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1.发明申请公开(公告)号：US20140107541A1
公开(公告)日：2014-04-17
申请号：US13836062
申请日：2013-03-15
申请人： Joseph L. Sullivan , Ronald Eugene Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred Chapman
发明人： Joseph L. Sullivan , Ronald Eugene Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred Chapman
IPC分类号： A61H31/00
CPC分类号： A61N1/3987 , A61B5/04014 , A61B5/04015 , A61B5/04017 , A61B5/04018 , A61B5/044 , A61B5/046 , A61B5/4836 , A61B5/486 , A61B5/7207 , A61B5/7217 , A61B5/725 , A61B5/7475 , A61H31/00 , A61H31/005 , A61H31/006 , A61H2201/5007 , A61H2201/5043 , A61H2201/5097 , A61H2230/045 , A61H2230/206 , A61H2230/208 , A61H2230/305 , A61N1/3925 , A61N1/3993
摘要： The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.
摘要翻译： 该系统和方法提供心电图分析和优化患者定制的心肺复苏和治疗递送。 外部医疗装置包括壳体和外壳内的处理器。 处理器可以被配置为接收用于接收胸部按压的患者的输入信号，并且选择至少一个过滤器机构并且将过滤器机构应用于信号以至少从信号中去除胸部压缩伪像。 应用心律的实时动态分析来调整和整合医疗器械的CPR提示。 使用节律评估仪便于实时心律的质量。
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公开(公告)号：US20140094866A1
公开(公告)日：2014-04-03
申请号：US13835261
申请日：2013-03-15
IPC分类号： A61N1/39
CPC分类号： A61N1/3987
摘要： The defibrillator may include a heart rhythm detector to detect the heart rhythm of a patient, a manual mode controller structured to set the defibrillator in a synchronous shock operating mode or an asynchronous shock operating mode depending on an input from a human operator, a shock module to cause the defibrillator to deliver a shock to the patient according to the operating mode, and an automatic mode controller structured to, after the shock module has delivered the shock to the patient, set the external defibrillator to the synchronous shock operating mode or the asynchronous shock operating mode depending on the detected heart rhythm of the patient and without input from the human operator.
摘要翻译： 除颤器可以包括用于检测患者的心律的心律检测器，构造成根据来自人体操作者的输入将除颤器设置为同步冲击操作模式或异步冲击操作模式的手动模式控制器，冲击模块 使除颤器根据操作模式向患者发出冲击，以及自动模式控制器，其被构造成在冲击模块向患者传递冲击之后，将外部除颤器设置为同步冲击操作模式或异步 休克操作模式取决于患者的检测到的心律，无需人工操作者的输入。
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公开(公告)号：US07957799B2
公开(公告)日：2011-06-07
申请号：US11742063
申请日：2007-04-30
IPC分类号： A61N1/39
CPC分类号： A61N1/3625 , A61B5/02028 , A61B5/029 , A61B5/7217 , A61N1/3627 , A61N1/3925
摘要： An external cardiac medical device for delivering Cardiac Potentiation Therapy (CPT). Techniques used with the device include initial diagnosis of the patient, delivery of the CPT, and configuration of the external device, so that CPT can be effectively and efficiently provided. In particular, these techniques include initially determining whether a patient should receive CPT, how to set the coupling interval for delivering CPT, how to configure the external medical device to deliver CPT stimulation pulses while not adversely affecting the device's ability to sense a patient's cardiac parameters and/or signals.
摘要翻译： 用于输送心脏增强疗法（CPT）的外部心脏医疗装置。 与该装置一起使用的技术包括患者的初始诊断，CPT的传递和外部设备的配置，使得可以有效和高效地提供CPT。 具体地说，这些技术包括最初确定患者是否应该接受CPT，如何设定用于递送CPT的耦合间隔，如何配置外部医疗设备以递送CPT刺激脉冲，同时不会不利地影响设备感测患者心脏参数的能力 和/或信号。
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公开(公告)号：US20080269818A1
公开(公告)日：2008-10-30
申请号：US11742063
申请日：2007-04-30
IPC分类号： A61N1/362
CPC分类号： A61N1/3625 , A61B5/02028 , A61B5/029 , A61B5/7217 , A61N1/3627 , A61N1/3925
摘要： An external cardiac medical device for delivering Cardiac Potentiation Therapy (CPT). Techniques used with the device include initial diagnosis of the patient, delivery of the CPT, and configuration of the external device, so that CPT can be effectively and efficiently provided. In particular, these techniques include initially determining whether a patient should receive CPT, how to set the coupling interval for delivering CPT, how to configure the external medical device to deliver CPT stimulation pulses while not adversely affecting the device's ability to sense a patient's cardiac parameters and/or signals.
摘要翻译： 用于输送心脏增强疗法（CPT）的外部心脏医疗装置。 与该装置一起使用的技术包括患者的初始诊断，CPT的传递和外部设备的配置，使得可以有效和高效地提供CPT。 具体地说，这些技术包括最初确定患者是否应该接受CPT，如何设定用于递送CPT的耦合间隔，如何配置外部医疗设备以递送CPT刺激脉冲，同时不会不利地影响设备感测患者心脏参数的能力 和/或信号。
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公开(公告)号：US07047072B2
公开(公告)日：2006-05-16
申请号：US10314500
申请日：2002-12-04
IPC分类号： A61N1/39
CPC分类号： A61B5/7264 , A61B5/053 , A61N1/08 , A61N1/3925
摘要： A dosage for electrotherapy delivered to a patient, such as a defibrillation pulse delivered by an external defibrillator, is selected based on an age-related classification, such as adult or child, and a measured electrical parameter, such as the transthoracic impedance, of the patient. For example, a nominal voltage level for an energy storage circuit may be determined based on a nominal dosage. The nominal voltage level may be adjusted by applying a function that relates voltage level adjustment to impedance to the measured impedance. The function may be selected based on the age-related classification of the patient. The dosage of the defibrillation pulse delivered based on the adjusted voltage level, i.e., the selected dosage, may have a substantially equivalent probability of success for the patient as the nominal dosage would provide for a reference patient with an average transthoracic impedance for the class of which the patient is a member.
摘要翻译： 根据年龄相关分类（例如成人或儿童）和测量的电参数（例如经胸阻抗）来选择输送到患者的电疗的剂量，例如由外部除颤器递送的除颤脉冲， 患者。 例如，可以基于标称剂量来确定能量存储电路的标称电压电平。 标称电压电平可以通过将电压电平调整与阻抗相关联的函数应用于测量的阻抗来调节。 该功能可以基于患者的年龄相关分类来选择。 基于调整的电压水平（即所选择的剂量）输送的除颤脉冲的剂量可以具有基本上等同于患者成功概率，因为标称剂量将为参考患者提供平均经胸阻抗 病人是其成员。
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公开(公告)号：US08036742B2
公开(公告)日：2011-10-11
申请号：US10357267
申请日：2003-01-31
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3925
摘要： The invention is directed to techniques for attempting to restore a patient to a normal sinus rhythm. In a patient experiencing asystole or pulseless electrical activity, defibrillation therapy may be ineffective. The invention is directed to techniques for delivering one or more shocks to induce ventricular fibrillation in the patient, followed by one or more defibrillation shocks to restore normal sinus rhythm. A defibrillator may deliver the fibrillation and defibrillation therapies. The invention may also include techniques for estimating the probability that the patient will respond favorably to the defibrillation therapy, and delivering defibrillation therapy when the therapy has a good probability of success.
摘要翻译： 本发明涉及用于尝试将患者恢复到正常窦性心律的技术。 在经历停搏或无脉搏电活动的患者中，除颤疗法可能无效。 本发明涉及用于递送一次或多次冲击以诱发患者心室颤动的技术，随后进行一次或多次除颤休克以恢复正常窦性心律。 除颤器可以递送原纤维和除颤疗法。 本发明还可以包括用于估计患者对除颤治疗有利的响应的可能性的技术，以及当治疗具有良好的成功概率时递送除颤疗法。
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7.发明授权公开(公告)号：US07272441B1
公开(公告)日：2007-09-18
申请号：US10712469
申请日：2003-11-12
IPC分类号： A61N1/00
CPC分类号： A61N1/3987 , A61N1/3931 , Y10S128/908
摘要： Methods and apparatus are provided for minimizing the inherent time delays within external defibrillators and allowing operators to administer CPR therapy as close in time as possible to the delivery of a defibrillation shock to a patient. The methods and apparatuses utilize timing schemes for initiation and completion of charging or maintaining the charge of an energy storage device of an external defibrillator for at least a portion of a predetermined CPR therapy delivery time.
摘要翻译： 提供的方法和装置用于最小化外部除颤器内的固有时间延迟，并允许操作者尽可能接近时间地施用CPR治疗以向病人递送除颤电击。 所述方法和装置利用定时方案来启动和完成充电或维持外部除颤器的能量存储装置的电荷至少部分预定的CPR治疗递送时间。
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公开(公告)号：US20120035675A1
公开(公告)日：2012-02-09
申请号：US13272960
申请日：2011-10-13
CPC分类号： A61N1/39 , A61B5/046 , A61N1/3993
摘要： A method and apparatus for a defibrillating system is disclosed that monitors the patient during treatment and then uses the information it gathers to adjust treatment protocols during treatment based on the patient's response. The protocols may include adaptive rhythm analysis intervals, adaptive CPR intervals, and adaptive shock stacks. A method of operating a defibrillator may include the steps of: obtaining a data set on at least one physiological parameter of a patient in a first data gathering interval; performing an analysis of the data set; and determining a time interval between the analysis of the first data set and a second data set, or the duration of a CPR interval, or the number of shocks in a shock stack, based on the result of the analysis of the data set.
摘要翻译： 公开了一种用于除颤系统的方法和装置，其在治疗期间监测患者，然后根据患者的反应使用其收集的信息来调整治疗期间的治疗方案。 协议可以包括自适应节律分析间隔，自适应CPR间隔和自适应冲击叠加。 操作除颤器的方法可以包括以下步骤：在第一数据收集间隔中获得关于患者的至少一个生理参数的数据集; 对数据集进行分析; 以及基于所述数据集的分析结果，确定所述第一数据集和第二数据集的分析或CPR间隔的持续时间或冲击堆栈中的冲击次数之间的时间间隔。
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公开(公告)号：US20090270930A1
公开(公告)日：2009-10-29
申请号：US12110174
申请日：2008-04-25
CPC分类号： A61N1/39 , A61B5/046 , A61N1/3993
摘要： A method and apparatus for a defibrillating system is disclosed that monitors the patient during treatment and then uses the information it gathers to adjust treatment protocols during treatment based on the patient's response. The protocols may include adaptive rhythm analysis intervals, adaptive CPR intervals, and adaptive shock stacks. A method of operating a defibrillator may include the steps of: obtaining a data set on at least one physiological parameter of a patient in a first data gathering interval; performing an analysis of the data set; and determining a time interval between the analysis of the first data set and a second data set, or the duration of a CPR interval, or the number of shocks in a shock stack, based on the result of the analysis of the data set.
摘要翻译： 公开了一种用于除颤系统的方法和装置，其在治疗期间监测患者，然后根据患者的反应使用其收集的信息来调整治疗期间的治疗方案。 协议可以包括自适应节律分析间隔，自适应CPR间隔和自适应冲击叠加。 操作除颤器的方法可以包括以下步骤：在第一数据收集间隔中获得关于患者的至少一个生理参数的数据集; 对数据集进行分析; 以及基于所述数据集的分析结果，确定所述第一数据集和第二数据集的分析或CPR间隔的持续时间或冲击堆栈中的冲击次数之间的时间间隔。
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公开(公告)号：US4176444A
公开(公告)日：1979-12-04
申请号：US834106
申请日：1977-09-19
申请人： Robert G. Walker
发明人： Robert G. Walker
CPC分类号： H02K15/068 , H02K3/487 , Y10T29/49009 , Y10T29/49073 , Y10T29/49078 , Y10T29/53161
摘要： Method and apparatus for forming a stator for a dynamoelectric machine by inserting prewound coils into a slotted stator core includes enlarging the slot openings or gap between certain adjacent pairs of stator teeth, placing the prewound stator windings in selected stator core slots and thereafter reducing the slot opening or gap between those certain adjacent pairs of teeth. The disclosure apparatus includes a stator bore support and a series of punches to be placed in stator slots and collapsed radially inwardly to bend the stator teeth tips to conform to the bore support. An otherwise conventional coil inserting or injecting machine has unique blades, each of which has a pair of elongated depressions for accepting the respective formed stator teeth tips, and a pair of ribs outside the depression for spanning the corresponding tooth. Reforming of the stator teeth so as to provide a cylindrical bore stator may be accomplished by a plurality of cylindrical rollers which simultaneously engage the stator bore and traverse that bore interior surface to displace the stator teeth tips radially outwardly, thereby providing a wound stator for further processing having a substantially reduced iron gap or for a given iron gap containing windings of a larger wire size than normally insertable in a stator having that iron gap. The slot openings may be enlarged either by mechanical forming of the stator tooth tips or the stator laminations may be initially stamped with this deformation so that the stator core or stack of such laminations need not be mechanically formed to increase the iron gap available for the wire insertion process.
摘要翻译： 通过将预绕线线圈插入开槽的定子铁芯中来形成用于电动机的定子的方法和装置包括扩大槽间隙或某些相邻的定子齿对之间的间隙，将预绕定子绕组放置在选定的定子铁芯槽中，然后减小槽 那些那些相邻的齿对之间的开口或间隙。 本公开的装置包括定子孔支撑件和一系列冲头，其将放置在定子槽中并径向向内折叠以弯曲定子齿尖以符合孔支撑。 否则常规的线圈插入或注射机器具有独特的叶片，每个叶片具有一对细长的凹部，用于接收相应形成的定子齿尖端，以及一对肋条，用于跨越相应的齿。 定子齿的重新形成以提供圆柱形孔定子可以通过多个圆柱滚子来实现，该圆柱滚子同时接合定子孔并横穿该孔内表面以使定子齿尖径向向外移位，由此提供一个绕组定子用于进一步 具有显着减小的铁间隙的处理或给定的铁间隙，该铁间隙包含比通常可插入具有该铁间隙的定子中更大的线尺寸的绕组。 狭槽开口可以通过定子齿尖的机械成形来扩大，或者定子叠片可以最初用这种变形冲压，使得这种叠片的定子芯或堆叠不需要机械地形成以增加可用于线的铁间隙 插入过程。
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