Synchronization of repetitive therapeutic interventions

• US 10,182,966 B2
• Filed: 03/23/2017
• Issued: 01/22/2019
• Est. Priority Date: 09/14/2005
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Freeman, Gary A, Lisogurski, Daniel M
• Primary Examiner(s): Musselman, Timothy A
• Application Number:
  US15/466,903
• Publication Number:
  US 20170189265A1
• Time in Patent Office: 670 Days
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61H 2201/5007 computer controlled
• CPC Class Codes: A61H 2201/501 connected to external computer devices or networks
• CPC Class Codes: A61H 2201/5043 Displays
• CPC Class Codes: A61H 2201/5048 Audio interfaces, e.g. voice or music controlled
• CPC Class Codes: A61H 2201/5084 Acceleration sensors
• CPC Class Codes: A61H 2201/5097 wireless
• CPC Class Codes: A61H 2230/04 Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
• CPC Class Codes: A61H 2230/205 partial CO2-value
• CPC Class Codes: A61H 2230/207 partial O2-value
• CPC Class Codes: A61H 2230/25 Blood flowrate, e.g. by Doppler effect
• CPC Class Codes: A61H 2230/42 Rate
• CPC Class Codes: A61H 31/00 Artificial respiration or heart stimulation, e.g. heart massage artificial respiration by treatment with gas or air, e.g. mouth-to-mouth respiration A61M16/00; applying electric currents by contact electrodes for stimulation, e.g. heart pace-makers A61N1/36 ; teaching or training models, demonstration models for medical purposes G09B23/288
• CPC Class Codes: A61H 31/005 with feedback for the user
• CPC Class Codes: A61H 31/006 Power driven
• CPC Class Codes: A61H 31/007 Manual driven
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61N 1/3625 External stimulators
• CPC Class Codes: A61N 1/3628 using sub-threshold or non-excitatory signals
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 7/00 : Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

A medical device of the type used for assisting a user in manually delivering repetitive therapy to a patient (e.g., chest compressions or ventilations in cardiac resuscitation), the device comprising a feedback device configured to generate feedback cues to assist the user in timing the delivery of the repetitive therapy, at least one sensor or circuit element configured to detect actual delivery times, at which the user actually delivers the repetitive therapy, and a processor, memory, and associated circuitry configured to compare the actual delivery times to information representative of desired delivery times to determine cue times at which the feedback cues are generated by the feedback device.

Claims

1. A system comprising:

an energy output module comprising an electrical circuit configured to generate a defibrillation shock;

a plurality of sensors comprising sensors configured to generate signals indicative of chest compressions and ventilation;

a memory and one or more processors configured to;

receive the signals indicative of chest compressions and ventilations,

process the signals indicative of chest compressions and ventilations to determine chest compression parameters and ventilation parameters, and

determine rescuer feedback based on the chest compression parameters and ventilation parameters and based on a control algorithm, stored in the memory, and configured to determine an indication of an estimated physiological impact of at least a rate associated with delivery of at least one of chest compressions and ventilation to a patient by a rescuer, and

one or more output devices communicatively coupled to the one or more processors and configured to provide the rescuer feedback for the rescuer during the delivery of at least one of chest compressions and ventilation by the rescuer,

wherein the provided rescuer feedback comprises;

one or more of an audible cue and a visible cue, wherein a variation in the one or more of the audible cue and the visible cue provides chest release information,

graphical feedback indicative of a quality of at least one of blood flow and ventilation, the graphical feedback comprising the indication of the estimated physiological impact of at least the rate associated with the delivery of at least one of chest compressions and ventilation,

feedback indicative of the chest compression parameters and comprising a graphically displayed target zone for at least one of the chest compression parameters and a graphically displayed comparison between the at least one of the chest compression parameters and the target zone,

feedback indicative of the ventilation parameters, and

feedback based on a waveform corresponding to the chest compression parameters.

2. The system of claim 1 wherein at least one of the plurality of sensors comprises a chest compression sensor disposed in a housing configured to be held against the chest of the patient, during a delivery of chest compressions, with one or more hands of the rescuer.

3. The system of claim 2 wherein the chest compression sensor comprises an accelerometer.

4. The system of claim 1 wherein the plurality of sensors comprises electrodes configured to acquire at least one of an electrocardiogram (ECG) signal from the patient and one or more signals indicative of a measured chest impedance of the patient.

5. The system of claim 4 wherein the electrodes comprise defibrillation electrode pads configured to deliver the defibrillation shock to the patient.

6. The system of claim 1 wherein the one or more processors are further configured to provide a representation of the signals indicative of chest compressions and ventilations to the rescuer via the one or more output devices.

7. The system of claim 1 wherein the one or more output devices are configured to provide the rescuer feedback on a compression by compression basis.

8. The system of claim 1 wherein the one or more output devices comprise a display.

9. The system of claim 8 wherein the rescuer feedback comprises visual feedback.

10. The system of claim 1 wherein the one or more output devices comprise a speaker.

11. The system of claim 10 wherein the rescuer feedback comprises audible feedback.

12. The system of claim 11 wherein the speaker is configured to vary a volume of the audible feedback.

13. The system of claim 1 wherein the chest compression parameters comprise at least one of a compression depth and a compression rate.

14. The system of claim 1 wherein the chest release information is indicative of a complete release of pressure from the chest of the patient by the rescuer during a compression upstroke.

15. The system of claim 1 wherein the target zone for the at least one of the chest compression parameters is based on a range of acceptable values for the at least one of the chest compression parameters based at least in part on American Heart Association cardiopulmonary resuscitation (CPR) guidelines.

16. The system of claim 1 wherein the feedback indicative of the ventilation parameters comprises feedback indicative of a comparison between at least one of the ventilation parameters and acceptable values for the at least one of the ventilation parameters based at least in part on American Heart Association cardiopulmonary resuscitation (CPR) guidelines.

17. The system of claim 16 wherein the at least one of the ventilation parameters is a ventilation rate.

18. The system of claim 1 wherein the waveform corresponding to the chest compression parameters is a chest compression depth waveform.

19. The system of claim 1 wherein the rescuer feedback is indicative of a downward stroke associated with the delivery of chest compressions.

20. The system of claim 1 wherein the rescuer feedback is indicative of end tidal carbon dioxide (EtCO₂) values.

21. The system of claim 1 wherein the one or more processors are further configured to determine the rescuer feedback based at least in part on cardiopulmonary resuscitation (CPR) guidelines.

22. The system of claim 1 wherein the one or more processors are further configured to store data associated with the delivery of at least one of chest compressions and ventilation in the memory.

23. The system of claim 1 wherein the one or more processors are configured to provide therapy information to the rescuer via the one or more output devices, wherein the therapy information comprises defibrillation therapy information.

24. The system of claim 1 wherein the rescuer feedback is real-time corrective feedback.