公开(公告)号：US06360125B1

公开(公告)日：2002-03-19

申请号：US09217008

申请日：1998-12-21

申请人： Max Harry Weil ,  Wanchun Tang ,  Joe Bisera

发明人： Max Harry Weil ,  Wanchun Tang ,  Joe Bisera

IPC分类号： A61N139

CPC分类号： A61N1/39

摘要： Apparatus is provided for use during the treatment of a victim undergoing cardiac arrest, to facilitate treatment by chest compression as well as by shocks from an automatic defribrillator. The apparatus includes a sheet of dielectric material that covers much of the victim to electrically isolate a rescuer who is performing chest compressions, from the victim to whom electric shocks are being delivered. Defribrillator electrodes are mounted on the lower face of the sheet and are connected to the defribillator. The sheet extends down along the sides of the victim to isolate the rescuer, who is either standing or kneeling beside the victim to apply chest compressions.

摘要翻译： 提供了在治疗受到心脏骤停的受害者的治疗期间使用的装置，以便于通过胸部按压治疗以及来自自动除颤器的冲击。 该装置包括覆盖大部分受害者的电介质材料片，以将正在进行胸部按压的救护者从被传送电击的受害者电隔离。 除颤电极安装在片材的下表面，并连接到除颤器。 该片材沿着受害者的两侧向下延伸，以隔离救护人员，他们站立或跪在受害者旁边以应用胸部按压。

公开(公告)号：US08369920B2

公开(公告)日：2013-02-05

申请号：US10860829

申请日：2004-06-04

申请人： Carlos Castillo ,  Max Harry Weil ,  Joe Bisera ,  Clayton Young

发明人： Carlos Castillo ,  Max Harry Weil ,  Joe Bisera ,  Clayton Young

IPC分类号： A61B5/05

CPC分类号： A61B5/682 ,  A61B5/061 ,  A61B5/08 ,  A61B5/145

摘要： Devices for treating a patient by measuring a condition, such as the partial pressure of CO2, at a location on a mucosal membrane surface in the mouth region of the patient, includes a sensor (14, 16) with an end (44, 46) that lies against the mucosal surface, and a seal (20) that extends 360° around the sensor end and presses against the mucosal surface. The sensor end and the seal lie on the first end portion (24) of a holder (22) which has a second end portion (26) that presses against the outside of the patient at a location opposite the sensor and seal. The holder is a clasp which can be formed as a single piece of resilient material that extends in a loop, or which can be formed in the manner of a clothespin with a spring that pivots two bars to urge their end portions towards each other.

摘要翻译： 用于通过在患者口腔区域中的粘膜表面上的位置处测量诸如CO 2的分压的状况来治疗患者的装置包括具有端部（44,46）的传感器（14,16） 其位于粘膜表面上，以及围绕传感器端部360度延伸并压靠粘膜表面的密封件（20）。 传感器端部和密封件位于保持器（22）的第一端部（24）上，该保持器具有在与传感器和密封件相对的位置处挤压患者外部的第二端部（26）。 保持器是可以形成为以环形延伸的单个弹性材料的扣件，或者可以以具有枢转两个杆以将它们的端部朝向彼此推动的弹簧的形式形成为晾衣架的方式。

公开(公告)号：US07060041B1

公开(公告)日：2006-06-13

申请号：US09678616

申请日：2000-10-04

申请人： Max Harry Weil ,  Joe Bisera ,  Clayton Young ,  Wanchun Tang

发明人： Max Harry Weil ,  Joe Bisera ,  Clayton Young ,  Wanchun Tang

IPC分类号： A61H31/00 ,  A61H7/00

CPC分类号： A61H31/006 ,  A61H1/008 ,  A61H31/00 ,  A61H2031/003 ,  A61H2201/1238 ,  A61H2201/5007

摘要： Apparatus for compressing the chest of a patient to stimulate blood circulation, includes a torso wrap (32) that has a back portion (40) lying at the back of the patient's chest and a front portion (42) lying at the front of the patient's chest, and includes a compressor assembly with an actuator (16) having a pressing member (12) that can apply a series of force pulses to the sternum of the patient to stimulate blood circulation. The actuator is energized by pressured fluid, with a controlled pressured fluid source (20) connected by an elongated flexible hose (24) to the actuator so the pressured fluid source and a control (22) can lie on the ground and only the actuator lies on the torso wrap. The actuator includes a cylinder (66) and a plurality of telescoping piston parts (64, 66) to provide a long stroke in an actuator of small height. A stabilizer (150) that limits tilt of the actuator from the vertical, includes a saucer-shaped member that presses against the front of the patient.

摘要翻译： 用于压缩患者胸部以刺激血液循环的装置包括躯干包裹物（32），其具有位于患者胸部后部的后部（40）和位于患者胸部前方的前部（42） 胸部，并且包括具有致动器（16）的压缩机组件，该致动器具有按压构件（12），所述按压构件能够向患者的胸骨施加一系列的力脉冲以刺激血液循环。 致动器由加压流体通电，受控的压力流体源（20）通过细长的柔性软管（24）连接到致动器，使得加压流体源和控制器（22）可以位于地面上，并且只有致动器位于 在躯干包裹上。 致动器包括气缸（66）和多个伸缩式活塞部件（64,66），以在小高度的致动器中提供长行程。 限制致动器从垂直方向倾斜的稳定器（150）包括压靠患者前方的碟形构件。

公开(公告)号：US20050148909A1

公开(公告)日：2005-07-07

申请号：US11053316

申请日：2005-02-08

申请人： Max Weil ,  Joe Bisera ,  Carlos Castillo

发明人： Max Weil ,  Joe Bisera ,  Carlos Castillo

IPC分类号： A61H31/00

CPC分类号： A61H31/004 ,  A61H31/006 ,  A61H2031/003 ,  A61H2201/1238

摘要： A portable chest compressor system for repeatedly compressing the chest of a patient to stimulate blood circulation and breathing, is of minimum weight and size. The system includes an energizable actuator (16) that repeatedly presses against the patient's chest and a stabilizer (130) that minimizes tilt of the actuator. The stabilizer is generally in the form of a resilient foam toroid to minimize weight, or an inflatable toroid, to minimize size and weight. The chest-compressing actuator includes a pneumatic cylinder-piston device that is driven by compressed breathing gas from a compressed air cylinder, to store a maximum of energy in a minimum of space and weight. The exhaust of the actuator is moderately pressured breathing gas that is delivered to the patient for breathing. The system minimizes the weight and volume of apparatus that must be carried by an emergency worker.

摘要翻译： 用于反复压缩患者胸部以刺激血液循环和呼吸的便携式胸部压缩机系统具有最小的重量和尺寸。 该系统包括反复按压患者胸部的可激励致动器（16）和使致动器的倾斜最小化的稳定器（130）。 稳定器通常为弹性泡沫环形的形式，以使重量最小化，或者可膨胀的环形面，以最小化尺寸和重量。 胸部压缩致动器包括气动活塞装置，其由来自压缩气缸的压缩呼吸气体驱动，以最小的空间和重量存储最大的能量。 致动器的排气是中等压力的呼吸气体，被输送到患者呼吸。 该系统使紧急工作人员必须携带的设备的重量和体积最小化。

公开(公告)号：US06821254B2

公开(公告)日：2004-11-23

申请号：US09894572

申请日：2001-06-27

申请人： Max Harry Weil ,  Joe Bisera ,  Wanchun Tang

发明人： Max Harry Weil ,  Joe Bisera ,  Wanchun Tang

IPC分类号： A61B508

CPC分类号： A61B5/0816 ,  A61B5/0205 ,  A61B5/024 ,  A61B5/05 ,  A61B5/0809

摘要： The condition of a patient who has signs of cardiopulmonary arrest, is evaluated by applying a pair of electrodes (12, 14) to the chest of the patient and passing a low level of alternating current through the patient to detect changes in transthoracic impedance which represent cardiopulmonary activity of the patient. An analyzing circuit determines the average frequency of those signals (40) representing heartbeat rate impedance and determines the average frequency of signals (42) representing breathing of the patient. When the heart rate is below about 20 beats per minutes, the respiratory rate is below about 4 breaths per minute, and cardiac and respiratory impedances are below 0.01 ohms, this indicates cardiac arrest of the patient and signifies that CPR (cardiopulmonary resuscitation) should start.

摘要翻译： 通过将一对电极（12,14）施加到患者的胸部并通过低水平的交流电流通过患者来评估经心动停止迹象的患者的状况，以检测经胸阻抗的变化，其代表 患者的心肺活动。 分析电路确定表示心跳速率阻抗的那些信号（40）的平均频率，并确定表示患者呼吸的信号（42）的平均频率。 当心率低于每分钟20次左右时，呼吸频率低于每分钟4次呼吸，心脏和呼吸阻力低于0.01欧姆，这表明心脏骤停患者，表示CPR（心肺复苏）应开始 。

公开(公告)号：US08790285B2

公开(公告)日：2014-07-29

申请号：US11804558

申请日：2007-05-18

申请人： Joe Bisera ,  Max Harry Weil ,  Wanchun Tang ,  Carlos Castillo

发明人： Joe Bisera ,  Max Harry Weil ,  Wanchun Tang ,  Carlos Castillo

IPC分类号： A61H31/00

CPC分类号： A61H31/00 ,  A61H31/006 ,  A61H2201/018 ,  A61H2201/1238 ,  A61H2201/1246

摘要： A chest compressor includes a piston (14) that moves in downward and upward strokes, with the piston undergoing a smooth reversal at the bottom of the downward stroke. A compression spring such as a wave spring (60), is positioned to engage the piston only near the end of its downward stroke, to smoothly reverse the piston motion, limit downward force on the patient at the end of the stroke, and avoid a downward pulse due to the momentum of the downwardly-moving piston. A stop (90, 92) is latchable in an inward position to allow reduction in the piston stroke by engaging an outward flange (56) on the piston before the piston has moved fully downward.

摘要翻译： 胸部压缩机包括在向下和向上行程中移动的活塞（14），活塞在向下冲程的底部经历平滑的反转。 诸如波形弹簧（60）的压缩弹簧被定位成仅在靠近其下冲程的端部处接合活塞，以平滑地逆转活塞运动，限制在行程结束时对患者的向下的力，并且避免 由于向下运动的活塞的动量而产生向下的脉冲。 止动件（90,92）可以向内锁定，以通过在活塞完全向下移动之前接合活塞上的向外的凸缘（56）来减少活塞行程。

公开(公告)号：US08491507B2

公开(公告)日：2013-07-23

申请号：US11726432

申请日：2007-03-22

申请人： Wanchun Tang ,  Carlos Castillo ,  Max Harry Weil ,  Joe Bisera

发明人： Wanchun Tang ,  Carlos Castillo ,  Max Harry Weil ,  Joe Bisera

IPC分类号： A61H31/00

CPC分类号： A61H31/004 ,  A61H31/006 ,  A61H2201/1238 ,  A61M16/10 ,  A61M2202/0208

摘要： An automatic chest compressor (10) for repeatedly compressing the chest of a patient, is constructed to have a small thickness (H) and light weight so it can be readily carried by an emergency worker. The chest compressor includes a piston support (34) at the top, a pressing part (40) at the bottom that presses towards the chest of the patient, and piston side walls (36) that repeatedly elongate to depress the pressing part. The piston side wall are flexible material that is repeatedly curled and uncurled as the side walls move the pressing part respectively up and down.

摘要翻译： 用于反复压缩患者胸部的自动胸部压缩机（10）被构造成具有小的厚度（H）和重量轻，使得其可以由紧急工作人员容易携带。 胸部压缩机包括在顶部的活塞支撑件（34），在底部处的按压部分（40）朝向患者的胸部按压，以及反复伸长以压下按压部分的活塞侧壁（36）。 活塞侧壁是柔性材料，当侧壁分别上下移动按压部分时，其被反复卷曲和不弯曲。

公开(公告)号：US08214023B2

公开(公告)日：2012-07-03

申请号：US11524866

申请日：2006-09-21

申请人： Alain L. Fymat ,  Max Harry Weil ,  Wanchun Tang ,  Joe Bisera ,  Giuseppe Ristagno

发明人： Alain L. Fymat ,  Max Harry Weil ,  Wanchun Tang ,  Joe Bisera ,  Giuseppe Ristagno

IPC分类号： A61B6/00

CPC分类号： A61B5/0059 ,  A61B5/02007 ,  A61B5/0261 ,  A61B5/412

摘要： An image is created of blood circulation deep (e.g. a plurality of millimeters) below the surface of living tissue to aid in evaluating a patient. A first beam (26) of circularly polarized light is directed forwardly (F) against an outer surface (14) of the tissue. Light that has penetrated to only a shallow depth before moving rearwardly and out of the tissue remains polarized and is blocked by a filter (38). Light that has penetrated to greater depths (12), is scattered more and becomes depolarized, and a portion of it passes through the depolarizing filter (38) and is focused on a photodetector (48) to create an image. Light spots (54) on the image that move, represent spaces between blood platelets (52) that are moving through a capillary, and indicates the velocity of blood through the capillary.

摘要翻译： 在生物体组织表面下面形成血液循环深（例如多个毫米）的图像以帮助评估患者。 圆偏振光的第一光束（26）向前（F）指向组织的外表面（14）。 在向后移动和移出组织之前已经穿透到浅深度的光保持偏振并被过滤器（38）阻挡。 已经穿透到较大深度（12）的光被更多地散射并变得去极化，并且其一部分通过去极化滤光器（38）并聚焦在光电检测器（48）上以产生图像。 移动的图像上的光点（54）表示在血细胞移动的血小板（52）之间的空间，并且指示通过毛细管的血液的速度。

公开(公告)号：US07567837B2

公开(公告)日：2009-07-28

申请号：US11367685

申请日：2006-03-03

申请人： Max Harry Weil ,  Joe Bisera ,  Yongqin Li

发明人： Max Harry Weil ,  Joe Bisera ,  Yongqin Li

IPC分类号： A61N1/39

CPC分类号： A61B5/046 ,  A61B5/0464 ,  A61B5/0472 ,  A61B5/7207 ,  A61B5/7239 ,  A61B5/726 ,  A61N1/3925

摘要： A method is provided for analyzing the condition of a patient to determine whether or not a defibrillation shock should be applied, without stopping CPR (primarily chest compressions). While chest compressions continue to be applied to the victim, the system differentiates between (1) a perfusing rhythm that has the capability of leading to a beating heart without a shock and (2) ventricular fibrillation (VF) which sometimes occurs in the presence of ventricular tachycardia (VT), in which there is no capability for leading to a beating heart without a shock. Defibrillation shocks should be applied only when needed and that is in the presence of VF and sometimes in the presence of VT. Electrocardiographic (ECG or EKG) signals obtained from electrodes applied to the patient's chest are analyzed so that the presence of a QRS signal characteristic of a rhythm which has the potential of supporting a beating heart, or the absence of a QRS signal which indicates ventricular fibrillation, may be detected in the presence of artifacts resulting from chest compressions.

摘要翻译： 提供了一种用于分析患者状况以确定是否应用除颤性休克而不停止CPR（主要是胸部按压）的方法。 虽然胸部按压继续应用于受害者，但是该系统区分（1）具有导致跳动心脏而没有休克的能力的灌注节律和（2）有时在存在下发生的心室颤动（VF）的情况下 室性心动过速（VT），其中没有导致跳动的心脏没有震动的能力。 除颤应该仅在需要时才应用，并且在VF的存在下并且有时在VT的存在下应用。 分析从施加到患者胸部的电极获得的心电图（ECG或EKG）信号，使得存在具有支持跳动心脏的潜力的节律特征的QRS信号的存在，或者不存在表示心室颤动的QRS信号 可以在胸部按压引起的假象的存在下检测。

公开(公告)号：US20080287863A1

公开(公告)日：2008-11-20

申请号：US11804558

申请日：2007-05-18

申请人： Joe Bisera ,  Max Harry Weil ,  Wanchun Tang ,  Carlos Castillo

发明人： Joe Bisera ,  Max Harry Weil ,  Wanchun Tang ,  Carlos Castillo

IPC分类号： A61H31/00

CPC分类号： A61H31/00 ,  A61H31/006 ,  A61H2201/018 ,  A61H2201/1238 ,  A61H2201/1246

摘要： A chest compressor includes a piston (14) that moves in downward and upward strokes, with the piston undergoing a smooth reversal at the bottom of the downward stroke. A compression spring such as a wave spring (60), is positioned to engage the piston only near the end of its downward stroke, to smoothly reverse the piston motion, limit downward force on the patient at the end of the stroke, and avoid a downward pulse due to the momentum of the downwardly-moving piston. A stop (90, 92) is latchable in an inward position to allow reduction in the piston stroke by engaging an outward flange (56) on the piston before the piston has moved fully downward.

摘要翻译： 胸部压缩机包括在向下和向上行程中移动的活塞（14），活塞在向下冲程的底部经历平滑的反转。 诸如波形弹簧（60）的压缩弹簧被定位成仅在靠近其下冲程的端部处接合活塞，以平滑地逆转活塞运动，限制在行程结束时对患者的向下的力，并且避免 由于向下运动的活塞的动量而产生向下的脉冲。 止动件（90,92）可以向内锁定，以通过在活塞完全向下移动之前接合活塞上的向外的凸缘（56）来减少活塞行程。