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    • 2. 发明授权
    • Single-use medical device
    • 一次性医疗器械
    • US07236827B2
    • 2007-06-26
    • US10200567
    • 2002-07-19
    • Elmar VittGregor NiewaldaMax Schaldach, Jr., legal representative
    • Max Schaldach, deceased
    • A61N1/00
    • A61N1/372
    • An electrical therapy device has a blocking triggering unit and a re-use blocking unit. The re-use blocking unit prevents the functions of the electrical therapy device during implantation in dependence on the condition of the blocking triggering unit. The blocking triggering unit is triggered either upon implantation or explantation of the electrical therapy device. In some aspects, an electrical therapy device has a blocking triggering unit and a re-use blocking unit, wherein the re-use blocking unit prevents the functions of the electrical therapy device in dependence on the condition of the blocking triggering unit. The blocking triggering unit is triggered upon explantation of the electrical therapy device.
    • 电疗装置具有阻塞触发单元和再使用阻断单元。 再使用阻断单元根据阻塞触发单元的状况来防止植入期间电疗装置的功能。 阻塞触发单元在电疗治疗装置的植入或移植时被触发。 在一些方面,电疗装置具有阻塞触发单元和再使用阻断单元,其中再使用阻断单元根据阻塞触发单元的状况来防止电疗装置的功能。 阻塞触发单元在电疗治疗装置的移除时被触发。
    • 3. 发明授权
    • Pacemaker control dependent on natural AV conduction or PVC/VES detection
    • 起搏器控制取决于自然AV传导或PVC / VES检测
    • US07072714B2
    • 2006-07-04
    • US10200568
    • 2002-07-19
    • Ulrich BuschMax Schaldach, Jr., legal representative
    • Max Schaldach, deceased
    • A61N1/362
    • A61N1/3622
    • A dual-chamber cardiac pacemaker comprising an atrial detection unit which is adapted to detect electrical signals in the atrium of a heart as atrial sense events, a ventricular detection unit which is adapted to detect electrical signals of a ventricle of the heart as ventricular sense events, a stimulation unit which is adapted at least to trigger the delivery of electrical pulses to the ventricle as ventricular stimulation events, and a control unit which is connected to the atrial and the ventricular detection units and the stimulation unit and adapted to control triggering of the delivery of pulses in dependence on the atrial detection unit and the ventricular detection unit in such a way that pulse delivery to the ventricle is triggered after the expiry of an AV time after detection of an atrial sense or stimulation event if prior to expiry of the AV time no ventricular sense event is detected by the ventricular detection unit, wherein the control unit is further adapted to divide ventricular sense events into at least two categories of which a first category concerns ventricular sense events to be associated with natural stimulus conduction from the atrium to the ventricle while a second category concerns ventricular sense events to be associated with ventricular extrasystoles or premature ventricular contractions (PVC) and control of the cardiac pacemaker is differentiated in accordance with whether a ventricular sense event is or is not associated with the first category, characterized in that for the control of triggering of pulse delivery an AV monitoring interval is provided in such a way that the AV monitoring interval is triggered by each atrial sense event which is outside an atrial refractory time, wherein the cardiac pacemaker is adapted to associate ventricular events occurring within the AV monitoring interval to the first category.
    • 一种双室心脏起搏器,包括心房检测单元,其适于检测心脏心房中的电信号作为心房感觉事件;心室检测单元,适于检测心室心电图的信号作为心室感觉事件 刺激单元,其适于至少触发作为心室刺激事件将电脉冲输送到心室;以及控制单元,其连接到心房和心室检测单元和刺激单元,并且适于控制触发 根据心房检测单元和心室检测单元递送脉冲,使得在检测到心房感觉或刺激事件之后的AV时间到达心室之后的脉冲传送被触发,如果在AV到期之前 时间不是由心室检测单元检测到心室感觉事件,其中控制单元进一步适于分配 e心室感觉事件分为至少两类,其中第一类涉及心室感觉事件与从心房到心室的自然刺激传导相关联,而第二类涉及心室感觉事件与心室性收缩期或早产性心室收缩相关( PVC)和心脏起搏器的控制是根据心室感测事件是否与第一类别相关联来区分,其特征在于,为了控制脉冲传递的触发,AV监视间隔以这样的方式被提供: AV监视间隔由在心房不适时间之外的每个心房感觉事件触发,其中心脏起搏器适于将在AV监视间隔内发生的心室事件与第一类别相关联。
    • 4. 发明授权
    • Device for implanting catheters
    • 植入导管的装置
    • US07011648B2
    • 2006-03-14
    • US10293200
    • 2002-11-13
    • Tobias BreskotMax Schaldach, Jr., legal representative
    • Max Schaldach, deceased
    • A61M5/178
    • A61M25/0668A61M2025/0675
    • A device for implanting catheters has a tube with a wall and a wire. The tube is intended to be introduced into a body so that at least one catheter can be inserted for implantation through the tube. The wall of the tube has an inside surface and an outside surface. The wire is preferably fixed at its first end in the region of the proximal end of the tube to the inside surface or the outside surface of the wall and the wire is guided in the proximity of that surface along the longitudinal direction of the tube from the proximal end of the tube to the distal end thereof and is then returned in the proximity of the respective other surface of the wall along the longitudinal direction from the distal end of the tube to the proximal end thereof. The wire is used to cut the tube open after insertion of the catheter.
    • 用于植入导管的装置具有具有壁和线的管。 该管旨在被引入体内,使得至少一个导管能够被插入以通过该管进行植入。 管的壁具有内表面和外表面。 电线优选地在其第一端固定在管的近端区域到壁的内表面或外表面,并且电线沿着管的纵向从该表面的附近被引导 管的近端到其远端,然后沿着纵向方向从管的远端到其近端在壁的相应另一个表面附近返回。 导线用于在导管插入后切断管。
    • 6. 发明授权
    • Implantable defibrillator
    • 植入除颤器
    • US06501986B1
    • 2002-12-31
    • US09721553
    • 2000-11-22
    • Max SchaldachSven Poga
    • Max SchaldachSven Poga
    • A61N139
    • A61N1/3956
    • The invention concerns an implantable defibrillator (1) comprising a chargeable voltage source (2) and a pulse generator (3) which is formed from a voltage multiplier (5) and a capacitor (4) chargeable to the defibrillation voltage. Provided between the capacitor (4) and the voltage source (2) is a line connection (6) by way of which electrical energy which has not been consumed or which is not required for the tissue stimulation procedure can be returned from the capacitor to the voltage source.
    • 本发明涉及一种可植入除颤器(1),包括可充电电压源(2)和脉冲发生器(3),脉冲发生器由电压倍增器(5)和可对除颤电压充电的电容器(4)形成。 在电容器(4)和电压源(2)之间设置有线路连接(6),通过该线路连接(6)可以从电容器向电容器(6)返回尚未消耗的电能或组织刺激过程不需要的电能 电压源。
    • 7. 发明授权
    • Apparatus for rejection diagnostics after organ transplants
    • 器官移植后的排斥诊断装置
    • US5970986A
    • 1999-10-26
    • US929787
    • 1997-09-15
    • Armin BolzMax Schaldach
    • Armin BolzMax Schaldach
    • A61B5/00A61B5/05A61B5/053A61N5/00
    • A61B5/053A61B5/0002A61B5/413A61B2560/0219
    • An apparatus for rejection diagnostics after organ transplantations is provided withan extracorporal base station with a high frequency transmitter and receiver unit, anda telemetric rejection sensor implantable in a patient's body, comprisinga high frequency receiver unit for receiving high frequency signals from the base station,a rectifier and decoder unit for converting the high frequency signals received into a supply voltage and control records for the rejection sensor,an energy storage for storing the supply voltage,a control unit for controlling the measuring processes within the apparatus,a sensor arrangement controlled by the control unit and to be brought into contact with the organ to be monitored and having measuring electrodes for measuring rejection-specific variables,an encoder unit for converting the measured variables into corresponding data signals, as well asa high frequency emitter unit for transmitting the data signals produced by the encoder unit to the extracorporal base station.
    • 器官移植后用于排斥诊断的装置提供有具有高频发射器和接收器单元的外部基站和可植入患者体内的遥测抑制传感器,包括用于从基站接收高频信号的高频接收器单元 用于将接收的高频信号转换为电源电压的整流器和解码器单元,用于抑制传感器的控制记录,用于存储电源电压的能量存储器,用于控制设备内的测量过程的控制单元,控制的传感器装置 通过控制单元与要监视的器官接触并具有用于测量拒绝特定变量的测量电极,用于将测量的变量转换成相应的数据信号的编码器单元以及用于发送的高频发射器单元 由编码器单元产生的数据信号 机构外基地台。
    • 8. 发明授权
    • Method of processing signals characteristic of cardiac activity and an
associated device
    • 处理心脏活动特征的信号的方法及相关装置
    • US5891169A
    • 1999-04-06
    • US776294
    • 1997-01-29
    • Gustav BoheimPaul WybornyDennis DigbyTran ThongMax Schaldach
    • Gustav BoheimPaul WybornyDennis DigbyTran ThongMax Schaldach
    • A61N1/362A61N1/368A61N1/39
    • A61N1/3622A61N1/368
    • A method for processing a signal characteristic of cardiac activity in the atrium (A) and/or ventricle (V) of a heart (H) and for evaluating this signal with a view to obtaining a control signal for a cardiac pacemaker and/or defibrillator (3) can be carried out by: receiving a time dependent signal from at least one intracardial signal sensor (1, 2) in the atrium and/or ventricle; feeding the signal picked up by each signal sensor (1, 2) to a read and evaluation circuit (6) with a threshold characteristic; comparing the signals with a detection threshold; evaluating the result of the comparison to obtain an indication as to the presence of normal sinus-type cardiac activity or fibrillations; and producing the control signal, which characterizes the comparison result. The signal from the at least one sensor (1, 2) is fed to a first input stage (8, 11) which has a first adjustable detection threshold (TS(A), TS(V) that is constant in time and to a second input stage (9, 10) which has a second adjustable detection threshold TL(A), TL(V) that can be adjusted independently of the first detection threshold but is constant in time once set. The signal from the at least one intracardial signal sensor is processed in these first and second input stages.
    • PCT No.PCT / DE95 / 01030 Sec。 371日期1997年1月29日 102(e)日期1997年1月29日PCT提交1995年7月28日PCT公布。 出版物WO96 / 04042 日期1996年2月15日一种用于处理心脏(H)的心房(A)和/或心室(V)中的心脏活动特征的方法,并用于评估该信号以获得心脏的控制信号 起搏器和/或除纤颤器(3)可以通过以下方式来实现:从心房和/或心室中的至少一个心内信号传感器(1,2)接收与时间相关的信号; 将由每个信号传感器(1,2)拾取的信号馈送到具有阈值特性的读取和评估电路(6); 将信号与检测阈值进行比较; 评估比较结果以获得关于正常窦型心脏活动或原纤化的存在的指示; 并产生表征比较结果的控制信号。 来自至少一个传感器(1,2)的信号被馈送到第一输入级(8,11),该第一输入级具有第一可调检测阈值(TS(A),TS(V)),其在时间上是恒定的 第二输入级(9,10),其具有第二可调检测阈值TL(A),TL(V),其可以独立于第一检测阈值进行调整,但是一旦设置就是恒定的,来自至少一个心内 信号传感器在这些第一和第二输入级中被处理。
    • 9. 发明授权
    • Therapy device
    • 治疗装置
    • US5843134A
    • 1998-12-01
    • US810014
    • 1997-03-03
    • Tran ThongDennis DigbyMax Schaldach
    • Tran ThongDennis DigbyMax Schaldach
    • A61M5/172A61N1/362A61N1/365A61N1/39
    • A61N1/3962A61M5/1723A61N1/3621A61N1/36585A61M2230/06
    • A therapy device having at least one sensor for detecting a variable that n be measured on the body of a patient in the application of a predetermined therapy, and for outputting a corresponding measured value, an evaluating and control device that is connected to the output of the sensor, and a therapy device that is connected to the output of the evaluating and control device and is configured for realizing different therapies as a function of the association of the value of the measured variable with a predetermined value range, with the evaluating and control device having a range-limit memory, a comparator unit for associating the measured value of the variable with one of the value ranges, a therapy memory having at least two separately-addressable memory regions for storing at least two different values of the therapy-control variable in association with the values of the measured variable within an overlap zone between two value ranges, a past-history memory and past-history evaluation means for transmitting the address data expressing the evaluation result to the therapy memory for reading out exactly one value of the therapy-control variable.
    • 一种治疗装置,具有至少一个传感器,用于检测在预定治疗的应用中可以在患者的身体上测量的变量,并输出相应的测量值;评估和控制装置,其连接到 所述传感器和治疗装置连接到所述评估和控制装置的输出,并且被配置为根据所述测量变量的值与预定值范围与所述评估和控制的关联来实现不同的治疗 具有范围限制存储器的装置,用于将所述变量的测量值与所述值范围中的一个相关联的比较器单元,具有至少两个可单独寻址的存储区域的治疗存储器,用于存储所述治疗控制的至少两个不同值 与两个值范围之间的重叠区域中的测量变量的值相关联的变量,过去历史记忆和过去历史 评估装置,用于将表示评估结果的地址数据发送到治疗存储器,用于读出治疗控制变量的一个值。
    • 10. 发明授权
    • Stimulation Electrode
    • 刺激电极
    • US5571158A
    • 1996-11-05
    • US193042
    • 1994-06-23
    • Armin BolzMax Schaldach
    • Armin BolzMax Schaldach
    • A61N1/05A61N1/04
    • A61N1/05
    • A stimulation electrode having a porous surface coating whose active surface area is significantly greater than the surface area defined by the geometric shape of the electrode, wherein the surface coating comprises an inert material, i.e. a material having no or only a very slight oxidation tendency, wherein the material of the surface coating is formed from an inert element, an inert chemical compound and/or an inert alloy, and the active surface area, by virtue of its fractal-like geometry, is greater by a factor of at least one thousand than the surface area defined by the basic geometric shape of the electrode.
    • PCT No.PCT / DE92 / 00658 Sec。 371日期1994年6月23日 102(e)日期1994年6月23日PCT提交1992年8月6日PCT公布。 出版物WO93 / 02739 日期:1993年2月18日一种具有多孔表面涂层的刺激电极,其活性表面积显着大于由电极的几何形状限定的表面积,其中表面涂层包括惰性材料,即不含或只有 非常轻微的氧化趋势,其中表面涂层的材料由惰性元素,惰性化合物和/或惰性合金形成,并且由于其分形几何形状,活性表面积大于一个因子 比由电极的基本几何形状限定的表面积至少一千。