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    • 85. 发明授权
    • Therapy and monitoring electrodes with patient accommodating features
    • 治疗和监测电极与患者适应功能
    • US06965799B2
    • 2005-11-15
    • US10094949
    • 2002-03-08
    • Richard C. NovaKevin K. CoveyJoseph L. Sullivan
    • Richard C. NovaKevin K. CoveyJoseph L. Sullivan
    • A61B5/0408A61N1/04
    • A61N1/046A61B5/0408A61N1/0472A61N1/0492
    • Medical electrode arrangements are provided for electrotherapy and monitoring applications. In one embodiment, each electrode arrangement includes a smaller electrode that is releasably attached to the back of a larger electrode. For adult applications, the larger electrode is applied to the patient. For pediatric applications, the larger electrode is preferably removed, and the smaller electrode is applied to the patient. Face-to-face and back-to-back electrode arrangement configurations are also provided. In a further embodiment, an electrode arrangement is comprised of first and second conductive regions of a common substrate that are separable by a division line in the substrate. For adult applications, stored energy is conducted through both conductive regions. For pediatric applications, the second region of the substrate is removed along the division line. A sensing mechanism is also provided to detect whether the electrode arrangement has been placed in an adult or pediatric configuration.
    • 提供医疗电极布置用于电疗和监测应用。 在一个实施例中,每个电极装置包括可释放地附接到较大电极的背面的较小电极。 对于成人应用,较大的电极被施加到患者身上。 对于儿科应用,优选去除较大的电极,并且将更小的电极施加到患者。 还提供了面对面和背对背电极布置配置。 在另一个实施例中,电极装置由公共衬底的第一和第二导电区域组成,其可通过衬底中的划分线分离。 对于成人应用,存储的能量通过两个导电区域传导。 对于儿科应用,衬底的第二区域沿分割线移除。 还提供感测机构以检测电极装置是否已经被放置成成人或小儿配置。
    • 86. 发明授权
    • H-bridge circuit for generating a high-energy biphasic waveform in an external defibrillator using single SCR and IGBT switches in an integrated package
    • 用于在外部除颤器中使用单个SCR和IGBT开关在集成封装中产生高能双相波形的H桥电路
    • US06963773B2
    • 2005-11-08
    • US10186218
    • 2002-06-26
    • Barry F. WaltmanJoseph L. SullivanLawrence A. BorschowaRichard C. Nova
    • Barry F. WaltmanJoseph L. SullivanLawrence A. BorschowaRichard C. Nova
    • A61N1/39
    • A61N1/39A61N1/3912
    • An external defibrillator with an output circuit having four legs arrayed in the form of an “H” (an “H-bridge”) is disclosed. The output circuit is designed to be able to conduct a range of defibrillation pulse energies, from below 50 joules to above 200 joules. Each leg of the output circuit contains a solid-state switch. By selectively switching on pairs of switches in the H-bridge, a biphasic defibrillation pulse may be applied to a patient. The switches in three of the legs of the H-bridge output circuit are preferably SCR switches, while the fourth leg includes an IGBT switch. In one embodiment, a single power switch is utilized in each of the legs of the H-bridge output circuit, and are included in a single integrated module or package. The use of single semiconductor switches in an integrated surface mountable module or package simplifies the assembly and manufacturing of the defibrillator device. The use of a single IGBT in a leg of the H-bridge (as opposed to two or more IGBTs in series) also greatly simplifies the drive circuitry required to turn on and off the IGBT.
    • 公开了具有以“H”形式(“H桥”)排列的四条腿的输出电路的外部除颤器。 输出电路设计为能够进行一系列除颤脉冲能量,从50焦耳到200焦耳以下。 输出电路的每条支路都包含一个固态开关。 通过选择性地开启H桥中的开关对,可以向患者施加双相除颤脉冲。 H桥输出电路的三个支路中的开关优选地是SCR开关,而第四支路包括IGBT开关。 在一个实施例中,在H桥输出电路的每个支路中使用单个电源开关,并且被包括在单个集成模块或封装中。 在集成的可表面安装的模块或封装中使用单个半导体开关简化了除颤器装置的组装和制造。 在H桥的支路(与串联的两个或更多个IGBT相反)中使用单个IGBT也大大简化了IGBT导通和关断所需的驱动电路。
    • 87. 发明授权
    • Method and system for locating a portable medical device
    • 用于定位便携式医疗设备的方法和系统
    • US06937150B2
    • 2005-08-30
    • US10749573
    • 2003-12-31
    • Douglas K. MedemaWilliam E. SaltzsteinRobert A. NiskanenRichard C. Nova
    • Douglas K. MedemaWilliam E. SaltzsteinRobert A. NiskanenRichard C. Nova
    • A61N1/39H04W64/00G08B1/08
    • H04W64/00A61N1/3931
    • The invention provides a wireless automatic location identification (ALI) capable system (10), including a medical device (12) having a wireless data communicator (14), a wireless communication network (16), and a remote locating service (18) for remotely locating and monitoring one or more medical devices over the wireless communication network. When the medical device is linked to the remote locating service over the communication network, the ALI-capable system identifies the location of the medical device and relays the location information to the remote locating service. The system permits reliable determination of the location of the medical device wherever the medical device is situated. The medical device may further be configured to transmit signals indicative of its status, condition, or self-test results, to the remote locating service. This feature allows the remote locating service to centrally monitor the status or condition of a plurality of medical devices.
    • 本发明提供一种无线自动位置识别(ALI)能力系统(10),其包括具有无线数据通信器(14),无线通信网络(16)和远程定位服务(18)的医疗设备(12) 通过无线通信网络远程定位和监视一个或多个医疗设备。 当通过通信网络将医疗设备链接到远程定位服务时,具有ALI功能的系统识别医疗设备的位置并将位置信息中继到远程定位服务。 该系统允许在医疗设备所在的任何地方可靠地确定医疗设备的位置。 医疗设备还可以被配置为将指示其状态,状况或自检结果的信号发送到远程定位服务。 该特征允许远程定位服务集中监视多个医疗设备的状态或状况。
    • 90. 发明授权
    • Defibrillator method and apparatus
    • 除颤器方法和装置
    • US5999852A
    • 1999-12-07
    • US62192
    • 1998-04-17
    • Tarek Z. ElabbadyFred W. ChapmanJoseph L. SullivanRichard C. NovaLawrence A. Borschowa
    • Tarek Z. ElabbadyFred W. ChapmanJoseph L. SullivanRichard C. NovaLawrence A. Borschowa
    • A61N1/39
    • A61N1/39A61N1/3943
    • A defibrillator method and apparatus wherein a patient's measured transthoracic impedance (TTI) is used to control the amount of energy contained in a defibrillation pulse applied to the patient. Prior to delivering a defibrillation pulse, the patient's TTI is measured by an impedance measuring circuit (11). The patient's TTI may also be measured during delivery of a prior defibrillation pulse. A microprocessor (23) uses the measured patient TTI to control the shape of the defibrillation pulse by controlling: (i) the phase duration of the defibrillation pulse; and (ii) the voltage level to which the defibrillator's capacitor bank (15) is charged. The defibrillation pulse shape is controlled so that the energy conveyed by the defibrillation pulse to the patient is near or exceeds a desired value. The desired value may be set by an operator via an energy selector (25). A switch (13) controls the connection of defibrillator electrodes (27a, 27b) to the impedance measuring circuit (11) and the capacitor bank (15).
    • 一种除颤器方法和装置,其中患者测量的经胸阻抗(TTI)用于控制施加到患者的除颤脉冲中包含的能量的量。 在发送除颤脉冲之前,通过阻抗测量电路(11)测量患者的TTI。 患者的TTI也可以在递送以前的除颤脉冲期间被测量。 微处理器(23)使用测量的患者TTI通过控制以下步骤来控制除颤脉冲的形状:(i)除颤脉冲的相位持续时间; 和(ii)除颤器的电容器组(15)对其充电的电压电平。 控制除颤脉冲形状使得由除颤脉冲输送给患者的能量接近或超过期望值。 期望的值可以由操作者经由能量选择器(25)来设定。 开关(13)控制除颤电极(27a,27b)与阻抗测量电路(11)和电容器组(15)的连接。