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1. 发明申请

US20060167503A1 Method for adapting charge initiation for an implantable cardioverter-defibrillator 有权
标题翻译：适用于植入式心律转复除颤器的充电起始的方法
公开(公告)号：US20060167503A1
公开(公告)日：2006-07-27
申请号：US11042911
申请日：2005-01-25
申请人： Jay Warren , Gust Bardy
发明人： Jay Warren , Gust Bardy
IPC分类号： A61N1/39
CPC分类号： A61N1/3621 , A61N1/3943 , A61N1/3956
摘要： The present invention is directed toward an adaptive method for initiating the charging and delivering therapy to treat patient's experiencing recurrent non-sustained arrhythmic events. The adaptive methods of the present invention allow accounting for the persistence of an arrhythmia prior to initiating the charging sequence to deliver therapy.
摘要翻译：本发明涉及用于启动充电和递送治疗以治疗患者经历复发性非持续性心律不齐事件的适应性方法。本发明的适应性方法允许在启动充电序列之前考虑心律失常的持续性以递送治疗。

2. 发明申请

US20050192507A1 Multiple electrode vectors for implantable cardiac treatment devices 有权
公开(公告)号：US20050192507A1
公开(公告)日：2005-09-01
申请号：US11120284
申请日：2005-05-02
申请人： Jay Warren , Gust Bardy
发明人： Jay Warren , Gust Bardy
IPC分类号： A61B5/024 , A61B5/0402 , A61B5/042 , A61B5/0424 , A61B5/0428 , A61B5/07 , A61N1/362 , A61N1/368 , A61N1/39
CPC分类号： A61B5/0424 , A61B5/0402 , A61B5/042 , A61B5/04288 , A61B5/076 , A61B5/7207 , A61N1/3622 , A61N1/3925
摘要： The implantable cardiac treatment system of the present invention is capable of choosing the most appropriate electrode vector to sense within a particular patient. In certain embodiments, the implantable cardiac treatment system determines the most appropriate electrode vector for continuous sensing based on which electrode vector results in the greatest signal amplitude, or some other useful metric such as signal-to-noise ratio (SNR). The electrode vector possessing the highest quality as measured using the metric is then set as the default electrode vector for sensing. Additionally, in certain embodiments of the present invention, a next alternative electrode vector is selected based on being generally orthogonal to the default electrode vector. In yet other embodiments of the present invention, the next alternative electrode vector is selected based on possessing the next highest quality metric after the default electrode vector. In some embodiments, if analysis of the default vector is ambiguous, the next alternative electrode vector is analyzed to reduce ambiguity.

3. 发明申请

US20050049644A1 Multiple electrode vectors for implantable cardiac treatment devices 有权
标题翻译：用于可植入心脏治疗装置的多个电极载体
公开(公告)号：US20050049644A1
公开(公告)日：2005-03-03
申请号：US10901258
申请日：2004-07-27
申请人： Jay Warren , Gust Bardy
发明人： Jay Warren , Gust Bardy
IPC分类号： A61B5/024 , A61B5/0402 , A61B5/042 , A61B5/0424 , A61B5/0428 , A61B5/07 , A61N1/362 , A61N1/368 , A61N1/39
CPC分类号： A61B5/0424 , A61B5/0402 , A61B5/042 , A61B5/04288 , A61B5/076 , A61B5/7207 , A61N1/3622 , A61N1/3925
摘要： The implantable cardiac treatment system of the present invention is capable of choosing the most appropriate electrode vector to sense within a particular patient. In certain embodiments, the implantable cardiac treatment system determines the most appropriate electrode vector for continuous sensing based on which electrode vector results in the greatest signal amplitude, or some other useful metric such as signal-to-noise ratio (SNR). The electrode vector possessing the highest quality as measured using the metric is then set as the default electrode vector for sensing. Additionally, in certain embodiments of the present invention, a next alternative electrode vector is selected based on being generally orthogonal to the default electrode vector. In yet other embodiments of the present invention, the next alternative electrode vector is selected based on possessing the next highest quality metric after the default electrode vector. In some embodiments, if analysis of the default vector is ambiguous, the next alternative electrode vector is analyzed to reduce ambiguity.
摘要翻译：本发明的可植入心脏治疗系统能够选择最合适的电极载体以在特定患者体内感测。在某些实施例中，可植入心脏治疗系统基于哪个电极向量导致最大的信号幅度或诸如信噪比（SNR）的一些其他有用的度量来确定用于连续感测的最合适的电极向量。使用度量测量的具有最高质量的电极矢量然后被设置为用于感测的默认电极矢量。另外，在本发明的某些实施例中，基于大致正交于默认电极向量来选择下一个备选电极矢量。在本发明的其它实施例中，基于在默认电极向量之后拥有下一个最高质量度量来选择下一个备选电极矢量。在一些实施例中，如果默认矢量的分析是不明确的，则分析下一个替代电极矢量以减少模糊度。

4. 发明申请

US20050192505A1 Method for discriminating between ventricular and supraventricular arrhythmias 有权
标题翻译：区分心室和室上性心律失常的方法
公开(公告)号：US20050192505A1
公开(公告)日：2005-09-01
申请号：US11120258
申请日：2005-05-02
申请人： Alan Ostroff , Jay Warren , Gust Bardy
发明人： Alan Ostroff , Jay Warren , Gust Bardy
IPC分类号： A61N1/39 , A61N1/362
CPC分类号： A61N1/3956 , A61B5/0422 , A61B5/04525 , A61B5/0464 , A61B5/686 , A61N1/3925 , A61N1/3987
摘要： The present invention is directed toward a detection architecture for use in implantable cardiac rhythm devices. The detection architecture of the present invention provides methods and devices for discriminating between arrhythmias. Moreover, by exploiting the enhanced specificity in the origin of the identified arrhythmia, the detection architecture can better discriminate between rhythms appropriate for device therapy and those that are not.
摘要翻译：本发明涉及用于可植入心律装置的检测架构。本发明的检测架构提供了用于区分心律失常的方法和装置。此外，通过利用识别的心律失常起源的增强的特异性，检测架构可以更好地区分适合于设备治疗的节律和不适合的治疗节律。

5. 发明申请

US20060167504A1 Devices for adapting charge initiation for an implantable cardioverter-defibrillator 有权
标题翻译：适用于植入式心律转复除颤器的充电开始装置
公开(公告)号：US20060167504A1
公开(公告)日：2006-07-27
申请号：US11043012
申请日：2005-01-25
申请人： Jay Warren , Gust Bardy
发明人： Jay Warren , Gust Bardy
IPC分类号： A61N1/39
CPC分类号： A61N1/3943 , A61N1/3956
摘要： The present invention is directed toward devices configured to perform an adaptive method for initiating the charging and delivering therapy to treat patient's experiencing recurrent non-sustained arrhythmic events. The adaptive methods of the allow accounting for the persistence of an arrhythmia prior to initiating the charging sequence to deliver therapy.
摘要翻译：本发明涉及被配置为执行用于启动充电和递送治疗以治疗患者经历复发性非持续性心律不齐事件的自适应方法的装置。允许的适应性方法考虑到在开始充电序列之前持续的心律失常以递送治疗。

6. 发明申请

US20070027723A1 System and method for collection and analysis of patient information for automated remote patient care 有权
标题翻译：用于收集和分析用于自动远程病人护理的患者信息的系统和方法
公开(公告)号：US20070027723A1
公开(公告)日：2007-02-01
申请号：US11540251
申请日：2006-09-29
申请人： Gust Bardy
发明人： Gust Bardy
IPC分类号： G06F19/00
CPC分类号： A61B5/0031 , A61B5/0205 , G06F19/00 , G06F19/3418 , G06Q50/24 , G16H10/60 , G16H40/63 , Y10S128/92
摘要： A system and method for collection and analysis of patient information for automated remote patient care is disclosed. Patient care records in a database are collected. Each patient care record is defined and includes collected measurements sets. Each collected measurements set is specified and includes individual measurements, which each relate to patient information recorded by a medical device adapted to be implanted. At least one of the collected measurements sets is processed. A set of the collected measurements regularly stored and periodically sent from the implantable medical device is received. The collected measurements set are stored into the patient care record. One or more of the collected measurements sets are analyzed in the patient care record for the individual patient relative to one or more other collected measurements sets stored in the patient care record. Feedback based on the analysis of the one or more collected measurements sets is sent.
摘要翻译：公开了用于收集和分析用于自动化远程病人护理的患者信息的系统和方法。收集数据库中的病人护理记录。定义每个患者护理记录，并包括收集的测量组。指定每个收集的测量集，并且包括单独的测量，每个测量涉及由适于被植入的医疗设备记录的患者信息。所收集的测量集中的至少一个被处理。接收从植入式医疗装置定期存储并定期发送的一组收集的测量。收集的测量集存储在患者护理记录中。相对于存储在患者护理记录中的一个或多个其他收集的测量集，在个体患者的患者护理记录中分析所收集的测量集合中的一个或多个。发送基于一个或多个收集的测量集的分析的反馈。

7. 发明申请

US20060253006A1 System and method for generating feeback on physiometry analyzed during automated patient management 审中-公开
标题翻译：在自动化患者管理过程中分析的物理测量产生费用的系统和方法
公开(公告)号：US20060253006A1
公开(公告)日：2006-11-09
申请号：US11480634
申请日：2006-06-30
申请人： Gust Bardy
发明人： Gust Bardy
IPC分类号： A61B5/00
CPC分类号： A61B5/7275 , A61B5/0002 , A61B5/0006 , A61B5/0022 , A61B5/0031 , A61B5/02028 , A61B5/0205 , A61B5/021 , A61B5/0215 , A61B5/0432 , A61B5/0826 , A61B5/1116 , A61B5/1118 , A61B5/145 , A61B5/4878 , A61B5/686 , A61B5/7246 , A61B5/746 , A61B7/02 , A61N1/37258 , A61N1/37282 , A61N1/3962 , G06F19/3418 , G06Q50/24 , G16H10/60 , G16H15/00 , G16H50/20 , G16H50/30 , Y10S128/92
摘要： A system and method for generating feedback on physiometry analyzed during automated patient management is described. A patient enrolled in automated patient care is identified, along with information including at least one of treatment profile and medical history. Collected device measures are received to provide raw physiometry for the patient that was regularly monitored and recorded by a medical device. Derived device measures are determined to provide derivative physiometry based on the collected device measures. The collected and derived device measures quantify feedback including an analyzed pathophysiology indicative of patient well being.
摘要翻译：描述了在自动化患者管理期间分析的用于产生物理学反馈的系统和方法。鉴定了登记自动化病人护理的患者以及包括治疗概况和病史中的至少一个的信息。收集收集的装置措施，为由医疗设备定期监测和记录的患者提供原始物理测量。根据收集的设备措施确定派生设备措施以提供衍生物理测量。收集和衍生的装置测量量化反馈，包括指示患者健康的分析的病理生理学。

8. 发明申请

US20060219252A1 Subcutaneous only implantable cardioverter-defibrillator and optional pacer 有权
标题翻译：皮下仅植入式心律转复除颤器和可选步进器
公开(公告)号：US20060219252A1
公开(公告)日：2006-10-05
申请号：US11447711
申请日：2006-06-06
申请人： Gust Bardy , Riccardo Cappato
发明人： Gust Bardy , Riccardo Cappato
IPC分类号： A61B19/00
CPC分类号： A61N1/3956 , A61B5/042 , A61N1/36521 , A61N1/375 , A61N1/3756 , A61N1/3906
摘要： A subcutaneous implantable cardioverter-defibrillator is disclosed which has an electrically active canister which houses a source of electrical energy, a capacitor, and operational circuitry that senses the presence of potentially fatal heart rhythms. At least one subcutaneous electrode that serves as the opposite electrode from the canister is attached to the canister via a lead system. Cardioversion-defibrillation energy is delivered when the operational circuitry senses a potentially fatal heart rhythm. There are no transvenous, intracardic, or epicardial electrodes. A method of subcutaneously implanting the cardioverter-defibrillator is also disclosed as well as a kit for conducting the method.
摘要翻译：公开了一种皮下植入式心律转复除颤器，其具有容纳电能源的电活性罐，电容器和感测潜在致命心律的存在的操作电路。用作与罐相反的电极的至少一个皮下电极通过引导系统附接到罐。当操作电路感测到潜在的致命心律时，可以传递心律转复 - 除颤能量。没有静脉，心内或心外膜电极。还公开了皮下植入心律转复除颤器的方法以及用于进行该方法的试剂盒。

9. 发明申请

US20060155337A1 Cardioverter-defibrillator having a focused shocking area and orientation thereof 有权
公开(公告)号：US20060155337A1
公开(公告)日：2006-07-13
申请号：US11349326
申请日：2006-02-06
申请人： Gust Bardy , Riccardo Cappato , William Rissmann , Gary Sanders
发明人： Gust Bardy , Riccardo Cappato , William Rissmann , Gary Sanders
IPC分类号： A61N1/39
CPC分类号： A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3956 , A61N1/3968 , A61N1/3975
摘要： One embodiment of the present invention provides an implantable cardioverter defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing; an electrical circuit located within the housing; a first electrode coupled to the electrical circuit and located on the housing; and a second electrode coupled to the electrical circuit.

10. 发明授权

US07027864B2 Defibrillation system and method designed for rapid attachment 失效
公开(公告)号：US07027864B2
公开(公告)日：2006-04-11
申请号：US10124037
申请日：2002-04-17
申请人： David Snyder , Tom Lyster , Jon Bishay , Gust Bardy , Carl Morgan
发明人： David Snyder , Tom Lyster , Jon Bishay , Gust Bardy , Carl Morgan
IPC分类号： A61N1/18
CPC分类号： A61N1/3925 , A61N1/046 , A61N1/3943
摘要： A defibrillator having a pair of electrodes for delivering an impedance-compensated defibrillation shock and a method thereof is provided. The defibrillator can be deployed rapidly and effectively with no or minimal clothing and hair removal. To achieve this, one electrode is coupled to a neck region of the patient, whereas the other electrode is coupled to the patient's body. Both attachment areas are easily accessible to the rescuer, thus allowing a minimally trained user to easily deploy the defibrillator to treat the patient. A wide range of energy levels that are safe for the patient can be generated selectively based on the patient impedance. The presence of voids in the electrodes decrease the effective shock impedance of the electrodes, thus allowing the defibrillator to operate at a lower level of energy when delivering the electrical pulse to the victim's heart.

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