公开(公告)号：US07460912B2

公开(公告)日：2008-12-02

申请号：US10993699

申请日：2004-11-19

申请人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

发明人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

IPC分类号： A61N1/362

CPC分类号： A61N1/37264 ,  A61N1/37211 ,  A61N1/37252

摘要： A system and method for temporary programming of an implantable medical device. The system and method include a repeater uploading temporary programming and instructions to a temporary memory of the device and then instructing the device to operate according to the temporary instructions. If during a first time period, the device is not in continuous periodic communication with the repeater, the device automatically reverts to operation under the normal operating instructions. At the end of the first time period, the caregiver or the patient may decide to revert to the normal programming. During a second time period, the device operates according to the temporary programming unless the caregiver or the patient instructs the device to revert to the normal programming, or the device fails to receive a periodic continuation signal from the repeater. Adverse health affects to the patient may also trigger the device to revert to the normal programming during either the first or second time period.

摘要翻译： 一种用于临时编程可植入医疗装置的系统和方法。 该系统和方法包括中继器将临时编程和指令上传到设备的临时存储器，然后指示设备根据临时指令进行操作。 如果在第一时间段内，设备与中继器不在连续的周期性通信中，则设备根据正常操作指令自动恢复到操作状态。 在第一时间结束时，护理人员或患者可以决定恢复正常的程序设计。 在第二时间段期间，除非照护者或患者指示设备恢复正常编程，否则设备不能接收来自中继器的周期性继续信号，否则根据临时编程操作设备。 不良健康对患者的影响也可能触发设备在第一或第二时间段期间恢复正常编程。

公开(公告)号：US07429920B2

公开(公告)日：2008-09-30

申请号：US11185263

申请日：2005-07-20

申请人： Alan H. Smythe ,  Howard D. Simms, Jr. ,  Kenneth P. Hoyme

发明人： Alan H. Smythe ,  Howard D. Simms, Jr. ,  Kenneth P. Hoyme

IPC分类号： G08B13/14 ,  A61B5/00 ,  A61B5/05

CPC分类号： A61B5/0031 ,  A61N1/37252

摘要： Systems and methods for radio frequency identification and tagging of implantable medical devices and their components are disclosed. A preferred embodiment includes tagging a device and its components with manufacturing information relating to the device and it components and with information identifying a patient using the device. The information can be automatically transmitted or extracted from the device when the device or its components come into communication range of an external programmer or other device adapted to read or sense the RFID information. Some embodiments of a system disclosed herein can also be configured as a component of an Advanced Patient Management System that helps better monitor, predict and manage chronic diseases.

摘要翻译： 公开了用于植入式医疗装置及其部件的射频识别和标签的系统和方法。 优选实施例包括使用与装置及其部件相关的制造信息以及使用该装置识别患者的信息来标记装置及其部件。 当设备或其组件进入适于读取或感测RFID信息的外部编程器或其他设备的通信范围时，可以自动地从设备发送或提取信息。 本文公开的系统的一些实施例还可以被配置为有助于更好地监测，预测和管理慢性疾病的高级患者管理系统的组件。

公开(公告)号：US08718772B2

公开(公告)日：2014-05-06

申请号：US12324744

申请日：2008-11-26

申请人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

发明人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, Jr. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

IPC分类号： A61N1/362

CPC分类号： A61N1/37264 ,  A61N1/37211 ,  A61N1/37252

摘要： A system and method for temporary programming of an implantable medical device. The system and method include a repeater uploading temporary programming and instructions to a temporary memory of the device and then instructing the device to operate according to the temporary instructions. If during a first time period, the device is not in continuous periodic communication with the repeater, the device automatically reverts to operation under the normal operating instructions. At the end of the first time period, the caregiver or the patient may decide to revert to the normal programming. During a second time period, the device operates according to the temporary programming unless the caregiver or the patient instructs the device to revert to the normal programming, or the device fails to receive a periodic continuation signal from the repeater. Adverse health effects to the patient may also trigger the device to revert to the normal programming during either the first or second time period.

摘要翻译： 一种用于临时编程可植入医疗装置的系统和方法。 该系统和方法包括中继器将临时编程和指令上传到设备的临时存储器，然后指示设备根据临时指令进行操作。 如果在第一时间段内，设备与中继器不在连续的周期性通信中，则设备根据正常操作指令自动恢复到操作状态。 在第一时间结束时，护理人员或患者可以决定恢复正常的程序设计。 在第二时间段期间，除非照护者或患者指示设备恢复正常编程，否则设备不能接收来自中继器的周期性继续信号，否则根据临时编程操作设备。 对患者的不良健康影响也可能触发设备在第一或第二时间段期间恢复正常编程。

公开(公告)号：US20090076570A1

公开(公告)日：2009-03-19

申请号：US12324744

申请日：2008-11-26

申请人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, JR. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

发明人： Kenneth P. Hoyme ,  Alan H. Smythe ,  Howard D. Simms, JR. ,  Conrad L. Sowder ,  David Ternes ,  Sylvia Quiles

IPC分类号： A61N1/36

CPC分类号： A61N1/37264 ,  A61N1/37211 ,  A61N1/37252

摘要： A system and method for temporary programming of an implantable medical device. The system and method include a repeater uploading temporary programming and instructions to a temporary memory of the device and then instructing the device to operate according to the temporary instructions. If during a first time period, the device is not in continuous periodic communication with the repeater, the device automatically reverts to operation under the normal operating instructions. At the end of the first time period, the caregiver or the patient may decide to revert to the normal programming. During a second time period, the device operates according to the temporary programming unless the caregiver or the patient instructs the device to revert to the normal programming, or the device fails to receive a periodic continuation signal from the repeater. Adverse health affects to the patient may also trigger the device to revert to the normal programming during either the first or second time period.

摘要翻译： 一种用于临时编程可植入医疗装置的系统和方法。 该系统和方法包括中继器将临时编程和指令上传到设备的临时存储器，然后指示设备根据临时指令进行操作。 如果在第一时间段内，设备与中继器不在连续的周期性通信中，则设备根据正常操作指令自动恢复到操作状态。 在第一时间结束时，护理人员或患者可以决定恢复正常的程序设计。 在第二时间段期间，除非照护者或患者指示设备恢复正常编程，否则设备不能接收来自中继器的周期性继续信号，否则根据临时编程操作设备。 不良健康对患者的影响也可能触发设备在第一或第二时间段期间恢复正常编程。

公开(公告)号：US20080027499A1

公开(公告)日：2008-01-31

申请号：US11460786

申请日：2006-07-28

申请人： Muralidharan Srivathsa ,  Alan H. Smythe ,  Kenneth P. Hoyme ,  Gaurav Rana

发明人： Muralidharan Srivathsa ,  Alan H. Smythe ,  Kenneth P. Hoyme ,  Gaurav Rana

IPC分类号： A61N1/00

CPC分类号： H04L63/08 ,  H04L67/12

摘要： This document discusses, among other things, systems and method for integrated health care home communication and monitoring. A method comprising: communicating, from a remote server to an external interface device that communicates with a medical device in use by a patient, a patient communication to be received by the patient; and receiving, from the external interface device, at the remote server, a patient acknowledgement to the patient communication, the patient acknowledgement indicative of the patient communication having been delivered by the external interface device to the patient and acknowledging that the patient has received the patient communication.

摘要翻译： 本文件还讨论了家庭通信和监控综合保健系统和方法。 一种方法，包括：从远程服务器向与患者使用的医疗设备进行通信的外部接口设备进行通信，所述患者通信将由患者接收; 以及从所述外部接口设备在所述远程服务器处接收对所述患者通信的患者确认，所述患者确认指示所述患者通信已被所述外部接口设备传送给所述患者并且确认所述患者已经接收到所述患者 通讯。

公开(公告)号：US20130154851A1

公开(公告)日：2013-06-20

申请号：US13774328

申请日：2013-02-22

申请人： Robert J. Gaskill ,  Mark T. Gryzwa ,  John LaLonde ,  Kenneth P. Hoyme ,  William R. Mass ,  David C. Johnson ,  Michael W. Barton

发明人： Robert J. Gaskill ,  Mark T. Gryzwa ,  John LaLonde ,  Kenneth P. Hoyme ,  William R. Mass ,  David C. Johnson ,  Michael W. Barton

IPC分类号： G08C17/02

CPC分类号： G08B21/02 ,  A61B5/0026 ,  A61B5/0452 ,  A61B5/747 ,  A61N1/37211 ,  A61N1/37282 ,  G06F19/3418 ,  G06Q50/24 ,  G08C17/02 ,  G16H40/20 ,  G16H40/40 ,  H04L67/12 ,  H04W12/003 ,  H04W12/04 ,  H04W12/06

摘要： A patient communicator for communicating with a patient implantable medical device (PIMD) and facilitating communications with a remote server via a wireless network. The communicator has a housing configured for portability, and an identity module to store subscriber identification data. A processor is coupled to the identity module and is configured to prevent data exchange with the PIMD unless the identity module is authorized for use. Memory coupled to the processor stores wireless radio firmware and medical firmware. A first radio is configured to effect communications with the PIMD in accordance with execution of the medical firmware by the processor. A second radio is configured to effect communications via a channel of the wireless network with a remote server in accordance with execution of the wireless radio firmware by the processor. The processor is generally configured to use subscriber identification data to facilitate authentication by and of the remote server.

摘要翻译： 用于与患者可植入医疗设备（PIMD）进行通信并且便于经由无线网络与远程服务器通信的患者通信器。 通信器具有被配置为可移植性的外壳，以及用于存储用户识别数据的身份模块。 处理器耦合到身份模块，并且被配置为防止与PIMD的数据交换，除非身份模块被授权使用。 耦合到处理器的存储器存储无线无线电固件和医疗固件。 第一无线电装置被配置为根据处理器执行医疗固件来实现与PIMD的通信。 第二无线电装置被配置为根据处理器执行无线无线电固件，通过无线网络的信道与远程服务器进行通信。 处理器通常被配置为使用用户识别数据来促进和远程服务器的认证。

公开(公告)号：US20130053920A1

公开(公告)日：2013-02-28

申请号：US13591469

申请日：2012-08-22

申请人： John LaLonde ,  James Kalgren ,  Kenneth P. Hoyme

发明人： John LaLonde ,  James Kalgren ,  Kenneth P. Hoyme

IPC分类号： A61N1/362

CPC分类号： A61N1/08 ,  A61N1/3718 ,  A61N1/37235 ,  A61N1/37282

摘要： A system and method are described herein including an implantable medical device (IMD) configured to be programmed with magnetic resonance imaging (MRI) settings for use during an MRI scan, wherein the IMD stores identity data that uniquely identifies the IMD or a patient having the IMD. The system includes an external storage media configured to receive MRI settings associated with the IMD and configured to store the MRI settings associated with the IMD. The system also includes a programmer configured to retrieve identity data from IMD, retrieve MRI settings associated with the IMD from the external storage media and program the IMD using the MRI settings.

摘要翻译： 本文描述了一种系统和方法，其包括被配置为利用在MRI扫描期间使用的磁共振成像（MRI）设置进行编程的可植入医疗装置（IMD），其中IMD存储唯一地识别IMD的身份数据或具有 IMD。 该系统包括被配置为接收与IMD相关联的MRI设置并被配置为存储与IMD相关联的MRI设置的外部存储介质。 该系统还包括被配置为从IMD检索身份数据的程序员，从外部存储介质检索与IMD相关联的MRI设置，并使用MRI设置对IMD进行编程。

公开(公告)号：US08170670B2

公开(公告)日：2012-05-01

申请号：US12359757

申请日：2009-01-26

申请人： Scott R. Stubbs ,  Conrad L. Sowder ,  William J. Linder ,  Lynn S. Elliott ,  Kenneth P. Hoyme ,  Hiten J. Doshi

发明人： Scott R. Stubbs ,  Conrad L. Sowder ,  William J. Linder ,  Lynn S. Elliott ,  Kenneth P. Hoyme ,  Hiten J. Doshi

IPC分类号： A61N1/37

CPC分类号： A61N1/3706

摘要： A system and method is disclosed for system fault recovery by an implantable medical device which employs a global fault response. The system enables the device to consistently recover from transient faults while maintaining a history of the reason for the device fault. Upon detection of a fault, the primary controller of the device signals a reset controller which then issues a reset command. All sub-systems of the primary device controller are then reset together rather than resetting individual sub-systems independently to ensure deterministic behavior.

摘要翻译： 公开了一种采用全局故障响应的可植入医疗设备进行系统故障恢复的系统和方法。 该系统使设备始终从瞬态故障中恢复，同时保留设备故障原因的历史记录。 在检测到故障时，设备的主控制器发出复位控制器，然后复位控制器发出复位命令。 然后将主设备控制器的所有子系统重置在一起，而不是独立地重置各个子系统，以确保确定性的行为。

公开(公告)号：US07826897B2

公开(公告)日：2010-11-02

申请号：US11316682

申请日：2005-12-22

申请人： Scott Stubbs ,  Conrad L. Sowder ,  William J. Linder ,  Lynn S. Elliott ,  Kenneth P. Hoyme ,  Hiten J. Doshi

发明人： Scott Stubbs ,  Conrad L. Sowder ,  William J. Linder ,  Lynn S. Elliott ,  Kenneth P. Hoyme ,  Hiten J. Doshi

IPC分类号： A61N1/362

CPC分类号： A61N1/3706 ,  A61N1/3931

摘要： A pacing monitoring system is described for incorporation in an implantable pacemaker that monitors the pacing rate and/or cumulative pace count in order to protect a patient from excessive pacing. The system includes monitoring circuitry that is configured to operate in multiple monitoring zones, where each zone is adapted to prevent excessively high-rate pacing during a particular mode of device operation.

摘要翻译： 描述了一种起搏监测系统，用于结合在可植入起搏器中，监测起搏速率和/或累积步速计数，以保护患者免受过度起搏。 该系统包括被配置为在多个监测区域中操作的监测电路，其中每个区域适于在特定设备操作模式期间防止过高的速率起搏。

公开(公告)号：US20100063840A1

公开(公告)日：2010-03-11

申请号：US11121593

申请日：2005-05-03

申请人： Kenneth P. Hoyme ,  Howard D. Simms ,  David C. Johnson ,  Muralidharan Srivathsa

发明人： Kenneth P. Hoyme ,  Howard D. Simms ,  David C. Johnson ,  Muralidharan Srivathsa

IPC分类号： G06Q50/00 ,  G06Q10/00

CPC分类号： G06Q50/22 ,  G06Q10/06 ,  G06Q50/24

摘要： A system and method for managing coordination of collected patient data in an automated patient management system is presented. One or more displays of patient data are defined. The patient data is collected from one or more patient data sources operating on a remotely managed patient and selected from at least one of a physiological sensor and a therapy delivery device. One or more controls of patient data collection to specify types of patient data to be collected and periodicities of the patient data collection in relation to the patient data displays are defined. The patient data displays and patient data controls in relation to the data collection of a plurality of patient data types and patient data collection periodicities are coordinated.

摘要翻译： 提出了一种用于管理自动化患者管理系统中收集的患者数据协调的系统和方法。 定义患者数据的一个或多个显示。 从在远程管理的患者上操作并从生理传感器和治疗递送装置中的至少一个中选择的一个或多个患者数据源收集患者数据。 定义患者数据收集的一个或多个控制以指定要收集的患者数据的类型以及与患者数据显示相关的患者数据收集的周期性。 与多个患者数据类型的数据收集和患者数据收集周期性相关的患者数据显示和患者数据控制被协调。