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31. 发明申请

US20090124917A1 ADVANCED PATIENT MANAGEMENT WITH ENVIRONMENTAL DATA 有权
标题翻译：高级病人管理与环境数据
公开(公告)号：US20090124917A1
公开(公告)日：2009-05-14
申请号：US12350875
申请日：2009-01-08
申请人： John Hatlestad , Jeffrey E. Stahmann , Qingsheng Zhu
发明人： John Hatlestad , Jeffrey E. Stahmann , Qingsheng Zhu
IPC分类号： A61B5/08
CPC分类号： A61B5/0031 , A61B5/0022 , A61B5/0205 , A61B5/0537 , A61B5/0816 , A61B5/091 , A61B5/1118 , A61B7/04 , A61B2560/0247 , A61B2560/0252 , A61B2560/0257 , A61N1/37252 , A61N1/37282 , G06F19/00 , G06F19/3418 , G16H40/63 , G16H50/30
摘要： Systems, devices and methods for using environmental data to manage health care are disclosed. One aspect is an advanced patient management system. In various embodiments, the system includes at least one implantable medical device (IMD) to acquire at least one IMD parameter indicative of patient wellness, means to acquire at least one environmental parameter from at least one external source, and means to correlate the at least one parameter indicative of patient wellness and the at least one environmental parameter to assist with patient health care decisions. Other aspects and embodiments are provided herein.
摘要翻译：公开了使用环境数据来管理医疗保健的系统，设备和方法。一个方面是先进的患者管理系统。在各种实施例中，系统包括至少一个可植入医疗装置（IMD），以获取指示患者健康的至少一个IMD参数，从至少一个外部源获取至少一个环境参数的手段，以及至少将指示患者健康的一个参数和用于协助患者医疗保健决定的至少一个环境参数。本文提供了其它方面和实施例。

32. 发明申请

US20090105554A1 ADVANCED PATIENT MANAGEMENT FOR IDENTIFYING, DISPLAYING AND ASSISTING WITH CORRELATING HEALTH-RELATED DATA 有权
标题翻译：高级患者管理，用于识别，显示和辅助相关健康相关数据
公开(公告)号：US20090105554A1
公开(公告)日：2009-04-23
申请号：US12341207
申请日：2008-12-22
申请人： Jeffrey E. Stahmann , John Hatlestad , Qingsheng Zhu
发明人： Jeffrey E. Stahmann , John Hatlestad , Qingsheng Zhu
IPC分类号： A61B5/00
CPC分类号： A61B5/02405 , A61B5/0006 , A61B5/0031 , A61B5/02055 , A61B5/0215 , A61B5/024 , A61B5/0464 , A61B5/0809 , A61B5/0816 , A61B5/0833 , A61B5/16 , A61B5/205 , A61B5/743 , A61B5/7435 , A61B5/7475 , A61B7/00 , A61B2560/0242 , A61B2560/0271 , G06F19/00
摘要： Systems, devices and methods for identifying, displaying and assisting in correlating health-related data. One aspect is a programmable device having machine executable instructions for performing a method for use in correlating data to manage a patient's health. In various embodiments, data related to the patient's health is acquired. The acquired data includes one or more trended health-related parameters, and at least one of one or more predetermined health-related events and one or more health-related alerts. Correlations are identified. The one or more trended health-related parameters and the at least one of the one or more predetermined health-related events and the one or more health-related alerts establish a causal relationship between the acquired data and the patient's health.
摘要翻译：用于识别，显示和协助关联健康相关数据的系统，设备和方法。一个方面是具有机器可执行指令的可编程设备，用于执行用于关联数据以管理患者健康的方法。在各种实施例中，获得与患者健康有关的数据。所获取的数据包括一个或多个趋势健康相关参数，以及一个或多个预定健康相关事件和一个或多个健康相关警报中的至少一个。确定相关性。所述一个或多个趋势健康相关参数以及所述一个或多个预定健康相关事件和所述一个或多个健康相关警报中的至少一个建立所获取的数据与所述患者健康之间的因果关系。

33. 发明申请

US20050187789A1 Advanced patient and medication therapy management system and method 审中-公开
标题翻译：先进的患者和药物治疗管理系统及方法
公开(公告)号：US20050187789A1
公开(公告)日：2005-08-25
申请号：US10787045
申请日：2004-02-25
申请人： John Hatlestad , Qingsheng Zhu , Marina Brockway
发明人： John Hatlestad , Qingsheng Zhu , Marina Brockway
IPC分类号： A61N1/372 , A61N1/39 , G06F19/00 , G06Q10/00 , G06Q50/00 , G06F17/60
CPC分类号： G06Q50/22 , A61N1/3956 , G06F19/326 , G06F19/3456 , G06Q10/10
摘要： A patient medication consumption and prescription regimen management system. The system includes a containment unit that is configured to accessibly house medication. The containment unit includes a control system that monitors patient medication consumption, and provides reminders to the patient to take scheduled doses of medication(s). The system further includes a health management host system that is coupled wirelessly or via an internet connection to the containment unit and provides a care provider with the ability to monitor patient medication use, along with other patient physiological parameters in assessing patient medication regimen compliance and medication regimen applicability to a patients medical condition.
摘要翻译：患者用药消费和处方方案管理系统。该系统包括一个容纳单元，该容纳单元被配置成可容易地安置药物。容纳单元包括监测患者药物消耗的控制系统，并且向患者提供采取预定剂量的药物的提醒。该系统还包括健康管理主机系统，其被无线地或经由因特网连接耦合到容纳单元，并且在评估患者药物治疗方案依从性和药物时向护理提供者提供监测患者药物使用的能力以及其他患者生理参数方案适用于患者的医疗状况。

34. 发明申请

US20050137487A1 System and method for acquiring breathing pattern signals from intracardiac electrograms and its use for heart failure therapy decision making and disease monitoring 有权
标题翻译：用于从心脏电图获取呼吸模式信号的系统和方法及其用于心力衰竭治疗决策和疾病监测
公开(公告)号：US20050137487A1
公开(公告)日：2005-06-23
申请号：US10742683
申请日：2003-12-19
申请人： Qingsheng Zhu , John Hatlestad , Julio Spinelli , Ken Kenknight
发明人： Qingsheng Zhu , John Hatlestad , Julio Spinelli , Ken Kenknight
IPC分类号： A61B5/00 , A61B5/0402 , A61B5/0456 , A61B5/08
CPC分类号： A61B5/0031 , A61B5/0456 , A61B5/0816
摘要： An ICD processing system for acquiring breathing pattern signals from intracardiac electrograms obtained from implantable cardiac devices. The system may include both an implantable ICD device and an external processing system. Both the ICD module and the external processing system processing data to generate a representation for the respiration rate for a patient using intracardiac electrogram data obtained by the ICD device. The ICD module and the external processing module communicate with each other to pass collected patient data from the ICD module to the external processing system. The ICD module and the external processing module process the electrogram data to obtain an processed data representation of the respiration data which is used to estimate the respiration rate.
摘要翻译：一种ICD处理系统，用于从可植入心脏装置获得的心脏内电图获取呼吸模式信号。该系统可以包括可植入ICD装置和外部处理系统。 ICD模块和外部处理系统两者都处理数据，以产生使用ICD设备获得的心内电描记图数据的患者呼吸率的表示。 ICD模块和外部处理模块相互通信，将收集的患者数据从ICD模块传递到外部处理系统。 ICD模块和外部处理模块处理电图数据以获得用于估计呼吸速率的呼吸数据的处理数据表示。

35. 发明授权

US09375566B2 Device for reporting heart failure status 有权
标题翻译：用于报告心力衰竭状态的装置
公开(公告)号：US09375566B2
公开(公告)日：2016-06-28
申请号：US13185203
申请日：2011-07-18
申请人： Jeffrey E. Stahmann , John Hatlestad , Qingsheng Zhu
发明人： Jeffrey E. Stahmann , John Hatlestad , Qingsheng Zhu
IPC分类号： A61N1/08
CPC分类号： A61B5/0205 , A61B5/021 , A61B5/024 , A61B5/053 , A61B5/0816 , A61B5/0826 , A61B5/091 , A61B5/1116 , A61B5/1118 , A61B5/4878 , A61B5/686 , A61B5/746 , A61B7/02 , A61N1/08
摘要： An embodiment of a device for reporting a heart failure status of a patient comprises: a parameter acquisition module configured to acquire at least one trended heart failure parameter; a predetermined event acquisition module configured to acquire at least one predetermined event corresponding to the at least one trended heart failure parameter, wherein each of the at least one predetermined event represents an event condition where a predetermined event definition is satisfied; an alert acquisition module configured to acquire at least one heart failure status alert associated with the at least one predetermined event, wherein each of the at least one alert represents an alert condition where a predetermined alert definition is satisfied; and an output communication module configured to communicate the at least one heart failure status alert.
摘要翻译：用于报告患者的心力衰竭状态的装置的实施例包括：参数获取模块，被配置为获取至少一个趋势性心力衰竭参数; 预定事件获取模块，被配置为获取与所述至少一个趋势性心力衰竭参数相对应的至少一个预定事件，其中所述至少一个预定事件中的每一个表示满足预定事件定义的事件条件; 警报采集模块，被配置为获取与所述至少一个预定事件相关联的至少一个心力衰竭状态警报，其中所述至少一个警报中的每一个表示满足预定警报定义的警报状况; 以及输出通信模块，被配置为通信所述至少一个心力衰竭状态警报。

36. 发明授权

US08391989B2 Advanced patient management for defining, identifying and using predetermined health-related events 有权
标题翻译：高级患者管理用于定义，识别和使用预定的健康相关事件
公开(公告)号：US08391989B2
公开(公告)日：2013-03-05
申请号：US10323604
申请日：2002-12-18
申请人： John Hatlestad , Jeffrey E. Stahmann , Qingsheng Zhu
发明人： John Hatlestad , Jeffrey E. Stahmann , Qingsheng Zhu
IPC分类号： A61N1/00
CPC分类号： A61B5/0205 , A61N1/08
摘要： Systems, devices and methods for defining, identifying and using health-related significant events are disclosed. One aspect is a programmable device having machine executable instructions for performing a method to assist with managing a patient's health. In various embodiments, at least one previously-defined event is detected based on a number of acquired health-related parameters. The at least one detected event is recorded with an associated time when the at least one detected significant event occurred. An action is triggered based on the at least one detected event. The at least one detected event is displayed with at least one trended health-related parameter in a single display area. Other aspects and embodiments are provided herein.
摘要翻译：公开了用于定义，识别和使用健康相关重要事件的系统，设备和方法。一个方面是具有用于执行帮助管理患者健康的方法的机器可执行指令的可编程设备。在各种实施例中，基于获取的健康相关参数的数量来检测至少一个先前定义的事件。当发生至少一个检测到的有害事件时，相关联的时间记录至少一个检测到的事件。基于至少一个检测到的事件触发动作。至少一个检测到的事件在单个显示区域中与至少一个趋势健康相关的参数显示。本文提供了其它方面和实施例。

37. 发明授权

US08317719B2 Apparatus and method for detecting lung sounds using an implanted device 有权
标题翻译：使用植入装置检测肺声的装置和方法
公开(公告)号：US08317719B2
公开(公告)日：2012-11-27
申请号：US13094597
申请日：2011-04-26
申请人： John Hatlestad , Qingsheng Zhu , Jeffrey E. Stahmann
发明人： John Hatlestad , Qingsheng Zhu , Jeffrey E. Stahmann
IPC分类号： A61B5/08 , A61B7/00
CPC分类号： A61B7/003 , A61N1/36514 , A61N1/36535
摘要： Adventitious lung sounds indicative of lung congestion are detected using an implantable sensor. The sensor is adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds in response to pulmonary system activity. A controller receives the signals and processes the signals to detect the presence of adventitious lung sounds. A respiratory cycle sensor operating in conjunction with the lung-sound sensor enables classification of an adventitious lung sound according to its time occurrence within the respiratory cycle. Posture sensing in conjunction with lung-sound sensing provides valuable additional information as to the severity of the lung congestion.
摘要翻译：使用植入式传感器检测到指示肺充血的不定肺声。传感器适于邻近肺部系统定位，并响应于肺部系统活动而输出指示肺部声音的信号。控制器接收信号并处理信号以检测不定肺声的存在。与肺声传感器一起操作的呼吸循环传感器可以根据呼吸周期内的时间发生分类不定肺声。结合肺部感觉的姿势感知提供了关于肺充血严重程度的有价值的附加信息。

38. 发明授权

US07184817B2 System and method for acquiring breathing pattern signals from intracardiac electrograms and its use for heart failure therapy decision making and disease monitoring 有权
标题翻译：用于从心脏电图获取呼吸模式信号的系统和方法及其用于心力衰竭治疗决策和疾病监测
公开(公告)号：US07184817B2
公开(公告)日：2007-02-27
申请号：US10742683
申请日：2003-12-19
申请人： Qingsheng Zhu , John Hatlestad , Julio Spinelli , Ken Kenknight
发明人： Qingsheng Zhu , John Hatlestad , Julio Spinelli , Ken Kenknight
IPC分类号： A61B5/402
CPC分类号： A61B5/0031 , A61B5/0456 , A61B5/0816
摘要： An ICD processing system for acquiring breathing pattern signals from intracardiac electrograms obtained from implantable cardiac devices. The system may include both an implantable ICD device and an external processing system. Both the ICD module and the external processing system processing data to generate a representation for the respiration rate for a patient using intracardiac electrogram data obtained by the ICD device. The ICD module and the external processing module communicate with each other to pass collected patient data from the ICD module to the external processing system. The ICD module and the external processing module process the electrogram data to obtain an processed data representation of the respiration data which is used to estimate the respiration rate.
摘要翻译：一种ICD处理系统，用于从可植入心脏装置获得的心脏内电图获取呼吸模式信号。该系统可以包括可植入ICD装置和外部处理系统。 ICD模块和外部处理系统两者都处理数据，以产生使用ICD设备获得的心内电描记图数据的患者呼吸率的表示。 ICD模块和外部处理模块相互通信，将收集的患者数据从ICD模块传递到外部处理系统。 ICD模块和外部处理模块处理电图数据以获得用于估计呼吸速率的呼吸数据的处理数据表示。

39. 发明授权

US07186220B2 Implantable devices and methods using frequency-domain analysis of thoracic signal 有权
标题翻译：可植入装置和方法使用胸腔信号的频域分析
公开(公告)号：US07186220B2
公开(公告)日：2007-03-06
申请号：US10612387
申请日：2003-07-02
申请人： Jeffrey E. Stahmann , Jesse W. Hartley , Quan Ni , John Hatlestad
发明人： Jeffrey E. Stahmann , Jesse W. Hartley , Quan Ni , John Hatlestad
IPC分类号： A61B5/08
CPC分类号： A61B5/0535 , A61B5/08 , A61B5/7257 , A61N1/36521 , A61N1/36592
摘要： This document describes, among other things, systems, devices, and methods that use frequency domain analysis of a thoracic signal. One example uses frequency domain analysis for discriminating between different pulmonary physiological states. Examples of breathing states include normal breathing, periodic breathing, Cheyne-Stokes breathing, obstructed respiration, restrictive respiration, and pulmonary edema. The frequency domain analysis may also be used for performing heart rate variability (HRV) diagnostics. In one example, a frequency domain adaptive filter implements a variable cutoff frequency for separating heart contraction spectral content and other spectral content from lower frequency respiration spectral content and other lower frequency spectral content.
摘要翻译：本文档描述了使用胸部信号的频域分析的系统，设备和方法。一个例子使用频域分析来区分不同的肺部生理状态。呼吸状态的例子包括正常呼吸，定期呼吸，切尼 - 斯托克斯呼吸，阻塞呼吸，限制性呼吸和肺水肿。频域分析也可用于执行心率变异性（HRV）诊断。在一个示例中，频域自适应滤波器实现用于将心脏收缩频谱内容和其他频谱内容与较低频率呼吸频谱内容和其他较低频谱内容分离的可变截止频率。

40. 发明申请

US20070249950A1 IMPLANTED AIR PASSAGE SENSORS 有权
标题翻译：嵌入式空气传感器
公开(公告)号：US20070249950A1
公开(公告)日：2007-10-25
申请号：US11379396
申请日：2006-04-20
申请人： Thomas Piaget , Paul Huelskamp , Jeffrey Stahmann , John Hatlestad
发明人： Thomas Piaget , Paul Huelskamp , Jeffrey Stahmann , John Hatlestad
IPC分类号： A61B5/08
CPC分类号： A61B5/0031 , A61B5/036 , A61B5/08 , A61B5/0833 , A61B5/0836 , A61B5/1459 , A61B5/4818 , A61B5/68 , A61B7/003 , A61B2560/0242
摘要： A physiological sensor is located within the airway of the subject's body, such as for measuring barometric pressure and communicating this value to a blood pressure or other monitoring device, which can derive gauge pressure using the barometric pressure and a measured absolute pressure within the body. The physiological sensor may also detect one or more other physiological parameters such as air flow, sound, or a chemical property. It may be anchored within the airway with the ability to communicate wirelessly to one or more other medical devices, such as an implanted cardiac function management device. Methods of use are also described.
摘要翻译：生理传感器位于受试者身体的气道内，例如用于测量大气压力并将该值传递到血压或其他监测装置，其可以使用大气压力和体内测量的绝对压力来导出表压。生理传感器还可以检测一个或多个其它生理参数，例如气流，声音或化学性质。它可以锚定在气道内，具有与一个或多个其它医疗装置（例如植入式心脏功能管理装置）无线通信的能力。还描述了使用方法。

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