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61. 发明授权

US06907291B1 Secure telemetry system and method for an implantable cardiac stimulation device 有权
标题翻译：用于可植入心脏刺激装置的安全遥测系统和方法
公开(公告)号：US06907291B1
公开(公告)日：2005-06-14
申请号：US10464936
申请日：2003-06-18
申请人： Jeffery D. Snell , Laurence S. Sloman
发明人： Jeffery D. Snell , Laurence S. Sloman
IPC分类号： A61N1/372 , A61N1/362
CPC分类号： A61N1/37252
摘要： An implantable cardiac stimulation device establishes communication with at least first and second external devices which communicate using first and second communication protocols, respectively, and wherein the first and second protocols are different. The implantable device includes a pulse generator configured to generate stimulation pulses and a telemetry circuit arranged to establish communication with the first and second external devices according to the first and second communication protocols, respectively. A control circuit coupled to the telemetry circuit and the pulse generator detects the first and second external devices based upon the protocol used in establishing communication to provide a first response when the first external device is detected and a second response when the second external device is detected.
摘要翻译：可植入心脏刺激装置与至少第一和第二外部设备建立通信，所述至少第一和第二外部设备分别使用第一和第二通信协议通信，并且其中第一和第二协议是不同的。可植入装置包括被配置为产生刺激脉冲的脉冲发生器和设置成分别根据第一和第二通信协议与第一和第二外部设备建立通信的遥测电路。耦合到遥测电路和脉冲发生器的控制电路基于在建立通信时使用的协议来检测第一外部设备和第二外部设备，以在检测到第一外部设备时提供第一响应，以及当检测到第二外部设备时的第二响应。

62. 发明授权

US06263245B1 System and method for portable implantable device interogation 有权
标题翻译：便携式植入式装置相互作用的系统和方法
公开(公告)号：US06263245B1
公开(公告)日：2001-07-17
申请号：US09372967
申请日：1999-08-12
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： A61N136
CPC分类号： A61N1/37252 , Y10S128/903
摘要： A system and method for obtaining data from an implantable medical device and delivering the data to a data processing device is disclosed. A portable interrogation device conducts a wireless interrogation of an implantable medical device implanted in a patient, and stores the data received from the implantable device in a memory of the portable interrogation device. At a later time, the portable interrogation device is directly interfaced with a data processing device using a high-speed connection, which provides the data processing device with high speed access to the interrogated data that is stored in the portable interrogation device's memory.
摘要翻译：公开了一种用于从可植入医疗设备获取数据并将数据传送到数据处理设备的系统和方法。便携式询问装置对植入患者的可植入医疗装置进行无线询问，并将从可植入装置接收的数据存储在便携式询问装置的存储器中。在稍后的时间，便携式询问装置与使用高速连接的数据处理装置直接接口，该高速连接为数据处理装置提供对存储在便携式询问装置的存储器中的询问数据的高速访问。

63. 发明授权

US06249705B1 Distributed network system for use with implantable medical devices 有权
标题翻译：分布式网络系统，用于植入式医疗设备
公开(公告)号：US06249705B1
公开(公告)日：2001-06-19
申请号：US09422511
申请日：1999-10-21
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： A61N137
CPC分类号： A61N1/37264 , A61N1/37211 , A61N1/37282 , G06F8/65 , G06F19/00
摘要： A distributed system of network programmers is described for use with implantable medical devices. The system includes a set of network programmers each having a processor for performing functions directed to programming an implantable medical device and having a transceiver for communicating with the implantable medical device in response to those functions. The system also includes a remotely located network server. The network server has a processor for performing additional functions directed to analyzing information received from the network programmers and to transmitting the results of analyses to selected network programmers. By providing network programmers configured to perform only limited functions in conjunction with a network server, the individual network programmers can be considerably less costly to manufacture and maintain. Yet each of the network programmers can exploit a far greater amount of processing power and access a much larger database of information than a conventional stand-alone programmer. Stored information pertaining to numerous patients is shared among many programmers permitting easy access by the physician. Software updates to the network programmers are easily performed by transmitting new software from the network server to the network programmers. A system of distributed network transtelephonic monitors is also described.
摘要翻译：网络编程器的分布式系统被描述为与可植入医疗设备一起使用。该系统包括一组网络编程器，每个网络编程器具有处理器，用于执行针对可植入医疗设备的编程的功能，并且具有用于响应于这些功能与可植入医疗设备进行通信的收发器。该系统还包括一个位于远程的网络服务器。网络服务器具有处理器，用于执行用于分析从网络程序员接收的信息的附加功能，并将分析结果发送给所选择的网络程序员。通过提供被配置为仅与网络服务器一起执行有限功能的网络程序员，各个网络程序员的制造和维护成本可能相当低。然而，每个网络程序员都可以利用更大量的处理能力并访问比传统的独立编程器更大的信息数据库。与许多患者有关的存储信息在许多程序员之间共享，允许医生轻松访问。通过从网络服务器向网络程序员传送新的软件，可轻松实现对网络程序员的软件更新。还描述了一种分布式网络监听器的系统。

64. 发明授权

US5954666A System for analyzing specific portions of cardiac waveforms 失效
标题翻译：用于分析心脏波形的特定部分的系统
公开(公告)号：US5954666A
公开(公告)日：1999-09-21
申请号：US511566
申请日：1995-08-04
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： G06F17/00 , A61B5/044
CPC分类号： A61B5/0456 , A61B5/7217
摘要： A system for analyzing cardiac waveforms is provided that allows a physician to accurately measure specific portions of a displayed IEGM or EKG signal. By examining the cardiac waveform with the analyzing system, the physician can quickly and accurately determine whether the device is operating properly. The physician may use one or two cursors or an icon or pointer to define a specific portion of the cardiac waveform to be analyzed. Various waveform characteristics such as relative waveform amplitude, maximum slew rate, power spectral density, and time elapsed can be determined for the specific portion of the cardiac waveform. If desired, the waveform characteristic determined for the specific portion of the cardiac waveform can be compared to statistical waveform data (e.g., in the form of a histogram).
摘要翻译：提供了一种用于分析心脏波形的系统，其允许医师准确测量所显示的IEGM或EKG信号的特定部分。通过使用分析系统检查心脏波形，医生可以快速准确地确定设备是否正常运行。医生可以使用一个或两个光标或图标或指针来定义要分析的心脏波形的特定部分。可以针对心脏波形的特定部分确定各种波形特性，例如相对波形幅度，最大转换速率，功率谱密度和时间。如果需要，可以将心脏波形的特定部分确定的波形特性与统计波形数据（例如，以直方图的形式）进行比较。

65. 发明授权

US5833623A System and method for facilitating rapid retrieval and evaluation of diagnostic data stored by an implantable medical device 失效
标题翻译：用于促进可植入医疗装置存储的诊断数据的快速检索和评价的系统和方法
公开(公告)号：US5833623A
公开(公告)日：1998-11-10
申请号：US851059
申请日：1997-05-05
申请人： Brian M. Mann , Joseph J. Florio , Jason A. Sholder , Leslie S. Miller , Jeffery D. Snell , Kenneth Valikai , Gregory Bevan , J. Kelly Fox , Azita M. Rahbari , Allan R. Schwartz
发明人： Brian M. Mann , Joseph J. Florio , Jason A. Sholder , Leslie S. Miller , Jeffery D. Snell , Kenneth Valikai , Gregory Bevan , J. Kelly Fox , Azita M. Rahbari , Allan R. Schwartz
IPC分类号： A61B5/00 , A61B5/044 , A61N1/37
CPC分类号： G06F19/345 , A61B5/0031 , A61B5/044 , A61N1/3702 , G06F19/3406 , G06F19/3487
摘要： An implantable device programmer includes a variety of features for allowing a clinician to perform an automated and customized follow-up examination of a patient having an implanted cardiac implantable device, the implantable device being of the type which captures and stores various types of diagnostic data for subsequent retrieval and evaluation. A custom protocol feature of the programmer allows the clinician pre-specify and then semi-automatically follow an ordered sequence of protocol steps, each protocol step involving the interrogation of the implantable device and the display by the programmer of associated implantable device data (such as a heart rate histogram, or the results of a ventricular capture test). When the clinician initiates a custom protocol, the programmer automatically retrieves all of the diagnostic data records of the protocol in the protocol order. This automatic retrieval is performed in the background, allowing the clinician to begin viewing the initial diagnostic data records of the protocol while the other items are being retrieved. Via a user interface of the programmer, the clinician can rapidly and efficiently sequence through the data display screens associated with the protocol, to thereby view the various diagnostic data records and/or perform the various diagnostic tests of the protocol.
摘要翻译：可植入装置编程器包括各种特征，用于允许临床医生对具有植入的心脏可植入装置的患者执行自动和定制的随访检查，该可植入装置是捕获和存储各种类型的诊断数据的类型，后续检索和评估。编程器的定制协议特征允许临床医生预先指定然后半自动遵循协议步骤的有序序列，每个协议步骤涉及可植入装置的询问以及程序员对相关的可植入装置数据的显示（例如心率直方图或心室捕获测试的结果）。当临床医生启动自定义协议时，程序员将以协议顺序自动检索协议的所有诊断数据记录。这种自动检索在后台执行，允许临床医生在检索其他项目时开始查看协议的初始诊断数据记录。通过程序员的用户界面，临床医生可以快速有效地顺序通过与协议相关联的数据显示屏幕，从而查看各种诊断数据记录和/或执行协议的各种诊断测试。

66. 发明授权

US5749908A Methods and apparatus for annotating data in an implantable device programmer using digitally recorded sound 失效
标题翻译：使用数字记录声音在可植入装置编程器中注释数据的方法和装置
公开(公告)号：US5749908A
公开(公告)日：1998-05-12
申请号：US768734
申请日：1996-12-18
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： A61N1/37 , A61N1/372 , A61N1/36
CPC分类号： A61N1/37247 , A61N1/3702
摘要： Methods and apparatus are provided for annotating medical data in an implantable device programmer using digitally recorded sound. A display screen of the implantable device programmer preferably displays at least a portion of a patient data set. A user preferably designates a connection point of the patient data set. Voice signals from the user are received by a transducer and converted to electrical signals, which are then converted to digital data by an analog to digital converter. The digital voice data preferably are stored within a memory device of the implantable device programmer and preferably are linked to the connection point. A marker preferably is displayed on the display screen at a location corresponding to the connection point. The physician is able to listen to the voice annotation by selecting a playback button displayed on the display screen. Voice annotations preferably can be transcribed into text which preferably is displayed in a text window when the voice annotation marker is selected.
摘要翻译：提供了使用数字记录声音在可植入装置编程器中注释医疗数据的方法和装置。可植入装置编程器的显示屏优选地显示患者数据集的至少一部分。用户优选地指定患者数据集的连接点。来自用户的声音信号由换能器接收并转换成电信号，然后通过模数转换器转换成数字数据。数字语音数据优选地存储在可植入装置编程器的存储装置内，并且优选地连接到连接点。优选地，在与连接点对应的位置处，显示屏上显示标记。通过选择显示屏上显示的播放按钮，医师能够收听语音注释。语音注释优选地可以被转录成文本，当选择语音注释标记时，其优选地被显示在文本窗口中。

67. 发明授权

US5720771A Method and apparatus for monitoring physiological data from an implantable medical device 失效
标题翻译：用于监测来自可植入医疗装置的生理数据的方法和装置
公开(公告)号：US5720771A
公开(公告)日：1998-02-24
申请号：US510366
申请日：1995-08-02
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： A61B5/00 , A61B5/0205 , A61B5/02
CPC分类号： A61B5/0031 , A61B5/0205 , Y10S128/903
摘要： A monitoring system is provided that monitors the condition of a patient by analyzing physiological data received from implantable medical devices. The monitoring system has at least one monitoring unit, which preferably is suitable for stand-alone operation, or which may be connected to a central monitoring station. The monitoring unit, which receives the physiological data from the implantable medical devices via telemetry, determines whether a patient's physiological condition warrants attention. If the patient's condition is determined to be abnormal, the monitoring unit generates an audible alarm signal or generates an alarm signal that is transmitted to the central monitoring station.
摘要翻译：提供一种监测系统，其通过分析从可植入医疗装置接收的生理数据来监视患者的状况。监视系统具有至少一个监视单元，其优选地适合于独立操作，或者可以连接到中央监控站。通过遥测接收来自可植入医疗装置的生理数据的监视单元确定患者的生理状况是否值得注意。如果病人的状况被判定为异常，则监视单元生成声音报警信号，或者生成发送到中央监控站的报警信号。

68. 发明授权

US5716382A Programmer for an implantable cardiac stimulating device 失效
标题翻译：用于植入式心脏刺激装置的编程器
公开(公告)号：US5716382A
公开(公告)日：1998-02-10
申请号：US510365
申请日：1995-08-02
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： A61N1/365 , A61N1/372 , G06F17/00 , A61N1/362
CPC分类号： A61N1/37247
摘要： This invention provides a therapy decision support system and method for guiding physicians and medical technicians in optimizing a set of adjustable parameters that define the operating characteristics of implantable cardiac stimulating devices. The invention also provides an implantable cardiac stimulating device programmer which can furnish therapy decision support as well as telemetric data retrieval and telemetric programming capabilities.
摘要翻译：本发明提供了一种治疗决策支持系统和方法，用于指导医师和医疗技术人员优化限定可植入心脏刺激装置的操作特性的一组可调参数。本发明还提供了一种能够提供治疗决策支持以及遥测数据检索和遥测编程能力的可植入心脏刺激装置编程器。

69. 发明授权

US5487755A Methods for displaying a sequential series of pacing events 失效
标题翻译：显示顺序一系列起搏事件的方法
公开(公告)号：US5487755A
公开(公告)日：1996-01-30
申请号：US328218
申请日：1994-10-25
申请人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
发明人： Jeffery D. Snell , Harold C. Schloss , Brian M. Mann , John W. Poore , Roy B. Medlin
IPC分类号： A61N1/37 , A61N1/372
CPC分类号： A61N1/37247 , A61N1/37
摘要： An implantable pacemaker continuously records pacing events and their respective rates of occurrence in sequence, as they occur, into an Event Record stored in a circular buffer. The circular buffer always contains the most recent events and rates collected. The recording of the pacing events selectively occurs at every event, or at sampling rates of one event per fixed sample interval. A programming device, coupled to the implantable pacemaker through a telemetry link, selectively retrieves the recorded pacing events and rates from the Event Record and reports subsets thereof in condensed or summarized form using numerical and/or graphical formats. The pacing event data collected in the Event Record is three-dimensional in that each pacing event includes a pacemaker event, an associated pacemaker or heart rate, and a real time interval. The programming device also calculates and reports statistical information from the data collected in the Event Record. The Event Record provides a base recording that establishes the behavior of the pacemaker in a particular patient under ascertainable conditions.
摘要翻译：植入式起搏器将发生的起搏事件及其各自发生的发生顺序连续记录到存储在循环缓冲器中的事件记录中。循环缓冲区总是包含最近收集的事件和速率。起搏事件的记录选择性地发生在每个事件或每个固定采样间隔的一个事件的采样率。通过遥测链路耦合到可植入心脏起搏器的编程设备选择性地从事件记录中检索所记录的起搏事件和速率，并使用数字和/或图形格式以浓缩或概括形式报告子集。事件记录中收集的起搏事件数据是三维的，因为每个起搏事件包括起搏器事件，相关起搏器或心率以及实时间隔。编程设备还根据事件记录中收集的数据计算和报告统计信息。事件记录提供基准记录，确定特定病人在确定条件下的起搏器的行为。

70. 发明授权

US5292341A Method and system for determining and automatically adjusting the sensor parameters of a rate-responsive pacemaker 失效
标题翻译：用于确定和自动调节速率响应起搏器的传感器参数的方法和系统
公开(公告)号：US5292341A
公开(公告)日：1994-03-08
申请号：US844818
申请日：1992-03-02
申请人： Jeffery D. Snell
发明人： Jeffery D. Snell
IPC分类号： A61N1/365 , A61N1/37 , A61N1/362
CPC分类号： A61N1/3702 , A61N1/36585
摘要： A rate-responsive pacing system and method allows the inter-related sensor operating parameters associated with the physiological sensor of a rate-responsive pacemaker to be automatically and/or optimally set for a particular patient. The system includes both a pacemaker and an external programming device. The pacemaker includes appropriate memory circuits for recording a sensor indicated rate (SIR) signal in a histogram. The external programming device retrieves the SIR histogram data, as well as other data associated with the operation of the pacemaker, and selectively processes and displays such data in a prescribed manner. An Auto-Set sequence or routine, carried out by the external programming device, sets all of the rate-responsive operating parameters to a known initial value and places the pacemaker in a passive mode. In the passive mode the SIR signal does not control the pacing rate. The Auto-Set routine then displays instructions for the physician that cause diagnostic data to be collected. Such instructions effectively cause the pacemaker to be subjected to a known or predictable load. The Auto-Set routine then computes appropriate rate-responsive operating parameters that may be displayed for consideration by the physician, and/or that are automatically programmed into the pacemaker. The Auto-Set routine thus provides a method for automatically setting the programmable sensor parameters of the rate-responsive pacemaker based on a simple programming sequence performed by a physician.
摘要翻译：速率响应起搏系统和方法允许与速率响应起搏器的生理传感器相关联的相互关联的传感器操作参数被自动和/或最优地设置为特定患者。该系统包括起搏器和外部编程装置。起搏器包括用于在直方图中记录传感器指示速率（SIR）信号的适当的记忆电路。外部编程装置检索SIR直方图数据以及与起搏器的操作相关的其他数据，并且以规定的方式选择性地处理和显示这些数据。由外部编程设备执行的自动设置序列或例程将所有速率响应的操作参数设置为已知的初始值，并将起搏器置于被动模式。在被动模式下，SIR信号不控制起搏速率。自动设置程序然后显示医生导致收集诊断数据的指令。这种说明书有效地使起搏器受到已知或可预测的负载。然后，自动设置程序计算适当的速率响应操作参数，其可以被显示以供医生考虑，和/或自动编程到起搏器中。因此，自动设置程序提供了一种基于由医师执行的简单编程序列来自动设置速率响应起搏器的可编程传感器参数的方法。

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