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1. 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。

2. 发明申请

US20150221205A1 METHOD AND SYSTEM FOR DECREASING TRANSTHORACIC IMPEDANCE FOR CARDIOVERSION AND DEFIBRILLATION 有权
标题翻译：降低流变阻抗的方法和系统，用于放大和缩小
公开(公告)号：US20150221205A1
公开(公告)日：2015-08-06
申请号：US14536293
申请日：2014-11-07
申请人： Aaron CHANG , Melinda CHEN , Piyush PODDAR , Rohil MALPANI , Peter MALAMAS , Sandya SUBRAMANIAN , Joon EOH , Kevin GEORGE , Todd J. COHEN
发明人： Aaron CHANG , Melinda CHEN , Piyush PODDAR , Rohil MALPANI , Peter MALAMAS , Sandya SUBRAMANIAN , Joon EOH , Kevin GEORGE , Todd J. COHEN
IPC分类号： G08B21/18 , G08B21/02
CPC分类号： A61N1/046 , A61H1/00 , A61N1/3931
摘要： A method and system for improving the effectiveness of cardioversion and defibrillation through the ability to reduce transthoracic impedance. A method and system of decreasing transthoracic impedance that allows standardized pressure to be applied directly over desired defibrillator patches. This system reduces transthoracic impedance by increasing effective pressure on desired patches through use of a manual depressor device which incorporates a deformable patient body interface and mechanical and or electronic mechanisms to provide qualitative and or quantitative feedback on the force being applied to said patches. By depressing the device over desired external adhesive electrode patches until an audio and or visual signal indicates sufficient applied pressure, increased patch to skin contact is achieved to decrease the effective transthoracic impedance of a patient upon delivery of a defibrillation shock.
摘要翻译：通过降低经胸阻抗的能力来提高心脏复律和除颤效果的方法和系统。减少经胸阻抗的方法和系统，允许将标准压力直接施加到所需的除颤器贴片上。该系统通过使用包括可变形患者身体界面的手动压力装置和机械和/或电子机构来增加所需贴片上的有效压力来降低经胸阻抗，以对施加到所述贴片的力提供定性和/或定量反馈。通过将设备压在所需的外部粘合剂电极贴片上，直到音频和/或视觉信号表示足够的施加压力，实现增加皮肤接触的贴片，以减少递送除颤休克时患者的有效经胸阻抗。

3. 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。

4. 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。

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