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31. 发明授权

US5454779A Devices and methods for external chest compression 失效
标题翻译：外部胸部按压的装置和方法
公开(公告)号：US5454779A
公开(公告)日：1995-10-03
申请号：US226431
申请日：1994-04-12
申请人： Keith G. Lurie , Todd J. Cohen
发明人： Keith G. Lurie , Todd J. Cohen
IPC分类号： A61H31/00 , A61H31/02 , A61N1/00
CPC分类号： A61H31/00 , A61H31/007 , A61H2031/001 , A61H2031/002 , A61H2201/10 , A61H2230/04 , A61N1/00
摘要： A method for performing cardiopulmonary resuscitation employs an applicator device having a body with an upper surface and a lower surface. The lower surface includes provisions for detachably securing to the patient's chest, such as a vacuum cup or an adhesive layer. For manual resuscitation, the upper surface will include a strap or other means for securing a performer's hand thereto. For automatic applications, a mechanical drive member will be secured to the upper surface. By alternately pressing and lifting on the applicator device, the patient's chest can be compressed and expanded to improve induced ventilation and circulation.
摘要翻译：用于进行心肺复苏的方法使用具有上表面和下表面的主体的涂抹器装置。下表面包括用于可拆卸地固定到患者胸部的装置，例如真空杯或粘合剂层。对于手动复苏，上表面将包括用于固定表演者的手的条带或其他装置。对于自动应用，机械驱动构件将被固定到上表面。通过交替地在施加器装置上按压和抬起，患者的胸部可以被压缩和扩张以改善诱导的通气和循环。

32. 发明授权

US5269301A Multimode system for monitoring and treating a malfunctioning heart 失效
标题翻译：用于监测和治疗故障心脏的多模系统
公开(公告)号：US5269301A
公开(公告)日：1993-12-14
申请号：US963113
申请日：1992-10-19
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： A61N1/365 , A61N1/39 , A61N1/36
CPC分类号： A61N1/36564 , A61N1/3918 , A61N1/3962
摘要： A system for monitoring a patient and treating the malfunctioning heart of the patient, either in an automatic mode or in a semiautomatic mode, includes means which derive at least one electrical signal resulting from action of the patient's heart and means which derive at least one physiologic signal from or related to the patient's circulatory system. A central processing unit, which may be a programmable microprocessor, with a RAM and a ROM, receives and responds to the at least one electrical signal and to the at least one physiologic signal. Output means, which may include a heart assist pump, pacers, drug delivery devices and cardioverting/-defibrillating apparatuses, controlled by the central processing unit provides corrective measure(s) to the patient. Adjustable or variable baselines, against which a representation of the current, short-term magnitude of the selected physiologic parameter or parameters are provided. The variable baseline(s) is (are) a representation of the selected physiologic parameter(s) determined over a long term of greater duration than the short term over which the current magnitude(s) of the parameter(s) is (are) measured. In its monitoring only mode,the system monitors vital signs and/or the like, including the above-mentioned electrical signal and the physiologic signal and displays them on a monitor.
摘要翻译：用于监测患者并以自动模式或半自动模式治疗患者心脏的系统包括导出由患者心脏的作用产生的至少一个电信号的装置，以及导致至少一个生理学来自或与患者循环系统相关的信号。可以是RAM和ROM的可编程微处理器的中央处理单元接收并响应至少一个电信号和至少一个生理信号。输出装置，其可以包括由中央处理单元控制的心脏辅助泵，扑帕器，药物递送装置和心脏复律/去纤颤装置，向患者提供校正措施。可调或可变的基线，提供所选生理参数或参数的当前短期幅度的表示。可变基线是（a）所选择的生理参数的表示，该选择的生理参数在长期内比在参数的当前幅度（s）短的短期内确定的长期持续时间，测量。在其仅监控模式下，系统监视生命体征等，包括上述电信号和生理信号，并将其显示在监视器上。

33. 发明授权

US5027816A 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：US5027816A
公开(公告)日：1991-07-02
申请号：US416276
申请日：1989-10-02
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： A61N1/365 , A61N1/39
CPC分类号： A61N1/36564 , A61N1/3918 , 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) or right ventricular systolic pressure (RVSP), or right ventricular pulse pressure (RVPP). The rate of change and direction of the rate of change is determined and, if the rate of change in a given direction exceeds a predetermined amount, an indication of possible hemodynamic compromise, cardioversion/defibrillation is effected.
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。发展代表短期平均动脉压（MAP）或右心室收缩压（RVSP）或右心室脉压（RVPP）的信号。确定变化率和方向的速率，如果给定方向的变化率超过预定量，则可能出现可能的血液动力学折中的指示，进行心脏复律/除颤。

34. 发明授权

US4967749A 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：US4967749A
公开(公告)日：1990-11-06
申请号：US233367
申请日：1988-08-18
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： A61N1/365 , A61N1/39
CPC分类号： A61N1/3962 , A61N1/36564 , A61N1/3918
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 ventrical pressure (MLVP) or mean central venous pressure (MCVP). A signal representative of fixed baseline pressure is provided 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 fixed baseline pressure 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/difibrillation 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）或平均中心静脉压力（MCVP）。提供代表固定基线压力的信号，如果短期电流平均压力与预定值不同，则进行血液动力学妥协，心脏复律/除颤的指征。在第二实施例中，在满足速率标准（例如高于155b.p.m.的心率）之后是否进行固定基线压力和平均当前压力之间的差异的确定。在第三实施例中，速率和压力标准两者必须同时存在于心脏转复/双颤前开始。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。

35. 发明申请

US20160147947A1 SYSTEM AND METHOD FOR STORING, ACCESSING, AND DISPLAYING SPECIALIZED PATIENT INFORMATION AND OTHER MEDICAL INFORMATION 审中-公开
标题翻译：用于存储，访问和显示专科患者信息和其他医疗信息的系统和方法
公开(公告)号：US20160147947A1
公开(公告)日：2016-05-26
申请号：US14922745
申请日：2015-10-26
申请人： Todd J. Cohen
发明人： Todd J. Cohen
IPC分类号： G06F19/00
CPC分类号： G16H10/60
摘要： The invention provides a system and method of providing a user with specialized patient information comprising: uploading, storing, requesting, receiving, and displaying cardiological patient information for a patient. The display of the cardiological information is configured to optimal care to be provided to a patient.
摘要翻译：本发明提供了向用户提供专门的患者信息的系统和方法，包括：上传，存储，请求，接收和显示患者的心脏病患者信息。心脏信息的显示被配置为提供给患者的最佳护理。

36. 发明授权

US09205227B2 Remotely controlled catheter insertion system 有权
标题翻译：遥控导管插入系统
公开(公告)号：US09205227B2
公开(公告)日：2015-12-08
申请号：US13461463
申请日：2012-05-01
申请人： Todd J. Cohen , Michael Eilenberg
发明人： Todd J. Cohen , Michael Eilenberg
IPC分类号： A61M25/092 , A61M25/01 , A61B19/00
CPC分类号： A61M25/0105 , A61B34/30 , A61B2034/301 , A61M25/0133
摘要： A remotely controlled insertion system for a medical device is described. The system comprises a robotic device and a remote control mechanism. The robotic device has a handle controller to receive and hold the control handle or proximal end of a medical device. The medical device is capable of moving in up to six ranges of motion. In one embodiment a first motor is connected through a drive screw to a handle controller to move the medical device forward and backward. A second motor is connected to drive wheels effective to rotate the medical device clockwise and counter-clockwise. A third motor drives a series of gears that are connected to one or more control members on the medical device, this being effective to deflect a tip of the medical device so that movement of the third motor causes such deflection. A control unit is connected to all three motors.
摘要翻译：描述了用于医疗设备的遥控插入系统。该系统包括机器人装置和远程控制机构。机器人装置具有手柄控制器以接收和保持医疗装置的控制手柄或近端。医疗设备能够在多达六个运动范围内移动。在一个实施例中，第一电动机通过驱动螺杆连接到手柄控制器以使医疗装置向前和向后移动。第二马达连接到驱动轮，有效地顺时针和逆时针旋转医疗装置。第三马达驱动连接到医疗装置上的一个或多个控制构件的一系列齿轮，这有效地使医疗装置的尖端偏转，使得第三马达的运动引起这种偏转。控制单元连接到所有三台电机。

37. 发明申请

US20150217121A1 METHOD AND SYSTEM FOR A WEARABLE DEFIBRILLATOR 审中-公开
标题翻译：一种易磨损器的方法和系统
公开(公告)号：US20150217121A1
公开(公告)日：2015-08-06
申请号：US14600576
申请日：2015-01-20
申请人： SANDYA SUBRAMANIAN , POWEI KANG , CHUN-MING SO , MELINDA CHEN , TAYLOR LAM , TODD J. COHEN
发明人： SANDYA SUBRAMANIAN , POWEI KANG , CHUN-MING SO , MELINDA CHEN , TAYLOR LAM , TODD J. COHEN
IPC分类号： A61N1/39 , A61N1/365
CPC分类号： A61N1/3968 , A61N1/046 , A61N1/0476 , A61N1/0484 , A61N1/3625 , A61N1/365 , A61N1/39 , A61N1/3925 , A61N1/3987 , A61N1/3993
摘要： A method and system for an improved wearable defibrillator specifically optimized for patient comfort and compliance. The system is capable of sensing information about the patient, determining whether the patient is experiencing a life-threatening arrhythmia, and if so, deliver life-saving defibrillation. The system is specifically designed, constructed, and configured to allow for minimal weight on the shoulders and its associated lumbar spine compression when standing and minimal pressure on the abdomen or thorax when supine in order to increase patient comfort and compliance. This configuration and design can be implemented in several forms including but not limited to the material(s) used, the placement of various components, the durability of the components, the operative or communicative connection between various components, the efficiency and/or accuracy of the various components in performing their functions, and/or the maintenance procedure.
摘要翻译：一种改进的可穿戴除颤器的方法和系统，专门为患者的舒适度和依从性而优化。该系统能够感测关于患者的信息，确定患者是否正在经历危及生命的心律失常，如果是，则提供救命除颤。该系统是专门设计，构造和配置的，以便在仰卧时能够承受肩膀上的最小重量及其相关的腰椎压缩，并且当仰卧时，腹部或胸部的压力最小，以增加患者的舒适度和顺应性。这种配置和设计可以以多种形式实现，包括但不限于使用的材料，各种部件的放置，部件的耐久性，各种部件之间的操作或通信连接，效率和/或精度执行其功能的各种组件，和/或维护程序。

38. 发明申请

US20140163663A1 METHOD AND SYSTEM FOR SWITCHING SHOCK VECTORS AND DECREASING TRANSTHORACIC IMPEDANCE FOR CARDIOVERSION AND DEFIBRILLATION 有权
标题翻译：用于切换震动矢量的方法和系统，并减少用于放大和缩小的波动阻抗
公开(公告)号：US20140163663A1
公开(公告)日：2014-06-12
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： A61N1/04
CPC分类号： A61N1/0476 , A61N1/046 , A61N1/0492 , A61N1/3918
摘要： A method and system for improving the effectiveness of cardioversion or defibrillation through the ability to switch shock vectors and to reduce transthoracic impedance. A “shock vector” or “shocking vector” is herein defined as the path and direction which electrical current follows in traversing a patient body cavity between two external adhesive electrode patches. 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 specified shocking vectors. A method and system of decreasing transthoracic impedance comprises wrapping material around a patient's body to apply pressure to adhered patches. This mechanism further reduces transthoracic impedance by increasing effective pressure on the patches through use of pressure-focusing mechanisms located between a patch and a strap. An integrated mechanism would provide qualitative and/or quantitative feedback on the force being applied to the desired patches.
摘要翻译：一种通过切换冲击载体和减少经胸阻抗的能力来提高心脏复律或除颤效果的方法和系统。 “震动矢量”或“震动矢量”在此被定义为在两个外部粘合剂电极贴片之间穿过患者体腔时电流所遵循的路径和方向。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制提供了将电流从除颤器引导到两个或更多个指定的震动矢量中的任何一个的能力。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附着的贴片施加压力。该机制通过使用位于贴片和带之间的压力聚焦机构，通过增加贴片上的有效压力来进一步减少经胸阻抗。综合机制将为施加到所需贴片上的力量提供定性和/或定量的反馈。

39. 发明申请

US20120232547A1 ABLATION CATHETER SYSTEM WITH SAFETY FEATURES 有权
标题翻译：具有安全特征的吸管系统
公开(公告)号：US20120232547A1
公开(公告)日：2012-09-13
申请号：US13415454
申请日：2012-03-08
申请人： TODD J. COHEN
发明人： TODD J. COHEN
IPC分类号： A61B18/12
CPC分类号： A61B18/1492 , A61B18/1233 , A61B2017/00203 , A61B2017/00212 , A61B2018/00351 , A61B2018/00708
摘要： A medical system for delivering treatment or therapy to a patient has a kill switch for interrupting the delivery. The kill switch, which can disrupt the delivery directly or can cause an error message to be generated that disrupts the delivery, can be activated by the operator or remotely. In an ablation catheter system, a kill switch mechanism immediately and abruptly terminates delivery of ablation treatment or therapy.
摘要翻译：用于向患者输送治疗或治疗的医疗系统具有用于中断递送的停止开关。可以由操作员或远程激活杀死开关，其可以直接中断传送或者可能导致产生破坏传送的错误消息。在消融导管系统中，杀死开关机构立即并突然终止消融治疗或治疗的递送。

40. 发明申请

US20120220931A1 Remotely Controlled Catheter Insertion System 有权
标题翻译：遥控导管插入系统
公开(公告)号：US20120220931A1
公开(公告)日：2012-08-30
申请号：US13461463
申请日：2012-05-01
申请人： Todd J. Cohen , Michael Eilenberg
发明人： Todd J. Cohen , Michael Eilenberg
IPC分类号： A61M25/092
CPC分类号： A61M25/0105 , A61B34/30 , A61B2034/301 , A61M25/0133
摘要： A remotely controlled insertion system for a medical device is described. The system comprises a robotic device and a remote control mechanism. The robotic device has a handle controller to receive and hold the control handle or proximal end of a medical device. The medical device is capable of moving in up to six ranges of motion. In one embodiment a first motor is connected through a drive screw to a handle controller to move the medical device forward and backward. A second motor is connected to drive wheels effective to rotate the medical device clockwise and counter-clockwise. A third motor drives a series of gears that are connected to one or more control members on the medical device, this being effective to deflect a tip of the medical device so that movement of the third motor causes such deflection. A control unit is connected to all three motors.
摘要翻译：描述了用于医疗设备的遥控插入系统。该系统包括机器人装置和远程控制机构。机器人装置具有手柄控制器以接收和保持医疗装置的控制手柄或近端。医疗设备能够在多达六个运动范围内移动。在一个实施例中，第一电动机通过驱动螺杆连接到手柄控制器以使医疗装置向前和向后移动。第二马达连接到驱动轮，有效地顺时针和逆时针旋转医疗装置。第三马达驱动连接到医疗装置上的一个或多个控制构件的一系列齿轮，这有效地使医疗装置的尖端偏转，使得第三马达的运动引起这种偏转。控制单元连接到所有三台电机。

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