公开(公告)号：US11794026B1

公开(公告)日：2023-10-24

申请号：US18156318

申请日：2023-01-18

申请人： Gust H. Bardy ,  Jason Felix ,  Joshua Djon Green

发明人： Gust H. Bardy ,  Jason Felix ,  Joshua Djon Green

IPC分类号： A61N1/39 ,  A61N1/04

CPC分类号： A61N1/3912 ,  A61N1/3937 ,  A61N1/046

摘要： A circuit with low voltage energy storage for use in generating a defibrillation waveform is described. A charging circuit includes a pulse capacitor that stores defibrillation energy, a high voltage generator circuit that includes a transformer and a rectification circuit through which the pulse capacitor is charged with the defibrillation energy, and a discharge and polarity control circuit electrically connected to the pulse capacitor and switchable to receive the defibrillation energy, which is output as a defibrillation waveform. A low voltage energy supplementing circuit is electrically connected to the pulse capacitor in line with the high voltage generator circuit and stores supplemental defibrillation energy. A microcontroller is adapted to enable the low voltage energy supplementing circuit to modulate the delivery of the stored supplemental energy to the pulse capacitor to augment the defibrillation energy derived from\the initial defibrillation waveform.

公开(公告)号：US20170188871A1

公开(公告)日：2017-07-06

申请号：US15406627

申请日：2017-01-13

申请人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

发明人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

IPC分类号： A61B5/0408 ,  A61B5/0205 ,  A61B5/00

CPC分类号： A61B5/04085 ,  A61B5/0006 ,  A61B5/0022 ,  A61B5/01 ,  A61B5/02055 ,  A61B5/021 ,  A61B5/04017 ,  A61B5/04087 ,  A61B5/04325 ,  A61B5/0452 ,  A61B5/04525 ,  A61B5/0816 ,  A61B5/087 ,  A61B5/091 ,  A61B5/1116 ,  A61B5/1117 ,  A61B5/1118 ,  A61B5/14532 ,  A61B5/14542 ,  A61B5/14551 ,  A61B5/4809 ,  A61B5/6801 ,  A61B5/6823 ,  A61B5/6833 ,  A61B5/7455 ,  A61B2505/07 ,  A61B2560/0271 ,  A61B2560/0412 ,  A61B2560/045 ,  A61B2562/0219 ,  A61B2562/164 ,  G01N27/307

摘要： An electrocardiography patch is provided. A flexible backing is formed of an elongated strip of stretchable material and a pair of electrodes is respectively affixed on a contact surface of each end of the elongated strip. A flexible circuit is affixed on each end of the elongated strip and includes a pair of circuit traces electrically coupled to each electrode. A non-conductive receptacle is securely adhered on the one end of the elongated strip opposite the contact surface and formed to removably receive an electrocardiography monitor and house a battery. Electrical pads are provided on a bottom surface of the non-conductive receptacle to interface with electrical contacts protruding from the electrocardiography monitor. A pair of the electrical pads is formed to electrically couple with the electrodes. A pair of battery leads is formed on the non-conductive receptacle to electrically interface the battery to another pair of the electrical pads.

公开(公告)号：US20120089001A1

公开(公告)日：2012-04-12

申请号：US12901444

申请日：2010-10-08

申请人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

发明人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

IPC分类号： A61B5/0408 ,  A61B5/0402

CPC分类号： A61B5/04325 ,  A61B5/02438 ,  A61B5/0404 ,  A61B5/04085 ,  A61B5/04282 ,  A61B5/1118 ,  A61B5/6833 ,  A61B5/7207 ,  A61B2560/0412 ,  A61B2560/0468

摘要： A method for performing ambulatory electrocardiographic monitoring is provided. An ambulatory ECG monitor, that includes a plurality of sensing electrodes coupled to self-powered sensing circuitry, is provisioned. A monitoring site is located on the surface of a patient's chest at midline and above the body of the sternum adjacent to the fourth and fifth intercostal spaces. The electrodes are aligned and placed along the midline. The ambulatory ECG monitor is removably adhered to the monitoring site for the duration of monitoring. ECG data is sensed through the sensing electrodes at the monitoring site and the sensed ECG data is recorded into the sensing circuitry.

摘要翻译： 提供了一种执行动态心电图监测的方法。 提供了一种动态ECG监视器，其包括耦合到自供电感测电路的多个感测电极。 监测点位于与第四和第五肋间相邻的胸骨身体中线和上方的患者胸部表面。 电极沿着中线对齐并放置。 在监测期间，动态心电图监护仪可移除地粘附于监测点。 通过监测点处的感测电极感测ECG数据，并将感测到的ECG数据记录到感测电路中。

公开(公告)号：US08626277B2

公开(公告)日：2014-01-07

申请号：US13568099

申请日：2012-08-06

申请人： Jason Felix ,  Gust H. Bardy

发明人： Jason Felix ,  Gust H. Bardy

IPC分类号： A61B5/04 ,  A61N1/00

CPC分类号： A61B5/044 ,  A61B5/04017 ,  A61B5/0404 ,  A61B5/0428 ,  A61B5/0432 ,  A61B5/7203 ,  A61B5/7232

摘要： A computer-implemented electrocardiographic data processor with time stamp correlation is provided. A monitoring circuit includes a persistent memory and power supply that powers an encoder that determines a differential voltage between a current discrete digital voltage value and a prior voltage value. The differential voltage is stored into the persistent memory in a digitized data stream representative of analog cardiac action potential signals. Digitally-encoded voltage values and time stamps are retrieved from the persistent memory. A post-processing application executes. A set of output voltages and voltage differences that each correspond to lower and upper bounds of voltage is stored. Each retrieved voltage value is compared to the voltage bounds and the voltage differences within which each retrieved voltage value falls is identified. The output voltages corresponding to the voltage differences is selected. A display depicts the output voltages as reproduced analog cardiac action potential signals and correlates the time stamps.

摘要翻译： 提供了具有时间戳相关性的计算机实现的心电图数据处理器。 监视电路包括持续存储器和电源，为编码器供电，该编码器确定当前离散数字电压值和先前电压值之间的差分电压。 差分电压以表示模拟心脏动作电位信号的数字化数据流存储到持久存储器中。 从持久存储器检索数字编码的电压值和时间戳。 执行后处理应用程序。 存储各自对应于电压的下限和上限的一组输出电压和电压差。 将每个检索的电压值与电压范围进行比较，并且识别每个检索的电压值下降的电压差。 选择与电压差对应的输出电压。 显示器将输出电压描绘为再现的模拟心脏动作电位信号并将时间戳相关联。

公开(公告)号：US08613708B2

公开(公告)日：2013-12-24

申请号：US13191403

申请日：2011-07-26

申请人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

发明人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

IPC分类号： A61B5/04

CPC分类号： A61B5/0404 ,  A61B5/04085 ,  A61B5/04282 ,  A61B5/04325 ,  A61B5/1118 ,  A61B5/6823 ,  A61B5/6833 ,  A61B2560/0412 ,  A61B2560/0468 ,  A61B2562/08

摘要： An ambulatory electrocardiographic (ECG) monitor with a jumpered sensing electrode and method of use is provided. Self-powered ECG sensing circuitry is fully enclosed in a housing that provides electrode connection receptacles on a bottom surface of the housing. A flexible and stretchable electrode mounting panel having an elongated shape is provided with a layer of skin adhesive on a skin contacting surface. Sensing electrodes are mounted on opposite ends of the mounting panel. Each sensing electrode includes an electrode pad facing the skin contacting surface and an oppositely-facing electrode connection plug. Each connection plug is removably and pivotably couplable into the connection receptacles. A jumper wire assembly includes a jumper connection plug electrically connected to a jumper connection receptacle. The jumper connection plug is removably and pivotably couplable into the connection receptacles and the jumper connection receptacle is removably and pivotably couplable into the connection plugs on the mounting panel.

摘要翻译： 提供了具有跳线感测电极和使用方法的动态心电图（ECG）监视器。 自供电的ECG感测电路完全封闭在壳体中，该壳体在壳体的底表面上提供电极连接插座。 具有细长形状的柔性和可拉伸电极安装面板在皮肤接触表面上设置有一层皮肤粘合剂。 感测电极安装在安装面板的相对端。 每个感测电极包括面向皮肤接触表面的电极焊盘和相对面对的电极连接插头。 每个连接插头可拆卸地可枢转地连接到连接插座中。 跳线组件包括电连接到跳线连接插座的跳线连接插头。 跳线连接插头可拆卸地可枢转地联接到连接插座中，并且跳线连接插座可拆卸地可枢转地连接到安装面板上的连接插头中。

公开(公告)号：US20120302906A1

公开(公告)日：2012-11-29

申请号：US13568099

申请日：2012-08-06

申请人： Jason Felix ,  Gust H. Bardy

发明人： Jason Felix ,  Gust H. Bardy

IPC分类号： A61B5/0432 ,  A61B5/044

CPC分类号： A61B5/044 ,  A61B5/04017 ,  A61B5/0404 ,  A61B5/0428 ,  A61B5/0432 ,  A61B5/7203 ,  A61B5/7232

摘要： A computer-implemented electrocardiographic data processor with time stamp correlation is provided. A monitoring circuit includes a persistent memory and power supply that powers an encoder that determines a differential voltage between a current discrete digital voltage value and a prior voltage value. The differential voltage is stored into the persistent memory in a digitized data stream representative of analog cardiac action potential signals. Digitally-encoded voltage values and time stamps are retrieved from the persistent memory. A post-processing application executes. A set of output voltages and voltage differences that each correspond to lower and upper bounds of voltage is stored. Each retrieved voltage value is compared to the voltage bounds and the voltage differences within which each retrieved voltage value falls is identified. The output voltages corresponding to the voltage differences is selected. A display depicts the output voltages as reproduced analog cardiac action potential signals and correlates the time stamps.

摘要翻译： 提供了具有时间戳相关性的计算机实现的心电图数据处理器。 监视电路包括持续存储器和电源，为编码器供电，该编码器确定当前离散数字电压值和先前电压值之间的差分电压。 差分电压以表示模拟心脏动作电位信号的数字化数据流存储到持久存储器中。 从持久存储器检索数字编码的电压值和时间戳。 执行后处理应用程序。 存储各自对应于电压的下限和上限的一组输出电压和电压差。 将每个检索的电压值与电压范围进行比较，并且识别每个检索的电压值下降的电压差。 选择与电压差对应的输出电压。 显示器将输出电压描绘为再现的模拟心脏动作电位信号并将时间戳相关联。

公开(公告)号：US08285370B2

公开(公告)日：2012-10-09

申请号：US12901449

申请日：2010-10-08

申请人： Jason Felix ,  Gust H. Bardy

发明人： Jason Felix ,  Gust H. Bardy

IPC分类号： A61B5/0428

CPC分类号： A61B5/0404 ,  A61B5/0428 ,  A61B5/0432 ,  A61B5/7203 ,  A61B5/7232

摘要： A microcontrolled electrocardiographic monitoring circuit with feedback control is provided. An input signal path includes an electrode, a low pass filter, and an amplifier connected in-line. The electrode senses an input signal and the amplifier outputs a filtered amplified output signal. A microcontroller circuit includes an input codec, analog-to-digital converter, and feedback generation module. The analog-to-digital converter converts the filtered amplified output signal into a data stream of discrete digital values. The feedback module identifies a pairing of drive resistor settings matched to each discrete digital value, which are output as a digital feedback signal. The output signal path includes an electrode and a buffer connected in-line. A pair of drive resistors is connected in parallel to an input terminal of the buffer and to the output terminals of the feedback module. Each drive resistor is adjusted according to the digital feedback signal, and the electrode provides an output signal.

摘要翻译： 提供了具有反馈控制的微控心电监护电路。 输入信号路径包括电极，低通滤波器和在线连接的放大器。 电极感测输入信号，放大器输出滤波后的放大输出信号。 微控制器电路包括输入编解码器，模拟 - 数字转换器和反馈生成模块。 模数转换器将经滤波的放大输出信号转换成离散数字值的数据流。 反馈模块识别与每个离散数字值匹配的驱动电阻器设置的配对，其被输出为数字反馈信号。 输出信号路径包括一个直线连接的电极和一个缓冲器。 一对驱动电阻并联连接到缓冲器的输入端和反馈模块的输出端。 每个驱动电阻根据数字反馈信号进行调整，电极提供输出信号。

公开(公告)号：US20120089000A1

公开(公告)日：2012-04-12

申请号：US12901428

申请日：2010-10-08

申请人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

发明人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

IPC分类号： A61B5/0408

CPC分类号： A61B5/6833 ,  A61B5/02438 ,  A61B5/0404 ,  A61B5/04282 ,  A61B5/04325 ,  A61B5/7207 ,  A61B2503/00 ,  A61B2560/0406 ,  A61B2560/0412 ,  A61B2560/0468

摘要： A method for performing ambulatory electrocardiographic monitoring on an adult female is provided. An ambulatory ECG monitor, that includes a plurality of sensing electrodes coupled to self-powered sensing circuitry, is provisioned. A monitoring site is located on the surface of a patient's chest at midline and above the body of the sternum adjacent to the fourth and fifth intercostal spaces between the breasts in the upper portion of the intermammary cleft. The electrodes are aligned and placed along the midline. Interference from breast tissue with placement of the ambulatory monitor at the monitoring site is evaluated. The ambulatory ECG monitor is removably adhered to the monitoring site clear of any breast tissue interference for the duration of monitoring. ECG data is sensed through the sensing electrodes at the monitoring site and the sensed ECG data is recorded into the sensing circuitry.

摘要翻译： 提供了一种对成年女性进行动态心电图监测的方法。 提供了一种动态ECG监视器，其包括耦合到自供电感测电路的多个感测电极。 监测位置位于胸骨身体上方和胸部上方邻近乳房间隙上部乳房第四和第五肋间处的患者胸部表面。 电极沿着中线对齐并放置。 评估了乳房组织与监测点位置的移动监测器的干扰。 在监测期间，动态心电图监护仪可以清除任何乳房组织干扰的情况下粘附于监测点。 通过监测点处的感测电极感测ECG数据，并将感测到的ECG数据记录到感测电路中。

公开(公告)号：US20120088999A1

公开(公告)日：2012-04-12

申请号：US13191414

申请日：2011-07-26

申请人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

发明人： Jon Mikalson Bishay ,  Gust H. Bardy ,  Jason Felix

IPC分类号： A61B5/0408

CPC分类号： A61B5/6833 ,  A61B5/02438 ,  A61B5/0404 ,  A61B5/04282 ,  A61B5/04325 ,  A61B5/7207 ,  A61B2503/00 ,  A61B2560/0406 ,  A61B2560/0412 ,  A61B2560/0468

摘要： An ambulatory electrocardiographic (ECG) monitor with a jumpered sensing electrode and method of use for female and large-girthed patients is provided. Self-powered ECG sensing circuitry is fully enclosed in a housing with electrode receptacles on a bottom surface. A flexible and stretchable electrode mounting panel is provided with a layer of skin adhesive. A standoff pad is placed between the housing and the electrode mounting panel. Sensing electrodes are mounted on opposite ends of the mounting panel. Each sensing electrode includes an electrode pad facing the skin contacting surface and an oppositely-facing electrode plug. Each plug is removably and pivotably couplable into the receptacles. A jumper wire assembly includes a jumper plug electrically connected to a jumper receptacle. The jumper plug is removably and pivotably couplable into the receptacles and the jumper receptacle is removably and pivotably couplable into the plugs on the mounting panel opposite from the standoff pad.

摘要翻译： 提供了具有跨接式感测电极的动态心电图（ECG）监测器和用于女性和大型患者的方法。 自供电的ECG感应电路完全封装在底部表面具有电极插座的外壳中。 柔性和可拉伸的电极安装面板设置有一层皮肤粘合剂。 支架垫放置在外壳和电极安装面板之间。 感测电极安装在安装面板的相对端。 每个感测电极包括面向皮肤接触表面的电极焊盘和相对面对的电极插头。 每个插头可拆卸地可枢转地连接到插座中。 跳线组件包括电连接到跳线插座的跳线插头。 跳线插头可拆卸地可枢转地连接到插座中，并且跳线插座可拆卸地和可枢转地联接到安装面板上与插座相对的插头中。

公开(公告)号：US08239012B2

公开(公告)日：2012-08-07

申请号：US12901460

申请日：2010-10-08

申请人： Jason Felix ,  Gust H. Bardy

发明人： Jason Felix ,  Gust H. Bardy

IPC分类号： A61B5/0428

CPC分类号： A61B5/044 ,  A61B5/04017 ,  A61B5/0404 ,  A61B5/0428 ,  A61B5/0432 ,  A61B5/7203 ,  A61B5/7232

摘要： A microcontrolled electrocardiographic monitoring circuit with differential voltage encoding is provided. An input signal path includes an electrode, a low pass filter, and an amplifier, which are each connected in-line. The electrode senses an input signal via a conductive surface and the amplifier outputs a filtered amplified output signal. A microcontroller circuit includes an input codec, an analog-to-digital converter, and an encoder. The analog-to-digital converter is connected to the input signal path through an output of the amplifier and converts the filtered amplified output signal into a data stream of discrete digital values. The encoder determines a differential voltage between a current discrete digital value and a prior discrete digital value in the data stream. Persistent memory is connected to the microcontroller circuit via a peripheral serial interface bus, wherein the differential voltages for each of the discrete digital values in the data stream are stored into the persistent memory.

摘要翻译： 提供了具有差分电压编码的微控心电监护电路。 一个输入信号路径包括一个电极，一个低通滤波器和一个放大器，它们各自串联连接。 电极通过导电表面感测输入信号，放大器输出滤波后的放大输出信号。 微控制器电路包括输入编解码器，模拟 - 数字转换器和编码器。 模数转换器通过放大器的输出连接到输入信号路径，并将经过滤波的放大输出信号转换成离散数字值的数据流。 编码器确定数据流中当前离散数字值和先前离散数字值之间的差分电压。 持久存储器通过外围串行接口总线连接到微控制器电路，其中数据流中的每个离散数字值的差分电压被存储到持久存储器中。