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1. 发明授权

US06721600B2 Implantable lead functional status monitor and method 有权
标题翻译：可植入式铅功能状态监测和方法
公开(公告)号：US06721600B2
公开(公告)日：2004-04-13
申请号：US10039667
申请日：2001-12-31
申请人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahlstrand , Bradley C. Peck
发明人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahlstrand , Bradley C. Peck
IPC分类号： A61N118
CPC分类号： A61N1/3925 , A61N1/3706 , A61N2001/083
摘要： A system for monitoring trends in lead impedance includes collecting data from various sources in an implantable medical device system. Lead impedance, non-physiologic sensed events percentage of time in mode switch, results of capture management operation, sensed events, adversion pace counts, refractory sense counts and similar data are used to determine the status of a lead. A set of weighted sum rules are implemented by a software system to process the data and provide displayable information to health care professionals via a programmer. The lead monitoring system includes a patient alert system for patients to seek help in the event a serious lead condition is identified.
摘要翻译：用于监测引线阻抗趋势的系统包括在可植入医疗器械系统中收集来自各种来源的数据。引线阻抗，非生理感测事件模式切换时间的百分比，捕获管理操作的结果，感测事件，反转步伐计数，难度感知计数和类似数据用于确定引线的状态。一组加权和规则由软件系统实现，以处理数据，并通过程序员向医疗保健专业人员提供可显示的信息。牵头监测系统包括一个病人警报系统，用于在发现严重的领先条件的情况下为病人寻求帮助。

2. 发明授权

US5303105A Shape memory alloy for centering a transducer carried by a slider in a support arm over a track on a magnetic disk 失效
标题翻译：形状记忆合金，用于将由支撑臂上的滑块承载的换能器定位在磁盘上的轨道上
公开(公告)号：US5303105A
公开(公告)日：1994-04-12
申请号：US991518
申请日：1992-12-16
申请人： David J. Jorgenson
发明人： David J. Jorgenson
IPC分类号： G11B21/10 , G11B5/596 , G11B5/55
CPC分类号： G11B5/596 , G11B5/4873 , G11B5/5552
摘要： An apparatus positions a transducer, carried by a slider, over a track on a magnetic disk. An arm has a first end for attachment to an actuator for rotating the arm and a second end for attachment to the slider. The arm also has an arm portion extending between the first and second ends. A shape memory alloy is coupled to the arm portion. Thermal energy is selectively applied to the shape memory alloy to cause corresponding deformation of the shape memory alloy causing the arm portion to deflect and move the second end along an arcuate path in a plane substantially transverse to the track.
摘要翻译：设备将由滑块承载的换能器定位在磁盘上的轨道上。臂具有用于附接到用于旋转臂的致动器的第一端和用于附接到滑块的第二端。臂还具有在第一和第二端之间延伸的臂部分。形状记忆合金耦合到臂部分。热能被选择性地施加到形状记忆合金以引起形状记忆合金的相应变形，导致臂部分沿着基本上横向于轨道的平面中的弓形路径偏转和移动第二端。

3. 发明申请

US20120123242A1 EXTERNAL MEDICAL DEVICE REACTING TO WARNING FROM OTHER MEDICAL DEVICE ABOUT IMPENDING INDEPENDENT ADMINISTRATION OF TREATMENT 审中-公开
标题翻译：外部医疗设备反应其他医疗设备警告关于独立管理治疗
公开(公告)号：US20120123242A1
公开(公告)日：2012-05-17
申请号：US13359416
申请日：2012-01-26
申请人： Michael C. Stilley , John Robert Knapinski , Robert Garland Walker , David J. Jorgenson
发明人： Michael C. Stilley , John Robert Knapinski , Robert Garland Walker , David J. Jorgenson
IPC分类号： A61B5/055 , A61H31/00 , A61N5/10 , A61N7/00 , G08B21/02 , A61N1/39 , A61M5/00
CPC分类号： G06F19/3481 , A61N1/37247 , A61N1/3993 , G06F19/3456 , G09B23/28 , G09B23/288 , G16H40/63
摘要： In one embodiment, an external second medical device is capable of being attached to a patient. The second medical device includes an operation module that is capable of operating at different capacities, such as at a first capacity and a second capacity. The second medical device also includes a receiver for receiving a warning about an impending administration of a first treatment to the patient, by a first medical device that does not know about the second medical device being attached to the patient. In response to receiving the warning, the second medical device undertakes a defensive action, whereby the operation of the operation module is capable of being performed at the second capacity. This way, the first treatment, when administered, will impact the second medical device less or not at all.
摘要翻译：在一个实施例中，外部第二医疗装置能够附接到患者。第二医疗装置包括能够以不同容量操作的操作模块，例如处于第一容量和第二容量。第二医疗设备还包括接收器，用于通过不知道第二医疗设备附接到患者的第一医疗设备来接收关于即将对患者施加第一治疗的警告。响应于接收到警告，第二医疗装置进行防御动作，由此能够以第二容量执行操作模块的操作。这样，第一次治疗，在施用时，会影响第二个医疗器械更少或根本不会影响。

4. 发明授权

US07233825B2 Impedance measurement in implanted device 有权
标题翻译：植入装置中的阻抗测量
公开(公告)号：US07233825B2
公开(公告)日：2007-06-19
申请号：US10367299
申请日：2003-02-15
申请人： David J. Jorgenson , Christopher M. Manrodt , Robert M. Ecker , Lawrence C. McClure , Charles H. Malmskog
发明人： David J. Jorgenson , Christopher M. Manrodt , Robert M. Ecker , Lawrence C. McClure , Charles H. Malmskog
IPC分类号： A61N1/36
CPC分类号： A61N1/3706 , A61N1/3718 , A61N2001/083
摘要： In an implantable medical device having an electrical lead coupled to tissue of a user and a circuit for measuring the impedance of the lead, a method and apparatus for responding to impedance variations in the lead which includes measuring the impedance of the lead while monitoring physiologic parameters of the user, detecting the presence or absence of electromagnetic interference, and if the impedance of the lead is out-of-range, determining whether the electromagnetic interference exceeds a predetermined value, and if the electromagnetic interference exceeds a predetermined value, administering a therapy to the tissue of the user.
摘要翻译：在具有耦合到用户的组织的电引线和用于测量引线的阻抗的电路的可植入医疗设备中，一种用于响应引线中的阻抗变化的方法和装置，其包括在监测生理参数的同时测量引线的阻抗检测电磁干扰的存在或不存在，并且如果引线的阻抗超出范围，则确定电磁干扰是否超过预定值，并且如果电磁干扰超过预定值，则施用治疗到使用者的纸巾。

5. 发明授权

US08548584B2 Defibrillator with implantable medical device detection 有权
标题翻译：具有可植入医疗器械检测的除颤器
公开(公告)号：US08548584B2
公开(公告)日：2013-10-01
申请号：US12258872
申请日：2008-10-27
申请人： David J. Jorgenson
发明人： David J. Jorgenson
IPC分类号： A61N1/08
CPC分类号： A61N1/3925 , A61N1/3605 , A61N1/36142 , A61N1/37211 , A61N1/37247 , A61N1/37252 , A61N1/39 , A61N1/3993 , G06F19/00 , G09B23/28 , G09B23/288
摘要： In general, the invention is directed to techniques for using an external defibrillator to detect a presence of an implantable medical device (IMD) implanted within a patient, and providing therapy to the patient through communication between the external defibrillator and the IMD. An external defibrillator provides prompts to a user of the external defibrillator to determine the presence of an IMD implanted within the patient. For example, the external defibrillator may prompt the user to visually inspect the patient's chest for signs that an IMD was implanted, such as a scar or raised portion of skin near the patient's clavicles. As another example, the external defibrillator may prompt the user to place a detection device on the patient's chest. The detection device may be coupled to the external defibrillator, and may employ a magnet to initiate telemetry by the IMD to detect the presence of the IMD.
摘要翻译：通常，本发明涉及使用外部除颤器来检测植入在患者体内的可植入医疗装置（IMD）的存在以及通过外部除颤器和IMD之间的通信向患者提供治疗的技术。外部除颤器向外部除颤器的用户提供提示以确定植入在患者体内的IMD的存在。例如，外部除颤器可以提示用户目视检查患者的胸部以获得植入IMD的迹象，例如患者锁骨附近的瘢痕或凸起部分的皮肤。作为另一示例，外部除颤器可以提示用户将检测装置放置在患者的胸部上。检测装置可以耦合到外部除颤器，并且可以使用磁铁来启动IMD的遥测以检测IMD的存在。

6. 发明授权

US07797047B2 Implantable lead functional status monitor and method 有权
标题翻译：可植入式铅功能状态监测和方法
公开(公告)号：US07797047B2
公开(公告)日：2010-09-14
申请号：US10781426
申请日：2004-02-18
申请人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahlstrand , Bradley C. Peck
发明人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahlstrand , Bradley C. Peck
IPC分类号： A61N1/362
CPC分类号： A61N1/3925 , A61N1/3706 , A61N2001/083
摘要： An implantable medical device (IMD) includes a lead status monitoring system. The lead status monitoring system employs a method including the steps of: collecting data sets from a lead impedance source, a stimulation threshold source, and at least one additional source included in the IMD; and processing the data sets to determine if a lead status event has occurred.
摘要翻译：可植入医疗装置（IMD）包括引导状态监测系统。引导状态监视系统采用的方法包括以下步骤：从引线阻抗源，刺激阈值源和IMD中包括的至少一个附加源收集数据集; 并处理数据集以确定是否发生了引导状态事件。

7. 发明申请

US20090054940A1 DEFIBRILLATOR WITH IMPLANTABLE MEDICAL DEVICE DETECTION 有权
标题翻译：具有可移植医疗设备检测的诊断仪
公开(公告)号：US20090054940A1
公开(公告)日：2009-02-26
申请号：US12258872
申请日：2008-10-27
申请人： David J. Jorgenson
发明人： David J. Jorgenson
IPC分类号： A61N1/39
CPC分类号： A61N1/3925 , A61N1/3605 , A61N1/36142 , A61N1/37211 , A61N1/37247 , A61N1/37252 , A61N1/39 , A61N1/3993 , G06F19/00 , G09B23/28 , G09B23/288
摘要： In general, the invention is directed to techniques for using an external defibrillator to detect a presence of an implantable medical device (IMD) implanted within a patient, and providing therapy to the patient through communication between the external defibrillator and the IMD. An external defibrillator provides prompts to a user of the external defibrillator to determine the presence of an IMD implanted within the patient. For example, the external defibrillator may prompt the user to visually inspect the patient's chest for signs that an IMD was implanted, such as a scar or raised portion of skin near the patient's clavicles. As another example, the external defibrillator may prompt the user to place a detection device on the patient's chest. The detection device may be coupled to the external defibrillator, and may employ a magnet to initiate telemetry by the IMD to detect the presence of the IMD.
摘要翻译：通常，本发明涉及使用外部除颤器来检测植入在患者体内的可植入医疗装置（IMD）的存在以及通过外部除颤器和IMD之间的通信向患者提供治疗的技术。外部除颤器向外部除颤器的用户提供提示以确定植入在患者体内的IMD的存在。例如，外部除颤器可以提示用户目视检查患者的胸部以获得植入IMD的迹象，例如患者锁骨附近的瘢痕或凸起部分的皮肤。作为另一示例，外部除颤器可以提示用户将检测装置放置在患者的胸部上。检测装置可以耦合到外部除颤器，并且可以使用磁铁来启动IMD的遥测以检测IMD的存在。

8. 发明授权

US08463382B2 Implantable lead functional status monitor and method 有权
公开(公告)号：US08463382B2
公开(公告)日：2013-06-11
申请号：US12868834
申请日：2010-08-26
申请人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahlstrand , Bradley C. Peck
发明人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahlstrand , Bradley C. Peck
IPC分类号： A61N1/365
CPC分类号： A61N1/3925 , A61N1/3706 , A61N2001/083
摘要： A system for monitoring trends in lead impedance includes collecting data from various sources in an implantable medical device system. Lead impedance, non-physiologic sensed events percentage of time in mode switch, results of capture management operation, sensed events, adversion pace counts, refractory sense counts and similar data are used to determine the status of a lead. A set of weighted sum rules are implemented by a software system to process the data and provide displayable information to health care professionals via a programmer. The lead monitoring system includes a patient alert system for patients to seek help in the event a serious lead condition is identified.

9. 发明申请

US20100324629A1 IMPLANTABLE LEAD FUNCTIONAL STATUS MONITOR AND METHOD 有权
标题翻译：可伸缩的铅功能状态监测和方法
公开(公告)号：US20100324629A1
公开(公告)日：2010-12-23
申请号：US12868834
申请日：2010-08-26
申请人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahistrand , Bradley C. Peck
发明人： David J. Jorgenson , Ross O. Starkson , Rick D. McVenes , Charles D. Trautmann , John D. Wahistrand , Bradley C. Peck
IPC分类号： A61N1/08
CPC分类号： A61N1/3925 , A61N1/3706 , A61N2001/083
摘要： A system for monitoring trends in lead impedance includes collecting data from various sources in an implantable medical device system. Lead impedance, non-physiologic sensed events percentage of time in mode switch, results of capture management operation, sensed events, adversion pace counts, refractory sense counts and similar data are used to determine the status of a lead. A set of weighted sum rules are implemented by a software system to process the data and provide displayable information to health care professionals via a programmer. The lead monitoring system includes a patient alert system for patients to seek help in the event a serious lead condition is identified.
摘要翻译：用于监测引线阻抗趋势的系统包括在可植入医疗器械系统中收集来自各种来源的数据。引线阻抗，非生理感测事件模式切换时间的百分比，捕获管理操作的结果，感测事件，反转步伐计数，难度感知计数和类似数据用于确定引线的状态。一组加权和规则由软件系统实现，以处理数据，并通过程序员向医疗保健专业人员提供可显示的信息。牵头监测系统包括一个病人警报系统，用于在发现严重的领先条件的情况下为病人寻求帮助。

10. 发明申请

US20120123241A1 EXTERNAL MEDICAL DEVICE WARNING OTHER MEDICAL DEVICE OF IMPENDING ADMINISTRATION OF TREATMENT 审中-公开
标题翻译：外部医疗设备警告其他医疗设备执行治疗管理
公开(公告)号：US20120123241A1
公开(公告)日：2012-05-17
申请号：US13359415
申请日：2012-01-26
申请人： Michael C. Stilley , John Robert Knapinski , Robert Garland Walker , David J. Jorgenson
发明人： Michael C. Stilley , John Robert Knapinski , Robert Garland Walker , David J. Jorgenson
IPC分类号： A61B5/055 , A61N5/10 , A61N7/00 , G08B21/02 , A61N1/00 , A61H31/00
CPC分类号： G06F19/3481 , A61N1/37247 , A61N1/3993 , G06F19/3456 , G09B23/28 , G09B23/288 , G16H40/63
摘要： In one embodiment, an external first medical device includes a treatment module for administering a first treatment. The first medical device also includes a warning module for transmitting, before the first treatment is administered, a warning about the impending administration of the first treatment. The warning is suitable for receipt by a second medical device that could be attached to the patient unbeknownst to the first device, and which could be impacted by the first treatment. As such, the second medical device is given the opportunity to take a defensive action.
摘要翻译：在一个实施例中，外部第一医疗装置包括用于施用第一治疗的治疗模块。第一医疗装置还包括警告模块，用于在施用第一次治疗之前发送关于即将进行第一次治疗的警告。该警告适用于第二医疗装置的接收，该第二医疗装置可能附着于第一装置不知道的患者，并且可能受到第一次治疗的影响。因此，第二种医疗器械有机会采取防御性行动。

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