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公开(公告)号:US20090204194A1
公开(公告)日:2009-08-13
申请号:US12428899
申请日:2009-04-23
申请人: MARK T. MARSHALL , TERESA A. WHITMAN , EDUARDO N. WARMAN , JEFFREY M. GILLBERG , MATTHEW D. BONNER , MARK L. BROWN
发明人: MARK T. MARSHALL , TERESA A. WHITMAN , EDUARDO N. WARMAN , JEFFREY M. GILLBERG , MATTHEW D. BONNER , MARK L. BROWN
IPC分类号: A61N1/05
CPC分类号: A61N1/057 , A61N1/0568 , A61N1/0573 , A61N1/368 , A61N1/3702 , A61N2001/0585
摘要: A medical system includes a first low voltage electrode adapted for intimate contact with tissue at an implant site, in order to provide pacing stimulation in conjunction with a second low voltage electrode. A porous layer is formed over the second electrode; the porous layer allows conduction therethrough while preventing contact between the second electrode and tissue in proximity to the implant site.
摘要翻译: 医疗系统包括适于在植入部位与组织紧密接触的第一低电压电极,以便与第二低电压电极结合起来提供起搏刺激。 在第二电极上形成多孔层; 多孔层允许穿过其中,同时防止在植入部位附近的第二电极和组织之间的接触。
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52.
公开(公告)号:US07191016B2
公开(公告)日:2007-03-13
申请号:US10439201
申请日:2003-05-15
申请人: Mark T. Marshall , Teresa A. Whitman , Eduardo N. Warman , Jeffrey M. Gillberg , Matthew D. Bonner , Mark L. Brown
发明人: Mark T. Marshall , Teresa A. Whitman , Eduardo N. Warman , Jeffrey M. Gillberg , Matthew D. Bonner , Mark L. Brown
IPC分类号: A61N1/05
CPC分类号: A61N1/0573 , A61N1/0568 , A61N1/057 , A61N1/368 , A61N1/3702 , A61N2001/0585
摘要: A medical electrical lead includes a first low voltage electrode adapted for intimate contact with tissue at an implant site, in order to provide pacing stimulation, and a second low voltage electrode positioned in proximity to the first electrode, isolated from the first electrode and adapted to function in conjunction with the first electrode to provide bipolar sensing of near-field signals. A porous layer is formed over the second electrode; the porous layer allows conduction therethrough while preventing contact between the second electrode and tissue in proximity to the implant site.
摘要翻译: 医疗电引线包括适于在植入部位处与组织紧密接触的第一低电压电极,以便提供起搏刺激,以及位于第一电极附近的第二低电压电极,与第一电极隔离并且适于 与第一电极结合起来提供近场信号的双极感测。 在第二电极上形成多孔层; 多孔层允许穿过其中,同时防止在植入部位附近的第二电极和组织之间的接触。
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公开(公告)号:US06317626B1
公开(公告)日:2001-11-13
申请号:US09433286
申请日:1999-11-03
申请人: Eduardo N. Warman
发明人: Eduardo N. Warman
IPC分类号: A61B50432
CPC分类号: A61N1/3702
摘要: A monitoring device for implant in a patient's body and a method of its use. The monitoring device is provided with an electrogram amplifier, a sensing electrode coupled to the amplifier, and a memory for storing electrogram signals sensed by the electrogram amplifier. Responsive to detection of an arrhythmia, the monitor generates an internal electrogram storage trigger signal and initiates a patient trigger confirmation period. In response to receiving a patient trigger signal within the confirmation period, the monitor stores electrogram signals. The monitor preferably also defines an internal trigger confirmation period following a patient trigger signal and in response to an internal electrogram storage trigger signal within the internal trigger confirmation period, also stores electrogram signals.
摘要翻译: 一种用于植入患者体内的监测装置及其使用方法。 监视装置设置有电摄影放大器,耦合到放大器的感测电极以及用于存储由电描记放大器感测的电描记信号的存储器。 响应于心律失常的检测,监视器产生内部电描记图存储触发信号并启动患者触发确认期。 响应于在确认期间内接收到患者触发信号,监视器存储电描记信号。 监视器还优选地定义在患者触发信号之后的内部触发确认时段,并且响应于内部触发确认时段内的内部电描记图存储触发信号,还存储电描记信号。
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公开(公告)号:US09179860B2
公开(公告)日:2015-11-10
申请号:US12423466
申请日:2009-04-14
申请人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
发明人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
IPC分类号: A61B5/05 , A61B5/06 , A61B5/0432 , A61B5/044 , A61B5/042 , A61B5/053 , A61B19/00 , A61B5/0428 , A61B8/06 , A61B8/00 , A61B17/00 , A61B17/22
CPC分类号: A61B5/061 , A61B5/0422 , A61B5/04288 , A61B5/0432 , A61B5/044 , A61B5/05 , A61B5/053 , A61B5/0538 , A61B5/06 , A61B5/062 , A61B5/063 , A61B5/066 , A61B5/4836 , A61B5/742 , A61B8/06 , A61B8/4472 , A61B34/20 , A61B34/25 , A61B2017/00022 , A61B2017/00026 , A61B2017/00053 , A61B2017/00084 , A61B2017/00243 , A61B2017/00336 , A61B2017/22051 , A61B2034/105 , A61B2090/376 , A61B2090/378 , A61B2090/3983
摘要: An volume of a patient can be mapped with a system operable to identify a plurality of locations and save a plurality of locations of a mapping instrument. The mapping instrument can include one or more electrodes that can sense a voltage that can be correlated to a three dimensional location of the electrode at the time of the sensing or measurement. Therefore, a map of a volume can be determined based upon the sensing of the plurality of points without the use of other imaging devices. An implantable medical device can then be navigated relative to the mapping data.
摘要翻译: 可以用可操作以识别多个位置并且存储映射仪器的多个位置的系统来映射患者的体积。 映射仪器可以包括一个或多个电极,其可以感测在感测或测量时可以与电极的三维位置相关联的电压。 因此,可以基于多个点的感测而不使用其它成像装置来确定体积的映射。 然后可以相对于映射数据导航可植入医疗装置。
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公开(公告)号:US08831701B2
公开(公告)日:2014-09-09
申请号:US12423521
申请日:2009-04-14
申请人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
发明人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
IPC分类号: A61B5/04 , A61B5/06 , A61B5/0428
CPC分类号: A61B5/061 , A61B5/0422 , A61B5/04288 , A61B5/0432 , A61B5/044 , A61B5/05 , A61B5/053 , A61B5/0538 , A61B5/06 , A61B5/062 , A61B5/063 , A61B5/066 , A61B5/4836 , A61B5/742 , A61B8/06 , A61B8/4472 , A61B34/20 , A61B34/25 , A61B2017/00022 , A61B2017/00026 , A61B2017/00053 , A61B2017/00084 , A61B2017/00243 , A61B2017/00336 , A61B2017/22051 , A61B2034/105 , A61B2090/376 , A61B2090/378 , A61B2090/3983
摘要: An volume of a patient can be mapped with a system operable to identify a plurality of locations and save a plurality of locations of a mapping instrument. The mapping instrument can include one or more electrodes that can sense a voltage that can be correlated to a three dimensional location of the electrode at the time of the sensing or measurement. Therefore, a map of a volume can be determined based upon the sensing of the plurality of points without the use of other imaging devices. An implantable medical device can then be navigated relative to the mapping data.
摘要翻译: 可以用可操作以识别多个位置并且存储映射仪器的多个位置的系统来映射患者体积。 映射仪器可以包括一个或多个电极,其可以感测在感测或测量时可以与电极的三维位置相关联的电压。 因此,可以基于多个点的感测而不使用其它成像装置来确定体积的映射。 然后可以相对于映射数据导航可植入医疗装置。
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公开(公告)号:US08777874B2
公开(公告)日:2014-07-15
申请号:US13114838
申请日:2011-05-24
申请人: Xusheng Zhang , Vinod Sharma , Eduardo N. Warman
发明人: Xusheng Zhang , Vinod Sharma , Eduardo N. Warman
IPC分类号: A61B7/00
CPC分类号: A61B5/0823 , A61B5/0205 , A61B5/11 , A61B5/686 , A61B2562/0204 , A61B2562/0219 , A61N1/3621 , A61N1/3627
摘要: The present disclosure is directed to the detection of coughs and coughing episodes using acoustic signals. In various examples, an implantable medical device processes an acoustic signal obtained from an acoustic sensor to determine whether a patient has coughed. In some examples, the implantable medical device also performs a cough severity assessment. In some examples, the cough severity assessment may include a determination of the depth of the cough, the duration of the coughing episode, or whether the cough was wet or dry.
摘要翻译: 本公开涉及使用声信号检测咳嗽和咳嗽发作。 在各种示例中,可植入医疗装置处理从声传感器获得的声信号,以确定患者是否已经咳嗽。 在一些示例中,可植入医疗装置还执行咳嗽严重度评估。 在一些实例中,咳嗽严重度评估可以包括确定咳嗽的深度,咳嗽发作的持续时间,或者咳嗽是湿还是干燥。
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公开(公告)号:US08660640B2
公开(公告)日:2014-02-25
申请号:US12423454
申请日:2009-04-14
申请人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
发明人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
IPC分类号: A61B5/04
CPC分类号: A61B5/061 , A61B5/0422 , A61B5/04288 , A61B5/0432 , A61B5/044 , A61B5/05 , A61B5/053 , A61B5/0538 , A61B5/06 , A61B5/062 , A61B5/063 , A61B5/066 , A61B5/4836 , A61B5/742 , A61B8/06 , A61B8/4472 , A61B34/20 , A61B34/25 , A61B2017/00022 , A61B2017/00026 , A61B2017/00053 , A61B2017/00084 , A61B2017/00243 , A61B2017/00336 , A61B2017/22051 , A61B2034/105 , A61B2090/376 , A61B2090/378 , A61B2090/3983
摘要: An volume of a patient can be mapped with a system operable to identify a plurality of locations and save a plurality of locations of a mapping instrument. The mapping instrument can include one or more electrodes that can sense a voltage that can be correlated to a three dimensional location of the electrode at the time of the sensing or measurement. Therefore, a map of a volume can be determined based upon the sensing of the plurality of points without the use of other imaging devices. An implantable medical device can then be navigated relative to the mapping data.
摘要翻译: 可以用可操作以识别多个位置并且存储映射仪器的多个位置的系统来映射患者体积。 映射仪器可以包括一个或多个电极,其可以感测在感测或测量时可以与电极的三维位置相关联的电压。 因此,可以基于多个点的感测而不使用其它成像装置来确定体积的映射。 然后可以相对于映射数据导航可植入医疗装置。
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公开(公告)号:US08532734B2
公开(公告)日:2013-09-10
申请号:US12421332
申请日:2009-04-09
申请人: H. Toby Markowitz , Sean Campbell-Massa , Phillip Falkner , Ioana Fleming , Chad Giese , Mustafa Karamanoglu , Michael Kryger , Karl Evan Nowak , Pooja Mehta , James Steeves , Lane A. Phillips , Shangqian Peter Zhang , Steven L. Waldhauser , David Scanlon , Brian Houston Craig , Eduardo N. Warman , Koen Michels , Marie P. Smith , Noelle Christine Hurtig , Olaf Eick , Rogier Receveur , Vincent Larik , Brent Chelgren , Victoria Interrante
发明人: H. Toby Markowitz , Sean Campbell-Massa , Phillip Falkner , Ioana Fleming , Chad Giese , Mustafa Karamanoglu , Michael Kryger , Karl Evan Nowak , Pooja Mehta , James Steeves , Lane A. Phillips , Shangqian Peter Zhang , Steven L. Waldhauser , David Scanlon , Brian Houston Craig , Eduardo N. Warman , Koen Michels , Marie P. Smith , Noelle Christine Hurtig , Olaf Eick , Rogier Receveur , Vincent Larik , Brent Chelgren , Victoria Interrante
IPC分类号: A61B5/04
CPC分类号: G06T19/003 , A61B5/0422 , A61B5/05 , A61B5/053 , A61B5/0538 , A61B5/063 , A61B5/066 , A61B5/068 , A61B8/06 , A61B34/20 , A61B34/25 , A61B2017/00022 , A61B2017/00026 , A61B2017/00053 , A61B2017/00084 , A61B2017/00243 , A61B2017/22051 , A61B2034/102 , A61B2034/105 , A61B2034/2051 , A61B2034/2068 , A61B2034/2072 , A61B2090/061 , A61B2090/063 , A61B2090/371 , A61B2090/376 , A61B2090/378
摘要: An volume of a patient can be mapped with a system operable to identify a plurality of locations and save a plurality of locations of a mapping instrument. The mapping instrument can include one or more electrodes that can sense a voltage that can be correlated to a three dimensional location of the electrode at the time of the sensing or measurement. Therefore, a map of a volume can be determined based upon the sensing of the plurality of points without the use of other imaging devices. An implantable medical device can then be navigated relative to the mapping data.
摘要翻译: 可以用可操作以识别多个位置并且存储映射仪器的多个位置的系统来映射患者体积。 映射仪器可以包括一个或多个电极,其可以感测在感测或测量时可以与电极的三维位置相关联的电压。 因此,可以基于多个点的感测而不使用其它成像装置来确定体积的映射。 然后可以相对于映射数据导航可植入医疗装置。
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59.
公开(公告)号:US20120232606A1
公开(公告)日:2012-09-13
申请号:US13357659
申请日:2012-01-25
申请人: Yong-Fu Xiao , Jeffrey M. Gillberg , Paul J. DeGroot , Eduardo N. Warman , Scott J. Brabec , John L. Sommer , Jon F. Urban , Lepeng Zeng
发明人: Yong-Fu Xiao , Jeffrey M. Gillberg , Paul J. DeGroot , Eduardo N. Warman , Scott J. Brabec , John L. Sommer , Jon F. Urban , Lepeng Zeng
IPC分类号: A61N1/365
CPC分类号: A61N1/365 , A61N1/3622 , A61N1/36585
摘要: An apparatus and method to discriminate cardiac events by sensing atrial and ventricular depolarizations having associated refractory periods thereafter. A fast ventricular rate is detected in response to the sensed ventricular depolarizations. Responsive to detecting the fast ventricular rate, at least one stimulus pulse is delivered to atrial tissue within the associated refractory period of the ventricle but outside of an associated refractory period of the stimulated atrial tissue. A ventricular response to the atrial tissue stimulus pulse is determined, and the cardiac event is discriminated based on the ventricular response to the atrial tissue stimulus pulse.
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公开(公告)号:US08214018B2
公开(公告)日:2012-07-03
申请号:US12422681
申请日:2009-04-13
申请人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
发明人: H. Toby Markowitz , Mustafa Karamanoglu , Pooja Mehta , Ioana Fleming , David A. Scanlon , Michael Kryger , Sean Campbell-Massa , Chad Giese , Steven L. Waldhauser , Shangqian Peter Zhang , Jeff Jannicke , Phillip Falkner , Don Hefner , Eduardo N. Warman , James Steeves , Rogier Receveur , Koen Michels , Olaf Eick , Vincent Larik
IPC分类号: A61B5/05
CPC分类号: A61B5/061 , A61B5/0422 , A61B5/04288 , A61B5/0432 , A61B5/044 , A61B5/05 , A61B5/053 , A61B5/0538 , A61B5/06 , A61B5/062 , A61B5/063 , A61B5/066 , A61B5/4836 , A61B5/742 , A61B8/06 , A61B8/4472 , A61B34/20 , A61B34/25 , A61B2017/00022 , A61B2017/00026 , A61B2017/00053 , A61B2017/00084 , A61B2017/00243 , A61B2017/00336 , A61B2017/22051 , A61B2034/105 , A61B2090/376 , A61B2090/378 , A61B2090/3983
摘要: An volume of a patient can be mapped with a system operable to identify a plurality of locations and save a plurality of locations of a mapping instrument. The mapping instrument can include one or more electrodes that can sense a voltage that can be correlated to a three dimensional location of the electrode at the time of the sensing or measurement. Therefore, a map of a volume can be determined based upon the sensing of the plurality of points without the use of other imaging devices. An implantable medical device can then be navigated relative to the mapping data.
摘要翻译: 可以用可操作以识别多个位置并且存储映射仪器的多个位置的系统来映射患者体积。 映射仪器可以包括一个或多个电极,其可以感测在感测或测量时可以与电极的三维位置相关联的电压。 因此,可以基于多个点的感测而不使用其它成像装置来确定体积的映射。 然后可以相对于映射数据导航可植入医疗装置。
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