公开(公告)号：US20080114406A1

公开(公告)日：2008-05-15

申请号：US11953665

申请日：2007-12-10

申请人： David Hampton ,  Ronald Stickney ,  Richard Nova ,  Stephen Radons ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

发明人： David Hampton ,  Ronald Stickney ,  Richard Nova ,  Stephen Radons ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

IPC分类号： A61N1/39

CPC分类号： A61H31/005 ,  A61H31/006 ,  A61H31/008 ,  A61H2201/0214 ,  A61H2201/5007 ,  A61H2201/501 ,  A61H2201/5012 ,  A61H2201/5048 ,  A61H2201/5058 ,  A61H2201/5097 ,  A61H2230/04 ,  A61M16/00 ,  A61M2202/0208 ,  A61N1/39 ,  G06F19/00 ,  G16H40/63

摘要： Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.

摘要翻译： 实现用于提供通信的外部胸部按压（ECC）设备和除颤（DF））设备的方法的设备，方法和软件，其中ECC和DF设备可以在物理上彼此分离。 ECC和DF设备都能够自主地运行，但是当存在时能够与另一设备进行通信和配合。 一些ECC和DF装置适于彼此物理和/或电耦合。 一个ECC装置包括背板，胸部按压构件，通信模块，控制器以及至少一个传感器，电极引线或电极。 一个DF装置包括除颤器模块，控制器和可以与ECC通信模块通信的通信模块。 通信ECC和DF设备可以提供ECC，起搏，除颤，通气和冷却治疗，并且可以以协调和协作的方式向人类助理提供指令。

公开(公告)号：US20050038475A1

公开(公告)日：2005-02-17

申请号：US10652965

申请日：2003-08-29

申请人： Richard Nova ,  Ronald Stickney ,  Stephen Radons ,  David Hampton ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

发明人： Richard Nova ,  Ronald Stickney ,  Stephen Radons ,  David Hampton ,  D. Edwards ,  Cynthia Jayne ,  Joseph Sullivan ,  Steven Sjoquist

IPC分类号： A61B5/00 ,  A61B5/0205 ,  A61B5/0402 ,  A61N1/39

CPC分类号： A61B5/0205 ,  A61B5/0006 ,  A61B5/01 ,  A61B5/0402 ,  A61N1/3931 ,  A61N1/3993

摘要： A method for the failsafe monitoring of the rotational movement of a shaft comprises a first step of picking up a characteristic pulse train with a number of pulses following one another at successive times, the time interval between the pulses is dependent on the rotational movement. A second step determines a monitoring time period and a third step monitors whether an expected pulse of the pulse train occurs within the monitoring time period. Finally, there is a fourth step of generating a control signal when the expected pulse does not occur within the monitoring time period. The monitoring time period is repeatedly adapted to the time interval of the pulses during monitoring.

摘要翻译： 用于故障安全监测轴的旋转运动的方法包括：第一步骤，在连续的时间之后拾取具有多个脉冲的特征脉冲串，脉冲之间的时间间隔取决于旋转运动。 第二步骤确定监视时间段，并且第三步骤监视是否在监视时间段内发生脉冲串的预期脉冲。 最后，当在监视时间段内不发生预期脉冲时，存在产生控制信号的第四步骤。 监视时间周期重复适应监视期间脉冲的时间间隔。

公开(公告)号：US20060167515A1

公开(公告)日：2006-07-27

申请号：US11187616

申请日：2005-07-22

申请人： Ronald Stickney ,  Cynthia Jayne ,  Paula Lank ,  Patricia O'Hearn ,  Tae Joo ,  David Hampton ,  Richard Nova ,  Patrick Kelly ,  William Saltzstein

发明人： Ronald Stickney ,  Cynthia Jayne ,  Paula Lank ,  Patricia O'Hearn ,  Tae Joo ,  David Hampton ,  Richard Nova ,  Patrick Kelly ,  William Saltzstein

IPC分类号： A61N1/39 ,  A61N1/365

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。

公开(公告)号：US20070288060A1

公开(公告)日：2007-12-13

申请号：US11737703

申请日：2007-04-19

申请人： Ronald Stickney ,  James Taylor ,  Patricia O'Hearn ,  Cynthia Jayne ,  Paula Lank ,  David Hampton

发明人： Ronald Stickney ,  James Taylor ,  Patricia O'Hearn ,  Cynthia Jayne ,  Paula Lank ,  David Hampton

IPC分类号： A61N1/00 ,  A61B5/00

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.

摘要翻译： 通过评估表示患者经胸阻抗的测量的电信号中的波动来确定患者心脏脉搏的存在。 分析从患者获得的阻抗信号数据表示存在心脏脉搏的特征。 基于阻抗信号数据中的特征来确定患者心脏脉搏是否存在。 心电图（ECG）数据也可以与阻抗信号数据进行时间协调。 用于本发明的脉搏检测的各种应用包括检测PEA并促进PEA特异性治疗，促进除颤治疗和/或CPR，并且根据呼吸的检测促使救援呼吸。

公开(公告)号：US20100292748A9

公开(公告)日：2010-11-18

申请号：US11737703

申请日：2007-04-19

申请人： Ronald Stickney ,  James Taylor ,  Patricia O'Hearn ,  Cynthia Jayne ,  Paula Lank ,  David Hampton

发明人： Ronald Stickney ,  James Taylor ,  Patricia O'Hearn ,  Cynthia Jayne ,  Paula Lank ,  David Hampton

IPC分类号： A61N1/00 ,  A61B5/00

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.

摘要翻译： 通过评估表示患者经胸阻抗的测量的电信号中的波动来确定患者心脏脉搏的存在。 分析从患者获得的阻抗信号数据表示存在心脏脉搏的特征。 基于阻抗信号数据中的特征来确定患者心脏脉搏是否存在。 心电图（ECG）数据也可以与阻抗信号数据进行时间协调。 用于本发明的脉搏检测的各种应用包括检测PEA并促进PEA特异性治疗，促进除颤治疗和/或CPR，并且根据呼吸的检测促使救援呼吸。

公开(公告)号：US20050240234A1

公开(公告)日：2005-10-27

申请号：US11167247

申请日：2005-06-27

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

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

IPC分类号： A61B5/025 ,  A61B5/0205 ,  A61B7/00 ,  A61B7/04 ,  A61N1/365 ,  A61N1/39

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：US20060229680A1

公开(公告)日：2006-10-12

申请号：US11095305

申请日：2005-03-31

申请人： Fred Chapman ,  Robert Walker ,  Ronald Stickney

发明人： Fred Chapman ,  Robert Walker ,  Ronald Stickney

IPC分类号： A61N1/39

CPC分类号： A61N1/3925 ,  A61N1/39 ,  A61N1/3993

摘要： An apparatus and method is provided for a defibrillator that specifies treatment protocols in terms of number of chest compressions instead of time intervals. The defibrillator includes a connection port that is configured to attach with a plurality of electrodes that are capable of delivery of a defibrillation shock and/or sensing one or more physical parameters. An energy storage device capable of storing a charge is attached to the plurality of electrodes. A controller is coupled to the plurality of electrodes and the energy storage device, the controller is configured to provide CPR chest compression instructions in terms of the numbers of CPR chest compressions.

公开(公告)号：US20060173501A1

公开(公告)日：2006-08-03

申请号：US11272177

申请日：2005-11-10

申请人： Ronald Stickney ,  Robert Walker

发明人： Ronald Stickney ,  Robert Walker

IPC分类号： A61N1/39

CPC分类号： G09B23/288 ,  A61B5/0205 ,  A61B5/046 ,  A61B5/0809 ,  A61H31/005 ,  A61H2201/5007 ,  A61H2201/5043 ,  A61N1/39 ,  A61N1/3993

摘要： A method for assessing CPR performed during at least one resuscitation event includes obtaining a data set during each of the at least one resuscitation events, each data set including data characterizing the performance of chest compressions or ventilations, or both, on the patient during the at least one resuscitation event; processing the data set to determine a value of at least one parameter of the performance; and displaying a graphical representation of the at least one parameter. A graphical representation of a desired value or range of values of the at least one parameter may be displayed in a position for visual comparison with the determined value. A method for presenting information on a sequence of events during a resuscitation event includes: obtaining data on the sequence and timing of chest compression and lung ventilations from a defibrillator; and displaying symbols for chest compressions and lung ventilations in a linear sequence corresponding to the order in which the compressions and ventilations occurred, the linear distance between successive symbols being proportional to the temporal distance between the corresponding actions.

摘要翻译： 用于评估在至少一次复苏事件期间执行的CPR的方法包括在所述至少一次复苏事件中的每一个期间获得数据集，每个数据集包括表示胸部按压或通气的数据或两者在患者期间在at 至少一次复苏事件; 处理数据集以确定性能的至少一个参数的值; 以及显示所述至少一个参数的图形表示。 期望值或至少一个参数的值的范围的图形表示可以被显示在用于与所确定的值进行目视比较的位置中。 一种用于在复苏事件期间呈现事件序列的信息的方法包括：从除颤器获取关于胸部按压和肺通气的顺序和时间的数据; 并以对应于压缩和通气发生顺序的线性序列显示胸部按压和肺通气的符号，连续符号之间的线性距离与相应动作之间的时间距离成比例。