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1. 发明申请

US20100198062A1 SYSTEMS AND METHODS FOR INTEGRATING HEMODYNAMIC AND IMAGING EXAMINATIONS 有权
标题翻译：用于整合血液动力学和成像检查的系统和方法
公开(公告)号：US20100198062A1
公开(公告)日：2010-08-05
申请号：US12362942
申请日：2009-01-30
申请人： Deborah Ann Everett , Bruce Friedman , Paul Lawrence Mullen , William Alphonsus Zang
发明人： Deborah Ann Everett , Bruce Friedman , Paul Lawrence Mullen , William Alphonsus Zang
IPC分类号： A61B8/00 , A61B5/02
CPC分类号： A61B5/022 , A61B5/02007 , A61B8/06
摘要： Hemodynamic data and imaging data are obtained about a patient, and the data is combined to generate a single report integrating same. While a hemodynamic system obtains the hemodynamic data, an imaging system obtains the imaging data. Preferably, the report confirms the absence or presence (and/or severity) of peripheral arterial disease, including quantitative data. The hemodynamic system and the imaging system can communicate directly, indirectly, and/or wirelessly. They may be contained within a common enclosure and/or integrated into a single apparatus. Either or both of the hemodynamic system and/or the imaging system can also be configured to measure the blood pressure of the patient. Preferably, the imaging system is an ultrasound imaging system, and improved workflows for diagnosing peripheral arterial disease result.
摘要翻译：获得关于患者的血流动力学数据和成像数据，并且将数据组合以产生整合相同的单个报告。当血液动力学系统获得血液动力学数据时，成像系统获得成像数据。优选地，报告证实了外周动脉疾病的不存在或存在（和/或严重性），包括定量数据。血液动力学系统和成像系统可以直接，间接和/或无线地进行通信。它们可以包含在公共外壳内和/或被集成到单个设备中。血液动力学系统和/或成像系统中的任一个或两者也可以被配置成测量患者的血压。优选地，成像系统是超声成像系统，并且用于诊断外周动脉疾病结果的改进的工作流程。

2. 发明申请

US20070232938A1 System and method for monitoring pre-eclamptic patients 失效
标题翻译：用于监测先兆子痫患者的系统和方法
公开(公告)号：US20070232938A1
公开(公告)日：2007-10-04
申请号：US11396799
申请日：2006-04-03
申请人： Bruce Friedman
发明人： Bruce Friedman
IPC分类号： A61B5/02
CPC分类号： A61B5/022 , A61B5/02225 , A61B5/082
摘要： A system and method for monitoring and estimating the blood pressure of a pregnant patient that modifies the blood pressure estimating algorithm when the patient is pre-eclamptic. The level of carbon monoxide within a patient's bloodstream or exhaled breath can be analyzed to determine whether a pregnant patient is pre-eclamptic. After the patient has been diagnosed as pre-eclamptic, the NIBP monitoring system adjusts its algorithm for estimating the patient's blood pressure to compensate for the physical changes that occur in the patient during pre-eclampsia. The adjusted blood pressure estimates calculated by the NIBP monitoring system can be calculated using different adjustment techniques and methods and are displayed on the NIBP monitor.
摘要翻译：一种用于监测和估计怀孕患者的血压的系统和方法，所述系统和方法在患者是先兆子痫时修改血压估计算法。可以分析患者血液或呼出气中的一氧化碳水平，以确定怀孕患者是否为先兆子痫。在患者被诊断为先兆子痫之后，NIBP监测系统调整其估计患者血压的算法，以补偿患者先兆子痫期间发生的物理变化。由NIBP监控系统计算出的调整血压估计可以使用不同的调整技术和方法进行计算，并显示在NIBP监视器上。

3. 发明申请

US20060211942A1 Continuous, non-invasive technique for determining blood pressure using a transmission line model and transcutaneous ultrasound measurements 有权
公开(公告)号：US20060211942A1
公开(公告)日：2006-09-21
申请号：US11083259
申请日：2005-03-17
申请人： Ralph Hoctor , Lawrence Hersh , Bruce Friedman
发明人： Ralph Hoctor , Lawrence Hersh , Bruce Friedman
IPC分类号： A61B8/00 , A61B5/02
CPC分类号： A61B5/022 , A61B5/02125 , A61B8/04 , A61B8/06 , A61B8/13 , A61B8/4236 , A61B8/4472
摘要： A method and technique for the continuous, non-invasive measurement of blood pressure. The blood pressure measurement technique of the present invention utilizes ultrasound measurements to determine the diameter of the blood vessel in which the blood pressure is being measured as well as the flow rate of blood at both an input point and an output point along the blood vessel. The system utilizes a transmission line model to relate various blood vessel measurements with electrical components. The transmission line model, in combination with data management techniques including state variable representations and Kalman filtering, is used to develop a blood pressure measurement in real time.

4. 发明申请

US20050261597A1 Method and apparatus for determining extreme blood pressure values 失效
标题翻译：用于确定极端血压值的方法和装置
公开(公告)号：US20050261597A1
公开(公告)日：2005-11-24
申请号：US10847934
申请日：2004-05-18
申请人： Sai Kolluri , Lawrence Hersh , Bruce Friedman , Richard Medero
发明人： Sai Kolluri , Lawrence Hersh , Bruce Friedman , Richard Medero
IPC分类号： A61B5/02 , A61B5/0225 , A61B5/04 , A61B5/0456
CPC分类号： A61B5/02225 , A61B5/0225 , A61B5/0456
摘要： In a method and apparatus for measuring extreme blood pressure values during a single non-invasive blood measurement, the time intervals between sequential heartbeats are measured for a series of heartbeats in an oscillometric blood pressure measurement time period. Oscillometric blood pressure measurement data for the heartbeats of the series is obtained and associated with the heartbeat time intervals. An average time interval between heartbeats is also determined. A first data bin may be defined for blood pressure data associated with time intervals that are longer as compared to the average time interval. A second data bin is defined for blood pressure data with time intervals that are shorter as compared to the average time interval. The measured oscillometric blood pressure data is sorted into the data bins in accordance with the associated time intervals. The data in the first data bin is used to derive a high systolic blood pressure value and a low diastolic blood pressure value. The data in the second bin is used to derive a low systolic blood pressure value and a high diastolic blood pressure value. A typical blood pressure value may also be determined.
摘要翻译：在用于在单次非侵入性血液测量期间测量极端血压值的方法和装置中，测量在示波血压测量时间段内的一系列心跳的连续心跳之间的时间间隔。获得该系列心跳的示波血压测量数据，并与心跳时间间隔相关联。心跳之间的平均时间间隔也被确定。可以为与与平均时间间隔相比较长的时间间隔相关联的血压数据定义第一数据箱。第二个数据仓被定义为与平均时间间隔相比时间间隔更短的血压数据。测量的示波血压数据根据相关联的时间间隔被分类到数据箱中。第一数据箱中的数据用于导出高收缩压值和低舒张压值。第二个仓中的数据用于导出低收缩压值和高舒张压值。也可以确定典型的血压值。

5. 发明申请

US20050096558A1 Temperature and respiration acquisition apparatus and method 失效
标题翻译：温度和呼吸采集装置及方法
公开(公告)号：US20050096558A1
公开(公告)日：2005-05-05
申请号：US10698229
申请日：2003-10-31
申请人： Bruce Friedman , Chris Dedyo
发明人： Bruce Friedman , Chris Dedyo
IPC分类号： A61B5/00 , A61B5/08 , A61B5/083 , G01K1/08 , G01K13/00
CPC分类号： G01K13/002 , A61B5/01 , A61B5/0816 , A61B5/0836 , G01K1/083
摘要： A device and method for simultaneously acquiring a temperature and a respiration rate of a patient. In some embodiments of the invention, the device can include a probe, a temperature sensing element coupled to the probe, a disposable cover that can be positioned over the probe, and a respiration sensing element coupled to the disposable cover. In other embodiments of the invention, the device can include a probe having a temperature sensing element, a transmitter, and a receiver. The device can further include a probe cover having a respiration sensing element that can be positioned over the probe.
摘要翻译：一种用于同时获取患者的温度和呼吸速率的装置和方法。在本发明的一些实施例中，该装置可以包括探针，耦合到探针的温度感测元件，可放置在探头上方的一次性盖，以及耦合到该一次性罩的呼吸感测元件。在本发明的其他实施例中，该装置可以包括具有温度感测元件，发射器和接收器的探针。该装置还可包括具有可位于探针上方的呼吸感测元件的探针盖。

6. 发明授权

US06423010B1 Oscillometric blood pressure monitor with improved performance in the presence of arrhythmias 有权
标题翻译：示波器血压监测仪在心律失常的情况下具有改善的表现
公开(公告)号：US06423010B1
公开(公告)日：2002-07-23
申请号：US09678650
申请日：2000-10-04
申请人： Bruce Friedman , Lawrence T. Hersh , Christopher J. Dedyo
发明人： Bruce Friedman , Lawrence T. Hersh , Christopher J. Dedyo
IPC分类号： A61B502
CPC分类号： A61B5/02225 , A61B5/021 , A61B5/02416 , A61B5/0402
摘要： The present invention relates to an improved apparatus and method for measuring blood pressure. Both include a first sensor for detecting an instantaneous pulse rate, an inflatable cuff, and a second sensor to monitoring the pressure within the cuff. The cuff sensor adapted to detect oscillometric complexes associated with a patient's pulse. Both the apparatus and the method provide for detecting arrhythmia from the patient's instantaneous pulse rate. A characteristic of the oscillometric complexes is measured, and match determination means provided for determining whether at least two adjacent oscillometric complexes are equivalent. A first set matching criteria are used under normal conditions. A second set of matching criteria are used when arrhythmia are detected. A controller is provided for controlling the pressure within the cuff. At the outset of a blood pressure measurement the cuff is inflated to a pressure greater than the patient's systolic pressure. In response to a determination that two adjacent oscillometric complexes are equivalent the control means reduces the cuff pressure by a fixed increment and the match determination means continues to determine whether adjacent complexes are equivalent. A blood pressure determination means is provided responsive to the control means and the measuring means. The blood pressure determination means compares the measured characteristic of the oscillometric complexes from various cuff pressures and determines the cuff pressure at which the measured characteristic reaches a limit. This cuff pressure corresponds to the patient's mean arterial pressure.
摘要翻译：本发明涉及一种用于测量血压的改进的装置和方法。两者都包括用于检测瞬时脉率的第一传感器，可充气袖带和用于监测袖带内的压力的第二传感器。袖带传感器适于检测与患者脉搏相关联的示波复合物。该装置和方法都提供从患者的瞬时脉搏率中检测心律失常。测量示波复合物的特性，并且提供用于确定至少两个相邻示波复合物是否相当的匹配确定装置。在正常条件下使用第一组匹配标准。当检测到心律失常时，使用第二组匹配标准。提供控制器来控制袖带内的压力。在血压测量开始时，将袖带充气至大于患者收缩压的压力。响应于确定两个相邻示波复合体是等效的，控制装置将袖带压力减小固定的增量，并且匹配确定装置继续确定相邻复合体是否相等。响应于控制装置和测量装置提供血压确定装置。血压测定装置比较来自各种袖带压力的示波复合物的测量特性，并确定测量特征达到极限的袖带压力。该袖带压力对应于患者的平均动脉压。

7. 发明申请

US20070129638A1 METHOD AND SYSTEM FOR CUFF PRESSURE REVERSIONS 有权
标题翻译：压力反应的方法和系统
公开(公告)号：US20070129638A1
公开(公告)日：2007-06-07
申请号：US11626170
申请日：2007-01-23
申请人： Lawrence Hersh , Richard Medero , Bruce Friedman , Sai Kolluri
发明人： Lawrence Hersh , Richard Medero , Bruce Friedman , Sai Kolluri
IPC分类号： A61B5/02
CPC分类号： A61B5/02225 , A61B5/0225 , A61B5/7207 , G06F19/00
摘要： A method and system for determining when to make a reversion to smaller cuff pressure steps during an oscillometric blood pressure measurement is disclosed. The method and system comprise comparing conformance of oscillometric envelope blood pressure data with previous blood pressure data, including measuring a shift between the oscillometric envelope blood pressure data and an oscillometric envelope derived from the previous blood pressure data. In addition, the method and system include making a reversion decision based on whether the shift exceeds an allowable threshold. Once a reversion decision is made a subsequent decision may be made as to the need for increasing the cuff pressure level.
摘要翻译：公开了一种用于在示波器血压测量期间确定何时进行更小的袖带压力步骤的方法和系统。所述方法和系统包括比较示波包络血压数据与先前血压数据的一致性，包括测量示波包络血压数据与从先前血压数据得出的示波包络之间的偏移。此外，所述方法和系统包括基于所述偏移是否超过允许阈值来进行回归决定。一旦进行回归决定，可以随后作出关于增加袖带压力水平的需要的决定。

8. 发明授权

US07381189B2 Temperature and respiration acquisition apparatus and method 失效
标题翻译：温度和呼吸采集装置及方法
公开(公告)号：US07381189B2
公开(公告)日：2008-06-03
申请号：US10698229
申请日：2003-10-31
申请人： Bruce Friedman , Chris Dedyo
发明人： Bruce Friedman , Chris Dedyo
IPC分类号： A61B5/08 , A61B5/00
CPC分类号： G01K13/002 , A61B5/01 , A61B5/0816 , A61B5/0836 , G01K1/083
摘要： A device and method for simultaneously acquiring a temperature and a respiration rate of a patient. In some embodiments of the invention, the device can include a probe, a temperature sensing element coupled to the probe, a disposable cover that can be positioned over the probe, and a respiration sensing element coupled to the disposable cover. In other embodiments of the invention, the device can include a probe having a temperature sensing element, a transmitter, and a receiver. The device can further include a probe cover having a respiration sensing element that can be positioned over the probe.
摘要翻译：一种用于同时获取患者的温度和呼吸速率的装置和方法。在本发明的一些实施例中，该装置可以包括探针，耦合到探针的温度感测元件，可放置在探头上方的一次性盖，以及耦合到该一次性罩的呼吸感测元件。在本发明的其他实施例中，该装置可以包括具有温度感测元件，发射器和接收器的探针。该装置还可包括具有可位于探针上方的呼吸感测元件的探针盖。

9. 发明申请

US20070255596A1 REMOTE HEALTH APPLICATION FOR THE OPTIMIZATION OF REMOTE SITE VISIT FREQUENCY 失效
标题翻译：远程卫生应用优化远程站点访问频率
公开(公告)号：US20070255596A1
公开(公告)日：2007-11-01
申请号：US11279935
申请日：2006-04-17
申请人： David Duckert , Bruce Friedman
发明人： David Duckert , Bruce Friedman
IPC分类号： G06F19/00
CPC分类号： G06Q10/04 , G06F19/00 , G06Q50/22 , G06Q50/24 , G16H40/20
摘要： A system and method for the optimization of scheduling visits by a clinician to a plurality of remotely located patients. A plurality of predefined or clinician specified risk factors are combined with patient data with a home visit interval algorithm to specify a visit interval for each patient. This interval is used with a calendar with other information regarding past and future scheduled visits to determine the optimal date for the next visit to the patient by the clinician. The patient risk factors may be weighted to place more emphasis on specific factors, thus allowing for the tailoring of the system to meet the needs of an individual patient.
摘要翻译：一种用于优化由临床医生访问多个位于远端的患者的调度的系统和方法。将多个预定义或临床医生指定的风险因素与患者数据与家庭访问间隔算法组合以指定每个患者的访问间隔。该间隔与具有关于过去和未来预定访问的其他信息的日历一起使用，以确定由临床医生下次访问患者的最佳日期。患者的危险因素可能被加权以更加强调具体因素，从而允许系统的定制以满足个体患者的需要。

10. 发明申请

US20070255146A1 Atrial fibrillation detection using SPO2 有权
标题翻译：使用SPO2进行心房颤动检测
公开(公告)号：US20070255146A1
公开(公告)日：2007-11-01
申请号：US11411714
申请日：2006-04-26
申请人： Angela Andrews , Bruce Friedman , Donald Brodnick , George Hutchinson
发明人： Angela Andrews , Bruce Friedman , Donald Brodnick , George Hutchinson
IPC分类号： A61B5/02
CPC分类号： A61B5/14551 , A61B5/02416 , A61B5/046 , A61B5/7207
摘要： The method and system includes detecting atrial fibrillation in a patient by monitoring the blood oxygen saturation level over a period of time. The method and system produces a plethysmographic waveform from the monitored blood oxygen saturation level and analyzes the plethysmographic waveform and detected intervals and determines whether the patient is in atrial fibrillation. The method and system is preferably implemented in a software application and may be configured to report to the user on the current state of atrial fibrillation (AFIB) and a current trend.
摘要翻译：该方法和系统包括通过在一段时间内监测血氧饱和度水平来检测患者的房颤。该方法和系统从监测的血氧饱和度水平产生体积描记图波形，并分析体积描记波形和检测间隔，并确定患者是否处于心房颤动。该方法和系统优选地在软件应用中实现，并且可以被配置为向用户报告当前的房颤状态（AFIB）和当前趋势。

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