公开(公告)号：US08744577B2

公开(公告)日：2014-06-03

申请号：US13569147

申请日：2012-08-07

申请人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

发明人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

IPC分类号： A61N1/365

CPC分类号： A61N1/3925 ,  A61B5/0464 ,  A61B5/0535 ,  A61B5/0538 ,  A61B5/7264 ,  A61B7/00 ,  A61B7/04 ,  A61N1/365 ,  A61N1/39 ,  A61N1/3987

摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

摘要翻译： 通过评估患者的生理信号来确定患者心脏脉搏的存在。 在一个实施例中，医疗设备评估两个或更多个不同的生理信号，例如心电图（PCG）信号，心电图（ECG）信号，患者阻抗信号，压电信号和加速度计信号，用于指示存在心脏脉搏的特征。 使用这些特征，医疗装置确定患者心脏脉搏是否存在。 除了处于无脉动状态之外，医疗装置还可以被配置为报告患者是否处于VF，VT，心搏停止或PEA状态，并且提示不同的疗法，例如胸部按压，救援呼吸，除颤和 PEA特异性电疗，取决于生理信号的分析。 进一步提供使用起搏刺激自动捕获心脏脉搏。

公开(公告)号：US20120029583A1

公开(公告)日：2012-02-02

申请号：US13267783

申请日：2011-10-06

申请人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

发明人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

IPC分类号： A61N1/39 ,  A61M16/00

CPC分类号： A61N1/3925 ,  A61B5/0464 ,  A61B5/0535 ,  A61B5/0538 ,  A61B5/7264 ,  A61B7/00 ,  A61B7/04 ,  A61N1/365 ,  A61N1/39 ,  A61N1/3987

摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

公开(公告)号：US20120022339A1

公开(公告)日：2012-01-26

申请号：US13249081

申请日：2011-09-29

申请人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

发明人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

IPC分类号： A61N1/39 ,  A61H31/00 ,  A61N1/00 ,  A61N1/37 ,  A61N1/365 ,  A61M16/00 ,  A61B5/0402 ,  A61B5/1455 ,  A61B5/0464 ,  A61B5/046 ,  A61B5/0245 ,  A61B5/053 ,  A61B5/08 ,  A61B8/02 ,  A61B5/0205

CPC分类号： A61N1/3925 ,  A61B5/0464 ,  A61B5/0535 ,  A61B5/0538 ,  A61B5/7264 ,  A61B7/00 ,  A61B7/04 ,  A61N1/365 ,  A61N1/39 ,  A61N1/3987

摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

摘要翻译： 通过评估患者的生理信号来确定患者心脏脉搏的存在。 在一个实施例中，医疗设备评估两个或更多个不同的生理信号，例如心电图（PCG）信号，心电图（ECG）信号，患者阻抗信号，压电信号和加速度计信号，用于指示存在心脏脉搏的特征。 使用这些特征，医疗装置确定患者心脏脉搏是否存在。 除了处于无脉动状态之外，医疗装置还可以被配置为报告患者是否处于VF，VT，心搏停止或PEA状态，并且提示不同的疗法，例如胸部按压，救援呼吸，除颤和 PEA特异性电疗，取决于生理信号的分析。 进一步提供使用起搏刺激自动捕获心脏脉搏。

公开(公告)号：US20100121208A1

公开(公告)日：2010-05-13

申请号：US12688684

申请日：2010-01-15

申请人： Ronald E. Stickney ,  James W. Taylor ,  Patricia O'Hearn ,  Cynthia P. Jayne ,  Paula Lank ,  David R. Hampton

发明人： Ronald E. Stickney ,  James W. Taylor ,  Patricia O'Hearn ,  Cynthia P. Jayne ,  Paula Lank ,  David R. Hampton

IPC分类号： A61B5/024

CPC分类号： A61N1/3712 ,  A61B5/024 ,  A61B5/0464 ,  A61B5/0809 ,  A61B5/7239 ,  A61B5/7246 ,  A61B5/7278 ,  A61N1/36521 ,  A61N1/3925

摘要： The presence of a cardiac pulse in a patient is determined by evaluating fluctuations in an electrical signal that represents a measurement of the patient's transthoracic impedance. Impedance signal data obtained from the patient is analyzed for a feature indicative of the presence of a cardiac pulse. Whether a cardiac pulse is present in the patient is determined based on the feature in the impedance signal data. Electrocardiogram (ECG) data may also be obtained in time coordination with the impedance signal data. Various applications for the pulse detection of the invention include detection of PEA and prompting PEA-specific therapy, prompting defibrillation therapy and/or CPR, and prompting rescue breathing depending on detection of respiration.

公开(公告)号：US20100016746A1

公开(公告)日：2010-01-21

申请号：US12173778

申请日：2008-07-15

申请人： David R. Hampton ,  Forrest C.M. Pape ,  Paul G. Krause ,  Dwight H. Warkentin

发明人： David R. Hampton ,  Forrest C.M. Pape ,  Paul G. Krause ,  Dwight H. Warkentin

IPC分类号： A61B5/0402

CPC分类号： A61N1/37258 ,  A61B5/0452 ,  A61B5/747 ,  A61N1/3962 ,  G16H40/63

摘要： A personal altering device and method of generating an alert of an event detected by an implanted diagnostic device are provided. The method can include transmitting an event signal to the personal alerting device when one or more of the following occurs: ischemia is detected, a deviation from the baseline waveform is detected, a life-threatening trend begins, or symptoms are indicated. The method can also include generating an alarm signal from the personal alerting device, and the alarm signal can include one or more of a visual message, a light, a vibration, and a sound. In addition, the method can include prompting further action to be taken.

摘要翻译： 提供了一种生成由植入诊断装置检测到的事件的警报的个人改变装置和方法。 该方法可以包括当发生以下一个或多个发生时将事件信号发送到个人警报设备：检测到缺血，检测到与基线波形的偏差，危及生命的趋势开始或症状被指示。 该方法还可以包括从个人报警设备产生报警信号，并且报警信号可以包括视觉消息，光，振动和声音中的一个或多个。 此外，该方法可以包括促进进一步采取行动。

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

IPC分类号： A61H31/00 ,  A61N1/39 ,  A61F7/10 ,  A61F7/02 ,  A61M16/00

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.

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

IPC分类号： A61H31/00 ,  A61N1/39 ,  A61F7/02 ,  A61F7/10 ,  A61M16/00

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.

公开(公告)号：US09248304B2

公开(公告)日：2016-02-02

申请号：US13085053

申请日：2011-04-12

申请人： Isabelle Banville ,  David R. Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

发明人： Isabelle Banville ,  David R. Hampton ,  Gregory T. Kavounas ,  Richard C. Nova

IPC分类号： A61N1/39

CPC分类号： A61N1/3987 ,  A61N1/39

摘要： Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

公开(公告)号：US08239024B2

公开(公告)日：2012-08-07

申请号：US13032250

申请日：2011-02-22

申请人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

发明人： Tae H. Joo ,  Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  David R. Hampton ,  James W. Taylor ,  William E. Crone ,  Daniel Yerkovich

IPC分类号： A61N1/365

CPC分类号： A61N1/3925 ,  A61B5/0464 ,  A61B5/0535 ,  A61B5/0538 ,  A61B5/7264 ,  A61B7/00 ,  A61B7/04 ,  A61N1/365 ,  A61N1/39 ,  A61N1/3987

摘要： The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

摘要翻译： 通过评估患者的生理信号来确定患者心脏脉搏的存在。 在一个实施例中，医疗设备评估两个或更多个不同的生理信号，例如心电图（PCG）信号，心电图（ECG）信号，患者阻抗信号，压电信号和加速度计信号，用于指示存在心脏脉搏的特征。 使用这些特征，医疗装置确定患者心脏脉搏是否存在。 除了处于无脉动状态之外，医疗装置还可以被配置为报告患者是否处于VF，VT，心搏停止或PEA状态，并且提示不同的疗法，例如胸部按压，救援呼吸，除颤和 PEA特异性电疗，取决于生理信号的分析。 进一步提供使用起搏刺激自动捕获心脏脉搏。

公开(公告)号：US08160703B2

公开(公告)日：2012-04-17

申请号：US11187616

申请日：2005-07-22

申请人： Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  Tae H. Joo ,  David R. Hampton ,  Richard C. Nova ,  Patrick F. Kelly ,  William E. Saltzstein

发明人： Ronald E. Stickney ,  Cynthia P. Jayne ,  Paula Lank ,  Patricia O'Hearn ,  Tae H. Joo ,  David R. Hampton ,  Richard C. Nova ,  Patrick F. Kelly ,  William E. Saltzstein

IPC分类号： A61N1/362

CPC分类号： A61B5/046 ,  A61B5/1102 ,  A61B5/1107 ,  A61B5/7264 ,  A61B2560/0412 ,  A61B2562/02 ,  A61N1/3712 ,  A61N1/3925

摘要： Signal data obtained from a piezoelectric sensor placed on a patient's body is used to detect the presence of a cardiac pulse. The piezoelectric sensor has a transducing element adapted to sense movement due to a cardiac pulse and produce piezoelectric signal data in response thereto. Processing circuitry analyzes the piezoelectric signal data for a feature indicative of a cardiac pulse and determines whether a cardiac pulse is present in the patient based on the feature. In one aspect, the feature may be a temporal feature such as a relative change in energy. In another aspect, the feature may be a spectral feature such as the energy or frequency of a peak in the energy spectrum of the signal. In yet another aspect, the feature may be obtained by comparing the piezoelectric signal data with a previously-identified pattern known to predict the presence of a cardiac pulse. Multiple features may also be obtained from the piezoelectric signal data and classified to determine the presence of a cardiac pulse.

摘要翻译： 使用从放置在患者身上的压电传感器获得的信号数据来检测心脏脉搏的存在。 压电传感器具有适于感测由心脏脉搏引起的运动的传感元件，并响应于此产生压电信号数据。 处理电路分析用于表示心脏脉搏的特征的压电信号数据，并且基于特征确定患者心脏脉搏是否存在。 在一个方面，该特征可以是时间特征，例如能量的相对变化。 在另一方面，特征可以是光谱特征，例如信号的能谱中的峰的能量或频率。 在另一方面，可以通过将压电信号数据与已知的预测心脏脉搏的存在的先前识别的模式相比较来获得特征。 还可以从压电信号数据获得多个特征，并将其分类以确定心脏脉搏的存在。