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1. 发明授权

US08731658B2 System and method for using diagnostic pulses in connection with defibrillation therapy 有权
标题翻译：使用与除颤治疗相关的诊断脉冲的系统和方法
公开(公告)号：US08731658B2
公开(公告)日：2014-05-20
申请号：US11048303
申请日：2005-01-31
申请人： David R. Hampton , Isabelle Banville
发明人： David R. Hampton , Isabelle Banville
IPC分类号： A61N1/39 , A61N1/38
CPC分类号： A61N1/3962 , A61H31/005 , A61H2031/002 , A61M5/1723 , A61M2230/005 , A61M2230/04 , A61N1/025 , A61N1/385 , A61N1/39 , A61N1/3925 , A61N1/3987
摘要： An external defibrillator system is disclosed that generates and applies a diagnostic signal to the patient in conjunction with defibrillation therapy. The diagnostic signal is designed to elicit a physiologic response from the patient's heart, namely, mechanical cardiac response and electrical cardiac response, electrical cardiac response only, or no cardiac response. Depending upon the type of cardiac response detected, the system selects an appropriate resuscitation protocol that considers the likely responsiveness of the patient to defibrillation therapy. In one practical embodiment, a stimulus signal is applied to patients that show mechanical and electrical capture in response to the diagnostic signal. The stimulus signal maintains the mechanical capture (and, therefore, perfusion) for a period of time prior to the delivery of a defibrillation pulse.
摘要翻译：公开了一种外部除颤器系统，其与除颤疗法结合产生诊断信号并将其应用于患者。诊断信号被设计为引起来自患者心脏的生理反应，即机械心脏反应和电心脏反应，仅有电心脏反应或没有心脏反应。根据检测到的心脏反应的类型，系统选择适当的复苏方案，其考虑患者对除颤治疗的可能响应性。在一个实际实施例中，刺激信号被应用于响应于诊断信号显示机械和电捕获的患者。刺激信号在输送除颤脉冲之前的一段时间内保持机械捕获（以及因此灌注）。

2. 发明授权

US09248304B2 Defibrillator with overridable CPR-first protocol 有权
公开(公告)号：US09248304B2
公开(公告)日：2016-02-02
申请号：US13085053
申请日：2011-04-12
申请人： Isabelle Banville , David R. Hampton , Gregory T. Kavounas , Richard C. Nova
发明人： Isabelle Banville , David R. Hampton , Gregory T. Kavounas , Richard C. Nova
IPC分类号： A61N1/39
CPC分类号： A61N1/3987 , A61N1/39
摘要： Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

3. 发明授权

US08532766B2 Pulse detection apparatus, software, and methods using patient physiological signals 有权
公开(公告)号：US08532766B2
公开(公告)日：2013-09-10
申请号：US13267783
申请日：2011-10-06
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/39
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , A61N1/365 , A61N1/39 , A61N1/3987
摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

4. 发明申请

US20120116272A1 COOPERATING DEFIBRILLATORS AND EXTERNAL CHEST COMPRESSION DEVICES 审中-公开
标题翻译：合作解除装置和外部压缩装置
公开(公告)号：US20120116272A1
公开(公告)日：2012-05-10
申请号：US13352055
申请日：2012-01-17
申请人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
发明人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
IPC分类号： A61N1/39 , A61H31/00
CPC分类号： A61H31/005 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/00 , A61M2202/0208 , A61N1/39 , G16H40/63
摘要： Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.
摘要翻译：实现用于提供通信的外部胸部按压（ECC）设备和除颤（DF））设备的方法的设备，方法和软件，其中ECC和DF设备可以在物理上彼此分离。 ECC和DF设备都能够自主地运行，但是当存在时能够与另一设备进行通信和配合。一些ECC和DF装置适于彼此物理和/或电耦合。一个ECC装置包括背板，胸部按压构件，通信模块，控制器以及至少一个传感器，电极引线或电极。一个DF装置包括除颤器模块，控制器和可以与ECC通信模块通信的通信模块。通信ECC和DF设备可以提供ECC，起搏，除颤，通气和冷却治疗，并且可以以协调和协作的方式向人类助理提供指令。

5. 发明申请

US20100121392A1 PULSE DETECTION METHOD AND APPARATUS USING PATIENT IMPEDANCE 审中-公开
标题翻译：脉搏检测方法和使用患者阻力的装置
公开(公告)号：US20100121392A1
公开(公告)日：2010-05-13
申请号：US12688712
申请日：2010-01-15
申请人： Ronald E Stickney , James W. Taylor , Patricia O'Hearn , Cynthia P. Jayne , Paula Lank , David R. Hampton
发明人： Ronald E Stickney , James W. Taylor , Patricia O'Hearn , Cynthia P. Jayne , Paula Lank , David R. Hampton
IPC分类号： A61N1/39 , A61B5/02 , A61B5/0472
CPC分类号： A61N1/3712 , A61B5/024 , A61B5/0464 , A61B5/0809 , A61B5/7239 , A61B5/7246 , A61B5/7278 , A61N1/36521 , A61N1/3925
摘要： The presence of a cardiac pulse in a patient is determined by evaluating fluctuations in an electrical signal that represents a measurement of the patient's transthoracic impedance. Impedance signal data obtained from the patient is analyzed for a feature indicative of the presence of a cardiac pulse. Whether a cardiac pulse is present in the patient is determined based on the feature in the impedance signal data. Electrocardiogram (ECG) data may also be obtained in time coordination with the impedance signal data. Various applications for the pulse detection of the invention include detection of PEA and prompting PEA-specific therapy, prompting defibrillation therapy and/or CPR, and prompting rescue breathing depending on detection of respiration.
摘要翻译：通过评估表示患者经胸阻抗的测量的电信号中的波动来确定患者心脏脉搏的存在。分析从患者获得的阻抗信号数据表示存在心脏脉搏的特征。基于阻抗信号数据中的特征来确定患者心脏脉搏是否存在。心电图（ECG）数据也可以与阻抗信号数据进行时间协调。用于本发明的脉搏检测的各种应用包括检测PEA并促进PEA特异性治疗，促进除颤治疗和/或CPR，并且根据呼吸的检测促使救援呼吸。

6. 发明授权

US07308304B2 Cooperating defibrillators and external chest compression devices 有权
标题翻译：合作除颤器和外部胸部按压装置
公开(公告)号：US07308304B2
公开(公告)日：2007-12-11
申请号：US10652148
申请日：2003-08-29
申请人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
发明人： David R. Hampton , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , D. Craig Edwards , Cynthia Jayne , Joseph L. Sullivan , Steven E. Sjoquist
IPC分类号： A61N1/39 , A61H31/00
CPC分类号： A61H31/005 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/00 , A61M2202/0208 , A61N1/39 , G06F19/00 , G16H40/63
摘要： Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.
摘要翻译：实现用于提供通信的外部胸部按压（ECC）设备和除颤（DF））设备的方法的设备，方法和软件，其中ECC和DF设备可以在物理上彼此分离。 ECC和DF设备都能够自主地运行，但是当存在时能够与另一设备进行通信和配合。一些ECC和DF装置适于彼此物理和/或电耦合。一个ECC装置包括背板，胸部按压构件，通信模块，控制器以及至少一个传感器，电极引线或电极。一个DF装置包括除颤器模块，控制器和可以与ECC通信模块通信的通信模块。通信ECC和DF设备可以提供ECC，起搏，除颤，通气和冷却治疗，并且可以以协调和协作的方式向人类助理提供指令。

7. 发明申请

US20120302896A1 PULSE DETECTION APPARATUS, SOFTWARE, AND METHODS USING PATIENT PHYSIOLOGICAL SIGNALS 有权
公开(公告)号：US20120302896A1
公开(公告)日：2012-11-29
申请号：US13569147
申请日：2012-08-07
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/39 , A61B6/00 , A61M16/00 , A61B5/024
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , A61N1/365 , A61N1/39 , A61N1/3987
摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

8. 发明申请

US20120029584A1 PULSE DETECTION APPARATUS, SOFTWARE, AND METHODS USING PATIENT PHYSIOLOGICAL SIGNALS 审中-公开
公开(公告)号：US20120029584A1
公开(公告)日：2012-02-02
申请号：US13272733
申请日：2011-10-13
申请人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
发明人： Tae H. Joo , Ronald E. Stickney , Cynthia P. Jayne , Paula Lank , Patricia O'Hearn , David R. Hampton , James W. Taylor , William E. Crone , Daniel Yerkovich
IPC分类号： A61N1/368 , A61N1/39 , A61N1/365
CPC分类号： A61N1/3925 , A61B5/0464 , A61B5/0535 , A61B5/0538 , A61B5/7264 , A61B7/00 , A61B7/04 , A61N1/365 , A61N1/39 , A61N1/3987
摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

9. 发明授权

US06907468B1 Packet processing using encapsulation and decapsulation chains 有权
标题翻译：使用封装和解封装链的数据包处理
公开(公告)号：US06907468B1
公开(公告)日：2005-06-14
申请号：US10408187
申请日：2003-04-04
申请人： Kenneth A. Moberg , Claude A. Cartee , Gregory D. Stovall , David R. Hampton , Kirk Stewart Lougheed , Pedro Marques , Timothy D. Kolar , Andrew J. Valencia , William B. May, Jr.
发明人： Kenneth A. Moberg , Claude A. Cartee , Gregory D. Stovall , David R. Hampton , Kirk Stewart Lougheed , Pedro Marques , Timothy D. Kolar , Andrew J. Valencia , William B. May, Jr.
IPC分类号： H04L12/56 , H04L29/06 , H04L29/08 , G06F15/16
CPC分类号： H04L47/62 , H04L29/06 , H04L49/90 , H04L69/12 , H04L69/32
摘要： A method for processing packets in a router includes specifying operations on packets as chains of processing elements. Each chain is uniquely associated with one interface/protocol pair, and each processing element performs at least one function on a packet. An incoming packet is received, and processed, first by a demultiplexor element which determines the protocol of the next higher level used by the packet. Then, the packet is processed by the elements of a decapsulation chain associated with the interface on which the packet was received, and by the elements of an encapsulation chain associated with the interface on which the packet is to be transmitted. The demultiplexor element or operation passes the packet on to a decapsulation chain associated with the protocol and with the incoming interface, depending on protocol information contained in the incoming packet. Decapsulation and encapsulation chains can be built dynamically, by inserting new and removing old elements as necessary as new protocols are developed and new features added. A chain walker walks through the chains, passing the processed packet to each element in a chain, until either the end of the chain is reached and processing is complete, or until the packet is dropped because no function can process it, or because a packet is processed by an outside process or by hardware, which may optionally stop the chain walk. A chain walk may be temporarily halted, or may be terminated. If temporarily halted, the chain walk can be resumed at any element in the chain, depending on the packet's requirements. A chain walk can also begin at any element in a chain.
摘要翻译：一种用于在路由器中处理分组的方法包括：将分组的操作指定为处理单元的链。每个链与一个接口/协议对唯一相关联，并且每个处理元素对分组执行至少一个功能。接收到一个进入的分组，并且首先由确定分组使用的下一个更高级别的协议的多路分解器元件处理。然后，分组由与其在其上接收分组的接口相关联的解封装链的元素以及与要发送分组的接口相关联的封装链的元素来处理。解复用器元件或操作根据包含在输入分组中的协议信息将分组传递到与协议和输入接口相关联的解封装链。解封装和封装链可以动态构建，通过插入新的和删除旧元素，如新开发的协议和添加新功能所必需的。链式步行者穿过链条，将处理的包传递给链中的每个元素，直到链的末端到达并处理完成，或者直到数据包掉落，因为没有功能可以处理它，或者因为包由外部过程或硬件处理，可以选择停止链条行走。连锁步行可能暂时停止，或可能被终止。如果暂时停止，可以根据包的要求在链条中的任何元素恢复连锁步行。链条步行也可以从链条中的任何元素开始。

10. 发明授权

US06648833B2 Respiratory analysis with capnography 有权
标题翻译：二氧化碳监测呼吸分析
公开(公告)号：US06648833B2
公开(公告)日：2003-11-18
申请号：US09978831
申请日：2001-10-15
申请人： David R. Hampton , Baruch S. Krauss
发明人： David R. Hampton , Baruch S. Krauss
IPC分类号： A61B500
CPC分类号： A61B5/0836
摘要： The invention presents techniques for identifying and guiding treatment for medical conditions, based upon the carbon dioxide concentration in the patient's breath. In an exemplary application, the techniques of the invention may be used to distinguish obstructive lung disease from restrictive lung disease, even though the symptoms of the conditions are similar. The techniques of the invention may further be used to monitor the effectiveness of the treatment.
摘要翻译：本发明提供了基于患者呼吸中的二氧化碳浓度来鉴定和指导医疗状况治疗的技术。在示例性应用中，本发明的技术可用于区分阻塞性肺疾病与限制性肺部疾病，即使条件的症状相似。本发明的技术还可用于监测治疗的有效性。

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