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    • 2. 发明授权
    • Multiple monopolar system and method of measuring stroke volume of the
heart
    • 多重单极系统和测量心脏搏动量的方法
    • US5058583A
    • 1991-10-22
    • US553434
    • 1990-07-13
    • Leslie A. GeddesNeal E. FearnotJerry L. Wessale
    • Leslie A. GeddesNeal E. FearnotJerry L. Wessale
    • A61N1/365
    • A61N1/3686A61N1/36514
    • A multiple monopolar system and method for measuring stroke volume of a patient's heart. An intracardiac impedance catheter is provided with a plurality of monopolar electrodes axially spaced along the surface of its distal end, and is used in conjunction with a distant reference electrode which may, for example, be incorporated into the conductive case of a pacemaker. The proximal end of the catheter is attached to the pacemaker, which, in addition to pulse generator circuitry and circuitry for sensing electrical activity of the heart and for controlling pacing rate, includes a constant-current source for current injection into the volume of blood in the patient's ventricle and an impedance processor for measuring the resultant voltage between one of the monopolar electrodes in the ventricle and the pacemaker case and for calculating stroke volume therefrom. A system and method are also disclosed for generating a three-phase relationship between cardiac output and heart rate for an individual patient at a particular workload, for purposes of determining optimal heart rate, as is a method of using the monopolar electrode configuration to detect ventricular fibrillation.
    • 用于测量患者心脏的搏动体积的多重单极系统和方法。 心内阻塞导管设置有沿着其远端的表面轴向间隔开的多个单极电极,并且与远程参考电极结合使用,其可以例如并入到起搏器的导电壳体中。 导管的近端附接到起搏器,除了用于感测心脏的电活动和用于控制起搏速率的脉冲发生器电路和电路之外,还包括用于当前注入血液体积的恒流源 患者的心室和阻抗处理器,用于测量心室中的一个单极电极和起搏器壳体之间的所得电压,并用于计算其中的冲程容量。 还公开了一种系统和方法,用于在特定工作负载下为个体患者产生心输出量和心率之间的三相关系,以便确定最佳心率,正如使用单极电极配置来检测心室的方法一样 颤动。
    • 3. 发明授权
    • Tubular submucosal graft constructs
    • 管状粘膜下移植物构建体
    • US06187039B1
    • 2001-02-13
    • US09297620
    • 1999-05-04
    • Michael C. HilesUmesh H. PatelLeslie A. GeddesStephen F. Badylak
    • Michael C. HilesUmesh H. PatelLeslie A. GeddesStephen F. Badylak
    • A60F206
    • A61L27/3604A61F2/06A61F2310/00365A61L27/24A61L27/3629A61L27/3687
    • An easy-to-produce and mechanically strong tube of an implantable submucosal tissue has been developed which is manufactured in any desired length, wall thickness, or diameter. The construct produced by the method of the invention may be used as grafts for arteries, veins, ureters, urethras, shunts, or in any application where a compliant, tissue-compatible tube is needed. The manufacture of the submucosal tissue prosthesis generally involves wrapping a first sheet of submucosal tissue (60) and a second sheet of submucosal tissue (70) around a mandrel (50), wherein the first end (74) and the second opposite end (76) of the second sheet of submucosal tissue (70) are sutured together with sutures (78). The submucosal tissue is compressed and dried on the mandrel (50) before removing the construct by pulling on a first end (54) and a second end (56) of a water permeable tape to unwind the tape and thus release the construct for eventual use.
    • 已经开发了可植入的粘膜下组织的容易制造和机械强度的管,其以任何期望的长度,壁厚或直径制造。 通过本发明的方法生产的构造体可以用作动脉,静脉,输尿管,尿道,分流器的移植物,或者在需要顺应的组织相容管的任何应用中。 粘膜下组织假体的制造通常包括围绕心轴(50)缠绕第一片粘膜下组织(60)和第二片粘膜下组织(70),其中第一端(74)和第二相对端(76) )的第二片粘膜下组织(70)与缝合线(78)缝合在一起。 在通过拉动透水性带的第一端(54)和第二端(56)去除构造物之前,在心轴(50)上压缩并干燥粘膜下组织以展开带,并因此释放结构以最终使用 。