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31.发明授权公开(公告)号：US10406066B2
公开(公告)日：2019-09-10
申请号：US12372523
申请日：2009-02-17
申请人： Cynthia Jayne , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , David R. Hampton , D. Craig Edwards , Joseph L. Sullivan , Steven E. Sjoquist
发明人： Cynthia Jayne , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , David R. Hampton , D. Craig Edwards , Joseph L. Sullivan , Steven E. Sjoquist
摘要： Integrated devices for performing external chest compression (ECC) and defibrillation on a person and methods using the devices. Integrated devices can include a backboard, at least one chest compression member operably coupled to the backboard, and a defibrillator module operably coupled to the backboard. The integrated devices can include physiological sensors, electrodes, wheels, controllers, human interface devices, cooling modules, ventilators, cameras, and voice output devices. Methods can include defibrillating, pacing, ventilating, cooling, and performing ECC in an integrated, coordinated, and/or synchronous manner using the full capabilities of the device. Some devices include controllers executing methods for automatically performing the coordinated activities utilizing the device capabilities.
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32.发明申请公开(公告)号：US20170266078A1
公开(公告)日：2017-09-21
申请号：US15616659
申请日：2017-06-07
申请人： Cynthia Jayne , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , David R. Hampton , D. Craig Edwards , Joseph L. Sullivan , Steven E. Sjoquist
发明人： Cynthia Jayne , Ronald E. Stickney , Richard C. Nova , Stephen W. Radons , David R. Hampton , D. Craig Edwards , Joseph L. Sullivan , Steven E. Sjoquist
CPC分类号： A61H31/005 , A61F7/10 , A61F2007/0233 , A61H31/006 , A61H31/008 , A61H2201/0214 , A61H2201/5007 , A61H2201/501 , A61H2201/5012 , A61H2201/5048 , A61H2201/5058 , A61H2201/5097 , A61H2230/04 , A61M16/0048 , A61M16/024 , A61M2205/3553 , A61M2205/3584 , A61N1/39
摘要： Resuscitation devices for performing external chest compression (ECC) and defibrillation on a person and methods using the devices are disclosed. The disclosed devices can include chest compression members and a communication module that can communicate with a remote command center. The disclosed devices can also include an optional defibrillation module that may be integrated. The devices can be coupled to a backboard and can include physiological sensors, electrodes, wheels, controllers, human interface devices, cooling modules, ventilators, cameras, and voice output devices. Methods can include defibrillating, pacing, ventilating, cooling, and performing ECC in an integrated, coordinated, and/or synchronous manner using the full capabilities of the device. Some devices include controllers executing methods for automatically performing the coordinated activities utilizing the device capabilities.
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公开(公告)号：US08116864B2
公开(公告)日：2012-02-14
申请号：US12332099
申请日：2008-12-10
IPC分类号： A61N1/39
CPC分类号： A61N1/0492 , A61N1/046 , A61N1/048 , A61N1/3931 , A61N2001/083
摘要： An apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.
摘要翻译： 用于确定诸如与自动外部除颤器耦合的除颤电极的医疗电极是否处于更换的装置和技术。 该确定可以作为一个或多个数据的函数。 在一个示例性实施例中，确定是测试模块中水凝胶桥的阻抗的一个或多个测量的函数。 在另一个示例性实施例中，确定是来自一个或多个环境传感器的一个或多个环境条件数据的函数。
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34.发明授权Method and apparatus for testing an alternating current power source for defibrillation compatibility 有权用于测试用于除颤兼容性的交流电源的方法和装置公开(公告)号：US08090437B2
公开(公告)日：2012-01-03
申请号：US12756746
申请日：2010-04-08
IPC分类号： A61N1/00
CPC分类号： A61N1/3925
摘要： A device tests a circuit that is a source of alternating current by measuring at least one electrical parameter of the circuit to determine whether the circuit is able to provide adequate energy for defibrillation by an external defibrillator. The device may test the circuit by applying a load to the circuit, and measuring one or more electrical parameters when the load is applied to the circuit. The device may be the external defibrillator itself, or a separate testing device. In some embodiments in which an external defibrillator tests a circuit, the defibrillator modifies a value of at least one therapy delivery parameter for a subsequent delivery of one or more defibrillation pulses based on the measured electrical parameter value measured. By modifying a therapy delivery parameter, the defibrillator may deliver defibrillation pulses at an energy level that is supportable by the circuit.
摘要翻译： 器件通过测量电路的至少一个电参数来测试作为交流电源的电路，以确定电路是否能够为外部除颤器提供足够的除颤能量。 器件可以通过向电路施加负载来测试电路，并且当负载施加到电路时测量一个或多个电参数。 该装置可以是外部除颤器本身或单独的测试装置。 在外部除颤器测试电路的一些实施例中，除颤器根据所测量的电参数值，修改至少一个治疗传递参数的值，以便随后传送一个或多个除颤脉冲。 通过修改治疗递送参数，除颤器可以以可由电路支持的能量水平递送除颤脉冲。
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公开(公告)号：US08005552B2
公开(公告)日：2011-08-23
申请号：US12255914
申请日：2008-10-22
IPC分类号： A61N1/39
CPC分类号： A61N1/0492 , A61N1/046 , A61N1/048 , A61N1/3931 , A61N2001/083
摘要： The invention presents an apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.
摘要翻译： 本发明提供了一种用于确定诸如与自动外部除颤器耦合的除颤电极之类的医用电极是否处于替换状态的装置和技术。 该确定可以作为一个或多个数据的函数。 在一个示例性实施例中，确定是测试模块中水凝胶桥的阻抗的一个或多个测量的函数。 在另一个示例性实施例中，确定是来自一个或多个环境传感器的一个或多个环境条件数据的函数。
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公开(公告)号：US20110144707A1
公开(公告)日：2011-06-16
申请号：US13032400
申请日：2011-02-22
IPC分类号： A61N1/39
CPC分类号： A61N1/39 , A61N1/3931 , A61N1/3987 , A61N1/3993
摘要： An external defibrillator includes a therapy delivery circuit, a sensor, and a processor. The therapy delivery circuit is configured to be electrically charged and to deliver electrical therapy to a patient. The sensor is configured to sense a physiological condition of the patient and generate data indicative of a probability that therapy will be delivered to the patient. The processor is configured to analyze data generated by the sensor to determine whether there is a threshold level of the probability that the therapy delivery will be delivered to the patient, if the probability is at least at the threshold level, charge the therapy delivery circuit, and determine whether therapy delivery is advisable based on the physiological condition of the patient after determining whether the probability is at least at the threshold level.
摘要翻译： 外部除颤器包括治疗输送电路，传感器和处理器。 治疗递送电路被配置为带电并且向患者递送电疗法。 该传感器被配置为感测患者的生理状态，并产生指示治疗将被递送给患者的概率的数据。 所述处理器被配置为分析由所述传感器产生的数据，以确定是否存在将所述治疗递送递送给所述患者的概率的阈值水平，如果所述概率至少为阈值水平，对所述治疗递送电路充电， 并且在确定概率是否至少在阈值水平之后，基于患者的生理状况确定治疗递送是否可取。
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公开(公告)号：US06980856B2
公开(公告)日：2005-12-27
申请号：US09760212
申请日：2001-01-12
CPC分类号： A61N1/39 , A61N1/3912 , A61N1/3962
摘要： An external defibrillator/pacer includes an output circuit with four legs arrayed to form an H-bridge. Each leg of the output circuit contains a switch. In a defibrillation mode, pairs of switches in the H-bridge are selectively switched to generate a biphasic defibrillation pulse. Three switches are silicon controlled rectifiers (SCRs). Gate drive circuits are coupled to the SCRs to bias the SCRs with a voltage that allows the SCRs in response to control signals. One switch includes an insulated gate bipolar transistor (IGBT). A gate drive circuit is coupled to the gate of the IGETs to provide a slow turn-on and a fast turn-off of the IGBT. In a pacing mode, a bypass circuit or current source circuit is used to provide a current path bypassing an SCR switch, which cannot be triggered by the relatively low current of pacing pulses.
摘要翻译： 外部除颤器/起搏器包括具有四个腿的输出电路，以形成H桥。 输出电路的每条支路都有一个开关。 在除颤模式中，选择性地切换H桥中的开关对以产生双相除颤脉冲。 三个开关是可控硅整流器（SCR）。 栅极驱动电路耦合到SCR以通过响应于控制信号允许SCR的电压来偏置SCR。 一个开关包括绝缘栅双极晶体管（IGBT）。 栅极驱动电路耦合到IGBT的栅极，以提供IGBT的缓慢导通和快速关断。 在起搏模式中，旁路电路或电流源电路用于提供旁路SCR开关的电流路径，其不能由相对较低的起搏脉冲电流触发。
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38.发明授权H-bridge circuit for generating a high-energy biphasic waveform in an external defibrillator 有权用于在外部除颤器中产生高能双相波形的H桥电路公开(公告)号：US06477413B1
公开(公告)日：2002-11-05
申请号：US09706578
申请日：2000-11-03
IPC分类号： A61N139
CPC分类号： A61N1/39 , A61N1/3912
摘要： An external defibrillator with an output circuit having four legs arrayed in the form of an “H” (an “H-bridge”) is disclosed. The output circuit is designed to be able to conduct a range of defibrillation pulse energies, from below 50 joules to above 200 joules. Each leg of the output circuit contains a solid-state switch. By selectively switching on pairs of switches in the H-bridge, a biphasic defibrillation pulse may be applied to a patient. The switches in three of the legs of the H-bridge output circuit are preferably silicon controlled rectifiers (SCRs). Gate drive circuits are coupled to the SCRs to bias the SCRs with a voltage that allows the SCRs to remain turned-on even when conducting low current. The switch in the fourth leg is preferably a pair of insulated gate bipolar transistors (IGBTs) coupled in series. A gate drive circuit is coupled to the gate of the IGBTs to provide a slow turn-on and a fast turn-off of the IGBTs. The gate drive circuit also biases the IGBTs with a sufficient voltage to allow the IGBTs to withstand a shorted discharge of the external defibrillator through the output circuit. The circuit also includes a protective component that has both inductive and resistive properties. An internal energy dump may be performed by biasing on two legs on the same side of the H-bridge output circuit, thus eliminating the need for a separate energy dump circuit. Methods for testing the H-bridge and verifying its integrity are also disclosed.
摘要翻译： 公开了具有以“H”形式（“H桥”）排列的四条腿的输出电路的外部除颤器。 输出电路设计为能够进行一系列除颤脉冲能量，从50焦耳到200焦耳以下。 输出电路的每条支路都包含一个固态开关。 通过选择性地开启H桥中的开关对，可以向患者施加双相除颤脉冲。 H桥输出电路的三条腿中的开关优选是可控硅整流器（SCR）。 栅极驱动电路耦合到SCR，以使SCR的偏置电压允许SCR在导通低电流时保持导通。 第四支腿中的开关优选地是串联耦合的一对绝缘栅双极晶体管（IGBT）。 栅极驱动电路耦合到IGBT的栅极，以提供IGBT的缓慢导通和快速关断。 栅极驱动电路还以足够的电压偏压IGBT，以允许IGBT经由输出电路承受外部除颤器的短路放电。 电路还包括具有电感和电阻特性的保护元件。 可以通过在H桥输出电路的同一侧上的两个支路上进行偏置来执行内部能量转储，从而不需要单独的能量转储电路。 还公开了测试H桥并验证其完整性的方法。
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39.发明授权Method and apparatus for verifying the integrity of an output circuit before and during application of a defibrillation pulse 失效用于在除颤脉冲施加之前和期间验证输出电路的完整性的方法和装置
公开(公告)号：US5873893A
公开(公告)日：1999-02-23
申请号：US811834
申请日：1997-03-05
IPC分类号： A61N1/39
CPC分类号： A61N1/3931 , A61N1/3912
摘要： An external defibrillator with a microprocessor for testing the integrity of an output circuit prior to and during the delivery of a multiphasic defibrillation pulse from an energy storage capacitor coupled to the output circuit is disclosed. The output circuit contains a plurality of switches. The integrity of the output circuit and the output switches is determined by selectively monitoring the changes in the voltage level on the energy storage capacitor while certain tests or functions are being performed. A scaling circuit steps down the voltage level of the high-energy storage device so that it can be measured and monitored by the microprocessor. The microprocessor may compensate for the failure of an output switch by locating a usable set of output switches and using them to provide a discharge path through the output circuit for application of a monophasic pulse.
摘要翻译： 公开了一种具有微处理器的外部除颤器，用于在耦合到输出电路的能量存储电容器的多相除颤脉冲之前和期间测试输出电路的完整性。 输出电路包含多个开关。 输出电路和输出开关的完整性是通过在执行某些测试或功能时选择性地监视储能电容器上的电压电平的变化来确定的。 缩放电路降低高能量存储设备的电压电平，使得其可以由微处理器测量和监测。 微处理器可以通过定位可用的一组输出开关来补偿输出开关的故障，并使用它们来提供通过输出电路的放电路径以应用单相脉冲。
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公开(公告)号：US10213612B2
公开(公告)日：2019-02-26
申请号：US11189403
申请日：2005-07-25
摘要： A method for operating a defibrillator including an aural output device includes causing the output device to deliver a first verbal instruction which includes a prompt to call an emergency response system; determining if the user elects to have the defibrillator continue on to a second instruction; and if it is determined that the user elects to have the defibrillator continue on to the next instruction, causing the defibrillator to deliver the second verbal instruction. In an exemplary embodiment, the step of determining if the user elects to continue on to the second instruction includes the step of determining if the user has performed an action upon the defibrillator.
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