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    CARDIAC EVENT CATEGORIZATION SYSTEM
    2.
    发明申请
    CARDIAC EVENT CATEGORIZATION SYSTEM 有权
    CARDIAC活动分类系统

    公开(公告)号：US20080183091A1

    公开(公告)日：2008-07-31

    申请号：US12059146

    申请日：2008-03-31

    申请人： ROBERT E. FISCHELL ,  DAVID R. FISCHELL ,  TIM A. FISCHELL ,  SCOTT J.S. FISCHELL

    发明人： ROBERT E. FISCHELL ,  DAVID R. FISCHELL ,  TIM A. FISCHELL ,  SCOTT J.S. FISCHELL

    IPC分类号： A61B5/0402

    CPC分类号： A61L27/54 ,  A61L2300/236 ,  A61L2300/254 ,  A61L2300/42

    摘要： Disclosed are methods for detecting an acute myocardial infarction (i.e., a heart attack) at the earliest possible time and promptly warning the patient that he should immediately seek medical care. The present invention includes an implantable electronic system that can sense a change in the patient's electrogram that is indicative of a heart attack. If a heart attack is sensed, the device would then cause an implantable and/or externally located alarm to be actuated to warn the patient of his condition and a medical practitioner at a remote diagnostic center would receive the patient's electrogram for analysis. The patient or a caretaker would then be informed to self-inject medication through a subcutaneous, pass-through drug port that can be a separate device or integrated into the implanted device that is designed for the early detection of a heart attack. The methods of the present invention include determining if a human patient is likely to have a heart attack and, if he is, then implanting within that patient a device that can sense when a heart attack occurs and alarm the patient to take appropriate actions if a heart attack does occur.

    摘要翻译： 公开了在早期检测急性心肌梗塞（即心脏病发作）的方法，并且及时警告患者他应该立即求医。 本发明包括可以感测指示心脏病发作的患者电描记图变化的可植入电子系统。 如果感测到心脏病发作，则该装置然后将致动可植入和/或外部定位的警报器，以警告患者其状况，并且远程诊断中心的医务人员将接收患者的电描记图以进行分析。 然后将患者或看守者通知皮下，通过的药物口，自动注射药物，该药物口可以是单独的装置，或者整合到被设计用于早期发现心脏病发作的植入装置中。 本发明的方法包括确定人类患者是否可能患有心脏病发作，并且如果他是，则在患者体内植入可以感测发生心脏病发作的装置，并且如果 心脏病发作确实发生。

    SYSTEM AND METHOD FOR PERFORMING ANGIOGRAPHY AND STENTING
    3.
    发明申请
    SYSTEM AND METHOD FOR PERFORMING ANGIOGRAPHY AND STENTING 审中-公开
    系统和方法进行姿态和姿态

    公开(公告)号：US20110301684A1

    公开(公告)日：2011-12-08

    申请号：US12795707

    申请日：2010-06-08

    申请人： ROBERT E. FISCHELL ,  DAVID R. FISCHELL ,  TIM A. FISCHELL

    发明人： ROBERT E. FISCHELL ,  DAVID R. FISCHELL ,  TIM A. FISCHELL

    IPC分类号： A61M25/00 ,  A61F2/84

    CPC分类号： A61M25/0662 ,  A61F2/95 ,  A61M25/0041 ,  A61M25/0097 ,  A61M29/00 ,  A61M2025/0004 ,  A61M2025/0006 ,  A61M2025/0681

    摘要： An integrated catheter system for performing angiography on a human patient, the integrated catheter system consisting of an angiographic catheter onto which a thin-walled sheath is co-axially mounted. The angiographic catheter having an essentially straight and elongated proximal section in the form of a cylindrical shaft that is surrounded for less than one-half of its length by the thin-walled sheath that has an outer diameter that is less than 0.25 mm greater than the outside diameter of the angiography catheter. The strength to prevent buckling of the thin-walled sheath being provided by the shaft of the angiographic catheter. The integrated catheter system also being ideal for the placement of stents using small diameter stent delivery systems such as the stent-on-a-wire system.

    摘要翻译： 一种用于对人类患者执行血管造影的集成导管系统，由血管造影导管组成的整体导管系统，薄壁鞘同轴安装在该血管造影导管上。 血管造影导管具有圆柱形轴的基本上直的和细长的近端部分，其通过薄壁护套被围绕其长度小于其长度的一半，外壳的外径小于 血管造影导管的外径。 防止由血管造影导管的轴提供的薄壁鞘的屈曲的强度。 集成的导管系统也是使用小直径支架输送系统（如支架在线系统）放置支架的理想选择。

    CAROTID SHEATH WITH FLEXIBLE DISTAL SECTION
    5.
    发明申请
    CAROTID SHEATH WITH FLEXIBLE DISTAL SECTION 有权
    CAROTID SHEATH与柔性的远程部分

    公开(公告)号：US20120310212A1

    公开(公告)日：2012-12-06

    申请号：US13150308

    申请日：2011-06-01

    申请人： ROBERT E. FISCHELL ,  TIMOTHY J. LYNCH ,  TIM A. FISCHELL

    发明人： ROBERT E. FISCHELL ,  TIMOTHY J. LYNCH ,  TIM A. FISCHELL

    IPC分类号： A61M25/00

    CPC分类号： A61M25/0054 ,  A61M25/0045 ,  A61M25/005

    摘要： The present invention is a carotid sheath that has a proximal portion that is stiffer than the distal portion of the sheath as a result of the proximal portion having a higher durometer of the outer plastic coating of the sheath's proximal portion with a lower durometer for the plastic coating on the more flexible distal portion of the sheath. Another means to increase the flexibility of the sheath's distal portion compared to a stiffer proximal portion is by having a slightly smaller outside diameter for the outer plastic coating of the distal portion of the sheath. A more flexible distal portion of the sheath allows easier access for angiography, angioplasty or stenting when the sheath is used to access the tortuous path encountered when entering the carotid arteries.

    摘要翻译： 本发明是一种颈动脉鞘，其具有比鞘的远端部更硬的近端部分，因为近端部分具有较高硬度的护套近端部分的塑料涂层，其中较低的硬度计用于塑料 涂覆在护套的更柔性的远端部分上。 与较硬的近端部分相比，增加护套远端部分的灵活性的另一种手段是通过对鞘的远侧部分的外部塑料涂层具有略小的外径。 当护套用于进入进入颈动脉期间遇到的曲折路径时，鞘的更柔性的远侧部分允许更容易地进行血管造影，血管成形术或支架置入。

    IMPLANTABLE CARDIAC EVENT DETECTION DEVICE WITH AN ADAPTIVE SLEEP STATE
    6.
    发明申请
    IMPLANTABLE CARDIAC EVENT DETECTION DEVICE WITH AN ADAPTIVE SLEEP STATE 有权
    具有自适应睡眠状态的可植入心脏事件检测装置

    公开(公告)号：US20110270101A1

    公开(公告)日：2011-11-03

    申请号：US13177685

    申请日：2011-07-07

    申请人： DAVID R. FISCHELL ,  JONATHAN HARWOOD ,  ROBERT E. FISCHELL ,  STEVEN R. JOHNSON

    发明人： DAVID R. FISCHELL ,  JONATHAN HARWOOD ,  ROBERT E. FISCHELL ,  STEVEN R. JOHNSON

    IPC分类号： A61B5/04

    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： Disclosed is a system for the detection of cardiac events (a guardian system) 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 one or more detection 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 guardian system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means). If the guardian system is put into a pacemaker, the algorithm can utilize a different analysis of the electrogram depending on whether or not the pacemaker is actually pacing the heart.

    摘要翻译： 公开了一种用于检测心脏事件（监护系统）的系统，其包括称为心脏切除器的植入装置，医师编程器和外部警报系统。 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。 使用一个或多个检测算法，心脏扫描器可以检测患者的电描记图中的变化，其指示在发生后五分钟内的心脏事件，然后自动向患者发出事件发生。 为了提供此警告，监护系统包括在心脏保护器内和/或外部报警系统（外部报警装置）内的内部报警子系统（内部报警装置）。 如果将监护人系统放入心脏起搏器，该算法可以根据起搏器是否实际起搏心脏，对电图进行不同的分析。

    DEVICE FOR THE RAPID CLOSURE OF WOUNDS AND SURGICAL INCISIONS
    9.
    发明申请
    DEVICE FOR THE RAPID CLOSURE OF WOUNDS AND SURGICAL INCISIONS 有权
    快速关闭伤口和外科手术的手段

    公开(公告)号：US20140171849A1

    公开(公告)日：2014-06-19

    申请号：US13716390

    申请日：2012-12-17

    申请人： ROBERT E. FISCHELL ,  LEIGH VINOCUR

    发明人： ROBERT E. FISCHELL ,  LEIGH VINOCUR

    IPC分类号： A61F13/02 ,  A61F13/00

    CPC分类号： A61F13/0246 ,  A61B17/00 ,  A61B2017/00889 ,  A61B2017/00951 ,  A61B2017/086

    摘要： A wound closure system having first, second and third adhesive pads with a pair of strap members fixedly secured to the first and third adhesive pads. The pair of strap members are slidably received within the second adhesive pad. When the third adhesive pad is displaced, the first and second adhesive pads are displaced toward each other to close the wound.

    摘要翻译： 一种伤口闭合系统，其具有第一，第二和第三粘合剂垫，其具有固定地固定到第一和第三粘合剂垫的一对带构件。 一对带状构件可滑动地容纳在第二粘合垫内。 当第三粘合垫移位时，第一和第二粘合垫彼此移动以闭合伤口。

    DEVICE FOR PLACING A MARKER INTO A HUMAN SUBJECT FOR THE PURPOSE OF TISSUE BIOPSY
    10.
    发明申请
    DEVICE FOR PLACING A MARKER INTO A HUMAN SUBJECT FOR THE PURPOSE OF TISSUE BIOPSY 审中-公开
    将标记放入组织生物学目的的人类受试者的设备

    公开(公告)号：US20130046174A1

    公开(公告)日：2013-02-21

    申请号：US13209487

    申请日：2011-08-15

    申请人： ROBERT E. FISCHELL ,  DAVID MULLEN ,  MARK ZYZELEWSKI

    发明人： ROBERT E. FISCHELL ,  DAVID MULLEN ,  MARK ZYZELEWSKI

    IPC分类号： A61B6/00

    CPC分类号： A61B90/39 ,  A61B10/02 ,  A61B2090/3987

    摘要： The present invention is a marker delivery device designed to deliver an elongated magnet to mark the center of tissue that is suspected of being cancerous. This device has an elongated magnet situated within a hollow needle with the magnet's distal end placed at the distal end of the needle. The operator first places the tip of the needle at the center of the lesion. By pressing an activate button on the injector device, the needle is advanced by half the length of the magnet and then pulled back the full length of the magnet while a rod within the needle that is in contact with the proximal end of the magnet prevents the magnet from coming back when the needle goes back. Thus the magnet is deployed with its center at the center of the lesion that is suspected of being cancerous.

    摘要翻译： 本发明是一种标记物递送装置，其被设计用于递送细长磁体以标记被怀疑是癌性的组织的中心。 该装置具有位于中空针内的细长磁体，其中磁体的远端位于针的远端。 操作者首先将针尖放置在病变的中心。 通过按下注射器装置上的激活按钮，针被推进一半长度的磁体，然后拉回磁体的整个长度，而与针头内的杆接触磁体的近端防止 当针回来时磁铁回来。 因此，磁铁的中心位于病灶的中心位置，该中心被怀疑是癌变的。