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1.发明授权Method and apparatus for controlling arrhythmia detection and treatment based on patient posture 有权基于患者姿势控制心律失常检测和治疗的方法和装置公开(公告)号：US08478399B2
公开(公告)日：2013-07-02
申请号：US11343346
申请日：2006-01-31
IPC分类号： A61N1/00
CPC分类号： A61N1/3962 , A61N1/3621 , A61N1/36535 , A61N1/36542
摘要： An implantable medical device and method are provided for determining if a patient is in a substantially horizontal position and delaying a programmed cardioversion/defibrillation shock therapy in response to determining the patient is in a substantially horizontal position. In various embodiments, the shock therapy may be delayed by adjusting tachycardia detection criteria or scheduling the shock therapy after a maximum tachycardia episode duration.
摘要翻译： 提供了可植入医疗装置和方法，用于确定患者是否处于基本上水平的位置，并且响应于确定患者处于基本上水平的位置而延迟编程的心脏复律/除颤休克疗法。 在各种实施例中，通过调节心动过速检测标准或在最大心动过速发作持续时间之后安排休克疗法可以延迟休克疗法。
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公开(公告)号：US07650188B2
公开(公告)日：2010-01-19
申请号：US10914369
申请日：2004-08-09
IPC分类号： A61N1/362
CPC分类号： A61N1/3752 , A61N1/056 , A61N1/0587 , H01R4/36 , H01R2201/12
摘要： A medical electrical system includes a device including a connector port and an external electrically active surface and an auxiliary lead including a supplemental electrode and a connector end. The external electrically active surface of the device is adapted to receive the auxiliary lead connector end, thereby electrically coupling the supplemental electrode to the device via contact between the connector end and the external surface.
摘要翻译： 医疗电气系统包括包括连接器端口和外部电活动表面的设备以及包括辅助电极和连接器端的辅助引线。 该装置的外部电活动表面适于接收辅助引线连接器端，从而通过连接器端和外表面之间的接触将辅助电极电耦合到装置。
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公开(公告)号：US07904179B2
公开(公告)日：2011-03-08
申请号：US12038949
申请日：2008-02-28
IPC分类号： A61N1/05
CPC分类号： A61N1/0504 , A61M25/04 , A61N1/3956
摘要： A fixation device for a subcutaneous implantable medical device includes a deformable tip portion that reduces in width when coupled with a fixation tool such that implantation of the implantable medical device through tissue is facilitated. Upon release from the fixation tool, the fixation device returns to its initial shape and stably secures the position of the implantable medical device.
摘要翻译： 用于皮下可植入医疗装置的固定装置包括可变形尖端部分，其与固定工具联接时减小宽度，使得易于通过组织植入可植入医疗装置。 当从固定工具释放时，固定装置恢复其初始形状并且稳定地固定可植入医疗装置的位置。
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公开(公告)号：US07890191B2
公开(公告)日：2011-02-15
申请号：US12038906
申请日：2008-02-28
IPC分类号： A61N1/05
CPC分类号： A61N1/0504 , A61M25/04 , A61N1/3956
摘要： A fixation device for a subcutaneous implantable medical device includes a deformable tip portion that reduces in width when coupled with a fixation tool such that implantation of the implantable medical device through tissue is facilitated. Upon release from the fixation tool, the fixation device returns to its initial shape and stably secures the position of the implantable medical device.
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5.发明授权公开(公告)号：US07421300B2
公开(公告)日：2008-09-02
申请号：US11263101
申请日：2005-10-31
申请人： Karel F. A. A. Smits
发明人： Karel F. A. A. Smits
IPC分类号： A61N1/05
CPC分类号： A61N1/3956 , A61B5/04011 , A61B5/04085 , A61B5/7257 , A61N1/08 , A61N1/3925
摘要： Methods of implanting at least one lead for a cardio defibrillator using body surface potential (BSP) electrodes are disclosed. The methods may include installing defibrillation electrodes in a patient, attaching at least three BSP electrodes to the patient's skin, creating a potential difference between the defibrillation electrodes, and measuring the resulting body surface potential at the three BSP electrodes. Once the resulting BSP is measured, the methods may include determining the amplitude of a resultant vector formed by the measured BSP potential differences. The location of a defibrillation electrode may then be manipulated to increase the amplitude of the resultant vector formed by the measured BSP potential differences.
摘要翻译： 公开了使用身体表面电位（BSP）电极植入用于心脏除颤器的至少一个引线的方法。 所述方法可以包括在患者体内安装除颤电极，将至少三个BSP电极连接到患者皮肤上，产生除颤电极之间的电位差，并测量三个BSP电极处的所得体表面电位。 一旦测得了所得到的BSP，方法可以包括确定由测量的BSP电位差形成的合成矢量的振幅。 然后可以操纵除颤电极的位置以增加由测量的BSP电位差形成的合成矢量的振幅。
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公开(公告)号：US5344429A
公开(公告)日：1994-09-06
申请号：US110041
申请日：1993-08-20
申请人： Karel F. A. A. Smits
发明人： Karel F. A. A. Smits
IPC分类号： A61N1/39
CPC分类号： A61N1/3918
摘要： A pulse routing circuit for use in conjunction with a multiple channel defibrillator. The circuit, when coupled to a multiple channel defibrillator allows for the selection of a wide variety of multiple electrode pulse regimens and waveforms, accomplished by selective interconnection of defibrillation electrodes to the pulse routing circuit. Because the circuit employs passive switching elements, such as diodes, complex switching circuitry is not required.
摘要翻译： 一种与多通道除颤器结合使用的脉冲路由电路。 该电路当耦合到多通道除颤器允许通过选择性地将除颤电极互连到脉冲路由电路来选择多种多电极脉冲方案和波形。 由于电路采用无源开关元件，例如二极管，不需要复杂的开关电路。
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公开(公告)号：US08744548B2
公开(公告)日：2014-06-03
申请号：US12795236
申请日：2010-06-07
申请人： Rogier Receveur , Jean Joseph Gerardus Rutten , Karel F. A. A. Smits , Nicolaas M Lokhoff , Sylvia Weijzen-Engels , Didier Billy , Tim Dirk Jan Jongen , Lilian Kornet
发明人： Rogier Receveur , Jean Joseph Gerardus Rutten , Karel F. A. A. Smits , Nicolaas M Lokhoff , Sylvia Weijzen-Engels , Didier Billy , Tim Dirk Jan Jongen , Lilian Kornet
CPC分类号： A61N1/056 , A61N1/3756
摘要： A lead including one or more electrodes having circuitry associated therewith. Each such electrode includes a circuit extending along and conforming to at least a portion of an inner surface of the electrode. The circuit includes an isolation substrate contacting at least a portion of the inner surface of the cylindrical electrode portion, a first contact electrically isolated from the electrode portion by the isolation substrate and an integrated circuit electrically coupled to the first contact and the electrode.
摘要翻译： 包括具有与其相关的电路的一个或多个电极的引线。 每个这样的电极包括沿着电极的内表面的至少一部分延伸并且与电极的内表面的至少一部分一致的电路。 电路包括与圆柱形电极部分的内表面的至少一部分接触的隔离衬底，通过隔离衬底与电极部分电隔离的第一接触和电耦合到第一接触和电极的集成电路。
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8.发明授权Method and apparatus for imparting curves in implantable elongated medical instruments 有权用于在可植入的细长医疗器械中赋予曲线的方法和装置公开(公告)号：US06907298B2
公开(公告)日：2005-06-14
申请号：US10045850
申请日：2002-01-09
CPC分类号： A61M25/0138 , A61M25/0144 , A61M25/0147 , A61M2025/0161
摘要： Elongated medical instruments adapted to be permanently or temporarily implanted in the mammalian body or used to access a site in the body to facilitate introduction of a further medical device, and methods and apparatus for deflecting the distal end and imparting curves in distal segments of such medical instruments within the body by manipulation of a proximal segment of the instrument outside the body are disclosed. Multiple portions of distal segments of a single one or distal segments of coaxially arranged distal segments of deflectable coiled wires are formed each having a line of spacers each functioning as a backbone along a side of the wire coil and formed in a variety of ways. One or more elongated movable wire extends through a coil lumen to one or more attachment point distal to each portion that can be pushed to widen and/or pulled to narrow the spacing of coil turns across the coil diameter from the line to induce a bend in all more proximal portions.
摘要翻译： 适于永久或临时植入哺乳动物体内或用于进入体内部位以便于引入另外的医疗装置的细长的医疗器械，以及用于偏转远端并在该医疗器械的远侧部分中赋予曲线的方法和装置 公开了通过在体外操纵器械的近端部分而在身体内的器械。 形成可同轴布置的可偏转线圈绕线的远端段的单个或远端段的远端段的多个部分，每个远侧段具有沿着线圈的一侧用作骨架的间隔线，并且以各种方式形成。 一个或多个细长的可动线延伸穿过线圈腔至一个或多个附接点，该连接点可远离每个部分，该连接点可被推动以加宽和/或拉动，从而使线圈的线圈间距从线路缩窄以引起弯曲 所有更多的近端部分。
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公开(公告)号：US5545207A
公开(公告)日：1996-08-13
申请号：US295334
申请日：1994-08-24
IPC分类号： A61N1/05
CPC分类号： A61N1/0587
摘要： An epicardial lead having an electrode extending from the bottom thereof in combination with an anchoring system adapted to secure the lead to the heart without the use of complex procedures or tools. In particular the lead achieves stable fixation through the provision of a flexible member moveable between a first position and a second position and a pair of fixation members connected to said flexible member, each fixation member having a distal end and a root, each flexible member connected to the electrode mounting at a point beyond the tip portion of the fixation member.
摘要翻译： 一种心外膜引线，其具有从其底部延伸的电极以及适于将引线固定到心脏而不使用复杂程序或工具的锚定系统。 特别地，引线通过提供可在第一位置和第二位置之间移动的柔性构件和连接到所述柔性构件的一对固定构件来实现稳定的固定，每个固定构件具有远端和根部，每个柔性构件连接 涉及在超过固定构件的尖端部分的点处的电极安装。
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公开(公告)号：US5374279A
公开(公告)日：1994-12-20
申请号：US968737
申请日：1992-10-30
CPC分类号： A61N1/3956 , A61N1/05 , A61N1/0563 , A61N1/3752
摘要： A medical electrical pulse generator having a switchable connector assembly. The connector assembly is provided with connector bores, each intended to receive a medical electrical lead or a sealing plug, if no lead is provided. Electrical connectors located within the bores are arranged such that interconnection of the pulse generator circuitry within the device and electrodes on the leads and/or housing of the device can be altered by means of connector pins located on the electrical leads or the sealing plugs, which may be employed to interconnect electrical connectors within a connector bore.
摘要翻译： 一种具有可切换连接器组件的医用电脉冲发生器。 连接器组件设置有连接器孔，每个连接器孔用于接收医疗电线或密封塞，如果不提供引线。 位于孔内的电连接器被布置成使得装置内的脉冲发生器电路和装置的引线和/或壳体上的电极可以通过位于电引线或密封塞上的连接器引脚来改变， 可以用于互连连接器孔内的电连接器。
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