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    Alarm testing and backup for implanted medical devices with vibration alerts
    1.
    发明申请
    Alarm testing and backup for implanted medical devices with vibration alerts 有权
    具有振动警报的植入式医疗设备的报警测试和备份

    公开(公告)号：US20110054334A1

    公开(公告)日：2011-03-03

    申请号：US12461877

    申请日：2009-08-27

    申请人： David R. Fischell ,  Jonathan Harwood ,  Michael Sasha John

    发明人： David R. Fischell ,  Jonathan Harwood ,  Michael Sasha John

    IPC分类号： A61B5/0402 ,  G08B29/00 ,  G08B23/00

    CPC分类号： A61B5/0402 ,  A61B5/6846 ,  A61B2560/0271 ,  A61B2560/0276 ,  A61B2562/0219 ,  A61N1/37258 ,  G16H40/67

    摘要： Alarm tests are disclosed which use alarm test signals to assess alarms provided by medical devices. Especially relevant are implanted devices that monitor cardiac activity and provide notification in response to medically relevant events. Alarm tests can occur periodically, or in response to a patient, doctor, or remote party initiating the alarm test. Alarm tests can also occur during the actual alarms issued to detected medical events. Alarm tests lead to pass or fail results, which in turn may cause operations to contingently occur. Alarm test failure in the auditory, visual, or tactile modality, may cause an alternatively defined alarm signal to be used as back-up. Alarm test logs can store alarm test results, including quantification of the measured alarm signal. Rapid alarm tests are described, as are various methods of accurately measuring characteristics of the test signal in ambulatory patients, which are especially relevant to a vibration alarm.

    摘要翻译： 公开了报警测试，其使用报警测试信号来评估由医疗设备提供的警报。 特别相关的是监测心脏活动的植入装置，并响应医疗相关事件提供通知。 报警测试可以周期性地发生，或者响应于启动报警测试的病人，医生或远程方。 在检测到的医疗事件发生的实际警报中也可能发生报警测试。 报警测试导致通过或失败结果，这反过来可能导致操作偶然发生。 在听觉，视觉或触觉模式中的报警测试失败可能导致备用定义的报警信号用作备份。 报警测试记录可以存储报警测试结果，包括测量报警信号的量化。 描述了快速报警测试，以及精确测量门诊患者测试信号特性的各种方法，这些特征与振动报警特别相关。

    Alarm testing and backup for implanted medical devices with vibration alerts
    3.
    发明授权
    Alarm testing and backup for implanted medical devices with vibration alerts 有权
    具有振动警报的植入式医疗设备的报警测试和备份

    公开(公告)号：US08301231B2

    公开(公告)日：2012-10-30

    申请号：US12461877

    申请日：2009-08-27

    申请人： David R. Fischell ,  Jonathan Harwood ,  Michael Sasha John

    发明人： David R. Fischell ,  Jonathan Harwood ,  Michael Sasha John

    IPC分类号： A61B5/04

    CPC分类号： A61B5/0402 ,  A61B5/6846 ,  A61B2560/0271 ,  A61B2560/0276 ,  A61B2562/0219 ,  A61N1/37258 ,  G16H40/67

    摘要： Alarm tests are disclosed which use alarm test signals to assess alarms provided by medical devices. Especially relevant are implanted devices that monitor cardiac activity and provide notification in response to medically relevant events. Alarm tests can occur periodically, or in response to a patient, doctor, or remote party initiating the alarm test. Alarm tests can also occur during the actual alarms issued to detected medical events. Alarm tests lead to pass or fail results, which in turn may cause operations to contingently occur. Alarm test failure in the auditory, visual, or tactile modality, may cause an alternatively defined alarm signal to be used as back-up. Alarm test logs can store alarm test results, including quantification of the measured alarm signal. Rapid alarm tests are described, as are various methods of accurately measuring characteristics of the test signal in ambulatory patients, which are especially relevant to a vibration alarm.

    摘要翻译： 公开了报警测试，其使用报警测试信号来评估由医疗设备提供的警报。 特别相关的是监测心脏活动的植入装置，并响应医疗相关事件提供通知。 报警测试可以周期性地发生，或者响应于启动报警测试的病人，医生或远程方。 在检测到的医疗事件发生的实际警报中也可能发生报警测试。 报警测试导致通过或失败结果，这反过来可能导致操作偶然发生。 在听觉，视觉或触觉模式中的报警测试失败可能导致备用定义的报警信号用作备份。 报警测试记录可以存储报警测试结果，包括测量报警信号的量化。 描述了快速报警测试，以及精确测量门诊患者测试信号特性的各种方法，这些特征与振动报警特别相关。

    Means and method for the detection of cardiac events
    7.
    发明授权
    Means and method for the detection of cardiac events 有权
    用于检测心脏事件的手段和方法

    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）。

    Means and method for the detection of cardiac events
    8.
    发明授权
    Means and method for the detection of cardiac events 有权
    用于检测心脏事件的手段和方法

    公开(公告)号：US08265740B2

    公开(公告)日：2012-09-11

    申请号：US12457190

    申请日：2009-06-03

    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）。

    Means and method for the detection of cardiac events
    9.
    发明授权
    Means and method for the detection of cardiac events 有权
    用于检测心脏事件的手段和方法

    公开(公告)号：US07860559B2

    公开(公告)日：2010-12-28

    申请号：US11812826

    申请日：2007-06-22

    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： A61N1/00

    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）。

    System for the detection of cardiac events
    10.
    发明授权
    System for the detection of cardiac events 有权
    心脏事件检测系统

    公开(公告)号：US06609023B1

    公开(公告)日：2003-08-19

    申请号：US10251505

    申请日：2002-09-20

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

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

    IPC分类号： A61B50452

    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： Heart disease is the leading cause of death in the United States. A heart attack (also known as an Acute Myocardial Infarction (AMI)) typically results from a thrombus that obstructs blood flow in one or more coronary arteries. The extent of damage to the myocardium from an AMI is strongly dependent upon the length of time prior to restoration of blood flow to the heart muscle. Acute myocardial infarction and ischemia may be detected from a patient's electrocardiogram (ECG) by noting an ST segment shift (i.e., voltage change) over a relatively short (less than 5 minutes) period of time. The present invention is a guardian system including electrodes, a cardiosaver device having AMI detection capability and an alarm means to warn the patient that they have had an AMI or other serious cardiac event and should immediately seek medical attention. Such a warning would facilitate getting medical treatment quickly to restore blood flow to the patient's heart muscle. The present invention provides accuracy of detection by comparing a recently collected electrogram data with baseline electrogram data collected at an earlier time when the heart signals were normal. False positives are reduced by requiring multiple detections separated by a predetermined time interval. The present invention can identify and differentiate between an acute myocardial infarction, exercise induced ischemia and other anomalous cardiac conditions. In the preferred embodiment of the present invention the electrodes and the cardiosaver are implanted and the guardian system includes an external alarm system that can produce an external alarm signal and also has means to turn off the alarm.

    摘要翻译： 心脏病是美国的主要死亡原因。 心脏病发作（也称为急性心肌梗死（AMI））通常是由阻塞一个或多个冠状动脉血流的血栓引起的。 AMI对心肌的损伤程度很大程度上取决于恢复血液流向心脏肌肉之前的时间长短。 通过在相对较短（少于5分钟）的时间段内注意ST段移位（即，电压变化），可以从患者的心电图（ECG）中检测到急性心肌梗塞和局部缺血。 本发明是一种监视系统，包括电极，具有AMI检测能力的心脏保护器装置和警告装置，用于警告患者已经患有AMI或其他严重的心脏事件，并且应该立即就医。 这样的警告将有助于迅速治疗以恢复患者心脏肌肉的血流。 本发明通过将最近收集的电描记图数据与当心脏信号正常的较早时间收集的基线电图数据进行比较来提供检测的准确性。 通过要求以预定时间间隔分开的多个检测来减少假阳性。 本发明可以鉴别和区分急性心肌梗死，运动性诱导的缺血和其他异常心脏病状。 在本发明的优选实施例中，植入电极和心脏保护器，并且监护系统包括可产生外部报警信号的外部报警系统，并且还具有关闭报警的装置。