公开(公告)号：US20080114406A1

公开(公告)日：2008-05-15

申请号：US11953665

申请日：2007-12-10

申请人： David Hampton ,  Ronald Stickney ,  Richard Nova ,  Stephen Radons ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

发明人： David Hampton ,  Ronald Stickney ,  Richard Nova ,  Stephen Radons ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

IPC分类号： A61N1/39

CPC分类号： A61H31/005 ,  A61H31/006 ,  A61H31/008 ,  A61H2201/0214 ,  A61H2201/5007 ,  A61H2201/501 ,  A61H2201/5012 ,  A61H2201/5048 ,  A61H2201/5058 ,  A61H2201/5097 ,  A61H2230/04 ,  A61M16/00 ,  A61M2202/0208 ,  A61N1/39 ,  G06F19/00 ,  G16H40/63

摘要： Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.

摘要翻译： 实现用于提供通信的外部胸部按压（ECC）设备和除颤（DF））设备的方法的设备，方法和软件，其中ECC和DF设备可以在物理上彼此分离。 ECC和DF设备都能够自主地运行，但是当存在时能够与另一设备进行通信和配合。 一些ECC和DF装置适于彼此物理和/或电耦合。 一个ECC装置包括背板，胸部按压构件，通信模块，控制器以及至少一个传感器，电极引线或电极。 一个DF装置包括除颤器模块，控制器和可以与ECC通信模块通信的通信模块。 通信ECC和DF设备可以提供ECC，起搏，除颤，通气和冷却治疗，并且可以以协调和协作的方式向人类助理提供指令。

公开(公告)号：US20050038475A1

公开(公告)日：2005-02-17

申请号：US10652965

申请日：2003-08-29

申请人： Richard Nova ,  Ronald Stickney ,  Stephen Radons ,  David Hampton ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

发明人： Richard Nova ,  Ronald Stickney ,  Stephen Radons ,  David Hampton ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

IPC分类号： A61B5/00 ,  A61B5/0205 ,  A61B5/0402 ,  A61N1/39

CPC分类号： A61B5/0205 ,  A61B5/0006 ,  A61B5/01 ,  A61B5/0402 ,  A61N1/3931 ,  A61N1/3993

摘要： A method for the failsafe monitoring of the rotational movement of a shaft comprises a first step of picking up a characteristic pulse train with a number of pulses following one another at successive times, the time interval between the pulses is dependent on the rotational movement. A second step determines a monitoring time period and a third step monitors whether an expected pulse of the pulse train occurs within the monitoring time period. Finally, there is a fourth step of generating a control signal when the expected pulse does not occur within the monitoring time period. The monitoring time period is repeatedly adapted to the time interval of the pulses during monitoring.

摘要翻译： 用于故障安全监测轴的旋转运动的方法包括：第一步骤，在连续的时间之后拾取具有多个脉冲的特征脉冲串，脉冲之间的时间间隔取决于旋转运动。 第二步骤确定监视时间段，并且第三步骤监视是否在监视时间段内发生脉冲串的预期脉冲。 最后，当在监视时间段内不发生预期脉冲时，存在产生控制信号的第四步骤。 监视时间周期重复适应监视期间脉冲的时间间隔。

公开(公告)号：US20060167515A1

公开(公告)日：2006-07-27

申请号：US11187616

申请日：2005-07-22

申请人： Ronald Stickney ,  Cynthia Jayne ,  Paula Lank ,  Patricia O'Hearn ,  Tae Joo ,  David Hampton ,  Richard Nova ,  Patrick Kelly ,  William Saltzstein

发明人： Ronald Stickney ,  Cynthia Jayne ,  Paula Lank ,  Patricia O'Hearn ,  Tae Joo ,  David Hampton ,  Richard Nova ,  Patrick Kelly ,  William Saltzstein

IPC分类号： A61N1/39 ,  A61N1/365

CPC分类号： A61B5/046 ,  A61B5/1102 ,  A61B5/1107 ,  A61B5/7264 ,  A61B2560/0412 ,  A61B2562/02 ,  A61N1/3712 ,  A61N1/3925

摘要： Signal data obtained from a piezoelectric sensor placed on a patient's body is used to detect the presence of a cardiac pulse. The piezoelectric sensor has a transducing element adapted to sense movement due to a cardiac pulse and produce piezoelectric signal data in response thereto. Processing circuitry analyzes the piezoelectric signal data for a feature indicative of a cardiac pulse and determines whether a cardiac pulse is present in the patient based on the feature. In one aspect, the feature may be a temporal feature such as a relative change in energy. In another aspect, the feature may be a spectral feature such as the energy or frequency of a peak in the energy spectrum of the signal. In yet another aspect, the feature may be obtained by comparing the piezoelectric signal data with a previously-identified pattern known to predict the presence of a cardiac pulse. Multiple features may also be obtained from the piezoelectric signal data and classified to determine the presence of a cardiac pulse.

摘要翻译： 使用从放置在患者身上的压电传感器获得的信号数据来检测心脏脉搏的存在。 压电传感器具有适于感测由心脏脉搏引起的运动的传感元件，并响应于此产生压电信号数据。 处理电路分析用于表示心脏脉搏的特征的压电信号数据，并且基于特征确定患者心脏脉搏是否存在。 在一个方面，该特征可以是时间特征，例如能量的相对变化。 在另一方面，特征可以是光谱特征，例如信号的能谱中的峰的能量或频率。 在另一方面，可以通过将压电信号数据与已知的预测心脏脉搏的存在的先前识别的模式相比较来获得特征。 还可以从压电信号数据获得多个特征，并将其分类以确定心脏脉搏的存在。

公开(公告)号：US20060167505A1

公开(公告)日：2006-07-27

申请号：US11044871

申请日：2005-01-26

申请人： Isabelle Banville ,  David Hampton ,  Gregory Kavounas ,  Richard Nova

发明人： Isabelle Banville ,  David Hampton ,  Gregory Kavounas ,  Richard Nova

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3993

摘要： Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

摘要翻译： 提供了用于确定外部除颤器中的除颤治疗方案的方法和装置，由此用户可以覆盖CPR-first默认协议。 该方法包括配置在去纤颤器控制器中发出查询的以下步骤; 等待询问回复一段时间; 如果在设定的时间内没有收到响应，则订购CPR处理协议; 分析回应; 在收到对查询的非肯定回应后订购CPR治疗方案; 并在收到对查询的肯定回应时订购冲击治疗方案。 选择休克治疗方案后，除颤器在休克治疗方案下进行休克分析，如果冲击分析没有表示休克治疗，则可以订购CPR治疗方案，或者如果通过休克分析指示休克治疗，则提供除颤休克 。 查询可以以视觉，听觉或视觉和听觉格式呈现给用户。

公开(公告)号：US20060129190A1

公开(公告)日：2006-06-15

申请号：US11008876

申请日：2004-12-09

申请人： Joseph Sullivan ,  Patrick Kelly ,  Richard Nova ,  James Taylor

发明人： Joseph Sullivan ,  Patrick Kelly ,  Richard Nova ,  James Taylor

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3931 ,  A61N1/3987 ,  A61N1/3993

摘要： A method of delivering electrical therapy to a patient by a medical device includes activating the medical device and performing a first analysis of a first set of data signals sensed by the medical device. If the first analysis shows the first set of data signals meets a first criterion, then charging of an energy delivery circuit is commenced circuit upon completion of the first analysis. A second analysis of a second set of data signals from the patient is performed, and if the second analysis determines that the second set of data signals meet a second criterion, the therapy is delivered. The steps of performing the first analysis and performing the second analysis may be begun at substantially the same time. The step of charging may overlap in time with the step of performing a second analysis. The medical device may be an external defibrillator and the therapy may be a defibrillating shock.

摘要翻译： 通过医疗装置将电疗法递送给患者的方法包括激活医疗装置并执行由医疗装置感测的第一组数据信号的第一分析。 如果第一分析显示第一组数据信号满足第一标准，则在完成第一次分析之后，能量传递电路的充电开始电路。 执行来自患者的第二组数据信号的第二分析，并且如果第二分析确定第二组数据信号满足第二标准，则传递治疗。 执行第一次分析和执行第二次分析的步骤可以在几乎相同的时间开始。 充电步骤可能与执行第二次分析的步骤时间重叠。 该医疗装置可以是外部除颤器，并且该治疗可能是去纤颤性休克。

公开(公告)号：US20050015115A1

公开(公告)日：2005-01-20

申请号：US10620742

申请日：2003-07-16

申请人： Joseph Sullivan ,  Richard Nova ,  James Owen

发明人： Joseph Sullivan ,  Richard Nova ,  James Owen

IPC分类号： A61B5/00 ,  A61B5/022 ,  A61B5/117 ,  A61N1/39 ,  G06F19/00

CPC分类号： A61N1/3925 ,  A61B5/0002 ,  A61B5/022 ,  A61B5/1172 ,  A61B5/411 ,  A61B5/4824 ,  A61B5/7435 ,  A61B5/7475 ,  A61B2560/0431 ,  G06F19/00 ,  G06F19/3481 ,  G06Q50/22 ,  G16H10/20 ,  G16H40/63 ,  Y10S128/92 ,  Y10S706/924

摘要： In general, the invention is directed to techniques for determining appropriate first aid and applying first aid that is appropriate. A first aid system receives patient status information from an input device or a sensor, and presents first aid information as a function of the received patient status information. The first aid system may be incorporated with an external defibrillator. The first aid system may acquire patient status information through an interaction with an operator, in which the first aid system asks the operator to supply patient status information. In one embodiment of the invention, the operator may supply patient status information by touching a diagram representing at least a portion of a human body.

摘要翻译： 通常，本发明涉及用于确定适当的急救和应用急救的技术。 急救系统从输入设备或传感器接收患者状态信息，并且作为接收到的患者状态信息的函数呈现急救信息。 急救系统可以并入外部除颤器。 急救系统可以通过与操作者的交互来获取患者状态信息，其中急救系统要求操作者提供患者状态信息。 在本发明的一个实施例中，操作者可以通过触摸代表人体至少一部分的图来提供患者状态信息。

公开(公告)号：US20050277991A1

公开(公告)日：2005-12-15

申请号：US10865232

申请日：2004-06-10

申请人： Kevin Covey ,  Thomas McGrath ,  Joseph Sullivan ,  Larry Nygaard ,  Richard Nova

发明人： Kevin Covey ,  Thomas McGrath ,  Joseph Sullivan ,  Larry Nygaard ,  Richard Nova

IPC分类号： A61N1/08 ,  A61N1/39

CPC分类号： A61N1/0492 ,  A61N1/046 ,  A61N1/048 ,  A61N1/3931 ,  A61N2001/083

摘要： The invention presents an apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.

摘要翻译： 本发明提供了一种用于确定诸如与自动外部除颤器耦合的除颤电极之类的医用电极是否处于替换状态的装置和技术。 该确定可以作为一个或多个数据的函数。 在一个示例性实施例中，确定是测试模块中水凝胶桥的阻抗的一个或多个测量的函数。 在另一个示例性实施例中，确定是来自一个或多个环境传感器的一个或多个环境条件数据的函数。

公开(公告)号：US20060173498A1

公开(公告)日：2006-08-03

申请号：US11047482

申请日：2005-01-31

申请人： Isabelle Banville ,  Fred Chapman ,  Robert Walker ,  Joseph Sullivan ,  Richard Nova

发明人： Isabelle Banville ,  Fred Chapman ,  Robert Walker ,  Joseph Sullivan ,  Richard Nova

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3605 ,  A61N1/37211

摘要： An external defibrillator used to treat a patient wirelessly communicates with an implantable medical device (IMD) implanted in the patient. In some embodiments, a telemetry head may be removably coupled to the external defibrillator to facilitate communication with the IMD. The defibrillator may receive information, such as patient, device, physiological, and treatment information, from the IMD. The defibrillator may use some or all of this information during treatment of the patient. For example, the defibrillator may prompt a user, or modify programmed user prompts based on the information. The defibrillator may deliver therapy based on the information. The information may include real-time values of physiological parameters monitored by the IMD, which may be displayed by the external defibrillator. The external defibrillator may control delivery of therapy by the IMD. The defibrillator may collect medical event information during treatment of the patient, and store the medical event information in the IMD.

摘要翻译： 用于治疗患者的外部除颤器与植入患者的可植入医疗装置（IMD）无线地通信。 在一些实施例中，遥测头可以可移除地耦合到外部除颤器以便于与IMD的通信。 除颤器可以从IMD接收诸如患者，装置，生理和治疗信息的信息。 在治疗患者期间，除颤器可以使用这些信息中的一些或全部。 例如，除颤器可以提示用户，或者基于该信息修改编程的用户提示。 除颤器可以基于该信息进行治疗。 信息可以包括由IMD监测的生理参数的实时值，其可由外部除颤器显示。 外部除颤器可以控制IMD的治疗递送。 除颤器可以在治疗患者期间收集医疗事件信息，并将医疗事件信息存储在IMD中。

公开(公告)号：US20060116726A1

公开(公告)日：2006-06-01

申请号：US10998911

申请日：2004-11-29

申请人： Joseph Sullivan ,  Richard Nova

发明人： Joseph Sullivan ,  Richard Nova

IPC分类号： A61N1/39

CPC分类号： A61N1/3925

摘要： A device tests a circuit that is a source of alternating current by measuring at least one electrical parameter of the circuit to determine whether the circuit is able to provide adequate energy for defibrillation by an external defibrillator. The device may test the circuit by applying a load to the circuit, and measuring one or more electrical parameters when the load is applied to the circuit. The device may be the external defibrillator itself, or a separate testing device. In some embodiments in which an external defibrillator tests a circuit, the defibrillator modifies a value of at least one therapy delivery parameter for a subsequent delivery of one or more defibrillation pulses based on the measured electrical parameter value measured. By modifying a therapy delivery parameter, the defibrillator may deliver defibrillation pulses at an energy level that is supportable by the circuit.

摘要翻译： 器件通过测量电路的至少一个电参数来测试作为交流电源的电路，以确定电路是否能够为外部除颤器提供足够的除颤能量。 器件可以通过向电路施加负载来测试电路，并且当负载施加到电路时测量一个或多个电参数。 该装置可以是外部除颤器本身或单独的测试装置。 在外部除颤器测试电路的一些实施例中，除颤器根据所测量的电参数值，修改至少一个治疗传递参数的值，以便随后传送一个或多个除颤脉冲。 通过修改治疗递送参数，除颤器可以以可由电路支持的能量水平递送除颤脉冲。

公开(公告)号：US20080027338A1

公开(公告)日：2008-01-31

申请号：US11679154

申请日：2007-02-26

申请人： Zhong Lu ,  Richard Nova ,  Paul Tamura ,  Gary DeBardi ,  David Tecklenburg ,  Tyler Hart ,  James Neumiller ,  Richard Cardin

发明人： Zhong Lu ,  Richard Nova ,  Paul Tamura ,  Gary DeBardi ,  David Tecklenburg ,  Tyler Hart ,  James Neumiller ,  Richard Cardin

IPC分类号： A61B5/00

CPC分类号： A61N1/3925 ,  A61B5/0424 ,  A61B5/6843 ,  A61B5/7242 ,  A61N1/046 ,  A61N1/3931 ,  A61N1/3993

摘要： Techniques for determining whether one or more leads are not adequately connected to a patient, e.g., for ECG monitoring, are described. The techniques involve injection of an integrated signal (which includes a test signal) into one lead, and monitoring the driven lead and the response at the other leads, including the common mode and the difference between the other leads. These “lead-off” detection techniques may be provided by an external defibrillator that provides three-wire ECG monitoring. Techniques for determining a type of a cable coupled to a defibrillator are also described. The cable-type identification may allow a defibrillator to, for example, operate in either a three-wire ECG monitoring mode or a therapy mode, based on whether a three-wire ECG cable or a defibrillation cable is coupled to the defibrillator.

摘要翻译： 描述了用于确定一个或多个引线是否不能充分地连接到患者的技术，例如用于ECG监测。 这些技术涉及将一个积分信号（包括一个测试信号）注入到一个引线中，并监视其它引线的驱动引线和响应，包括共模和其它引线之间的差异。 这些“引线”检测技术可以由提供三线ECG监测的外部除颤器提供。 还描述了用于确定耦合到去纤颤器的电缆的类型的技术。 基于三线ECG电缆或除颤电缆是否耦合到除颤器，电缆型识别可以允许除颤器例如以三线ECG监测模式或治疗模式操作。