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1. 发明授权

US06931279B2 Method and apparatus for implementing task-oriented induction capabilities in an implantable cardioverter defibrillator and programmer 有权
标题翻译：用于在可植入式心律转复除颤器和编程器中实现面向任务的感应能力的方法和装置
公开(公告)号：US06931279B2
公开(公告)日：2005-08-16
申请号：US10131560
申请日：2002-04-22
申请人： Kevin T. Ousdigian , Seema Padmanabhan , James E. Willenbring , Paul G. Krause , James H. Ericksen , Paul J. Degroot
发明人： Kevin T. Ousdigian , Seema Padmanabhan , James E. Willenbring , Paul G. Krause , James H. Ericksen , Paul J. Degroot
IPC分类号： A61N1/372 , A61N1/39
CPC分类号： A61N1/3943 , A61N1/37247
摘要： The invention provides systems to prevent the delivery of anti-tachycardia pacing (ATP) following a defibrillation threshold (DFT) induction at implant. An algorithm that classifies episodes as induced or spontaneous is implemented, thereby enabling the ATP during charging feature to be operable only when spontaneous episodes are detected while temporarily suspending the ATP feature during the delivery of defibrillation shock after induction has been confirmed. Further, a user interface enables users to interact with an implantable medical device (IMD), particularly for setting a defibrillation threshold (DFT) or a 50 Hz burst from a single programmer screen. The user interface includes various functionalities to promote quick user access to parameters that govern diagnosis, therapy and other features of the IMD. A single screen enables the user to complete automatic and/or manual DFT inductions or a 50 Hz burst from a programmer interface while acquiring associated documentation from the same interface.
摘要翻译：本发明提供了防止在植入物中除颤阈值（DFT）诱导后递送抗心动过速起搏（ATP）的系统。实施了将发作分类为诱导或自发的算法，从而使得在充电特征期间的ATP仅在检测到自发发作时才可操作，同时在确认诱导后的除颤休克期间暂时停止ATP特征。此外，用户界面使得用户能够与可植入医疗装置（IMD）进行交互，特别是用于从单个编程器屏幕设置除颤阈值（DFT）或50Hz脉冲串。用户界面包括各种功能，以促进用户快速访问管理IMD诊断，治疗和其他功能的参数。单个屏幕使用户能够在从同一接口获取相关文档的同时，从编程器接口完成自动和/或手动DFT感应或50 Hz突发。

2. 发明授权

US09713724B2 Fail-safe programming for implantable medical device 有权
公开(公告)号：US09713724B2
公开(公告)日：2017-07-25
申请号：US13277290
申请日：2011-10-20
申请人： Christopher M. Petersen , James E. Willenbring
发明人： Christopher M. Petersen , James E. Willenbring
IPC分类号： A61N1/08 , A61N1/372
CPC分类号： A61N1/37258 , A61N1/37211 , A61N1/37252 , A61N1/37264 , G16H40/67
摘要： In general, the invention is directed to a system with a fail-safe mode for remote programming of medical devices, such as implantable medical devices (IMDs). During a remote programming session, an adverse event, such as a programming session failure, may prevent proper completion of a programming or result in improper programming due to data corruption or other factors. If a programming session is not completed correctly, the IMD is susceptible to improper operation, possibly exposing a patient to delivery of unnecessary or inappropriate therapies. A fail-safe mode reduces the likelihood of improper operation following a programming session failure. The fail-safe mode defines one or more fail-safe operations designed to preserve proper operation of the IMD. In some embodiments, the fail-safe operations include notifying a person concerning the failure of the programming session, modifying programming parameters within the implantable medical device, and delivering a therapy to a patient.

3. 发明授权

US08290791B2 Patient management system 有权
标题翻译：病人管理系统
公开(公告)号：US08290791B2
公开(公告)日：2012-10-16
申请号：US12181429
申请日：2008-07-29
申请人： Amisha S. Patel , Luc Roland Mongeon , Susan Heilman Kilbane , James E. Willenbring , Christopher John Gennaro
发明人： Amisha S. Patel , Luc Roland Mongeon , Susan Heilman Kilbane , James E. Willenbring , Christopher John Gennaro
IPC分类号： G06Q50/00
CPC分类号： G06F19/3418 , G06F19/00 , G06Q50/22 , G06Q50/24
摘要： Embodiments of the present invention provide a system in which a medical device selects less than all of its stored information and provides the selected subset of information to a data mart for storage, processing, and/or communication to one or more interested parties. In many embodiments, customers, patients, or even components of the medical device or of the remote patient management system can access selected medical device information (e.g., customers can access medical device information tailored to the care they are providing to one or more patients). In many embodiments, customers can receive such medical device information according to a schedule that best suits their care (or whenever they desire such information, irrespective of a schedule). In many embodiments, providing less than full transmissions to the data mart reduces the strain on medical device batteries.
摘要翻译：本发明的实施例提供一种系统，其中医疗设备选择少于其所有存储的信息，并将所选择的信息子集提供给数据集市以用于存储，处理和/或与一个或多个有关方面的通信。在许多实施例中，医疗设备或远程患者管理系统的客户，患者或甚至组件可以访问所选择的医疗设备信息（例如，客户可以访问为他们提供给一个或多个患者的护理而定制的医疗设备信息）。在许多实施例中，客户可以根据最适合其照顾的时间表（或每当他们希望这样的信息，而不管时间表）接收这样的医疗设备信息。在许多实施例中，向数据集市提供少于完整的传输减少了医疗设备电池的压力。

4. 发明申请

US20100030575A1 PATIENT MANAGEMENT SYSTEM 有权
标题翻译：患者管理系统
公开(公告)号：US20100030575A1
公开(公告)日：2010-02-04
申请号：US12181429
申请日：2008-07-29
申请人： Amisha S. Patel , Luc Roland Mongeon , Susan Heilman Kilbane , James E. Willenbring , Christopher John Gennaro
发明人： Amisha S. Patel , Luc Roland Mongeon , Susan Heilman Kilbane , James E. Willenbring , Christopher John Gennaro
IPC分类号： G06Q50/00 , G06Q10/00
CPC分类号： G06F19/3418 , G06F19/00 , G06Q50/22 , G06Q50/24
摘要： Embodiments of the present invention provide a system in which a medical device selects less than all of its stored information and provides the selected subset of information to a data mart for storage, processing, and/or communication to one or more interested parties. In many embodiments, customers, patients, or even components of the medical device or of the remote patient management system can access selected medical device information (e.g., customers can access medical device information tailored to the care they are providing to one or more patients). In many embodiments, customers can receive such medical device information according to a schedule that best suits their care (or whenever they desire such information, irrespective of a schedule). In many embodiments, providing less than full transmissions to the data mart reduces the strain on medical device batteries.
摘要翻译：本发明的实施例提供一种系统，其中医疗设备选择少于其所有存储的信息，并将所选择的信息子集提供给数据集市以用于存储，处理和/或与一个或多个有关方面的通信。在许多实施例中，医疗设备或远程患者管理系统的客户，患者或甚至组件可以访问所选择的医疗设备信息（例如，客户可以访问为他们提供给一个或多个患者的护理而定制的医疗设备信息）。在许多实施例中，客户可以根据最适合其照顾的时间表（或每当他们希望这样的信息，而不管时间表）接收这样的医疗设备信息。在许多实施例中，向数据集市提供少于完整的传输减少了医疗设备电池的压力。

5. 发明授权

US07565197B2 Conditional requirements for remote medical device programming 有权
标题翻译：远程医疗设备编程的条件要求
公开(公告)号：US07565197B2
公开(公告)日：2009-07-21
申请号：US10871591
申请日：2004-06-18
申请人： Gregory J. Haubrich , David S. Jennings , Christopher M. Petersen , Javaid Masoud , John P. Vandanacker , James E. Willenbring
发明人： Gregory J. Haubrich , David S. Jennings , Christopher M. Petersen , Javaid Masoud , John P. Vandanacker , James E. Willenbring
IPC分类号： A61N1/00
CPC分类号： A61N1/37282 , A61N1/37252 , A61N1/37264 , G06F19/00 , G06F19/3418 , G16H10/60
摘要： A remote programming method is provided for safe and secure programming of a medical device at a remote location. A centralized programming instrument for use by a clinician or third party is provided with a network communication connection with a remote external medical device, such as a home programmer or monitor. The external medical device is located in the vicinity of a patient having an implantable medical device (IMD) and is in bi-directional telemetric communication with the IMD to allow instructions received from the centralized programming instrument to be transferred to the IMD. The remote programming method used for transferring information between the central programming instrument and an IMD includes measures to promote safe and secure remote programming of the IMD, which measures may include authorization requirements, programming condition requirements, implementation of programmed data requirements, and maintenance of a remote programming log.
摘要翻译：提供远程编程方法，用于在远程位置对医疗设备进行安全和安全的编程。提供由临床医生或第三方使用的集中编程仪器与远程外部医疗设备（例如家庭编程器或监视器）的网络通信连接。外部医疗设备位于具有可植入医疗设备（IMD）的患者附近，并且与IMD进行双向遥测通信，以允许从集中式程序设备接收的指令被传送到IMD。用于在中央编程仪器和IMD之间传输信息的远程编程方法包括促进IMD安全可靠的远程编程的措施，这些措施可能包括授权要求，编程条件要求，编程数据要求的实施以及维护远程编程日志。

6. 发明授权

US07272433B2 Transcutaneous monitor and method of use, using therapeutic output from an implanted medical device 有权
标题翻译：经皮监护仪和使用方法，使用植入式医疗装置的治疗输出
公开(公告)号：US07272433B2
公开(公告)日：2007-09-18
申请号：US10136785
申请日：2002-04-30
申请人： Kenneth M. Riff , Gregory J. Linden , James E. Willenbring
发明人： Kenneth M. Riff , Gregory J. Linden , James E. Willenbring
IPC分类号： A61B5/02 , A61N1/18
CPC分类号： A61N1/37235 , A61B5/0031 , A61B2560/0271 , A61M5/14216 , A61M5/14244 , A61M5/14248 , A61M5/1723 , A61M37/0092 , A61M2005/14208 , A61M2005/14268 , A61M2205/3523 , A61N1/08 , A61N1/30 , A61N1/3702 , A61N1/37217 , A61N1/37258 , A61N1/37288 , G06F19/00 , G06F19/3456 , G06F19/3481 , G16H40/63
摘要： An external physiologic or implanted device monitor/controller (“monitor”) designed to be attached to the body, as for example, to the skin of the patient. The monitor is designed to detect the therapeutic outputs actually produced by the implanted medical device. Having knowledge of the operation of the implanted medical device, the monitor may then deduce, or decode, the physiologic conditions and/or devices conditions sensed by the implanted medical device. The monitor is then able to perform an action appropriate to the sensed condition and the specific implementation.
摘要翻译：外部生理或植入的设备监视器/控制器（“监视器”）被设计成附接到身体，例如，附接到患者的皮肤。该监视器设计用于检测由植入式医疗设备实际产生的治疗输出。了解植入式医疗装置的操作后，监视器可以推断或解码由植入的医疗装置感测到的生理条件和/或装置状况。监视器然后能够执行适合于感测状况和具体实现的动作。

7. 发明授权

US06721592B2 Automatic electrogram measurement 有权
标题翻译：自动电描记测量
公开(公告)号：US06721592B2
公开(公告)日：2004-04-13
申请号：US09952717
申请日：2001-09-12
申请人： David Peichel , Tho Huynh , Forrest C. M. Pape , Robert A. Neumann , John C. Stroebel , Robert A. Gabler , James E. Willenbring
发明人： David Peichel , Tho Huynh , Forrest C. M. Pape , Robert A. Neumann , John C. Stroebel , Robert A. Gabler , James E. Willenbring
IPC分类号： A61B50452
CPC分类号： A61B5/0456 , A61N1/3704
摘要： Techniques for monitoring the magnitudes of representative filtered EGM signals over time. In a typical implementation, a group of digital peak values is generated in a time period and a representative digital peak value is selected for the time period. By comparing representative peak values for several time periods, changes in signal efficacy can be identified.
摘要翻译：用于随时间监视代表性滤波EGM信号幅度的技术。在典型的实现中，在一段时间内产生一组数字峰值，并在该时间段内选择代表性的数字峰值。通过比较几个时间段的代表性峰值，可以确定信号功效的变化。

8. 发明申请

US20120035686A1 FAIL-SAFE PROGRAMMING FOR IMPLANTABLE MEDICAL DEVICE 有权
标题翻译：用于可植入医疗器械的失效安全编程
公开(公告)号：US20120035686A1
公开(公告)日：2012-02-09
申请号：US13277290
申请日：2011-10-20
申请人： Christopher M. Petersen , James E. Willenbring
发明人： Christopher M. Petersen , James E. Willenbring
IPC分类号： A61N1/08
CPC分类号： A61N1/37258 , A61N1/37211 , A61N1/37252 , A61N1/37264 , G16H40/67
摘要： In general, the invention is directed to a system with a fail-safe mode for remote programming of medical devices, such as implantable medical devices (IMDs). During a remote programming session, an adverse event, such as a programming session failure, may prevent proper completion of a programming or result in improper programming due to data corruption or other factors. If a programming session is not completed correctly, the IMD is susceptible to improper operation, possibly exposing a patient to delivery of unnecessary or inappropriate therapies. A fail-safe mode reduces the likelihood of improper operation following a programming session failure. The fail-safe mode defines one or more fail-safe operations designed to preserve proper operation of the IMD. In some embodiments, the fail-safe operations include notifying a person concerning the failure of the programming session, modifying programming parameters within the implantable medical device, and delivering a therapy to a patient.
摘要翻译：一般而言，本发明涉及一种具有用于诸如可植入医疗设备（IMD）等医疗设备的远程编程的故障安全模式的系统。在远程编程会话期间，诸如编程会话失败的不利事件可能会阻止编程的正常完成或由于数据损坏或其他因素导致不正确的编程。如果编程会话未能正确完成，则IMD容易受到不正确的操作，可能会使患者暴露于不必要或不适当的治疗方法。故障安全模式降低了编程会话失败后不正确操作的可能性。故障安全模式定义了一个或多个故障安全操作，旨在保持IMD的正常运行。在一些实施例中，故障保护操作包括通知人关于编程会话的失败，修改可植入医疗设备内的编程参数，以及向患者传送治疗。

9. 发明申请

US20090281598A1 CONDITIONAL REQUIREMENTS FOR REMOTE MEDICAL DEVICE PROGRAMMING 审中-公开
标题翻译：远程医疗设备编程的条件要求
公开(公告)号：US20090281598A1
公开(公告)日：2009-11-12
申请号：US12486779
申请日：2009-06-18
申请人： Gregory J. Haubrich , David S. Jennings , Christopher M. Petersen , Javaid Masoud , John P. VanDanacker , James E. Willenbring
发明人： Gregory J. Haubrich , David S. Jennings , Christopher M. Petersen , Javaid Masoud , John P. VanDanacker , James E. Willenbring
IPC分类号： A61N1/08
CPC分类号： A61N1/37282 , A61N1/37252 , A61N1/37264 , G06F19/3418 , G16H10/60
摘要： A remote programming method is provided for safe and secure programming of a medical device at a remote location. A centralized programming instrument for use by a clinician or third party is provided with a network communication connection with a remote external medical device, such as a home programmer or monitor. The external medical device is located in the vicinity of a patient having an implantable medical device (IMD) and is in bi-directional telemetric communication with the IMD to allow instructions received from the centralized programming instrument to be transferred to the IMD. The remote programming method used for transferring information between the central programming instrument and an IMD includes measures to promote safe and secure remote programming of the IMD, which measures may include authorization requirements, programming condition requirements, implementation of programmed data requirements, and maintenance of a remote programming log.
摘要翻译：提供远程编程方法，用于在远程位置对医疗设备进行安全和安全的编程。提供由临床医生或第三方使用的集中编程仪器与远程外部医疗设备（例如家庭编程器或监视器）的网络通信连接。外部医疗设备位于具有可植入医疗设备（IMD）的患者附近，并且与IMD进行双向遥测通信，以允许从集中式程序设备接收的指令被传送到IMD。用于在中央编程仪器和IMD之间传输信息的远程编程方法包括促进IMD安全可靠的远程编程的措施，这些措施可能包括授权要求，编程条件要求，编程数据要求的实施以及维护远程编程日志。

10. 发明授权

US08438039B2 User customizable workflow preferences for remote patient management 有权
标题翻译：用户可定制的工作流偏好设置用于远程患者管理
公开(公告)号：US08438039B2
公开(公告)日：2013-05-07
申请号：US11115626
申请日：2005-04-27
申请人： Janell M. Gottesman , James E. Willenbring , David J. Scheffler , John P. VanDanacker
发明人： Janell M. Gottesman , James E. Willenbring , David J. Scheffler , John P. VanDanacker
IPC分类号： G06Q10/00
CPC分类号： A61N1/37282 , G06F19/00 , G06F19/3418 , G16H50/20
摘要： A remote patient management system and method are provided including customizable workflow preferences. The method includes storing a user-programmed or “best practices” set of workflow operations, receiving a remote medical device data transmission, selecting a workflow preference in response to information contained in or relating to the data transmission, and performing remote patient management operations according to the selected workflow preference.
摘要翻译：提供远程患者管理系统和方法，包括可定制的工作流程偏好。该方法包括存储用户编程或“最佳实践”工作流操作集合，接收远程医疗设备数据传输，响应于包含在数据传输中或与数据传输相关的信息来选择工作流优选，以及根据到所选的工作流首选项。

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