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71. 发明授权

US08725254B2 Automated caregiving device with prompting based on caregiver progress 有权
标题翻译：根据护理人员的进展，自动护理器具提示
公开(公告)号：US08725254B2
公开(公告)日：2014-05-13
申请号：US13477335
申请日：2012-05-22
申请人： Gary A. Freeman
发明人： Gary A. Freeman
IPC分类号： A61N1/38
CPC分类号： A61G7/07 , A61B5/046 , A61B5/4848 , A61B2505/01 , A61G13/1215 , A61H31/004 , A61H31/005 , A61H2201/1604 , A61H2201/1607 , A61H2201/1609 , A61H2201/1611 , A61H2201/1614 , A61H2201/1616 , A61H2201/5058 , A61H2201/5061 , A61H2201/5092 , A61H2230/065 , A61H2230/405 , A61N1/3625 , A61N1/3968 , A61N1/3987 , A61N1/3993 , G06F19/00 , G09B5/06 , G09B23/288
摘要： A device for assisting a caregiver in delivering therapy to a patient, the device comprising a user interface configured to deliver prompts to a caregiver to assist the caregiver in delivering therapy to a patient; at least one sensor configured to detect the caregiver's progress in delivering the therapy, wherein the sensor is other than an electrode in an electrical contact with the body; a memory in which a plurality of different prompts are stored; a processor configured to determine which of the different prompts should be selected for delivery based on the progress detected by the sensor.
摘要翻译：一种用于辅助护理者向患者递送治疗的装置，所述装置包括用户界面，所述用户界面被配置为向护理人员提供帮助护理人员向患者传送治疗的提示; 至少一个传感器被配置为检测护理人员在传送治疗方面的进展，其中传感器不是与身体电接触的电极; 存储多个不同提示的存储器; 处理器，其被配置为基于由所述传感器检测到的进度来确定应当选择哪个不同的提示来进行传送。

72. 发明申请

US20120298119A1 APPARATUS AND SYSTEM FOR AUGMENTED DETAINEE RESTRAINT 有权
标题翻译：装置和系统，用于受限制的限制
公开(公告)号：US20120298119A1
公开(公告)日：2012-11-29
申请号：US13508031
申请日：2010-10-29
申请人： Corbin Reese , Donald L. Pegg , Lucius L. Lockwood
发明人： Corbin Reese , Donald L. Pegg , Lucius L. Lockwood
IPC分类号： A61N1/38 , E05B75/00 , A61F5/37
CPC分类号： H05C1/00 , E05B75/00 , F41H13/0018 , Y10T70/404
摘要： There is provided a device and system for restraining detainees through devices attached to the detainees and configured to administer electrical shocks when certain predetermined conditions occur. Restraining devices may be activated by internal control systems or by external controllers that transmit activation signals to the restraining device. External controllers may be actuated by an external controlling entity such as a detention guard or other person or system, or may be controlled by an enabling signal sent by wired or wireless connections to the controller. There is also provided a system for detainee restraint where multiple detainees may be restrained collectively or individually in a controlled environment such as a detention facility, a jail, or a detainee transport vehicle.
摘要翻译：提供了一种装置和系统，用于通过连接到被拘留者的装置来限制被拘留者，并且被配置为在发生某些预定条件时施加电击。限制装置可以由内部控制系统或外部控制器激活，所述外部控制器将激活信号发送到限制装置。外部控制器可以由外部控制实体（例如拘留警卫或其他人或系统）来启动，或者可以通过有线或无线连接发送到控制器的使能信号来控制。还提供了一种拘留拘留制度，可以在受管制的环境中集体或个别地拘留多名被拘留者，例如拘留设施，监狱或被拘留者运输车辆。

73. 发明申请

US20060241699A1 Neural stimulation system to prevent simultaneous energy discharges 有权
标题翻译：神经刺激系统防止同时释放能量
公开(公告)号：US20060241699A1
公开(公告)日：2006-10-26
申请号：US11110542
申请日：2005-04-20
申请人： Imad Libbus , Andrew Kramer , William Linder , Jeffrey Stahmann
发明人： Imad Libbus , Andrew Kramer , William Linder , Jeffrey Stahmann
IPC分类号： A61N1/38
CPC分类号： A61N1/36114 , A61N1/3962
摘要： Various aspects of the present subject matter relate to a system. Various embodiments of the system comprise at least one port to connect to at least one lead with at least one electrode, at least one stimulator circuit and at least one controller. The at least one stimulator circuit is connected to the at least one port and is adapted to deliver neural stimulation to a neural stimulation target using the at least one electrode. The at least one controller is adapted to determine when another energy discharge other than the neural stimulation to the neural stimulation target is occurring and to prevent delivery of the neural stimulation simultaneously with the other energy discharge. Other aspects and embodiments are provided herein.
摘要翻译：本主题的各个方面涉及系统。系统的各种实施例包括至少一个端口，以连接至少一个引线与至少一个电极，至少一个刺激器电路和至少一个控制器。所述至少一个刺激器电路连接到所述至少一个端口，并且适于使用所述至少一个电极将神经刺激递送到神经刺激靶。所述至少一个控制器适于确定何时发生除了对神经刺激靶的神经刺激以外的其他能量放电，并且防止神经刺激与另一能量放电同时传送。本文提供了其它方面和实施例。

74. 发明授权

US6021345A Methods for detecting propensity for fibrillation using an electrical restitution curve 失效
标题翻译：使用电恢复曲线检测原纤维倾向的方法
公开(公告)号：US6021345A
公开(公告)日：2000-02-01
申请号：US705877
申请日：1996-08-28
申请人： Hrayr S. Karagueuzian , Timothy A. Denton
发明人： Hrayr S. Karagueuzian , Timothy A. Denton
IPC分类号： A61B5/0452 , A61B5/046 , A61N1/08 , A61N1/38 , A61N1/39 , G06F17/00 , G06F19/00 , G06Q50/00
CPC分类号： A61B5/046 , A61N1/08 , A61N1/385 , A61N1/3925 , A61B5/7253 , A61B5/7257
摘要： A method for detecting a heart disorder comprises examination of a phase-plane plot (PPP) of a patient electrocardiogram (EKG). The PPP's degree of deterministic chaos may be measured by a processor. Analysis of the PPP may indicate a propensity for fibrillation, that is, indicate both the risk of fibrillation and its actual onset (cases where risk is 100 percent). A second method for detecting a heart disorder comprises examination of a frequency-domain transform (such as an FFT) of a patient EKG. An automatic defibrillating device may comprise means for delivering a variable shock, the size of which is determined at least in part by the FFT's peak energy. A method for detecting drug toxicity comprises examination of a parameter time constant for an action-potential duration (APD) restitution curve which is constructed for the patient.
摘要翻译：用于检测心脏病的方法包括检查患者心电图（EKG）的相位图（PPP）。 PPP的确定性混沌程度可以由处理器测量。 PPP的分析可能表明纤维性颤动的倾向，也就是表明纤维性颤动的风险及其实际发作（风险为100％的情况）。用于检测心脏病的第二种方法包括检查患者EKG的频域变换（例如FFT）。自动除颤装置可以包括用于递送可变冲击的装置，其可以至少部分地由FFT的峰值能量来确定其大小。用于检测药物毒性的方法包括检查为患者构建的动作电位持续时间（APD）恢复曲线的参数时间常数。

75. 发明授权

US6006134A Method and device for electronically controlling the beating of a heart using venous electrical stimulation of nerve fibers 失效
标题翻译：用神经纤维静脉电刺激电子控制心跳的方法和装置
公开(公告)号：US6006134A
公开(公告)日：1999-12-21
申请号：US70506
申请日：1998-04-30
申请人： Michael R. S. Hill , Kenneth R. Jonkman
发明人： Michael R. S. Hill , Kenneth R. Jonkman
IPC分类号： A61B17/00 , A61B17/02 , A61B17/34 , A61N1/05 , A61N1/36 , A61N1/362 , A61N1/38 , A61N1/39
CPC分类号： A61N1/36114 , A61B17/3417 , A61N1/056 , A61N1/362 , A61N1/3962 , A61B2017/00243 , A61B2017/00969 , A61B2017/0243 , A61B2017/3445 , A61B2017/3449 , A61N1/385
摘要： An electro-stimulation device includes a pair of electrodes for connection to at least one location in the body that affects or regulates the heartbeat. The electro-stimulation device both electrically arrests the heartbeat and stimulates the heartbeat. A pair of electrodes are provided for connection to at least one location in the body that affects or regulates the heartbeat. The pair of electrodes may be connected to an intravenous catheter for transvenous stimulation of the appropriate nerve. A first switch is connected between a power supply and the electrodes for selectively supplying current from the power supply to the electrodes to augment any natural stimuli to the heart and thereby stop the heart from beating. A second switch is connected between the power supply and the electrodes for selectively supplying current from the power supply to the electrodes to provide an artificial stimulus to initiate heartbeating. In another aspect, the invention is directed to a method for arresting the beat of a heart in a living body comprising the steps of connecting the pair of electrodes to at least one location in the body that affects or regulates the heartbeat and supplying an electrical current to the electrodes of sufficient amplitude and duration to arrest the heartbeat. The device may also serve to still the lungs by input to a respirator or by stimulation of the phrenic nerve during surgical procedures.
摘要翻译：电刺激装置包括一对电极，用于连接到体内至少一个影响或调节心跳的位置。电刺激装置既电气阻止心跳并刺激心跳。提供一对电极用于连接到体内至少一个影响或调节心跳的位置。该对电极可以连接到静脉导管，用于适当神经的经静脉刺激。第一开关连接在电源和电极之间，用于选择性地从电源向电极提供电流，以增加对心脏的任何自然刺激，从而阻止心脏跳动。第二开关连接在电源和电极之间，用于选择性地从电源向电极提供电流以提供人造刺激以启动心跳。另一方面，本发明涉及一种用于在生物体中阻止心脏的搏动的方法，包括以下步骤：将一对电极连接到体内至少一个位置，其影响或调节心跳并提供电流到足够的幅度和持续时间的电极以阻止心跳。该装置还可以通过输入呼吸器或在外科手术期间刺激膈神经而服用于肺。

76. 发明授权

US5620468A Method and apparatus for treatment of atrial fibrillation 失效
标题翻译：用于治疗房颤的方法和装置
公开(公告)号：US5620468A
公开(公告)日：1997-04-15
申请号：US627959
申请日：1996-04-02
申请人： Luc R. Mongeon , Michael R. S. Hill , Rahul Mehra
发明人： Luc R. Mongeon , Michael R. S. Hill , Rahul Mehra
IPC分类号： A61N1/38 , A61N1/39
CPC分类号： A61N1/385 , A61N1/3962 , A61N1/395
摘要： A method and apparatus for treating fibrillation, particularly atrial fibrillation. In response to detection of fibrillation, a series of low energy pulse bursts is delivered, separated by defined inter-burst intervals, and including bursts unsynchronized to heart depolarizations. Detection of termination of fibrillation during inter-burst intervals results in cancellation of further pulse bursts to prevent reinduction of fibrillation.
摘要翻译：一种用于治疗原纤维性颤动的方法和装置，特别是心房颤动。响应于原纤维化的检测，一系列低能量脉冲串被传送，通过限定的突发间隔隔开，并且包括与心脏去极化不同步的突发。在突发间隔期间检测到颤动的终止导致进一步的脉冲脉冲的消除，以防止纤维性颤动的再诱导。

77. 发明授权

US5549653A Muscle stimulation electrode for implantable cardial stimulation device with warning system 失效
标题翻译：用于具有警告系统的可植入心脏刺激装置的肌肉刺激电极
公开(公告)号：US5549653A
公开(公告)日：1996-08-27
申请号：US532961
申请日：1995-09-22
申请人： Lawrence J. Stotts , Patrick J. Paul , David Prutchi
发明人： Lawrence J. Stotts , Patrick J. Paul , David Prutchi
IPC分类号： A61N1/05 , A61N1/36 , A61N1/37 , A61N1/375 , A61N1/38 , A61N1/04
CPC分类号： A61N1/375 , A61N1/0563 , A61N1/362 , A61N1/3708
摘要： A cardiac simulation system with a patient warning apparatus, including a pin electrode insertable into a standard female socket in the header of a dual chamber pacer or multi-function cardiac stimulator. The cardiac stimulator has at least two sockets in a header, such as is commonly found in a dual chamber pacemaker. Rather than stimulating both chambers of the heart, the dual chamber pacemaker is programmed to function as a single chamber pacemaker, with a standard lead connecting one socket and its associated circuitry to a selected chamber of the heart, usually the ventricle. The pin electrode is inserted in the other socket, usually used for the sensing and stimulation of the atrium, and additional programming is provided to the pacemaker or stimulator to automatically produce an output stimulus through the atrial socket to the pin electrode whenever a condition exists requiring patient notification or warning. Our invention includes a specialized pin electrode with an orifice for a suture. The suture is anchored to excitable tissue in a secure fashion to assure contact of the electrode with the tissue and thus stimulation of the tissue.
摘要翻译：一种具有患者警告装置的心脏模拟系统，包括可插入双室起搏器或多功能心脏刺激器的头部中的标准母插座中的针电极。心脏刺激器在头部中具有至少两个插座，例如通常在双室起搏器中发现。双室心脏起搏器不是刺激心脏的两个腔室，而是被编程为用作单室起搏器，标准引线将一个插座及其相关联的电路连接到心脏的选定室，通常是心室。引脚电极插入另一个插座，通常用于感应和刺激心房，并且当存在条件时需要额外的程序设计提供给起搏器或刺激器，以自动产生通过心房插座的输出刺激到针电极病人通知或警告。我们的发明包括具有用于缝线的孔的专用针电极。缝线以安全的方式锚定到可兴奋的组织，以确保电极与组织的接触，从而刺激组织。

78. 发明授权

US5395373A Atrial defibrillator and method for setting energy threshold values 失效
标题翻译：心房除颤器和设定能量阈值的方法
公开(公告)号：US5395373A
公开(公告)日：1995-03-07
申请号：US1454
申请日：1993-01-07
申请人： Gregory M. Ayers
发明人： Gregory M. Ayers
IPC分类号： A61N1/38 , A61N1/39
CPC分类号： A61N1/385 , A61N1/3943 , A61N1/395
摘要： An implantable atrial defibrillator cardioverts the atria of a patient's heart and determines the quantity of cardioverting electrical energy required for cardioverting the atria of the patient. The atrial defibrillator includes a detector for detecting atrial activity of the heart and an atrial fibrillation detector for determining when the atria of the heart are in fibrillation. A delivery stage is selectively operable in a test mode for applying fibrillation inducing electrical energy to the atria when the atria are not in fibrillation for inducing fibrillation. When fibrillation is induced, the delivery stage repeatedly applies test cardioversion electrical energy to the atria until the atria are cardioverted. Thereafter, a value indicative of the quantity of the test cardioversion energy last applied to the atria is stored for future reference when the atrial defibrillator is in a normal operating mode.
摘要翻译：可植入心房除颤器对心脏的心房进行心脏转复，并确定心脏转移患者心房所需的心脏转移电能的量。心房除颤器包括用于检测心脏的心房活动的检测器和心房颤动检测器，用于确定心脏的心房何时起颤。递送阶段可选择性地在测试模式下操作，用于当心房不起颤动以诱导原纤维颤动时，向心房施加诱发电能的原纤维。当诱发原纤维化时，输送阶段将心电复查电能重复地应用于心房直到心房被转复。此后，当心房除颤器处于正常操作模式时，存储指示最后施加到心房的测试复律能量的值的值以供将来参考。

79. 发明授权

US5334219A Method and apparatus for separate-capacitor cardioversion 失效
标题翻译：单独电容器心脏复律的方法和装置
公开(公告)号：US5334219A
公开(公告)日：1994-08-02
申请号：US866368
申请日：1992-04-09
申请人： Mark W. Kroll
发明人： Mark W. Kroll
IPC分类号： A61N1/39 , A61N1/38
CPC分类号： A61N1/3956 , A61N1/3906
摘要： A implantable cardioverter-defibrillator employs, as a battery-saving design, a capacitance about nine time smaller than a typical defibrillation capacitor to provide an optimal-duration pulse of about 1 millisecond with a waveform based on the system time constants, i.e. the tissue resistance, the value of the capacitor and the heart's cardioversion chronaxie, a characteristic time associated with the stimulation of myocardial tissue. For higher-energy defibrillation, a second small capacitance is added to boost the energy.
摘要翻译：植入式心律转复除颤器采用电池节省设计，比典型除颤电容器大约九分之一的电容器，以基于系统时间常数（即组织电阻）提供约1毫秒的最佳持续时间脉冲，电容器和心脏心脏复律时代的价值，与心肌组织刺激相关的特征时间。对于更高能量的除颤，添加第二个小电容来提高能量。

80. 发明授权

US5334045A Universal cable connector for temporarily connecting implantable leads and implantable medical devices with a non-implantable system analyzer 失效
标题翻译：通用电缆连接器，用于临时连接可植入引线和可植入医疗设备以及非植入式系统分析仪
公开(公告)号：US5334045A
公开(公告)日：1994-08-02
申请号：US979568
申请日：1992-11-20
申请人： Armando M. Cappa , Warren R. Heer
发明人： Armando M. Cappa , Warren R. Heer
IPC分类号： A61N1/05 , A61N1/08 , A61N1/372 , A61N1/375 , A61N1/38 , H01R11/24 , H01R13/00
CPC分类号： A61N1/05 , A61N1/0587 , A61N1/372 , A61N1/375 , A61N1/3752 , A61N1/385 , H01R11/24 , A61N2001/083 , H01R2201/12 , Y10S439/909
摘要： A universal cable connector includes a plurality of different sized connectors adapted to mate with the proximal connectors of different sized implantable leads. The cable connector attaches to a system analyzer and enables the system analyzer to interface with whatever implantable leads are connected to the connector block, thereby allowing the system analyzer to perform desired tests, such as threshold-determining tests, using the implanted leads. An adapter cable and clamp is also provided that allows an electrical connection of the proper polarity to be established between an implantable cardioverter-defibrillator (ICD) and the cable connector block while the ICD is connected to a patient and is operating, thereby permitting the system analyzer to monitor the performance of the ICD.
摘要翻译：通用电缆连接器包括适于与不同尺寸的可植入引线的近端连接器配合的多个不同尺寸的连接器。电缆连接器连接到系统分析仪，并使系统分析仪与任何可植入引线连接到连接器块，从而允许系统分析仪使用植入导线执行期望的测试，例如阈值确定测试。还提供了适配器电缆和夹具，其允许在ICD连接到患者并且正在操作时在植入式心律转复除颤器（ICD）和电缆连接器块之间建立适当极性的电连接，从而允许系统分析仪来监控ICD的性能。

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