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1. 发明申请

WO2010005804A1 SYSTEM AND METHOD FOR THE DETECTION OF ACUTE MYOCARDIAL INFARCTION 审中-公开
标题翻译：用于检测急性心肌梗塞的系统和方法
公开(公告)号：WO2010005804A1
公开(公告)日：2010-01-14
申请号：PCT/US2009/048744
申请日：2009-06-26
申请人： MEDTRONIC, INC. , BOUTE, Willem , VAN HOVE, Jos, W. , HAMPTON, David, R. , WESSELINK, Wilbert, A.
发明人： BOUTE, Willem , VAN HOVE, Jos, W. , HAMPTON, David, R. , WESSELINK, Wilbert, A.
IPC分类号： A61B5/00 , A61B5/0205 , A61B5/0452 , A61N1/37 , G06F17/00 , G06F19/00
CPC分类号： A61B5/0452 , A61B5/0031 , A61B5/0205 , A61B5/02055 , A61B5/0816 , A61B5/7275 , A61B7/00 , A61N1/3702 , G06F19/00 , G16H10/20 , G16H50/20
摘要： A system and method are provided for the detection of acute myocardial infarction (AMI) using a staged approach for accurate and rapid detection. Physiological signals in a patient's body are sensed and corresponding physiological parameters are derived in a staged approach in order to determine the probability that AMI is occurring in a patient in a first detection stage. If the computed probability from physiological signals indicates the possibility of AMI, then the patient is prompted, such as through a patient-wearable device, to answer specific AMI-related questions to assist in diagnosis of AMI in a second stage. AMI is detected when the computed probability in the second stage exceeds a predefined detection threshold. A patient or physician alert may then be generated, which may further include the transfer of data via a communication link or network, in response to an AMI detection signal.
摘要翻译：提供了一种系统和方法，用于使用分阶段方法检测急性心肌梗死（AMI）以进行准确和快速的检测。检测患者身体中的生理信号，并且在分阶段方法中导出对应的生理参数，以便确定在第一检测阶段中患者发生AMI的可能性。如果来自生理信号的计算概率表明AMI的可能性，则提示患者，例如通过患者穿戴式装置，以回答特定AMI相关问题，以帮助诊断第二阶段的AMI。当计算出的第二级概率超过预定义的检测阈值时，检测到AMI。然后可以生成患者或医生警报，其可以响应于AMI检测信号而进一步包括经由通信链路或网络的数据传输。

2. 发明申请

WO2007089225A1 DEFIBRILLATOR WITH OVERRIDABLE CPR-FIRST PROTOCOL 审中-公开
标题翻译：具有可扩展CPR第一协议的DEFIBRILLATOR
公开(公告)号：WO2007089225A1
公开(公告)日：2007-08-09
申请号：PCT/US2006/003030
申请日：2006-01-31
申请人： MEDTRONIC, EMERGENCY RESPONSE SYSTEMS, INC. , BANVILLE, Isabelle , HAMPTON, David, R. , KAVOUNAS, Gregory, T. , NOVA, Richard, C.
发明人： BANVILLE, Isabelle , HAMPTON, David, R. , KAVOUNAS, Gregory, T. , NOVA, Richard, C.
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3993
摘要： Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.
摘要翻译：提供了用于确定外部除颤器中的除颤治疗方案的方法和装置，由此用户可以覆盖CPR-first默认协议。该方法包括配置在去纤颤器控制器中发出查询的以下步骤; 等待询问回复一段时间; 如果在设定的时间内没有收到响应，则订购CPR处理协议; 分析回应; 在收到对查询的非肯定回应后订购CPR治疗方案; 并在收到对查询的肯定回应时订购冲击治疗方案。选择休克治疗方案后，除颤器在休克治疗方案下进行休克分析，如果冲击分析没有表示休克治疗，则可以订购CPR治疗方案，或者如果通过休克分析指示休克治疗，则提供除颤休克。查询可以以视觉，听觉或视觉和听觉格式呈现给用户。

3. 发明申请

WO2004073579A3 INTEGRATED EXTERNAL CHEST COMPRESSION AND DEFIBRILLATION DEVICES AND METHODS OF OPERATION 审中-公开
标题翻译：一体化外部压缩和定位装置及其操作方法
公开(公告)号：WO2004073579A3
公开(公告)日：2004-12-16
申请号：PCT/US2004003998
申请日：2004-02-11
申请人： MEDTRONIC PHYSIO CONTROL CORP , JAYNE CYNTHIA , STICKNEY RONALD E , NOVA RICHARD C , RADONS STEPHEN W , HAMPTON DAVID R , EDWARDS CRAIG D , SULLIVAN JOSEPH L , SJOQUIST STEVEN E
发明人： JAYNE CYNTHIA , STICKNEY RONALD E , NOVA RICHARD C , RADONS STEPHEN W , HAMPTON DAVID R , EDWARDS CRAIG D , SULLIVAN JOSEPH L , SJOQUIST STEVEN E
IPC分类号： A61F7/02 , A61F7/10 , A61H31/00 , A61N1/39
CPC分类号： A61H31/005 , A61F7/10 , A61F2007/0233 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/00 , A61M16/0048 , A61M16/024 , A61M2205/3553 , A61M2205/3584 , A61N1/39
摘要： Integrated devices (30) for performing external chest compression (ECC) and defibrillation on a person and methods using the devices. Integrated devices can include a backboard (32), at least one chest compression member (40) operably coupled to the backboard, and a defibrillator module (46) operably coupled to the backboard. The integrated devices can include physiological sensors, electrodes, wheels, controllers, human interface devices, cooling modules, ventilators, cameras, and voice output devices. Methods can include defibrillating, pacing, ventilating, cooling, and performing ECC in an integrated, coordinated, and/or synchronous manner using the full capabilities of the device. Some devices include controllers executing methods for automatically performing the coordinated activities utilizing the device capabilities.
摘要翻译：用于对人进行外部胸部按压（ECC）和除颤的集成装置（30）和使用该装置的方法。集成装置可以包括背板（32），可操作地耦合到背板的至少一个胸部压缩构件（40）和可操作地联接到背板的除颤器模块（46）。集成设备可以包括生理传感器，电极，轮子，控制器，人机接口设备，冷却模块，通风机，照相机和语音输出设备。方法可以使用设备的全部功能，以集成，协调和/或同步的方式进行去纤颤，起搏，通风，冷却和执行ECC。一些设备包括执行使用设备能力自动执行协调活动的方法的控制器。

4. 发明申请

WO2006083830A1 SYSTEM AND METHOD FOR USING DIAGNOSTIC PULSES IN CONNECTION WITH DEFIBRILLATION THERAPY 审中-公开
标题翻译：使用诊断脉冲与定位治疗相关的系统和方法
公开(公告)号：WO2006083830A1
公开(公告)日：2006-08-10
申请号：PCT/US2006/003348
申请日：2006-01-30
申请人： MEDTRONIC EMERGENCY RESPONSE SYSTEMS, INC. , HAMPTON, David R. , BANVILLE, Isabelle
发明人： HAMPTON, David R. , BANVILLE, Isabelle
IPC分类号： A61N1/39
CPC分类号： A61N1/3962 , A61H31/005 , A61H2031/002 , A61M5/1723 , A61M2230/005 , A61M2230/04 , A61N1/025 , A61N1/385 , A61N1/39 , A61N1/3925 , A61N1/3987
摘要： An external defibrillator system is disclosed that generates and applies a diagnostic signal to the patient in conjunction with defibrillation therapy. The diagnostic signal is designed to elicit a physiologic response from the patient's heart, namely, mechanical cardiac response and electrical cardiac response, electrical cardiac response only, or no cardiac response. Depending upon the type of cardiac response detected, the system selects an appropriate resuscitation protocol that considers the likely responsiveness of the patient to defibrillation therapy. In one practical embodiment, a stimulus signal is applied to patients that show mechanical and electrical capture in response to the diagnostic signal. The stimulus signal maintains the mechanical capture (and, therefore, perfusion) for a period of time prior to the delivery of a defibrillation pulse.
摘要翻译：公开了一种外部除颤器系统，其与除颤疗法结合产生诊断信号并将其应用于患者。诊断信号被设计为引起来自患者心脏的生理反应，即机械心脏反应和电心脏反应，仅有电心脏反应或没有心脏反应。根据检测到的心脏反应的类型，系统选择适当的复苏方案，其考虑患者对除颤治疗的可能响应性。在一个实际实施例中，刺激信号被应用于响应于诊断信号显示机械和电捕获的患者。刺激信号在输送除颤脉冲之前的一段时间内保持机械捕获（以及因此灌注）。

5. 发明申请

WO2010008923A1 PERSONAL ALERTING DEVICE FOR USE WITH DIAGNOSTIC DEVICE 审中-公开
标题翻译：个人诊断装置，用于诊断装置
公开(公告)号：WO2010008923A1
公开(公告)日：2010-01-21
申请号：PCT/US2009/049000
申请日：2009-06-29
申请人： MEDTRONIC, INC. , HAMPTON, David, R. , KRAUSE, Paul, G. , WARKENTIN, Dwight, H. , PAPE, Forrest, C., M.
发明人： HAMPTON, David, R. , KRAUSE, Paul, G. , WARKENTIN, Dwight, H. , PAPE, Forrest, C., M.
IPC分类号： A61B5/0452 , A61N1/362
CPC分类号： A61N1/37258 , A61B5/0452 , A61B5/747 , A61N1/3962 , G16H40/63
摘要： A personal alerting device and method of generating an alert of an event detected by an implanted diagnostic device are provided. The method can include transmitting an event signal to the personal alerting device when one or more of the following occurs: ischemia is detected, a deviation from the baseline waveform is detected, a life-threatening trend begins, or symptoms are indicated. The method can also include generating an alarm signal from the personal alerting device, and the alarm signal can include one or more of a visual message, a light, a vibration, and a sound. In addition, the method can include prompting further action to be taken.
摘要翻译：提供了一种个人报警设备和产生由植入诊断设备检测到的事件的警报的方法。该方法可以包括当发生以下一个或多个发生时将事件信号发送到个人警报设备：检测到缺血，检测到与基线波形的偏差，危及生命的趋势开始或症状被指示。该方法还可以包括从个人报警设备产生报警信号，并且报警信号可以包括视觉消息，光，振动和声音中的一个或多个。此外，该方法可以包括促进进一步采取行动。

6. 发明申请

WO2010005794A1 SYSTEM AND METHOD FOR THE DIAGNOSIS AND ALERT OF A MEDICAL CONDITION INITIATED BY PATIENT SYMPTOMS 审中-公开
标题翻译：由患者症状引起的医疗条件的诊断和警报的系统和方法
公开(公告)号：WO2010005794A1
公开(公告)日：2010-01-14
申请号：PCT/US2009/048610
申请日：2009-06-25
申请人： MEDTRONIC, INC. , BOUTE, Willem , HAMPTON, David, R. , ALBERS, Bert, A. , WESSELINK, Wilbert, A.
发明人： BOUTE, Willem , HAMPTON, David, R. , ALBERS, Bert, A. , WESSELINK, Wilbert, A.
IPC分类号： G06F19/00
CPC分类号： G06Q50/24 , G06F19/00 , G06F19/3418 , G16H10/20
摘要： A system and method are provided for diagnosing and generating an alert for a medical condition using procedures initiated by symptoms being experienced by a patient. Diagnostic procedures are initiated in response to the patient entering specific symptoms the patient is experiencing through a patient activator device. The patient activator device may then acquire more information related to the symptoms from the patient, instruct an implantable medical device to perform measurements of certain physiological parameters related to the symptoms, or instruct the patient to perform certain tests. The symptoms and data collected from the patient and medical device are transmitted to a remote diagnostic device for performing clinical decisions based on such information and determining whether the patient is experiencing a particular medical condition. Upon detection of a condition, the remote diagnostic device generates an automated response that may include generating alerts to patients/physicians or instructions for treatment.
摘要翻译：提供了一种系统和方法，用于使用由患者经历的症状引发的过程来诊断和产生用于医疗状况的警报。响应于患者进入患者通过患者激活器装置经历的特定症状而开始诊断程序。患者激活器装置然后可以从患者获得与症状相关的更多信息，指示可植入医疗装置执行与症状相关的某些生理参数的测量，或指示患者执行某些测试。从患者和医疗装置收集的症状和数据被传送到远程诊断装置，以便根据这些信息执行临床决定，并确定患者是否正在经历特定的医疗状况。在检测到条件时，远程诊断装置产生自动响应，其可以包括向患者/医生产生警报或用于治疗的指令。

7. 发明申请

WO2004073797A1 DEFIBRILLATORS CAPABLE OF ADAPTING TO A CONCURRENT NOT PERFORMED BY THE DEFIBRILLATOR 审中-公开
标题翻译：适应缺陷者不能执行的并发症的抗癫痫剂
公开(公告)号：WO2004073797A1
公开(公告)日：2004-09-02
申请号：PCT/US2004/003999
申请日：2004-02-11
申请人： MEDTRONIC PHYSIO CONTROL CORPORATION , NOVA, Richard, C. , STICKNEY, Ronald, E. , RADONS, Stephen, W. , HAMPTON, David, R. , EDWARDS, Craig, D. , JAYNE, Cynthia , SULLIVAN, Joseph, L. , SJOQUIST, Steven, E.
发明人： NOVA, Richard, C. , STICKNEY, Ronald, E. , RADONS, Stephen, W. , HAMPTON, David, R. , EDWARDS, Craig, D. , JAYNE, Cynthia , SULLIVAN, Joseph, L. , SJOQUIST, Steven, E.
IPC分类号： A61N1/39
CPC分类号： A61B5/0205 , A61B5/0006 , A61B5/01 , A61B5/0402 , A61N1/3931 , A61N1/3993
摘要： A defibrillating device according to the present invention includes a defibrillator module for defibrillating a person and a data input module coupled to the defibrillator module for making the defibrillator module aware of another therapy or therapies being performed on the person, where the therapies are not being performed by the defibrillating device. The defibrillating device can operate autonomously, yet become aware of other, concurrent and independent therapies being performed on the person. The defibrillating device provided by the invention can then modify the operation of the defibrillating device responsive to the awareness of the other, applied therapy or therapies. Defibrillators can be coupled to sensors, leads, and electrodes for measuring attributes of the person. The defibrillators can generate defibrillation pulses, pacing pulses, and informational output for human consumption. In one embodiment, defibrillation pulses are provided in synchrony with chest compressions measured by sensors coupled to the defibrillator.
摘要翻译：根据本发明的去纤颤装置包括用于对人进行除纤颤的除纤颤器模块和耦合到去纤颤器模块的数据输入模块，用于使除颤器模块知道正在执行治疗的人的另一种治疗或治疗通过去纤颤装置。除颤装置可以自主操作，但是意识到正在对人执行的其他并发和独立的治疗。本发明提供的去纤维化装置可以根据其他应用的治疗或疗法的意识来改变去纤颤装置的操作。除颤器可以耦合到用于测量人的属性的传感器，引线和电极。除颤器可以产生除颤脉冲，起搏脉冲和信息输出以供人类消费。在一个实施例中，除颤器脉冲与由耦合到去纤颤器的传感器测量的胸部按压同步地提供。

8. 发明申请

WO2004073580A1 COOPERATING DEFIBRILLATORS AND EXTERNAL CHEST COMPRESSION DEVICES 审中-公开
标题翻译：合作解除装置和外部压缩装置
公开(公告)号：WO2004073580A1
公开(公告)日：2004-09-02
申请号：PCT/US2004/004097
申请日：2004-02-11
申请人： MEDTRONIC PHYSIO CONTROL CORPORATION , HAMPTON, David, R. , STICKNEY, Ronald, E. , NOVA, Richard, C. , RADONS, Stephen, W. , EDWARDS, Craig, D. , JAYNE, Cynthia , SULLIVAN, Joseph, L. , SJOQUIST, Steven, E.
发明人： HAMPTON, David, R. , STICKNEY, Ronald, E. , NOVA, Richard, C. , RADONS, Stephen, W. , EDWARDS, Craig, D. , JAYNE, Cynthia , SULLIVAN, Joseph, L. , SJOQUIST, Steven, E.
IPC分类号： A61H31/00
CPC分类号： A61H31/005 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/00 , A61M2202/0208 , A61N1/39 , G06F19/00 , G16H40/63
摘要： Devices for providing communicating external chest compression (ECC) devices (30) and defibrillation (DF) devices (68), where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate and cooperate with each other. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard (32), a chest compression member (40), a communication module (62), controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module (64) that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.
摘要翻译：用于提供通信的外部胸部按压（ECC）设备（30）和除颤（DF）设备（68）的设备，其中ECC和DF设备可以在物理上彼此分离。 ECC和DF设备都能够自主操作，但能够彼此通信和协作。一些ECC和DF装置适于彼此物理和/或电耦合。一个ECC装置包括背板（32），胸部按压构件（40），通信模块（62），控制器以及至少一个传感器，电极引线或电极。一个DF装置包括除颤器模块，控制器和可与ECC通信模块通信的通信模块（64）。通信ECC和DF设备可以提供ECC，起搏，除颤，通气和冷却治疗，并且可以以协调和协作的方式向人类助理提供指令。

9. 发明申请

WO2004073579A2 INTEGRATED EXTERNAL CHEST COMPRESSION AND DEFIBRILLATION DEVICES AND METHODS OF OPERATION 审中-公开
标题翻译：一体化外部压缩和定位装置及其操作方法
公开(公告)号：WO2004073579A2
公开(公告)日：2004-09-02
申请号：PCT/US2004/003998
申请日：2004-02-11
申请人： MEDTRONIC PHYSIO CONTROL CORPORATION , JAYNE, Cynthia , STICKNEY, Ronald, E. , NOVA, Richard, C. , RADONS, Stephen, W. , HAMPTON, David, R. , EDWARDS, Craig, D. , SULLIVAN, Joseph, L. , SJOQUIST, Steven, E.
发明人： JAYNE, Cynthia , STICKNEY, Ronald, E. , NOVA, Richard, C. , RADONS, Stephen, W. , HAMPTON, David, R. , EDWARDS, Craig, D. , SULLIVAN, Joseph, L. , SJOQUIST, Steven, E.
IPC分类号： A61H31/00
CPC分类号： A61H31/005 , A61F7/10 , A61F2007/0233 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/00 , A61M16/0048 , A61M16/024 , A61M2205/3553 , A61M2205/3584 , A61N1/39
摘要： Integrated devices for performing external chest compression (ECC) and defibrillation on a person and methods using the devices. Integrated devices can include a backboard, at least one chest compression member operably coupled to the backboard, and a defibrillator module operably coupled to the backboard. The integrated devices can include physiological sensors, electrodes, wheels, controllers, human interface devices, cooling modules, ventilators, cameras, and voice output devices. Methods can include defibrillating, pacing, ventilating, cooling, and performing ECC in an integrated, coordinated, and/or synchronous manner using the full capabilities of the device. Some devices include controllers executing methods for automatically performing the coordinated activities utilizing the device capabilities.
摘要翻译：用于对人进行外部胸部按压（ECC）和除颤的集成设备和使用设备的方法。集成设备可以包括背板，至少一个可操作地耦合到背板的胸部压缩构件，以及可操作地联接到背板的除颤器模块。集成设备可以包括生理传感器，电极，轮子，控制器，人机接口设备，冷却模块，通风机，照相机和语音输出设备。方法可以使用设备的全部功能，以集成，协调和/或同步的方式进行去纤颤，起搏，通风，冷却和执行ECC。一些设备包括执行使用设备能力自动执行协调活动的方法的控制器。

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