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1. 发明授权

US5129392A Apparatus for automatically inducing fibrillation 失效
标题翻译：用于自动诱发麻醉的装置
公开(公告)号：US5129392A
公开(公告)日：1992-07-14
申请号：US630445
申请日：1990-12-20
申请人： Gust H. Bardy , Rahul Mehra
发明人： Gust H. Bardy , Rahul Mehra
IPC分类号： A61N1/362 , A61N1/38 , A61N1/39
CPC分类号： A61N1/362 , A61N1/385 , A61N1/3943
摘要： An automatic fibrillator for inclusion in an implantable defibrillator. Fibrillation induction takes place while the patient's heart is beating at a known rate, and the fibrillation inducing pulse is delivered at a time based on the expected or measured natural refractory period of the patient's heart, at the heart rate in effect during fibrillation induction. In its preferred embodiment, fibrillation induction takes place during overdrive pacing, and the timing of the pulse takes place using an overdrive pacing pulse as a time reference. The period between the pacing pulse and the fibrillation inducing pulse may be determined as a function of actual measurement of the patient's refractory period, either directory, or by means of measurement of the Q-T interval of the patient's heart.
摘要翻译：一种用于包含在可植入除颤器中的自动纤颤器。当患者的心脏以已知的速度打浆时发生颤动诱导，并且基于患者心脏的预期或测量的天然不应期，以原纤维诱导期间的有效心率一次递送原纤维诱导脉冲。在其优选实施例中，在超速起搏期间发生原纤维诱导，并且使用过驱动起搏脉冲作为时间参考来进行脉冲的定时。可以将起搏脉冲和原纤维诱发脉冲之间的时间段确定为患者的不应期的实际测量，目录或通过测量患者心脏的Q-T间隔的函数。

2. 发明授权

US5356425A Method and apparatus for treatment of atrial fibrillation and flutter 失效
标题翻译：用于治疗房颤和扑动的方法和装置
公开(公告)号：US5356425A
公开(公告)日：1994-10-18
申请号：US82327
申请日：1993-06-24
申请人： Gust H. Bardy , Rahul Mehra
发明人： Gust H. Bardy , Rahul Mehra
IPC分类号： A61N1/362 , A61N1/365 , A61N1/372
CPC分类号： A61N1/3621 , A61N1/3622 , A61N1/36585
摘要： A stimulator for applying stimulus pulses to the AV nodal fat pad in response to sensed atrial rate exceeding a predetermined rate, in order to reduce the ventricular rate. The device also includes a cardiac pacemaker which serves to pace the ventricle in the event that the ventricular rate is lowered below a pacing rate, and provides for feedback control of the stimulus parameters applied to the AV nodal fat pad, as a function of the determined effect of the stimulus pulses on the ventricular rate.
摘要翻译：用于响应于超过预定速率的感测心房速率将刺激脉冲施加到AV节点脂肪垫的刺激器，以便降低心室率。该装置还包括心脏起搏器，其用于在心室率降低到起搏速率以下的情况下对心室进行调节，并且根据确定的功能提供对应用于AV节点脂肪垫的刺激参数的反馈控制刺激脉冲对心室率的影响。

3. 发明申请

US20170188871A1 Electrocardiography Patch 审中-公开
公开(公告)号：US20170188871A1
公开(公告)日：2017-07-06
申请号：US15406627
申请日：2017-01-13
申请人： Jon Mikalson Bishay , Gust H. Bardy , Jason Felix
发明人： Jon Mikalson Bishay , Gust H. Bardy , Jason Felix
IPC分类号： A61B5/0408 , A61B5/0205 , A61B5/00
CPC分类号： A61B5/04085 , A61B5/0006 , A61B5/0022 , A61B5/01 , A61B5/02055 , A61B5/021 , A61B5/04017 , A61B5/04087 , A61B5/04325 , A61B5/0452 , A61B5/04525 , A61B5/0816 , A61B5/087 , A61B5/091 , A61B5/1116 , A61B5/1117 , A61B5/1118 , A61B5/14532 , A61B5/14542 , A61B5/14551 , A61B5/4809 , A61B5/6801 , A61B5/6823 , A61B5/6833 , A61B5/7455 , A61B2505/07 , A61B2560/0271 , A61B2560/0412 , A61B2560/045 , A61B2562/0219 , A61B2562/164 , G01N27/307
摘要： An electrocardiography patch is provided. A flexible backing is formed of an elongated strip of stretchable material and a pair of electrodes is respectively affixed on a contact surface of each end of the elongated strip. A flexible circuit is affixed on each end of the elongated strip and includes a pair of circuit traces electrically coupled to each electrode. A non-conductive receptacle is securely adhered on the one end of the elongated strip opposite the contact surface and formed to removably receive an electrocardiography monitor and house a battery. Electrical pads are provided on a bottom surface of the non-conductive receptacle to interface with electrical contacts protruding from the electrocardiography monitor. A pair of the electrical pads is formed to electrically couple with the electrodes. A pair of battery leads is formed on the non-conductive receptacle to electrically interface the battery to another pair of the electrical pads.

4. 发明授权

US09144683B2 Post-shock treatment in a subcutaneous device 有权
标题翻译：皮下装置后冲击治疗
公开(公告)号：US09144683B2
公开(公告)日：2015-09-29
申请号：US11554185
申请日：2006-10-30
申请人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann
发明人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann
IPC分类号： A61N1/39 , A61N1/362 , A61N1/375
CPC分类号： A61N1/362 , A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3962 , A61N1/3968 , A61N1/3975
摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.
摘要翻译：一种用于可植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位并使用引导系统，其不直接接触患者的心脏或者位于胸腔内血管内并且用于向患者的心脏起搏能量提供抗心动过缓起搏能量心脏，包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过缓起搏能量。

5. 发明授权

US09037477B2 Computer-implemented system and method for evaluating ambulatory electrocardiographic monitoring of cardiac rhythm disorders 有权
标题翻译：用于评估心律失常的动态心电图监测的计算机实现系统和方法
公开(公告)号：US09037477B2
公开(公告)日：2015-05-19
申请号：US12901461
申请日：2010-10-08
申请人： Gust H. Bardy , Jon Mikalson Bishay
发明人： Gust H. Bardy , Jon Mikalson Bishay
IPC分类号： G06Q50/00 , A61B5/00 , A61B5/0402 , A61B5/0432 , G06F19/00
CPC分类号： A61B5/0006 , A61B5/0402 , A61B5/0432 , A61B2562/08 , G06F19/00 , G16H10/60 , G16H40/20 , G16H80/00
摘要： A computer-implemented method for evaluating ambulatory electrocardiographic (ECG) monitoring of cardiac rhythm disorders is provided. A patient is registered online and medical records for the patient are assembled. An ambulatory ECG monitor that includes leadless integrated sensing electrodes independently suspended from a flexible housing, is registered to the patient. An electrocardiogram is retrieved from the recording circuitry. The electrocardiogram and the medical records are evaluated against diagnostic criteria. Upon making a finding when the diagnostic criteria is met, the patient is referred to a cardiac rhythm specialist online, which includes sending the cardiac rhythm abnormality finding. As a result, both physicians and patients enjoy an ease-of-use not found with conventional ambulatory ECG monitors. By bypassing determining whether a referral is needed and separately establishing the referral, patients can be treated more completely and more rapidly than through conventional patient referral, especially for serious illness, with less cost and less delay.
摘要翻译：提供了一种用于评估心律失常心电图（ECG）监测的计算机实现方法。患者在线注册，患者的医疗记录已组装。包括独立悬挂在柔性外壳上的无引线集成感测电极的移动式ECG监视器被注册到患者身上。从记录电路检索心电图。根据诊断标准评估心电图和医疗记录。当诊断标准满足时进行发现，患者被称为在线心律专家，其包括发送心律异常发现。因此，两位医生和患者均享有常规心电图监护仪无法使用的易用性。通过绕过确定是否需要转诊并单独建立转诊，患者可以比通过常规患者转诊更为完整和更快速地治疗，特别是对于严重疾病，成本较低和延迟较少。

6. 发明授权

US08874200B2 System and method for automated diagnosis of atrial fibrillation through remote monitoring 有权
标题翻译：通过远程监测自动诊断心房颤动的系统和方法
公开(公告)号：US08874200B2
公开(公告)日：2014-10-28
申请号：US11933278
申请日：2007-10-31
申请人： Gust H. Bardy
发明人： Gust H. Bardy
IPC分类号： A61B5/046 , A61B5/00 , A61N1/372 , A61N1/362 , A61B5/0452
CPC分类号： A61B5/0452 , A61B5/0031 , A61B5/046 , A61N1/3622 , A61N1/37282 , G06F19/00 , Y10S128/923
摘要： A system and method for automated diagnosis of atrial fibrillation through remote monitoring is described. Physiological measures including data either recorded on a regular basis by a medical device or derived therefrom are stored. Physiological measures recorded during a baseline period are identified. Physiological measures including cardiac rhythm and changes to the cardiac rhythm originating subsequent to the baseline period are identified. Cardiac rhythm changes for palpitations are evaluated and a time course for the cardiac rhythm changes upon an indication of palpitations is determined. A patient status including an onset of atrial fibrillation conditioned on the time course comprising a short duration is formed.
摘要翻译：描述了通过远程监测自动诊断房颤的系统和方法。存储包括由医疗装置定期记录或由其导出的数据的生理测量。确定在基线期间记录的生理指标。确定包括心律在内的生理测量以及基线期之后发生的心律的改变。对心律的心律变化进行评估，并且确定心悸指示时心脏节律的时间过程发生变化。形成包括在包括短持续时间的时间过程的条件下的心房颤动发作的患者状态。

7. 发明授权

US08412320B2 Nontransvenous and nonepicardial methods of cardiac treatment and stimulus 有权
标题翻译：非传染性和非心外膜心脏治疗和刺激方法
公开(公告)号：US08412320B2
公开(公告)日：2013-04-02
申请号：US11205447
申请日：2005-08-17
申请人： Alan H. Ostroff , William J. Rissmann , Gary P. Mezack , Gust H. Bardy
发明人： Alan H. Ostroff , William J. Rissmann , Gary P. Mezack , Gust H. Bardy
IPC分类号： A61N1/39
CPC分类号： A61N1/0504 , A61N1/3621 , A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3962 , A61N1/3968 , A61N1/3975
摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-tachycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-tachycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-tachycardia pacing energy to the capacitor subsystem.
摘要翻译：一种用于植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位，并且使用不直接接触患者心脏或位于胸内血管内的引导系统，并用于向患者提供抗心动过速起搏能量心脏，包括用于存储用于递送至患者心脏的抗心动过速起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过速起搏能量。

8. 发明申请

US20120323290A1 Methods and Devices for Adapting Charge Initiation for an Implantable Defibrillator 有权
公开(公告)号：US20120323290A1
公开(公告)日：2012-12-20
申请号：US13599513
申请日：2012-08-30
申请人： Jay A. Warren , Gust H. Bardy
发明人： Jay A. Warren , Gust H. Bardy
IPC分类号： A61N1/39
CPC分类号： A61N1/3621 , A61N1/3943 , A61N1/3956
摘要： Adaptive methods for initiating charging of the high power capacitors of an implantable medical device for therapy delivery after the patient experiences a non-sustained arrhythmia, and devices that perform such methods. The adaptive methods and devices adjust persistence criteria used to analyze an arrhythmia prior to initiating a charging sequence to deliver therapy. Some embodiments apply a specific sequence of X-out-of-Y criteria, persistence criteria, and last event criteria before starting charging for therapy delivery.

9. 发明授权

US08277378B2 System and method for collection and analysis of patient information for automated remote patient care 有权
标题翻译：用于收集和分析用于自动远程病人护理的患者信息的系统和方法
公开(公告)号：US08277378B2
公开(公告)日：2012-10-02
申请号：US11540251
申请日：2006-09-29
申请人： Gust H. Bardy
发明人： Gust H. Bardy
IPC分类号： A61B5/00
CPC分类号： A61B5/0031 , A61B5/0205 , G06F19/00 , G06F19/3418 , G06Q50/24 , G16H10/60 , G16H40/63 , Y10S128/92
摘要： A system and method for collection and analysis of patient information for automated remote patient care is disclosed. Patient care records in a database are collected. Each patient care record is defined and includes collected measurements sets. Each collected measurements set is specified and includes individual measurements, which each relate to patient information recorded by a medical device adapted to be implanted. At least one of the collected measurements sets is processed. A set of the collected measurements regularly stored and periodically sent from the implantable medical device is received. The collected measurements set are stored into the patient care record. One or more of the collected measurements sets are analyzed in the patient care record for the individual patient relative to one or more other collected measurements sets stored in the patient care record. Feedback based on the analysis of the one or more collected measurements sets is sent.
摘要翻译：公开了用于收集和分析用于自动化远程病人护理的患者信息的系统和方法。收集数据库中的病人护理记录。定义每个患者护理记录，并包括收集的测量组。指定每个收集的测量集，并且包括单独的测量，每个测量涉及由适于被植入的医疗设备记录的患者信息。所收集的测量集中的至少一个被处理。接收从植入式医疗装置定期存储并定期发送的一组收集的测量。收集的测量集存储在患者护理记录中。相对于存储在患者护理记录中的一个或多个其他收集的测量集，在个体患者的患者护理记录中分析所收集的测量集合中的一个或多个。发送基于一个或多个收集的测量集的分析的反馈。

10. 发明授权

US08160699B2 Cardioverter-defibrillator having a focused shocking area and orientation thereof 有权
标题翻译：心律转复除颤器具有聚焦的震动区域和取向
公开(公告)号：US08160699B2
公开(公告)日：2012-04-17
申请号：US12901333
申请日：2010-10-08
申请人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann , Gary H. Sanders
发明人： Gust H. Bardy , Riccardo Cappato , William J. Rissmann , Gary H. Sanders
IPC分类号： A61N1/375
CPC分类号： A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3968 , A61N1/3975
摘要： One embodiment of the present invention provides an implantable cardioverter defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing; an electrical circuit located within the housing; a first electrode coupled to the electrical circuit and located on the housing; and a second electrode coupled to the electrical circuit.
摘要翻译：本发明的一个实施例提供了一种可植入式心律转复除颤器，用于在患者体内的第三肋与第十二肋之间进行皮下定位，所述植入式心律转复除颤器包括壳体; 位于壳体内的电路; 耦合到所述电路并且位于所述壳体上的第一电极; 以及耦合到所述电路的第二电极。

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