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1. 发明申请

WO2007089225A1 DEFIBRILLATOR WITH OVERRIDABLE CPR-FIRST PROTOCOL 审中-公开
标题翻译：具有可扩展CPR第一协议的DEFIBRILLATOR
公开(公告)号：WO2007089225A1
公开(公告)日：2007-08-09
申请号：PCT/US2006/003030
申请日：2006-01-31
申请人： MEDTRONIC, EMERGENCY RESPONSE SYSTEMS, INC. , BANVILLE, Isabelle , HAMPTON, David, R. , KAVOUNAS, Gregory, T. , NOVA, Richard, C.
发明人： BANVILLE, Isabelle , HAMPTON, David, R. , KAVOUNAS, Gregory, T. , NOVA, Richard, C.
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3993
摘要： Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.
摘要翻译：提供了用于确定外部除颤器中的除颤治疗方案的方法和装置，由此用户可以覆盖CPR-first默认协议。该方法包括配置在去纤颤器控制器中发出查询的以下步骤; 等待询问回复一段时间; 如果在设定的时间内没有收到响应，则订购CPR处理协议; 分析回应; 在收到对查询的非肯定回应后订购CPR治疗方案; 并在收到对查询的肯定回应时订购冲击治疗方案。选择休克治疗方案后，除颤器在休克治疗方案下进行休克分析，如果冲击分析没有表示休克治疗，则可以订购CPR治疗方案，或者如果通过休克分析指示休克治疗，则提供除颤休克。查询可以以视觉，听觉或视觉和听觉格式呈现给用户。

2. 发明申请

WO2006083785A1 COMMUNICATION BETWEEN AN EXTERNAL DEFIBRILLATOR AND AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：外部解除器与可植入医疗器械之间的通讯
公开(公告)号：WO2006083785A1
公开(公告)日：2006-08-10
申请号：PCT/US2006/003275
申请日：2006-01-30
申请人： MEDTRONIC EMERGENCY RESPONSE SYSTEMS, INC.
发明人： BANVILLE, Isabelle , CHAPMAN, Fred, William , WALKER, Robert, G. , SULLIVAN, Joseph, Leo , NOVA, Richard, C.
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3605 , A61N1/37211
摘要： An external defibrillator used to treat a patient wirelessly communicates with an implantable medical device (IMD) implanted in the patient. In some embodiments, a telemetry head may be removably coupled to the external defibrillator to facilitate communication with the IMD. The defibrillator may receive information, such as patient, device, physiological, and treatment information, from the IMD. The defibrillator may use some or all of this information during treatment of the patient. For example, the defibrillator may prompt a user, or modify programmed user prompts based on the information. The defibrillator may deliver therapy based on the information. The information may include real-time values of physiological parameters monitored by the IMD, which may be displayed by the external defibrillator. The external defibrillator may control delivery of therapy by the IMD. The defibrillator may collect medical event information during treatment of the patient, and store the medical event information in the IMD.
摘要翻译：用于治疗患者的外部除颤器与植入患者的可植入医疗装置（IMD）无线通信。在一些实施例中，遥测头可以可移除地耦合到外部除颤器以便于与IMD的通信。除颤器可以从IMD接收诸如患者，装置，生理和治疗信息的信息。在治疗患者期间，除颤器可以使用这些信息中的一些或全部。例如，除颤器可以提示用户，或者基于该信息修改编程的用户提示。除颤器可以基于该信息进行治疗。该信息可以包括由IMD监测的生理参数的实时值，其可由外部除颤器显示。外部除颤器可以控制IMD的治疗递送。除颤器可以在治疗患者期间收集医疗事件信息，并将医疗事件信息存储在IMD中。

3. 发明申请

WO2005020809A1 PULSE DETECTION USING PATIENT PHYSIOLOGICAL SIGNALS 审中-公开
标题翻译：使用患者生理信号的脉冲检测
公开(公告)号：WO2005020809A1
公开(公告)日：2005-03-10
申请号：PCT/US2004/026080
申请日：2004-08-12
申请人： MEDTRONIC EMERGENCY RESPONSE SYSTEMS, INC.
发明人： OWEN, James, M. , JAYNE, Cynthia, P. , CRONE, William, E.
IPC分类号： A61B5/024
CPC分类号： A61N1/36557 , A61B5/0059 , A61B5/02 , A61B5/0205 , A61B5/02108 , A61B5/02416 , A61B5/02427 , A61B5/082 , A61B5/4836 , A61B5/4848 , A61B5/746 , A61B8/06 , A61B8/488 , A61N1/3625 , A61N1/365 , A61N1/39 , A61N1/3987
摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates optical characteristics of light transmitted into a patient to ascertain physiological signals, such as pulsatile changes in general blood volume proximate a light detector module. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Autocapture of a cardiac pulse using pacing stimuli is further provided.
摘要翻译：通过评估患者的生理信号来确定患者心脏脉搏的存在。在一个实施例中，医疗装置评估透射到患者中的光的光学特性，以确定生理信号，例如靠近光检测器模块的一般血液体积的脉动变化。使用这些特征，医疗装置确定患者心脏脉搏是否存在。除了处于无脉动状态之外，医疗装置还可以被配置为报告患者是否处于VF，VT，心搏停止或PEA状态，并且提示不同的疗法，例如胸部按压，救援呼吸，除颤和 PEA特异性电疗，取决于生理信号的分析。进一步提供使用起搏刺激自动捕获心脏脉搏。

4. 发明申请

WO2007076435A3 DEFIBRILLATOR WITH IMPLANTABLE MEDICAL DEVICE DETECTION 审中-公开
标题翻译：具有可移植医疗设备检测的诊断仪
公开(公告)号：WO2007076435A3
公开(公告)日：2007-09-20
申请号：PCT/US2006062483
申请日：2006-12-21
申请人： MEDTRONIC EMERGENCY RESPONSE SYSTEMS INC , JORGENSON DAVID J
发明人： JORGENSON DAVID J
IPC分类号： A61N1/39 , A61N1/372 , G06F19/00
CPC分类号： A61N1/3925 , A61N1/3605 , A61N1/36142 , A61N1/37211 , A61N1/37247 , A61N1/37252 , A61N1/39 , A61N1/3993 , G09B23/28 , G09B23/288
摘要： In general, the invention is directed to techniques for using an external defibrillator to detect a presence of an. implantable medical device (IMD) implanted within a patient, and providing therapy to the patient through communication between the external defibrillator and the IMD. An external defibrillator (12) provides prompts (34, 40, 44, 48) to a user of the external defibrillator to determine the presence of an IMD (14) implanted within the patient. For example, the external defibrillator may prompt the user to visually inspect the patient's chest for signs mat an IMD was implanted, such as a scar or raised portion of skin near the patient's clavicles. As another example, the external defibrillator may prompt the user to place a detection device (28) on the patient's chest. The detection device may be coupled to the external defibrillator, and may employ a magnet to initiate telemetry by the IMD to detect the presence of the IMD.
摘要翻译：一般来说，本发明涉及使用外部除颤器来检测存在的技术。植入在患者体内的可植入医疗器械（IMD），以及通过外部除颤器和IMD之间的通信向患者提供治疗。外部除颤器（12）向外部除颤器的使用者提供提示（34,40,44,48）以确定植入在患者体内的IMD（14）的存在。例如，外部除颤器可以提示用户目视检查患者的胸部，以便植入IMD的迹象，例如患者锁骨附近的瘢痕或凸起部分的皮肤。作为另一示例，外部除颤器可以提示用户将检测装置（28）放置在患者的胸部上。检测装置可以耦合到外部除颤器，并且可以使用磁铁来启动IMD的遥测以检测IMD的存在。

5. 发明申请

WO2006071711A3 PROVIDING DATA DESTINATION INFORMATION TO A MEDICAL DEVICE 审中-公开
标题翻译：向医疗设备提供数据目的地信息
公开(公告)号：WO2006071711A3
公开(公告)日：2007-03-22
申请号：PCT/US2005046512
申请日：2005-12-21
申请人： MEDTRONIC EMERGENCY RESPONSE SYSTEMS INC
发明人： MOORE MARK P , DREW KEVIN C
IPC分类号： G06F19/00
CPC分类号： G06F19/3418 , G06Q50/22
摘要： The disclosure describes a system in which medical devices, such as external defibrillators, vital signs monitors, or computers, collect medical event information during the treatment of a patient, and transmit the medical event information to a data destination, e.g., a computer at hospital or other medical facility. The system includes a remote server that stores data destination information for one or more data destinations, and transmits the data destinations information to the medical devices via a network. A medical device transmits medical event information to a data destination according to the data destination information that was received from the server for that destination. The data destination information for a particular destination may include, for example, information indicating a communication medium, a communication protocol, a telephone number, a network address, a network name, or login information used by a medical device to communicate with the destination.
摘要翻译：本公开描述了一种系统，其中诸如外部除颤器，生命体征监测器或计算机之类的医疗装置在治疗患者期间收集医疗事件信息，并将医疗事件信息发送到数据目的地，例如医院的计算机或其他医疗机构。该系统包括存储一个或多个数据目的地的数据目的地信息的远程服务器，并通过网络将数据目的地信息发送到医疗设备。医疗设备根据从该目的地的服务器接收的数据目的地信息将医疗事件信息发送到数据目的地。用于特定目的地的数据目的地信息可以包括例如指示通信介质的信息，通信协议，电话号码，网络地址，网络名称或由医疗设备用于与目的地通信的登录信息。

6. 发明申请

WO2006105398A1 DEFIBRILLATOR THAT MONITORS CPR TREATMENT AND ADJUSTS PROTOCOL 审中-公开
标题翻译：监测器CPR治疗和调整协议的修复器
公开(公告)号：WO2006105398A1
公开(公告)日：2006-10-05
申请号：PCT/US2006/011903
申请日：2006-03-30
申请人： MEDTRONIC, EMERGENCY RESPONSE SYSTEMS, INC. , CHAPMAN, Fred, W. , STICKNEY, Ronald, E. , WALKER, Robert, G.
发明人： STICKNEY, Ronald, E. , WALKER, Robert, G.
IPC分类号： A61N1/39
CPC分类号： A61N1/3925 , A61N1/39 , A61N1/3993
摘要： An apparatus and method is provided for a defibrillator that specifies treatment protocols in terms of number of chest compressions instead of time intervals. The defibrillator includes a connection port that is configured to attach with a plurality of electrodes that are capable of delivery of a defibrillation shock and/or sensing one or more physical parameters. An energy storage device capable of storing a charge is attached to the plurality of electrodes. A controller is coupled to the plurality of electrodes and the energy storage device, the controller is configured to provide CPR chest compression instructions in terms of the numbers of CPR chest compressions.
摘要翻译：提供了一种用于除颤器的装置和方法，该除颤器根据胸部按压次数而不是时间间隔来指定治疗方案。除颤器包括连接端口，其被配置为附接有能够递送除颤电击和/或感测一个或多个物理参数的多个电极。能够存储电荷的能量存储装置附接到多个电极。控制器耦合到多个电极和能量存储装置，控制器被配置为根据CPR胸部按压的数量提供CPR胸部按压指令。

7. 发明申请

WO2006050324A1 POWERING DOWN A PORTABLE MEDICAL DEVICE AFTER A DATA TRANSMISSION 审中-公开
标题翻译：在数据传输后关闭便携式医疗设备
公开(公告)号：WO2006050324A1
公开(公告)日：2006-05-11
申请号：PCT/US2005/039382
申请日：2005-10-28
申请人： MEDTRONIC EMERGENCY RESPONSE SYSTEMS, INC.
发明人： BROWNE, David, W. , OLSON, Dana, J.
IPC分类号： A61B5/00 , A61N1/39
CPC分类号： A61N1/3925 , A61B5/021 , A61B5/083 , A61B5/145 , A61N1/08
摘要： A portable medical device, such as an external defibrillator, transmits data to another device, such as a computer. The portable medical device determines when the data transmission has ended, and automatically powers down after data transmission has ended. For example, the portable medical device may receive a signal from the other device, which is generated by the other device to acknowledge receipt of the complete data transmission from the portable medical device, and power down in response to receipt of the signal. In some embodiments, the portable medical device also determines whether it is appropriate to automatically power down after the data transmission has ended, and powers down based on this determination. For example, the portable medical device may determine that it is currently being used to treat a patient, in which case powering down may be inappropriate.
摘要翻译：诸如外部除颤器之类的便携式医疗设备将数据发送到诸如计算机的另一设备。便携式医疗设备确定数据传输何时结束，并且在数据传输结束后自动断电。例如，便携式医疗设备可以从另一设备接收由另一设备生成的信号，以确认从便携式医疗设备接收到完整的数据传输，并且响应于接收到该信号而断电。在一些实施例中，便携式医疗设备还确定在数据传输已经结束之后自动断电是否合适，并且基于该确定而断电。例如，便携式医疗设备可以确定其当前正用于治疗患者，在这种情况下，掉电可能是不合适的。

8. 发明申请

WO2006105143A1 AN EXTERNAL DEFIBRILLATOR AND A METHOD OF DETERMINING WHEN TO USE THE EXTERNAL DEFIBRILLATOR 审中-公开
标题翻译：外部去除器和使用外部去除器时确定的方法
公开(公告)号：WO2006105143A1
公开(公告)日：2006-10-05
申请号：PCT/US2006/011378
申请日：2006-03-30
申请人： MEDTRONIC, EMERGENCY RESPONSE SYSTEMS, INC. , JOO, Tae Hong
发明人： JOO, Tae Hong
IPC分类号： A61N1/39 , A61B5/046
CPC分类号： A61B5/046 , A61B5/0452 , A61B5/7275 , A61N1/3925 , G06F19/00
摘要： In a method of operating an external defibrillator configured to provide a defibrillation shock to a patient, physiological data is gathered from the patient. Next, the physiological data is analyzed using a first algorithm to determine whether to initiate a shock. Then, if it is determined that a defibrillation shock should be provided, the physiological data is analyzed using a second algorithm to verify the determination to shock.
摘要翻译：在操作被配置为向患者提供除颤电击的外部除颤器的方法中，从患者收集生理数据。接下来，使用第一算法分析生理数据，以确定是否发起休克。然后，如果确定应提供除颤电击，则使用第二算法分析生理数据以验证休克的确定。

9. 发明申请

WO2006083882A1 CPR TIME INDICATOR FOR A DEFIBRILLATOR DATA MANAGEMENT SYSTEM 审中-公开
标题翻译：减速器数据管理系统的CPR时间指标
公开(公告)号：WO2006083882A1
公开(公告)日：2006-08-10
申请号：PCT/US2006/003424
申请日：2006-01-31
申请人： MEDTRONIC, EMERGENCY RESPONSE SYSTEMS, INC. , WALKER, Robert, G. , CHAPMAN, Fred, W.
发明人： WALKER, Robert, G. , CHAPMAN, Fred, W.
IPC分类号： A61B5/053 , A61N1/39
CPC分类号： G09B23/288 , A61B5/0205 , A61B5/046 , A61B5/0809 , A61H31/005 , A61H2201/5007 , A61H2201/5043 , A61N1/39 , A61N1/3993 , G06F19/00
摘要： A system is disclosed wherein patient data, such as an electrocardiogram ("ECG") signal or a chest impedance measurement signal, collected by a defibrillator device during a resuscitation event is analyzed and processed by a computing device to provide an assessment of CPR administered during the event. The CPR assessment results in one or more CPR figures of merit that relate to temporal characteristics of the CPR relative to the duration of the event. In one embodiment, the CPR figure of merit represents a percentage of the event period during which chest compressions were administered to the patient.
摘要翻译：公开了一种系统，其中在复苏事件期间由除颤器装置收集的诸如心电图（“ECG”）信号或胸部阻抗测量信号的患者数据由计算装置分析和处理，以提供在事件。 CPR评估结果与CPR相对于事件持续时间的时间特征相关的一个或多个CPR品质因数。在一个实施例中，CPR品质因数表示对患者施用胸部按压的事件期间的百分比。

10. 发明申请

WO2006083830A1 SYSTEM AND METHOD FOR USING DIAGNOSTIC PULSES IN CONNECTION WITH DEFIBRILLATION THERAPY 审中-公开
标题翻译：使用诊断脉冲与定位治疗相关的系统和方法
公开(公告)号：WO2006083830A1
公开(公告)日：2006-08-10
申请号：PCT/US2006/003348
申请日：2006-01-30
申请人： MEDTRONIC EMERGENCY RESPONSE SYSTEMS, INC. , HAMPTON, David R. , BANVILLE, Isabelle
发明人： HAMPTON, David R. , BANVILLE, Isabelle
IPC分类号： A61N1/39
CPC分类号： A61N1/3962 , A61H31/005 , A61H2031/002 , A61M5/1723 , A61M2230/005 , A61M2230/04 , A61N1/025 , A61N1/385 , A61N1/39 , A61N1/3925 , A61N1/3987
摘要： An external defibrillator system is disclosed that generates and applies a diagnostic signal to the patient in conjunction with defibrillation therapy. The diagnostic signal is designed to elicit a physiologic response from the patient's heart, namely, mechanical cardiac response and electrical cardiac response, electrical cardiac response only, or no cardiac response. Depending upon the type of cardiac response detected, the system selects an appropriate resuscitation protocol that considers the likely responsiveness of the patient to defibrillation therapy. In one practical embodiment, a stimulus signal is applied to patients that show mechanical and electrical capture in response to the diagnostic signal. The stimulus signal maintains the mechanical capture (and, therefore, perfusion) for a period of time prior to the delivery of a defibrillation pulse.
摘要翻译：公开了一种外部除颤器系统，其与除颤疗法结合产生诊断信号并将其应用于患者。诊断信号被设计为引起来自患者心脏的生理反应，即机械心脏反应和电心脏反应，仅有电心脏反应或没有心脏反应。根据检测到的心脏反应的类型，系统选择适当的复苏方案，其考虑患者对除颤治疗的可能响应性。在一个实际实施例中，刺激信号被应用于响应于诊断信号显示机械和电捕获的患者。刺激信号在输送除颤脉冲之前的一段时间内保持机械捕获（以及因此灌注）。

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