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1. 发明授权

US08433407B2 Defibrillator that monitors CPR treatment and adjusts protocol 有权
标题翻译：除颤器，监测CPR治疗和调整协议
公开(公告)号：US08433407B2
公开(公告)日：2013-04-30
申请号：US11095305
申请日：2005-03-31
申请人： Fred William Chapman , Robert G. Walker , Ronald E. Stickney
发明人： Fred William Chapman , Robert G. Walker , Ronald E. Stickney
IPC分类号： A61N1/08 , A61N1/362
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。

2. 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.

3. 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.

4. 发明申请

US20110236867A1 PROMPTING SYSTEM FOR CPR DELIVERY 审中-公开
标题翻译： CPR交付提供系统
公开(公告)号：US20110236867A1
公开(公告)日：2011-09-29
申请号：US13105768
申请日：2011-05-11
申请人： Ronald E. Stickney , Robert E. Smith , James M. Owen , Alidene Doherty
发明人： Ronald E. Stickney , Robert E. Smith , James M. Owen , Alidene Doherty
IPC分类号： G09B23/28
CPC分类号： G09B23/288 , A61B5/046 , A61B5/0535 , A61B5/742 , A61N1/39 , A61N1/3993
摘要： A method of providing instruction on the performance of chest compressions includes providing a series of signals of a first type corresponding to the desired rhythm of delivery of chest compressions in a chest compression series, and providing signals of a second type which indicate a desired point in the first series. The desired point may be a point near the end of the chest compression series. The signals of the second type may be a voiced countdown to the end of the compression series. The signals of the first type may be a series of identical sounds delivered in the desired rhythm for chest compressions, and the signals of the second type may be sounds distinct from those of the first type which correspond to the rhythm of the last N compressions in the series. The desired point in the first series may include a first point at a desired interval from the first compression, where the interval is measured in number of compressions or elapsed time. A protocol may be chosen between a protocol for a patient with a secured airway and one for a patient with an unsecured airway.
摘要翻译：提供关于胸部按压的表现的指导的方法包括提供与胸部按压序列中胸部按压的期望节奏对应的第一类型的一系列信号，以及提供第二类型的信号，其指示所需的点第一个系列。所需要的点可以是接近胸部压缩系列末端的点。第二类型的信号可以是压缩序列结束时的有声倒计时。第一类型的信号可以是用于胸部按压的期望节奏中递送的一系列相同的声音，并且第二类型的信号可以是与第一类型的声音不同的声音，其对应于最后N次按压的节奏该系列。第一系列中的期望点可以包括以第一压缩的期望间隔的第一点，其中间隔以压缩次数或经过的时间被测量。在具有安全气道的患者的协议之间可以选择协议，一个用于具有不安全气道的患者。

5. 发明授权

US08532766B2 Pulse detection apparatus, software, and methods using patient physiological signals 有权
公开(公告)号：US08532766B2
公开(公告)日：2013-09-10
申请号：US13267783
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
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.

6. 发明申请

US20120116272A1 COOPERATING DEFIBRILLATORS AND EXTERNAL CHEST COMPRESSION DEVICES 审中-公开
标题翻译：合作解除装置和外部压缩装置
公开(公告)号：US20120116272A1
公开(公告)日：2012-05-10
申请号：US13352055
申请日：2012-01-17
申请人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
发明人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
IPC分类号： A61N1/39 , A61H31/00
CPC分类号： A61H31/005 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/00 , A61M2202/0208 , A61N1/39 , G16H40/63
摘要： Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.
摘要翻译：实现用于提供通信的外部胸部按压（ECC）设备和除颤（DF））设备的方法的设备，方法和软件，其中ECC和DF设备可以在物理上彼此分离。 ECC和DF设备都能够自主地运行，但是当存在时能够与另一设备进行通信和配合。一些ECC和DF装置适于彼此物理和/或电耦合。一个ECC装置包括背板，胸部按压构件，通信模块，控制器以及至少一个传感器，电极引线或电极。一个DF装置包括除颤器模块，控制器和可以与ECC通信模块通信的通信模块。通信ECC和DF设备可以提供ECC，起搏，除颤，通气和冷却治疗，并且可以以协调和协作的方式向人类助理提供指令。

7. 发明授权

US07308304B2 Cooperating defibrillators and external chest compression devices 有权
标题翻译：合作除颤器和外部胸部按压装置
公开(公告)号：US07308304B2
公开(公告)日：2007-12-11
申请号：US10652148
申请日：2003-08-29
申请人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
发明人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
IPC分类号： A61N1/39 , A61H31/00
CPC分类号： A61H31/005 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/00 , A61M2202/0208 , A61N1/39 , G06F19/00 , G16H40/63
摘要： Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.
摘要翻译：实现用于提供通信的外部胸部按压（ECC）设备和除颤（DF））设备的方法的设备，方法和软件，其中ECC和DF设备可以在物理上彼此分离。 ECC和DF设备都能够自主地运行，但是当存在时能够与另一设备进行通信和配合。一些ECC和DF装置适于彼此物理和/或电耦合。一个ECC装置包括背板，胸部按压构件，通信模块，控制器以及至少一个传感器，电极引线或电极。一个DF装置包括除颤器模块，控制器和可以与ECC通信模块通信的通信模块。通信ECC和DF设备可以提供ECC，起搏，除颤，通气和冷却治疗，并且可以以协调和协作的方式向人类助理提供指令。

8. 发明授权

US06304773B1 Automatic detection and reporting of cardiac asystole 有权
标题翻译：自动检测和报告心脏停搏
公开(公告)号：US06304773B1
公开(公告)日：2001-10-16
申请号：US09316468
申请日：1999-05-21
申请人： James W. Taylor , Ronald E. Stickney
发明人： James W. Taylor , Ronald E. Stickney
IPC分类号： A61B5046
CPC分类号： A61N1/39
摘要： A medical device (e.g., an automated external defibrillator) automatically detects and reports cardiac asystole by first obtaining ECG data and calculating one or more ECG measures from the ECG data. The defibrillator evaluates the ECG data by classifying the ECG data into a class indicative of cardiac condition, wherein one class is indicative of cardiac asystole. If the defibrillator classifies the ECG data into the class indicative of cardiac asystole, the defibrillator reports the asystole classification on a display. The defibrillator may classify the ECG data into a rhythm class associated with a cardiac rhythm, such as asystole, and report the rhythm class of the ECG data on the display. The defibrillator may also suggest a procedure to undertake, such as a therapy (e.g., defibrillation for a shockable cardiac rhythm), based on the classification of the ECG data. The defibrillator may reserve reporting the detection of asystole until a predetermined number of ECG classifications over at least a predetermined period of time have resulted in an asystole classification. The defibrillator may also reserve reporting the detection of asystole until an ECG classification resulting in asystole has been performed outside of a predetermined period of time after application of a defibrillation pulse. A statistical binary classification and regression tree may be used to classify the ECG data according to cardiac rhythm. Other signal data, such as impedance or phonocardiographic signal data, may also be obtained and classified with the ECG data.
摘要翻译：医疗装置（例如，自动外部除颤器）通过首先获得ECG数据并从ECG数据计算一个或多个心电图测量值来自动检测并报告心脏停搏。除颤器通过将ECG数据分类为指示心脏状况的类别来评估ECG数据，其中一类指示心脏停搏。如果除颤器将ECG数据分类为指示心脏停搏的类别，则除颤器在显示器上报告心脏停搏分类。除颤器可以将ECG数据分类为与心律相关的节律类，例如心搏停止，并在显示器上报告ECG数据的节律等级。除颤器还可以基于ECG数据的分类来建议进行诸如治疗（例如，用于可震荡心律的除颤）的过程。除颤器可以保留报告心搏停止的检测，直到在至少预定时间段内的预定数量的ECG分类已经导致心搏停止分类。除颤器还可以预防报告心脏停搏的检测，直到在施加除颤脉冲之后在预定时间段之外执行心动过缓的ECG分类。可以使用统计二进制分类和回归树根据心律对ECG数据进行分类。也可以用ECG数据获得其它信号数据，例如阻抗或心音信号数据。

9. 发明授权

US08744577B2 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：US08744577B2
公开(公告)日：2014-06-03
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： A61N1/365
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。

10. 发明申请

US20120029583A1 PULSE DETECTION APPARATUS, SOFTWARE, AND METHODS USING PATIENT PHYSIOLOGICAL SIGNALS 有权
公开(公告)号：US20120029583A1
公开(公告)日：2012-02-02
申请号：US13267783
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 , A61M16/00
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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