公开(公告)号：US08855752B2

公开(公告)日：2014-10-07

申请号：US12721836

申请日：2010-03-11

申请人： Steven R. Johnson

发明人： Steven R. Johnson

IPC分类号： A61B5/0472

CPC分类号： A61B5/0472

摘要： A heart monitor computes ST segment deviation as the difference in the value of an electrocardiogram signal at the ST and PQ points of a heartbeat. The ST point is found based on slope criteria and temporal criteria. The maximum (positive) slope of the QRS (maxQRS) is located. Within a preset window after the maxQRS point, the processor searches for a sample at which the second finite difference is less than a threshold that is a function of average QRS amplitude. If such a qualifying sample is found, the processor examines its location relative to the location of an adaptive window that is centered on a sample that is an adaptively determined distance from the peak of the R wave. If the qualifying point is within the adaptive window, it is chosen as the ST point. If the qualifying point is after the adaptive window, the ST point is set at the end of the adaptive window. Finally, if the qualifying point is before the adaptive window, the ST point is selected at the beginning of the adaptive window. The adaptive window is then updated according to an exponential average filter based upon the distance between the ST point and the R wave peak.

摘要翻译： 心脏监测器计算ST段偏差作为心跳的ST和PQ点的心电图信号的值的差异。 ST点是基于斜率标准和时间标准。 QRS（maxQRS）的最大（正）斜率位于。 在maxQRS点之后的预设窗口内，处理器搜索第二有限差小于作为平均QRS幅度的函数的阈值的样本。 如果找到这样的合格样本，则处理器相对于以R波的峰值为自适应地确定距离的采样为中心的自适应窗口的位置检查其位置。 如果限定点在自适应窗口内，则将其选为ST点。 如果限定点在自适应窗口之后，ST点被设置在自适应窗口的末尾。 最后，如果限定点在自适应窗口之前，则在自适应窗口的开头选择ST点。 然后根据基于ST点和R波峰之间的距离的指数平均滤波器来更新自适应窗口。

公开(公告)号：US20130090940A1

公开(公告)日：2013-04-11

申请号：US13317149

申请日：2011-10-11

申请人： David B. Goodnight ,  Steven R. Johnson ,  Thomas J. Blair

发明人： David B. Goodnight ,  Steven R. Johnson ,  Thomas J. Blair

IPC分类号： G06Q50/22

CPC分类号： G06Q50/22

摘要： Methods and systems related to wellcare management are disclosed. The methods comprise enrolling wellcare providers and consumers, offering wellcare plans, and providing automated payment processing and collection in connection with the wellcare plans. The methods also allow the wellcare management systems to interface with the wellcare provider's practice management software administered by a third party. Preferably, the wellcare plan providers are veterinarians, particularly independent veterinarians. Systems employing the methods over one or more computer networks are also disclosed, as are articles comprising computer readable media.

摘要翻译： 披露与养护管理相关的方法和系统。 这些方法包括招募保健提供者和消费者，提供保健计划，并提供与保健计划相关的自动支付处理和收集。 这些方法还允许养护管理系统与由第三方管理的养护提供者的实践管理软件进行交互。 优选地，保健计划提供者是兽医，特别是独立的兽医。 还公开了在一个或多个计算机网络上采用该方法的系统，以及包括计算机可读介质的文章。

公开(公告)号：US20120215089A1

公开(公告)日：2012-08-23

申请号：US13461100

申请日：2012-05-01

申请人： DAVID R. FISCHELL ,  ROBERT E. FISCHELL ,  JONATHAN HARWOOD ,  STEVEN R. JOHNSON

发明人： DAVID R. FISCHELL ,  ROBERT E. FISCHELL ,  JONATHAN HARWOOD ,  STEVEN R. JOHNSON

IPC分类号： A61B5/0452 ,  A61B5/044

CPC分类号： A61B5/0472 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/02405 ,  A61B5/02455 ,  A61B5/04012 ,  A61B5/042 ,  A61B5/0432 ,  A61B5/044 ,  A61B5/0452 ,  A61B5/413 ,  A61B5/686 ,  A61B5/746 ,  A61N1/025 ,  A61N1/37211 ,  A61N1/37247

摘要： A physician's programmer for an implantable device is disclosed. The programmer includes a receiver for receiving wireless transmission data from the implantable heart monitor. A processor is configured to extract from the wireless transmission data ST-deviation histogram data as a function of heart rate. The histogram data for a particular heart rate range is shown on a display in the form of a bar chart. The histogram data for a plurality of heart rate ranges is shown in the form of a chart with multiple line plots.

摘要翻译： 公开了一种用于可植入装置的医师编程器。 编程器包括用于从可植入心脏监视器接收无线传输数据的接收器。 处理器被配置为从无线传输数据提取作为心率的函数的ST偏差直方图数据。 特定心率范围的直方图数据以条形图的形式显示在显示器上。 多个心率范围的直方图数据以具有多个线图的图表的形式示出。

公开(公告)号：US20120053473A1

公开(公告)日：2012-03-01

申请号：US12914548

申请日：2010-10-28

申请人： STEVEN R. JOHNSON ,  BRUCE HOPENFELD

发明人： STEVEN R. JOHNSON ,  BRUCE HOPENFELD

IPC分类号： A61B5/0452

CPC分类号： A61B5/02028 ,  A61B5/0006 ,  A61B5/0022 ,  A61B5/02405 ,  A61B5/04012 ,  A61B5/0452 ,  A61B5/686 ,  A61B5/7282 ,  A61B5/742 ,  A61B5/746 ,  A61B5/7465

摘要： A heart monitor is disclosed. The monitor computes ST segment deviations and stores the results in heart rate based histograms. Periodically, the monitor analyzes the histogram data to determine a median value of ST deviation. Subsequently, beats are excluded from the computation of the time series if their ST deviations both varies too far from the long term median value and varies too far from the then current time series value.

摘要翻译： 公开了心脏监护仪。 监视器计算ST段偏差，并将结果存储在基于心率的直方图中。 周期性地，监视器分析直方图数据以确定ST偏差的中值。 随后，如果它们的ST偏差都与长期中值变化太远，并且与当前时间序列值变得太远，则不计算时间序列的节拍。

公开(公告)号：US08113340B1

公开(公告)日：2012-02-14

申请号：US12613061

申请日：2009-11-05

申请人： Marshall D. Smith ,  Steven R. Johnson

发明人： Marshall D. Smith ,  Steven R. Johnson

IPC分类号： B65G17/38

CPC分类号： B65G17/08 ,  B65G17/40 ,  B65G2207/30

摘要： A modular member for a conveyer belt is provided that includes an elongated main base, at least one attaching rod and a plurality of hooks. The at least one attaching rod is coupled proximate a first side of the main base. The plurality of aligned hooks are coupled proximate a second side of the main base. Each hook includes a slot defined by an inner surface. The slot of each hook is configured to receive an attaching rod of another modular member. The inner surface that defines the slot of at least one hook has an attaching rod relief cutout section. The attaching rod relief cutout section limits wear between the attaching rod of another modular member that is received in the slot of the at least one hook and the inner surface of the slot of the at least one hook.

摘要翻译： 提供了一种用于输送带的模块化构件，其包括细长主基座，至少一个附接杆和多个钩。 所述至少一个附接杆在所述主底座的第一侧附近联接。 多个对准的钩子靠近主底座的第二侧联接。 每个钩包括由内表面限定的槽。 每个钩的槽被构造成接收另一个模块构件的连接杆。 限定至少一个钩的狭槽的内表面具有附接杆释放部分。 附接杆释放切口部分限制了容纳在至少一个钩的槽中的另一模块化构件的附接杆与至少一个钩的槽的内表面之间的磨损。

公开(公告)号：US20100019985A1

公开(公告)日：2010-01-28

申请号：US12219566

申请日：2008-07-24

申请人： Jacob Bashyam ,  James Long ,  Steven R. Johnson

发明人： Jacob Bashyam ,  James Long ,  Steven R. Johnson

IPC分类号： H01Q1/40

CPC分类号： H01Q1/36 ,  A61B5/0031 ,  A61B5/0402 ,  A61N1/37229 ,  A61N1/375 ,  A61N1/3758 ,  A61N1/378 ,  H01Q1/362 ,  H01Q1/40 ,  H01Q9/0421 ,  H01Q9/26 ,  H01Q9/42

摘要： Antenna assemblies for an implantable medical device are disclosed. The implantable medical device comprises a hermetically sealed housing, typically formed of titanium materials, and electronics, including a transceiver, disposed therein. An antenna is disposed in an air, gas or plastic dielectric filled compartment within a header, which is attached to the housing. The header is premolded so as to create the compartment. The antenna is then placed within the compartment, which is then sealed.

摘要翻译： 公开了一种用于可植入医疗装置的天线组件。 该植入式医疗装置包括通常由钛材料形成的气密密封的壳体，以及设置在其中的包括收发器的电子装置。 天线设置在头部内的空气，气体或塑料电介质填充的隔间中，该隔板连接到外壳。 标题被预先翻转，以便创建隔间。 然后将天线放置在隔间内，然后密封。

公开(公告)号：US20090240156A1

公开(公告)日：2009-09-24

申请号：US12437973

申请日：2009-05-08

申请人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

发明人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

IPC分类号： A61B5/0402

CPC分类号： A61B5/02455 ,  A61B5/0031 ,  A61B5/04012 ,  A61B5/0422 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/0468 ,  A61B5/0472 ,  A61B5/746 ,  A61B5/7465 ,  A61B2560/0209

摘要： A system for providing alerts with regard to a patient's heart. An implanted medical device includes a sensor as well as a processor configured to detect a cardiac event. An internal alarm is configured for producing an alarm signal. An internal transceiver acting in cooperation with an external transceiver within an external device is provided. The processor is configured to determine whether the external and internal transceivers are able to communicate with each other and send a command to the internal alarm if there is no communication.

摘要翻译： 用于提供关于患者心脏的警报的系统。 植入式医疗装置包括传感器以及配置成检测心脏事件的处理器。 内部报警被配置为产生报警信号。 提供了与外部设备内的外部收发器协同工作的内部收发器。 处理器被配置为确定外部和内部收发器是否能够彼此通信，并且如果没有通信则将命令发送到内部警报。

公开(公告)号：US07558623B2

公开(公告)日：2009-07-07

申请号：US10853058

申请日：2004-05-26

申请人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

发明人： David R. Fischell ,  Tim A. Fischell ,  Jonathan Harwood ,  Robert E. Fischell ,  Steven R. Johnson

IPC分类号： A61B5/0452

CPC分类号： A61B5/0452 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/0456 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/7465 ,  A61B2560/0209 ,  A61N1/3627 ,  A61N1/3702

摘要： Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infarction or exercise induced myocardial ischemia caused by an increased heart rate or exertion. The system can also alert the patient with a less urgent alarm if a heart arrhythmia is detected. Using different algorithms, the cardiosaver can detect a change in the patient's electrogram that is indicative of a cardiac event within five minutes after it occurs and then automatically warn the patient that the event is occurring. To provide this warning, the system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means) which are activated after the ST segment of the electrogram exceeds a preset threshold.

摘要翻译： 公开了一种用于检测心脏事件的系统，其包括称为心脏切除器，医生程序员和外部警报系统的植入装置。 该系统旨在提供心脏事件的早期检测，例如由心率增加或运动引起的急性心肌梗死或运动诱发的心肌缺血。 如果检测到心律失常，该系统还可以警告患者不太紧急的警报。 使用不同的算法，心脏检查器可以在发生后五分钟内检测到指示心脏事件的患者电描记图的变化，然后自动向患者发出事件发生。 为了提供此警告，系统包括在心电图的ST段超过预设阈值之后激活的心律师内部的内部报警子系统（内部报警装置）和/或外部报警系统（外部报警装置）。

公开(公告)号：US06459439B1

公开(公告)日：2002-10-01

申请号：US09037720

申请日：1998-03-09

申请人： John B. Ahlquist, Jr. ,  Douglas S. Benson ,  Fan Yu ,  Steven R. Johnson ,  Brian T. Schmidt

发明人： John B. Ahlquist, Jr. ,  Douglas S. Benson ,  Fan Yu ,  Steven R. Johnson ,  Brian T. Schmidt

IPC分类号： G06T320

CPC分类号： G06T11/203

摘要： The inventive mechanisms convert a path, which represents a graphical object, into a plurality of line segments. Thus, the path can be reshaped without respect to existing Bezier control points. The first mechanism allows a user to ‘pull’ a segment of a path. A user selects a specific place on the path, pulls the selected place along with a portion of the path on either side of the place to a desired location. The second mechanism allows a user to ‘push’ a segment of a path, by using an arbitrary shape and sculpting the path. The arbitrary shape is used in a manner similar in which a sculptor would use a putty knife and sculpts away part of the path, by pushing that shape into the path. The path is being repelled from the shape, as the shape is being pushed. The third mechanism allows a user to reshape an area or region of the path. The user selects a specific point in space and modify any parts of the path that lie within that region of space.

摘要翻译： 本发明的机构将表示图形对象的路径转换成多个线段。 因此，路径可以重新整形，而不会影响现有的贝塞尔控制点。 第一种机制允许用户“拉”路径的一段，用户选择路径上的特定位置，将所选位置与位置任意一侧的路径的一部分一起拉到所需位置，第二个 机制允许用户通过使用任意形状和雕刻路径来“推”路径的一段。 任意形状的使用方式类似于雕塑家将使用油灰刀，并通过将该形状推入路径来雕刻路径的一部分。 由于形状被推动，路径被排除了形状。 第三种机制允许用户重新形成路径的区域或区域。 用户选择空间中的特定点，并修改位于该空间区域内的路径的任何部分。

公开(公告)号：US4205487A

公开(公告)日：1980-06-03

申请号：US889961

申请日：1978-03-24

申请人： Gordon H. Anderson ,  John L. Cicha ,  Steven R. Johnson

发明人： Gordon H. Anderson ,  John L. Cicha ,  Steven R. Johnson

IPC分类号： B24B31/00 ,  B24B41/06 ,  B24B31/08

CPC分类号： B24B31/003 ,  B24B41/06 ,  Y10T279/17307

摘要： A workpiece holding apparatus for spindle finishing machines and the like, the apparatus including a plurality of radially arranged workpiece holders mounted for rotation about a first axis and including cooperating gear elements for rotating each of the holders about its respective longitudinal axis in response to rotation of the entire assemblage of holders about the first mentioned axis; a cam arrangement is provided whereby each of the holders may be actuated between a first condition securing workpieces on the holders and a second condition permitting workpieces to be removed, such as after a finishing operation has been completed.

摘要翻译： 一种用于主轴精加工机械等的工件保持装置，该装置包括多个径向布置的工件保持器，其安装成围绕第一轴线旋转，并且包括用于响应于第一轴线的旋转而围绕其相应的纵向轴线旋转每个保持器的协作齿轮元件 关于第一个提到的轴的持有者的整个组合; 提供了一种凸轮装置，其中每个保持器可以在固定保持器上的工件的第一状态和允许工件被移除的第二状态之间，诸如在完成操作完成之后被致动。