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    • 65. 发明授权
    • Posture and device orientation and calibration for implantable medical
devices
    • 植入式医疗设备的姿势和设备定向和校准
    • US6044297A
    • 2000-03-28
    • US160647
    • 1998-09-25
    • Todd J. SheldonWilliam J. CombsMark K. EricksonCan Cinbis
    • Todd J. SheldonWilliam J. CombsMark K. EricksonCan Cinbis
    • A61N1/365A61N1/362
    • A61N1/36542A61N1/36535
    • A method of and apparatus for determining the physical posture of a patient's body, having a superior-inferior body axis, an anterior-posterior body axis and a lateral-medial body axis, in relation to earth's gravitational field. A medical device having first, second and, optionally, third accelerometers having sensitive axes mounted orthogonally within an implantable housing is adapted to be implanted with the sensitive axes nominally aligned with ideal X, Y and Z device axes correlated to patient body axes. Each accelerometer generates DC accelerometer signals having characteristic magnitudes and polarities on alignment of the sensitive axis with, against or normal to earth's gravitational field and DC accelerometer signals of varying magnitudes and polarities when not so aligned. The actual pitch and roll angles of the sensitive axes of the accelerometers in the implanted IMD with respect to the true gravitational axes are determined and the yaw angles are determined or estimated. Corrected DC accelerometer output signals are derived from the pitch, roll and yaw angles and are compared to a set of stored thresholds for each body posture to determine the actual body posture. Storage of these comparisons or the raw signals themselves can be used for histogram data to provide theraputic or research benefits also described.
    • 一种用于确定患者身体的物理姿势的方法和装置,其具有相对于地球重力场的上下身体轴线,前后身体轴线和侧向内侧身体轴线。 具有第一,第二和第三加速度计的医疗设备具有正交安装在可植入的外壳内的敏感轴,适于植入与名义上与理想的与患者体轴相关的X,Y和Z装置轴对准的敏感轴。 每个加速度计产生具有特征幅度和极性的特征幅度和极性的直流加速度计信号,当不对准时,敏感轴对准或反对或垂直于地球重力场和具有不同幅度和极性的直流加速度计信号。 确定和估计在植入的IMD中相对于真重力轴的加速度计的敏感轴的实际俯仰角和倾斜角,并且确定或估计偏航角。 校正的直流加速度计输出信号是从俯仰角,偏转角和偏航角度得出的,并且与每个身体姿势的一组存储的阈值进行比较,以确定实际的身体姿势。 这些比较或原始信号本身的存储可用于直方图数据,以提供还描述的治疗或研究益处。
    • 66. 发明授权
    • Non-physiologic sense detection for implantable medical devices
    • 用于可植入医疗器械的非生理检测
    • US5910156A
    • 1999-06-08
    • US966107
    • 1997-11-07
    • Can CinbisJames D. ReinkeTodd M. Tanji
    • Can CinbisJames D. ReinkeTodd M. Tanji
    • A61N1/37
    • A61N1/3704
    • Method and apparatus for detection of non-physiologic senses checks the output of the sense amplifier of an implanted medical device where the inputs of the sense amplifier are adapted to connect to a living body for sensing electrical signals representative of physiologic events, and especially heart beats, and if that sense output senses a physiologic event within a predetermined time after a non-physiologic event is sensed by another circuit also connected to receive electrical signals from said living body, then there is reported out a signal indicating that the event sensed by the sense amplifier is of a non-physiologic nature. Various uses are accomplished with the information in these output signals.
    • 用于检测非生理感觉的方法和装置检查植入医疗装置的感测放大器的输出,其中感测放大器的输入适于连接到活体,用于感测代表生理事件的电信号,特别是心跳 并且如果该感测输出在非连接事件之后的预定时间内感测到生理事件,该另一电路也被连接以接收来自所述活体的电信号,则报告出一个信号,该信号指示由 感觉放大器具有非生理性质。 这些输出信号中的信息可以实现各种用途。
    • 67. 发明授权
    • Distance measurement using implantable acoustic transducers
    • 使用植入式声学换能器进行距离测量
    • US09095284B2
    • 2015-08-04
    • US12914616
    • 2010-10-28
    • Can Cinbis
    • Can Cinbis
    • A61B5/107A61N1/365A61B8/00A61N1/368A61B5/00A61N1/362
    • A61B5/1076A61B5/686A61B5/6869A61B8/56A61B2562/06A61N1/3627A61N1/36528A61N1/36578A61N1/368
    • Implantable systems and methods (e.g., using an implantable medical device) for measuring distance including a transmit/receive acoustic transducer implantable at a first location for transmitting and receiving acoustic signals, an echo acoustic transducer implantable at a second location for receiving the acoustic signal from the transmit/receive acoustic transducer and in response thereto transmitting a return echo signal to be received by the transmit/receive acoustic sensor, and a controller to control transmission of the acoustic signal from the transmit/receive acoustic transducer at a transmit time and determine a receive time corresponding to the time the transmit/receive acoustic transducer receives the return echo signal. The distance between the transmit/receive acoustic transducer and the echo acoustic transducer is determined as a function of the transmit time and the receive time.
    • 用于测量距离的可植入系统和方法(例如,使用可植入医疗装置),包括可在第一位置处植入以发射和接收声信号的发射/接收声学换能器,可在第二位置植入的用于接收来自 发射/接收声换能器,并响应于此发送要由发射/接收声传感器接收的返回回波信号,以及控制器,用于在发射时间控制来自发射/接收声换能器的声信号的传输,并确定 接收时间对应于发送/接收声换能器接收返回回波信号的时间。 发射/接收声学换能器与回波声换能器之间的距离被确定为发射时间和接收时间的函数。