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：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：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：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。

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：US20050261742A1

公开(公告)日：2005-11-24

申请号：US11189403

申请日：2005-07-25

申请人： Richard Nova ,  Shawn Bertagnole

发明人： Richard Nova ,  Shawn Bertagnole

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3968 ,  A61N1/3993

摘要： An automated external defibrillator (AED) (10) designed for use by a rescuer with minimal or no training during a medical emergency is provided. The AED implements a user interface program (22) which guides the rescuer through operation of the AED and application of CPR and defibrillation therapy to a patient by displaying a series of visual instructions on a graphic display (14) or other visual output device, and by providing additional aural instructions via a speaker (18) or other aural output device. The rescuer merely needs to press a start button (12) to initiate operation of the AED and begin CPR and defibrillation instruction.

摘要翻译： 提供了一种自动化的外部除颤器（AED）（10），设计用于救护人员在医疗紧急情况下进行最少或没有训练。 AED实现用户界面程序（22），其通过在图形显示器（14）或其他视觉输出设备上显示一系列视觉指令来引导救援者通过操作AED并将CPR和除颤疗法应用于患者，以及 通过经由扬声器（18）或其他听觉输出设备提供附加的听觉指令。 救援者只需按下启动按钮（12）启动AED的操作并开始CPR和除颤指令。

公开(公告)号：US07570994B2

公开(公告)日：2009-08-04

申请号：US10423805

申请日：2003-04-25

申请人： Paul S. Tamura ,  Daniel Yerkovich ,  Patrick F. Kelly ,  Richard Nova ,  Joseph Bradley Williamson ,  Stephen B. Johnson ,  Gary DeBardi

发明人： Paul S. Tamura ,  Daniel Yerkovich ,  Patrick F. Kelly ,  Richard Nova ,  Joseph Bradley Williamson ,  Stephen B. Johnson ,  Gary DeBardi

IPC分类号： A61N1/39

CPC分类号： A61N1/3975 ,  A61N1/3787 ,  H02J7/025 ,  H02J50/05 ,  H02J50/10 ,  H02J50/30

摘要： Defibrillator assemblies and methods to wirelessly transfer energy from an external source to a battery or other rechargeable power source within the defibrillator assembly. The transfer of energy may be through a non-contact interface on a defibrillator cradle or a docking station that mounts the defibrillator. The rate of energy transfer may be equal to the energy drain caused by self-discharge and automated self-testing. Accordingly, since the rate of energy transfer is lower than that required to run the defibrillator system continuously, several wireless methods of energy transfer may be used. In addition, the defibrillator assembly may communicate diagnostic and non-diagnostic data to the external source.

摘要翻译： 去纤颤器组件和将能量从外部源无线传输到除颤器组件内的电池或其他可再充电电源的方法。 能量转移可以通过去纤颤器支架上的非接触界面或安装除颤器的对接站。 能量转移的速率可能等于自放电和自动自检的能量消耗。 因此，由于能量转移速率低于持续运行除颤器系统所需的速率，所以可以使用几种能量转移的无线方法。 此外，除颤器组件可以将诊断和非诊断数据传送到外部源。