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1. 发明申请

US20070276277A1 Device and method of manual measurement of pulse or respiratory rate 审中-公开
标题翻译：手动测量脉搏或呼吸频率的装置和方法
公开(公告)号：US20070276277A1
公开(公告)日：2007-11-29
申请号：US11439578
申请日：2006-05-24
申请人： John Booth , Richard Medero , Donald Brodnick
发明人： John Booth , Richard Medero , Donald Brodnick
IPC分类号： A61B5/04
CPC分类号： A61B5/024 , A61B5/0816
摘要： An electronic device and method includes a means for setting a time interval for collecting a set of physiological data and entering the number of physiological events that occur within that time interval. The device and method are further configured to calculate the number events that occurred per minute, and displays the results for the user. The device may be implemented as a hand-held device and the method implemented in a graphical user interface of an electronic device.
摘要翻译：电子装置和方法包括用于设置用于收集一组生理数据并输入在该时间间隔内发生的生理事件的数量的时间间隔的装置。该设备和方法还被配置为计算每分钟发生的数量事件，并显示用户的结果。该设备可以被实现为手持设备，并且该方法在电子设备的图形用户界面中实现。

2. 发明授权

US5518000A Oscillometric blood pressure monitor employing deflation periods of alternating durations 失效
标题翻译：示波器血压监测仪采用交替持续时间的通缩时期
公开(公告)号：US5518000A
公开(公告)日：1996-05-21
申请号：US315867
申请日：1994-09-30
申请人： John Booth , Richard Medero
发明人： John Booth , Richard Medero
IPC分类号： A61B5/022 , A61B5/0225 , A61B5/00
CPC分类号： A61B5/02225 , A61B5/0225
摘要： An automated sphygmomanometer in which the timeout duration of respective deflation periods during which oscillatory complexes may be detected is alternated so that the monitor cannot synchronize with the heart rate for more than one deflation step. The timeout durations at each deflation step are alternated to have long-short-long-short durations so that the overall duration of the measurement cycle is preferably about the same as in conventional monitors in which the timeout periods all have the same duration. Once the oscillatory complexes are detected, the timeout is typically not needed and the processing proceeds to the next deflation step in a conventional manner.
摘要翻译：一种自动血压计，其中可以检测振荡复合物的各个放气周期的超时持续时间，使得监测器不能与多于一个放气步骤的心率同步。每个放气步骤中的超时持续时间被交替以具有长短短持续时间，使得测量周期的总持续时间优选地与其中超时时段全部具有相同持续时间的常规监视器中的相同。一旦检测到振荡复合体，通常不需要超时，并且处理以常规方式进行到下一个放气步骤。

3. 发明申请

US20070129636A1 Vital sign monitor utilizing historic patient data 审中-公开
标题翻译：利用历史病人数据进行生命体征监测
公开(公告)号：US20070129636A1
公开(公告)日：2007-06-07
申请号：US11292037
申请日：2005-12-01
申请人： Bruce Friedman , John Booth , Richard Medero
发明人： Bruce Friedman , John Booth , Richard Medero
IPC分类号： A61B5/02 , A61B5/00
CPC分类号： A61B5/0205 , A61B5/02225 , A61B5/0225 , A61B5/7495
摘要： A vital sign monitoring system that can be used with multiple patients and utilizes historic patient data information for the patient to optimize the process of obtaining current vital sign measurements. Each patient is identified with a unique patient identification device that is automatically detected by the vital sign monitor. The vital sign monitor communicates with a medical records database and obtains historic patient data information for the patient identified by the patient identification device. The historic patient data information can be utilized by the vital sign monitor to set alarm limits for the vital sign measurements and automatically control the operation of an NIBP monitor for the specific patient.
摘要翻译：一个生命体征监测系统，可与多个患者一起使用，并利用患者的历史患者数据信息来优化获取当前生命体征测量的过程。每个患者都有一个唯一的患者识别装置，由生命体征监测器自动检测。生命体征监测器与医疗记录数据库进行通信，并获得由患者识别装置识别的患者的历史病人数据信息。生命体征监测器可利用历史患者数据信息来设置生命体征测量的报警限值，并自动控制特定患者的NIBP监测器的运行。

4. 发明授权

US08308647B2 System and method for a non-invasive blood pressure measurement 有权
标题翻译：非侵入性血压测量的系统和方法
公开(公告)号：US08308647B2
公开(公告)日：2012-11-13
申请号：US12415575
申请日：2009-03-31
申请人： Sai Kolluri , Lawrence Hersh , Richard Medero
发明人： Sai Kolluri , Lawrence Hersh , Richard Medero
IPC分类号： A61B5/02
CPC分类号： A61B5/022 , A61B5/02225 , A61B5/0225
摘要： A method of measuring blood pressure of a patient is provided. The method comprises inflating a blood pressure cuff to a user selectable target pressure and subsequently further inflating or deflating the blood pressure cuff in a stepwise manner by a predetermined pressure amount. At each pressure step in a first sequence of alternate steps of cuff pressure variation, the occurrence of at least two successive oscillometric pulses with matching pulse amplitude and other possible matching criteria is identified. The blood pressure cuff is inflated following the identification. Further a single oscillometric pulse is obtained at each pressure step in a second sequence of alternate steps of cuff pressure variation. The pattern of inflating, obtaining two matching oscillometric pulses, inflating, and obtaining a single oscillometric pulse is repeated until sufficient oscillometric envelope information is obtained for determining one or more blood pressure parameters of the patient.
摘要翻译：提供了一种测量患者血压的方法。该方法包括将血压套管充气至使用者可选择的目标压力，随后进一步使血压袖带以预定的压力量逐步膨胀或放气。在袖带压力变化的替代步骤的第一序列中的每个压力步骤，识别具有匹配脉冲幅度和其他可能的匹配标准的至少两个连续示波脉冲的出现。识别后血压袖带膨胀。此外，在袖带压力变化的另一步骤的第二序列中的每个压力步骤处获得单个示波脉冲。重复充气，获得两个匹配的示波脉冲，充气和获得单个示波脉冲的模式，直到获得用于确定患者的一个或多个血压参数的足够的示波包络信息。

5. 发明申请

US20100249614A1 SYSTEM AND METHOD FOR A NON-INVASIVE BLOOD PRESSURE MEASUREMENT 有权
标题翻译：非入血血压测量的系统和方法
公开(公告)号：US20100249614A1
公开(公告)日：2010-09-30
申请号：US12415575
申请日：2009-03-31
申请人： Sai Kolluri , Lawrence Hersh , Richard Medero
发明人： Sai Kolluri , Lawrence Hersh , Richard Medero
IPC分类号： A61B5/022
CPC分类号： A61B5/022 , A61B5/02225 , A61B5/0225
摘要： A method of measuring blood pressure of a patient is provided. The method comprises inflating a blood pressure cuff to a user selectable target pressure and subsequently further inflating or deflating the blood pressure cuff in a stepwise manner by a predetermined pressure amount. At each pressure step in a first sequence of alternate steps of cuff pressure variation, the occurrence of at least two successive oscillometric pulses with matching pulse amplitude and other possible matching criteria is identified. The blood pressure cuff is inflated following the identification. Further a single oscillometric pulse is obtained at each pressure step in a second sequence of alternate steps of cuff pressure variation. The pattern of inflating, obtaining two matching oscillometric pulses, inflating, and obtaining a single oscillometric pulse is repeated until sufficient oscillometric envelope information is obtained for determining one or more blood pressure parameters of the patient.
摘要翻译：提供了一种测量患者血压的方法。该方法包括将血压套管充气至使用者可选择的目标压力，随后进一步使血压袖带以预定的压力量逐步膨胀或放气。在袖带压力变化的替代步骤的第一序列中的每个压力步骤，识别具有匹配脉冲幅度和其他可能的匹配标准的至少两个连续示波脉冲的出现。识别后血压袖带膨胀。此外，在袖带压力变化的另一步骤的第二序列中的每个压力步骤处获得单个示波脉冲。重复充气，获得两个匹配的示波脉冲，充气和获得单个示波脉冲的模式，直到获得用于确定患者的一个或多个血压参数的足够的示波包络信息。

6. 发明申请

US20100174202A1 METHOD AND SYSTEM FOR COMBINING OSCILLOMETRIC BLOOD PRESSURE ENVELOPE DATA OBTAINED FROM DIFFERENT SIGNAL PROCESSING PATHS 审中-公开
标题翻译：用于组合来自不同信号处理程序的OSCILOMETRIC BLOOD压力包数据的方法和系统
公开(公告)号：US20100174202A1
公开(公告)日：2010-07-08
申请号：US12350412
申请日：2009-01-08
申请人： Lawrence T. Hersh , Sai Kolluri , Bruce A. Friedman , Richard Medero
发明人： Lawrence T. Hersh , Sai Kolluri , Bruce A. Friedman , Richard Medero
IPC分类号： A61B5/0225
CPC分类号： A61B5/0225 , A61B5/02225 , A61B5/0402 , A61B5/1455
摘要： A blood pressure measurement system that utilizes a non-invasive blood pressure (NIBP) monitor having a blood pressure cuff and pressure transducer. The measurement system provides a plurality of separate processing techniques that each receive a plurality of oscillometric waveform sample values generated using the pressure transducer. Each of the processing techniques separately generates a set of envelope points based upon the oscillometric data values. The sets of envelope points are appropriately scaled such that the sets of scaled envelope points are combined with each other to create a set of combined, scaled envelope points. Various different methods can be used to scale the sets of envelope points prior to the combination of the scaled envelope points. Based upon the combination of scaled envelope points, the blood pressure is calculated and displayed by the NIBP monitor.
摘要翻译：一种血压测量系统，其利用具有血压袖带和压力换能器的非侵入性血压（NIBP）监测器。测量系统提供多个单独的处理技术，每个处理技术接收使用压力传感器产生的多个示波波形采样值。每个处理技术基于示波器数据值分别产生一组包络点。适当地缩放包络点集合，使得缩放包络点的集合彼此组合以创建一组组合的，缩放的包络点。可以使用各种不同的方法在缩放的包络点的组合之前缩放包络点集合。根据缩放的包络点的组合，由NIBP监视器计算和显示血压。

7. 发明申请

US20090062663A1 NON-INVASIVE BLOOD PRESSURE MONITOR APPARATUS AND SYSTEM 失效
标题翻译：非侵入式血压监护仪和系统
公开(公告)号：US20090062663A1
公开(公告)日：2009-03-05
申请号：US11845425
申请日：2007-08-27
申请人： Bruce A. Friedman , Richard Medero , John P. Clemmons
发明人： Bruce A. Friedman , Richard Medero , John P. Clemmons
IPC分类号： A61B5/02 , A61B17/00
CPC分类号： A61B5/022 , A61B5/02233
摘要： A non-invasive blood pressure monitoring system is disclosed herein. The non-invasive blood pressure monitoring system includes a pressure cuff comprising a resistive portion and a conductive portion aligned with the resistive portion. The non-invasive blood pressure monitoring system also includes a controller operatively connected to the pressure cuff. The controller is adapted to estimate the circumference of the pressure cuff based on the position of the conductive portion relative to the resistive portion.
摘要翻译：本文公开了一种非侵入性血压监测系统。非侵入式血压监测系统包括压力袖带，其包括电阻部分和与电阻部分对准的导电部分。无创血压监测系统还包括可操作地连接到压力袖带的控制器。控制器适于基于导电部分相对于电阻部分的位置来估计压力袖带的周长。

8. 发明申请

US20050261597A1 Method and apparatus for determining extreme blood pressure values 失效
标题翻译：用于确定极端血压值的方法和装置
公开(公告)号：US20050261597A1
公开(公告)日：2005-11-24
申请号：US10847934
申请日：2004-05-18
申请人： Sai Kolluri , Lawrence Hersh , Bruce Friedman , Richard Medero
发明人： Sai Kolluri , Lawrence Hersh , Bruce Friedman , Richard Medero
IPC分类号： A61B5/02 , A61B5/0225 , A61B5/04 , A61B5/0456
CPC分类号： A61B5/02225 , A61B5/0225 , A61B5/0456
摘要： In a method and apparatus for measuring extreme blood pressure values during a single non-invasive blood measurement, the time intervals between sequential heartbeats are measured for a series of heartbeats in an oscillometric blood pressure measurement time period. Oscillometric blood pressure measurement data for the heartbeats of the series is obtained and associated with the heartbeat time intervals. An average time interval between heartbeats is also determined. A first data bin may be defined for blood pressure data associated with time intervals that are longer as compared to the average time interval. A second data bin is defined for blood pressure data with time intervals that are shorter as compared to the average time interval. The measured oscillometric blood pressure data is sorted into the data bins in accordance with the associated time intervals. The data in the first data bin is used to derive a high systolic blood pressure value and a low diastolic blood pressure value. The data in the second bin is used to derive a low systolic blood pressure value and a high diastolic blood pressure value. A typical blood pressure value may also be determined.
摘要翻译：在用于在单次非侵入性血液测量期间测量极端血压值的方法和装置中，测量在示波血压测量时间段内的一系列心跳的连续心跳之间的时间间隔。获得该系列心跳的示波血压测量数据，并与心跳时间间隔相关联。心跳之间的平均时间间隔也被确定。可以为与与平均时间间隔相比较长的时间间隔相关联的血压数据定义第一数据箱。第二个数据仓被定义为与平均时间间隔相比时间间隔更短的血压数据。测量的示波血压数据根据相关联的时间间隔被分类到数据箱中。第一数据箱中的数据用于导出高收缩压值和低舒张压值。第二个仓中的数据用于导出低收缩压值和高舒张压值。也可以确定典型的血压值。

9. 发明授权

US06648828B2 Continuous, non-invasive technique for measuring blood pressure using impedance plethysmography 有权
标题翻译：使用阻抗体积描记法测量血压的连续，非侵入性技术
公开(公告)号：US06648828B2
公开(公告)日：2003-11-18
申请号：US09683916
申请日：2002-03-01
申请人： Bruce A. Friedman , Richard Medero , Lawrence T. Hersh , Sai Kolluri
发明人： Bruce A. Friedman , Richard Medero , Lawrence T. Hersh , Sai Kolluri
IPC分类号： A61B502
CPC分类号： A61B5/0285 , A61B5/021 , A61B5/02125 , A61B5/0295
摘要： Blood pressure is measured using the pulse transit time required for the blood volume pulse to propagate between two locations in an animal. Impedance plethysmography is employed to detect when the blood volume pulse occurs at one location. The plethysmograph may detect thoracic impedance to determine when the aortic heart valve opens or it may detect impedance at one location on a limb of the animal. Occurrence of the blood volume pulse at another location can be determined by impedance plethysmography or another technique, such as pulse oximetry. The calculation of cardiac stroke volume can be employed to compensate the derivation of the blood pressure for effects due to blood vessel compliance. A nonblood pressure monitor may periodically provide a reference blood pressure measurement that is used calibrate derivation of the blood pressure based on the pulse transit time.
摘要翻译：使用血液体积脉冲在动物的两个位置之间传播所需的脉搏传播时间来测量血压。采用阻抗体积描记法检测血液体积脉搏何时出现在一个位置。体积描记器可以检测胸部阻抗以确定主动脉瓣心脏瓣膜何时打开，或者可以在动物肢体的一个位置处检测阻抗。可以通过阻抗体积描记法或其他技术（例如脉搏血氧测定法）来确定另一位置处的血容量脉冲的发生。心脏搏动量的计算可用于补偿由于血管依从性引起的血压的推导。非血压监视器可以周期性地提供参考血压测量，其用于基于脉冲传播时间来校准血压的推导。

10. 发明授权

US5800359A NIBP playback system 失效
标题翻译： NIBP播放系统
公开(公告)号：US5800359A
公开(公告)日：1998-09-01
申请号：US445273
申请日：1995-05-19
申请人： Richard Medero , John W. Booth
发明人： Richard Medero , John W. Booth
IPC分类号： A61B5/0215 , A61B5/022 , A61B5/0255 , A61B5/02
CPC分类号： A61B5/02225 , A61B5/02156 , A61B5/022 , A61B5/0255
摘要： A data playback device which records, stores, and plays back actual patient oscillometric blood pressure data to create a more realistic NIBP simulation for testing of an NIBP monitor. The system is made up of two units, a computer and a converter. The converter has a Universal Asynchronous Receiver/Transmitter (UART) connected to the computer and 16-bit D/A and A/D converters connected to the input and output, respectively, of a blood pressure monitor. The A/D converter senses cuff pressure and sends the signal to the computer. The computer then calculates the pressure pulse data from the stored patient data and sends it to the monitor via the D/A converter, where the pressure pulse data is converted to a voltage and electronically summed with the pressure transducer signal output by the blood pressure monitor under test. Typically, the playback system reads the current cuff pressure in the blood pressure monitor and "plays back" the oscillation complex from the data file whose average pressure is closest to the current cuff pressure. The oscillation complex is scaled to the proper amplitude using linear interpolation before it is summed into the cuff pressure channel. This process is repeated for each pressure level during the oscillometric blood pressure determination. During testing, the blood pressure monitor sees an oscillation envelope and oscillation complex shapes similar to the original data from a real patient.
摘要翻译：数据回放装置，其记录，存储和重放实际的患者示波血压数据，以创建用于测试NIBP监测器的更现实的NIBP模拟。该系统由两个单元组成，一个是计算机和一个转换器。该转换器具有连接到计算机的通用异步收发器（UART）和分别连接到血压计输入和输出的16位D / A和A / D转换器。 A / D转换器感测袖带压力，并将信号发送到计算机。然后，计算机从存储的患者数据计算压力脉冲数据，并通过D / A转换器将其发送到监视器，其中压力脉冲数据被转换成电压，并与由血压计输出的压力传感器信号电子相加被测试。通常，回放系统读取血压监视器中的当前袖带压力并从平均压力最接近当前袖带压力的数据文件“回放”振荡复合体。使用线性内插法将振荡复合体缩放到适当的幅度，然后将其合并到袖带压力通道中。在示波器血压测定期间，针对每个压力水平重复该过程。在测试期间，血压监测仪看到与真实患者的原始数据相似的振荡包络和振荡复杂形状。

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