公开(公告)号：EP2683317A4

公开(公告)日：2014-10-01

申请号：EP12754908

申请日：2012-03-08

Applicant: COHEN TODD J

Inventor： COHEN TODD J

IPC: A61B18/14

CPC classification number: A61B18/1492 ,  A61B18/1233 ,  A61B2017/00203 ,  A61B2017/00212 ,  A61B2018/00351 ,  A61B2018/00708

Abstract: A medical system for delivering treatment or therapy to a patient has a kill switch for interrupting the delivery. The kill switch, which can disrupt the delivery directly or can cause an error message to be generated that disrupts the delivery, can be activated by the operator or remotely. In an ablation catheter system, a kill switch mechanism immediately and abruptly terminates delivery of ablation treatment or therapy.

公开(公告)号：EP1819396A4

公开(公告)日：2008-04-09

申请号：EP05813822

申请日：2005-10-24

Applicant: COHEN TODD J

Inventor： COHEN TODD J

IPC: A61N1/362 ,  A61N1/365 ,  A61N1/368

CPC classification number: A61N1/3627 ,  A61N1/36514 ,  A61N1/3682 ,  A61N1/3684

Abstract: A system for monitoring a patient (100) and treating the malfunctioning heart of the patient, either in an automatic mode or in a semiautomatic mode, includes means which derive at least one physiologic signal from or related to the patient's circulatory system representative of hemodynamic status. A feedback loop is implemented in a biventricular implant, in order to automatically or selectively optimize the patient's clinical hemodynamic status. Accordingly, the biventricular implant will be programmed to go through a series of AV delay (155), RV-LV timing (110) and heart rate (130) sequences which scan a preselected range of programmable values and apply those values to the patient's heart. Hemodynamic patient measurements will be recorded and preferably graphed over those applied values. The optimal AV delay (165), RV-LV timing sequence (120) and pacing rate (140) can then be selected either manually by a technician, physician or other operator, or automatically via the implant in order to secure the best personalized timing sequence for the patient Preferably, the implant will also be capable of automatically recording hemodynamic information and adjusting intervals, in order to optimize hemodynamica without third party intervention. Also preferably, the automatic adjusting feature can be selectively programmed on or off using the device programmer, to control manual or automatic intervention.

公开(公告)号：CA1327837C

公开(公告)日：1994-03-15

申请号：CA579160

申请日：1988-10-03

Applicant: COHEN TODD J ,  BLOOM LEONARD

Inventor： COHEN TODD J

IPC: A61N1/365 ,  A61N1/39

Abstract: A system for treating a malfunctioning heart based on hemodynamics, the pressure at a site in a patient's circulatory system being sensed. A signal is developed representative of short term mean pressure at a site in the circulatory system over a period of given duration. A signal representative of baseline pressure, which may be a long term mean pressure at the site, is provided and, if the short term current mean pressure differs therefrom by a predetermined amount, an indication of hemodynamic compromise, cardioversion/defibrillation is effected.

公开(公告)号：IL188696A

公开(公告)日：2014-01-30

申请号：IL18869608

申请日：2008-01-10

Applicant: CATHETER ROBOTICS INC ,  COHEN TODD J ,  EILENBERG MICHAEL

Inventor： COHEN TODD J ,  EILENBERG MICHAEL

IPC: A61M20060101

公开(公告)号：AU2012225388A1

公开(公告)日：2013-10-31

申请号：AU2012225388

申请日：2012-03-08

Applicant: COHEN TODD J

Inventor： COHEN TODD J

IPC: A61B18/14

Abstract: A medical system for delivering treatment or therapy to a patient has a kill switch for interrupting the delivery. The kill switch, which can disrupt the delivery directly or can cause an error message to be generated that disrupts the delivery, can be activated by the operator or remotely. In an ablation catheter system, a kill switch mechanism immediately and abruptly terminates delivery of ablation treatment or therapy.

公开(公告)号：DE3852618D1

公开(公告)日：1995-02-09

申请号：DE3852618

申请日：1988-10-03

Applicant: COHEN TODD J ,  BLOOM LEONARD

Inventor： COHEN TODD J

IPC: A61N1/365 ,  A61N1/39

Abstract: A system for and method of treating a malfunctioning heart based on hemodynamics, the pressure at a site in a patient's circulatory system being sensed. A signal representative of short term mean pressure at a site in the circulatory system over a period of given duration is developed by an RC circuit (50, 51, 52). A signal representative of baseline pressure, which may be a varying long term mean pressure at the site is developed by an RC circuit (46, 47, 48). Alternatively, a signal representing a selected fixed baseline pressure may be supplied from a potentiometer (100). If the short term current mean pressure differs from the baseline pressure by a predetermined amount, an indication of hemodynamic compromise, cardioversion/defibrillation is effected (FIG. 10).

公开(公告)号：CA2022018C

公开(公告)日：2000-11-07

申请号：CA2022018

申请日：1990-07-26

Applicant: COHEN TODD J

Inventor： COHEN TODD J

IPC: A61N1/18 ,  A61N1/39

Abstract: A system for and method of treating a malfunctioning heart is based on hemodynamics, the pressure at a site in a patient's circulatory system being sensed. A signal is developed representative of mean pulmonary artery pressure (MPAP), mean pulmonary vein pressure (MPVP), mean pulmonary capillary wedge pressure (MPCWP), right ventricular systolic pressure (RVSP), right ventricular end diastolic pressure (RVEDP), or right ventricular pulse pressure (RVPP). A signal representative of fixed or varying baseline pressure is provided and if the short term current pressure differs therefrom by a predetermined value, an indication of hemodynamic compromise, cardioversion /-defibrillation is effected. In a second embodiment, the determination of whether the difference between fixed or varying baseline pressure and current pressure is undertaken after a rate criteria (for example a heart rate above 155 b.p.m.) has been met. In a third embodiment, the rate and pressure criteria both must exist at the same time, before cardioverting/-defibrillation is initiated. In a fourth embodiment, a microprocessor is used. The system may be integrated with antitachycardia and/or antibradycardia pacemakers.

公开(公告)号：CA2022018A1

公开(公告)日：1991-01-28

申请号：CA2022018

申请日：1990-07-26

Applicant: COHEN TODD J

Inventor： COHEN TODD J

IPC: A61N1/18 ,  A61N1/39

公开(公告)号：CA2842302C

公开(公告)日：2019-09-10

申请号：CA2842302

申请日：2012-03-08

Applicant: COHEN TODD J

Inventor： COHEN TODD J

IPC: A61B18/14

Abstract: A medical system for delivering treatment or therapy to a patient has a kill switch for interrupting the delivery. The kill switch, which can disrupt the delivery directly or can cause an error message to be generated that disrupts the delivery, can be activated by the operator or remotely. In an ablation catheter system, a kill switch mechanism immediately and abruptly terminates delivery of ablation treatment or therapy.

公开(公告)号：CA2842302A1

公开(公告)日：2012-09-13

申请号：CA2842302

申请日：2012-03-08

Applicant: COHEN TODD J

Inventor： COHEN TODD J

IPC: A61B18/14

Abstract: A medical system for delivering treatment or therapy to a patient has a kill switch for interrupting the delivery. The kill switch, which can disrupt the delivery directly or can cause an error message to be generated that disrupts the delivery, can be activated by the operator or remotely. In an ablation catheter system, a kill switch mechanism immediately and abruptly terminates delivery of ablation treatment or therapy.