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1. 发明申请

WO2019140094A1 CARDIAC RESYNCHRONIZATION THERAPY DIAGNOSTICS 审中-公开
公开(公告)号：WO2019140094A1
公开(公告)日：2019-07-18
申请号：PCT/US2019/013059
申请日：2019-01-10
申请人： MEDTRONIC, INC.
发明人： STADLER, Robert W. , CORNELUSSEN, Richard , STEGEMANN, Berthold
IPC分类号： A61N1/365 , A61N1/362 , A61B5/00 , A61B5/11 , A61N1/375 , A61B5/0452
CPC分类号： A61N1/3702 , A61B5/04525 , A61B5/0456 , A61B5/1102 , A61B5/4836 , A61B5/686 , A61N1/0587 , A61N1/3627 , A61N1/36578 , A61N1/371 , A61N1/3756 , A61N1/3937 , A61N1/39622
摘要： In some examples, a system can be used for delivering cardiac resynchronization therapy (CRT). The system may include a pacing device configured to be implanted within a patient. The pacing device can include a plurality of electrodes, signal generation circuitry configured to deliver ventricular pacing via the plurality of electrodes, and a sensor configured to produce a signal that indicates mechanical activity of the heart. Processing circuitry can be configured to identify one or more features of a cardiac contraction within the signal and determine whether the contraction was a fusion beat based on the one or more features.

2. 发明申请

WO2016109393A1 RESCUE PERFORMANCE METRIC 审中-公开
标题翻译：降低性能指标
公开(公告)号：WO2016109393A1
公开(公告)日：2016-07-07
申请号：PCT/US2015/067603
申请日：2015-12-28
申请人： ZOLL MEDICAL CORPORATION
发明人： PACKER, Richard A. , FREEMAN, Gary A. , SILVER, Annemarie
IPC分类号： A61N1/39 , A61B5/0205 , A61B5/113
CPC分类号： A61B5/1118 , A61B5/0402 , A61B5/087 , A61B5/6898 , A61B2505/01 , A61B2562/0219 , A61N1/3937 , G06F19/00 , G06F19/3418 , G16H15/00
摘要： An external defibrillator system, the system comprising: one or more sensors configured to detect one or more parameters associated with performance of CPR; one or more wearable computing devices configured to provide feedback to a user about CPR performed by the user based on the one or more parameters associated with the performed CPR; and an external defibrillator comprising: a memory configured to store instructions; and a processor to execute the instructions to perform an operation comprising: analyzing the one or more parameters to determine a CPR performance metric indicative of an overall performance of the user.
摘要翻译：一种外部除颤器系统，该系统包括：一个或多个传感器，被配置为检测与CPR性能相关联的一个或多个参数; 一个或多个可穿戴计算设备，被配置为基于与所执行的CPR相关联的一个或多个参数向用户提供关于CPR执行的CPR的反馈; 和外部除颤器，包括：存储器，被配置为存储指令; 以及执行所述指令以执行操作的处理器，包括：分析所述一个或多个参数以确定指示所述用户的整体性能的CPR性能度量。

3. 发明申请

WO2016039874A1 IMPLANTABLE MEDICAL DEVICE WITH TRANSFORMERS AND WITH CAPACITORS COUPLED TO THE SECONDARY WINDINGS OF THE TRANSFORMERS 审中-公开
标题翻译：具有变压器和电容器的可变形医疗设备与变压器的次级绕组相连
公开(公告)号：WO2016039874A1
公开(公告)日：2016-03-17
申请号：PCT/US2015/042329
申请日：2015-07-28
申请人： MEDTRONIC, INC.
发明人： BOONE, Mark R. , CRUTCHFIELD, Randolph E. , CABELKA, Lonny V. , KUEHN, Kevin P. , MEADOR, John T.
IPC分类号： A61N1/378 , A61N1/39
CPC分类号： A61N1/3975 , A61N1/378 , A61N1/3937 , A61N1/3956 , A61N1/3981
摘要： An implantable medical device includes a low-power circuit (60), a high-power circuit and a dual-cell (102a, 102b) power source. The power source is coupled to a dual-transformer (64a, 64b) such that each cell is connected to one of the transformers. Each transformer includes multiple windings (106a, 116a-116c, 106b, 116d-116f) and each of the windings is coupled to a capacitor (122a-122f) and the capacitors are connected. The low power circuit is coupled to the power source and is configured to issue a control signal to control the delivery of charge from the power source to the plurality of capacitors through the first and second transformers.
摘要翻译：可植入医疗装置包括低功率电路（60），高功率电路和双电池（102a，102b）电源。电源耦合到双变压器（64a，64b），使得每个单元连接到变压器之一。每个变压器包括多个绕组（106a，116a-116c，106b，116d-116f），并且每个绕组耦合到电容器（122a-122f），并且电容器被连接。低功率电路耦合到电源，并被配置为发出控制信号以控制通过第一和第二变压器从电源到多个电容器的电荷传递。

4. 发明申请

WO2013071280A3 DETERMINATION FOR EFFECTIVE DEFIBRILLATION 审中-公开
标题翻译：确定有效的定律
公开(公告)号：WO2013071280A3
公开(公告)日：2014-08-28
申请号：PCT/US2012064779
申请日：2012-11-13
申请人： ZOLL MEDICAL CORP , QUAN WEILUN , TAN QING , FREEMAN GARY A
发明人： QUAN WEILUN , TAN QING , FREEMAN GARY A
IPC分类号： A61N1/39 , A61N1/00
CPC分类号： A61N1/3925 , A61N1/3937 , A61N1/3987 , A61N1/3993
摘要： A method for managing care of a person receiving emergency cardiac is disclosed and involves monitoring, with an external defibrillator, multiple parameters of the person receiving emergency cardiac assistance; determining from at least one of the parameters, an indication of trans-thoracic impedance of the person receiving emergency cardiac care; determining, from at least one of the parameters corresponding to an electrocardiogram of the person receiving emergency cardiac assistance, an initial indication of likely shock effectiveness; determining, as a function of at least the indication of trans-thoracic impedance and the initial indication of likely shock effectiveness, an indication of whether a shock provided to the person receiving emergency medical assistance will be effective; and affecting control of the defibrillator by a caregiver as a result of determining the indication of whether a shock will be effective.
摘要翻译：公开了一种用于管理接收紧急心脏的人的护理的方法，并且涉及用外部除颤器监测接收紧急心脏辅助的人的多个参数; 从所述参数中的至少一个确定接受紧急心脏保健的人的胸部阻抗的指示; 从对应于接受紧急心脏辅助的人的心电图的参数中的至少一个确定可能的休克有效性的初始指示; 确定作为至少是跨胸阻抗的指示和可能的冲击有效性的初始指示的函数，指示是否向接受紧急医疗援助的人提供的冲击将是有效的; 并且由于确定是否有效的冲击的指示，由照护者影响除颤器的控制。

5. 发明申请

WO2014004508A1 PROVIDING LIFE SUPPORT 审中-公开
标题翻译：提供生命支持
公开(公告)号：WO2014004508A1
公开(公告)日：2014-01-03
申请号：PCT/US2013/047617
申请日：2013-06-25
申请人： ZOLL MEDICAL CORPORATION
发明人： GEHEB, Frederick, J.
IPC分类号： A61N1/18 , A61N1/37 , A61N1/39 , H04N13/02
CPC分类号： A61N1/0484 , A61B5/0245 , A61B5/0402 , A61B5/044 , A61B5/0816 , A61B5/4836 , A61B5/6803 , A61B5/6804 , A61N1/046 , A61N1/3625 , A61N1/39 , A61N1/3925 , A61N1/3937 , A61N1/3987
摘要： Systems and methods of providing life support are provided. A life support system includes a first life support device that has a control unit and is configured to apply a life support protocol to a subject. The first life support device also includes a memory unit that can store life support protocol information, and the control unit can provide the life support protocol information to a second life support device. The control unit can also receive operating instructions from the second life support device based on the life support protocol information, and can implement the operating instructions.
摘要翻译：提供了提供生命支持的制度和方法。生命支持系统包括具有控制单元并被配置为向对象应用生命支持协议的第一人生支持设备。第一生命支持设备还包括可以存储生命支持协议信息的存储器单元，并且控制单元可以向第二生命支持设备提供生命支持协议信息。控制单元还可以基于生命支持协议信息从第二生命支持设备接收操作指令，并且可以实现操作指令。

6. 发明申请

WO2005000399A1 COMPENSATION FOR CARDIAC SHUNT CURRENTS DURING DEFIBRILLATION 审中-公开
标题翻译：补救期间心脏分流电流的补偿
公开(公告)号：WO2005000399A1
公开(公告)日：2005-01-06
申请号：PCT/IB2004/001939
申请日：2004-06-01
申请人： KONINKLIJKE PHILIPS ELECTRONICS N.V. , SNYDER, David , POWERS, Daniel , MORGAN, Carl
发明人： SNYDER, David , POWERS, Daniel , MORGAN, Carl
IPC分类号： A61N1/39
CPC分类号： A61N1/3937 , A61N1/36528 , A61N1/39
摘要： A defibrillator having a pair of electrodes for delivering a defibrillation shock and a method thereof is provided.The defibrillator includes an energy-source circuit that may be discharged through electrodes on a patient to provide a biphasic voltage or current pulse. The energy-source-storage circuit is coupled across a bridge switch for delivering a defibrillation pulse to the patient through a pair of electrodes. A controller operates to control the entire defibrillation process and detects shockable rhythms from the patient via an ECG front end. The controller determines the source of the defibrillator to match the selected mode, which is inputted by connecting coded accessories, such as internal paddles, adult electrodes, or pediatric external electrodes to deliver appropriate defibrillation shocks. Other types of patient-dependent parameters are also employed to achieve the impedance compensation.
摘要翻译：提供具有用于递送除颤电击的一对电极的除颤器及其方法。除颤器包括能够通过患者身上的电极放电以提供双相电压或电流脉冲的能量源电路。能量源存储电路跨桥式开关耦合，用于通过一对电极向病人传递除颤脉冲。控制器操作以控制整个除颤过程，并通过ECG前端检测患者的可震荡节律。控制器确定除颤器的源与所选择的模式相匹配，该模式通过连接诸如内部桨叶，成人电极或儿科外部电极的编码附件输入，以输送适当的除颤电击。还采用其他类型的患者依赖参数来实现阻抗补偿。

7. 发明申请

WO0197910A3 METHOD AND APPARATUS USING A TIME MEASUREMENT TO AN ELECTRICAL PARAMETER THRESHOLD TO DETERMINE A DEFIBRILLATION PULSE DURATION 审中-公开
标题翻译：使用时间测量方法和装置测量电极参数以确定定义脉冲持续时间
公开(公告)号：WO0197910A3
公开(公告)日：2002-06-27
申请号：PCT/US0141054
申请日：2001-06-19
申请人： MEDTRONIC PHYSIO CONTROL MFG
发明人： SULLIVAN JOSEPH L , PIRAINO DANIEL W , DEBARDI GARY , NOVA RICHARD C , CHAPMAN FRED W
IPC分类号： A61N1/39
CPC分类号： A61N1/3937
摘要： A defibrillator method and apparatus use a measurement of the time that it takes for an electrical parameter related to the defibrillation pulse discharge to reach an intermediate parameter threshold to determine the duration of the pulse. In one embodiment, the defibrillator measures the elapsed time that it takes for an electrical parameter to reach a predetermined intermediate parameter threshold. The defibrillator determines a period of time for extending the duration of the pulse based on the measured elapsed time. In other embodiments, the intermediate parameter threshold may vary during the pulse discharge and/or multiple intermediate parameter thresholds may be used. The measurement of elapsed time may also be used to determine other conditions for truncating the defibrillation pulse, such as voltage current, energy, charge or time. The defibrillator thus provides a defibrillation pulse whose duration is dynamically determined from a time measurement made during the delivery of the pulse.
摘要翻译：除颤器方法和装置使用与除颤脉冲放电相关的电参数所需的时间的测量达到中间参数阈值以确定脉冲的持续时间。在一个实施例中，除颤器测量电参数达到预定中间参数阈值所需的经过时间。除颤器根据所测量的经过时间确定延长脉冲的持续时间的时间。在其他实施例中，中间参数阈值可以在脉冲放电期间变化，和/或可以使用多个中间参数阈值。经过时间的测量也可以用于确定用于截断除颤脉冲的其它条件，例如电压电流，能量，电荷或时间。因此，除颤器提供除颤脉冲，其持续时间根据在脉冲传送期间进行的时间测量而动态地确定。

8. 发明申请

WO1993017349A1 DEFIBRILLATION DISCHARGE CURRENT SENSOR 审中-公开
标题翻译：定位放电电流传感器
公开(公告)号：WO1993017349A1
公开(公告)日：1993-09-02
申请号：PCT/US1993000621
申请日：1993-01-22
申请人： ZMD CORPORATION
发明人： ZMD CORPORATION , FINCKE, Randall, W. , LOPIN, Michael, L.
IPC分类号： G01R31/00
CPC分类号： G01R1/07 , A61N1/3937
摘要： Method and apparatus for determining the current in a defibrillation pulse discharge circuit (30) which has an inductor (38) with a characteristic inductance for shaping the defibrillation pulses. A sense winding (136) is wound around the inductor (38) with at least one turn between ends of the winding for developing a sense voltage between the ends in response to the current in the inductor (38) as a defibrillation pulse is discharged by the circuit. This sense voltage is measured, and based on the sense voltage and the characteristic inductance of the inductor (38), the current in the defibrillation discharge pulse is determined.

9. 发明申请

WO2017123850A1 FAST IDENTIFICATION OF SHOCKABLE OR NON-SHOCKABLE RHYTHMS IN ECG DATA 审中-公开
标题翻译：快速识别心电数据中的可摆动或不可摆动的节奏
公开(公告)号：WO2017123850A1
公开(公告)日：2017-07-20
申请号：PCT/US2017/013310
申请日：2017-01-13
申请人： ZOLL MEDICAL CORPORATION
发明人： ZAIDA, Naveed , GEHEB, Frederick J. , TAN, Qing , FREEMAN, Gary A.
IPC分类号： A61B5/0402 , A61B5/0452 , A61N1/362 , A61N1/37 , A61N1/39
CPC分类号： A61B5/0464 , A61B5/0245 , A61B5/04017 , A61B5/046 , A61B5/053 , A61B5/1121 , A61B5/4848 , A61B5/6823 , A61B5/6831 , A61B5/7221 , A61B5/7264 , A61B2505/01 , A61N1/39044 , A61N1/3937 , A61N1/3987 , G06F19/00
摘要： Methods and systems that analyze electrocardiogram (ECG) data to identify whether it would be beneficial for a caregiver to administer an electric shock to the heart in an effort to get the heart back into a normal pattern and a consistent, strong beat. By conducting a running check for conditions that are pre-validated by a comprehensive patient database to have high predictive value (e.g., with a low false-positive rate), a shockable rhythm can be identified fast (e.g., less than 6 seconds, less than 3 seconds, possibly in less than a second) and without having to analyze ECG data for longer time segments than would otherwise be required using conventional methods.
摘要翻译：分析心电图（ECG）数据的方法和系统识别是否有利于护理人员对心脏施加电击，以努力使心脏恢复正常模式和一致，强劲的节拍。通过对由综合患者数据库预先验证的条件进行运行检查以获得高预测值（例如，假阳性率低），可以快速识别可震动的节律（例如少于6秒，少于 3秒以内，可能不到1秒），并且不必分析长时间段的ECG数据，而不需要使用传统方法所需的时间段。

10. 发明申请

WO2015169274A1 PRÄKLINISCHES VERSORGUNGSSYSTEM 审中-公开
标题翻译：临床前供应系统
公开(公告)号：WO2015169274A1
公开(公告)日：2015-11-12
申请号：PCT/DE2015/000212
申请日：2015-04-24
申请人： WEINMANN EMERGENCY MEDICAL TECHNOLOGY GMBH + CO. KG
发明人： HERRMANN, Frank , KALWA, Tobias , KLÖCKNER, Felix , PALM, Ulrich , SCOTTI, Norman
IPC分类号： G06F19/00
CPC分类号： G06F19/345 , A61B5/0205 , A61B5/031 , A61B5/0402 , A61B5/08 , A61B5/7217 , A61B5/746 , A61B2505/01 , A61B2560/0443 , A61H31/005 , A61H2201/5043 , A61H2201/5048 , A61H2201/5058 , A61H2201/5071 , A61H2201/5087 , A61H2201/5097 , A61H2230/045 , A61H2230/207 , A61H2230/30 , A61M16/00 , A61M16/0051 , A61M16/024 , A61M2205/502 , A61M2205/583 , A61N1/39 , A61N1/3937 , A61N1/3987 , G02B27/017 , G02B2027/0141 , G06F19/00 , G16H40/63 , G16H50/20
摘要： Die Erfindung betrifft ein System aus präklinischen Notfallversorgungsmodulen, die durch Kombination in Verbindung mit einem menschlichen Notfallhelfer ein komplexes, möglichst ganzheitliches, zustandsabhängiges Regelungssystem ergeben. Auf Systemebene liegt ein intelligentes Entscheidungssystem, das mit und ohne den Notfallhelfer zu situationsoptimierten Maßnahmen führt. Situations- und interaktionsabhängig zeigen die Module ein unterschiedliches Verhalten. Der Notfallhelfer kann dabei als zusätzliches Sensor-Aktor Modul eingesetzt werden. Abhängig von allen gewonnen Sensordaten, die unterschiedlich gewichtet werden, werden dem Notfallhelfer Entscheidungshilfen vorgeschlagen bzw. das System entscheidet selbsttätig. Um dies zu ermöglichen, steht die abgesicherte Kommunikation der Module im Vordergrund.
摘要翻译：本发明涉及的预临床应急电源模块，它通过组合在产生与人紧急响应者复杂集成为可能的，状态依赖控制系统相结合的系统。是有和无的紧急救援人员优化系统级措施的情况下会导致智能决策系统。现状及相关互动模块显示不同的行为。救助者由此可以用作附加的传感器的致动器模块。所有传感器数据根据赢得的权重不同，提出的紧急救援人员和决策支持系统自动决定。为了让在前台模块之间的这种可能，安全的通信。

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