公开(公告)号：US4656656A

公开(公告)日：1987-04-07

申请号：US700812

申请日：1985-02-11

申请人： Thomas C. Mundy, Jr. ,  Frank Ingle

发明人： Thomas C. Mundy, Jr. ,  Frank Ingle

IPC分类号： H04M15/34

CPC分类号： H04M15/34

摘要： A data-collection and -processing system is integrated with an existing Private Branch Exchange (PBX) telephone system to provide a highly automated telephone-usage accounting and billing tool for use in hospitals and other similar institutions having a large and transient clientele base. The system consists of four separate computer systems connected together (and the required applications software which enables them to function as an integrated system) and miscellaneous peripheral hardware.Working together, the system components provide a detailed accounting of long-distance calls placed by guests and staff personnel. A very high degree of reliability is achieved by the use of redundant and self-checking components. This reliability is further enhanced by the provision for remote software maintenance and hardware diagnosis.

摘要翻译： 数据收集和处理系统与现有的私人交换（PBX）电话系统集成在一起，提供高度自动化的电话使用会计和计费工具，用于医院和其他类似的大型临时客户群体的机构。 该系统由连接在一起的四个独立的计算机系统（以及使其能够用作集成系统的所需应用软件）和其他外围硬件组成。 系统组件协同工作，为客人和员工提供了长途电话的详细记录。 通过使用冗余和自检组件实现了非常高的可靠性。 通过提供远程软件维护和硬件诊断来进一步提高这种可靠性。

公开(公告)号：US09192790B2

公开(公告)日：2015-11-24

申请号：US13086116

申请日：2011-04-13

申请人： Roger Hastings ,  Allan C. Shuros ,  Frank Ingle ,  Mark A. Hollingsworth

发明人： Roger Hastings ,  Allan C. Shuros ,  Frank Ingle ,  Mark A. Hollingsworth

IPC分类号： A61B8/00 ,  A61N7/02 ,  A61B8/08 ,  A61B8/12 ,  A61B18/02 ,  A61B19/00 ,  A61N7/00 ,  A61B18/00

CPC分类号： A61N7/022 ,  A61B8/0891 ,  A61B8/12 ,  A61B8/4488 ,  A61B18/0206 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00511 ,  A61B2090/3784 ,  A61N2007/003 ,  A61N2007/0095

摘要： Acoustic energy is delivered to innervated vascular that contributes to renal sympathetic nerve activity, such as innervated tissue of the renal artery and abdominal aorta. Focused acoustic energy is delivered via an intravascular device of sufficient power to ablate innervated renal or aortal tissue. Focused acoustic energy may be delivered via an intravascular or extracorporeal device to image and locate target innervated renal or aortal tissue. Intravascular, extravascular, or transvascular focused ultrasound devices provide for high precision denervation of innervated vascular to terminate renal sympathetic nerve activity.

摘要翻译： 声能传递给有助于肾交感神经活动的神经支配的血管，如肾动脉和腹主动脉的神经支配组织。 聚焦的声能通过具有足够功率的血管内装置递送以消融支配的肾脏或主动脉组织。 聚焦的声能可以通过血管内或体外装置递送到图像并定位目标神经支配的肾或主动脉组织。 血管内，血管外或经血管聚焦的超声装置提供神经支配血管的高精度去神经支配以终止肾交感神经活动。

公开(公告)号：US09179827B2

公开(公告)日：2015-11-10

申请号：US12958610

申请日：2010-12-02

申请人： Roger N. Hastings ,  Michael J. Pikus ,  Kevin D. Edmunds ,  Leonard B. Richardson ,  Frank Ingle ,  Josef Koblish ,  Tat-Jin Teo

发明人： Roger N. Hastings ,  Michael J. Pikus ,  Kevin D. Edmunds ,  Leonard B. Richardson ,  Frank Ingle ,  Josef Koblish ,  Tat-Jin Teo

IPC分类号： A61B5/00 ,  A61B1/04 ,  A61B5/06 ,  A61B5/07 ,  A61B19/00

CPC分类号： A61B1/041 ,  A61B5/061 ,  A61B5/07 ,  A61B5/6861 ,  A61B34/20 ,  A61B34/73 ,  A61B2034/2051 ,  A61B19/5244 ,  A61B2019/5251

摘要： A medical device system includes an elongated body with a distal end that is configured and arranged for insertion into a patient. A housing is disposed in the distal end of the body. A rotatable magnet is disposed in the housing. At least one magnetic field winding is configured and arranged to generate a magnetic field at the location of the magnet. The magnetic field causes rotation of the magnet at a target frequency. An array of magnetic field sensors is disposed external to the patient. The magnetic field sensors are configured and arranged to sense the location and orientation of the magnet in relation to the array of magnetic field sensors.

摘要翻译： 一种医疗装置系统包括具有远端的细长体，该远端构造和布置成插入患者体内。 壳体设置在身体的远端。 可旋转磁体设置在壳体中。 至少一个磁场绕组被配置和布置成在磁体的位置处产生磁场。 磁场使磁体以目标频率旋转。 一组磁场传感器设置在患者外部。 磁场传感器被配置和布置成感测相对于磁场传感器阵列的磁体的位置和取向。

公开(公告)号：US08821484B2

公开(公告)日：2014-09-02

申请号：US12459032

申请日：2009-06-26

申请人： Frank Ingle ,  Joann Heberer

发明人： Frank Ingle ,  Joann Heberer

IPC分类号： A61B18/02 ,  A61B1/227 ,  A61B18/00 ,  A61B19/00

CPC分类号： A61B18/02 ,  A61B1/2275 ,  A61B18/0218 ,  A61B2018/0022 ,  A61B2018/0212 ,  A61B2018/0262 ,  A61B2090/064

摘要： A method, system, and device for detecting whether an expandable member completely occludes an anatomic passageway allows a user, such as a physician, clinician, or surgeon, to perform a medical procedure more efficiently and increases the procedure's chances of success. An incomplete occlusion can be immediately detected by monitoring the pressure difference across the expandable member. Through this method, a user can quickly diagnose the problem and reposition the expandable member in the anatomic passageway. In particular, in a cryoablation procedure, devices incorporating this method can help ensure a uniform and complete lesion in the pulmonary vein to electrically isolate the pulmonary vein from the atrium, thus preventing atrial fibrillation.

摘要翻译： 用于检测可扩张构件是否完全遮蔽解剖通道的方法，系统和装置允许诸如医师，临床医师或外科医生之类的使用者更有效地执行医疗程序，并且增加程序的成功机会。 可以通过监测可膨胀构件上的压力差来立即检测到不完全闭塞。 通过这种方法，用户可以快速诊断问题，并将可扩展构件重新定位在解剖通道中。 特别地，在冷冻消融过程中，结合该方法的装置可以帮助确保肺静脉中的均匀和完整的损伤以将肺静脉与心房电隔离，从而防止心房颤动。

公开(公告)号：US08478392B2

公开(公告)日：2013-07-02

申请号：US13168481

申请日：2011-06-24

申请人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

发明人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

IPC分类号： A61B5/04

CPC分类号： A61N1/36514 ,  A61B5/02133 ,  A61B5/026 ,  A61N1/08 ,  A61N1/36142 ,  A61N1/36578

摘要： Systems and methods for rhythm discrimination using the motion of an implantable lead are described. In an example, an implantable medical device can include a receiver circuit configured to be electrically coupled to an implantable lead and be configured to obtain information indicative of a movement of the implantable lead due at least in part to a motion of a heart. The device can include an arrhythmia detection circuit configured to determine an arrhythmia status using the information indicative of the movement of the implantable lead and an arrhythmia classification circuit configured to determine one or more of a location or a type of an arrhythmia, using the information indicative of the movement of the implantable lead, when the arrhythmia status indicates that an arrhythmia is occurring or has occurred.

摘要翻译： 描述使用可植入引线的运动进行节律辨别的系统和方法。 在一个示例中，可植入医疗设备可以包括被配置为电耦合到可植入引线的接收器电路，并且被配置为获得至少部分地基于心脏的运动而指示可植入引线的运动的信息。 该装置可以包括心律失常检测电路，其被配置为使用指示可植入引线的移动的信息来确定心律失常状态，以及心律失常分类电路，其被配置为使用所述信息指示来确定心律不齐的位置或类型中的一个或多个 当心律失常状态表示发生心律失常或发生心律失常时，可植入性铅的运动。

公开(公告)号：US20110319782A1

公开(公告)日：2011-12-29

申请号：US13168547

申请日：2011-06-24

申请人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

发明人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

IPC分类号： A61B5/02 ,  A61N1/362

CPC分类号： A61N1/36514 ,  A61B5/02133 ,  A61B5/026 ,  A61N1/08 ,  A61N1/36142 ,  A61N1/36578

摘要： Systems and methods to monitor cardiac mechanical vibrations using information indicative of lead motion are described. In an example, a system including an implantable medical device can include an excitation circuit configured to provide a non-tissue stimulating, non-therapeutic electrical excitation signal to a portion of an implantable lead. A receiver circuit can be configured to obtain information indicative of a mechanical vibration of the implantable lead due at least in part to one or more of an impact of at least a portion of the heart to the implantable lead, or friction contact between the implantable lead and cardiac tissue. The system can include a processor circuit configured to determine one or more of a lead mechanical status, or information indicative of valvular activity using the information indicative of the mechanical vibration of the implantable lead.

摘要翻译： 描述使用指示引导运动的信息来监测心脏机械振动的系统和方法。 在一个示例中，包括可植入医疗装置的系统可以包括被配置为向可植入引线的一部分提供非组织刺激的非治疗电激励信号的激励电路。 接收器电路可以被配置为获得指示可植入引线的机械振动的信息，其至少部分地由至少一部分心脏到可植入引线的冲击或可植入引线之间的摩擦接触 和心脏组织。 该系统可以包括处理器电路，其被配置为使用指示可植入引线的机械振动的信息来确定引导机械状态或指示瓣膜活动的信息中的一个或多个。

公开(公告)号：US20110319779A1

公开(公告)日：2011-12-29

申请号：US13168481

申请日：2011-06-24

申请人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

发明人： Robert J. Sweeney ,  Allan C. Shuros ,  Krzysztof Z. Siejko ,  David C. Olson ,  Frank Ingle

IPC分类号： A61B5/0452 ,  A61B5/02 ,  A61N1/365

CPC分类号： A61N1/36514 ,  A61B5/02133 ,  A61B5/026 ,  A61N1/08 ,  A61N1/36142 ,  A61N1/36578

摘要： Systems and methods for rhythm discrimination using the motion of an implantable lead are described. In an example, an implantable medical device can include a receiver circuit configured to be electrically coupled to an implantable lead and be configured to obtain information indicative of a movement of the implantable lead due at least in part to a motion of a heart. The device can include an arrhythmia detection circuit configured to determine an arrhythmia status using the information indicative of the movement of the implantable lead and an arrhythmia classification circuit configured to determine one or more of a location or a type of an arrhythmia, using the information indicative of the movement of the implantable lead, when the arrhythmia status indicates that an arrhythmia is occurring or has occurred.

摘要翻译： 描述使用可植入引线的运动进行节律辨别的系统和方法。 在一个示例中，可植入医疗设备可以包括被配置为电耦合到可植入引线的接收器电路，并且被配置为获得至少部分地基于心脏的运动而指示可植入引线的运动的信息。 该装置可以包括心律失常检测电路，其被配置为使用指示可植入引线的移动的信息来确定心律失常状态，以及心律失常分类电路，其被配置为使用所述信息指示来确定心律不齐的位置或类型中的一个或多个 当心律失常状态表示发生心律失常或发生心律失常时，可植入性铅的运动。

公开(公告)号：US20100241113A1

公开(公告)日：2010-09-23

申请号：US12727580

申请日：2010-03-19

申请人： Frank Ingle

发明人： Frank Ingle

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2018/0022 ,  A61B2018/0212 ,  A61B2018/0262

摘要： In some implementations, a cryotherapy delivery system includes a cryotherapy catheter having a distal treatment component that delivers, during a cryotherapy procedure, cryotherapy to a treatment site inside a patient's body; a controller that controls the delivery of the cryotherapy during the cryotherapy procedure; and a sensor that measures values of a respiration parameter of the patient during the cryotherapy procedure, and provides measured values to the controller. The controller can determine, prior to delivery of cryotherapy, a baseline value for the respiration parameter; detect, during delivery of the cryotherapy, a change in the respiration parameter relative to the baseline value; and suspend delivery of the cryotherapy when the change exceeds a threshold.

摘要翻译： 在一些实施方式中，冷冻治疗递送系统包括具有远端治疗组件的冷冻治疗导管，其在冷冻治疗过程期间将冷冻治疗递送至患者体内的治疗部位; 控制器在冷冻治疗过程中控制冷冻治疗的传递; 以及传感器，其在冷冻治疗过程中测量患者的呼吸参数的值，并将测量值提供给控制器。 控制器可以在冷冻治疗之前确定呼吸参数的基准值; 在传递冷冻疗法期间，检测呼吸参数相对于基线值的变化; 并且当变化超过阈值时，暂停冷冻治疗。

公开(公告)号：US07351211B2

公开(公告)日：2008-04-01

申请号：US11245625

申请日：2005-10-07

申请人： Eric L. Buehlmann ,  Lisanne A. Eng ,  Christine P. Ventura ,  Robert J. Laird ,  Frank Ingle

发明人： Eric L. Buehlmann ,  Lisanne A. Eng ,  Christine P. Ventura ,  Robert J. Laird ,  Frank Ingle

IPC分类号： A61B10/00 ,  A61B18/14

CPC分类号： A61B18/148 ,  A61B18/1477 ,  A61B90/39 ,  A61B2018/1407 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/144 ,  A61B2090/3908

摘要： A tissue separator assembly has an elongate tubular member and a tissue separator device located at a distal end of the elongate tubular member. An elongate coupler extends through the lumen of the elongate tubular member and has a distal coupler end. A tissue localization assembly has an elongate member and a localization device located at the distal end of the elongate member. The localization device may be movable from a first, radially-contracted state to a second, radially-expandable state. The distal coupler end of the elongate coupler and the proximal end of the elongate tubular member of the localization assembly are joinable to one another to permit docking of the tissue localization assembly to the tissue separator assembly. Methods of use of this device are also described.

摘要翻译： 组织分离器组件具有细长的管状构件和位于细长管状构件的远端处的组织分离器装置。 细长联接器延伸穿过细长管状构件的内腔并且具有远端联接器端部。 组织定位组件具有细长构件和位于细长构件的远端处的定位装置。 定位装置可以从第一径向收缩状态移动到第二径向可扩张状态。 细长联接器的远端联接器端和定位组件的细长管状构件的近端可彼此连接，以允许组织定位组件对接组织分离器组件。 还描述了该装置的使用方法。

公开(公告)号：US06546934B1

公开(公告)日：2003-04-15

申请号：US09651435

申请日：2000-08-30

申请人： Frank Ingle ,  Garry L. Carter ,  Robert J. Laird ,  Paul Do ,  Brian J. Mosel ,  Michael D. Laufer ,  Loren L. Roy

发明人： Frank Ingle ,  Garry L. Carter ,  Robert J. Laird ,  Paul Do ,  Brian J. Mosel ,  Michael D. Laufer ,  Loren L. Roy

IPC分类号： A61B1900

CPC分类号： A61B18/1482 ,  A61B18/14 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/1815 ,  A61B2017/00084 ,  A61B2017/003 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00083 ,  A61B2018/00095 ,  A61B2018/00148 ,  A61B2018/0016 ,  A61B2018/0022 ,  A61B2018/00232 ,  A61B2018/00505 ,  A61B2018/00517 ,  A61B2018/00523 ,  A61B2018/00553 ,  A61B2018/00559 ,  A61B2018/00791 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1273 ,  A61B2018/1425 ,  A61B2018/1467 ,  A61B2018/1472 ,  A61B2090/3782 ,  A61B2218/002 ,  A61N1/06 ,  A61N1/403 ,  A61N7/02

摘要： The invention provides improved devices, methods, and systems for shrinking of collagenated tissues, particularly for treating urinary incontinence in a noninvasive manner by directing energy to a patient's own support tissues. The energy can be applied intermittently, often between a pair of large plate electrodes having cooled flat electrode surfaces, the electrodes optionally being supported by a clamp structure. Such cooled plate electrodes are capable of directing electrical energy through an intermediate tissue and into fascia while the cooled electrode surface prevents injury to the intermediate tissue, particularly where the electrode surfaces are cooled before, during, and after an intermittent heating cycle.

摘要翻译： 本发明提供了用于收缩胶原组织的改进的装置，方法和系统，特别是通过将能量引导到患者自己的支撑组织以非侵入性方式治疗尿失禁。 间歇地施加能量，通常在具有冷却的平坦电极表面的一对大平板电极之间，电极可选地由夹持结构支撑。 这样的冷却板电极能够将电能引导通过中间组织并进入筋膜，同时冷却的电极表面防止对中间组织的损伤，特别是在电极表面在间歇加热循环之前，期间和之后被冷却时。