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1. 发明授权

US08478382B2 Systems and methods for positioning a catheter 有权
标题翻译：用于定位导管的系统和方法
公开(公告)号：US08478382B2
公开(公告)日：2013-07-02
申请号：US12369625
申请日：2009-02-11
申请人： Eddie K. Burnside , Shayne Messerly , Robert N. Golden , Rand W. Lee
发明人： Eddie K. Burnside , Shayne Messerly , Robert N. Golden , Rand W. Lee
IPC分类号： A61B5/05
CPC分类号： A61B5/062 , A61B1/00158 , A61B5/05 , A61B5/06 , A61B5/6851 , A61B5/6852 , A61B5/72 , A61B5/742
摘要： A method for displaying a position of a medical device, such as a catheter, during insertion of the medical device into a patient is disclosed. In one example embodiment, the method includes obtaining a first set of detected position data relating to a location marker, then determining a possible first position of the location marker. A first confidence level relating to a match between the first set of detected position data and a first set of predicted position data is assigned. A determination is made whether the first confidence level meets or exceeds a first threshold. If the first confidence level meets or exceeds the first threshold, a determination is then made whether the first position of the location marker is within a first detection zone. If the first position of the location marker is within the first detection zone, the first position of the location marker is displayed.
摘要翻译：公开了一种用于在将医疗装置插入患者体内时显示诸如导管的医疗装置的位置的方法。在一个示例性实施例中，该方法包括获得与位置标记相关的第一组检测到的位置数据，然后确定位置标记的可能的第一位置。分配与第一组检测位置数据和第一组预测位置数据之间的匹配相关的第一置信水平。确定第一置信度是否满足或超过第一阈值。如果第一置信度达到或超过第一阈值，则确定位置标记的第一位置是否在第一检测区内。如果位置标记的第一位置在第一检测区域内，则显示位置标记的第一位置。

2. 发明授权

US5622169A Apparatus and method for locating a medical tube in the body of a patient 失效
标题翻译：用于定位患者体内的医用管的装置和方法
公开(公告)号：US5622169A
公开(公告)日：1997-04-22
申请号：US307230
申请日：1994-09-14
申请人： Robert N. Golden , Fred E. Silverstein
发明人： Robert N. Golden , Fred E. Silverstein
IPC分类号： G01B7/00 , A61B5/06 , A61B17/00 , A61M25/01 , A61M25/09 , G01V3/00 , G01V3/08 , G01V3/15 , G01V15/00 , A61B5/05
CPC分类号： A61B5/06 , G01V15/00 , G01V3/081 , G01V3/15 , A61M25/0127
摘要： There is disclosed an apparatus and method for locating a medical tube within the body of a patient. The medical tube is located by a detection apparatus which senses the static magnetic field strength gradient generated by a magnet associated with the medical tube and indicates the value of the gradient to the user. The detection apparatus is moved about the body of the patient until the greatest gradient magnitude is indicated. The detection apparatus distinguishes the field strength of the magnet associated with the medical tube from the earth's field strength by sensing the magnet's field strength at two different distances from the magnet.
摘要翻译：公开了一种用于定位患者体内的医用管的装置和方法。医疗管由检测装置定位，该检测装置检测由与医用管相关联的磁体产生的静态磁场强度梯度，并向使用者指示梯度的值。检测装置围绕患者的身体移动，直到指示最大的梯度大小。检测装置通过在与磁体两个不同的距离处感测磁体的场强来区分与医疗管相关联的磁体的场强与地球场强度。

3. 发明授权

US5425382A Apparatus and method for locating a medical tube in the body of a patient 失效
标题翻译：用于定位患者体内的医用管的装置和方法
公开(公告)号：US5425382A
公开(公告)日：1995-06-20
申请号：US121929
申请日：1993-09-14
申请人： Robert N. Golden , Fred E. Silverstein
发明人： Robert N. Golden , Fred E. Silverstein
IPC分类号： G01B7/00 , A61B5/06 , A61B17/00 , A61M25/01 , A61M25/09 , G01V3/00 , G01V3/08 , G01V3/15 , G01V15/00 , A61B5/05
CPC分类号： A61B5/06 , G01V15/00 , G01V3/081 , G01V3/15 , A61M25/0127
摘要： There is disclosed an apparatus and method for locating a medical tube within the body of a patient. The medical tube is located by a detection apparatus which senses the static magnetic field strength gradient generated by a magnet associated with the medical tube and indicates the value of the gradient to the user. The detection apparatus is moved about the body of the patient until the greatest gradient magnitude is indicated. The detection apparatus distinguishes the field strength of the magnet associated with the medical tube from the earth's field strength by sensing the magnet's field strength at two different distances from the magnet.
摘要翻译：公开了一种用于定位患者体内的医用管的装置和方法。医疗管由检测装置定位，该检测装置检测由与医用管相关联的磁体产生的静态磁场强度梯度，并向使用者指示梯度的值。检测装置围绕患者的身体移动，直到指示最大的梯度大小。检测装置通过在与磁体两个不同的距离处感测磁体的场强来区分与医疗管相关联的磁体的场强与地球场强。

4. 发明授权

US09521961B2 Systems and methods for guiding a medical instrument 有权
标题翻译：用于引导医疗器械的系统和方法
公开(公告)号：US09521961B2
公开(公告)日：2016-12-20
申请号：US13336919
申请日：2011-12-23
申请人： Fred E. Silverstein , Robert N. Golden
发明人： Fred E. Silverstein , Robert N. Golden
IPC分类号： A61B5/05 , A61B5/06 , A61B5/042 , A61B5/00 , A61B8/08 , A61B8/00
CPC分类号： A61B5/062 , A61B5/042 , A61B5/743 , A61B5/7475 , A61B8/0833 , A61B8/0841 , A61B8/0891 , A61B8/4472 , A61B8/463 , A61B34/20 , A61B90/37 , A61B90/98 , A61B2034/2051 , A61B2090/374 , A61B2090/378 , A61B2090/3954
摘要： A guidance system for assisting with the insertion of a needle into a patient body is disclosed. The guidance system utilizes ultrasound imaging or other suitable imaging technology. In one embodiment, the guidance system comprises an imaging device including a probe for producing an image of an internal body portion target, such as a vessel. One or more sensors are included with the probe. The sensors sense a detectable characteristic related to the needle, such as a magnetic field of a magnet included with the needle. The system includes a processor that uses data relating to the sensed characteristic to determine a 3-D position of the needle. The system includes a display for depicting the position of the needle. In other embodiments, a guidance system for guiding rigid or other medical instruments is disclosed, together with various example implementations thereof.
摘要翻译：公开了一种用于辅助将针插入患者体内的引导系统。引导系统利用超声成像或其他合适的成像技术。在一个实施例中，引导系统包括成像装置，其包括用于产生诸如血管的内部身体部分目标的图像的探针。探头附带一个或多个传感器。传感器检测与针相关的可检测特性，例如包括在针中的磁体的磁场。该系统包括使用与感测特征有关的数据来确定针的3-D位置的处理器。该系统包括用于描绘针的位置的显示器。在其他实施例中，公开了用于引导刚性或其它医疗器械的引导系统及其各种示例实施方式。

5. 发明授权

US07856987B2 Electronic valve reader 有权
标题翻译：电子阀读卡器
公开(公告)号：US07856987B2
公开(公告)日：2010-12-28
申请号：US12037228
申请日：2008-02-26
申请人： William J. Bertrand , Lori C. Speckman , Robert N. Golden , Gary Sanders , Steve Vincent , Daniel R Morris
发明人： William J. Bertrand , Lori C. Speckman , Robert N. Golden , Gary Sanders , Steve Vincent , Daniel R Morris
IPC分类号： A61B19/00
CPC分类号： A61B5/06 , A61M27/006
摘要： The invention is directed toward a magnetic valve reader used as an indicator tool. The magnetic valve reader determines a location and an orientation for a magnetic indicator device to indicate a device setting of an implantable medical device. The implantable medical device includes the magnetic indicator device coupled to a valve on the implantable medical device. External magnetic fields, specifically the Earth's magnetic field, may interfere with the compass and create an incorrect device setting indication. The electronic reader estimates the external magnetic fields to subtract the estimate from received data to minimize any influence that external magnetic field has on the accuracy of the device setting measurement.
摘要翻译：本发明涉及一种用作指示器工具的磁性阀读取器。磁性阀读取器确定磁性指示器装置的位置和取向以指示可植入医疗装置的装置设置。可植入医疗装置包括耦合到可植入医疗装置上的阀的磁性指示器装置。外部磁场，特别是地球的磁场可能会干扰罗盘，并产生不正确的设备设置指示。电子阅读器估计外部磁场以从接收数据中减去估计值，以最小化外部磁场对器件设置测量精度的任何影响。

6. 发明申请

US20080221436A1 ELECTRONIC VALVE READER 有权
标题翻译：电子阀读数器
公开(公告)号：US20080221436A1
公开(公告)日：2008-09-11
申请号：US12037228
申请日：2008-02-26
申请人： William J. Bertrand , Lori C. Speckman , Robert N. Golden , Gary Sanders , Steve Vincent , Daniel R. Morris
发明人： William J. Bertrand , Lori C. Speckman , Robert N. Golden , Gary Sanders , Steve Vincent , Daniel R. Morris
IPC分类号： A61B5/05
CPC分类号： A61B5/06 , A61M27/006
摘要： The invention is directed toward a magnetic valve reader used as an indicator tool. The magnetic valve reader determines a location and an orientation for a magnetic indicator device to indicate a device setting of an implantable medical device. The implantable medical device includes the magnetic indicator device coupled to a valve on the implantable medical device. External magnetic fields, specifically the Earth's magnetic field, may interfere with the compass and create an incorrect device setting indication. The electronic reader estimates the external magnetic fields to subtract the estimate from received data to minimize any influence that external magnetic field has on the accuracy of the device setting measurement.
摘要翻译：本发明涉及一种用作指示器工具的磁性阀读取器。磁性阀读取器确定磁性指示器装置的位置和取向以指示可植入医疗装置的装置设置。可植入医疗装置包括耦合到可植入医疗装置上的阀的磁性指示器装置。外部磁场，特别是地球的磁场可能会干扰罗盘，并产生不正确的设备设置指示。电子阅读器估计外部磁场以从接收数据中减去估计值，以最小化外部磁场对器件设置测量精度的任何影响。

7. 发明授权

US06173715B1 Magnetic anatomical marker and method of use 有权
标题翻译：磁解剖标记及使用方法
公开(公告)号：US06173715B1
公开(公告)日：2001-01-16
申请号：US09259222
申请日：1999-03-01
申请人： Mika N. Sinanan , Christopher P. Somogyi , Robert N. Golden , Fred E. Silverstein , Andrei J. Gonzales
发明人： Mika N. Sinanan , Christopher P. Somogyi , Robert N. Golden , Fred E. Silverstein , Andrei J. Gonzales
IPC分类号： A61B1900
CPC分类号： A61B90/39 , A61B2017/00004 , A61B2090/3937 , A61B2090/3954 , A61B2090/3987
摘要： An anatomical marker uses a permanent magnet to indicate a selected location within a patient. The magnet is enclosed within a non-degradable envelope and is coupled to a retention member that is preferably manufactured from a biodegradable material, such as a polyglucuronic acid based material. The retention member may include one or more barbs to retain the anatomical marker in the selected location. An insertion tool, usable with an endoscope, can insert the anatomical marker. A retention magnet is fixedly attached to the insertion tool and holds the anatomical marker in place due to the attractive magnetic forces between the retention magnet and the marker magnet in the non-biodegradable envelope. When the anatomical marker is securely fastened at the selected location in the patient, the forces exerted by the patient's body on the retention member exceed the attractive magnetic forces between the retention magnet and the magnet in the envelope, thus causing the anatomical marker to be released from the insertion tool. The location of the magnet may be subsequently detected using a magnetic detector system.
摘要翻译：解剖标记使用永磁体来指示患者内的选定位置。磁体被封闭在不可降解的外壳内，并且联接到优选由生物可降解材料制成的保持构件，例如聚葡糖醛酸基材料。保持构件可以包括一个或多个倒钩以将解剖标记保持在所选择的位置。可用于内窥镜的插入工具可以插入解剖标记。保持磁体固定地附接到插入工具，并且由于在不可生物降解的外壳中的保持磁体和标记磁体之间的有吸引力的磁力将解剖标记保持在适当位置。当解剖标记被牢固地固定在患者的所选位置时，患者身体施加在保持构件上的力超过保持磁体和外壳中的磁体之间的有吸引力的磁力，从而导致解剖标志物被释放从插入工具。随后可以使用磁检测器系统检测磁体的位置。

8. 发明授权

US6129668A System and method to determine the location and orientation of an indwelling medical device 失效
标题翻译：确定留置医疗器械的位置和方向的系统和方法
公开(公告)号：US6129668A
公开(公告)日：2000-10-10
申请号：US75280
申请日：1998-05-08
申请人： David R. Haynor , Christopher P. Somogyi , Robert N. Golden
发明人： David R. Haynor , Christopher P. Somogyi , Robert N. Golden
IPC分类号： A61B5/06 , A61B19/00 , A61B5/05
CPC分类号： A61B5/06 , A61B34/20 , A61B2017/00876 , A61B2034/2051 , A61B2090/376 , A61B2090/3958 , A61B34/25
摘要： A device to detect the location of a magnet coupled to an indwelling medical device within a patient uses three or more sets of magnetic sensors each having sensor elements arranged in a known fashion. Each sensor element senses the magnetic field strength generated by the magnet and provides data indicative of the direction of the magnet in a three-dimensional space. The device uses fundamental equations for electricity and magnetism that relate measured magnetic field strength and magnetic field gradient to the location and strength of a magnetic dipole. The device uses an iterative process to determine the actual location and orientation of the magnet. An initial estimate of the location and orientation of the magnet results in the generation of predicted magnetic field values. The predicted magnetic field values are compared with the actual measured values provided by the magnetic sensors. Based on the difference between the predicted values and the measured values, the device estimates a new location of the magnet and calculates new predicted magnetic field strength values. This iteration process continues until the predicted values match the measured values within a desired degree of tolerance. At that point, the estimated location matches the actual location within a predetermined degree of tolerance. A two-dimensional display provides an indication of the location of the magnet with respect to the housing of the detector. A depth indicator portion of the display can be used to provide a relative or absolute indication of the depth of the magnet within the patient.
摘要翻译：用于检测耦合到患者内的留置医疗装置的磁体的位置的装置使用三组或更多组磁传感器，每组具有以已知方式布置的传感器元件。每个传感器元件感测由磁体产生的磁场强度，并提供指示磁体在三维空间中的方向的数据。该设备使用电磁和磁力的基本方程，将测量的磁场强度和磁场梯度与磁偶极子的位置和强度相关联。该设备使用迭代过程来确定磁体的实际位置和方向。磁体的位置和取向的初始估计导致预测的磁场值的产生。将预测的磁场值与由磁传感器提供的实际测量值进行比较。基于预测值和测量值之间的差异，设备估计磁体的新位置并计算新的预测磁场强度值。该迭代过程一直持续到预期值与期望的公差范围内的测量值相匹配。此时，估计位置与预定公差范围内的实际位置相匹配。二维显示器提供磁体相对于检测器壳体的位置的指示。显示器的深度指示器部分可用于提供患者内磁体深度的相对或绝对指示。

9. 发明授权

US5775322A Tracheal tube and methods related thereto 失效
标题翻译：气管及其相关方法
公开(公告)号：US5775322A
公开(公告)日：1998-07-07
申请号：US669763
申请日：1996-06-27
申请人： Fred E. Silverstein , Robert N. Golden , Christopher P. Somogyi
发明人： Fred E. Silverstein , Robert N. Golden , Christopher P. Somogyi
IPC分类号： A61M16/04 , A61M16/00
CPC分类号： A61M16/0488 , A61M16/0411
摘要： There is disclosed a tracheal tube for insertion into the trachea of a patient. The tracheal tube includes a tube portion having a distal end, and a signal source associated with the tube portion at a predefined distance from its distal end. The tracheal tube is inserted into the trachea such that the signal source is immediately posterior to the patient's cricothyroid ligament. Methods related to confirming proper placement of the tracheal tube by detecting the signal source immediately posterior to the patient's cricothyroid ligament are also disclosed.
摘要翻译：公开了一种用于插入患者气管的气管插管。气管管包括具有远端的管部分和与其远端距预定距离的与管部分相关联的信号源。将气管插入气管中，使得信号源紧靠患者甲状腺韧带的后方。还公开了通过检测患者甲状腺韧带后方的信号源来确认气管插管的正确放置的方法。

10. 发明申请

US20110231226A1 SYSTEM AND METHOD TO PERFORM SURVEYS 审中-公开
标题翻译：执行调查的系统和方法
公开(公告)号：US20110231226A1
公开(公告)日：2011-09-22
申请号：US13069231
申请日：2011-03-22
申请人： Robert N. Golden
发明人： Robert N. Golden
IPC分类号： G06Q10/00 , G06Q40/00
CPC分类号： G06Q30/02 , G06Q20/10 , G06Q30/0203 , G06Q40/12
摘要： Embodiments of computing servers host web page pages that deliver information to users. The information relates to the acceptance of survey topics and questions to be asked, the formation of surveys from the topics and questions, and the communication of the surveys to particular devices such as mobile devices. Additionally, embodiments of the computing servers accept survey responses from the devices, facilitate compensation to the responder, process the responses, and communicate information related to the survey responses.
摘要翻译：计算服务器的实施例托管向用户传递信息的网页页面。这些信息涉及要接受调查主题和问题，从主题和问题形成调查，以及将调查与特定设备（如移动设备）的通信。此外，计算服务器的实施例接受来自设备的调查响应，促进对响应者的补偿，处理响应以及传达与调查响应相关的信息。

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