摘要:
Vorrichtung zur Behandlung einer Fibrillation mindestens einer Kammer eines Herzens mit einem Fibrillationsdetektor (1) zum Erfassen einer Fibrillation, einem Defibrillator (2) zum Defibrillieren der Kammer des Herzens, wobei der Defibrillator mit dem Fibrillationsdetektor (1) verbunden ist und dazu ausgebildet ist, im Anschluss an ein Zeitintervall nach der Erfassung der Fibrillation eine Defibrillation durchzuführen, einer Warneinrichtung (3), welche mit dem Fibrillationsdetektor(1) verbunden ist und dazu ausgebildet ist, ein Warnsignal abzugeben, wenn eine Fibrillation erfasst wurde, und einem Steuermittel (4) mit einem von einem Patienten ansteuerbaren Steuereingang (5), wobei das Steuermittel mit dem Defibrillator (2) verbunden und dazu ausgebildet ist, den Zeitpunkt einer Defibrillation zu verzögern, wenn das Steuermittel (4) ein entsprechendes Signal über den Steuereingang (5) empfängt, wobei die Vorrichtung einen Zustandsdetektor (6) umfasst, der dazu ausgebildet ist, einen hämodynamischen Zustand des Herzens zu erfassen, und das Steuermittel (4) mit dem Zustandsdetektor (6) verbunden und dazu ausgebildet ist, ein Verzögern des Zeitpunkts der Defibrillation zu unterbinden, wenn der Zustandsdetektor (6) einen vorgegebenen hämodynamischen Zustand erfasst.
摘要:
This invention is a system for resuscitation of a heart attack victim. The system includes CPR (2) device which compresses the victim's chest, a defibrillator (9R)(9L), which may be used to defibrillate the patient, and an identification system (14) for identifying the person operating the system. Depending on the identity of the operator, the system permits varying degrees of access to components, and enabling of the functions of the various subsystems.
摘要:
A package of defibrillator electrodes (60) having a data indication element (400), and a circuit for determining a date of manufacture (402) of the electrodes within the package (60), is provided. The package (60) includes a first and a second electrode, and an electrical interconnection means between them. This interconnection means electrically completes a circuit connecting the lead wire of the first electrode to the lead wire of the second electrode, and includes a date identification element (400), which, when subjected to an applied voltage by energizing means (404), generates a measurable affect representative of the manufacturing period of the defibrillator electrodes. The date identification element (400) may comprise a passive element, such as a resistor, whose measured value would represent the specific month of an electrode's manufacture. The date detection circuit (402) uses this measured value, and the defibrillator's real-time clock to determine whether the electrode's age is past its expiration period.
摘要:
A defibrillator (10) having one or more redundant systems (202) each including functionally interchangeable components (204) from which one component is selected for current operation. Manual or automatic selection of one component in each redundant system is made to form an operational defibrillator. Preferably, such selection is based on a real-time evaluation of the operational integrity of all operational components in a redundant system. Such real-time evaluations may be performed by monitoring systems (210) within a controller, by an external test system within or external to the defibrillator or by self-test mechanisms internal to the operational components themselves. Factors such as user preferences, default component assignment, and predetermined arrangements of operational component combinations may be included in the selection determination along with the operational integrity of each operational component. If certain, non-critical components fail with no functionally interchangeable components available, then the redundant system comprising such a failed component is not made operational. The remaining systems of the defibrillator may still be implemented to form a defibrillator sufficient for defibrillation yet lacking the capability to implement the functions allocated to the malfunctioning, degraded or otherwise absent redundant system.
摘要:
An external defibrillator with a microprocessor (20) for testing the integrity of an output circuit (14) prior to and during the delivery of a multiphasic defibrillation pulse from an energy storage capacitor (24) coupled to the output circuit is disclosed. The output circuit (14) contains a plurality of switches (31, 32, 33, 34). The integrity of the output circuit (14) and the output switches (31, 32, 33, 34) is determined by selectively monitoring the changes in the voltage level on the energy storage capacitor (24) while certain tests or functions are being performed. A scaling circuit (22) steps down the voltage level of the high-energy storage device (24) so that it can be measured and monitored by the microprocessor (20). The microprocessor (20) may compensate for the failure of an output switch by locating a usable set of outputs switches and using them to provide a discharge path through the output circuit (14) for application of a monophasic pulse.
摘要:
A cardiac stimulator (10, 30) with a method and apparatus for automatically switching the cardiac stimulator to its normal mode from its backup mode. A fault monitor (52) receives fault signals and determines whether a particular fault warrants activation of the backup mode. If so, a number of attempts to reactivate the normal mode are permitted (178). The normal mode may be reactivated if the stored information is valid (230) and if the circuitry is operational (236, 238).
摘要:
A portable defibrillator (10) with a common therapy/data port (12). A set of electrodes (34) is connected to the therapy/data port to connect the defibrillator to a patient. If connected to a patient, the defibrillator operates in a normal mode of operation where it analyzes a patient's electrocardiogram (ECG), and, if required, applies defibrillation therapy through the port to the patient. A communication cable (42) is connected to the therapy/data port to connect the defibrillator to an auxiliary component (44). If connected to an auxiliary component, the defibrillator operates in a data communication mode of operation where data may be transmitted to and received from the auxiliary component through the therapy/data port. A test cable is connected to the therapy/data port to connect the defibrillator to a test load. If connected to a test load, the defibrillator operates in a user test mode of operation to allow a user to test the operation of the defibrillator. Preferably, the portable defibrillator automatically determines whether it is connected to a patient, an auxiliary component, or a test load.