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公开(公告)号：US4488553A
公开(公告)日：1984-12-18
申请号：US402026
申请日：1982-07-26
CPC分类号： A61N1/37 , A61N1/3621 , A61N1/37217
摘要： A tachycardia control pacer for which placing a magnet over the patient's chest results in the generation of two pulses, the time separation between which is an indication of the battery potential. Application of the magnet in this way also holds the device off, after the two pulses are generated, so that if the device is causing him discomfort the patient can temporarily disable it until the physician can program it off. Application of a magnet to the patient's chest, or programming of the device, resets two scanned inter-pulse time intervals to the values programmed by the physician. The next scanning begins with the programmed time values. In this way the physician, after inducing tachycardia, can verify the programmed time parameters rapidly by observing the patient's ECG waveform, without having to wait several minutes until scanning from the previously retained successful values would otherwise progress to the programmed values.
摘要翻译： 将磁体放置在患者胸部上的心动过速控制起搏器导致产生两个脉冲，其间的时间间隔是电池电位的指示。 以这种方式施加磁体也可以在产生两个脉冲之后关闭装置，使得如果该装置引起他的不适，则患者可暂时禁用该装置，直到医师可以对其进行编程。 将磁体施加到患者的胸部或设备的编程，将两个扫描的脉冲间时间间隔重置为由医师编程的值。 下一次扫描从编程的时间值开始。 以这种方式，医师在诱发心动过速之后，可以通过观察患者的ECG波形来快速验证编程的时间参数，而不必等待几分钟，直到先前保留的成功值的扫描否则进行到编程值。
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公开(公告)号：US4488554A
公开(公告)日：1984-12-18
申请号：US402204
申请日：1982-07-26
CPC分类号： A61N1/37 , A61N1/3621 , A61N1/37217
摘要： A tachycardia control pacer for which placing a magnet over the patient's chest results in the generation of two pulses, the time separation between which is an indication of the battery potential. Application of the magnet in this way also holds the device off, after the two pulses are generated, so that if the device is causing him discomfort the patient can temporarily disable it until the physician can program it off. Application of a magnet to the patient's chest, or programming of the device, resets two scanned inter-pulse time intervals to the values programmed by the physician. The next scanning begins with the programmed time values. In this way the physician, after inducing tachycardia, can verify the programmed time parameters rapidly by observing the patient's ECG waveform, without having to wait several minutes until scanning from the previously retained successful values would otherwise progress to the programmed values.
摘要翻译： 将磁体放置在患者胸部上的心动过速控制起搏器导致产生两个脉冲，其间的时间间隔是电池电位的指示。 以这种方式施加磁体也可以在产生两个脉冲之后关闭装置，使得如果该装置引起他的不适，则患者可暂时禁用该装置，直到医师可以对其进行编程。 将磁体施加到患者的胸部或设备的编程，将两个扫描的脉冲间时间间隔重置为由医师编程的值。 下一次扫描从编程的时间值开始。 以这种方式，医师在诱发心动过速之后，可以通过观察患者的ECG波形来快速验证编程的时间参数，而不必等待几分钟，直到先前保留的成功值的扫描否则进行到编程值。
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3.发明授权Interconnection between addressable elements of a microcomputer for active implantable medical devices 有权用于有源可植入医疗器械的微型计算机的可寻址元件之间的互连公开(公告)号：US06532238B1
公开(公告)日：2003-03-11
申请号：US09332281
申请日：1999-06-11
IPC分类号： H04J1500
CPC分类号： G06F13/4022
摘要： An interconnection structure including an interconnection artery ensuring the parallel transfer, on a group of conductors, of information to be exchanged, configured in at least one ring (50; 60; 70) on which information circulates in a closed loop and in a one-way direction. The artery has a plurality of coupling points to the addressable elements of the microcomputer. Some of the points of coupling (10, 20, 30) include a register associated with the corresponding addressable element with the microcomputer, and others include a gateway (G1, G2. . . . GN) towards, and from, another ring of a lower order, on which lower order ring information also circulates in a closed loop and in a one-way direction. This results in a structure of plurality of hierarchised rings. The interconnection structure is particularly useful for battery operated processor controlled devices, such as active implantable medical devices, pacemakers, defibrillators and the like.
摘要翻译： 一种互连结构，其包括互连动脉，确保在一组导体上并行传送待交换的信息，该信息被配置在其中信息在闭环中循环的至少一个环（50; 60; 70） 方向。 动脉具有到微型计算机的可寻址元件的多个耦合点。 一些耦合点（10,20,30）包括与微型计算机相关联的相应可寻址元件的寄存器，并且其它点包括一个网关（G1，G2 ... GN） 较低阶，低阶环信息也在闭环和单向方向上循环。 这导致多个分级环的结构。 互连结构对于电池供电的处理器控制的装置，例如主动植入式医疗装置，起搏器，除颤器等特别有用。
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公开(公告)号：US4406287A
公开(公告)日：1983-09-27
申请号：US284348
申请日：1981-07-17
CPC分类号： A61N1/3621
摘要： There is disclosed an improved pacer for controlling tachycardia. Following each tachycardia confirmation, a burst of stimulating pulses is generated. The rates of the bursts increase from cycle to cycle; thus following each tachycardia confirmation, a pulse burst at a different rate is generated. The number of pulses in a burst is similarly scanned, a complete rate scan taking place for each pulse number in a scan. The rate of a burst and the number of pulses in it which are successful in terminating tachycardia are stored, and following the next tachycardia confirmation the stored rate and pulse number are used for the first burst which is generated. In this manner, there is a greater likelihood that tachycardia will be terminated following the first burst since a previously successful rate and pulse number are used. Only if success is not achieved does scanning of the burst rate and pulse number ensue, starting with the previously successful rate and pulse number.
摘要翻译： 公开了一种用于控制心动过速的改进推进器。 在每个心动过速确认之后，产生刺激脉冲的脉冲。 爆发率从周期逐渐增加; 因此，在每次心动过速确认之后，产生不同速率的脉冲串。 类似地扫描脉冲串中的脉冲数，对扫描中的每个脉冲数进行完整的速率扫描。 存储突发速率和其中终止心动过速成功的脉冲数，并且在下一次心动过速确认之后，将存储的速率和脉冲数用于产生的第一脉冲串。 以这种方式，由于使用了先前成功的速率和脉冲数，所以在第一次突发之后，心动过速将终止的可能性更大。 只有当没有实现成功时才能进行突发速率和脉冲数的扫描，从先前成功的速率和脉冲数开始。
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5.发明授权Tachycardia control pacer with improved detection of tachycardia termination 失效心动过速控制起搏器具有改善的心动过速终止检测
公开(公告)号：US4427011A
公开(公告)日：1984-01-24
申请号：US359364
申请日：1982-03-18
CPC分类号： A61N1/3621
摘要： A tachycardia control pacer in which at least one scanned pulse is generated following each tachycardia confirmation, and the last-used pulse timing is retained following the next tachycardia termination for subsequent first use following the next tachycardia confirmation. The tachycardia termination detecting circuit does not respond to the time interval between at least the first two heartbeats following a generated pulse, to prevent a false determination of tachycardia termination due to the excessive pauses which sometimes occur immediately after pacing despite the fact that tachycardia has not terminated.
摘要翻译： 一种心动过速控制起搏器，其中在每个心动过速确认之后产生至少一个扫描的脉冲，并且在下一次心动过速终止之后保留最后使用的脉冲定时，以便在下一次心动过速确认之后进行第一次使用。 心动过速终止检测电路对产生的脉搏之后的至少前两个心跳之间的时间间隔不起作用，以防止由于过度停顿而导致的心动过速终止的错误确定，尽管事实上心动过速没有 终止了
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公开(公告)号：US4407289A
公开(公告)日：1983-10-04
申请号：US245356
申请日：1981-03-19
CPC分类号： A61N1/37217 , A61N1/3621 , A61N1/37
摘要： An improved pacer for controlling tachycardia. Placing a magnet over the patient's chest results in the generation of two pulses, the time separation between which is an indication of the battery potential. Application of the magnet in this way also holds the device off, after the two pulses are generated, so that if the device is causing him discomfort the patient can temporarily disable it until the physician can program it off. Application of a magnet to the patient's chest, or programming of the device, also resets two start-of-scan time intervals to the values programmed by the physician. The next scanning begins with the programmed time values. In this way the physician, after inducing tachycardia, can verify the programmed time parameters rapidly by observing the patient's ECG waveform, without having to wait several minutes until scanning from previously retained successful values would otherwise progress to the programmed values.
摘要翻译： 用于控制心动过速的改进步。 将磁体放置在患者胸部上会导致产生两个脉冲，其间的时间间隔是电池电位的指示。 以这种方式施加磁体也可以在产生两个脉冲之后关闭装置，使得如果该装置引起他的不适，则患者可暂时禁用该装置，直到医师可以对其进行编程。 将磁体施加到患者的胸部或对装置进行编程，还将两个扫描开始时间间隔重置为由医师编程的值。 下一次扫描从编程的时间值开始。 以这种方式，医师在诱发心动过速之后，可以通过观察患者的ECG波形来快速验证编程的时间参数，而不必等待几分钟，直到先前保留的成功值的扫描否则进行到编程值。
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公开(公告)号：US4398536A
公开(公告)日：1983-08-16
申请号：US284349
申请日：1981-07-17
CPC分类号： A61N1/3621
摘要： There is disclosed an improved pacer for controlling tachycardia. Following each tachycardia confirmation, a burst of a programmed number (e.g., 15) of stimulating pulses is generated. The rates of the bursts increase from cycle to cycle; thus following each tachycardia confirmation, a pulse burst at a different rate is generated. The rate of a burst which is successful in terminating tachycardia is stored, and following the next tachycardia confirmation the stored rate is used for the first burst which is generated. In this manner, there is a greater likelihood that tachycardia will be terminated following the first burst since a previously successful rate is used. Only if success is not achieved does scanning of the burst rate ensue, starting with the previously successful rate.
摘要翻译： 公开了一种用于控制心动过速的改进推进器。 在每个心动过速确认之后，产生一个编程数字（例如15个）刺激脉冲的脉冲串。 爆发率从周期逐渐增加; 因此，在每次心动过速确认之后，产生不同速率的脉冲串。 存储成功终止心动过速的脉冲串的速率，并且在下一次心动过速确认之后，存储的速率被用于产生的第一脉冲串。 以这种方式，由于使用先前成功的速率，在第一次突发之后有更大的可能性。 只有当没有实现成功时才能进行突发速率的扫描，从先前成功的速率开始。
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公开(公告)号：US4414979A
公开(公告)日：1983-11-15
申请号：US237089
申请日：1981-02-23
摘要： There is disclosed an implantable bone growth stimulator whose direct-current output can be monitored. Rather than to interrogate the device, e.g., by using a control magnet as in the heart pacer art, the device continuously transmits pulses of electromagnetic energy at a rate proportional to the current being delivered. The continuous transmission expends no more than about five percent of the total power. Instead of using an electrode lead as an antenna for radiating the pulses, a separate coil inside the device is utilized so that the therapeutic current itself is in no way affected by the pulse transmission. Effective transmission is achieved despite the fact that the device is hermetically sealed in a titanium case. Also included is an electronic switch for drastically limiting power drawn from the battery until implantation takes place, in order to provide an extended shelf life.
摘要翻译： 公开了可以监测其直流输出的可植入骨生长刺激器。 而不是如在心脏起搏器技术中使用控制磁体来询问装置，装置以与正被传递的电流成比例的速率连续传输电磁能量的脉冲。 连续传输不超过总功率的百分之五。 代替使用电极引线作为用于辐射脉冲的天线，利用器件内部的单独的线圈，使得治疗电流本身不受脉冲传输的影响。 尽管器件被气密地密封在钛壳中，但实现有效的传输。 还包括一种电子开关，用于大大限制从电池抽取的电力，直到植入发生，以提供延长的保质期。
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公开(公告)号：US4390021A
公开(公告)日：1983-06-28
申请号：US245215
申请日：1981-03-19
CPC分类号： A61N1/37217 , A61N1/3621 , A61N1/37
摘要： A pacer for controlling tachycardia, in which the coupled interval is scanned as well as the initial delay. The time parameters which are successful in terminating the condition are stored so that upon confirmation of another tachycardia event, the previously successful time parameters are the first ones to be tried. The unit also allows tachycardia to be induced by the physician so that the parameters which are programmable can be adjusted for optimum performance following a subsequent naturally occurring tachycardia confirmation.
摘要翻译： 用于控制心动过速的起搏器，其中扫描耦合间隔以及初始延迟。 存储成功终止条件的时间参数被存储，使得在确认另一个心动过速事件之后，先前成功的时间参数是要尝试的第一个。 该单元还允许医师引起心动过速，使得可以调节可编程的参数以在随后的自然发生的心动过速确认之后实现最佳性能。
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