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    Implantable device for vital signs monitoring
    1.
    发明申请
    Implantable device for vital signs monitoring 审中-公开
    用于生命体征监测的植入式装置

    公开(公告)号：US20070016089A1

    公开(公告)日：2007-01-18

    申请号：US11181969

    申请日：2005-07-15

    申请人： David Fischell ,  Tim Fischell ,  Jonathan Harwood ,  Steven Johnson ,  Gregg Turi

    发明人： David Fischell ,  Tim Fischell ,  Jonathan Harwood ,  Steven Johnson ,  Gregg Turi

    IPC分类号： A61B5/04 ,  A61B5/00 ,  A61B5/02

    CPC分类号： A61B5/042 ,  A61B5/0031 ,  A61B5/02 ,  A61B5/02055 ,  A61B5/0452 ,  A61B5/1459

    摘要： An implantable medical device is provided for subcutaneous implantation within a human being. The implantable medical device includes a pair of electrodes for sensing electrical signals from the human being's heart. Electronic circuitry having digital memory is provided with the electronic circuitry designed to record the electrical signals from the heart. The electronics of the electronic circuitry are housed in a case having a tapered shape to facilitate implantation and removal of the implantable medical device.

    摘要翻译： 提供用于在人体内皮下植入的可植入医疗装置。 可植入医疗装置包括一对电极，用于感测来自人的心脏的电信号。 具有数字存储器的电子电路设置有被设计为记录来自心脏的电信号的电子电路。 电子电路的电子器件容纳在具有锥形形状的壳体中，以便于植入和移除可植入医疗装置。

    SYSTEM FOR THE DETECTION OF CARDIAC EVENTS
    2.
    发明申请
    SYSTEM FOR THE DETECTION OF CARDIAC EVENTS 审中-公开
    检测心脏事件的系统

    公开(公告)号：US20080064973A1

    公开(公告)日：2008-03-13

    申请号：US11930027

    申请日：2007-10-30

    申请人： David Fischell ,  Tim Fischell ,  Jonathan Harwood ,  Robert Fischell ,  Steven Johnson

    发明人： David Fischell ,  Tim Fischell ,  Jonathan Harwood ,  Robert Fischell ,  Steven 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： Disclosed is a system for the detection of cardiac events (a guardian system) 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 one or more detection 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 guardian system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means). If the guardian system is put into a pacemaker, the algorithm can utilize a different analysis of the electrogram depending on whether or not the pacemaker is actually pacing the heart.

    摘要翻译： 公开了一种用于检测心脏事件（监护系统）的系统，其包括称为心脏切除器的植入装置，医师编程器和外部警报系统。 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。 使用一个或多个检测算法，心脏扫描器可以检测患者的电描记图中的变化，其指示在发生后五分钟内的心脏事件，然后自动向患者发出事件发生。 为了提供此警告，监护系统包括在心脏保护器内和/或外部报警系统（外部报警装置）内的内部报警子系统（内部报警装置）。 如果将监护人系统放入心脏起搏器，该算法可以根据起搏器是否实际起搏心脏，对电图进行不同的分析。

    Means and method for the detection of cardiac events
    7.
    发明申请
    Means and method for the detection of cardiac events 审中-公开
    用于检测心脏事件的手段和方法

    公开(公告)号：US20070249944A1

    公开(公告)日：2007-10-25

    申请号：US11812836

    申请日：2007-06-22

    申请人： David Fischell ,  Tim Fischell ,  Jonathan Harwood ,  Robert Fischell ,  Steven Johnson

    发明人： David Fischell ,  Tim Fischell ,  Jonathan Harwood ,  Robert Fischell ,  Steven Johnson

    IPC分类号： A61B5/0402

    CPC分类号： A61B5/0464 ,  A61B5/0006 ,  A61B5/0031 ,  A61B5/02455 ,  A61B5/04012 ,  A61B5/042 ,  A61B5/0432 ,  A61B5/0452 ,  A61B5/0456 ,  A61B5/046 ,  A61B5/0472 ,  A61B5/686 ,  A61B5/746 ,  A61B5/7465 ,  A61N1/3702 ,  A61N1/37258 ,  A61N1/3756 ,  G16H40/67

    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）。

    Implantable system for monitoring the condition of the heart
    9.
    发明申请
    Implantable system for monitoring the condition of the heart 有权
    用于监测心脏状况的植入式系统

    公开(公告)号：US20050113705A1

    公开(公告)日：2005-05-26

    申请号：US10950401

    申请日：2004-09-28

    申请人： David Fischell ,  Robert Fischell ,  Jonathan Harwood ,  Steven Johnson

    发明人： David Fischell ,  Robert Fischell ,  Jonathan Harwood ,  Steven Johnson

    IPC分类号： A61B5/00 ,  A61B5/0452 ,  A61B5/0472 ,  A61N1/372 ,  A61B5/0402

    CPC分类号： A61N1/37235 ,  A61B5/0031 ,  A61B5/0452 ,  A61B5/0472 ,  A61B5/413 ,  A61N1/025 ,  A61N1/37247

    摘要： Disclosed is a “tracker system” that includes implanted electrical leads which are part of an implanted cardiotracker plus external equipment that includes external alarm means and a physician's programmer. The tracker system is designed to monitor the degradation of a patient's cardiovascular condition from one or more causes. These causes include the rejection of a transplanted heart and/or the progression of a stenosis in a coronary artery. As one or more stenoses in a coronary artery become progressively more narrow thereby causing reduced blood flow to the heart muscle coronary circulation, the tracker system can alert the patient by either or both internal and/or external alarm means to take the appropriate medical action. The physician's programmer can be used to display histograms of key heart signal parameters that are indicative of the patient's cardiovascular condition.

    摘要翻译： 公开了一种“跟踪器系统”，其包括植入的电引线，其是植入式心脏病治疗仪的一部分以及包括外部警报装置和医师程序员的外部设备。 跟踪器系统被设计成从一个或多个原因监测患者的心血管疾病的恶化。 这些原因包括移植心脏的排斥和/或冠状动脉狭窄进展。 由于冠状动脉中的一个或多个狭窄变得越来越窄，从而导致血液流向心脏肌肉冠状动脉循环的减少，所以跟踪器系统可以通过内部和/或外部报警装置中的一个或两个来警告患者以采取适当的医疗行动。 医师的程序员可用于显示指示患者心血管疾病的关键心脏信号参数的直方图。

    System for patient alerting associated with a cardiac event
    10.
    发明申请
    System for patient alerting associated with a cardiac event 审中-公开
    与心脏事件相关的患者报警系统

    公开(公告)号：US20070027397A1

    公开(公告)日：2007-02-01

    申请号：US11493555

    申请日：2006-07-27

    申请人： David Fischell ,  Jonathan Harwood ,  Mary Carol Day

    发明人： David Fischell ,  Jonathan Harwood ,  Mary Carol Day

    IPC分类号： A61B5/04

    CPC分类号： A61B5/0452 ,  A61B5/0031 ,  A61B5/0464 ,  A61B5/076 ,  A61B5/1112 ,  A61B5/686

    摘要： A system for the detection of cardiac events occurring in a human patient is provided. At least two electrodes are included in the system for obtaining an electrical signal from a patient's heart. An electrical signal processor is electrically coupled to the electrodes for processing the electrical signal and a patient alarm means is further provided and electrically coupled to the electrical signal processor. The patient alarm means generates an escalating sensory alarm signal over a predetermined time period subsequent to the electrical signal processor if the processor detects a cardiac event. The patient alarm means may be further applied to a pacemaker or defibrillator system.

    摘要翻译： 提供了一种用于检测在人类患者中发生的心脏事件的系统。 系统中包括至少两个电极，以从患者的心脏获得电信号。 电信号处理器电耦合到电极以处理电信号，并且还提供患者报警装置并电耦合到电信号处理器。 如果处理器检测到心脏事件，患者报警装置在电信号处理器之后的预定时间段内产生升高的感觉报警信号。 患者报警装置可以进一步应用于起搏器或除颤器系统。