMAT, LVST, PADT, and AAFT measurements, including (a) collecting ECG and heart-sound data from plural anatomical sites, (b) computer processing such data to acquire plural, per-site, per-heart-cycle, nominal values for the selected parameter, (c) utilizing arithmetic mean and selected variance calculations related to such nominal values processing, and determined weight coefficients, computing weighted nominal values, (d) computing a weighted, nominal-value average of all of the nominal values by summing all of the weighted values and dividing that sum by the sum of all of the weight coefficients, and (e) presenting the computed weighted average as the combined, singularity value of the selected heart-functionality parameter.
摘要翻译： 从多个解剖部位，以及多个心脏周期组合选择的心脏功能参数测量（例如EMAT，LVST，PADT和AAFT测量）的集合，包括（a）收集ECG和心脏 来自多个解剖部位的完整数据，（b）计算机处理这样的数据以获取所选参数的多个每站点，每个心脏周期的标称值，（c）利用与这样的标称值相关的算术平均值和选择的方差计算 值处理和确定的权重系数，计算加权的标称值，（d）通过将所有加权值相加并将该和除以所有权重系数的和来计算所有标称值的加权的标称值平均值 ，和（e）将所计算的加权平均值呈现为所选心脏功能参数的组合奇异值。
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公开(公告)号：US20110105915A1
公开(公告)日：2011-05-05
申请号：US12940293
申请日：2010-11-05
IPC分类号： A61B5/08 , A61B5/0402
CPC分类号： A61B5/0456 , A61B5/1116 , A61B5/1118 , A61B5/1135 , A61B5/4806 , A61B5/4809 , A61B5/4818 , A61B7/003 , A61B2562/0219
摘要： A vector method for monitoring a subject's sleep-disordered breathing utilizing a single, anatomy-attached (anatomically outside or implanted inside), three-orthogonal-axis accelerometer(s), including the steps of (1) collecting from a sleeping subject three-orthogonal-axis data relating to at least one of sound data, subject posture, subject activity, snoring, and respiration, and (2) following such collecting, processing and analyzing collected data to detect associated, disordered breathing including assessing the presence of at least one of (a) sleep-disordered breathing generally, (b) sleep apnea specifically, and (c) differentiation between central and obstructive sleep apnea. Further involved is the acquiring of ECG data, and that the mentioned processing and analyzing include recognition of such acquired ECG data.
摘要翻译： 一种用于使用单个解剖附接（解剖学外部或植入内部），三正交轴加速度计来监测受试者睡眠呼吸呼吸的矢量方法，包括以下步骤：（1）从睡眠对象三维 与声音数据，对象姿势，受试者活动，打鼾和呼吸中的至少一个相关的正交轴数据，以及（2）在收集，处理和分析收集的数据以检测相关的无序呼吸之后，包括评估至少存在 （a）睡眠呼吸障碍一般，（b）睡眠呼吸暂停特异性，（c）中枢性和阻塞性睡眠呼吸暂停之间的分化。 进一步涉及ECG数据的获取，并且所提到的处理和分析包括对这样获取的ECG数据的识别。
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公开(公告)号：US06438417B1
公开(公告)日：2002-08-20
申请号：US09545210
申请日：2000-04-07
申请人： Martin G. Rockwell , Gregory D. Brink , Jonathan N. Andrews , David L. Burton , Patricia A. Arand , Nancy H. Forman , Kenneth S. Rucker , John Kent , Daniel J. Power
发明人： Martin G. Rockwell , Gregory D. Brink , Jonathan N. Andrews , David L. Burton , Patricia A. Arand , Nancy H. Forman , Kenneth S. Rucker , John Kent , Daniel J. Power
IPC分类号： A61N139
CPC分类号： A61N1/39 , A61N1/3925 , Y10S128/903
摘要： A defibrillator having infrared communication capability is provided. The wireless communications capability is implemented using infrared light or RF communications and standardized communications protocols such as the IrDA protocol to allow for ready communication between defibrillators such as during handoffs of patient along the Chain of Survival. The wireless communications network also allows for communications between a defibrillator and a host computer such as a palmtop for incident report generation after each handoff. Another embodiment of the present invention provides for a defibrillator having an infrared mode switch to allow for restricted access to advanced cardiac life support (ACLS) features of the defibrillator. A further embodiment of the present invention provides for a defibrillator having a remote training mode that is implemented via wireless communications. Another embodiment of the present invention provides for a defibrillator test system that is implemented via wireless communications. A further embodiment of the present invention provides for a live ECG telemetry data link using the wireless communications system.
摘要翻译： 提供具有红外通信能力的除颤器。 无线通信能力使用红外光或RF通信以及诸如IrDA协议的标准化通信协议来实现，以允许除颤器之间的准备好的通信，例如沿着生存链的患者的切换期间。 无线通信网络还允许除颤器和诸如掌上电脑的主计算机之间的通信，用于在每次切换之后生成事件报告。 本发明的另一个实施例提供一种除颤器，其具有红外模式开关以允许限制地访问除颤器的高级心脏生命支持（ACLS）特征。 本发明的另一实施例提供一种具有通过无线通信实现的远程训练模式的除颤器。 本发明的另一个实施例提供了一种通过无线通信实现的除颤器测试系统。 本发明的另一实施例提供使用无线通信系统的实时ECG遥测数据链路。
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9.发明授权Method and apparatus for detecting heartbeats in an ECG waveform using an activity function and on-time search 失效使用活动功能和准时搜索在ECG波形中检测心跳的方法和装置
公开(公告)号：US5715829A
公开(公告)日：1998-02-10
申请号：US564889
申请日：1995-11-29
申请人： Patricia A. Arand , William L. Post
发明人： Patricia A. Arand , William L. Post
IPC分类号： A61B5/0452 , G06F17/00 , A61B5/0402
CPC分类号： A61B5/0456 , A61B5/7207
摘要： A method and apparatus for detecting heartbeats obtains ECG data from a plurality of ECG waveforms, which are in turn obtained from signals received from a plurality of ECG electrodes. QRS detection logic detects heartbeats in the ECG data. This logic calculates an activity function from a subset of the plurality of ECG waveforms determined to be least noisy, and uses this activity function to search for heartbeats. The QRS detection logic allows for true heartbeats to be detected while discarding false "noise" beats.
摘要翻译： 用于检测心跳的方法和装置从多个ECG波形获得ECG数据，ECG数据又从从多个ECG电极接收的信号中获得。 QRS检测逻辑检测ECG数据中的心跳。 该逻辑从确定为最不嘈杂的多个ECG波形的子集中计算活动函数，并且使用该活动函数来搜索心跳。 QRS检测逻辑允许检测真实的心跳，同时丢弃假的“噪声”节拍。
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10.发明授权Method and apparatus for obtaining heartbeat measurements from a ECG waveform 失效用于从ECG波形获得心跳测量的方法和装置
公开(公告)号：US5682900A
公开(公告)日：1997-11-04
申请号：US564774
申请日：1995-11-29
申请人： Patricia A. Arand , William L. Post
发明人： Patricia A. Arand , William L. Post
IPC分类号： A61B5/0452 , G06F17/00 , A61B5/0472
CPC分类号： A61B5/04525 , A61B5/7264 , A61B5/0245
摘要： A method and apparatus for obtaining heartbeat measurements obtains ECG data from a plurality of ECG waveforms, which are in turn obtained from signals received from a plurality of ECG electrodes. QRS detection logic detects heartbeats in the ECG data. Classification logic classifies heartbeats into categories based on shape and/or timing. Alignment logic aligns the heartbeats. Representative heartbeat creation logic creates a representative heartbeat from the aligned heartbeats. Measurement logic measures various aspects of the representative heartbeat. This logic analyzes the ECG waveforms to determine an earliest QRS onset and latest QRS offset, and uses these values to perform a variety of measurements. This results in robust measurements even in very noisy environments. The representative heartbeat is displayed, either alone or with heart rate and/or other measurement information, to the cardiologist or medical professional for diagnosis of the condition of the patient's heart, such as a diagnosis of coronary artery disease, based on finding a depressed ST segment in the representative heartbeat of a patient undergoing a stress or exercise test.
摘要翻译： 用于获得心跳测量的方法和装置从多个ECG波形获得ECG数据，这些ECG波形又从从多个ECG电极接收的信号中获得。 QRS检测逻辑检测ECG数据中的心跳。 分类逻辑根据形状和/或时间将心跳分类为类别。 对齐逻辑对齐心跳。 代表性的心跳创建逻辑从对齐的心跳产生代表性的心跳。 测量逻辑测量代表性心跳的各个方面。 该逻辑分析ECG波形，以确定最早的QRS起始和最新QRS偏移，并使用这些值进行各种测量。 即使在非常嘈杂的环境中也能实现稳健的测量。 代表心跳单独或以心率和/或其他测量信息显示给心脏病专家或医疗专业人员，用于诊断患者心脏的状况，例如冠状动脉疾病的诊断，基于发现抑郁症ST 在经历压力或运动测试的患者的代表性心跳中的段。
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