Alerting users of CPR feedback device of detected magnetic interference

• US 10,098,573 B2
• Filed: 08/29/2012
• Issued: 10/16/2018
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Physio-Control Incorporated (Stryker Corporation)
• Original Assignee: Physio-Control Incorporated (Stryker Corporation)
• Inventors: Banville, Isabelle L., Marx, Jr., Robert Peter, Brown, David Thomas, Nova, Richard C.
• Primary Examiner(s): STANIS, TIMOTHY A
• Application Number:
  US13/598,508
• Publication Number:
  US 20130225972A1
• Time in Patent Office: 2,239 Days
• CPC Class Codes: A61B 5/1126 using a particular sensing technique
• CPC Class Codes: A61H 2201/5061 Force sensors
• CPC Class Codes: A61H 2201/5064 Position sensors
• CPC Class Codes: A61H 2201/5071 Pressure sensors
• CPC Class Codes: A61H 2201/5084 Acceleration sensors
• CPC Class Codes: A61H 2201/5097 wireless
• CPC Class Codes: A61H 31/005 with feedback for the user
• CPC Class Codes: A61H 31/007 Manual driven

Abstract

A medical device and/or a method are used by a rescuer who is caring for a patient. The depth of CPR chest compressions is determined, by detecting magnetic fields. An interference is sensed, which is not associated with the CPR chest compressions, but which is superimposed on the detected magnetic fields. Appropriate countermeasures may be taken, if the sensed interference is larger than a threshold.

Claims

1. A medical device for communicating to a user information associated with cardiopulmonary resuscitation (CPR) chest compressions performed on a patient in a supine position, the medical device comprising:

a first sensor configured to be positioned beneath a chest of the patient;

a second sensor configured to be positioned on the chest of the patient;

a detector configured to utilize information from the first sensor and the second sensor to detect magnetic fields associated with the CPR chest compressions;

a processor configured to estimate net depths of the CPR chest compressions between the first sensor and the second sensor from the detected magnetic fields;

an interface configured to communicate the estimated depths to the user;

a sensing functionality configured to utilize information from the first sensor and the second sensor to sense whether, in a vicinity of the detector, there is interference, not associated with the CPR chest compressions, that is superimposed on the detected magnetic fields associated with the CPR chest compressions, wherein the first sensor and the second sensor collectively include a coil and the sensing functionality is further configured to energize the coil, to monitor impedance of the coil, and to detect a shift within the monitored impedance of the coil in response to the energizing; and

a module configured to cause the device to enter an alert mode in response to an amount of the sensed interference being above a threshold.

2. The device of claim 1, in which the sensed interference is static.

3. The device of claim 1, in which the sensed interference is dynamic.

4. The device of claim 1, in which the sensed interference is due to the presence of a conductor in the vicinity of the device.

5. The device of claim 1, in which the first sensor and the second sensor collectively include at least a first coil and a second coil, and in which the sensing functionality is further configured to energize the first and the second coils and measure and compare current signals induced in the second and first coils respectively by the energizing.

6. The device of claim 1, in which the first sensor and the second sensor collectively include at least two transmit coils and two receive coils distinct from the transmit coils, and in which the sensing functionality is further configured to energize the two transmit coils and compare current signals induced in the two receive coils by the energizing.

7. The device of claim 1, in which the first sensor and the second sensor collectively include at least one transmit coil and at least one receive coil, and in which the sensing functionality is further configured to energize the transmit coil with a transmit signal to induce a receive signal in the receive coil, and the sensing functionality is further configured to detect a phase delay of the receive signal relative to the transmit signal.

8. The device of claim 1, in which the sensing functionality includes a hardware phase discriminator.

9. The device of claim 1, in which the processor is further configured to adjust the estimated depths for the sensed interference when the device is in the alert mode.

10. The device of claim 1, in which the medical device is configured to issue a human-perceptible warning to the user when the device is in the alert mode.

11. The device of claim 10, in which the medical device is configured to issue the human-perceptible warning via the interface.

12. The device of claim 1, in which the medical device is configured to disable the detector when the device is in the alert mode.

13. The device of claim 1, in which the interface configured to communicate the estimated depths is disabled when the device is in the alert mode.

14. The device of claim 1, further comprising a bottom device configured to be placed under the chest of the patient, the bottom device having a slide portion and a grip portion on a bottom surface of the bottom device, the grip portion comprising a grip surface configured to contact a support surface and to keep the bottom device under the chest of the patient during delivery of CPR chest compressions to the patient, the first sensor being within the bottom device.

15. The device of claim 1, in which the module configured to cause the device to enter an alert mode comprises:

a comparator configured to determine whether the amount of the sensed interference is above the threshold; and

a control switch having a normal position and an alert position, the control switch being thrown from the normal position to the alert position when the determined amount of the sensed interference is above the threshold.

16. A method for a medical device having a detector configured to detect magnetic fields associated with the magnetic fields associated with CPR chest compression chest compressions and a processor configured to estimate depths of the CPR chest compressions from the detected magnetic fields, the method comprising:

detecting, with the detector, magnetic fields associated with the CPR chest compressions, the detector comprising a first sensor and a second sensor, the first sensor being within a bottom device configured to be placed under a chest of a patient in a supine position on a yieldable surface, the second sensor being configured to be positioned on the chest of the patient;

estimating net depths of the CPR chest compressions between the first sensor and the second sensor from the detected magnetic fields, excluding yield associated with the yieldable surface under the patient;

sensing whether, in a vicinity of the detector, there is interference, not associated with the CPR chest compressions, that is superimposed on the detected magnetic fields associated with the CPR chest compressions, further comprising;

energizing a coil being collectively included in the first sensor and the second sensor;

monitoring impedance of the coil; and

detecting a shift within the impedance of the coil in response to the energizing;

determining whether an amount of the sensed interference is above a threshold; and

when the amount of the sensed interference is above the threshold, causing the device to enter an alert mode.

17. The method of claim 16, in which the sensing takes place substantially continuously with the detecting.

18. The method of claim 16, further comprising:

repeating the sensing.

19. The method of claim 16, further comprising adjusting the estimated depths for the sensed interference when the device is in the alert mode.

20. The method of claim 16, further comprising issuing a human-perceptible warning to a user when the device is in the alert mode.

21. The method of claim 16, in which the medical device further has an interface for communicating the estimated depths to a user, the method further comprising issuing a human-perceptible warning to the user via the interface when the device is in the alert mode.

22. The method of claim 16, further comprising disabling the detector when the device is in the alert mode.

23. The method of claim 16, in which the medical device further has an interface for communicating the estimated depth to a user, the method further comprising disabling the communicating by the interface when the device is in the alert mode.

24. The method of claim 16, in which the bottom device has a slide portion and a grip portion on a bottom surface of the bottom device, the grip portion comprising a grip surface configured to contact the yieldable surface and to keep the bottom device under the chest of the patient during delivery of CPR chest compressions to the patient.