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1. 发明授权

US07289029B2 Communication between emergency medical device and safety agency 有权
标题翻译：紧急医疗器械与安全机构之间的沟通
公开(公告)号：US07289029B2
公开(公告)日：2007-10-30
申请号：US10335542
申请日：2002-12-31
申请人： Douglas K. Medema , Daniel W. Piraino , Richard E Kunz , Richard C. Nova , Cynthia P. Jayne
发明人： Douglas K. Medema , Daniel W. Piraino , Richard E Kunz , Richard C. Nova , Cynthia P. Jayne
IPC分类号： G08B23/00
CPC分类号： A61N1/39 , A61N1/37282
摘要： Techniques for initiating direct communication between an emergency medical device, such as an automated external defibrillator (AED) and a safety agency may include detecting an event and contacting the safety agency in response to the detected event and user authorization. For example, the AED may detect an event such as removal of the AED from a mount and alert an operator of the intent to send contact the safety agency. The AED determines whether an override command was received from the operator in a defined amount of time. When the operator does not input an override command, the AED interprets the absence of the override command as user authorization and contacts the safety agency via a communication unit. For instance, the AED may generate an advisory and send the advisory to the safety agency. The initiation of direct communication between the AED and the safety agency by the AED enables the operator to interact with a patient, e.g., perform CPR on the patient.
摘要翻译：用于启动紧急医疗设备（例如自动外部除颤器（AED））和安全机构之间的直接通信的技术可以包括检测事件并且响应于检测到的事件和用户授权与安全机构联系。例如，AED可以检测到事件，例如从安装座移除AED，并提醒操作者意图发送联系安全机构。 AED确定在指定的时间内是否从操作员接收到覆盖命令。当操作员不输入覆盖命令时，AED将不存在覆盖命令解释为用户授权，并通过通信单元与安全机构联系。例如，AED可能会产生一个咨询，并向安全机构发送咨询。通过AED启动AED和安全机构之间的直接通信使得操作者能够与患者进行交互，例如对患者执行CPR。

2. 发明申请

US20080103402A1 Motion detection system for an external defibrillator 审中-公开
标题翻译：外部除颤器运动检测系统
公开(公告)号：US20080103402A1
公开(公告)日：2008-05-01
申请号：US11590610
申请日：2006-10-30
申请人： Ronald E. Stickney , Daniel W. Piraino , Patricia J. O'hearn , Cynthia P. Jayne
发明人： Ronald E. Stickney , Daniel W. Piraino , Patricia J. O'hearn , Cynthia P. Jayne
IPC分类号： A61B5/04
CPC分类号： A61B5/0402 , A61N1/36542 , A61N1/39
摘要： A medical device capable of analyzing a patient's ECG, such as an external defibrillator, may be operated according to a method including the steps of: (a) determining if the patient is undergoing motion; (b) if it is determined that the patient is undergoing motion, providing an indication of patient motion; (c) after providing the indication, determining if the patient is undergoing motion, and if the patient is undergoing motion, starting ECG analysis after an elapsed time T0. The elapsed time T0 may be measured from a point in time prior to the commencement of step (a). The method may further include the steps of collecting ECG data of the patient, and initiating analysis of the ECG data prior to step (b). The step (b) may further include the step of interrupting the prior initiated ECG analysis. The method may further include the step of starting a timer when the ECG analysis is commenced, to measure elapsed time.
摘要翻译：可以根据包括以下步骤的方法来操作能够分析患者的ECG的医疗装置，例如外部去纤维性颤动器：（a）确定患者是否正在进行运动; （b）如果确定患者正在进行运动，提供患者运动的指示; （c）在提供指示之后，确定患者是否正在进行运动，并且如果患者正在进行运动，则在经过时间T 0 0之后启动ECG分析。可以从步骤（a）开始之前的时间点测量经过时间T 0> 0 。该方法还可以包括以下步骤：收集患者的ECG数据，以及在步骤（b）之前启动ECG数据的分析。步骤（b）还可以包括中断先前发起的ECG分析的步骤。该方法还可以包括当ECG分析开始时启动定时器以测量经过时间的步骤。

3. 发明授权

US08160703B2 Apparatus, software, and methods for cardiac pulse detection using a piezoelectric sensor 有权
标题翻译：使用压电传感器进行心脏脉搏检测的装置，软件和方法
公开(公告)号：US08160703B2
公开(公告)日：2012-04-17
申请号：US11187616
申请日：2005-07-22
申请人： Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , Tae H. Joo , David R. Hampton , Richard C. Nova , Patrick F. Kelly , William E. Saltzstein
发明人： Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , Tae H. Joo , David R. Hampton , Richard C. Nova , Patrick F. Kelly , William E. Saltzstein
IPC分类号： A61N1/362
CPC分类号： A61B5/046 , A61B5/1102 , A61B5/1107 , A61B5/7264 , A61B2560/0412 , A61B2562/02 , A61N1/3712 , A61N1/3925
摘要： Signal data obtained from a piezoelectric sensor placed on a patient's body is used to detect the presence of a cardiac pulse. The piezoelectric sensor has a transducing element adapted to sense movement due to a cardiac pulse and produce piezoelectric signal data in response thereto. Processing circuitry analyzes the piezoelectric signal data for a feature indicative of a cardiac pulse and determines whether a cardiac pulse is present in the patient based on the feature. In one aspect, the feature may be a temporal feature such as a relative change in energy. In another aspect, the feature may be a spectral feature such as the energy or frequency of a peak in the energy spectrum of the signal. In yet another aspect, the feature may be obtained by comparing the piezoelectric signal data with a previously-identified pattern known to predict the presence of a cardiac pulse. Multiple features may also be obtained from the piezoelectric signal data and classified to determine the presence of a cardiac pulse.
摘要翻译：使用从放置在患者身上的压电传感器获得的信号数据来检测心脏脉搏的存在。压电传感器具有适于感测由心脏脉搏引起的运动的传感元件，并响应于此产生压电信号数据。处理电路分析用于表示心脏脉搏的特征的压电信号数据，并且基于特征确定患者心脏脉搏是否存在。在一个方面，该特征可以是时间特征，例如能量的相对变化。在另一方面，特征可以是光谱特征，例如信号的能谱中的峰的能量或频率。在另一方面，可以通过将压电信号数据与已知的预测心脏脉搏的存在的先前识别的模式相比较来获得特征。还可以从压电信号数据获得多个特征，并将其分类以确定心脏脉搏的存在。

4. 发明授权

US06990373B2 Automated external defibrillator with user interface for adult and pediatric applications 失效
公开(公告)号：US06990373B2
公开(公告)日：2006-01-24
申请号：US10121442
申请日：2002-04-10
申请人： Cynthia P. Jayne , Richard C. Nova , Paula Lank , John C. Daynes , Anthony J. Santolla , Patricia O'Hearn
发明人： Cynthia P. Jayne , Richard C. Nova , Paula Lank , John C. Daynes , Anthony J. Santolla , Patricia O'Hearn
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3943 , A61N1/3993
摘要： An automated external defibrillator automatically determines the type of patient to which it is attached based on patient-specific information entered by the user. The defibrillator includes electrodes that are adapted for placement on a patient, a pulse generator connected to the electrodes, and processing circuitry that controls the defibrillation pulse delivery from the pulse generator. The automated external defibrillator causes a defibrillation pulse to be delivered to the patient in accordance with the determined patient type. A user interface having a user input connected to the processing circuitry enables the user of the defibrillator to enter patient-specific information. The user may enter the patient-specific information by interacting with the user input during a time period in relation to a prompt from the defibrillator. In another aspect, data pertaining to identification of the type of patient connected to the electrodes may be recorded with event data in a memory.

5. 发明授权

US08591425B2 Pulse detection using patient physiological signals 有权
公开(公告)号：US08591425B2
公开(公告)日：2013-11-26
申请号：US13279048
申请日：2011-10-21
申请人： James M. Owen , Cynthia P. Jayne , William E. Crone
发明人： James M. Owen , Cynthia P. Jayne , William E. Crone
IPC分类号： A61B5/02
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. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

6. 发明申请

US20120302896A1 PULSE DETECTION APPARATUS, SOFTWARE, AND METHODS USING PATIENT PHYSIOLOGICAL SIGNALS 有权
公开(公告)号：US20120302896A1
公开(公告)日：2012-11-29
申请号：US13569147
申请日：2012-08-07
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/39 , A61B6/00 , A61M16/00 , A61B5/024
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , 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 two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. 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. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

7. 发明申请

US20120029584A1 PULSE DETECTION APPARATUS, SOFTWARE, AND METHODS USING PATIENT PHYSIOLOGICAL SIGNALS 审中-公开
公开(公告)号：US20120029584A1
公开(公告)日：2012-02-02
申请号：US13272733
申请日：2011-10-13
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/368 , A61N1/39 , A61N1/365
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , 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 two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. 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. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

8. 发明授权

US08239024B2 Pulse detection apparatus, software, and methods using patient physiological signals 有权
标题翻译：脉搏检测装置，软件和使用患者生理信号的方法
公开(公告)号：US08239024B2
公开(公告)日：2012-08-07
申请号：US13032250
申请日：2011-02-22
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/365
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , 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 two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. 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. Auto-capture 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，医疗设备评估两个或更多个不同的生理信号，例如心电图（PCG）信号，心电图（ECG）信号，患者阻抗信号，压电信号和加速度计信号，用于指示存在心脏脉搏的特征。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。

9. 发明申请

US20120035678A1 PULSE DETECTION APPARATUS, SOFTWARE, AND METHODS USING PATIENT PHYSIOLOGICAL SIGNALS 审中-公开
公开(公告)号：US20120035678A1
公开(公告)日：2012-02-09
申请号：US13272703
申请日：2011-10-13
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/37
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , 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 two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. 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. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

10. 发明申请

US20120029368A1 PULSE DETECTION APPARATUS, SOFTWARE, AND METHODS USING PATIENT PHYSIOLOGICAL SIGNALS 审中-公开
公开(公告)号：US20120029368A1
公开(公告)日：2012-02-02
申请号：US13267769
申请日：2011-10-06
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/39 , A61N1/36 , A61M16/00 , A61B5/024 , A61H31/00
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , 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 two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. 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. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

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