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    • 1. 发明授权
    • Blood pressure monitoring system
    • 血压监测系统
    • US4216779A
    • 1980-08-12
    • US796893
    • 1977-05-16
    • W. David SquiresDonald L. AndersonIsaac R. Cherry
    • W. David SquiresDonald L. AndersonIsaac R. Cherry
    • A61B5/0225A61B5/022G06F17/00A61B5/02
    • A61B5/02208A61B5/7285Y10S128/90
    • Apparatus is disclosed for long-term ambulatory monitoring of blood pressure by an auscultation method, employing a pressurizable cuff and requiring no intervention by the patient. Heartbeats are sensed by ECG electrodes, and a microphone is used to sense the Korotkow sounds as the pressure in the cuff is varied. The presence or absence of a Korotkow sound within a preset interval following each heartbeat is used in determining when the cuff pressure equals the systolic and diastolic pressures. Those pressures are determined in each cycle of operation and are recorded on a continuously-running portable tape recorder, along with the ECG signals. In each cycle of operation, the initial pressure to which the cuff is inflated is based on the systolic pressure measured in the immediately preceding cycle. The pressure in the inflated cuff is thereafter stepped downward in small discrete decrements triggered by successive heartbeats during the measurement phase of each cycle. After both the systolic and diastolic pressures have been determined, the remaining cuff pressure is vented through the same valve that was used to produce the stepwise pressure reduction. After a number of cycles of operation, the magnetic tape is removed from the portable recorder and inserted into an analyzer for high-speed playback and automated plotting of the heart rate and accompanying blood pressure readings on a common chart.
    • 公开了通过听诊方法对血压进行长期动态监测的装置,其使用可加压的袖带并且不需要患者的干预。 ECG电极感应到心跳,并且当袖带中的压力变化时,麦克风用于感测Korotkow声音。 在每个心跳之后的预设间隔内存在或不存在Korotkow声音用于确定袖带压力何时等于收缩压和舒张压。 这些压力在每个操作周期中确定,并与ECG信号一起记录在连续运行的便携式磁带录音机上。 在每个操作循环中,袖带膨胀的初始压力基于在紧接的前一周期中测得的收缩压。 然后,在每个周期的测量阶段,充气袖带中的压力在连续的心跳触发的小的离散衰减中逐步下降。 在确定收缩压和舒张压两者之后,剩余的袖带压力通过用于产生逐步减压的相同的阀排出。 经过多个周期的操作后,将磁带从便携式记录仪中取出并插入分析仪,用于高速播放,并在公共图表上自动绘制心率和伴随的血压读数。
    • 4. 发明授权
    • Method and apparatus for vector analysis of ECG arrhythmias
    • ECG心律失常的矢量分析方法和装置
    • US4136690A
    • 1979-01-30
    • US847400
    • 1977-10-31
    • Donald L. AndersonIsaac R. Cherry
    • Donald L. AndersonIsaac R. Cherry
    • A61B5/04A61B5/0436G06F17/00
    • A61B5/0436A61B5/04011A61B5/7264
    • ECG signals from two approximately orthogonal leads are combined in a rectangular-to-polar coordinate converter to obtain signals representing the magnitude and angle of the vector. The vector angle existing at the instant the magnitude of the QRS vector reaches its peak is first identified, and a voltage corresponding to the vector angle is sampled and stored for later use. Secondly, the vector angle existing at the instant the magnitude of the T-wave vector reaches its peak later in the cardiac cycle, is identified, and a voltage corresponding to this second vector angle is sampled and stored. The voltages representing the QRS and the T-wave vector angles are then applied to a differential amplifier to obtain a difference voltage representing the angular difference existing between the two maximal vectors. This angular difference possesses certain characteristics which are diagnostically significant. A classifying circuit determines which one of a number of angular ranges the angular difference falls into. A counter is provided for each angular range to accumulate over successive heartbeats the number of differences which have fallen into each of the angular ranges, and the cumulative counts are displayed.
    • 来自两个近似正交引线的ECG信号在矩形到极坐标转换器中组合以获得表示矢量的大小和角度的信号。 首先确定存在于QRS矢量幅度瞬间的矢量角度,并对与矢量角度相对应的电压进行采样并存储供以后使用。 其次,识别在心搏周期之后的T波矢量的大小瞬间存在的矢量角,并对与该第二矢量角相对应的电压进行采样和存储。 然后将表示QRS和T波矢量角的电压施加到差分放大器以获得表示存在于两个最大矢量之间的角度差的差电压。 这种角度差异具有诊断意义上的某些特征。 分类电路确定角度差落入的多个角度范围中的哪一个。 为每个角度范围提供一个计数器,以在连续心跳上积累已经落入每个角度范围的差异数,并显示累积计数。
    • 5. 再颁专利
    • Electrocardiographic computer
    • 心电图机
    • USRE29921E
    • 1979-02-27
    • US899241
    • 1978-04-24
    • Isaac R. CherryDonald L. Anderson
    • Isaac R. CherryDonald L. Anderson
    • A61B5/0436A61B5/0452G06F17/00G11B15/02G11B15/29G11B15/54G11B27/10
    • G11B27/10A61B5/04365A61B5/0452G11B15/026G11B15/29G11B15/54
    • A multi-speed ECG magnetic tape scanning device for processing and observing in a relatively short interval of time large quantities of ECG signals from two pairs of ECG leads. The ECG information is recorded on a miniature recorder which the patient carries to record the information for a long period of time, such as 24 hours. The recorder includes a built-in clock with a visible display. The recorder also includes an event marker, which is activated by the patient when the patient experiences an event. The play-back of the ECG information is in real time or at multiple high speed play-back speeds of 30, 60 and 120 times real time. During play-back at high speed, a multi-speed multi-channel paper writer reproduces analog trend data, digital printed data and event marking. The trend information is usually heart rate and ST segment level, so as to produce a scanning of an entire 24 hour information tape in as short a period as 12 minutes. The tape scanning device can run on trend to print out trend to the end of the tape, and then stop automatically. Alternatively, the tape scanning device can run on trend to the end of the tape and then automatically cycle to the beginning of the tape to print-out trend and periodically slow the tape down to real time for the print-out of predetermined events in real time. After each print-out in real time, the playback always goes back to the originally selected trend speed for the continuation of the trend print-out. Various short events may be used to slow the read-out to real time, such as an event marking on the tape which has been activated by the patient. Also, any preselected abnormalities in heart function such as abnormal VE's, SVE's, ST level, rapid heart beat, slow heart rate, etc., may be used to print-out in real time. An arrhythmia computer detects and digitally displays the number of premature ventricular contractions (VE) and superventricular ectopic beats (SVE) and actuates the event markers on a paper writer when the arrhythmia occurrences exceed a predetermined number of occurrences during a predetermined time interval. The event marking may also be used to control the slow down during trend read-out to print out the ECG signals in real time to show the arrhythmia occurrences. The arrhythmia computer includes the ability to select one or a number of parameters to determine the occurrence of an arrhythmia. These parameters may be paired beats, prematurity, width or amplitude.
    • 6. 发明授权
    • Method and apparatus for holter recorder with high resolution signal
averaging capability for late potential analysis
    • 用于后期电位分析的高分辨率信号平均功能的手枪记录仪的方法和装置
    • US5205295A
    • 1993-04-27
    • US932907
    • 1992-08-18
    • Bruce Del MarIsaac R. Cherry
    • Bruce Del MarIsaac R. Cherry
    • A61B5/0436G06F17/00
    • A61B5/04365A61B5/7232
    • A method and apparatus for an ambulatory electrocardiographic monitoring system for recording, detection, measurement, analysis and plotting of high resolution electrocardiographic data having a modified Holter recorder that performs digital signal averaging of selected signals as well as storing for future playback all ECG beats. The digitally signal averaged beats are correlated with a previously defined correlation coefficient yielding summated results that have eliminated nonrepetitive noise to less than a microvolt. By real time averaging approximately 1000 beats during a 10 to 15 minute period and digitally storing the averaged data, micropotential averaging can be performed several times per hour for up to 24-hours. Analog recordings are precalibrated for accurate amplitude representation as well as providing an option for standard one millivolt calibration pulses at the beginning of the tape. Digital recordings are precalibrated relative to the acceptable levels without the use of a calibration signal. The recordings are downloaded to analysis systems at high speeds. If the recordings are analog they are digitized at a sufficiently high enough resolution to permit analysis of micropotentials. All recorded data is transferred to computer memory and hard disk for further review by the analysis system.
    • 一种用于记录,检测,测量,分析和绘制高分辨率心电图数据的移动心电图监测系统的方法和装置,其具有执行所选信号的数字信号平均以及存储以用于将来播放所有ECG节拍的改进的Holter记录器。 数字信号平均拍子与先前定义的相关系数相关,产生已经将非重要噪声消除到小于微伏的求和结果。 在10到15分钟的时间内实时平均约1000次拍摄,并且数字地存储平均数据,可以每小时多次执行多达24小时的微位平均。 对于精确的幅度表示,模拟记录被预先校准,以及在磁带开头提供标准的一毫伏校准脉冲的选项。 在不使用校准信号的情况下,数字记录相对于可接受的水平进行预先校准。 录音以高速下载到分析系统。 如果记录是模拟的,它们以足够高的分辨率被数字化,以允许分析微量。 所有记录的数据都被传送到计算机内存和硬盘,以便分析系统进一步审查。
    • 7. 发明授权
    • Modular physiological computer-recorder
    • 模块化生理计算机记录仪
    • US5701894A
    • 1997-12-30
    • US555546
    • 1995-11-09
    • Isaac R. CherryJohn A. BachmanDavid T. TanakaHangyick SoRaphael Henkin
    • Isaac R. CherryJohn A. BachmanDavid T. TanakaHangyick SoRaphael Henkin
    • A61B5/00A61B5/0432G06F19/00
    • A61B5/04325A61B2560/0475G06F19/322Y10S128/904
    • An ambulatory physiological computer recorder that includes multiple selective plug and play signal input conditioners, a microprocessor system with operating and analyzing software and a removable memory module for data storage. The removable memory module may consist of any non-volatile memory such as IC memory, magnetic memory, optical memory or magneto-optical memory. The removable memory module used in the recorder excludes operating software; the purpose of the removable memory module in the recorder is only to receive and store acquired data. The recorder uses an alpha-numeric LCD display with control buttons for user interface to enter patient ID and recorder functional perimeters. Both operational and selective analysis software is resident in the microprocessor EEPROM memory. Software is installed in the recorder by transfer from an external source via standard serial or parallel links with applicable connectors, or by a plug-in EEPROM. The recorder includes a patient event button and audible alert transducer. The LCD panel includes a display of time-of-day and various alert or error messages. Patient physiological and demographic data that is stored, during recording and during set up in the removable memory module, is normally transferred to an external analyzer by moving the memory module to an external system, or this data can be downloaded directly via standard data links. The acquired patient data can also be formatted in a report style, either in real time or at the end of a recording to directly drive various output devices.
    • 一种动态生理计算机记录器,包括多个选择性即插即用信号输入调节器,具有操作和分析软件的微处理器系统和用于数据存储的可移动存储器模块。 可移动存储器模块可以由诸如IC存储器,磁存储器,光学存储器或磁光存储器的任何非易失性存储器组成。 记录仪中使用的可移动存储模块不包括操作软件; 记录器中的可移动存储器模块的目的仅仅是接收和存储获取的数据。 录音机使用字母数字液晶显示屏,带有用于用户界面的控制按钮,可输入患者ID和录音机功能周边。 操作和选择性分析软件都驻留在微处理器EEPROM存储器中。 软件通过标准串行或并行链路与适用的连接器或插入式EEPROM从外部源传输安装在记录仪中。 记录器包括患者事件按钮和声音报警传感器。 LCD面板包括时间显示和各种警报或错误信息。 在记录期间和在可移动存储器模块中设置期间存储的病人生理和人口统计数据通常通过将存储器模块移动到外部系统而被传送到外部分析器,或者可以通过标准数据链接直接下载该数据。 获取的患者数据也可以以报告样式进行格式化,无论是实时还是在记录结束时直接驱动各种输出设备。