公开(公告)号：US20090275823A1

公开(公告)日：2009-11-05

申请号：US11721061

申请日：2005-12-09

申请人： Shervin Ayati ,  Francisco Morales.Serrano ,  Hans Feil ,  Sieglinde Neerken ,  Gerhardus Wilhelmus Lucassen

发明人： Shervin Ayati ,  Francisco Morales.Serrano ,  Hans Feil ,  Sieglinde Neerken ,  Gerhardus Wilhelmus Lucassen

IPC分类号： A61B8/14 ,  A61M5/32

CPC分类号： A61B5/489 ,  A61B5/150022 ,  A61B5/150175 ,  A61B5/150389 ,  A61B5/150503 ,  A61B5/150748 ,  A61B5/15109 ,  A61B5/15113 ,  A61B5/15121 ,  A61B5/1519 ,  A61M5/427

摘要： The present invention provides a highly automated puncture system for inserting a cannula or a needle into a blood vessel of a person or an animal. The puncture system has an acquisition module that allows for determining at least one location of a blood vessel underneath the surface of a skin and that is further enabled to determine an optimal puncture location that is well suitable for inserting a cannula into the blood vessel. Further, the puncture system has an actuator for moving and aligning the cannula to a determined position. The system is further adapted to autonomously insert the cannula into the blood vessel for multiple purposes, such as blood withdrawal, venous medication and infusions.

摘要翻译： 本发明提供了一种用于将插管或针插入人或动物的血管中的高度自动化的穿刺系统。 穿刺系统具有采集模块，其允许确定皮肤表面下方的血管的至少一个位置，并且还能够确定非常适合于将插管插入血管中的最佳穿刺位置。 此外，穿刺系统具有用于将插管移动并对准到确定位置的致动器。 该系统进一步适于将插管自动地插入血管用于多种目的，例如抽血，静脉药物和输注。

公开(公告)号：US20090209862A1

公开(公告)日：2009-08-20

申请号：US11571196

申请日：2005-06-27

申请人： Balasundara Raju ,  Eric Cohen-Solal ,  Shervin Ayati

发明人： Balasundara Raju ,  Eric Cohen-Solal ,  Shervin Ayati

IPC分类号： A61B8/14

CPC分类号： G01S7/52085 ,  A61B8/06 ,  A61B8/08 ,  G01S15/8909 ,  G01S15/8927

摘要： A method and apparatus for medical ultrasound diagnostics use time multiplexing of ultrasonic transducers of a multi-transducer array (108) disposed upon or in an application pad. Embodiments of the invention facilitate low excitation power and low wire count electrical interfaces (106, 306, 406) to the transducers and reduce electromagnetic interference between the transducers, as well as increase reliability and accuracy of positioning the application pad on the body of a patient. In one exemplary application, the invention facilitates assessment of blood perfusion.

摘要翻译： 用于医疗超声诊断的方法和装置使用设置在应用垫上或其中的多换能器阵列（108）的超声换能器的时间复用。 本发明的实施例便于对换能器的低激励功率和低线数电接口（106,306,406），并减少换能器之间的电磁干扰，并且增加将应用垫定位在患者身上的可靠性和准确性 。 在一个示例性应用中，本发明便于评估血液灌注。

公开(公告)号：US09445967B2

公开(公告)日：2016-09-20

申请号：US13125813

申请日：2009-10-23

申请人： Pierre Hermanus Woerlee ,  Igor Wilhelmus Franciscus Paulussen ,  Frank Titus Marie Jaartsveld ,  Shervin Ayati ,  Thomas Jan De Hoog

发明人： Pierre Hermanus Woerlee ,  Igor Wilhelmus Franciscus Paulussen ,  Frank Titus Marie Jaartsveld ,  Shervin Ayati ,  Thomas Jan De Hoog

IPC分类号： A61H31/00

CPC分类号： A61H31/006 ,  A61H31/004 ,  A61H2201/1207 ,  A61H2201/149 ,  A61H2203/0456 ,  A61H2205/084

摘要： This invention relates to an automated cardiopulmonary resuscitation device for cyclically compressing a patient's chest. The CPR device comprises a front structure with a first and a second movable unit arranged to move back and forth along said front structure; a back support for positioning behind the patient's back arranged to keep the front structure in a fixed position relative to the patient's back; a chest pad; two arms each rotatably coupled to the chest pad with one end and each being rotatably coupled to a respective one of the first and the second movable units; and a motor arranged for, when in operation, driving the first and the second movable units back and forth such that the chest pad cyclically compresses the patient's chest.

摘要翻译： 本发明涉及一种循环压缩患者胸部的自动化心肺复苏装置。 CPR装置包括前结构，其具有布置成沿着所述前结构来回移动的第一和第二可移动单元; 用于定位在患者背部后面的背部支撑件，其布置成将前部结构保持在相对于患者背部的固定位置; 胸垫 两个臂各自可旋转地联接到胸垫，一端并且每个臂可旋转地联接到第一和第二可移动单元中的相应一个; 以及马达，其布置成在操作时来回驱动所述第一和第二可移动单元，使得所述胸垫周期性地压缩所述患者的胸部。

公开(公告)号：US20140005578A1

公开(公告)日：2014-01-02

申请号：US13125813

申请日：2009-10-23

申请人： Pierre H. Woerlee ,  Igor Wilhelmus Franciscus Paulussen ,  Frank Titus Marie Jaartsveld ,  Shervin Ayati ,  Thomas Jan De Hoog

发明人： Pierre H. Woerlee ,  Igor Wilhelmus Franciscus Paulussen ,  Frank Titus Marie Jaartsveld ,  Shervin Ayati ,  Thomas Jan De Hoog

IPC分类号： A61H31/00

CPC分类号： A61H31/006 ,  A61H31/004 ,  A61H2201/1207 ,  A61H2201/149 ,  A61H2203/0456 ,  A61H2205/084

摘要： This invention relates to an automated cardiopulmonary resuscitation device for cyclically compressing a patient's chest. The CPR device comprises a front structure (43) with a first and a second movable unit (44 a, b) arranged to move back and forth along said front structure; a back support (41) for positioning behind the patient's back arranged to keep the front structure in a fixed position relative to the patient's back; a chest pad (46); two arms (45 a, b) each rotatably coupled 5 to the chest pad with one end and each being rotatably coupled to a respective one of the first and the second movable units; and driving means (47,48,51,52) arranged for, when in operation, driving the first and the second movable units back and forth in opposite directions such that the chest pad cyclically compresses the patient's chest.

摘要翻译： 本发明涉及一种循环压缩患者胸部的自动化心肺复苏装置。 CPR装置包括：前结构（43），其具有布置成沿着所述前部结构前后移动的第一和第二可移动单元（44a，b）; 背部支撑件（41），用于定位在患者背部后面，布置成将前部结构保持在相对于患者背部的固定位置; 胸垫（46）; 两个臂（45a，b）各自可旋转地联接到胸垫上，一端并且每个可旋转地联接到第一和第二可移动单元中的相应一个; 以及驱动装置（47,48,51,52），其布置成在操作时沿相反方向来回驱动第一和第二可移动单元，使得胸垫周期性地压缩患者的胸部。

公开(公告)号：US20110166490A1

公开(公告)日：2011-07-07

申请号：US12997897

申请日：2009-06-19

申请人： Pierre H. Woerlee ,  Thomas J. De Hoog ,  Igor W. F. Paulussen ,  Shervin Ayati

发明人： Pierre H. Woerlee ,  Thomas J. De Hoog ,  Igor W. F. Paulussen ,  Shervin Ayati

IPC分类号： A61H31/00

CPC分类号： A61H31/004 ,  A61H2201/018

摘要： The invention relates to an apparatus and a method for automated Cardio Pulmonary Resuscitation. The apparatus comprises a chest compression actuator, an actuator driver that supplies time-varying drive signals to the chest compression actuator in dependence of operating parameters of the actuator driver, a physiological parameter sensor supplying measured values of a physiological parameter related to the function of the chest compression actuator, and an adaptive control for the operating parameters of the actuator driver. The operating parameters determining a dynamic behavior of a system comprising the chest compression actuator and a chest of a patient.

摘要翻译： 本发明涉及一种自动心肺复苏术的装置和方法。 该装置包括胸部按压致动器，致动器驱动器，其根据致动器驱动器的操作参数向胸部按压致动器提供时变驱动信号;生理参数传感器，其提供与该功能相关的生理参数的测量值 胸部按压致动器，以及用于执行器驱动器的操作参数的自适应控制。 操作参数确定包括胸部按压致动器和患者胸部的系统的动态行为。

公开(公告)号：US5800462A

公开(公告)日：1998-09-01

申请号：US769045

申请日：1996-12-18

申请人： Michael L. Lopin ,  Shervin Ayati

发明人： Michael L. Lopin ,  Shervin Ayati

IPC分类号： A61N1/39 ,  A61N1/37

CPC分类号： A61N1/3937 ,  A61N1/3906 ,  A61N1/3912

摘要： An electrotherapy circuit administers to a patient a current waveform. The electrotherapy circuit includes a charge storage device, at least two discharge electrodes connected by electrical circuitry to opposite poles of the charge storage device, a sensor that senses a patient-dependent electrical parameter (such as a patient impedance sensor), and a control circuit. The control circuit is connected to the sensor and the charge storage device and controls discharge of the charge storage device through the electrodes. The discharge of the charge storage device includes a current waveform having a sensing pulse portion, with insufficient energy for performing therapy, during which the sensor senses a patient-dependent electrical parameter (such as patient impedance), and a therapeutic discharge portion, with sufficient energy for performing therapy, having an initial discharge current controlled by the control circuit based on the patient-dependent electrical parameter (such as patient impedance) as sensed by the sensor. The sensing pulse portion has a discharge current that is at least about one-third of the initial discharge current of the therapeutic discharge portion.

摘要翻译： 电疗电路向患者施加电流波形。 电疗电路包括电荷存储装置，通过电路连接到电荷存储装置的相对极的至少两个放电电极，感测依赖于患者的电参数（例如患者阻抗传感器）的传感器和控制电路 。 控制电路连接到传感器和电荷存储装置，并通过电极控制电荷存储装置的放电。 电荷存储装置的放电包括具有感测脉冲部分的电流波形，其中用于进行治疗的能量不足，在此期间传感器感测依赖于患者的电参数（例如患者阻抗）和治疗性放电部分，具有足够的 用于执行治疗的能量，具有由控制电路根据由传感器检测到的依赖于患者的电参数（例如患者阻抗）控制的初始放电电流。 感测脉冲部分具有至少约治疗放电部分的初始放电电流的三分之一的放电电流。

公开(公告)号：US20080312562A1

公开(公告)日：2008-12-18

申请号：US12096716

申请日：2006-12-07

申请人： Helen Routh ,  John Fraser ,  John Petruzzello ,  Shervin Ayati

发明人： Helen Routh ,  John Fraser ,  John Petruzzello ,  Shervin Ayati

IPC分类号： A61N7/00

CPC分类号： A61B8/4227 ,  A61B8/06 ,  A61B8/4281 ,  A61B8/4483 ,  A61N7/02 ,  A61N2007/0065 ,  A61N2007/0078 ,  A61N2007/0095 ,  A61N2007/027

摘要： An ultrasonic diagnostic and therapy system is described for stopping the bleeding of severely damaged blood vessels or vessels severed in a limb amputation. A cuff is attached to the stump of the severed limb which contains a diagnostic transducer array and a HIFU transducer. The diagnostic transducer surveys the tissue of the severed limb, searching for a Doppler flow signal. When a Doppler flow signal is detected, the range to and coordinates of the sample volume where the flow was detected are determined, as well as the flow velocity. This information is supplied to a HIFU therapy transducer controller, which controls the HIFU transducer to transmit focused ultrasound to the sample volume of the flow locus, the center of the lumen of a blood vessel. The focused ultrasound heats and coagulates blood in the severed vessel to stem the bleeding. Heat dissipation due to the blood flow is reduced by tracking and continuously heating the same bolus of blood as it flows, or by heating a significant length of the blood vessel instead of a fixed spot in the vessel.

摘要翻译： 描述了超声诊断和治疗系统，用于阻止严重损伤的血管或肢体截肢切断的血管的出血。 一个袖带连接到包含诊断换能器阵列和HIFU换能器的切断肢体的残端。 诊断传感器检测切断的肢体的组织，寻找多普勒血流信号。 当检测到多普勒流量信号时，确定检测流量的样品体积的范围和坐标以及流速。 该信息被提供给HIFU治疗传感器控制器，HIFU治疗传感器控制器控制HIFU换能器将聚焦的超声波传输到血管的管腔中心的流动轨迹的样本体积。 聚焦超声加热并凝结切断的血管中的血液以阻止出血。 通过跟踪并持续加热相同的血液，当流动时，或通过加热血管的相当长度的血管而不是血管中的固定点来减少由血流引起的散热。

公开(公告)号：US20080306414A1

公开(公告)日：2008-12-11

申请号：US12096752

申请日：2006-12-07

申请人： John Petruzzello ,  Helen Routh ,  John Fraser ,  Shervin Ayati

发明人： John Petruzzello ,  Helen Routh ,  John Fraser ,  Shervin Ayati

IPC分类号： A61N7/00

CPC分类号： A61B8/06 ,  A61B5/6843 ,  A61B8/4227 ,  A61B8/4281 ,  A61B8/4483 ,  A61B17/1325 ,  A61B17/135 ,  A61B17/1355 ,  A61N7/02 ,  A61N2007/0065 ,  A61N2007/027

摘要： An ultrasonic diagnostic and therapy system is described for stopping the bleeding of severely damaged blood vessels or vessels severed in a limb amputation. A cuff (30) is attached to the stump of the severed limb which contains a diagnostic transducer array and a HIFU transducer (42, 44). The diagnostic transducer surveys the tissue of the severed limb, searching for a Doppler flow signal. When a Doppler flow signal is detected, the range to and coordinates of the sample volume where the flow was detected are determined, as well as the flow velocity. This information is supplied to a HIFU therapy transducer controller, which controls the HIFU transducer to transmit focused ultrasound to the sample volume of the flow locus, the center of the lumen of a blood vessel. The focused ultrasound heats and coagulates blood in the severed vessel to stem the bleeding. Heat dissipation due to the blood flow is reduced by tracking and continuously heating the same bolus of blood as it flows, or by heating a significant length of the blood vessel instead of a fixed spot in the vessel.

摘要翻译： 描述了超声诊断和治疗系统，用于阻止严重损伤的血管或肢体截肢切断的血管的出血。 袖带（30）附接到包含诊断换能器阵列和HIFU换能器（42,44）的切断的肢体的残端。 诊断传感器检测切断的肢体的组织，寻找多普勒血流信号。 当检测到多普勒流量信号时，确定检测流量的样品体积的范围和坐标以及流速。 该信息被提供给HIFU治疗传感器控制器，HIFU治疗传感器控制器控制HIFU换能器将聚焦的超声波传输到血管的管腔中心的流动轨迹的样本体积。 聚焦超声加热并凝结切断的血管中的血液以阻止出血。 通过跟踪并持续加热相同的血液，当流动时，或通过加热血管的相当长度的血管而不是血管中的固定点来减少由血流引起的散热。

公开(公告)号：US5904706A

公开(公告)日：1999-05-18

申请号：US910757

申请日：1997-08-13

申请人： Shervin Ayati ,  Michael L. Lopin

发明人： Shervin Ayati ,  Michael L. Lopin

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3906 ,  A61N1/3912

摘要： The invention provides a method and circuit for forming an electrotherapy current waveform. A charge storage device located externally of a patient's body is charged, and is discharged through the patient's body through at least two discharge electrodes connected by electrical circuitry to opposite poles of the charge storage device. A continuous discharge of the charge storage device through the electrodes is controlled so as to produce at least one phase of a current waveform that includes a ripple. The ripple has a height less than one-third of the height of the peak current of the phase, and the difference between the peak current of the phase and the lowest current of the phase is less than one third of the peak current of the phase. The current waveform has a sensing pulse portion that is integral with the therapeutic discharge portion of the current waveform.

摘要翻译： 本发明提供了一种形成电疗电流波形的方法和电路。 位于患者身体外部的电荷存储装置被充电，并且通过由电路连接到电荷存储装置的相对极的至少两个放电电极通过患者身体排出。 控制通过电极的电荷存储装置的连续放电，以便产生包括纹波的电流波形的至少一个相位。 纹波的高度小于相位峰值电流高度的三分之一，相位峰值电流与相位最小电流之间的差值小于相位峰值电流的三分之一 。 电流波形具有与电流波形的治疗放电部分成一体的感测脉冲部分。

公开(公告)号：US5797968A

公开(公告)日：1998-08-25

申请号：US769046

申请日：1996-12-18

申请人： Michael L. Lopin ,  Shervin Ayati

发明人： Michael L. Lopin ,  Shervin Ayati

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3906 ,  A61N1/3912

摘要： An electrotherapy circuit administers to a patient a current waveform. The electrotherapy circuit includes a charge storage device, at least two discharge electrodes connected by electrical circuitry to opposite poles of the charge storage device, and a control circuit. The control circuit is connected to the charge storage device and controls a continuous discharge of the charge storage device through the electrodes so as to produce at least one phase of a current waveform that includes a sawtooth ripple with a height less than about one-quarter of the average height of the phase.

摘要翻译： 电疗电路向患者施加电流波形。 电疗电路包括电荷存储装置，通过电路连接到电荷存储装置的相对极的至少两个放电电极和控制电路。 控制电路连接到电荷存储装置，并通过电极控制电荷存储装置的连续放电，以便产生电流波形的至少一相，该电流波形包括锯齿波纹，其高度小于 相位的平均高度。