Integrated external chest compression and defibrillation devices and methods of operation

• US 10,406,066 B2
• Filed: 02/17/2009
• Issued: 09/10/2019
• Est. Priority Date: 02/14/2003
• Status: Active Grant

• Current Assignee: Physio-Control Incorporated (Stryker Corporation)
• Original Assignee: Physio-Control Incorporated (Stryker Corporation)
• Inventors: Jayne, Cynthia, Stickney, Ronald E., Nova, Richard C., Radons, Stephen W., Hampton, David R., Edwards, D. Craig, Sullivan, Joseph L., Sjoquist, Steven E.
• Primary Examiner(s): Marlen, Tammie K
• Application Number:
  US12/372,523
• Publication Number:
  US 20090149901A1
• Time in Patent Office: 3,857 Days
• Field of Search: 601 41, 601 44, 607 5, 607 42, 607 41, 607 44
• CPC Class Codes: A61F 2007/0233 connected to or incorporated in clothing or garments A61F2007/023 takes precedence
• CPC Class Codes: A61F 7/10 Cooling bags, e.g. ice-bags
• CPC Class Codes: A61H 2201/0214 cooled
• 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 2201/5012 using the internet
• CPC Class Codes: A61H 2201/5048 Audio interfaces, e.g. voice or music controlled
• CPC Class Codes: A61H 2201/5058 Sensors or detectors
• 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 31/005 with feedback for the user
• CPC Class Codes: A61H 31/006 Power driven
• CPC Class Codes: A61H 31/008 Supine patient supports or bases, e.g. improving air-way access to the lungs
• CPC Class Codes: A61M 16/0048 Mouth-to-mouth respiration teaching or training models G09B23/288
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy

Abstract

Integrated devices for performing external chest compression (ECC) and defibrillation on a person and methods using the devices. Integrated devices can include a backboard, at least one chest compression member operably coupled to the backboard, and a defibrillator module operably coupled to the backboard. The integrated devices can include physiological sensors, electrodes, wheels, controllers, human interface devices, cooling modules, ventilators, cameras, and voice output devices. Methods can include defibrillating, pacing, ventilating, cooling, and performing ECC in an integrated, coordinated, and/or synchronous manner using the full capabilities of the device. Some devices include controllers executing methods for automatically performing the coordinated activities utilizing the device capabilities.

Claims

1. A device for performing external chest compression (ECC) on a person, the device comprising:

a backboard structured to support the person thereon and to extend across a posterior portion of the person;

at least one chest compression member integrated within and rigidly connected to at least one of two rigid arms configured to extend across an anterior portion of a chest of the person, the two rigid arms also attached to the backboard at respective first ends, the combination of the backboard and the two rigid arms surrounding the person'"'"'s chest, the chest compression member configured to deliver chest compressions to the person by pushing down on the anterior portion of the person'"'"'s chest while the posterior portion of the person'"'"'s chest remains stationary against the backboard; and

at least one wheel attached to the backboard, the wheel structured to facilitate movement of the backboard along a surface while the person is supported on the backboard.

2. A device as in claim 1, further comprising:

a defibrillator module coupled to the backboard and structured to administer defibrillation therapy to the person.

3. A device as in claim 2, further comprising:

at least one sensor structured to sense physiological data from the person and structured to transmit the sensed physiological data to the defibrillator module.

4. A device as in claim 3, in which the physiological data includes at least one attribute from the group consisting of pulse, ECG, heartbeat, breathing, body temperature, externally applied chest pressure and thoracic impedance.

5. A device as in claim 3, further comprising a controller coupled to the at least one sensor and configured to execute logic to defibrillate the person responsive to sensor data indicative of cardiac arrest.

6. A device as in claim 3, further comprising a pacing module and a controller coupled to the at least one sensor and configured to execute logic to pace the person responsive to sensor data indicative of Bradycardia.

7. A device as in claim 3, wherein one or more of the sensors are integrated into the chest compression member.

8. A device as in claim 2, wherein the defibrillator module includes defibrillation electrodes integrated into the chest compression member.

9. A device as in claim 2, wherein the defibrillator module includes defibrillation electrodes including a releasable electrolyte.

10. A device as in claim 1, further comprising:

a cooling module configured to cool the person;

at least one sensor; and

a controller coupled to the at least one sensor and configured to execute logic to initiate cooling using the cooling module responsive to sensor data indicative of at least one of a group consisting of;

cardiac arrest in the person;

stroke in the person; and

acute myocardial infarction in the person.

11. A device as in claim 1, further comprising:

a ventilator coupled to the backboard;

at least one respiration sensor; and

a controller coupled to the at least one sensor and configured to execute logic to initiate ventilating the person using the ventilator responsive to sensor data indicative of lack of respiration in the person.

12. A method comprising:

providing a backboard of a device, the backboard configured to have a person placed on the backboard, wherein the device includes;

the backboard structured to support the person thereon and to extend across a posterior portion of the person;

at least one chest compression member integrated within and rigidly connected to at least one of two rigid arms configured to extend across an anterior portion of a chest of the person, the two rigid arms also attached to the backboard at respective first ends, the combination of the backboard and the two rigid arms surrounding the person'"'"'s chest, the chest compression member configured to deliver chest compressions to the person by pushing down on the anterior portion of the person'"'"'s chest while the posterior portion of the person'"'"'s chest remains stationary against the backboard; and

at least one wheel attached to the backboard, the wheel structured to facilitate movement of the backboard along a surface while the person is supported on the backboard;

causing the chest compression member of the device to compress a chest of the person against the backboard; and

causing the person to move by rolling the backboard along the ground via the at least one wheel.

13. The method of claim 12, wherein the device includes at least one sensor and a defibrillation module, the method further comprising:

causing the device to sense physiological signals of the person with the sensor; and

causing the defibrillation module of the device to defibrillate the person responsive to the signals.

14. The method of claim 13, in which the physiological data includes at least one attribute from the group consisting of pulse, ECG, heartbeat, breathing, body temperature, externally applied chest pressure and thoracic impedance.

15. The method of claim 12, further comprising generating a voice output of the device and outputting the voice output from the device.

16. The method of claim 12, wherein the device includes at least one sensor and a cooling module, the method further comprising:

causing the device to sense physiological signals of the person with the sensor; and

causing the cooling module of the device to initiate cooling of the person responsive to the signals.

17. The method of claim 12, wherein the device includes at least one sensor and a ventilator, the method further comprising:

causing the device to measure respiration in the person with the sensor; and

causing the ventilator of the device to initiate ventilation of the person responsive to the measured respiration.

18. A chest compression device, comprising:

a backboard;

a pair of rigid arms each coupled to the backboard at respective first ends;

a chest compressor supported by at least one of the pair of rigid arms in a position above the backboard, the chest compressor rigidly connected to the at least one of the pair of rigid arms and structured to administer chest compressions to a patient; and

a communications module electrically coupled to the chest compression device and configured to at least one of transmit and receive data that includes at least one of operation of the chest compression device and patient physiological data.

19. The chest compression device of claim 18, wherein at least one of the pair of rigid arms is pivotably coupled to the backboard at its respective first end.

20. The chest compression device of claim 18, wherein the chest compressor is integrated with at least one of the pair of rigid arms.

21. The chest compression device of claim 18, further comprising a sensor configured to sense at least one patient physiological data, the sensor electrically coupled to the communications module and configured to output the at least one patient physiological data to the communications module.

22. The chest compression device of claim 21, wherein the sensor is integrated within one of the backboard, the pair of rigid arms, and the chest compressor.

23. The chest compression device of claim 18, wherein the communications module is configured to transmit data to and receive data from a network.

24. The chest compression device of claim 23, wherein the communications module is further configured to receive a command code that includes an instruction for operating the chest compression device.

25. The chest compression device of claim 18, further comprising a defibrillating module having an electrode that is electrically coupled to one of the backboard and the chest compressor and configured to administer defibrillating therapy to the patient.

26. The chest compression device of claim 25, wherein the defibrillating module is further configured to administer pacing to the patient.

27. The chest compression device of claim 25, wherein the defibrillating module is integrated within one of the backboard or the chest compressor.

28. The chest compression device of claim 18, wherein the chest compressor is further structured to administer abdominal compressions to the patient.

29. The chest compression device of claim 18, wherein the chest compressor is structured to administer compression-decompression to the patient.

30. A chest compression device, comprising:

a pair of rigid arms;

a chest compressor supported by at least one of the pair of rigid arms in a position above a chest of a patient, the chest compressor rigidly connected to the at least one of the pair of rigid arms and structured to administer chest compressions to the patient;

a sensor integrated in one of the pair of rigid arms and the chest compressor, the sensor configured to sense at least one of operation of the chest compression device and patient physiological data; and

a communications module electrically coupled to the sensor and configured to at least one of transmit and receive the data sensed by the sensor that includes at least one of the operation of the chest compression device and the patient physiological data.

31. The chest compression device of claim 30, wherein at least one of the pair of rigid arms is structured to be pivotably attached to a backboard at its first end.

32. The chest compression device of claim 30, wherein the chest compressor is integrated with at least one of the pair of rigid arms.

33. The chest compression device of claim 30, wherein the communications module is configured to transmit data to and receive data from a network.

34. The chest compression device of claim 33, wherein the communications module is configured to receive a command code that includes an instruction for operating the chest compression device.

35. The chest compression device of claim 34, wherein the command code includes a signal for the chest compressor to administer one of chest compressions, defibrillation, and pacing to the patient.

36. The chest compression device of claim 30, wherein the chest compressor is further structured to administer at least one of defibrillation, abdominal compressions, and pacing to the patient.

37. The chest compression device of claim 30, the chest compressor is structured to administer compression-decompression to the patient.