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    • 62. 发明申请
    • ELECTROTHERAPY CURRENT WAVEFORM
    • 电泳电流波形
    • WO1998026841A1
    • 1998-06-25
    • PCT/US1997023400
    • 1997-12-16
    • ZMD CORPORATION
    • ZMD CORPORATIONAYATI, ShervinLOPIN, Michael, L.
    • A61N01/39
    • A61N1/39A61N1/3906A61N1/3912A61N1/3925A61N1/3937A61N1/3943A61N1/3956
    • The invention provides a method and circuit for forming an electrotherapy current wave form. A charge storage device located externally of a patient's body is charged, and is discharged through the patient's body (24) through at least two discharge electrodes (21, 23) connected by electrical circuitry to opposite poles of the charge storage device. A continuous discharge of the charge storage device through the electrodes is controlled so as to produce at least one phase of a current wave form that includes a ripple (14). The ripple has a height less than one third of the height of the peak current of the phase. The current wave form has a sensing pulse portion (10) that is integral with the therapeutic discharge portion of the current wave form.
    • 本发明提供了一种形成电疗电流波形的方法和电路。 位于患者身体外部的电荷存储装置被充电,并且通过由电路连接到电荷存储装置的相对极的至少两个放电电极(21,23)通过患者身体(24)排出。 控制通过电极的电荷存储装置的连续放电,以便产生包括纹波(14)的电流波形的至少一个相位。 波纹的高度小于相位峰值电流高度的三分之一。 当前波形具有与当前波形的治疗放电部分成一体的感测脉冲部分(10)。
    • 63. 发明申请
    • EXTERNAL DEFIBRILLATOR HAVING LOW CAPACITANCE AND SMALL TIME CONSTANT
    • 具有低电容和小时间的外部解调器
    • WO1997038754A1
    • 1997-10-23
    • PCT/US1997006003
    • 1997-04-11
    • SURVIVALINK CORPORATION
    • SURVIVALINK CORPORATIONBREWER, James, E.SWERDLOW, Charles, D.
    • A61N01/39
    • A61N1/39A61N1/3906A61N1/3912
    • A method and apparatus for delivering a truncated damped sinusoidal external defibrillation waveform, which when applied through aplurality of electrodes positioned on a patient's torso will produce a desired response in the patient's cardiac cell membranes, is provided. The external defibrillator is utilized for applying a damped sinusoidal waveform having a first waveform phase, and a second waveform phase to a pair of electrodes. The external defibrillator has a first capacitive component (C1), a first inductive component (L1), a first truncating switch, and waveform control circuitry. The waveform control circuitry of the defibrillator controls the first and second truncating switches, such that the duration of the second phase waveform delivered by the second charge storage component, is greater than the duration of the first phase waveform delivered by the first charge storage component.
    • 提供截断的阻尼正弦外部除颤波形的方法和装置,其在通过位于患者躯干上的多个电极施加时将产生在患者的心脏细胞膜中的期望的响应。 外部除颤器用于向一对电极施加具有第一波形相位的阻尼正弦波形和第二波形相位。 外部除颤器具有第一电容分量(C1),第一电感分量(L1),第一截断开关和波形控制电路。 除颤器的波形控制电路控制第一和第二截断开关,使得由第二电荷存储部件传送的第二相位波形的持续时间大于由第一电荷存储部件传送的第一相位波形的持续时间。
    • 64. 发明申请
    • STAGED ENERGY STORAGE SYSTEM FOR IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR
    • 用于可植入式减速器的标准能源储存系统
    • WO1996022811A1
    • 1996-08-01
    • PCT/US1996000763
    • 1996-01-19
    • ANGEION CORPORATIONKROLL, Mark, W.BRUMWELL, Dennis, A.DONOHOO, Ann, M.
    • ANGEION CORPORATION
    • A61N01/39
    • A61N1/3956A61N1/3912A61N1/3975
    • A staged energy storage system (40) provides electrical energy to an implantable cardioverter defibrillator device by using the combination of a first stage energy source (45), and a second stage energy concentration system (50). The second stage energy concentration system (50) allows for either a lower density and/or lower voltage energy source to be used as the first stage energy source (45), thereby decreasing the battery cost, size and weight, or alternatively, for multiple closely spaced countershock pulses to be delivered. In one embodiment, the second stage energy concentration system (50) comprises a rechargeable battery (50). In another embodiment, the second stage energy capacitor system (50) comprises a high energy density capacitor system.
    • 分级储能系统(40)通过使用第一级能量源(45)和第二级能量集中系统(50)的组合,向可植入的心律转复除颤器装置提供电能。 第二级能量集中系统(50)允许将较低密度和/或较低电压能量源用作第一级能量源(45),从而降低电池成本,尺寸和重量,或者替代地,对于多个 紧密间隔的倒塌脉冲将被传送。 在一个实施例中,第二级能量集中系统(50)包括可再充电电池(50)。 在另一实施例中,第二级能量电容器系统(50)包括高能量密度电容器系统。
    • 65. 发明申请
    • PROPHYLACTIC IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR
    • 普通可植入式减速器
    • WO1995009030A2
    • 1995-04-06
    • PCT/US1994010665
    • 1994-09-21
    • ANGEION CORPORATION
    • ANGEION CORPORATIONADAMS, Theodore, P.KROLL, Mark, W.
    • A61N00/00
    • A61N1/3975A61N1/3912A61N1/3956H01M2/1066H01M6/5016H01M16/00
    • A practical and effective prophylactic implantable cardioverter defibrillator (ICD) that has the potential to benefit a large number of patients with less severe cardiac conditions who now lack the opportunity to be served in a practical way by existing ICD systems. Unlike existing ICD systems, the prophylactic ICD (17) is designed to deliver between about 100 to 200 shocks, with each shock having a maximum delivered energy value of only about 25 joules. As a result, the initial stored energy requirements of the prophylactic ICD system (17) are less than about 12,000 joules, and both the battery (28) and the capacitor systems (26, 27) can be significantly smaller than existing ICD system. The smaller battery (28) and capacitor systems (26, 27) produce in an implantable device having a physical size small enough to permit implantation of the device in the pectoral region. By using the particular ranges of number of shocks and maximum energy value for each shock to design the ICD system, the result is a practical prophylactic ICD system (17) that will provide effective prophylactic therapy for prospective cardiac incidents in patients with less severe cardiac conditions.
    • 一种实用且有效的预防性植入式心律转复除颤器(ICD),其潜在的益处是对现有ICD系统缺乏以实际可行方式服务的心脏状况较差的患者。 与现有的ICD系统不同,预防性ICD(17)被设计为提供约100至200次冲击,每次冲击的最大输送能量值仅为约25焦耳。 因此,预防性ICD系统(17)的初始存储能量需求小于约12,000焦耳,并且电池(28)和电容器系统(26,27)都可以显着小于现有的ICD系统。 较小的电池(28)和电容器系统(26,27)在可植入装置中产生,其具有足够小的物理尺寸以允许将装置植入胸部区域。 通过使用每次冲击的特定数量范围和每次冲击的最大能量值来设计ICD系统,结果是一种实用的预防性ICD系统(17),将为心脏不良状况患者的预期心脏事件提供有效的预防性治疗 。