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1. 发明授权

US07774060B2 System for providing emergency medical care with real-time instructions and associated methods 有权
标题翻译：提供紧急医疗护理的实时指导和相关方法的系统
公开(公告)号：US07774060B2
公开(公告)日：2010-08-10
申请号：US11157218
申请日：2005-06-20
申请人： Dwayne R. Westenskow , Joseph A. Orr , Noah Syroid , Daniel Snell , James Agutter , Frank Drews , Srinath Lingutla , Santosh Balakrishnan , Kai Kuck , Lara Brewer
发明人： Dwayne R. Westenskow , Joseph A. Orr , Noah Syroid , Daniel Snell , James Agutter , Frank Drews , Srinath Lingutla , Santosh Balakrishnan , Kai Kuck , Lara Brewer
IPC分类号： A61N1/39
CPC分类号： G09B19/00 , A61M16/0051 , A61M16/024 , A61M16/1055 , A61M16/106 , A61M2205/502 , A61M2205/581 , A61M2205/583 , A61M2230/04 , A61M2230/205 , A61M2230/42 , A61M2230/432 , A61N1/39 , A61N1/3993 , G09B23/288
摘要： A basic life support system (BLSS) includes a processing element and an output element, such as a display screen or an audio output element, for providing an individual with real-time instructions on providing emergency medical care to a patient until paramedics or other healthcare professionals arrive to take over care for the patient. The instructions may be provided as graphics, including animations, as text, audibly, or as a combination of visible and audible elements. The BLSS may be configured for providing emergency medical care to individuals who have suffered from ventricular fibrillation. Accordingly, the BLSS may also include a defibrillation apparatus, an air or oxygen supply, a respiratory interface, one or more sensors, or a combination thereof.
摘要翻译：基本生命支持系统（BLSS）包括处理元件和诸如显示屏或音频输出元件的输出元件，用于向个人提供关于向患者提供紧急医疗护理的实时指令，直到护理人员或其他保健专业人员到医院接受治疗。指令可以作为图形，包括动画，文本，听觉地或作为可见和可听元素的组合来提供。 BLSS可能被配置为为患有心室颤动的个人提供紧急医疗。因此，BLSS还可以包括除颤装置，空气或氧气供应，呼吸界面，一个或多个传感器或其组合。

2. 发明授权

US07135001B2 Rebreathing methods including oscillating, substantially equal rebreathing and nonrebreathing periods 有权
标题翻译：呼吸方法包括振荡，基本相等的呼吸和非呼吸期
公开(公告)号：US07135001B2
公开(公告)日：2006-11-14
申请号：US09813225
申请日：2001-03-20
申请人： Joseph A. Orr , Kai Kuck , Lara Brewer
发明人： Joseph A. Orr , Kai Kuck , Lara Brewer
IPC分类号： A61B5/02 , A61B5/08
CPC分类号： A61B5/0836 , A61B5/029 , A61M16/0045 , A61M2016/0036 , A61M2230/432 , G06F19/00
摘要： A differential Fick technique including a first phase in which baseline breathing parameters may be established and a second phase in which a change in the effective ventilation of a patient is induced. The durations of the first and second phases may be substantially the same and may be abbreviated relative to the durations of comparable phases of previously known differential Fick techniques. The disclosed differential Fick technique also lacks a recovery period in which the respiratory parameters of a patient are permitted to return to “normal” levels.
摘要翻译：一种差分Fick技术，包括其中可以建立基线呼吸参数的第一阶段和诱导患者有效通气变化的第二阶段。第一和第二阶段的持续时间可以基本上相同并且可以相对于先前已知的差分Fick技术的相似阶段的持续时间来缩写。所公开的差分Fick技术还缺乏允许患者的呼吸参数恢复到“正常”水平的恢复期。

3. 发明授权

US08671942B2 Anesthesia reversal methods and systems 有权
标题翻译：麻醉逆转方法和系统
公开(公告)号：US08671942B2
公开(公告)日：2014-03-18
申请号：US13032499
申请日：2011-02-22
申请人： Joseph A. Orr , Dwayne R. Westenskow
发明人： Joseph A. Orr , Dwayne R. Westenskow
IPC分类号： A61M11/00
CPC分类号： A61M16/009 , A61M16/0045 , A61M16/0093 , A61M16/0833 , A61M16/085 , A61M16/0891 , A61M16/105 , A61M16/1055 , A61M16/106 , A61M16/22
摘要： An apparatus for reversing inhaled anesthesia, which may be configured to be positioned along a breathing circuit or anesthesia delivery circuit, includes an anesthesia removal component and a blood flow acceleration component. The blood flow acceleration component facilitates an increase in the ventilation of the individual without resulting in a significant decrease in the individual's PaCO2 level and, thus, a decrease in the rate at which blood flows through the individual's brain. A method of reversing the effects of inhaled anesthesia includes increasing the rate of ventilation of an anesthetized individual while causing the individual to inhale gases with at least atmospheric amounts of CO2.
摘要翻译：可以被配置为沿着呼吸回路或麻醉输送电路定位的用于逆转吸入麻醉的装置包括麻醉去除组件和血流加速组件。血液流动加速成分有助于个体的通气增加，而不会导致个体PaCO 2水平的显着降低，从而导致血液流过个体大脑的速率的降低。一种逆转吸入麻醉效果的方法包括增加麻醉个体的通气率，同时使个体吸入至少大气二氧化碳的气体。

4. 发明授权

US5394877A Ultrasound medical diagnostic device having a coupling medium providing self-adherence to a patient 失效
标题翻译：超声医疗诊断装置具有提供对患者的自身粘附的耦合介质
公开(公告)号：US5394877A
公开(公告)日：1995-03-07
申请号：US216079
申请日：1994-03-21
申请人： Joseph A. Orr , Dwayne R. Westenskow , Fidel H. Silva
发明人： Joseph A. Orr , Dwayne R. Westenskow , Fidel H. Silva
IPC分类号： A61B5/0408 , A61B8/00 , A61B8/02 , A61B19/08
CPC分类号： A61B8/4281 , A61B5/0408 , A61B8/02 , A61B8/0866 , A61B8/4236 , A61B8/4455 , A61B2046/205
摘要： A contact medium structure attachable to externally-applied medical diagnostic devices for providing self-adherence of the medical device to the skin of a patient thereby eliminating the need for belts or similar means. The contact medium is inherently adhesive, hydrophilic, skin-compatible, ultrasonic-compatible and pressure sensitive to facilitate self-adhesion of the medical device to the patient's skin. A particularly suitable contact medium is a mesh-reinforced hydrogel film which adheres to the device and extends beyond the perimeter of the device to provide additional adhesiveness and compliance with the contour of the patient's body. A support element associated with and extending beyond the perimeter of the medical device adheres to the contact medium and provides adjustability of the extended hydrogel film relative to the patient's skin.
摘要翻译：接触介质结构，其可附接到外部应用的医疗诊断装置，用于提供医疗装置对患者皮肤的自身粘附，从而消除对皮带或类似装置的需要。接触介质固有地具有粘合性，亲水性，皮肤相容性，超声波兼容性和压力敏感性，以促进医疗装置对患者皮肤的自粘附。特别合适的接触介质是网状增强的水凝胶膜，其粘附到装置并延伸超过装置的周边，以提供额外的粘附性并且与患者身体的轮廓一致。与医疗装置的周边相关联并且延伸超过医疗装置周边的支撑元件粘附于接触介质并提供延伸的水凝胶膜相对于患者皮肤的可调节性。

5. 发明授权

US5131401A Method and apparatus for monitoring neuromuscular blockage 失效
标题翻译：监测神经肌肉阻塞的方法和装置
公开(公告)号：US5131401A
公开(公告)日：1992-07-21
申请号：US580294
申请日：1990-09-10
申请人： Dwayne R. Westenskow , Joseph A. Orr
发明人： Dwayne R. Westenskow , Joseph A. Orr
IPC分类号： A61B5/0488 , A61B5/11 , A61B5/22 , A61B10/00 , A61M16/01
CPC分类号： A61B5/1106 , A61B5/7207 , A61B2562/0219 , A61B5/6825 , A61B5/7217
摘要： The present invention comprises a method and apparatus for monitoring neuromuscular blockage, and more specifically contemplates the quantitative measurement of movement of the skin of a patient overlying an electrically simulated skeletal muscle as an indicia of such blockage. The preferred embodiment of the apparatus of the present invention includes a piezoelectric film affixed over the patient's skin, the film generating an electric current in proportion to the magnitude of skin movement.
摘要翻译：本发明包括用于监测神经肌肉阻塞的方法和装置，并且更具体地考虑对作为这种阻塞的标记的覆盖在电动模拟骨骼肌上的患者的皮肤的运动的定量测量。本发明的装置的优选实施例包括固定在患者皮肤上的压电膜，所述膜产生与皮肤运动的大小成比例的电流。

6. 发明授权

US07891356B2 Method for reducing the effects of general anesthetics 有权
标题翻译：降低全身麻醉效果的方法
公开(公告)号：US07891356B2
公开(公告)日：2011-02-22
申请号：US11843994
申请日：2007-08-23
申请人： Joseph A. Orr , Dwayne R. Westenskow
发明人： Joseph A. Orr , Dwayne R. Westenskow
IPC分类号： A61M11/00
CPC分类号： A61M16/009 , A61M16/0045 , A61M16/0093 , A61M16/0833 , A61M16/085 , A61M16/0891 , A61M16/105 , A61M16/1055 , A61M16/106 , A61M16/22
摘要： An apparatus for reversing inhaled anesthesia, which is configured to be positioned along a breathing circuit or anesthesia delivery circuit, includes a filter for removing one or more anesthetic agents from gases passing therethrough, as well as a component for elevating CO2 levels in gases that are to be inhaled by an individual. The apparatus is configured to be positioned between a Y-connector of the breathing circuit and the portion of the breathing circuit that interfaces with the individual. The CO2 level-elevating component facilitates an increase in the ventilation of the individual without resulting in a significant decrease in the individual's PaCO2 level and, thus, a decrease in the rate at which blood flows through the individual's brain. A method of reversing the effects of inhaled anesthesia includes increasing the rate of ventilation of an anesthetized individual while causing the individual to inhale gases with elevated amounts of CO2 and while filtering anesthetic agents from such gases.
摘要翻译：用于反转吸入麻醉的装置，其被配置为沿着呼吸回路或麻醉输送回路定位，包括用于从通过其中的气体中去除一种或多种麻醉剂的过滤器，以及用于提高气体中的CO 2水平的组分，被个人吸入。该装置构造成位于呼吸回路的Y形连接器和与个体接触的部分呼吸回路之间。二氧化碳水平升高组件有助于个体的通气量增加，而不会导致个体PaCO2水平的显着降低，从而导致血液流过个体大脑的速度降低。一种逆转吸入麻醉效果的方法包括增加麻醉个体的通气率，同时使个体以较高量的CO 2吸入气体，同时从这些气体中过滤麻醉剂。

7. 发明申请

US20120055481A1 ANESTHESIA REVERSAL METHODS AND SYSTEMS 有权
标题翻译：麻醉反转方法和系统
公开(公告)号：US20120055481A1
公开(公告)日：2012-03-08
申请号：US13032499
申请日：2011-02-22
申请人： Joseph A. Orr , Derek Jo Sakata , Dwayne R. Westenskow
发明人： Joseph A. Orr , Derek Jo Sakata , Dwayne R. Westenskow
IPC分类号： A61M16/01
CPC分类号： A61M16/009 , A61M16/0045 , A61M16/0093 , A61M16/0833 , A61M16/085 , A61M16/0891 , A61M16/105 , A61M16/1055 , A61M16/106 , A61M16/22
摘要： An apparatus for reversing inhaled anesthesia, which may be configured to be positioned along a breathing circuit or anesthesia delivery circuit, includes an anesthesia removal component and a blood flow acceleration component. The blood flow acceleration component facilitates an increase in the ventilation of the individual without resulting in a significant decrease in the individual's PaCO2 level and, thus, a decrease in the rate at which blood flows through the individual's brain. A method of reversing the effects of inhaled anesthesia includes increasing the rate of ventilation of an anesthetized individual while causing the individual to inhale gases with at least atmospheric amounts of CO2.
摘要翻译：可以被配置为沿着呼吸回路或麻醉输送电路定位的用于逆转吸入麻醉的装置包括麻醉去除组件和血流加速组件。血液流动加速成分有助于个体的通气增加，而不会导致个体PaCO 2水平的显着降低，从而导致血液流过个体大脑的速率的降低。一种逆转吸入麻醉效果的方法包括增加麻醉个体的通气率，同时使个体吸入至少大气二氧化碳的气体。

8. 发明授权

US07353825B2 Apparatus and techniques for reducing the effects of general anesthetics 有权
标题翻译：减轻全身麻醉效果的装置和技术
公开(公告)号：US07353825B2
公开(公告)日：2008-04-08
申请号：US10680469
申请日：2003-10-07
申请人： Joseph A. Orr , Derek Jo Sakata , Dwayne R. Westenskow
发明人： Joseph A. Orr , Derek Jo Sakata , Dwayne R. Westenskow
IPC分类号： A61M11/00
CPC分类号： A61M16/009 , A61M16/0045 , A61M16/0093 , A61M16/0833 , A61M16/085 , A61M16/0891 , A61M16/105 , A61M16/1055 , A61M16/106 , A61M16/22
摘要： An apparatus for reversing inhaled anesthesia, which is configured to be positioned along a breathing circuit or anesthesia delivery circuit, includes a filter for removing one or more anesthetic agents from gases passing therethrough, as well as a component for elevating CO2 levels in gases that are to be inhaled by an individual. The apparatus is configured to be positioned between a Y-connector of the breathing circuit and the portion of the breathing circuit that interfaces with the individual. The CO2 level-elevating component facilitates an increase in the ventilation of the individual without resulting in a significant decrease in the individual's PaCO2 level and, thus, a decrease in the rate at which blood flows through the individual's brain. A method of reversing the effects of inhaled anesthesia includes increasing the rate of ventilation of an anesthetized individual while causing the individual to inhale gases with elevated amounts of CO2 and while filtering anesthetic agents from such gases.
摘要翻译：用于反转吸入麻醉的装置，其被配置为沿着呼吸回路或麻醉输送回路定位，包括用于从通过其中的气体中去除一种或多种麻醉剂的过滤器，以及用于将CO 2升高的部件， / SUB>被个人吸入的气体中的水平。该装置构造成位于呼吸回路的Y形连接器和与个体接触的部分呼吸回路之间。 CO 2升级组件有助于个体的通气量的增加，而不会导致个体的P <！ - SIPO

9. 发明授权

US5339818A Method for determining blood pressure utilizing a neural network 失效
标题翻译：使用神经网络测定血压的方法
公开(公告)号：US5339818A
公开(公告)日：1994-08-23
申请号：US119451
申请日：1993-09-09
申请人： Phillip D. Baker , Joseph A. Orr , Dwayne R. Westenskow , Timothy P. Egbert
发明人： Phillip D. Baker , Joseph A. Orr , Dwayne R. Westenskow , Timothy P. Egbert
IPC分类号： A61B5/0215 , A61B5/022 , A61B5/087 , A61M16/00 , A61B5/00
CPC分类号： A61B5/7267 , A61B5/02156 , A61B5/022 , A61B5/087 , A61M16/0051 , A61B5/7239 , Y10S128/925 , Y10S706/924
摘要： A method and device for indirect, quantitative estimation of blood pressure attributes and similar variable physiological parameters utilizing indirect techniques. The method of practice includes (i) generating a sequence of signals which are quantitative dependent upon the variable parameter, (ii) transmitting and processing the signals within a computer system and associated neural network capable of generating a single output signal for the combined input signals, (iii) directly determining an actual value for the parameter concurrent with the indirect generation of signals of the previous steps, (iv) applying weighting factors within the neural network at interconnecting nodes to force the output signal of the neural network to match the true value of the parameter as determined invasively, (v) recording the input signals, weighting factors and true value as training data within memory of the computer, and (vi) repeating the previous steps to develop sufficient training data to enable the neural network to accurately estimate parameter value upon future receipt of on-line input signals. Procedures are also described for preclassification of signals and artifact rejection. Following training of the neural network, further direct measurement is unnecessary and the system is ready for diagnostic application and noninvasive estimation of parameter values.
摘要翻译：使用间接技术间接，定量估计血压属性和类似可变生理参数的方法和装置。实践方法包括：（i）产生定量依赖于可变参数的信号序列，（ii）在计算机系统内发送和处理能够产生用于组合输入信号的单个输出信号的相关联的神经网络的信号（iii）直接确定与前述步骤的信号的间接产生同时参数的实际值，（iv）在互连节点处在神经网络内应用加权因子以迫使神经网络的输出信号与真实的（v）将输入信号，加权因子和真实值作为训练数据记录在计算机的存储器内，以及（vi）重复先前的步骤以开发足够的训练数据以使得神经网络能够准确地在将来接收在线输入信号时估计参数值。还描述了信号的预分类和伪像抑制的程序。在神经网络训练之后，进一步的直接测量是不必要的，系统已准备好进行诊断应用和参数值的无创估计。

10. 发明授权

US5195536A Self-adhering noninvasive intracorporeal movement detector 失效
标题翻译：自体无创体内运动检测器
公开(公告)号：US5195536A
公开(公告)日：1993-03-23
申请号：US758616
申请日：1991-09-12
申请人： Fidel H. Silva , Dwayne R. Westenskow , Joseph A. Orr
发明人： Fidel H. Silva , Dwayne R. Westenskow , Joseph A. Orr
IPC分类号： A61B5/03 , A61B5/11
CPC分类号： A61B5/6833 , A61B5/1126 , A61B5/4356
摘要： A non-invasive intracorporeal movement transducer for translating intracorporeal movement into a detectable pressure signal is described. The movement transducer includes a fluid-filled bubble with a rigid rear portion, and a semi-rigid, flexible forward portion which is placed against a patient's skin above the organ to be monitored. The rear portion of the bubble has a fluid duct which provides fluid communication to the interior, and tubing is connected between the duct and a pressure sensor which detects the pressure of fluid within the bubble. Self-adhering attachment means is associated with the rear portion of the bubble for affixing the bubble against the patient's skin. In one embodiment, the attachment means is a foam backing larger than the bubble, with adhesive on one side for adhering to the patient's skin and to the rear portion of the bubble. The backing holds the rigid rear plate substantially fixed in approximately parallel relation to the patient's skin surrounding the area covered by the bubble.
摘要翻译：描述了用于将体内运动转换成可检测的压力信号的非侵入性体内运动换能器。移动换能器包括具有刚性后部的流体填充气泡和半刚性柔性前部，其抵靠待监视器官上方的患者皮肤放置。气泡的后部具有提供与内部的流体连通的流体管道，并且管道连接在管道和检测气泡内的流体压力的压力传感器之间。自粘连接装置与气泡的后部相关联，以将气泡贴在病人的皮肤上。在一个实施例中，附接装置是大于气泡的泡沫背衬，在一侧上具有粘合剂以粘附到患者的皮肤和气泡的后部。背衬保持刚性后板基本上固定为与气泡覆盖的区域周围的患者皮肤大致平行的关系。

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