摘要:
Delivery of energy by a defibrillator or other medical device is inhibited when the processor or software that controls a module of the medical device operates abnormally. A windowed watchdog timer (WWDT) incorporated into one module of the medical device is used to control the operation of other modules of the medical device via a software-based extension technique. As a result, the risk of harm to the patient is reduced compared to medical devices that incorporate over-limit type watchdog timers. In addition, costs associated with implementing WDTs in multiple modules of the defibrillator are avoided, thereby lowering the overall cost of implementation.
摘要:
Techniques for determining whether one or more leads are not adequately connected to a patient, e.g., for ECG monitoring, are described. The techniques involve injection of an integrated signal (which includes a test signal) into one lead, and monitoring the driven lead and the response at the other leads, including the common mode and the difference between the other leads. These “lead-off” detection techniques may be provided by an external defibrillator that provides three-wire ECG monitoring. Techniques for determining a type of a cable coupled to a defibrillator are also described. The cable-type identification may allow a defibrillator to, for example, operate in either a three-wire ECG monitoring mode or a therapy mode, based on whether a three-wire ECG cable or a defibrillation cable is coupled to the defibrillator.
摘要:
A medical device constructed according to the invention includes electrodes (12a, 12b), a measuring unit (24) for measuring a patient-dependent electrical parameter (e.g., impedance) of the patient, an electrotherapy generator (26) for delivering electrotherapy to the patient, and a processing unit (20) for controlling the delivery of electrotherapy to the patient. Electrotherapy is preferably delivered to the patient based on the measured patient-dependent electrical parameter and a predetermined response of a reference patient to a nominal electrotherapy. The actual electrotherapy delivered to the patient is controlled so that the electrotherapy has a probability of success for the patient that is equivalent to the probability of success of the nominal electrotherapy for the reference patient. A consistent shock efficacy across different patients is achieved.
摘要:
Defibrillator assemblies and methods to wirelessly transfer energy from an external source to a battery or other rechargeable power source within the defibrillator assembly. The transfer of energy may be through a non-contact interface on a defibrillator cradle or a docking station that mounts the defibrillator. The rate of energy transfer may be equal to the energy drain caused by self-discharge and automated self-testing. Accordingly, since the rate of energy transfer is lower than that required to run the defibrillator system continuously, several wireless methods of energy transfer may be used. In addition, the defibrillator assembly may communicate diagnostic and non-diagnostic data to the external source.