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NL2001698C2 - Cardiovertor/defibrillator. - Google Patents

Cardiovertor/defibrillator. Download PDF

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Publication number
NL2001698C2
NL2001698C2 NL2001698A NL2001698A NL2001698C2 NL 2001698 C2 NL2001698 C2 NL 2001698C2 NL 2001698 A NL2001698 A NL 2001698A NL 2001698 A NL2001698 A NL 2001698A NL 2001698 C2 NL2001698 C2 NL 2001698C2
Authority
NL
Netherlands
Prior art keywords
cardioverter
defibrillator
stimulation
electronics
detection device
Prior art date
Application number
NL2001698A
Other languages
English (en)
Inventor
Gerrit Johannis De Vos
Original Assignee
Nasophlex B V
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to NL2001698A priority Critical patent/NL2001698C2/nl
Application filed by Nasophlex B V filed Critical Nasophlex B V
Priority to CA2728429A priority patent/CA2728429A1/en
Priority to PCT/NL2009/050359 priority patent/WO2009154459A2/en
Priority to ES09766877T priority patent/ES2401610T3/es
Priority to KR1020107029698A priority patent/KR20110043547A/ko
Priority to AU2009261009A priority patent/AU2009261009A1/en
Priority to JP2011514519A priority patent/JP5619736B2/ja
Priority to US13/000,326 priority patent/US8532763B2/en
Priority to CN200980131406.0A priority patent/CN102143779B/zh
Priority to EP09766877A priority patent/EP2303398B1/en
Application granted granted Critical
Publication of NL2001698C2 publication Critical patent/NL2001698C2/nl

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526—Head electrodes
    • A61N1/0546—Nasal electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation
    • A61B7/003—Detecting lung or respiration noise
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H39/002—Using electric currents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00—Inhalators
    • A61M15/08—Inhaling devices inserted into the nose
    • A61M15/085—Fixing means therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3601—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of respiratory organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36114—Cardiac control, e.g. by vagal stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4806—Sleep evaluation
    • A61B5/4818—Sleep apnoea
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1604—Head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/02—Head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00—Measuring physical parameters of the user
    • A61H2230/04—Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
    • A61H2230/06—Heartbeat rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00—Measuring physical parameters of the user
    • A61H2230/40—Respiratory characteristics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00—Inhalators
    • A61M15/08—Inhaling devices inserted into the nose

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Otolaryngology (AREA)
  • Rehabilitation Therapy (AREA)
  • Neurology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Physiology (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Hematology (AREA)
  • Neurosurgery (AREA)
  • Anesthesiology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Electrotherapy Devices (AREA)

Claims (14)

1. Cardioverter/defibrillator, omvattend: 5. een behuizing (11); • elektronica (12) die is ingericht binnen de behuizing (11) en die omvat: o ten minste één geheugen (21) waarin een programma is opgeslagen met instructies en data die betrekking hebben op een vooraf bepaalde functie; 10. een besturingseenheid (20) die is verbonden met het geheugen (21) om het programma te draaien; waarbij de elektronica (12) is ingericht om een detectiesignaal uit een detectie-inrichting (16) te ontvangen dat aangeeft of een hart van een zoogdier fibrilleert, om het detectiesignaal te verwerken door het programma te draaien en om een besturingssig- 15 naai voor een stimulatie-inrichting (17) te genereren op basis van het detectiesignaal zodat de stimulatie-inrichting (17) een reanimerende stimulatie kan genereren om het respiratoire centrum in de hersenstam te activeren en om, op zijn beurt, het cardiovasculaire besturingscentrum van het zoogdier te activeren en om derhalve defibrillatie van het hart te veroorzaken. 20
2. Cardioverter/defibrillator volgens conclusie 1, waarbij de cardiover ter/defibrillator is ingericht om het besturingssignaal voor de stimulatie-inrichting (17) te genereren op basis van het detectiesignaal zodat de stimulatie-inrichting (17) de reanimerende stimulatie in het gebied van de farynx van het zoogdier kan genereren. 25
3. Cardioverter/defibrillator volgens conclusie 1 of 2, waarbij de cardioverter/defibrillator geïmplanteerd kan worden in het zoogdier.
4. Cardioverter/defibrillator volgens conclusie 3, waarbij de cardiover- 30 ter/defibrillator geïmplanteerd kan worden in of achter de nasofarynx in het zoogdier.
5. Cardioverter/defibrillator volgens één van de voorgaande conclusies, waarbij de behuizing (11) is gemaakt van een flexibel materiaal.
6. Cardioverter/defïbrillator volgens conclusie 5, waarbij het flexibele materiaal silicone is.
7. Cardioverter/defïbrillator volgens conclusie 6, waarbij de elektronica (12) elek tronische componenten (31) op een flexibel substraat (30) omvat.
8. Cardioverter/defïbrillator volgens één van de voorgaande conclusies, waarbij de elektronica (12) een microprocessor (20) omvat die is verbonden met een golffunc-10 tiegenerator (23), waarbij de golfïunctiegenerator (23) is ingericht om het besturings-signaal te produceren dat een golfvorm heeft die is geselecteerd uit ten minste één van een sinusgolf, blokgolf, naaldpulstrein of een willekeurige combinatie daarvan met een vooraf bepaalde frequentie, duur en amplitude.
9. Cardioverter/defibrillator volgens één van de voorgaande conclusies, waarbij de detectie-inrichting (16) onderdeel is van de cardioverter/defibrillator.
10. Cardioverter/defibrillator volgens conclusie 9, waarbij de detectie-inrichting (16) is ingericht om ten minste één van hartslag en hartfirequentie te detecteren. 20
11. Cardioverter/defibrillator volgens conclusie 10, waarbij de detectie-inrichting is ingericht om geplaatst te zijn op een slagader in de nabijheid van de farynx.
12. Cardioverter/defibrillator volgens één van de voorgaande conclusies, waarbij 25 de detectie-inrichting is ingericht om een hartslagsignaal te genereren uit mis die is gedetecteerd binnen een menselijk oor en om het derhalve voor de elektronica mogelijk te maken om een audiocardiogram te genereren.
13. Cardioverter/defibrillator volgens één van de voorgaande conclusies, waarbij 30 de stimulatie-inrichting (17) onderdeel is van de cardioverter/defibrillator.
14. Cardioverter/defibrillator volgens conclusie 13, waarbij de cardioverter/defibrillator een veelheid stimulatie-eenheden (43(i)) omvat die elk zijn ingericht om een stimulus aan een lichaam te verschaffen, waarbij de stimulatie-eenheden (43(i)) is ingericht in de vorm van een tweedimensionale matrix. ********* 5
NL2001698A 2008-06-18 2008-06-18 Cardiovertor/defibrillator. NL2001698C2 (nl)

Priority Applications (10)

Application Number Priority Date Filing Date Title
NL2001698A NL2001698C2 (nl) 2008-06-18 2008-06-18 Cardiovertor/defibrillator.
PCT/NL2009/050359 WO2009154459A2 (en) 2008-06-18 2009-06-18 Cardiovertor/defibrillator.
ES09766877T ES2401610T3 (es) 2008-06-18 2009-06-18 Cardioversor/desfibrilador
KR1020107029698A KR20110043547A (ko) 2008-06-18 2009-06-18 전기제세동기/세동제거기
CA2728429A CA2728429A1 (en) 2008-06-18 2009-06-18 Cardiovertor/defibrillator
AU2009261009A AU2009261009A1 (en) 2008-06-18 2009-06-18 Cardiovertor/defibrillator.
JP2011514519A JP5619736B2 (ja) 2008-06-18 2009-06-18 除細動器
US13/000,326 US8532763B2 (en) 2008-06-18 2009-06-18 Cardiovertor/defibrillator
CN200980131406.0A CN102143779B (zh) 2008-06-18 2009-06-18 心脏复律器/心脏除颤器
EP09766877A EP2303398B1 (en) 2008-06-18 2009-06-18 Cardiovertor/defibrillator

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NL2001698A NL2001698C2 (nl) 2008-06-18 2008-06-18 Cardiovertor/defibrillator.
NL2001698 2008-06-18

Publications (1)

Publication Number Publication Date
NL2001698C2 true NL2001698C2 (nl) 2009-12-22

Family

ID=40344383

Family Applications (1)

Application Number Title Priority Date Filing Date
NL2001698A NL2001698C2 (nl) 2008-06-18 2008-06-18 Cardiovertor/defibrillator.

Country Status (10)

Country Link
US (1) US8532763B2 (nl)
EP (1) EP2303398B1 (nl)
JP (1) JP5619736B2 (nl)
KR (1) KR20110043547A (nl)
CN (1) CN102143779B (nl)
AU (1) AU2009261009A1 (nl)
CA (1) CA2728429A1 (nl)
ES (1) ES2401610T3 (nl)
NL (1) NL2001698C2 (nl)
WO (1) WO2009154459A2 (nl)

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WO2009154459A3 (en) 2010-04-01
WO2009154459A2 (en) 2009-12-23
EP2303398B1 (en) 2012-12-19
CN102143779A (zh) 2011-08-03
JP2011524782A (ja) 2011-09-08
KR20110043547A (ko) 2011-04-27
US8532763B2 (en) 2013-09-10
AU2009261009A1 (en) 2009-12-23
US20110313480A1 (en) 2011-12-22
JP5619736B2 (ja) 2014-11-05
EP2303398A2 (en) 2011-04-06
CA2728429A1 (en) 2009-12-23
ES2401610T3 (es) 2013-04-23

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