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    • 93. 发明授权
    • Medical instrument including electrodes adapted for right and
left-handed use
    • 医用仪器包括适用于右手和左手使用的电极
    • US4681112A
    • 1987-07-21
    • US914004
    • 1986-10-01
    • Paul W. JonesCasey M. Bardue
    • Paul W. JonesCasey M. Bardue
    • A61N1/06A61N1/39A61N1/00
    • A61N1/39A61N1/046A61N1/06
    • A medical instrument such as a defibrillator that includes first and second hand-held electrodes for applying an electric shock to a patient, wherein the two electrodes are respectively adapted for right and left-handed use. Each electrode comprises an elongated member (62) adapted for gripping by the fingers of an operator's hand, an actuator (26) positioned adjacent one end of the elongated member, and blocking means (52) positioned adjacent one side of the elongated member. The blocking means is adapted to hinder an operator from gripping the elongated member with one of the operator's hands while simultaneously positioning the thumb of that hand adjacent the actuator. The electrode is therefore adapted for either left-handed or right-handed use. The blocking means may comprise one sidewall (52) of a cup-shaped depression (50), and the elongated member may comprise a handle (62) spanning the cup-shaped depression in a direction parallel to the sidewall. The electrode may further include a lateral recess (102) to further isolate the operator's hand from the electrode element (66). A defibrillator having right and left-handed electrodes as described is therefore adapted for use with a preestablished polarity.
    • 一种医疗器械,例如除颤器,其包括用于向患者施加电击的第一和第二手持电极,其中两个电极分别适于右手和左手使用。 每个电极包括适于由操作者的手指夹紧的细长构件(62),邻近细长构件的一端定位的致动器(26)和邻近细长构件的一侧定位的阻挡装置(52)。 阻挡装置适于阻止操作者用操作者的一只手握住细长构件,同时将该手的拇指定位在致动器附近。 因此,电极适用于左手或右手使用。 阻挡装置可以包括杯状凹部(50)的一个侧壁(52),并且细长构件可以包括在平行于侧壁的方向上跨过杯形凹陷的手柄(62)。 电极还可以包括横向凹部(102),以进一步将操作者的手与电极元件(66)隔​​离开。 因此,具有如上所述的右手和左手电极的除颤器适用于预先建立的极性。
    • 94. 发明授权
    • Blood pressure measuring device having adaptive cuff deflation rate
    • 具有适应性袖带放气率的血压测量装置
    • US4625277A
    • 1986-11-25
    • US617124
    • 1984-06-04
    • Christopher PearceMichel A. LynchRichard K. Davis
    • Christopher PearceMichel A. LynchRichard K. Davis
    • A61B5/022G06F17/00G06F15/42
    • A61B5/022Y10S128/923
    • A device is disclosed for making blood pressure measurements using an inflatable cuff (12), wherein the cuff deflation rate is established based upon prior blood pressure measurements. The cuff is adapted for applying pressure to a patient adjacent a blood vessel. the device includes means (14, 16) for inflating and deflating the cuff, a sensor system (60) for providing sensor signals during cuff deflation that correspond to the cuff pressure and to the blood flow surges in the blood vessel, and a process controller (100). The process controller causes inflation of the cuff to a first pressure and subsequent deflation of the cuff from the first pressure to a lower second pressure at a preestablished deflation rate, the inflation and subsequent deflation of the cuff comprising one measurement cycle. The process controller also processes the sensor signals provided during a given measurement cycle in order to determine at least one blood pressure value indicative of the patient's blood pressure for that measurement cycle. The process controller includes parameter setting means for establishing the cuff deflation rate for a given measurement cycle based upon the blood pressure value determined during at least one previous measurement cycle. The parameter setting means may establish the deflation rate based upon both blood pressure and pulse rate values determined during previous measurement cycles. The deflation rate may be established so as to provide a predetermined number of blood flow surges between systolic and diastolic pressures in the given measurement cycle.
    • 公开了一种用于使用可充气袖带(12)进行血压测量的装置,其中,基于先前的血压测量建立了袖带放气速率。 袖带适于向邻近血管的患者施加压力。 所述装置包括用于使所述袖带膨胀和放气的装置(14,16),用于在袖带放气期间提供对应于袖带压力和血管中的血流冲击的传感器信号的传感器系统(60) (100)。 过程控制器使得袖带的充气达到第一压力,并且随后在预先设定的放气速率下将袖带从第一压力下降到较低的第二压力,袖带的充气和随后的放气包括一个测量周期。 过程控制器还处理在给定测量周期期间提供的传感器信号,以便确定指示该测量周期的患者血压的至少一个血压值。 过程控制器包括参数设置装置,用于根据在至少一个先前测量循环期间确定的血压值来建立给定测量周期的袖带放气速率。 参数设定单元可以基于先前测量周期中确定的血压和脉搏值来建立排气速率。 可以建立放气速率,以便在给定的测量循环中提供在收缩压和舒张压之间的预定数量的血流冲击。
    • 95. 发明授权
    • Interactive portable defibrillator including ECG detection circuit
    • US4619265A
    • 1986-10-28
    • US776391
    • 1985-09-16
    • Carlton B. MorganDaniel YerkovichThomas D. LysterEric C. HagenDouglas H. Roberts
    • Carlton B. MorganDaniel YerkovichThomas D. LysterEric C. HagenDouglas H. Roberts
    • A61N1/08A61N1/39G09B23/28A61N1/36A61B5/05
    • A61N1/39A61N1/3925G09B23/288
    • A portable, interactive medical electronic device exemplified by a defibrillator. The device obtains information about a patient's condition, such as ECG and transthoracic impedance data, directly from the patient, and information pertinent to the treatment of the patient indirectly through an operator of the device, and produces a medically appropriate action such as a defibrillation shock in response. Indirect information is obtained through information processing means that includes means for prompting the operator of the device and means for receiving the operator's responses thereto. Prompts may include both questions and instructions, and in one embodiment the information processing means obtains the assent of the operator before causing the defibrillation shock. Indirect information may include information as to whether the patient is conscious, and as to whether or not cardiopulmonary resuscitation has been performed. The ECG and transthoracic impedance data may be collected through a common pair of electrodes. In one embodiment the device produces an indication that the ECG data is invalid if the transthoracic impedance data indicates excessive motion on the part of the patient. When a defibrillation shock is determined to be medically appropriate, a control signal is produced that causes the charging of an energy storage means and the subsequent discharging of such energy storage means through the patient without further operator intervention. The device also includes a tape recorder for allowing later analysis of the use of the device, and means for holding the tape recorder drive means in a disengaged position until the device is opened for use. The device also includes testing means for enabling a person to test the condition of the device without opening the case in which it is enclosed, means for producing and recording a distinctive sound when and if a defibrillation pulse is delivered, and means for allowing the electrodes to be quickly disconnected so that emergency personnel can conveniently use the electrodes with their own equipment.
    • 96. 发明授权
    • Interactive portable defibrillator
    • US4610254A
    • 1986-09-09
    • US587439
    • 1984-03-08
    • Carlton B. MorganDaniel YerkovichThomas D. LysterEric C. HagenDouglas H. Roberts
    • Carlton B. MorganDaniel YerkovichThomas D. LysterEric C. HagenDouglas H. Roberts
    • A61N1/08A61N1/39G09B23/28A61N1/36
    • A61N1/39A61N1/3925A61N1/3937G09B23/288
    • A portable, interactive medical electronic device exemplified by a defibrillator. The device obtains information about a patient's condition, such as ECG and transthoracic impedance data, directly from the patient, and information pertinent to the treatment of the patient indirectly through an operator of the device, and produces a medically appropriate action such as a defibrillation shock in response. Indirect information is obtained through information processing means that includes means for prompting the operator of the device and means for receiving the operator's responses thereto. Prompts may include both questions and instructions, and in one embodiment the information processing means obtains the assent of the operator before causing the defibrillation shock. Indirect information may include information as to whether the patient is conscious, and as to whether or not cardiopulmonary resuscitiation has been performed. The ECG and transthroacic impedance data may be collected through a common pair of electrodes. In one embodiment the device produces an indication that the ECG data is invalid if the transthoracic impedance data indicates excessive motion on the part of the patient. When a difibrillation shock is determined to be medically appropriate, a control signal is produced that causes the charging of an energy storage means and the subsequent discharging of such energy storage means through the patient without further operator intervention. The device also includes a tape recorder for allowing later analysis of the use of the device, and means for holding the tape recorder drive means in a disengaged position until the device is opened for use. The device also includes testing means for enabling a person to test the condition of the device without opening the case in which it is enclosed, means for producing and recording a distinctive sound when and if a defibrillation pulse is delivered, and means for allowing the electrodes to be quickly disconnected so that emergency personnel can conveniently use the electrodes with their own equipment.