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：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。

公开(公告)号：US6096063A

公开(公告)日：2000-08-01

申请号：US769773

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 ,  A61N1/36

CPC分类号： A61N1/3943 ,  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 variable impedance connected between the charge storage device and one of the electrodes, 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 variable impedance and controls the variable impedance during discharge of the charge storage device based on patient-dependent electrical parameter (such as the patient impedance) sensed by the sensor.

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，连接在电荷存储装置和电极之一中的可变阻抗，感测依赖于患者的传感器 电气参数（如患者阻抗传感器）和控制电路。 控制电路连接到传感器和可变阻抗，并且根据由传感器感测到的依赖于患者的电参数（例如患者阻抗）来控制电荷存储装置放电期间的可变阻抗。

公开(公告)号：US5733310A

公开(公告)日：1998-03-31

申请号：US769776

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： A61N1/3937 ,  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 during the sensing pulse portion. The discharge of the charge storage device occurs without the necessity of recharging the charge storage device between the sensing pulse portion and the therapeutic discharge portion of the current waveform.

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，具有由控制电路控制的初始放电电流，其基于在感测脉冲部分期间由传感器感测到的依赖于患者的电参数（例如患者阻抗）。 发生电荷存储装置的放电，而不需要在电流波形的感测脉冲部分和治疗放电部分之间对电荷存储装置再充电。

公开(公告)号：US5800463A

公开(公告)日：1998-09-01

申请号：US769777

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 ,  A61N1/36

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, based on the patient-dependent electrical parameter (such as the patient impedance) as sensed by the sensor. The discharge is controlled in a manner so as to reduce the dependence of peak discharge current on the electrical parameter (such as patient impedance) for a given amount of charge stored by the charge storage device.

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，并且基于由传感器感测到的依赖于患者的电参数（例如患者阻抗）来控制通过电极的电荷存储装置的放电。 控制放电是为了减少由电荷存储装置存储的给定量的电荷的峰值放电电流对电参数（例如患者阻抗）的依赖性。

公开(公告)号：US5470343A

公开(公告)日：1995-11-28

申请号：US258238

申请日：1994-06-10

申请人： Randall W. Fincke ,  Michael L. Lopin ,  Frederick W. Faller

发明人： Randall W. Fincke ,  Michael L. Lopin ,  Frederick W. Faller

IPC分类号： A61N1/39 ,  H02J7/00 ,  H02M3/28

CPC分类号： H02M3/28 ,  A61N1/39 ,  H02J7/0036 ,  A61N1/3975 ,  Y10S439/909

摘要： A detachable power supply for supplying power from an external power source to a portable defibrillator for charging a battery of the portable defibrillator and operating the portable defibrillator includes a housing shaped to attach to the portable defibrillator and a latch connected to the housing for mechanically attaching the power supply to the defibrillator so that the power supply and the defibrillator form a portable, integral unit. The power supply also includes an electrical connector connected to the housing to supply power from the power supply to the defibrillator, the connector is located so that it engages a mating electrical connector on the defibrillator as the latch is engaged to connect the power supply to the defibrillator, an external power connection for bringing external power into the power supply, and a power module installed within the housing, the power module having a power circuit that converts power from the external power source to a form useable by the defibrillator, the output of the power module being connected to the electrical connector to deliver power to the defibrillator. Typically, the power module is alternately operable in both a controlled current mode and a controlled voltage mode.

摘要翻译： 用于从外部电源向便携式除颤器供电以便对便携式除颤器的电池进行充电并操作便携式除颤器的可拆卸电源包括：外壳，其被成形为附接到便携式除颤器，以及连接到壳体的闩锁，用于机械地附接 电源到除颤器，使得电源和除颤器形成便携式的整体单元。 电源还包括连接到壳体的电连接器，以从电源向除颤器供电，连接器被定位成使得当闩锁被接合以将电源连接到除颤器时，它接合除颤器上的配合电连接器 除颤器，用于将外部电力引入电源的外部电源连接以及安装在壳体内的电源模块，电源模块具有将来自外部电源的电力转换为除颤器可使用的形式的电源电路， 电源模块连接到电连接器以向除颤器输送功率。 通常，功率模块可以在受控电流模式和受控电压模式中交替操作。

公开(公告)号：US5284135A

公开(公告)日：1994-02-08

申请号：US839796

申请日：1992-02-21

申请人： Michael L. Lopin

发明人： Michael L. Lopin

IPC分类号： A61N1/372 ,  A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3625

摘要： Apparatus for transcutaneously pacing and defibrillating the heart of a patient, having defibrillation pulse discharge circuitry 30 and pacing stimuli generator circuitry 42, both circuits having positive and negative connections 40A, 40B, and 46A, 46B; and including a first multipin connector 49 having four pins at each of which one of the four connections is supplied; a second multipin connector 53 configured to mate with the first multipin connector, and having internal connections to electrically connect the positive connections for the pacing and defibrillation circuitry 40A, 46A and likewise connecting the negative connections of the pacing and defibrillation circuitry 40B, 46B, wherein the positive and negative multifunction connections 58A, 58B are suited for connecting to multifunction electrodes through which both pacing stimuli and defibrillation pulses may be supplied; and a third multipin connector 12 also configured to mate with the first connector, but configured to isolate the pacing connections from the defibrillation connections, thereby providing pacing stimuli outputs 16 suitable for connecting to pacing electrodes and defibrillating pulse outputs 14 suitable for connecting to separate defibrillation electrodes. The second and third connectors are configured so that they may be alternately connected to the first connector without any adaptation of the first connector or the circuitry.

摘要翻译： 用于经皮起搏和去纤维化患者心脏的装置，具有除颤脉冲放电电路30和起搏刺激发生器电路42，具有正和负连接40A，40B和46A，46B的两个电路; 并且包括在四个连接中的一个被供应的每一个上具有四个销的第一多管连接器49; 第二多管连接器53被配置为与第一多管连接器配合，并且具有内部连接以电连接起搏和除颤电路40A，46A的正连接，同样连接起搏和除颤电路40B，46B的负连接，其中 正和负多功能连接58A，58B适于连接到可以提供起搏刺激和除颤脉冲的多功能电极; 以及第三多管连接器12，其还被配置为与第一连接器配合，但是被配置为将起搏连接与除颤连接隔离，从而提供适合于连接到起搏电极和去纤颤脉冲输出14的起搏刺激输出16，其适于连接到单独的除颤 电极。 第二和第三连接器被配置成使得它们可以交替地连接到第一连接器，而没有第一连接器或电路的任何适配。

公开(公告)号：US5249573A

公开(公告)日：1993-10-05

申请号：US839954

申请日：1992-02-21

申请人： Randall W. Fincke ,  Michael L. Lopin

发明人： Randall W. Fincke ,  Michael L. Lopin

IPC分类号： A61N1/37 ,  A61N1/39 ,  A61N1/00

CPC分类号： A61N1/3937 ,  A61N1/37

摘要： Method and apparatus for discharging a defibrillation discharge circuit 30 across a short circuit load 166 for monitoring defibrillation pulses 180 generated by the circuit to test that the pulses are acceptable. The discharge circuit 30 comprises an electrical capacitor 34 for storing defibrillation pulse energy and an electrical inductor 38 in series with the capacitor for shaping the discharge pulses. In the invention, parameters representative of the shape of the defibrillation pulse are detected as the pulse is discharged and are compared to predetermined values characteristic of the shape of an acceptable pulse. Based on the outcome of this comparison, an output is provided indicating whether the pulse is acceptable.

摘要翻译： 用于通过短路负载166放电除颤放电电路30的方法和装置，用于监测电路产生的除颤脉冲180，以测试脉冲是可接受的。 放电电路30包括用于存储除颤脉冲能量的电容器34和与用于整形放电脉冲的电容器串联的电感器38。 在本发明中，当脉冲被放电时，检测代表除颤脉冲形状的参数，并将其与可接受脉冲形状特征的预定值进行比较。 基于该比较的结果，提供指示脉冲是否可接受的输出。

公开(公告)号：US5225769A

公开(公告)日：1993-07-06

申请号：US839375

申请日：1992-02-21

申请人： Randall W. Fincke ,  Michael L. Lopin

发明人： Randall W. Fincke ,  Michael L. Lopin

IPC分类号： A61N1/39 ,  G01R1/07

CPC分类号： G01R1/07 ,  A61N1/3937

摘要： Method and apparatus for determining the current in a defibrillation pulse discharge circuit 30 which has an inductor 38 with a characteristic inductance for shaping the defibrillation pulses. A sense winding 136 is wound around the inductor with at least one turn between ends of the winding for developing a sense voltage between the ends in response to the current in the inductor as a defibrillation pulse is discharged by the circuit. This sense voltage is measured, and based on the sense voltage and the characteristic inductance of the inductor, the current in the defibrillation discharge pulse is determined.

摘要翻译： 用于确定除颤脉冲放电电路30中的电流的方法和装置，其具有具有用于整形除颤脉冲的特征电感的电感器38。 感应绕组136缠绕在电感器周围，绕组的两端之间至少有一圈，以响应于电感器中的电流而在端部之间形成感测电压，因为除颤脉冲被电路放电。 该感测电压被测量，并且基于感测电压和电感器的特征电感，确定除颤放电脉冲中的电流。