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公开(公告)号：US6134479A
公开(公告)日：2000-10-17
申请号：US243579
申请日：1999-02-03
IPC分类号： A61N1/04
CPC分类号： A61N1/046 , A61N1/0492
摘要： An energy delivery system for use with an automatic external defibrillator (AED), the AED having a case containing a plurality of AED components, a battery electrically coupled to a control system, the control system communicatively coupled to a charge system, the charge system for generating a stored quantity of energy responsive to a communication from the control system, the control system selectively commanding a discharge of the stored energy to an electrical connector, the energy delivery system includes three electrodes, each electrode for making electrical contact with a skin surface of a patient, each electrode being in electrical contact with the electrical connector for communicating the stored energy to the patient. A method of defibrillating the heart of a patient using an AED, the AED having electrical energy discharge circuitry for generating a defibrillating energy discharge to affect the heart of the patient, the heart being in a state of fibrillation, includes the steps of placing three electrodes on the person of a patient to define a desired electrical path and discharging electrical energy across the electrical path.
摘要翻译： 一种用于与自动外部除颤器（AED）一起使用的能量输送系统，所述AED具有包含多个AED部件的壳体，电耦合到控制系统的电池，所述控制系统通信地耦合到充电系统，所述充电系统用于 响应于来自控制系统的通信产生存储量的能量，控制系统选择性地将存储的能量排放到电连接器，能量传递系统包括三个电极，每个电极用于与皮肤表面电接触 患者，每个电极与电连接器电接触，以将存储的能量传递给患者。 一种使用AED除颤患者心脏的方法，所述AED具有用于产生除颤能量放电以影响患者心脏的电能放电电路的心脏处于原纤维化状态的电能放电电路包括以下步骤：放置三个电极 在患者身上定义所需的电气路径并在电路径上排出电能。
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公开(公告)号：US06438418B1
公开(公告)日：2002-08-20
申请号：US09568237
申请日：2000-05-05
IPC分类号： A61N1362
CPC分类号： A61N1/395 , A61N1/36021 , A61N1/36071 , A61N1/39 , A61N1/3906 , A61N1/3956
摘要： A method and apparatus for pretreating a patient prior to a therapeutic painful stimulus, comprising the application of pain inhibiting stimuli to a patient prior to an application of the therapeutic painful stimulus. Applying pain inhibiting stimuli comprises the steps of sensing a need for the therapeutic painful stimulus, preparing to deliver the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus, and delivering the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus. The method and apparatus are embodied in modern, fully automatic, fully implantable, single or dual chamber atrial or ventricular cardioverter-defibrillators. The pain inhibiting prepulse method is intended primarily for use in conscious patients but may also be used in sleeping patients.
摘要翻译： 一种用于在治疗性疼痛刺激之前预处理患者的方法和装置，包括在施用治疗性疼痛刺激之前向患者施用疼痛抑制刺激物。 应用疼痛抑制刺激包括以下步骤：感觉需要治疗性疼痛刺激，准备在施用治疗性疼痛刺激之前将疼痛抑制刺激递送给患者，以及在施用治疗性疼痛之前将疼痛抑制刺激递送给患者 刺激。 该方法和装置体现在现代，全自动，完全可植入，单室或双室心房或心室心律转复除颤器中。 疼痛抑制前脉冲法主要用于有意识的患者，但也可用于睡眠患者。
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公开(公告)号：US6091989A
公开(公告)日：2000-07-18
申请号：US152382
申请日：1998-09-14
CPC分类号： A61N1/395 , A61N1/36021 , A61N1/39 , A61N1/3906 , A61N1/3956 , A61N1/36071
摘要： A method and apparatus for pretreating a patient prior to a therapeutic painful stimulus, comprising the application of pain inhibiting stimuli to a patient prior to an application of the therapeutic painful stimulus. Applying pain inhibiting stimuli comprises the steps of sensing a need for the therapeutic painful stimulus, preparing to deliver the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus, and delivering the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus. The method and apparatus are embodied in modem, fully automatic, fully implantable, single or dual chamber atrial or ventricular cardioverter-defibrillators. The pain inhibiting prepulse method is intended primarily for use in conscious patients but may also be used in sleeping patients.
摘要翻译： 一种用于在治疗性疼痛刺激之前预处理患者的方法和装置，包括在施用治疗性疼痛刺激之前向患者施用疼痛抑制刺激物。 应用疼痛抑制刺激包括以下步骤：感觉需要治疗性疼痛刺激，准备在施用治疗性疼痛刺激之前将疼痛抑制刺激递送给患者，以及在施用治疗性疼痛之前将疼痛抑制刺激递送给患者 刺激。 该方法和装置体现在调制解调器，全自动，完全可植入，单室或双室心室或心室心律转复除颤器中。 疼痛抑制前脉冲法主要用于有意识的患者，但也可用于睡眠患者。
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4.发明授权Method and apparatus for external defibrillation using a device having a low capacitance and small time constant 失效使用具有低电容和小时间常数的器件进行外部除颤的方法和装置
公开(公告)号：US5902323A
公开(公告)日：1999-05-11
申请号：US832710
申请日：1997-04-11
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3906 , A61N1/3912
摘要： A method and apparatus for delivering a truncated damped sinusoidal external defibrillation waveform which, when applied through a plurality of electrodes positioned on a patient's torso will produce a desired response in the patient's cardiac cell membranes is provided. The external defibrillator is utilized for applying a damped sinusoidal waveform having a first waveform phase and a second waveform phase to a pair of electrodes. The external defibrillator has a first capacitive component, a first inductive component, a first truncating switch, and waveform control circuitry. The waveform control circuitry of the defibrillator controls the first and second truncating switches such that the duration of the second phase waveform delivered by the second charge storage component is greater than the duration of the first phase waveform delivered by the first charge storage component.
摘要翻译： 提供截断的阻尼正弦外部除颤波形的方法和装置，该波形在通过位于患者躯体上的多个电极施加时将在患者的心脏细胞膜中产生期望的响应。 外部除颤器用于向一对电极施加具有第一波形相位和第二波形相位的阻尼正弦波形。 外部除颤器具有第一电容分量，第一电感分量，第一截断开关和波形控制电路。 除颤器的波形控制电路控制第一和第二截断开关，使得由第二电荷存储部件传送的第二相位波形的持续时间大于由第一电荷存储部件传送的第一相位波形的持续时间。
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5.发明授权公开(公告)号：US06711442B1
公开(公告)日：2004-03-23
申请号：US09288209
申请日：1999-04-08
IPC分类号： A61N134
CPC分类号： A61N1/395 , A61N1/36021 , A61N1/36071 , A61N1/39 , A61N1/3906 , A61N1/3956
摘要： A method and apparatus that pretreat a patient prior to each therapeutic painful stimulus in a series of therapeutic painful stimuli, comprising the application of pain inhibiting stimuli to the patient prior to the application of each therapeutic painful stimulus in the series. Applying pain inhibiting stimuli comprises the steps of sensing a need for a next therapeutic painful stimulus in a series, preparing to deliver the pain inhibiting stimuli to the patient prior to applying the next therapeutic painful stimulus, and delivering the pain inhibiting stimuli to the patient prior to applying the next therapeutic painful stimulus. The method and apparatus are embodied in modern, noninvasive, transcutaneous or transesophageal pacing devices, either as stand-alone cardiac pacemakers, combination pacemaker-ECG monitors, or combination pacemaker-monitor-defibrillators. The pain inhibiting prepulse method is intended primarily for use in conscious patients but may also be used in sleeping patients.
摘要翻译： 一种在一系列治疗性疼痛刺激中的每种治疗性疼痛刺激之前对患者进行预处理的方法和装置，包括在施用所述系列中的每种治疗性疼痛刺激之前向患者施加疼痛抑制性刺激。 应用疼痛抑制刺激包括以下步骤：感测需要下一次治疗性疼痛刺激的一系列，准备在施用下一个治疗性疼痛刺激之前将疼痛抑制刺激递送给患者，并将疼痛抑制刺激递送给患者 应用下一个治疗性的痛苦刺激。 该方法和装置体现在现代的，无创的，经皮的或经食道的起搏装置中，作为独立的心脏起搏器，组合的起搏器ECG监测器或组合的起搏器监测器 - 除颤器。 疼痛抑制前脉冲法主要用于有意识的患者，但也可用于睡眠患者。
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公开(公告)号：US5700281A
公开(公告)日：1997-12-23
申请号：US668117
申请日：1996-06-17
CPC分类号： A61N1/04 , A61N1/3931 , A61N2001/083
摘要： A circuit detectable arrangement of a plurality of medical electrodes is provided with each electrode having an electrically nonconductive backing layer, a layer of electrically conductive adhesive disposed on the backing layer and a lead wire extending therefrom and electrically connected with the conductive adhesive. More specifically, a first electrode is disposed on an electrically nonconductive liner, a second electrode is disposed on an electrically nonconductive liner, and an electrical connector is provided between the first and second electrodes for electrically completing a circuit connecting the lead wire of the first electrode to the lead wire of the second electrode. Preferably, the backing layers of the first and second electrodes each include a conductor portion, and the electrical connector is connected between the conductor portion of the backing layer of the first electrode and the conductor portion of the backing layer of the second electrode. The electrical connector preferably comprises a strip of flexible and electrically conductive material and may include a nonconductive tear resistant strip. Utilizing the electrode packaging above, the present invention monitors the state of the AED and the stage of a rescue. In particular, at least five stages of a rescue are monitored. These include: 1) rescue initiated; 2) preparing victim; 3) applying electrodes; 4) AED in use; and 5) rescue completed.
摘要翻译： 提供了多个医疗电极的电路可检测布置，每个电极具有不导电背衬层，设置在背衬层上的导电粘合剂层和从其延伸并与导电粘合剂电连接的引线。 更具体地，第一电极设置在非导电衬垫上，第二电极设置在非导电衬垫上，并且电连接器设置在第一和第二电极之间，用于电完成连接第一电极的引线的电路 到第二电极的引线。 优选地，第一和第二电极的背衬层各自包括导体部分，并且电连接器连接在第一电极的背衬层的导体部分和第二电极的背衬层的导体部分之间。 电连接器优选地包括柔性和导电材料条，并且可以包括不导电的抗撕裂条带。 利用上述电极封装，本发明监视AED的状态和救援的阶段。 特别是对至少五个营救阶段进行监控。 这些包括：1）救援启动; 2）准备受害人; 3）施加电极; 4）使用中的AED 和5）抢救完成。
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公开(公告)号：US6101413A
公开(公告)日：2000-08-08
申请号：US121079
申请日：1998-07-21
CPC分类号： A61N1/046 , A61N1/0492 , A61N1/3931 , A61N1/048 , A61N2001/083
摘要： Defibrillator electrodes having an identification element and a circuit which indicates to an AED the weight range of the patient being rescued. When the AED detects the presence of pediatric electrodes, it may select a different set of voice prompts that are specifically suited to a pediatric patient and/or it may select a pediatric dosage of electricity for the therapeutic shock.
摘要翻译： 除颤器电极具有识别元件和向AED指示被救疗患者的体重范围的电路。 当AED检测到儿科电极的存在时，它可以选择特别适合儿科患者的不同语音提示集，和/或可以选择用于治疗性休克的儿科用电量。
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8.发明授权
公开(公告)号：US5991658A
公开(公告)日：1999-11-23
申请号：US881662
申请日：1997-06-24
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3906 , A61N1/3925 , A61N1/3912
摘要： The present invention is an external defibrillator which controls and manages the formation of defibrillation waveforms. The waveforms are dynamically adjusted and created to be consistent with a myocardial cell response waveform. Dynamic tilt calculations based on time slices and corresponding functions based on best-fit models are used to generate the waveforms. The waveforms are dynamically adjusted to compensate for changes in resistance due to changes in the voltage during delivery of the waveform. The waveforms include a first and a second phase and are formed with minimal delay therebetween.
摘要翻译： 本发明是控制和管理除颤波形成形的外部除颤器。 波形被动态调整并创建为与心肌细胞反应波形一致。 使用基于时间片的动态倾斜计算和基于最佳拟合模型的相应函数来生成波形。 波形被动态调整以补偿由于在输送波形期间的电压变化导致的电阻变化。 这些波形包括第一和第二相，并且在它们之间以最小的延迟形成。
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公开(公告)号：US06411846B1
公开(公告)日：2002-06-25
申请号：US09678820
申请日：2000-10-04
IPC分类号： A61N139
CPC分类号： A61N1/3937 , A61N1/39 , A61N1/3906 , A61N1/3912
摘要： An apparatus and method for determining an optimal transchest external defibrillation waveform that provides for variable energy in the first or second phase of a biphasic waveform that, when applied through a plurality of electrodes positioned on a patient's torso, will produce a desired response in the patient's cardiac cell membranes. The method includes the steps of providing a quantitative model of a defibrillator circuit for producing external defibrillation waveforms, the quantitative model of a patient includes a chest component, a heart component, a cell membrane component and a quantitative description of the desired cardiac membrane response function. Finally, a quantitative description of a transchest external defibrillation waveform that will produce the desired cardiac membrane response function is computed. The computation is made as a function of the desired cardiac membrane response function, the patient model and the defibrillator circuit model.
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10.发明授权Method and apparatus for determining the second phase of defibrillator devices 有权用于确定除颤器装置的第二相的方法和装置公开(公告)号：US06263239B1
公开(公告)日：2001-07-17
申请号：US09383561
申请日：1999-08-26
IPC分类号： A61N139
CPC分类号： A61N1/3937 , A61N1/3906
摘要： A method for determining an optimal transchest external defibrillation waveform which, when applied through a plurality of electrodes positioned on a patient's torso will produce a desired response in the patient's cardiac cell membranes. The method includes the steps of providing a quantitative model of a defibrillator circuit for producing external defibrillation waveforms, the quantitative model of a patient includes a chest component, a heart component, a cell membrane component and a quantitative description of the desired cardiac membrane response function. Finally, a quantitative description of a transchest external defibrillation waveform that will produce the desired cardiac membrane response function is computed. The computation is made as a function of the desired cardiac membrane response function, the patient model and the defibrillator circuit model.
摘要翻译： 一种用于确定最佳交织外部除颤波形的方法，当通过位于患者躯体上的多个电极施加时，其将在患者的心脏细胞膜中产生期望的响应。 该方法包括提供用于产生外部除颤波形的除颤器电路的定量模型的步骤，患者的定量模型包括胸部组分，心脏组分，细胞膜组分和所需心脏膜响应函数的定量描述 。 最后，计算将产生期望的心脏膜响应函数的经外科除颤波形的定量描述。 作为所需心脏膜响应函数，患者模型和除颤器电路模型的函数进行计算。
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