Device for elevating the head and chest for treating low blood flow states

• US 10,406,069 B2
• Filed: 05/22/2018
• Issued: 09/10/2019
• Est. Priority Date: 02/19/2014
• Status: Active Grant

• Current Assignee: Resuscitation Innovations LLC
• Original Assignee: Keith G. Lurie
• Inventors: Lurie, Keith G., Salverda, Bayert
• Primary Examiner(s): Yu, Justine R
• Assistant Examiner(s): Miller, Christopher E
• Application Number:
  US15/986,466
• Publication Number:
  US 20180333328A1
• Time in Patent Office: 476 Days
• CPC Class Codes: A61G 13/009 Physiotherapeutic tables, beds or platforms; Chiropractic or osteopathic tables with incorporated massage means A61H2201/0138
• CPC Class Codes: A61G 13/121 Head or neck
• CPC Class Codes: A61G 13/122 Upper body, e.g. chest
• CPC Class Codes: A61G 2200/327 supine
• CPC Class Codes: A61G 2203/10 characterised by specific control means, e.g. for adjustment or steering
• CPC Class Codes: A61G 7/07 for the head or torso, e.g. special back-rests pillows in general A47G9/10
• CPC Class Codes: A61H 2201/018 By limiting the applied torque or force
• CPC Class Codes: A61H 2201/10 with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
• CPC Class Codes: A61H 2201/123 Linear drive
• CPC Class Codes: A61H 2201/1607 Holding means therefor
• CPC Class Codes: A61H 2201/1626 Holding means therefor
• CPC Class Codes: A61H 2203/0456 Supine
• CPC Class Codes: A61H 2205/084 Chest
• CPC Class Codes: A61H 2230/045 used as a control parameter for the apparatus
• CPC Class Codes: A61H 2230/206 used as a control parameter for the apparatus
• CPC Class Codes: A61H 2230/208 used as a control parameter for the apparatus
• CPC Class Codes: A61H 2230/255 used as a control parameter for the apparatus
• CPC Class Codes: A61H 2230/305 used as a control parameter for the apparatus A61H2230/045 takes precedence
• CPC Class Codes: A61H 2230/405 used as a control parameter for the apparatus
• CPC Class Codes: A61H 31/006 Power driven
• CPC Class Codes: A61H 31/007 : Manual 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 16/0057 : Pumps therefor

Abstract

A method of increasing blood flow to the head includes causing an individual'"'"'s blood to circulate while the individual'"'"'s heart and head are at a first elevation position, elevating the individual'"'"'s heart and head to a second elevation position that is above the first elevation position, and causing the individual'"'"'s blood to circulate while the individual'"'"'s heart and head are at the second elevation position.

Claims

1. A method of increasing blood flow to the head, comprising:

performing chest compressions to cause an individual'"'"'s blood to circulate while the individual'"'"'s heart and head are at a first elevation position;

automatically adjusting the individual'"'"'s heart and head to a second elevation position that is different than the first elevation position, wherein one or both of a timing of the adjusting and an elevation angle of the second elevation position are controlled based on data from one or more physiological sensors that are interfaced with the individual; and

causing the individual'"'"'s blood to circulate while the individual'"'"'s heart and head are at the second elevation position.

2. The method of increasing blood flow to the head of claim 1, further comprising:

causing the individual'"'"'s blood to circulate during elevation of the individual'"'"'s head and heart from the first elevation position to the second elevation position.

3. The method of increasing blood flow to the head of claim 1 performing chest compressions on the individual while regulating the individual'"'"'s intrathoracic pressure to circulate the individual'"'"'s blood.

4. The method of increasing blood flow to the head of claim 1, further comprising:

actively regulating an intrathoracic pressure of the individual to create a negative intrathoracic pressure within the individual'"'"'s chest while the individual'"'"'s heart and heart are elevated at the second position.

5. The method of increasing blood flow to the head of claim 1, wherein:

the one or more physiological sensors comprise one or more of a blood flow sensor, a blood pressure sensor, an end tidal CO2 sensor, or a cerebral oximetry sensor.

6. The method of increasing blood flow to the head of claim 1, wherein:

adjusting the individual'"'"'s heart and head to a second elevation position comprises raising or lowering the individual'"'"'s heart and head.

7. The method of increasing blood flow to the head of claim 1, wherein:

causing the individual'"'"'s blood to circulate while the individual'"'"'s heart and head are at the second elevation position is done at an increased rate relative to causing the individual'"'"'s blood to circulate while the individual'"'"'s heart and head are at the first elevation position.

8. A method of increasing blood flow to the head, comprising:

priming an individual'"'"'s circulatory system by performing chest compressions on the individual while the individual'"'"'s heart, shoulders, and head are at a first elevation position;

automatically elevating the individual'"'"'s heart, shoulders, and head to a second elevation position while performing chest compressions, wherein one or both of a timing of the elevating and an elevation angle of the second elevation position are controlled based on data from one or more physiological sensors that are interfaced with the individual; and

performing chest compressions on the individual while the individual'"'"'s heart, shoulders, and head are at the second elevation position.

9. The method of increasing blood flow to the head of claim 8, wherein:

the first elevation position is between about 0 and 20 degrees above horizontal.

10. The method of increasing blood flow to the head of claim 8, wherein:

priming the individual'"'"'s circulatory system is performed for a period of time between about 20 seconds and 10 minutes.

11. The method of increasing blood flow to the head of claim 8, further comprising:

with ongoing cardiopulmonary resuscitation elevating the individual'"'"'s heart, shoulders, and head to a third height that is higher than the second height after performing chest compressions on the individual while the individual'"'"'s heart, shoulders, and head are at the second height for an additional period of time.

12. The method of increasing blood flow to the head of claim 11, wherein:

the additional period of time is determined based on one or more measured physiological parameters.

13. The method of increasing blood flow to the head of claim 8, further comprising:

regulating an intrathoracic pressure of the individual while performing chest compressions.

14. The method of increasing blood flow to the head of claim 8, further comprising:

actively decompressing the individual'"'"'s chest between each chest compression.

15. The method of increasing blood flow to the head of claim 8, wherein:

chest compressions are continuously performed while elevating the individual'"'"'s heart, shoulders, and head to the second elevation position.

16. The method of increasing blood flow to the head of claim 8, wherein:

with ongoing cardiopulmonary resuscitation elevating the individual'"'"'s heart, shoulders, and head to a second elevation position is performed at a rate of between about 2.25°

/second and about 1.5°

/minute.

17. The method of increasing blood flow to the head of claim 8, wherein:

the first elevation position comprises the individual being in a generally flat, supine position such that the individual'"'"'s heart, shoulders, and head are generally aligned with a horizontal plane.

18. The method of increasing blood flow to the head of claim 8, wherein:

the first elevation position comprises a heart height of between about 3 cm and 8 cm above horizontal and a head height of between about 5 cm and 15 cm above horizontal; and

the second elevation position comprises a heart height of between about 5 cm and 15 cm above horizontal and a head height of between about 15 cm and 25 cm above horizontal.

19. The method of increasing blood flow to the head of claim 8, wherein:

the one or more physiological sensors comprise one or more of a blood flow sensor, a blood pressure sensor, an end tidal CO2 sensor, or a cerebral oximetry sensor.

20. A method of increasing blood flow to the head, comprising:

priming an individual'"'"'s circulatory system by performing chest compressions on the individual while the individual'"'"'s heart, shoulders, and head are at a first elevation position, wherein the individual is suffering cardiac arrest;

automatically elevating the individual'"'"'s heart, shoulders, and head over a predetermined period of time to a second elevation position while performing chest compressions; and

performing chest compressions on the individual while the individual'"'"'s heart, shoulders, and head are at the second elevation position.

21. The method of increasing blood flow to the head of claim 20, further comprising:

actively regulating an intrathoracic pressure of the individual to create a negative intrathoracic pressure within the individual'"'"'s chest while the individual'"'"'s heart and heart are elevated at the second position.

22. The method of increasing blood flow to the head of claim 20, wherein:

one or both of a timing of the elevating and an elevation angle of the second elevation position are controlled based on data from one or more physiological sensors that are interfaced with the individual.

23. The method of increasing blood flow to the head of claim 22, wherein:

the one or more physiological sensors comprise one or more of a blood flow sensor, a blood pressure sensor, an end tidal CO2 sensor, or a cerebral oximetry sensor.

24. The method of increasing blood flow to the head of claim 20, wherein the predetermined period of time is between about 20 seconds and 10 minutes.

25. The method of increasing blood flow to the head of claim 20, wherein the automatic elevation is performed using a motor.

26. A method of increasing blood flow to the head, comprising:

priming an individual'"'"'s circulatory system by performing chest compressions on the individual while the individual'"'"'s heart, shoulders, and head are at a first elevation position;

automatically elevating the individual'"'"'s heart, shoulders, and head over a predetermined period of time to a predetermined second elevation position while performing chest compressions, wherein the predetermined period of time is between about 20 seconds and 10 minutes; and

performing chest compressions on the individual while the individual'"'"'s heart, shoulders, and head are at the second elevation position.