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11. 发明授权

US07363083B2 Flexible subcutaneous implantable cardioverter-defibrillator 有权
标题翻译：灵活的皮下植入式心律转复除颤器
公开(公告)号：US07363083B2
公开(公告)日：2008-04-22
申请号：US11112159
申请日：2005-04-22
申请人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann , Alan H. Ostroff , Paul J. Erlinger
发明人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann , Alan H. Ostroff , Paul J. Erlinger
IPC分类号： A61N1/375
CPC分类号： A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3968 , A61N1/3975
摘要： One embodiment of the present invention provides an implantable cardioverter-defibrillator for subcutaneous positioning over a patient's ribcage, the implantable cardioverter-defibrillator including a housing, wherein the housing conforms to the patient's ribcage when subcutaneously positioned; an electrode disposed upon a portion of the housing; and an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the electrode.
摘要翻译：本发明的一个实施例提供了一种可植入式心律转复除颤器，其用于在患者胸部上进行皮下定位，所述植入式心律转复除颤器包括壳体，其中所述壳体在皮下定位时符合患者的胸腔积液; 设置在壳体的一部分上的电极; 以及位于壳体内的电路，其中电路电耦合到电极。

12. 发明授权

US07194309B2 Packaging technology for non-transvenous cardioverter/defibrillator devices 有权
标题翻译：非转移性心脏复律器/除颤器装置的包装技术
公开(公告)号：US07194309B2
公开(公告)日：2007-03-20
申请号：US10011607
申请日：2001-11-05
申请人： Alan H. Ostroff , William J. Rissmann , Gust H. Bardy
发明人： Alan H. Ostroff , William J. Rissmann , Gust H. Bardy
IPC分类号： A61N1/375 , A61N1/39
CPC分类号： A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3968 , A61N1/3975
摘要： Packaging techniques for a non-transvenous implantable cardioverter/defibrillator include a housing and a frame within the housing for holding electronic components. A header is disposed on the housing and includes at least one feedthrough extending through the housing for providing electrical communication to and from the electronic components within the housing.
摘要翻译：用于非经静脉植入式心律转复除颤器的包装技术包括外壳和框架，用于保持电子部件。头部设置在壳体上，并且包括延伸穿过壳体的至少一个馈通件，用于提供与壳体内的电子部件的电连通。

13. 发明授权

US07194302B2 Subcutaneous cardiac stimulator with small contact surface electrodes 有权
标题翻译：具有小接触表面电极的皮下心脏刺激器
公开(公告)号：US07194302B2
公开(公告)日：2007-03-20
申请号：US10124159
申请日：2002-04-17
申请人： Gust H. Bardy , Riccardo Cappato , Alan H. Ostroff , William J. Rissmann , Gary H. Sanders
发明人： Gust H. Bardy , Riccardo Cappato , Alan H. Ostroff , William J. Rissmann , Gary H. Sanders
IPC分类号： A61N1/39
CPC分类号： A61N1/3931 , A61N1/3912
摘要： A subcutaneous cardiac device includes two electrodes and a stimulator that generates a pulse to the electrodes. The electrodes are implanted between the skin and the rib cage of the patient and are adapted to generate an electric field corresponding to the pulse, the electric field having a substantially uniform voltage gradient as it passes through the heart. The shapes, sizes, positions and structures of the electrodes are selected to optimize the voltage gradient of the electric field, and to minimize the energy dissipated by the electric field outside the heart. More specifically, the electrodes have contact surfaces that contact the patient tissues, said contact surfaces having a total contact area of less than 100 cm2. In one embodiment, one or both electrodes are physically separated from the stimulator. In another embodiment a unitary housing holds the both electrodes and the stimulator. Sensor circuitry may also includes in the stimulator for detecting intrinsic cardiac activity through the same electrodes.
摘要翻译：皮下心脏装置包括两个电极和一个向电极产生脉冲的刺激器。电极被植入患者的皮肤和肋骨架之间，适于产生对应于该脉冲的电场，该电场在通过心脏时具有基本均匀的电压梯度。选择电极的形状，尺寸，位置和结构以优化电场的电压梯度，并且使由心脏外的电场消耗的能量最小化。更具体地，电极具有接触患者组织的接触表面，所述接触表面的总接触面积小于100cm 2。在一个实施例中，一个或两个电极与刺激器物理分离。在另一个实施例中，整体外壳保持两个电极和刺激器。传感器电路还可以包括在用于通过相同电极检测固有心脏活动的刺激器中。

14. 发明授权

US07039465B2 Ceramics and/or other material insulated shell for active and non-active S-ICD can 有权
公开(公告)号：US07039465B2
公开(公告)日：2006-05-02
申请号：US09940371
申请日：2001-08-27
申请人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann , Alan H. Ostroff
发明人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann , Alan H. Ostroff
IPC分类号： A61N1/375
CPC分类号： A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3968 , A61N1/3975
摘要： An implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing, wherein at least a portion of the housing is curved; an electrical circuit; and at least one electrically conductive surface integrally positioned on at least one portion of the house, wherein at least one electrically conductive surface is coupled to the electrical circuit.

15. 发明授权

US06834204B2 Method and apparatus for inducing defibrillation in a patient using a T-shock waveform 有权
标题翻译：使用T型冲击波形诱发患者原纤维化的方法和装置
公开(公告)号：US06834204B2
公开(公告)日：2004-12-21
申请号：US10011527
申请日：2001-11-05
申请人： Alan H. Ostroff , William J. Rissmann , Gust H. Bardy
发明人： Alan H. Ostroff , William J. Rissmann , Gust H. Bardy
IPC分类号： A61N100
CPC分类号： A61N1/385 , Y10S977/932
摘要： A shock is delivered on the T-wave of a patient's cardiac waveform by first detecting the occurrence of a QRS complex in the waveform and using that detection to set up for detection of the following T-wave. Narrowband filtering is used to first select the QRS complex and thereafter the T-wave, while peak detection is employed to define the actual occurrence of the respective waveforms. The capability is also provided to deliver the shock at a manually selected interval after QRS detection or after a coupling interval in a pacing application.
摘要翻译：通过首先检测波形中的QRS波形的出现，并使用该检测来建立以下T波的检测，在患者心脏波形的T波上产生震动。窄带滤波用于首先选择QRS波群，然后选择T波，而采用峰值检测来定义各波形的实际发生。还提供了这种能力，以便在QRS检测后或在起搏应用中的耦合间隔后以手动选择的间隔提供冲击。

16. 发明授权

US08050754B2 Method for discriminating between ventricular and supraventricular arrhythmias 有权
标题翻译：区分心室和室上性心律失常的方法
公开(公告)号：US08050754B2
公开(公告)日：2011-11-01
申请号：US12259926
申请日：2008-10-28
申请人： Alan H. Ostroff , Jay A. Warren , Gust H. Bardy
发明人： Alan H. Ostroff , Jay A. Warren , Gust H. Bardy
IPC分类号： A61N1/00
CPC分类号： A61N1/3956 , A61B5/0422 , A61B5/04525 , A61B5/0464 , A61B5/686 , A61N1/3925 , A61N1/3987
摘要： The present invention is directed toward a detection architecture for use in implantable cardiac rhythm devices. The detection architecture of the present invention provides methods and devices for discriminating between arrhythmias. Moreover, by exploiting the enhanced specificity in the origin of the identified arrhythmia, the detection architecture can better discriminate between rhythms appropriate for device therapy and those that are not.
摘要翻译：本发明涉及用于可植入心律装置的检测架构。本发明的检测架构提供了用于区分心律失常的方法和装置。此外，通过利用识别的心律失常起源的增强的特异性，检测架构可以更好地区分适合于设备治疗的节律和不适合的治疗节律。

17. 发明授权

US08386037B2 Subcutaneous defibrillator implantation with right-side active canister 有权
标题翻译：皮下除颤器植入右侧活性罐
公开(公告)号：US08386037B2
公开(公告)日：2013-02-26
申请号：US13429777
申请日：2012-03-26
申请人： Alan H. Ostroff , Paul Erlinger , Gust H. Bardy
发明人： Alan H. Ostroff , Paul Erlinger , Gust H. Bardy
IPC分类号： A61N1/00
CPC分类号： A61N1/3956 , A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3918 , A61N1/3968 , A61N1/3975
摘要： A subcutaneous cardiac device includes a subcutaneous electrode and a housing coupled to the subcutaneous electrode by a lead with a lead wire. The subcutaneous electrode is adapted to be implanted in a frontal region of the patient so as to overlap a portion of the patient's heart.
摘要翻译：皮下心脏装置包括皮下电极和通过具有引线的引线耦合到皮下电极的壳体。皮下电极适于植入患者的正面区域，以便与患者心脏的一部分重叠。

18. 发明授权

US08014862B2 Anterior active housing subcutaneous positioning methods 有权
标题翻译：前活动房皮下定位方法
公开(公告)号：US08014862B2
公开(公告)日：2011-09-06
申请号：US12945853
申请日：2010-11-13
申请人： Alan H. Ostroff , Paul Erlinger , Gust H. Bardy
发明人： Alan H. Ostroff , Paul Erlinger , Gust H. Bardy
IPC分类号： A61N1/00
CPC分类号： A61N1/3956 , A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3918 , A61N1/3968 , A61N1/3975
摘要： A subcutaneous cardiac device includes a subcutaneous electrode and a housing coupled to the subcutaneous electrode by a lead with a lead wire. The subcutaneous electrode is adapted to be implanted in a frontal region of the patient so as to overlap a portion of the patient's heart.
摘要翻译：皮下心脏装置包括皮下电极和通过具有引线的引线耦合到皮下电极的壳体。皮下电极适于植入患者的正面区域，以便与患者心脏的一部分重叠。

19. 发明申请

US20080132965A1 Method for Discriminating Between Ventricular and Supraventricular Arrhythmias 有权
标题翻译：心室和室上性心律失常鉴别方法
公开(公告)号：US20080132965A1
公开(公告)日：2008-06-05
申请号：US12029272
申请日：2008-02-11
申请人： Alan H. Ostroff , Jay A. Warren , Gust H. Bardy
发明人： Alan H. Ostroff , Jay A. Warren , Gust H. Bardy
IPC分类号： A61N1/365
CPC分类号： A61N1/3956 , A61B5/0422 , A61B5/04525 , A61B5/0464 , A61B5/686 , A61N1/3925 , A61N1/3987
摘要： The present invention is directed toward a detection architecture for use in implantable cardiac rhythm devices. The detection architecture of the present invention provides methods and devices for discriminating between arrhythmias. Moreover, by exploiting the enhanced specificity in the origin of the identified arrhythmia, the detection architecture can better discriminate between rhythms appropriate for device therapy and those that are not.
摘要翻译：本发明涉及用于可植入心律装置的检测架构。本发明的检测架构提供了用于区分心律失常的方法和装置。此外，通过利用识别的心律失常起源的增强的特异性，检测架构可以更好地区分适合于设备治疗的节律和不适合的治疗节律。

20. 发明授权

US07330757B2 Method for discriminating between ventricular and supraventricular arrhythmias 有权
标题翻译：区分心室和室上性心律失常的方法
公开(公告)号：US07330757B2
公开(公告)日：2008-02-12
申请号：US10856084
申请日：2004-05-27
申请人： Alan H. Ostroff , Jay A. Warren , Gust H. Bardy
发明人： Alan H. Ostroff , Jay A. Warren , Gust H. Bardy
IPC分类号： A61N1/00
CPC分类号： A61N1/3956 , A61B5/0422 , A61B5/04525 , A61B5/0464 , A61B5/686 , A61N1/3925 , A61N1/3987
摘要： The present invention is directed toward a detection architecture for use in implantable cardiac rhythm devices. The detection architecture of the present invention provides methods and devices for discriminating between arrhythmias. Moreover, by exploiting the enhanced specificity in the origin of the identified arrhythmia, the detection architecture can better discriminate between rhythms appropriate for device therapy and those that are not.
摘要翻译：本发明涉及用于可植入心律装置的检测架构。本发明的检测架构提供了用于区分心律失常的方法和装置。此外，通过利用识别的心律失常起源的增强的特异性，检测架构可以更好地区分适合于设备治疗的节律和不适合的治疗节律。

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