公开(公告)号：US20040249418A1

公开(公告)日：2004-12-09

申请号：US10490265

申请日：2004-03-22

发明人： Desmond Bryan Mills ,  Kevin Herbert

IPC分类号： A61N001/39

CPC分类号： A61N1/39 ,  A61N1/3987

摘要： A defibrillator incorporates an analyser (2) arranged to receive signals from a patient's heart (such as from electrode pads (6) placed on the patient's chest). A charging circuit (4) enables the electrodes (6) to deliver a charge from the charging circuit to the patient. The analyser is arranged to compare one or more heart rhythm sequences from the patient with predetermined data relating to a heart rhythm and, depending on a result of an initial part of comparison, the analyser is arranged to activate starting of charging of the charging circuit, whilst comparison continues, in readiness for possible delivery of a shock to the patient.

公开(公告)号：US20040220628A1

公开(公告)日：2004-11-04

申请号：US10818188

申请日：2004-04-05

发明人： Darrell Orvin Wagner

IPC分类号： A61N001/39

CPC分类号： A61N1/36585 ,  A61N1/05 ,  A61N1/36542 ,  A61N1/3956 ,  A61N1/3962

摘要： Methods and systems for defibrillation therapy involve delivering a pre-shock waveform to cause contraction of skeletal musculature in the patient's thorax before delivering a defibrillation waveform. A shock is delivered to the patient's heart during contraction of the skeletal musculature for a reduction in defibrillation threshold. The pre-shock waveform is sufficient in energy to cause one or both of deflation of the patient's lungs and muscle fiber shortening of the skeletal musculature. A delay interval may be initiated relative to delivery of the pre-shock waveform, wherein the defibrillation waveform is delivered following expiration of the delay interval. Motion of the patient's thorax and/or expiration of the patient's lungs may be detected, responsive to the pre-shock waveform. The defibrillation waveform may be delivered in coordination with the detected parameter, such as in relation to detection of a peak in the thoracic motion or minimum in transthoracic impedance.

摘要翻译： 用于除颤治疗的方法和系统包括在递送除颤波形之前递送预震波波形以在患者胸部引起骨骼肌肉收缩。 在骨骼肌肉收缩期间，给患者的心脏提供休克，以降低除颤阈值。 预激波波形在能量上足够导致患者肺部的放气和肌肉纤维缩短的一个或两个缩短骨骼肌肉组织。 可以相对于预冲击波形的传递开始延迟间隔，其中在延迟间隔期满之后递送除颤波形。 可以根据预冲击波形来检测患者胸部的运动和/或患者肺的呼气。 除颤波形可以与所检测的参数协调地传送，例如关于检测胸部运动中的峰值或经胸阻抗中的最小值。

公开(公告)号：US20040215244A1

公开(公告)日：2004-10-28

申请号：US10441933

申请日：2003-05-20

发明人： Alan F. Marcovecchio ,  Frederick Geheb ,  Donald R. Boucher

IPC分类号： A61N001/39

CPC分类号： A61H31/00 ,  A61B5/0205 ,  A61B5/021 ,  A61B5/024 ,  A61B5/11 ,  A61H31/005 ,  A61N1/39 ,  A61N1/3925

摘要： An external defibrillator for delivering a defibrillation waveform to a patient. The defibrillator includes chest electrodes for detecting at least one ECG signal on the patient and for delivering the defibrillation waveform to the patient, a defibrillation circuit for shaping and delivering the defibrillation waveform, a pulse sensor for detecting the presence of a cardiac pulse in the patient, wherein the pulse sensor has a pulse signal as its output, and memory and processing circuits for analyzing the pulse signal in conjunction with the ECG signal to determine whether the patient has a pulse.

摘要翻译： 外部除颤器，用于向患者输送除颤波形。 除颤器包括胸部电极，用于检测患者的至少一个ECG信号，并将除颤波形传送给患者;除颤电路，用于整形和输送除颤波形;脉搏传感器，用于检测患者心脏脉搏的存在 ，其中所述脉冲传感器具有作为其输出的脉冲信号，以及用于结合所述ECG信号分析所述脉冲信号以确定所述患者是否具有脉冲的存储器和处理电路。

公开(公告)号：US20040186520A1

公开(公告)日：2004-09-23

申请号：US10801315

申请日：2004-03-16

申请人： Cardiac Pacemakers, Inc.

发明人： Robert S. Harguth ,  Ron A. Balczewski ,  William J. Linder ,  Gregory S. Munson ,  Michael W. Paris

IPC分类号： A61N001/39

CPC分类号： H01G9/042 ,  A61N1/3956

摘要： Miniature defibrillators and cardioverters detect abnormal heart rhythms and automatically apply electrical therapy to restore normal heart function. Critical to this function, aluminum-electrolytic capacitors store and deliver life-saving bursts of electric charge to the heart. This type of capacitor requires regular nullreformnull to preserve its charging efficiency over time. Because reform expends valuable battery energy, manufacturers developed wet-tantalum capacitors, which are generally understood not to require reform. Yet, the present inventors discovered through extensive study that wet-tantalum capacitors exhibit progressively worse charging efficiency over time. Accordingly, to address this problem, the inventors devised unique reform techniques for wet-tantalum capacitors. One exemplary technique entails charging wet-tantalum capacitors to a voltage equal to about 90% of their rated voltage and allowing the charge to dissipate through system leakage for a period of time, before discharging through a non-therapeutic load.

公开(公告)号：US20040162588A1

公开(公告)日：2004-08-19

申请号：US10727493

申请日：2003-12-05

申请人： NIHON KOHDEN CORPORATION

发明人： Jun Watanabe ,  Tsutomu Wakabayashi ,  Naoto Akiyama ,  Masahiko Inomata

IPC分类号： A61N001/39

CPC分类号： A61N1/3956 ,  A61N1/3906 ,  A61N1/3925

摘要： A plurality of electrodes are adapted to be attached on a living body. An electric pulse is output through the electrodes as an electric stimulation to the living body. An analyzer is operable to detect a waveform of the electric pulse and to analyze a parameter of the waveform. A display displays the parameter together with one of the waveform and a model waveform which is an invariable waveform representative of the electric pulse.

摘要翻译： 多个电极适于附接在生物体上。 通过电极将电脉冲作为对生物体的电刺激输出。 分析器可操作以检测电脉冲的波形并分析波形的参数。 显示器将显示参数以及一个波形和一个表示电脉冲的不变波形的模型波形。

公开(公告)号：US20040162587A1

公开(公告)日：2004-08-19

申请号：US10652148

申请日：2003-08-29

申请人： Medtronic Physio-Control Corp.

发明人： David R. Hampton ,  Ronald E. Stickney ,  Richard C. Nova ,  Stephen W. Radons ,  D. Craig Edwards ,  Cynthia Jayne ,  Joseph L. Sullivan ,  Steven E. Sjoquist

IPC分类号： A61N001/39

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：US20040138713A1

公开(公告)日：2004-07-15

申请号：US10713177

申请日：2003-11-13

发明人： Ronald E. Stickney ,  Robert G. Walker ,  James W. Taylor ,  David R. Hampton ,  Tarek Z. Elabbady

IPC分类号： A61N001/39

CPC分类号： A61N1/39 ,  A61N1/3625 ,  A61N1/36514

摘要： An apparatus configured to provide a defibrillation shock or pacing stimuli to a patient and methods for controlling the apparatus are provided. The method includes obtaining and analyzing physical parameters of the patient to determine whether the patient has a heart condition appropriately treated with a defibrillation shock or pacing stimuli, if the appropriate treatment is pacing stimuli, automatically determining a magnitude of the pacing stimuli and supplying the pacing stimuli to the patient at the magnitude and at a pacing rate.

摘要翻译： 提供了一种被配置为向患者提供除颤电击或起搏刺激的装置以及用于控制该装置的方法。 该方法包括获得和分析患者的身体参数，以确定患者是否具有适当地用除颤休克或起搏刺激治疗的心脏病，如果适当的治疗是起搏刺激，自动确定起搏刺激的大小并提供起搏 以幅度和起搏速率刺激患者。

公开(公告)号：US20040111124A1

公开(公告)日：2004-06-10

申请号：US10314500

申请日：2002-12-04

发明人： Robert G. Walker ,  Joseph L. Sullivan

IPC分类号： A61N001/39

CPC分类号： A61B5/7264 ,  A61B5/053 ,  A61N1/08 ,  A61N1/3925

摘要： A dosage for electrotherapy delivered to a patient, such as a defibrillation pulse delivered by an external defibrillator, is selected based on an age-related classification, such as adult or child, and a measured electrical parameter, such as the transthoracic impedance, of the patient. For example, a nominal voltage level for an energy storage circuit may be determined based on a nominal dosage. The nominal voltage level may be adjusted by applying a function that relates voltage level adjustment to impedance to the measured impedance. The function may be selected based on the age-related classification of the patient. The dosage of the defibrillation pulse delivered based on the adjusted voltage level, i.e., the selected dosage, may have a substantially equivalent probability of success for the patient as the nominal dosage would provide for a reference patient with an average transthoracic impedance for the class of which the patient is a member.

摘要翻译： 根据年龄相关分类（例如成人或儿童）和测量的电参数（例如经胸阻抗）来选择输送到患者的电疗的剂量，例如由外部除颤器递送的除颤脉冲， 患者。 例如，可以基于标称剂量来确定能量存储电路的标称电压电平。 标称电压电平可以通过将电压电平调整与阻抗相关联的函数应用于测量的阻抗来调节。 该功能可以基于患者的年龄相关分类来选择。 基于调整的电压水平（即所选择的剂量）输送的除颤脉冲的剂量可以具有基本上等同于患者成功概率，因为标称剂量将为参考患者提供平均经胸阻抗 病人是其成员。

公开(公告)号：US20040102811A1

公开(公告)日：2004-05-27

申请号：US10302747

申请日：2002-11-22

发明人： Mark Schwartz ,  Jasbir Sra

IPC分类号： A61N001/39

CPC分类号： A61N1/3962 ,  A61N1/3622 ,  A61N1/395

摘要： A device and method are presented for prolonging the atrial effective refractory period with pacing therapy. Such refractory period prolongation renders the atrial tissue less susceptible to the onset of atrial fibrillation. A particularly useful application is during the period after application of electrical therapy to the atria.to terminate an episode of atrial fibrillation.

摘要翻译： 提出了一种用于起搏治疗延长心房有效不应期的装置和方法。 这种不应期延长使得心房组织对心房颤动发作不太敏感。 特别有用的应用是在电疗法应用于心房后终止心房颤动发作期间。

公开(公告)号：US20040088011A1

公开(公告)日：2004-05-06

申请号：US10286037

申请日：2002-10-31

申请人： Koninklijke Philips Electronics N.V.

发明人： David Ernest Snyder ,  Thomas Dean Lyster

IPC分类号： A61N001/39

CPC分类号： A61N1/3937 ,  A61N1/3912

摘要： A defibrillation circuit generates a defibrillation pulse and includes a patient-parameter compensator that causes the pulse to have a predetermined characteristic regardless of the value of a patient parameter. For example, the circuit can generate defibrillation pulses that have a desired shape, decay rate, voltage level, current level, and/or energy level regardless of the patient impedance. Consequently, a defibrillator that includes the circuit is likely to be more effective than prior defibrillators in restoring normal heart rhythms to patients having an atypical value for a parameter such as impedance.

摘要翻译： 除颤电路产生除颤脉冲，并且包括患者参数补偿器，其使得脉搏具有预定特性，而与患者参数的值无关。 例如，电路可以产生具有期望形状，衰减速率，电压电平，电流水平和/或能量水平的除颤脉冲，而与患者阻抗无关。 因此，包括该电路的除颤器可能比以前的除颤器更有效地恢复正常的心律，对于诸如阻抗的参数具有非典型值的患者。