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    • 2. 发明授权
    • Digital sliding pole fast-restore for an electrocardiograph display
    • 数字滑杆快速恢复心电图仪显示
    • US06185450B2
    • 2001-02-06
    • US09013570
    • 1998-01-26
    • Dennis R. SeguineJohn R. SticeStephen P. LaBrash
    • Dennis R. SeguineJohn R. SticeStephen P. LaBrash
    • A61B50428
    • A61B5/0428Y10S128/901
    • A method and apparatus for monitoring an electrocardiograph waveform, and for returning an electrocardiograph trace to the middle of a display, such as a chart recorder strip. The monitoring circuit includes an amplifier and a switch for switching the frequency response curve of the monitoring circuit. In a first position, the switch causes the monitoring circuit to have a slow frequency response curve, which allows for accurate monitoring of ECG waveforms. In a second position, the switch causes the monitoring circuit to have a fast frequency response curve, which allows the amplifier of the monitoring circuit to quickly be brought out of saturation. The amplifier of the monitoring circuit becomes saturated when a defibrillation or pace pulse has been applied to a patient who is being monitored. The switch is controlled by a pulse waveform control signal that is provided by a microprocessor. By varying the duty cycle of the control signal, the frequency response curve of the monitoring circuit can be shifted. By changing the duty cycle of the pulse waveform in incremental steps, certain problems can be avoided, such as erroneous QRS detect marks that are otherwise produced. The incremental steps in which the duty cycle of the pulse waveform is changed may be predetermined, or they may be adjusted according to feedback from the amplifier.
    • 一种用于监测心电图波形并将心电图仪轨迹返回到诸如图表记录器条的显示器中间的方法和装置。 监视电路包括用于切换监视电路的频率响应曲线的放大器和开关。 在第一位置,开关使得监测电路具有缓慢的频率响应曲线,这允许精确地监测ECG波形。 在第二位置,开关使监视电路具有快速的频率响应曲线,这使得监视电路的放大器能够快速地脱离饱和。 当除颤或起搏脉冲被施加到被监视的患者时,监视电路的放大器变得饱和。 开关由微处理器提供的脉冲波形控制信号控制。 通过改变控制信号的占空比,可以改变监视电路的频率响应曲线。 通过以递增的步长改变脉冲波形的占空比,可以避免某些问题,例如否则产生的错误的QRS检测标记。 脉冲波形的占空比改变的增量步骤可以是预定的,或者可以根据来自放大器的反馈来调整。
    • 8. 发明授权
    • Infusion system, methodology, and algorithm for identifying
patient-induced pressure artifacts
    • 用于识别患者引起的压力伪影的输液系统,方法和算法
    • US4979940A
    • 1990-12-25
    • US369801
    • 1989-06-22
    • Donald E. Bobo, Jr.Edward F. MeierDennis R. SeguineTheodore R. Lapp
    • Donald E. Bobo, Jr.Edward F. MeierDennis R. SeguineTheodore R. Lapp
    • A61M5/00A61M5/168
    • A61M5/16831A61M5/16859Y10S128/13
    • An infusion system includes fluid-delivery components for delivering a fluid from a separate source of the fluid into a patient, transducer components for producing a signal related to the pressure of the fluid in the fluid-delivery components, and identification components responsive to the signal for identifying pressure artifacts characteristic of patient activity. Gravity-fed infusion may be employed as well as infusion with a flow control device, and identification may be accomplished with a microprocessor for examining the waveform of the signal and identifying pressure artifacts characteristic of patient activity amidst pressure changes caused by fluid-delivery components so that site checking can be conducted during quiet periods, i.e., times of little patient acitivity. A method of detecting an abnormal infusion condition includes infusing a fluid into a patient through a conduit, with the pressure of the fluid in the conduit being subject to influence by patient activity, monitoring the fluid pressure in the conduit in order to detect pressure artifacts characteristic of patient activity, and performing a site check for abnormal infusion conditions at a time when no such pressure artifacts are detected.
    • 输液系统包括用于将流体从单独的流体源输送到患者中的流体输送部件,用于产生与流体输送部件中的流体的压力有关的信号的换能器部件以及响应于该信号的识别部件 用于识别患者活动特征的压力伪影。 可以使用重力输注输注以及具有流量控制装置的输注,并且可以使用用于检查信号波形的微处理器来实现识别,并且在由流体输送部件引起的压力变化之间识别患者活动特征的压力伪像 该场址检查可以在安静期间进行,即,患者活动度较小的时间。 检测异常输注条件的方法包括通过导管将流体输入患者体内,导管中的流体压力受到患者活动的影响,监测管道中的流体压力,以便检测压力瑕疵特征 的患者活动,并且在没有检测到这种压力伪像的时候对异常输注条件进行现场检查。
    • 10. 发明授权
    • Method and apparatus for removing baseline wander from an egg signal
    • 从卵信号中去除基线漂移的方法和装置
    • US06280391B1
    • 2001-08-28
    • US09246625
    • 1999-02-08
    • Dana J. OlsonDennis R. Seguine
    • Dana J. OlsonDennis R. Seguine
    • B61B50428
    • H03H17/06A61B5/0428H03H17/02
    • A baseline wander filter (BWF) with linear phase response for an ECG signal measuring system includes two cascaded box car FIR filters to estimate the baseline wander. The cascaded box car filters form, in effect, a triangular FIR filter that generates a weighted sliding window average of the input samples to serve as the estimated baseline wander. The estimated baseline wander samples generated by the BWF are then subtracted from the corresponding input ECG samples. The boxcar filters can be designed to avoid multiplication by adding the samples and dividing the resulting sum by the number of coefficients. By choosing the number of coefficients as a power of two, binary division can be performed by shifting the bits of the resulting sum to the right. Accordingly, the present invention avoids the relatively large computational load of conventional FIR filter-based systems. The BWF can be implemented in software in which each boxcar filter uses an accumulator data structure that generates the sum of the previous N samples. When adding the next sample to the sum, it subtracts the Nth previous sample. The output sample of the BWF is equal to the value in the sum buffer, appropriately shifted.
    • 具有ECG信号测量系统的线性相位响应的基线漂移滤波器(BWF)包括两个级联的盒车FIR滤波器以估计基线漂移。 级联盒式汽车滤波器实际上形成三角FIR滤波器,其产生输入样本的加权滑动窗口平均值,以用作估计的基线漂移。 然后从相应的输入ECG样本中减去由BWF产生的估计的基线漂移样本。 盒式滤波器可以设计成避免乘以相加样本并将得到的和除以系数数。 通过选择系数的数量作为2的幂,可以通过将所得和的位向右移位来执行二进制除法。 因此,本发明避免了传统的基于FIR滤波器的系统的相对较大的计算量。 BWF可以在软件中实现,其中每个盒式滤波器使用产生先前N个样本的和的累加器数据结构。 当将下一个样本添加到和时,它将减去第N个先前的样本。 BWF的输出样本等于和缓冲区中的值,适当偏移。