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1. 发明申请

US20210030294A9 SYSTEM AND METHOD FOR ELECTROCARDIOGRAM ANALYSIS AND OPTIMIZATION OF CARDIOPULMONARY RESUSCITATION AND THERAPY DELIVERY 有权
公开(公告)号：US20210030294A9
公开(公告)日：2021-02-04
申请号：US15796575
申请日：2017-10-27
申请人： Physio-Control, Inc.
发明人： Joseph L. Sullivan , Ronald E. Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred W. Chapman
IPC分类号： A61B5/04 , A61N1/39 , A61B5/044 , A61B5/046 , A61H31/00 , A61B5/00
摘要： The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

2. 发明授权

US10905344B2 System and method for electrocardiogram analysis and optimization of cardiopulmonary resuscitation and therapy delivery 有权
公开(公告)号：US10905344B2
公开(公告)日：2021-02-02
申请号：US15796575
申请日：2017-10-27
申请人： Physio-Control, Inc.
发明人： Joseph L. Sullivan , Ronald E. Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred W. Chapman
IPC分类号： A61N1/39 , A61B5/04 , A61B5/044 , A61B5/00 , A61B5/046 , A61H31/00
摘要： The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

3. 发明申请

US20170135642A1 FILTERING PATIENT SIGNAL ALSO FOR VENTILATION ARTIFACTS 有权
公开(公告)号：US20170135642A1
公开(公告)日：2017-05-18
申请号：US15420035
申请日：2017-01-30
申请人： Physio-Control, Inc.
发明人： Joseph L. Sullivan , Robert G. Walker
IPC分类号： A61B5/00 , A61N1/39 , A61B5/0205 , A61H31/00 , A61M16/00 , A61B5/046
CPC分类号： A61B5/7217 , A61B5/0205 , A61B5/04017 , A61B5/0402 , A61B5/046 , A61B5/053 , A61B5/0836 , A61B5/087 , A61B5/4836 , A61B5/7207 , A61B5/721 , A61B5/742 , A61H31/00 , A61H31/005 , A61H2201/501 , A61H2201/5043 , A61H2201/5097 , A61H2230/045 , A61H2230/206 , A61H2230/208 , A61H2230/305 , A61H2230/505 , A61M16/0051 , A61M16/0057 , A61M16/0069 , A61M16/021 , A61N1/39 , A61N1/3925
摘要： In embodiments, an external medical device is intended to care for a patient. If it receives an input that signifies that ventilation artifact is present in a signal of the patient, it transmits a corrective signal responsive to the received input. In further embodiments, a patient signal is received, which is generated from a patient while the patient is or was receiving chest compressions at a frequency Fc, and also receiving ventilations at frequency Fv. At least one filter mechanism may be applied to the patient signal to substantially remove artifacts at a) frequency Fc, b) a higher harmonic of frequency Fc, and c) a third frequency substantially equaling frequency Fc plus or minus frequency Fv, while substantially passing other frequencies between them. As a result, the patient signal can be cleaner, for diagnosing the patient's state more accurately.

4. 发明授权

US09283400B2 System and method for electrocardiogram analysis and optimization of cardiopulmonary resuscitation and therapy delivery 有权
标题翻译：心肺复苏和治疗交付心电图分析和优化的系统和方法
公开(公告)号：US09283400B2
公开(公告)日：2016-03-15
申请号：US14558610
申请日：2014-12-02
申请人： PHYSIO-CONTROL, INC.
发明人： Joseph L. Sullivan , Ronald Eugene Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred Chapman
IPC分类号： A61B5/046 , A61N1/39 , A61H31/00 , A61B5/00 , A61B5/04 , A61B5/044
CPC分类号： A61N1/3987 , A61B5/04014 , A61B5/04015 , A61B5/04017 , A61B5/04018 , A61B5/044 , A61B5/046 , A61B5/4836 , A61B5/486 , A61B5/7207 , A61B5/7217 , A61B5/725 , A61B5/7475 , A61H31/00 , A61H31/005 , A61H31/006 , A61H2201/5007 , A61H2201/5043 , A61H2201/5097 , A61H2230/045 , A61H2230/206 , A61H2230/208 , A61H2230/305 , A61N1/3925 , A61N1/3993
摘要： The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.
摘要翻译：该系统和方法提供心电图分析和优化患者定制的心肺复苏和治疗递送。外部医疗装置包括壳体和外壳内的处理器。处理器可以被配置为接收用于接收胸部按压的患者的输入信号，并且选择至少一个过滤器机构并且将过滤器机构应用于信号以至少从信号中去除胸部压缩伪像。应用心律的实时动态分析来调整和整合医疗器械的CPR提示。使用节律评估仪便于实时心律的质量。

5. 发明申请

US20150112401A1 SYSTEM AND METHOD FOR ELECTROCARDIOGRAM ANALYSIS AND OPTIMIZATION OF CARDIOPULMONARY RESUSCITATION AND THERAPY DELIVERY 有权
公开(公告)号：US20150112401A1
公开(公告)日：2015-04-23
申请号：US14558610
申请日：2014-12-02
申请人： PHYSIO-CONTROL, INC.
发明人： Joseph L. Sullivan , Ronald Eugene Stickney , Robert G. Walker , Daniel Piraino , Isabelle Banville , Fred Chapman
IPC分类号： A61N1/39 , A61B5/046 , A61B5/00 , A61B5/04 , A61B5/044
CPC分类号： A61N1/3987 , A61B5/04014 , A61B5/04015 , A61B5/04017 , A61B5/04018 , A61B5/044 , A61B5/046 , A61B5/4836 , A61B5/486 , A61B5/7207 , A61B5/7217 , A61B5/725 , A61B5/7475 , A61H31/00 , A61H31/005 , A61H31/006 , A61H2201/5007 , A61H2201/5043 , A61H2201/5097 , A61H2230/045 , A61H2230/206 , A61H2230/208 , A61H2230/305 , A61N1/3925 , A61N1/3993
摘要： The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

6. 发明申请

US20140243918A1 Wearable Defibrillator With A Multivector Shock Waveform 有权
标题翻译：带有多功能冲击波的穿戴式除颤器
公开(公告)号：US20140243918A1
公开(公告)日：2014-08-28
申请号：US14189789
申请日：2014-02-25
申请人： Physio-Control, Inc.
发明人： Joseph L. Sullivan , Isabelle Banville , Richard C. Nova
IPC分类号： A61N1/39 , A61N1/04
CPC分类号： A61N1/3918 , A61B5/0538 , A61B5/686 , A61N1/046 , A61N1/0484 , A61N1/39 , A61N1/3937 , A61N1/3993
摘要： A transthoracic defibrillator for external defibrillation comprises at least three electrodes configured to be attached to the thorax of a patient to establish at least two electrical paths across the thoracic cavity and through the heart of the patient. In addition, a defibrillator circuit contained in a defibrillator housing has the capability to deliver a different defibrillation waveform across each of the at least two electrical paths.
摘要翻译：用于外部除颤的经胸除颤器包括至少三个电极，其被配置为附接到患者的胸部，以建立穿过胸腔和穿过患者心脏的至少两个电路径。此外，包含在去纤颤器壳体中的除颤器电路具有跨越至少两个电路径中的每一个传递不同的除颤波形的能力。

7. 发明申请

US20140046393A1 SEQUENTIAL STACKED CAPACITOR DEFIBRILLATOR AND WAVEFORM GENERATED THEREFROM 有权
标题翻译：顺序堆叠电容器解调器及其生成的波形
公开(公告)号：US20140046393A1
公开(公告)日：2014-02-13
申请号：US13962934
申请日：2013-08-08
申请人： Physio-Control, Inc.
发明人： Joseph L. Sullivan
IPC分类号： A61N1/39
CPC分类号： A61N1/3925 , A61N1/39 , A61N1/3912
摘要： A medical device such as an external defibrillator delivers electrical therapy using a special ascending, biphasic waveform. The special waveform is characterized by a set of at least two peaks. The amplitude of the second peak is greater than the amplitude of the first peak. The waveform is generated by switching capacitance configuration in the defibrillator from a parallel configuration to a series configuration while the defibrillator is delivering the defibrillation shock to the patient. Because of the switching capacitances and/or the waveform, the external defibrillator can be made physically smaller and weigh less, without sacrificing the therapeutic effect of a larger external defibrillator that would deliver a defibrillation shock of higher energy. As such, the defibrillator is easier to configure for transporting, handling, and even wearing.
摘要翻译：诸如外部除颤器之类的医疗装置使用特殊的上升双相波形来传送电疗。特殊波形的特征在于至少两个峰的集合。第二峰值的幅度大于第一峰值的振幅。通过将除颤器中的电容配置从并联配置切换到串联配置来产生波形，同时除颤器将除颤电击递送给患者。由于开关电容和/或波形，外部除颤器可以在物理上更小并且重量更少，而不会牺牲更大的外部除颤器的治疗效果，该外部除颤器将传递更高能量的除颤电击。因此，除颤器更容易配置用于运输，处理，甚至佩戴。

8. 发明申请

US20130296727A1 FILTER MECHANISM FOR REMOVING ECG ARTIFACT FROM MECHANICAL CHEST COMPRESSIONS 有权
标题翻译：从机械式压缩机中移除心电图的过滤机构
公开(公告)号：US20130296727A1
公开(公告)日：2013-11-07
申请号：US13676593
申请日：2012-11-14
申请人： PHYSIO-CONTROL, INC.
发明人： Joseph L. Sullivan , Robert Marx , Robert G. Walker
IPC分类号： A61B5/04
CPC分类号： A61B5/04017 , A61B5/046 , A61B5/7217 , A61H31/005 , A61H31/006 , A61H2201/5007 , A61H2201/5043 , A61H2201/5097 , A61H2230/045 , A61H2230/206 , A61H2230/208 , A61H2230/305 , A61N1/39044 , A61N1/3925 , A61N1/3993
摘要： An external medical device can include a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions from a mechanical chest compression device. The processor can also be configured to select at least one filter mechanism, the mechanical chest compression device having a chest compression frequency f. The processor can be further configured to apply the at least one filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal, wherein the chest compression artifacts correspond to the chest compressions being delivered to the patient by the mechanical chest compression device, and wherein the at least one filter mechanism substantially rejects content in the frequency f plus content in at least one more frequency that is a higher harmonic to the frequency f.
摘要翻译：外部医疗装置可以包括在壳体内的壳体和处理器。处理器可以被配置为接收来自机械胸部按压装置的胸部按压的患者的输入信号。处理器还可以被配置为选择至少一个过滤器机构，机械胸部按压装置具有胸部按压频率f。该处理器可进一步配置成将至少一个过滤器机构施加到该信号上以至少基本上从该信号中去除胸部压缩伪影，其中胸部压缩伪影对应于通过机械胸部按压装置递送给患者的胸部按压，并且其中所述至少一个滤波器机构基本上拒绝频率f加上内容的内容，所述至少一个频率是频率f的高次谐波。

9. 发明申请

US20210052908A1 DETERMINING POST-SHOCK TREATMENT BASED ON HEART VIABILITY 有权
公开(公告)号：US20210052908A1
公开(公告)日：2021-02-25
申请号：US17093531
申请日：2020-11-09
申请人： Physio-Control, Inc.
发明人： Joseph L. Sullivan , Fred Chapman
IPC分类号： A61N1/39 , A61N1/365 , A61H31/00
摘要： A medical device can include a housing, an energy storage module within the housing to store an electrical charge, and a defibrillation port to guide via electrodes the stored electrical charge to a person in need of medical assistance. The medical device can also include a processor to analyze patient physiological signal(s) that indicate heart viability. Positive measures of heart viability measures can qualify the patient for a customized treatment paradigm.

10. 发明申请

US20190143132A1 SELECTIVE POST-SHOCK TRANSTHORACIC PACING 审中-公开
公开(公告)号：US20190143132A1
公开(公告)日：2019-05-16
申请号：US16148985
申请日：2018-10-01
申请人： PHYSIO-CONTROL, INC.
发明人： Joseph L. Sullivan , Fred W. Chapman
IPC分类号： A61N1/39 , A61H31/00 , A61N1/365
CPC分类号： A61N1/3925 , A61H31/005 , A61H2201/5007 , A61H2201/5043 , A61H2201/5061 , A61H2201/5097 , A61H2230/045 , A61H2230/208 , A61H2230/255 , A61N1/36514
摘要： A medical device can include a housing, an energy storage module within the housing to store an electrical charge, and a defibrillation port to guide via electrodes the stored electrical charge to a person in need of medical assistance. The medical device can also include a processor to perform a patient signal analysis on an electrocardiogram (ECG) signal corresponding to the person and further determine, based on a result of the patient signal analysis, whether post-shock transcutaneous pacing should be performed on the person.

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