Universal defibrillation electrode pad assembly for adult and pediatric subjects

• US 10,201,696 B2
• Filed: 09/23/2014
• Issued: 02/12/2019
• Est. Priority Date: 09/30/2013
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Freeman, Gary A., Hamilton, Ward, Jones, Deborah T., Craige, III, David N., Dascoli, Melissa M., Wilson, E. Jane, Durant, Ian B.
• Primary Examiner(s): Voorhees, Catherine
• Assistant Examiner(s): Bays, Pamela M
• Application Number:
  US14/494,084
• Publication Number:
  US 20150094625A1
• Time in Patent Office: 1,603 Days
• Field of Search: 607142
• CPC Class Codes: A61B 5/25 Bioelectric electrodes therefor
• CPC Class Codes: A61B 5/28 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6841 by using templates
• CPC Class Codes: A61H 2031/002 fixed on the chest by adhesives
• 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 31/004 Heart stimulation
• CPC Class Codes: A61H 31/005 with feedback for the user
• CPC Class Codes: A61H 31/007 Manual driven
• CPC Class Codes: A61N 1/046 Specially adapted for shock therapy, e.g. defibrillation
• CPC Class Codes: A61N 1/0472 Structure-related aspects
• CPC Class Codes: A61N 1/0492 Patch electrodes A61N1/0412, A61N1/0428 take precedence
• CPC Class Codes: A61N 1/08 Arrangements or circuits for monitoring, protecting, controlling or indicating for external stimulators A61N1/3603; for implantable neurostimulators A61N1/36128; for heart stimulators A61N1/37; for defibrillators A61N1/3925
• CPC Class Codes: A61N 1/3993 User interfaces for automatic external defibrillators

Abstract

A defibrillation electrode pad includes an electrode section and a CPR administration section. The electrode section and the CPR administration section are positioned in the defibrillation electrode pad relative to each other such that the CPR administration section is located above a sternum of an adult subject and the electrode section is located in a position appropriate for the administration of a defibrillation shock to the adult subject when the defibrillation electrode pad is oriented in a first orientation and such that the CPR administration section is located above a sternum of a pediatric subject and the electrode section is located in a position appropriate for the administration of a defibrillation shock to the pediatric subject when the defibrillation electrode pad is oriented in a second orientation different from the first orientation.

Claims

1. A defibrillation electrode pad comprising:

an electrode section; and

a CPR administration section mechanically coupled to the electrode section;

wherein the defibrillation electrode pad is configured for use on an adult subject by placing the defibrillation electrode pad on the adult subject in a first orientation with both the electrode section and the CPR administration section positioned relative to each other such that the CPR administration section is located above a sternum of the adult subject and the electrode section is located in a position appropriate for the administration of a defibrillation shock to the adult subject;

wherein the defibrillation electrode pad is configured for use on a pediatric subject by placing the defibrillation electrode pad on the pediatric subject in a second orientation with both the electrode section and the CPR administration section positioned relative to each other such that the CPR administration section is located above a sternum of the pediatric subject and the electrode section is located in a position appropriate for the administration of a defibrillation shock to the pediatric subject; and

wherein the second orientation is different from the first orientation.

2. The defibrillation electrode pad of claim 1, wherein the first orientation is rotated by approximately 180 degrees from the second orientation.

3. The defibrillation electrode pad of claim 1, wherein the position appropriate for the administration of a defibrillation shock to the adult subject is an apex position on the chest of the adult subject.

4. The defibrillation electrode pad of claim 3, wherein the position appropriate for the administration of a defibrillation shock to the pediatric subject is a lateral position on the pediatric subject.

5. The defibrillation electrode pad of claim 1, further comprising indicia of a proper orientation of the defibrillation electrode pad for an adult subject and a proper orientation of the defibrillation electrode pad for a pediatric subject.

6. The defibrillation electrode pad of claim 5, wherein the indicia is provided on a label that is provided on a portion of the defibrillation electrode pad.

7. The defibrillation electrode pad of claim 6, wherein the portion is at least one of the electrode section and the CPR administration section.

8. The defibrillation electrode pad of claim 5, wherein the indicia is provided as markings on a portion of the defibrillation electrode pad.

9. The defibrillation electrode pad of claim 5, wherein the indicia comprises at least one of:

arrows indicating a portion of the CPR administration section to be positioned in an upward orientation for an adult subject and for a child subject;

graphical representations of the proper orientation of the defibrillation electrode pad for an adult subject and the proper orientation of the defibrillation electrode pad for a pediatric subject; and

raised symbols to provide a tactile indication of the proper orientation of the defibrillation electrode pad for an adult subject and the proper orientation of the defibrillation electrode pad for a pediatric subject.

10. The defibrillation electrode pad of claim 1, further comprising a CPR assistance device configured to provide feedback regarding the frequency and/or depth of chest compressions applied to the subject during the administration of CPR to the subject.

11. The defibrillation electrode pad of claim 1, wherein the electrode section is mechanically coupled to the CPR administration section by a bridge of material.

12. The defibrillation electrode pad of claim 11, wherein the bridge of material includes a deformable material and is configured to provide for the relative orientation and distance between the electrode section and the CPR administration section to be varied.

13. The defibrillation electrode pad of claim 11, wherein the bridge of material includes a semi-rigid material and is configured to provide for the electrode section and the CPR administration section to remain in a fixed orientation relative to one another and separated by a fixed distance from one another.

14. The defibrillation electrode pad of claim 11, wherein the bridge of material includes one or more perforations configured to provide for the electrode section to be detached from the CPR administration section by cutting or tearing along the one or more perforations.

15. A defibrillation electrode system comprising:

a first defibrillation electrode pad comprising an electrode section and a CPR administration section mechanically coupled to the electrode section; and

a second defibrillation electrode pad,

wherein the first defibrillation electrode pad is configured for use on an adult subject by placing the first defibrillation electrode pad on the adult subject in a first orientation with both the electrode section and the CPR administration section positioned relative to each other such that the CPR administration section is located above a sternum of the adult subject and the electrode section is located in a position appropriate for the administration of a defibrillation shock to the adult subject;

wherein the first defibrillation electrode pad is configured for use on a pediatric subject by placing the first defibrillation electrode pad on the pediatric subject in a second orientation with both the electrode section and the CPR administration section positioned relative to each other such that the CPR administration section is located above a sternum of the pediatric subject and the electrode section is located in a position appropriate for the administration of a defibrillation shock to the pediatric subject; and

wherein the second orientation is different from the first orientation.

16. The defibrillation electrode system of claim 15, wherein the first orientation is rotated by approximately 180 degrees from the second orientation.

17. The defibrillation electrode system of claim 15, wherein the position appropriate for the administration of a defibrillation shock to the adult subject is an apex position on the chest of the adult subject.

18. The defibrillation electrode system of claim 17, wherein the position appropriate for the administration of a defibrillation shock to the pediatric subject is a lateral position on the pediatric subject.

19. The defibrillation electrode system of claim 15, wherein at least one of the first defibrillation electrode pad and the second defibrillation electrode pad includes indicia of a proper orientation of at least one of the first defibrillation electrode pad and the second defibrillation electrode pad for an adult subject and a proper orientation of at least one of the first defibrillation electrode pad and the second defibrillation electrode pad for a pediatric subject.

20. The defibrillation electrode system of claim 15, further comprising a CPR assistance device configured to provide feedback regarding the frequency and/or depth of chest compressions applied to the subject during the administration of CPR to the subject.