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    Method and apparatus for establishing context among events and optimizing implanted medical device performance
    4.
    发明授权
    Method and apparatus for establishing context among events and optimizing implanted medical device performance 有权
    用于在事件之间建立上下文并优化植入的医疗设备性能的方法和装置

    公开(公告)号：US08694116B2

    公开(公告)日：2014-04-08

    申请号：US13447816

    申请日：2012-04-16

    申请人： Bruce H. KenKnight ,  Eric G. Lovett ,  Robert J. Sweeney ,  Scott T. Mazar ,  Yatheendhar D. Manicka

    发明人： Bruce H. KenKnight ,  Eric G. Lovett ,  Robert J. Sweeney ,  Scott T. Mazar ,  Yatheendhar D. Manicka

    IPC分类号： A61N1/08

    CPC分类号： A61N1/36514 ,  A61N1/3627 ,  A61N1/37211 ,  A61N1/37235 ,  A61N1/37282 ,  G06F19/00

    摘要： An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician.

    摘要翻译： 一种用于基于包括上下文信息的数据来调整植入装置的性能的装置和方法。 上下文信息，包括关于植入装置的操作和性能数据以及具有植入装置的患者，由便携式电子装置存储。 在一个实施例中，便携式电子设备适用于电池操作并且包括个人数字助理（PDA）。 便携式电子设备适于用作与植入的设备进行无线通信的接口。 在一个实施例中，便携式电子设备与临床程序员接口以供医生使用。

    Method and apparatus for establishing context among events and optimizing implanted medical device performance
    5.
    发明授权
    Method and apparatus for establishing context among events and optimizing implanted medical device performance 有权
    用于在事件之间建立上下文并优化植入的医疗设备性能的方法和装置

    公开(公告)号：US08160716B2

    公开(公告)日：2012-04-17

    申请号：US12891338

    申请日：2010-09-27

    申请人： Bruce H. KenKnight ,  Eric G. Lovett ,  Robert J. Sweeney ,  Scott T. Mazar ,  Yatheendhar D. Manicka

    发明人： Bruce H. KenKnight ,  Eric G. Lovett ,  Robert J. Sweeney ,  Scott T. Mazar ,  Yatheendhar D. Manicka

    IPC分类号： A61N1/08

    CPC分类号： A61N1/36514 ,  A61N1/3627 ,  A61N1/37211 ,  A61N1/37235 ,  A61N1/37282 ,  G06F19/00

    摘要： An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician.

    摘要翻译： 一种用于基于包括上下文信息的数据来调整植入装置的性能的装置和方法。 上下文信息，包括关于植入装置的操作和性能数据以及具有植入装置的患者，由便携式电子装置存储。 在一个实施例中，便携式电子设备适用于电池操作并且包括个人数字助理（PDA）。 便携式电子设备适于用作与植入的设备进行无线通信的接口。 在一个实施例中，便携式电子设备与临床程序员接口以供医生使用。

    COMBINED REMODELING CONTROL THERAPY AND ANTI-REMODELING THERAPY BY IMPLANTABLE CARDIAC DEVICE
    6.
    发明申请
    COMBINED REMODELING CONTROL THERAPY AND ANTI-REMODELING THERAPY BY IMPLANTABLE CARDIAC DEVICE 有权
    可重构心脏器械组合重组控制治疗与抗再感染治疗

    公开(公告)号：US20110015692A1

    公开(公告)日：2011-01-20

    申请号：US12891674

    申请日：2010-09-27

    申请人： Imad Libbus ,  Bruce H. KenKnight ,  Julia Moffitt ,  Yatheendhar D. Manicka

    发明人： Imad Libbus ,  Bruce H. KenKnight ,  Julia Moffitt ,  Yatheendhar D. Manicka

    IPC分类号： A61N1/365

    CPC分类号： A61N1/362 ,  A61N1/36114 ,  A61N1/3627

    摘要： A method and device for delivering ventricular resynchronization pacing therapy in conjunction with electrical stimulation of nerves which alter the activity of the autonomic nervous system is disclosed. Such therapies may be delivered by an implantable device and are useful in preventing the deleterious ventricular remodeling which occurs as a result of a heart attack or heart failure. The device may perform an assessment of cardiac function in order to individually modulate the delivery of the two types of therapy.

    摘要翻译： 公开了一种用于将脑室再同步起搏治疗与神经改变自主神经系统的活动的电刺激结合的方法和装置。 这样的治疗可以由可植入装置递送，并且可用于防止由于心脏病发作或心力衰竭而发生的有害心室重构。 该装置可以执行心脏功能的评估，以便单独地调节两种类型的治疗的递送。

    Patient monitoring systems and methods
    7.
    发明授权
    Patient monitoring systems and methods 有权
    患者监护系统和方法

    公开(公告)号：US08823490B2

    公开(公告)日：2014-09-02

    申请号：US13139996

    申请日：2009-12-15

    申请人： Imad Libbus ,  Badri Amurthur ,  Yatheendhar D. Manicka ,  Scott T. Mazar ,  Matt Merkert ,  Brett A. Landrum

    发明人： Imad Libbus ,  Badri Amurthur ,  Yatheendhar D. Manicka ,  Scott T. Mazar ,  Matt Merkert ,  Brett A. Landrum

    IPC分类号： G08B25/00

    CPC分类号： A61B5/0002 ,  A61B5/0006 ,  A61B5/002 ,  A61B5/01 ,  A61B5/02055 ,  A61B5/04085 ,  A61B5/0537 ,  A61B5/085 ,  A61B5/1115 ,  A61B5/1117 ,  A61B5/1455 ,  A61B5/4818 ,  A61B5/6833 ,  A61B2562/0219 ,  G06F19/00 ,  G06Q50/22 ,  Y10S128/903

    摘要： An adherent patient device is configured to adhere to the skin of the patient and measure electrocardiogram data, impedance data, accelerometer data, blood oxygen data and temperature data. The adherent device can communicate wirelessly with gateways and a local processor system, such that the patient can wander about the hospital and update the monitoring station with the patient data when the patient is ambulatory. The local processor system can be configured to customize alerts for the patient, for example to notify automatically a specialist in response to a special condition of the patient. The adherent device may comprise a unique adherent device identifier such that the customized alert can be sent based on the unique device identifier. Each of the gateways can be carried and may comprise a unique gateway identifier, such that the unique device identifier and the unique gateway identifier can be used to locate the ambulatory patient.

    摘要翻译： 附着的患者装置被配置为粘附到患者的皮肤并测量心电图数据，阻抗数据，加速度计数据，血氧数据和温度数据。 附着设备可以与网关和本地处理器系统进行无线通信，使得当患者走动时，患者可以在医院周围漫游并且利用患者数据更新监测站。 本地处理器系统可以被配置为为患者定制警报，例如，以响应患者的特殊状况自动通知专家。 附着设备可以包括唯一的附着设备标识符，使得可以基于唯一的设备标识符来发送定制的警报。 可以携带每个网关，并且可以包括唯一的网关标识符，使得可以使用唯一的设备标识符和唯一的网关标识符来定位移动患者。

    Heart failure decompensation prediction based on cardiac rhythm
    8.
    发明授权
    Heart failure decompensation prediction based on cardiac rhythm 有权
    基于心律的心衰失代偿预测

    公开(公告)号：US08718752B2

    公开(公告)日：2014-05-06

    申请号：US12402318

    申请日：2009-03-11

    申请人： Imad Libbus ,  Yatheendhar D. Manicka ,  Badri Amurthur ,  Scott T. Mazar

    发明人： Imad Libbus ,  Yatheendhar D. Manicka ,  Badri Amurthur ,  Scott T. Mazar

    IPC分类号： A61B5/04 ,  A61B5/05

    CPC分类号： A61B5/7275 ,  A61B5/0006 ,  A61B5/0022 ,  A61B5/0031 ,  A61B5/0205 ,  A61B5/02055 ,  A61B5/04085 ,  A61B5/046 ,  A61B5/0464 ,  A61B5/053 ,  A61B5/6833 ,  A61B5/7246 ,  A61B7/04 ,  A61B2560/0412 ,  G06F19/00

    摘要： Systems and methods of detecting an impending cardiac decompensation of a patient measure an electrocardiogram signal of the patient. An incidence of cardiac arrhythmias is determined from the electrocardiogram signal. A risk of impending decompensation is determined in response to the incidence of cardiac arrhythmias. In many embodiments, the impending decompensation can be detected early enough to avoid, or at least delay, the impending decompensation, such that patient trauma and/or expensive ICU care can be avoided. Although embodiments make specific reference to monitoring electrocardiogram and other physiological signals with an adherent patch, the system methods and devices are applicable to many applications in which physiological monitoring is used, for example wireless physiological monitoring with implanted sensors for extended periods.

    摘要翻译： 检测患者即将到来的心脏代偿失调的系统和方法测量患者的心电图信号。 由心电图信号确定心律失常的发生率。 随着心律失常的发生，确定即将失代偿的风险。 在许多实施方案中，可以提前检测即将发生的代偿失调，以避免或至少延迟即将发生的代偿失调，使得可以避免患者创伤和/或昂贵的ICU护理。 尽管实施例特别参考了使用粘附贴片监测心电图和其他生理信号，但是系统方法和装置可应用于其中使用生理监测的许多应用，例如用植入式传感器进行长时间的无线生理监测。

    Repeater providing data exchange with a medical device for remote patient care and method thereof
    9.
    发明授权
    Repeater providing data exchange with a medical device for remote patient care and method thereof 有权
    中继器提供与用于远程病人护理的医疗设备的数据交换及其方法

    公开(公告)号：US07791467B2

    公开(公告)日：2010-09-07

    申请号：US11872841

    申请日：2007-10-16

    申请人： Scott T. Mazar ,  Yatheendhar D. Manicka

    发明人： Scott T. Mazar ,  Yatheendhar D. Manicka

    IPC分类号： G08B1/00

    CPC分类号： A61B5/0022 ,  A61B5/0031 ,  A61B5/02055 ,  A61B5/0215 ,  A61B5/0809 ,  A61B5/14532 ,  A61B5/4839 ,  A61B5/747 ,  A61B2560/0209 ,  A61B2560/0271 ,  A61B2560/045 ,  G06F19/00 ,  G06F19/3418 ,  G06Q50/22 ,  G06Q50/24 ,  G16H10/60 ,  G16H40/63 ,  G16H50/20 ,  G16H50/80

    摘要： A repeater providing data exchange with a medical device for remote patient care and method thereof are provided. A plurality of interfaces include a medical device interface interconnected with a medical device, a wireless interface coupled to a wireless medium, and a wired interface coupled to a wired medium. An interface selector includes a test module operable over the wireless interface and the wired interface to evaluate conditions on each respective medium that could affect data exchange over each of the interfaces. The interface selector further includes a selection module specifying data exchange to occur using one of the wireless interface and the wired interface based on the evaluated conditions. An interrogator module exchanges data with the medical device over the medical device interface. A data transfer module exchanges the data with an external device over the specified interface.

    摘要翻译： 提供了一种与用于远程病人护理的医疗设备进行数据交换的中继器及其方法。 多个接口包括与医疗设备互连的医疗设备接口，耦合到无线介质的无线接口以及耦合到有线介质的有线接口。 接口选择器包括可在无线接口和有线接口上操作的测试模块，以评估可能影响每个接口上的数据交换的每个相应介质上的条件。 接口选择器还包括基于所评估的条件指定要使用无线接口和有线接口之一发生的数据交换的选择模块。 询问器模块通过医疗设备接口与医疗设备交换数据。 数据传输模块通过指定的接口与外部设备交换数据。