公开(公告)号：US08559614B2

公开(公告)日：2013-10-15

申请号：US13598710

申请日：2012-08-30

申请人： Scott D. Kell ,  James E. Brewer ,  Anthony J. Hiller

发明人： Scott D. Kell ,  James E. Brewer ,  Anthony J. Hiller

IPC分类号： H04M7/00 ,  H04L12/66

CPC分类号： H04M15/47 ,  H04M3/42238 ,  H04M3/42314 ,  H04M7/1285 ,  H04Q3/62

摘要： Systems and methods for providing multi-homed tandem access in a communication system are disclosed. The disclosure may include a private packet network backbone exchange (PPNBE) in connection with a set of access tandems and with a call destination such as an end-user or a communications service. A set of LRNs may be homed across the set of access tandems, with each of the set of LRNs mapped to one or more TNs corresponding to the call destination. An originating party may use any of the TNs to reach the call destination. A plurality of originating calls each including one of the TNs may be received at the PPNBE from any of the access tandems and routed to the call destination. Thus, the present disclosure provides greater call capacity than available access tandem architectures as well as optimizes a maximum number of call paths to a particular call destination.

摘要翻译： 公开了一种在通信系统中提供多宿主串联接入的系统和方法。 本公开可以包括与一组接入串联以及诸如终端用户或通信服务之类的呼叫目的地有关的私有分组网络骨干交换机（PPNBE）。 一组LRN可以被归属于该组接入串联，其中每组LRN被映射到对应于呼叫目的地的一个或多个TN。 发起方可以使用任何TN来到达呼叫目的地。 可以在PPNBE处从任何一个接入串并接收多个发起呼叫，每个呼叫都包括TN中的一个，并且路由到呼叫目的地。 因此，本公开提供比可用接入串联架构更大的呼叫容量，以及优化到特定呼叫目的地的呼叫路径的最大数量。

公开(公告)号：US20120226178A1

公开(公告)日：2012-09-06

申请号：US13454061

申请日：2012-04-23

申请人： Gary A. Freeman ,  James E. Brewer

发明人： Gary A. Freeman ,  James E. Brewer

IPC分类号： A61B5/02

CPC分类号： A61B5/7264 ,  A61B5/0464 ,  A61B5/7207 ,  A61B5/7257 ,  A61B5/726 ,  A61H31/005 ,  A61H2201/5015 ,  A61H2230/04 ,  A61N1/3925 ,  G06F19/00 ,  G09B23/288 ,  Y10S128/92 ,  Y10S128/923 ,  Y10S128/924 ,  Y10S706/924

摘要： A method of automatically determining which type of treatment is most appropriate for (or the physiological state of) a patient. The method comprises transforming one or more time domain measurements from the patient into frequency domain data representative of the frequency content of the time domain measurements; processing the frequency domain data to form a plurality of spectral bands, the content of a spectral band representing the frequency content of the measurements within a frequency band; forming a weighted sum of the content of the spectral bands, with different weighting coefficients applied to at least some of the spectral bands; determining the type of treatment (or physiological state) based on the weighted sum.

摘要翻译： 一种自动确定哪种类型的治疗最适合患者的（或生理状态）的方法。 该方法包括将来自患者的一个或多个时域测量值转换为表示时域测量的频率内容的频域数据; 处理频域数据以形成多个频谱带，表示频带内的测量的频率内容的频谱带的内容; 形成对频谱带的内容的加权和，其中加权系数应用于至少一些频谱带; 基于加权和确定治疗类型（或生理状态）。

公开(公告)号：US20090131000A1

公开(公告)日：2009-05-21

申请号：US11944120

申请日：2007-11-21

申请人： Yao H. Kuo ,  James E. Brewer ,  Tom P. Moyles ,  Gary E. Zack ,  Paul T. Schreiber

发明人： Yao H. Kuo ,  James E. Brewer ,  Tom P. Moyles ,  Gary E. Zack ,  Paul T. Schreiber

IPC分类号： H04B1/06

CPC分类号： H03B5/1231 ,  H03B5/1215 ,  H03B5/124

摘要： An oscillation circuit for a radio receiver system. The oscillator circuit includes a tank circuit, a first and second transistor, and a first and second low pass filter. The first transistor forms a first current loop when the first transistor is active. Similarly, the second transistor forms a second current loop when the second transistor is active. The first low pass filter is connected in an electrical series connection within the first current loop and the second low pass filter is connected in an electrical series connection within the second current loop. As such, the first and second low pass filter serve to reduce the gain of the oscillator circuit below a secondary resonant frequency of the tank circuit to prevent an oscillation condition, thereby preventing unwanted oscillations at a secondary resonant frequency.

摘要翻译： 一种用于无线电接收机系统的振荡电路。 振荡器电路包括一个振荡电路，一个第一和第二晶体管以及一个第一和第二个低通滤波器。 当第一晶体管处于活动状态时，第一晶体管形成第一电流回路。 类似地，当第二晶体管处于活动状态时，第二晶体管形成第二电流环路。 第一低通滤波器以第一电流回路内的电串联连接，第二低通滤波器以第二电流回路内的电串联连接。 这样，第一和第二低通滤波器用于将振荡器电路的增益降低到低于谐振电路的次级谐振频率以防止振荡条件，从而防止次级谐振频率下的不必要的振荡。

公开(公告)号：USRE40471E1

公开(公告)日：2008-08-26

申请号：US10255988

申请日：2002-09-25

申请人： Allen W. Groenke ,  James E. Brewer

发明人： Allen W. Groenke ,  James E. Brewer

IPC分类号： A61N1/39 ,  A61H31/00

CPC分类号： A61N1/3925 ,  A61H31/007 ,  A61H2201/5007 ,  A61H2201/5043 ,  A61H2201/5048 ,  A61H2201/5061

摘要： A force sensor, for use in combination with an automated electronic defibrillator (AED), includes a first conductive layer. A second conductive layer is spaced apart from the first conductive layer such that no electrical communication occurs between the first and second conductive layers. An electrical communication device is provided for establishing electrical communication between the first and second conductive layers responsive to the application of a force to said electrical communication means. A method of prompting a rescuer in the application of cardiopulmonary resuscitation to a victim includes the steps of: sensing a force applied by the rescuer to the victim's sternum; sensing an interval between successive applications of force to the victim's sternum; comparing the force applied by the rescuer to the victim's sternum to a standard of force known to effect resuscitation; providing a prompt to the rescuer that prompts the rescuer to vary the force delivered to approximate the force that is known to effect resuscitation, comparing the interval between successive applications of force to the victim's sternum to a standard interval known to effect resuscitation; and providing a prompt to the rescuer that prompts the rescuer to vary the interval of force application to approximate the interval that is known to effect resuscitation.

摘要翻译： 与自动电子除颤器（AED）组合使用的力传感器包括第一导电层。 第二导电层与第一导电层间隔开，使得在第一和第二导电层之间不发生电连通。 提供电通信装置，用于响应于向所述电通信装置施加力而建立第一和第二导电层之间的电连通。 提醒救援者在向受害者应用心肺复苏的方法包括以下步骤：感知救助者施加于受害者胸骨上的力量; 感知连续向受害者胸骨施加武力的间隔; 将救援者施加的受害者胸骨的力量与已知的复苏标准进行比较; 向救援人员提供一个提示，提示救援人员改变所传达的力量以接近已知能够实现复苏的力量，将连续施加到受害者胸骨的间隔与已知能起效的标准间隔进行比较; 并向救援者提供提示救援者改变施加力的间隔以接近已知为实现复苏的间隔的提示。

公开(公告)号：US07003348B1

公开(公告)日：2006-02-21

申请号：US10612611

申请日：2003-07-01

申请人： James E. Brewer ,  Mark W. Kroll

发明人： James E. Brewer ,  Mark W. Kroll

IPC分类号： A61N1/18

CPC分类号： A61N1/3627 ,  A61N1/36542

摘要： An exemplary method includes determining, in vivo, position, displacement and/or spatial time derivatives of myocardial tissue. Such determinations are optionally made with respect to systolic and/or diastolic cycles. Further, position, displacement and/or spatial time derivatives may be used in cardiac diagnosis or therapy. Other exemplary methods, devices and/or systems are also disclosed.

摘要翻译： 示例性方法包括确定心肌组织的体内，位置，位移和/或空间时间衍生物。 任选地对收缩期和/或舒张期进行这种测定。 此外，位置，位移和/或空间时间导数可用于心脏诊断或治疗。 还公开了其它示例性方法，装置和/或系统。

公开(公告)号：US06438418B1

公开(公告)日：2002-08-20

申请号：US09568237

申请日：2000-05-05

申请人： Charles D. Swerdlow ,  Neal R. Swerdlow ,  James E. Brewer

发明人： Charles D. Swerdlow ,  Neal R. Swerdlow ,  James E. Brewer

IPC分类号： A61N1362

CPC分类号： A61N1/395 ,  A61N1/36021 ,  A61N1/36071 ,  A61N1/39 ,  A61N1/3906 ,  A61N1/3956

摘要： A method and apparatus for pretreating a patient prior to a therapeutic painful stimulus, comprising the application of pain inhibiting stimuli to a patient prior to an application of the therapeutic painful stimulus. Applying pain inhibiting stimuli comprises the steps of sensing a need for the therapeutic painful stimulus, preparing to deliver the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus, and delivering the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus. The method and apparatus are embodied in modern, fully automatic, fully implantable, single or dual chamber atrial or ventricular cardioverter-defibrillators. The pain inhibiting prepulse method is intended primarily for use in conscious patients but may also be used in sleeping patients.

摘要翻译： 一种用于在治疗性疼痛刺激之前预处理患者的方法和装置，包括在施用治疗性疼痛刺激之前向患者施用疼痛抑制刺激物。 应用疼痛抑制刺激包括以下步骤：感觉需要治疗性疼痛刺激，准备在施用治疗性疼痛刺激之前将疼痛抑制刺激递送给患者，以及在施用治疗性疼痛之前将疼痛抑制刺激递送给患者 刺激。 该方法和装置体现在现代，全自动，完全可植入，单室或双室心房或心室心律转复除颤器中。 疼痛抑制前脉冲法主要用于有意识的患者，但也可用于睡眠患者。

公开(公告)号：US6091989A

公开(公告)日：2000-07-18

申请号：US152382

申请日：1998-09-14

申请人： Charles D. Swerdlow ,  Neal R. Swerdlow ,  James E. Brewer

发明人： Charles D. Swerdlow ,  Neal R. Swerdlow ,  James E. Brewer

IPC分类号： A61N1/34 ,  A61N1/39

CPC分类号： A61N1/395 ,  A61N1/36021 ,  A61N1/39 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/36071

摘要： A method and apparatus for pretreating a patient prior to a therapeutic painful stimulus, comprising the application of pain inhibiting stimuli to a patient prior to an application of the therapeutic painful stimulus. Applying pain inhibiting stimuli comprises the steps of sensing a need for the therapeutic painful stimulus, preparing to deliver the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus, and delivering the pain inhibiting stimuli to the patient prior to applying the therapeutic painful stimulus. The method and apparatus are embodied in modem, fully automatic, fully implantable, single or dual chamber atrial or ventricular cardioverter-defibrillators. The pain inhibiting prepulse method is intended primarily for use in conscious patients but may also be used in sleeping patients.

摘要翻译： 一种用于在治疗性疼痛刺激之前预处理患者的方法和装置，包括在施用治疗性疼痛刺激之前向患者施用疼痛抑制刺激物。 应用疼痛抑制刺激包括以下步骤：感觉需要治疗性疼痛刺激，准备在施用治疗性疼痛刺激之前将疼痛抑制刺激递送给患者，以及在施用治疗性疼痛之前将疼痛抑制刺激递送给患者 刺激。 该方法和装置体现在调制解调器，全自动，完全可植入，单室或双室心室或心室心律转复除颤器中。 疼痛抑制前脉冲法主要用于有意识的患者，但也可用于睡眠患者。

公开(公告)号：US5991658A

公开(公告)日：1999-11-23

申请号：US881662

申请日：1997-06-24

申请人： James E. Brewer ,  Kenneth F. Olson ,  Byron L. Gilman ,  R. Eric Bosler

发明人： James E. Brewer ,  Kenneth F. Olson ,  Byron L. Gilman ,  R. Eric Bosler

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3906 ,  A61N1/3925 ,  A61N1/3912

摘要： The present invention is an external defibrillator which controls and manages the formation of defibrillation waveforms. The waveforms are dynamically adjusted and created to be consistent with a myocardial cell response waveform. Dynamic tilt calculations based on time slices and corresponding functions based on best-fit models are used to generate the waveforms. The waveforms are dynamically adjusted to compensate for changes in resistance due to changes in the voltage during delivery of the waveform. The waveforms include a first and a second phase and are formed with minimal delay therebetween.

摘要翻译： 本发明是控制和管理除颤波形成形的外部除颤器。 波形被动态调整并创建为与心肌细胞反应波形一致。 使用基于时间片的动态倾斜计算和基于最佳拟合模型的相应函数来生成波形。 波形被动态调整以补偿由于在输送波形期间的电压变化导致的电阻变化。 这些波形包括第一和第二相，并且在它们之间以最小的延迟形成。

公开(公告)号：US5913877A

公开(公告)日：1999-06-22

申请号：US920653

申请日：1997-08-15

申请人： Mark W. Kroll ,  James E. Brewer ,  Brad D. Pedersen

发明人： Mark W. Kroll ,  James E. Brewer ,  Brad D. Pedersen

IPC分类号： A61N1/39

CPC分类号： A61N1/3956 ,  A61N1/3906 ,  A61N1/3912

摘要： A method and apparatus for generating biphasic waveforms uses an implantable cardioverter defibrillator (ICD) system having a phase transition enhancing capacitor system in addition to the capacitor system(s) which deliver the first and second phase of the biphasic countershock. Preferably, the ICD system has at least three capacitor systems and a capacitor switching network. The three capacitor systems include two primary capacitor systems and a third high voltage phase transition enhancing capacitor system having a time constant shorter than the time constant of the two primary capacitor systems. A first phase of the biphasic waveform preferably is produced by configuring the two primary capacitor systems to selectively discharge first in a parallel combination, and then in a series combination. The second phase of the biphasic waveform preferably is produced by reconfiguring the two primary capacitor systems to discharge in a parallel combination with reversed polarity. The phase transition enhancing capacitor system is selectively switched into the discharge of the biphasic waveform so as to effectively increase the voltage differential seen by the heart during the transition between the first and second phases of the biphasic waveform.

摘要翻译： 用于产生双相波形的方法和装置除了提供双相反相的第一和第二相的电容器系统之外还使用具有相变增强电容器系统的可植入式心律转复除颤器（ICD）系统。 优选地，ICD系统具有至少三个电容器系统和电容器切换网络。 三个电容器系统包括两个初级电容器系统和具有比两个初级电容器系统的时间常数更短的时间常数的第三高电压相变增强电容器系统。 双相波形的第一相优选地通过将两个主电容器系统配置为以并联组合首先选择性地放电，然后以串联组合来产生。 双相波形的第二相优选地通过重新配置两个初级电容器系统以以相反极性的并联组合放电来产生。 相变增强电容器系统选择性地切换到双相波形的放电，以便在双相波形的第一和第二相之间的转变期间有效地增加心脏看到的电压差。

公开(公告)号：US5908442A

公开(公告)日：1999-06-01

申请号：US837245

申请日：1997-04-10

申请人： James E. Brewer ,  Gary B. Stendahl

发明人： James E. Brewer ,  Gary B. Stendahl

IPC分类号： A61N1/39

CPC分类号： A61N1/39 ,  A61N1/3906 ,  A61N1/3912 ,  A61N1/3925

摘要： A method and apparatus for delivering a stepped truncated damped sinusoidal external defibrillation waveform which, when applied through a plurality of electrodes positioned on a patient's torso will produce a desired response in the patient's cardiac cell membranes is provided. Further, the method and apparatus sufficiently approximates a constant current defibrillation shock pulse. The method includes the steps monitoring a patient-dependent electrical parameter and determining a duration based on the parameter determined. First and second charge storage components are then charged. A first truncating switch is then closed to discharge the first charge storage component. After a predetermined delay, a second truncating switch is closed to discharge the second charge storage component. Then, after the duration period that was calculated has expired the switches are opened to truncate the waveform. The computation of discharge duration is made as a function of the desired cardiac membrane response function, a patient model and a defibrillator circuit model.

摘要翻译： 提供了一种用于递送阶梯式截短阻尼正弦外部除颤波形的方法和装置，当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。 此外，该方法和装置充分接近恒流除颤冲击脉冲。 该方法包括监视与患者相关的电参数并基于确定的参数来确定持续时间的步骤。 然后对第一和第二电荷存储部件进行充电。 然后关闭第一截断开关以排出第一电荷存储部件。 在预定的延迟之后，关闭第二截断开关以排出第二电荷存储部件。 然后，在计算的持续时间段到期之后，开关被打开以截断波形。 放电持续时间的计算作为所需心脏膜响应函数，患者模型和除颤器电路模型的函数。