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    • 32. 发明授权
    • Control system and process for application of energy to airway walls and other mediums
    • 控制系统和能量应用于气道壁和其他介质的过程
    • US07104987B2
    • 2006-09-12
    • US10414411
    • 2003-04-14
    • Michael BiggsRoger A. SternChristopher James Danek
    • Michael BiggsRoger A. SternChristopher James Danek
    • A61B18/18
    • A61N1/06A61B18/14A61B2018/00541A61N1/40
    • The present invention includes a system for delivering energy to an airway wall of a lung comprising an energy delivering apparatus and a PID controller having one or more variable gain factors which are rest after energy deliver has begun. The energy delivering apparatus may include a flexible elongated member and a distal expandable basket having at least one electrode for transferring energy to the airway wall and at least one temperature sensor for measuring temperature. The PID controller determines a new power set point base on an error between a preset temperature and the measured temperature. The algorithm can be Pi+1=Pi+G(αei+βei−1+γei−2) where α, β and γ are preset values and α is from 1 to 2; βis from −1 to −2; and γ is from −0.5 to 0−5. In another variation, the controller is configured to shut down if various measured parameters are exceeded such as, for example, energy, impedance, temperature, temperature differences, activation time and combinations thereof. Methods for treating a target medium using a PID algorithm are also provided.
    • 本发明包括一种用于向肺气道壁输送能量的系统,包括能量输送装置和具有一个或多个可变增益因子的PID控制器,所述可变增益因子在能量传递开始之后休息。 能量输送装置可以包括柔性细长构件和远端可膨胀篮,其具有用于将能量传递到气道壁的至少一个电极和用于测量温度的至少一个温度传感器。 PID控制器根据预设温度和测量温度之间的误差确定新的功率设定点。 该算法可以是P + 1 + 1 + 1 + 1 + 1 + 其中α,β和γ是预设值,α是1至2; 贝塔从-1到-2; 而γ为-0.5至0-5。 在另一变型中,控制器被配置为如果超过各种测量参数,例如能量,阻抗,温度,温差,激活时间及其组合,则关闭。 还提供了使用PID算法处理目标介质的方法。
    • 36. 发明授权
    • Apparatus and method for noninvasive blood pressure measurement
    • 无创血压测量仪器及方法
    • US5533511A
    • 1996-07-09
    • US177448
    • 1994-01-05
    • William J. KaspariRoger A. Stern
    • William J. KaspariRoger A. Stern
    • A61B5/022A61B5/00
    • A61B5/02007A61B5/022A61B5/7257Y10S128/925
    • A blood pressure monitor for determining a patient's blood pressure comprises a processor attached to a first input device for receiving an initial input representing the patient's absolute blood pressure, and a noninvasive sensor attached to the patient for measuring at least one physiological function. The processor executes a procedure for evaluating the initial input and the sensed physiological function to determine the patient's blood pressure. A method for determining a patient's blood pressure comprises the steps of storing an initial input representing a patient's absolute blood pressure, noninvasively sensing at least one of the patient's physiological functions, and evaluating the initial input and the sensed input to determine the patient's blood pressure. The present invention can also be used to analyze and track other physiological variables such as vascular wall compliance, changes in the strength of ventricular contractions, changes in vascular resistance, changes in fluid volume, changes in cardiac output, myocardial contractility and other related factors.
    • 用于确定患者血压的血压监测器包括附接到第一输入装置的处理器,用于接收表示患者的绝对血压的初始输入,以及附接到患者的用于测量至少一个生理功能的无创传感器。 处理器执行用于评估初始输入和感测的生理功能以确定患者的血压的过程。 用于确定患者血压的方法包括以下步骤:存储表示患者绝对血压的初始输入,非侵入性地感测患者生理功能中的至少一个,以及评估初始输入和感测输入以确定患者的血压。 本发明还可用于分析和跟踪其他生理变量,如血管壁依从性,心室收缩强度变化,血管阻力变化,体积变化,心输出量变化,心肌收缩力等相关因素。
    • 40. 发明授权
    • Endometrial ablation apparatus and method
    • 子宫内膜消融装置及方法
    • US5277201A
    • 1994-01-11
    • US877567
    • 1992-05-01
    • Roger A. Stern
    • Roger A. Stern
    • A61B18/12A61B17/00A61B17/42A61B18/14A61N1/06A61N1/40A61N5/00
    • A61N1/06A61B18/14A61B18/1485A61N1/40A61B2017/00092A61B2017/00101A61B2017/00292A61B2017/4216A61B2018/00065A61B2018/00083A61B2018/00113A61B2018/0016A61B2018/0022A61B2018/00559A61B2018/00577A61B2018/00654A61B2018/00702A61B2018/00791A61B2018/00797A61B2018/00815A61B2018/124A61B2018/1253A61B2018/1465A61B2018/1467A61B2018/162
    • An endometrial ablation method comprising passing sufficient RF current having a frequency of from 250 kHz to about 100 MHz through substantially the entire surface of the endometrium to heat the endometrium, in a single operation, to a temperature within the range of from 45.degree. C. to 90.degree. C. and preferably not above 70.degree. C. for a time sufficient to destroy the cells of the lining while maintaining the average temperature of the myometrium at a temperature below about 42.degree. C. The apparatus comprises a electroconductive expandable member such as a balloon for extending the organ and effecting electrical contact with the endometrial lining to be destroyed. The balloon is connected to a power source adapted to provide radiofrequency electric power having the desired characteristics to selectively heat the endometrial lining to the desired temperature. The balloon can be an electroconductive elastomer such as a mixture of a polymeric elastomer and electroconductive particles. Alternatively, it can be a non-extensible bladder having a shape and size, in its fully expanded form, which will extend the organ and effecting contact with the endometrial lining to be destroyed. One surface of the non-extensible bladder can be coated with electroconductive material. The coating can be applied to the inner surface of the non-extensible bladder if the bladder wall thickness is less than about 25 mm.
    • 子宫内膜消融方法包括通过基本上子宫内膜的整个表面传递具有250kHz至约100MHz的频率的足够的RF电流,以在单次操作中将子宫内膜加热至45℃的温度。 至90℃,优选不高于70摄氏度,足以破坏衬里细胞的时间,同时将子宫肌层的平均温度保持在低于约42℃的温度。该装置包括导电性可扩张构件,例如 用于延伸器官并与子宫内膜进行电接触以消灭的气球。 气球连接到适于提供具有期望特性的射频电力的电源,以选择性地将子宫内膜衬里加热到所需温度。 气球可以是导电弹性体,例如聚合物弹性体和导电颗粒的混合物。 或者,其可以是具有其完全展开形式的形状和尺寸的不可伸展的囊,其将延伸器官并且与要被破坏的子宫内膜相接触。 不可伸展气囊的一个表面可以用导电材料涂覆。 如果膀胱壁厚度小于约25毫米,涂层可以施加到不可伸长膀胱的内表面。