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1. 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。

2. 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。

3. 发明申请

US20080235058A1 VITAL SIGN MONITOR UTILIZING HISTORIC PATIENT DATA 审中-公开
标题翻译： VITAL SIGN MONITOR使用历史患者数据
公开(公告)号：US20080235058A1
公开(公告)日：2008-09-25
申请号：US12133922
申请日：2008-06-05
申请人： Bruce A. Friedman , John W. Booth , Richard Medero , Lawrence T. Hersh , Sai Kolluri
发明人： Bruce A. Friedman , John W. Booth , Richard Medero , Lawrence T. Hersh , Sai Kolluri
IPC分类号： G06Q50/00
CPC分类号： A61B5/022 , A61B5/0205 , A61B5/02225 , A61B5/0225 , A61B5/024 , G06Q50/24
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 and previously diagnosed characteristics for the patient identified by the patient identification device. The historic patient data information and previously diagnosed characteristics of the patient can be utilized by the vital sign monitor to set alarm limits for the vital sign measurements and automatically adjust the blood pressure estimation algorithm of the NIBP monitor.
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患者数据信息和先前诊断的特征。患者的历史患者数据信息和先前诊断的特征可由生命体征监测器用于设置生命体征测量的报警限值，并自动调整NIBP监测器的血压估计算法。

4. 发明授权

US07186218B2 Method and system for cuff pressure reversions 有权
标题翻译：袖带压力逆转的方法和系统
公开(公告)号：US07186218B2
公开(公告)日：2007-03-06
申请号：US10375409
申请日：2003-02-27
申请人： Lawrence T. Hersh , Richard Medero , Bruce A. Friedman , Sai Kolluri
发明人： Lawrence T. Hersh , Richard Medero , Bruce A. Friedman , Sai Kolluri
IPC分类号： A61B5/02
CPC分类号： A61B5/02225 , A61B5/0225 , A61B5/7207 , G06F19/00
摘要： A method and system for determining when to make a reversion to smaller cuff pressure steps during an oscillometric blood pressure measurement is disclosed. The method and system comprise comparing conformance of oscillometric envelope blood pressure data with previous blood pressure data, including measuring a shift between the oscillometric envelope blood pressure data and an oscillometric envelope derived from the previous blood pressure data. In addition, the method and system include making a reversion decision based on whether the shift exceeds an allowable threshold. Once a reversion decision is made a subsequent decision may be made as to the need for increasing the cuff pressure level.
摘要翻译：公开了一种用于在示波器血压测量期间确定何时进行更小的袖带压力步骤的方法和系统。所述方法和系统包括比较示波包络血压数据与先前血压数据的一致性，包括测量示波包络血压数据与从先前血压数据得出的示波包络之间的偏移。此外，所述方法和系统包括基于所述偏移是否超过允许阈值来进行回归决定。一旦进行回归决定，可以随后作出关于增加袖带压力水平的需要的决定。

5. 发明授权

US07775987B2 Computation of blood pressure using different signal processing channels 有权
标题翻译：使用不同的信号处理通道计算血压
公开(公告)号：US07775987B2
公开(公告)日：2010-08-17
申请号：US11284206
申请日：2005-11-21
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： A61B5/02
CPC分类号： A61B5/022 , A61B5/02225 , A61B5/7207
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 data values from the pressure transducer. Each of the processing techniques separately constructs an oscillometric envelope based upon the oscillometric data values. Based upon the plurality of separate oscillometric envelopes, the system compares the envelopes and develops a calculated blood pressure from the plurality of envelopes. The calculated blood pressure is then displayed by the NIBP system. The plurality of oscillometric envelopes can be compared and combined in different manners to calculate the patient's blood pressure from the plurality of different processing techniques.
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，每个处理技术从压力传感器接收多个示波数据值。每个处理技术基于示波数据值分别构建示波包络。基于多个单独的示波包络，系统比较信封并从多个信封形成计算出的血压。然后计算的血压由NIBP系统显示。多个示波包络可以以不同的方式进行比较和组合，以从多种不同的处理技术计算出患者的血压。

6. 发明授权

US07544167B2 Method and system for cuff pressure reversions 有权
标题翻译：袖带压力逆转的方法和系统
公开(公告)号：US07544167B2
公开(公告)日：2009-06-09
申请号：US11626170
申请日：2007-01-23
申请人： Lawrence T. Hersh , Richard Medero , Bruce A. Friedman , Sai Kolluri
发明人： Lawrence T. Hersh , Richard Medero , Bruce A. Friedman , Sai Kolluri
IPC分类号： A61B5/02
CPC分类号： A61B5/02225 , A61B5/0225 , A61B5/7207 , G06F19/00
摘要： A method and system for determining when to make a reversion to smaller cuff pressure steps during an oscillometric blood pressure measurement is disclosed. The method and system comprise comparing conformance of oscillometric envelope blood pressure data with previous blood pressure data, including measuring a shift between the oscillometric envelope blood pressure data and an oscillometric envelope derived from the previous blood pressure data. In addition, the method and system include making a reversion decision based on whether the shift exceeds an allowable threshold. Once a reversion decision is made a subsequent decision may be made as to the need for increasing the cuff pressure level.
摘要翻译：公开了一种用于在示波器血压测量期间确定何时进行更小的袖带压力步骤的方法和系统。所述方法和系统包括比较示波包络血压数据与先前血压数据的一致性，包括测量示波包络血压数据与从先前血压数据得出的示波包络之间的偏移。此外，所述方法和系统包括基于所述偏移是否超过允许阈值来进行回归决定。一旦进行回归决定，可以随后作出关于增加袖带压力水平的需要的决定。

7. 发明授权

US07226421B1 Method of controlling blood pressure cuff deflation 有权
标题翻译：控制血压袖带放气的方法
公开(公告)号：US07226421B1
公开(公告)日：2007-06-05
申请号：US11290272
申请日：2005-11-30
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： A61B5/00
CPC分类号： A61B5/0225 , A61B5/02141 , A61B5/02225
摘要： A method of operating a non-invasive blood pressure (NIBP) monitor that includes a blood pressure cuff and a pressure transducer. The method initially inflates the blood pressure cuff to a level above systolic pressure and begins to deflate the pressure cuff using a continuous or linear deflation technique. During the linear deflation of the pressure cuff, the oscillation pulses from the pressure transducer are obtained and compared to predicted pulse estimates. If the obtained oscillation pulses vary from the predicted pulse estimates, the linear deflation technique is interrupted and the pressure cuff is then deflated in a sequence of distinct pressure steps. During each pressure step, the oscillation pulses are obtained and the pressure cuff is not deflated to the next pressure step until the oscillation pulses correspond to each other.
摘要翻译：一种操作包括血压袖带和压力换能器的非侵入性血压（NIBP）监测器的方法。该方法首先将血压袖带膨胀至高于收缩压的水平，并使用连续或线性放气技术开始压缩压力袖带。在压力袖带的线性放气期间，获得来自压力传感器的振荡脉冲并与预测的脉冲估计值进行比较。如果获得的振荡脉冲从预测的脉冲估计变化，则线性放气技术被中断，并且压力袖带然后以不同压力步骤的顺序放气。在每个压力步骤期间，获得振荡脉冲，并且压力袖带不会放气到下一个压力步骤，直到振荡脉冲彼此对应。

8. 发明授权

US07070566B2 Artifact rejection using pulse quality values 有权
标题翻译：使用脉搏质量值的人工制品排斥
公开(公告)号：US07070566B2
公开(公告)日：2006-07-04
申请号：US10387631
申请日：2003-03-13
申请人： Richard Medero , Lawrence T. Hersh , Sai Kolluri , Bruce A. Friedman
发明人： Richard Medero , Lawrence T. Hersh , Sai Kolluri , Bruce A. Friedman
IPC分类号： A61B5/00
CPC分类号： A61B5/02225
摘要： A method and system for making pulse rate and blood pressure determinations is disclosed. The method and system comprise collecting oscillometric blood pressure data from pulses, determining individual quality values for feature measurements of the pulses, obtaining an overall quality assessment based on the individual quality values, repeating the collecting step until overall quality level is satisfied, and determining blood pressure and pulse rate using the individual quality values.
摘要翻译：公开了一种用于产生脉率和血压测定的方法和系统。该方法和系统包括从脉冲收集示波血压数据，确定脉冲特征测量的个体质量值，基于各个质量值获得总体质量评估，重复收集步骤直到满足整个质量水平，以及确定血液压力和脉搏率使用各个质量值。

9. 发明授权

US07300404B1 Method and system utilizing SpO2 plethysmograph signal to qualify NIBP pulses 失效
标题翻译：使用SpO2体积描记器信号来限定NIBP脉冲的方法和系统
公开(公告)号：US07300404B1
公开(公告)日：2007-11-27
申请号：US11470701
申请日：2006-09-07
申请人： Sai Kolluri , Lawrence T. Hersh , Richard Medero
发明人： Sai Kolluri , Lawrence T. Hersh , Richard Medero
IPC分类号： A61B5/00
CPC分类号： A61B5/02255 , A61B5/02225
摘要： A method and system for operating a non-invasive blood pressure monitor that utilizes an SpO2 plethysmographic signal to reduce the time required to obtain an estimation of a patient's blood pressure. During operation of the NIBP monitor, the NIBP monitor utilizes the SpO2 plethysmographic signal to determine a timing period and a deflation period for each pulse associated with the patient's heartbeat. Upon receiving an oscillation pulse, the NIBP monitor determines the oscillation amplitude during the timing period and deflates the blood pressure cuff during the deflation period immediately following the timing period. Preferably, the deflation period occurs during the same oscillation pulse used to calculate the oscillation pulse amplitude to decrease the amount of time required to obtain a blood pressure estimate from the patient.
摘要翻译：一种用于操作使用SpO 2体积描记信号的非侵入性血压监测器的方法和系统，以减少获得对患者血压的估计所需的时间。在NIBP监视器的操作期间，NIBP监视器利用SpO 2体积描记信号来确定与患者心跳相关联的每个脉冲的定时周期和放气周期。在接收到振荡脉冲时，NIBP监视器确定定时期间的振荡幅度，并且在定时周期之后的放气期间缩小血压袖带。优选地，放气周期发生在用于计算振荡脉冲幅度的相同振荡脉冲期间，以减少从患者获得血压估计所需的时间量。

10. 发明授权

US06893403B2 Oscillometric determination of blood pressure 失效
标题翻译：示波测定血压
公开(公告)号：US06893403B2
公开(公告)日：2005-05-17
申请号：US10374240
申请日：2003-02-25
申请人： Sai Kolluri , Lawrence T. Hersh , Richard Medero
发明人： Sai Kolluri , Lawrence T. Hersh , Richard Medero
IPC分类号： A61B5/022 , A61B5/00
CPC分类号： A61B5/02225
摘要： A method and system for eliminating artifacts in an oscillation envelope are disclosed. The method and system comprise evaluating conformance of the oscillometric envelope blood pressure data with a predetermined expected pattern and excluding one or more data points of the oscillometric envelope blood pressure data based on non-conformance with the expected pattern. The expected pattern is based upon generally known physiological principles relating to oscillometric envelopes, a curve fit representing an oscillometric envelope from a previous determination, or other types of criteria.
摘要翻译：公开了一种用于消除振荡包络中的假象的方法和系统。所述方法和系统包括评估所述示波包络血压数据与预定预期模式的一致性，并且基于与所述期望模式的不一致性排除所述示波包络血压数据的一个或多个数据点。预期模式基于与示波包络相关的通常已知的生理原理，表示来自先前确定的示波包络的曲线拟合或其他类型的标准。

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