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21. 发明申请

US20110105954A1 REMOTELY CONTROLLED CATHETER INSERTION SYSTEM 有权
标题翻译：远程控制导管插入系统
公开(公告)号：US20110105954A1
公开(公告)日：2011-05-05
申请号：US12515005
申请日：2009-01-16
申请人： Todd J. Cohen , Dara McMahon , Robert C. Royce, JR.
发明人： Todd J. Cohen , Dara McMahon , Robert C. Royce, JR.
IPC分类号： A61M25/092
CPC分类号： A61M25/0105 , A61B5/042 , A61B5/201 , A61B5/4839 , A61B5/6852 , A61B18/0206 , A61B18/06 , A61B18/1492 , A61B18/1815 , A61B34/30 , A61B34/37 , A61B34/70 , A61B34/71 , A61B34/76 , A61B90/40 , A61B2034/301 , A61F2/82 , A61M25/0113 , A61M25/0133 , A61M25/0136 , A61N1/362 , A61N1/39 , A61N5/10
摘要： A system for remotely controlling the positioning within the body of a patient of an elongated medical device optionally having a control handle, comprises a robotic system and a remote controller configured to control the robotic device. The robotic system comprises a handle controller; a sled member coupled to the handle controller, the sled member being configured to position the medical device within the body of the patient; and a sled base configured to advance the sled member towards the body of a patient, the sled bed being coupled to a sterile barrier effective to maintain sterility inside the sled base. A medical device introducer is effective to guide the elongated medical device into a patient's body.
摘要翻译：用于远程控制可选地具有控制手柄的细长医疗装置的患者体内的定位的系统包括被配置为控制机器人装置的机器人系统和遥控器。机器人系统包括手柄控制器; 联接到手柄控制器的滑动构件，所述滑动构件构造成将所述医疗装置定位在所述患者体内; 以及滑动架基座，其构造成使所述滑动构件朝向患者的身体前进，所述滑板床与无菌屏障联接，所述无菌屏障有效地保持所述滑板底座内的无菌性。医疗装置引导器有效地将细长的医疗装置引导到患者体内。

22. 发明授权

US4984572A Hemodynamically responsive system for and method of treating a malfunctioning heart 失效
标题翻译：血液动力学反应系统和治疗失败的心脏的方法
公开(公告)号：US4984572A
公开(公告)日：1991-01-15
申请号：US385544
申请日：1989-07-27
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： A61N1/365 , A61N1/39
CPC分类号： A61N1/3918 , A61N1/36564 , A61N1/3962
摘要： A system for and method of treating a malfunctioning heart is based on hemodynamics, the pressure at a site in a patient's circulatory system being sensed. A signal is developed representative of short term mean arterial pressure (MAP), mean right atrial pressure (MRAP), mean right ventricle pressure (MRVP), mean left atrial pressure (MLAP), mean left ventricle pressure (MLVP), mean central venous pressure (MCVP), mean pulmonary artery pressure (MPAP), mean pulmonary vein pressure (MPVP), mean pulmonary capillary wedge pressure (MPCWP), right ventricular systolic pressure (RVSP), right ventricular end diastolic pressure (RVEDP), or right ventricular pulse presure (RVPP). A signal representative of fixed or varying baseline pressure is provided and if the short term current pressure differs therefrom by a predetermined value, an indication of hemodynamic compromise, cardioversion/defibrillation is effected. In a second embodiment, the determination of whether the difference between fixed or varying baseline pressure and current pressure is undertaken after a rate criteria (for example a heart rate above 155 b.p.m.) has been met. In a third embodiment, the rate and pressure criteria both must exist at the same time, before cardioverting/-defibrillation is initiated. In a fourth embodiment, a microprocessor is used. The system may be integrated with antitachycardia and/or antibradycardia pacemakers.
摘要翻译：用于治疗故障心脏的系统和方法基于血液动力学，被感测的患者循环系统中的部位处的压力。代表短期平均动脉压（MAP），平均右心房压（MRAP），平均右心室压（MRVP），平均左心房压（MLAP），平均左心室压（MLVP），平均中心静脉平均肺动脉压（MPVP），平均肺静脉压（MPVP），平均肺毛细血管楔压（MPCWP），右心室收缩压（RVSP），右心室舒张压（RVEDP）或右心室脉冲压力（RVPP）。提供代表固定或变化的基线压力的信号，并且如果短期电流压力与预定值不同，则进行血液动力学妥协的指示，进行心脏复律/除颤。在第二实施例中，确定在基准压力和当前压力之间的差异是否已经满足速率标准（例如高于155b.p.m.的心率）之后进行。在第三实施例中，速率和压力标准两者都必须同时存在，在开始心脏转复/ - 除颤之前。在第四实施例中，使用微处理器。该系统可以与抗心动过速和/或抗心动过缓起搏器整合。

23. 发明授权

US4774950A Hemodynamically responsive system for and method of treating a malfunctioning heart 失效
标题翻译：血液动力学反应系统和治疗失败的心脏的方法
公开(公告)号：US4774950A
公开(公告)日：1988-10-04
申请号：US105030
申请日：1987-10-06
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： A61N1/365 , A61N1/39 , A61N1/00
CPC分类号： A61N1/36564 , A61N1/3918 , A61N1/3962
摘要： A system for and method of treating a malfunctioning heart is based on hemodynamics. The mean arterial pressure (MAP) mean right atrial pressure (MRAP), mean right ventrical pressure (MRVP), mean left atrial pressure (MLAP), mean left ventrical pressure (MLVP) or mean central venous pressure (MCVP) is sensed. The long term mean baseline pressure is monitored and if the short term current mean pressure differs therefrom by a predetermined value, an indication of hemodynamic compromise, cardioversion/defibrillation is effected. In a second embodiment, the determination of whether the difference between mean baseline and mean current pressure is undertaken after a rate criteria (for example a heart rate above 155 b.p.m. has been met. In a third embodiment, the rate and pressure criteria both must exist at the same time, before cardioverting/defibrillation is initiated. In a fourth embodiment, a microprocessor is used. The system may be integrated with antitachycardia and/or antibradycardia pacemakers.
摘要翻译：治疗故障心脏的系统和方法是基于血液动力学。感测平均动脉压（MAP）平均右心房压（MRAP），平均右心室压（MRVP），平均左心房压（MLAP），平均左心室压（MLVP）或平均中心静脉压（MCVP）。监测长期平均基线压力，如果短期电流平均压力不同于预定值，则进行血液动力学妥协，心脏复律/除颤的指示。在第二个实施方案中，确定平均基线和平均当前压力之间的差异是否在速率标准（例如高于155bpm的心率以上）之后进行。在第三实施例中，速率和压力标准两者都必须存在在第四实施例中，使用微处理器，该系统可与抗心动过速和/或抗心动过缓起搏器整合。

24. 发明授权

US10143825B2 Catheter management system 有权
公开(公告)号：US10143825B2
公开(公告)日：2018-12-04
申请号：US14215333
申请日：2014-03-17
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： A61M25/02
摘要： A catheter management system comprises several layers where a top layer has one or more channels to receive one or more elongated medical devices or members and a bottom layer comprises adhesive to secure the catheter management system to a patient or other secure site in the operating field. A firm upper surface causes the elongated medical devices or members to stay in the channels, whereas a firm inner layer facilitates maintaining the shape of the catheter management system and providing resistance for an operator to easily release an elongated medical device or member.

25. 发明授权

US09320884B2 Method and system for switching shock vectors and decreasing transthoracic impedance for cardioversion and defibrillation 有权
标题翻译：用于切换休克载体的方法和系统，降低心脏复律和除颤的经胸阻抗
公开(公告)号：US09320884B2
公开(公告)日：2016-04-26
申请号：US14102967
申请日：2013-12-11
申请人： Piyush Poddar , Aaron Jiunhao Chang , Melinda Chen , Peter Malamas , Sandya Subramanian , Todd J. Cohen
发明人： Piyush Poddar , Aaron Jiunhao Chang , Melinda Chen , Peter Malamas , Sandya Subramanian , Todd J. Cohen
IPC分类号： A61N1/39 , A61N1/04
CPC分类号： A61N1/0476 , A61N1/046 , A61N1/0492 , A61N1/3918
摘要： A method and system improves the effectiveness of cardioversion or defibrillation through the ability to switch shock vectors and to reduce transthoracic impedance. An external multiple patch system comprises at least two options for a shocking vector once external patches are applied and adhered to desired locations on a patient's body. A manual switching mechanism in the system provides the ability to direct current from a defibrillator to either of two or more adhesive electrode patches. A method and system of decreasing transthoracic impedance comprises wrapping material around a patient's body to apply pressure to adhered patches, which further reduces transthoracic impedance by increasing effective pressure on the patches through use of pressure-focusing mechanisms located between a patch and a strap.
摘要翻译：一种方法和系统通过切换冲击载体和减少经胸阻抗的能力来改善心脏复律或除颤的有效性。一旦外部贴片被施加并且附着到患者身体上的期望位置，外部多重贴片系统包括用于令人震惊的矢量的至少两个选项。系统中的手动切换机构提供将电流从除颤器引导到两个或更多个粘合电极贴片中的任一个的能力。减少经胸阻抗的方法和系统包括围绕患者身体缠绕材料以对粘附的贴片施加压力，这通过使用位于贴片和带之间的压力聚焦机构增加贴片上的有效压力来进一步降低经胸阻抗。

26. 发明申请

US20150335383A9 APPARATUS FOR SAFE PERFORMANCE OF TRANSSEPTAL TECHNIQUE AND PLACEMENT AND POSITIONING OF AN ABLATION CATHETER 审中-公开
公开(公告)号：US20150335383A9
公开(公告)日：2015-11-26
申请号：US13958773
申请日：2013-08-05
申请人： TODD J. COHEN
发明人： TODD J. COHEN
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B34/73 , A61B2018/00351 , A61B2018/00839 , A61B2218/002 , A61M25/0127 , A61M25/0133
摘要： A steerable catheter system to perform a transseptal puncture procedure comprises a steerable catheter shaft with at least one inner lumen, and an inner element slidably positioned within a shaft lumen, wherein the distal tip of the shaft can be deflected, counter-deflected, rotated, and counter-rotated and wherein the inner element can be deployed or retracted. In one embodiment, a single steerable catheter is capable of performing an intended procedure and a transseptal procedure all in one, wherein the catheter comprises an outer steerable catheter and an inner element which can be deployed to perform a transseptal puncture, and wherein, once the inner element crosses the inter-atrial septum, the catheter itself can slide forward without advancement of the inner element.

27. 发明申请

US20140317884A1 GRIPPING SYSTEM FOR MEDICAL DEVICES TO IMPROVE HAPTICS AND PREVENT HAND FATIGUE 审中-公开
标题翻译：用于医疗设备的传送系统，以改善髋关节并防止手腕疲劳
公开(公告)号：US20140317884A1
公开(公告)日：2014-10-30
申请号：US14215362
申请日：2014-03-17
申请人： TODD J. COHEN
发明人： TODD J. COHEN
IPC分类号： A61B17/00 , B25G1/02
CPC分类号： A61B17/00 , A61B18/1492 , A61B2017/00424 , A61B2017/00469 , A61B2018/00916 , B25G1/02 , Y10T16/466
摘要： A resilient gripping member or medical device can be applied to a handle or other gripping area of a firmer medical device to provide improved cushioning and comfort and uniformity of feel to an operator's hand during manual manipulation. The resilient gripping member or medical device may be tubular and comprise at least one control, button, switch, or sensor that communicates with another component not directly located on the firmer medical device.
摘要翻译：可以将弹性夹持构件或医疗装置应用于更坚固的医疗装置的手柄或其他夹紧区域，以在手动操作期间提供改进的缓冲和舒适性以及操作者的手感的均匀性。弹性夹持构件或医疗装置可以是管状的并且包括与不直接位于更坚固的医疗装置上的另一部件连通的至少一个控制，按钮，开关或传感器。

28. 发明申请

US20140299795A1 SHIELDED HEAD COVER WITH VARYING ATTENUATION PORTIONS 审中-公开
标题翻译：具有变化的衰减部分的屏蔽头盖
公开(公告)号：US20140299795A1
公开(公告)日：2014-10-09
申请号：US14263754
申请日：2014-04-28
申请人： Todd J. COHEN
发明人： Todd J. COHEN
IPC分类号： G21F3/02 , A42B1/00
CPC分类号： G21F3/02 , A42B1/008 , A42B1/043
摘要： A shielded head cover in accordance with an embodiment of the present application includes at least one attenuation portion including a radiation attenuating material configured and operable to protect a user head from radiation. The attenuation portion includes a varying amount of radiation attenuating material at different locations to provide for increased protection at desired locations. The attenuation portion may be embodied as a removable patch that is attached to the head cover. The attenuation portion may be provided by spraying particles of radiation attenuating material on the head cover.
摘要翻译：根据本申请的实施例的屏蔽顶盖包括至少一个衰减部分，其包括配置并可操作以保护用户头部免受辐射的辐射衰减材料。衰减部分包括在不同位置处的变化量的辐射衰减材料，以在期望的位置提供增加的保护。衰减部分可以被实施为附接到头罩的可移除贴片。衰减部分可以通过在头罩上喷射辐射衰减材料的颗粒来提供。

29. 发明授权

US08708952B2 Remotely controlled catheter insertion system 有权
公开(公告)号：US08708952B2
公开(公告)日：2014-04-29
申请号：US12515005
申请日：2009-01-16
申请人： Todd J. Cohen , Dara McMahon , Robert C. Royce, Jr.
发明人： Todd J. Cohen , Dara McMahon , Robert C. Royce, Jr.
IPC分类号： A61M25/01
CPC分类号： A61M25/0105 , A61B5/042 , A61B5/201 , A61B5/4839 , A61B5/6852 , A61B18/0206 , A61B18/06 , A61B18/1492 , A61B18/1815 , A61B34/30 , A61B34/37 , A61B34/70 , A61B34/71 , A61B34/76 , A61B90/40 , A61B2034/301 , A61F2/82 , A61M25/0113 , A61M25/0133 , A61M25/0136 , A61N1/362 , A61N1/39 , A61N5/10
摘要： A system for remotely controlling the positioning within the body of a patient of an elongated medical device optionally having a control handle, comprises a robotic system and a remote controller configured to control the robotic device. The robotic system comprises a handle controller; a sled member coupled to the handle controller, the sled member being configured to position the medical device within the body of the patient; and a sled base configured to advance the sled member towards the body of a patient, the sled bed being coupled to a sterile barrier effective to maintain sterility inside the sled base. A medical device introducer is effective to guide the elongated medical device into a patient's body.

30. 发明申请

US20120065597A1 APPARATUS FOR SAFE PERFORMANCE OF TRANSSEPTAL TECHNIQUE AND PLACEMENT AND POSITIONING OF AN ABLATION CATHETER 失效
标题翻译：安全性能测试技术和放置和放置导管定位的装置
公开(公告)号：US20120065597A1
公开(公告)日：2012-03-15
申请号：US13105820
申请日：2011-05-11
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： A61M5/32 , A61M25/00
CPC分类号： A61B18/1492 , A61B34/73 , A61B2018/00351 , A61B2018/00839 , A61B2218/002 , A61M25/0127 , A61M25/0133
摘要： A steerable catheter system to perform a transseptal puncture procedure comprises a steerable catheter shaft with at least one inner lumen, and an inner element slidably positioned within a shaft lumen, wherein the distal tip of the shaft can be deflected, counter-deflected, rotated, and counter-rotated and wherein the inner element can be deployed or retracted. In one embodiment, a single steerable catheter is capable of performing an intended procedure and a transseptal procedure all in one, wherein the catheter comprises an outer steerable catheter and an inner element which can be deployed to perform a transseptal puncture, and wherein, once the inner element crosses the inter-atrial septum, the catheter itself can slide forward without advancement of the inner element.
摘要翻译：执行经血穿刺手术的可导向的导管系统包括具有至少一个内腔的可操纵导管轴和可滑动地定位在轴腔内的内部元件，其中所述轴的远侧末端可以被偏转，反偏转，旋转，并且反向旋转并且其中内部元件可以展开或缩回。在一个实施例中，单个可导向导管能够全部执行预期的手术和经过手术的过程，其中所述导管包括外部可导向导管和内部元件，所述内部元件可部署以执行经血管穿刺，并且其中，一旦内部元件穿过房间隔膜，导管本身可以向前滑动而不会使内部元件前进。

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