Dual sensor electrodes for providing enhanced resuscitation feedback

• US 10,406,345 B2
• Filed: 09/30/2016
• Issued: 09/10/2019
• Est. Priority Date: 10/16/2015
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Silver, Annemarie, Geheb, Fred, Campana, Lisa, Giacometti, Paolo, Butler, Gideon, Freeman, Gary A., Desmarais, Christopher Joseph, Durrant, Ian
• Primary Examiner(s): Levicky, William J
• Application Number:
  US15/282,530
• Publication Number:
  US 20170106183A1
• Time in Patent Office: 1,075 Days
• CPC Class Codes: A61B 2505/01 Emergency care
• CPC Class Codes: A61B 2562/00 Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 2562/04 Arrangements of multiple sensors of the same type
• CPC Class Codes: A61B 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L
• CPC Class Codes: A61B 5/4848 Monitoring or testing the effects of treatment, e.g. of medication
• CPC Class Codes: A61B 5/6801 specially adapted to be attached to or worn on the body surface
• CPC Class Codes: A61B 5/74 Details of notification to user or communication with user or patient indicating measured values G01D7/00; user input means input or output arrangements for computers G06F3/00
• CPC Class Codes: A61H 2031/002 fixed on the chest by adhesives
• CPC Class Codes: A61H 2201/0157 portable
• CPC Class Codes: A61H 2201/0188 Illumination related features
• CPC Class Codes: A61H 2201/1619 Thorax
• CPC Class Codes: A61H 2201/1623 Back
• CPC Class Codes: A61H 2201/50 Control means thereof
• 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 2201/5064 Position sensors
• CPC Class Codes: A61H 2201/5097 wireless
• CPC Class Codes: A61H 2230/06 Heartbeat rate
• CPC Class Codes: A61H 31/005 with feedback for the user
• CPC Class Codes: A61N 1/046 : Specially adapted for shock therapy, e.g. defibrillation
• CPC Class Codes: A61N 1/0492 : Patch electrodes A61N1/0412, A61N1/0428 take precedence
• CPC Class Codes: A61N 1/39044 : in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 1/3925 : Monitoring; Protecting
• CPC Class Codes: A61N 1/3987 : characterised by the timing or triggering of the shock
• CPC Class Codes: A61N 1/3993 : User interfaces for automatic external defibrillators

Abstract

A system for facilitating resuscitation includes: a first electrode assembly having a therapy side and a first motion sensor; a second electrode assembly having a therapy side and a second motion sensor; processing circuitry operatively connected to and programmed to receive and process signals from the first and second motion sensors to estimate at least one of a chest compression depth and rate during administration of chest compressions and to compare the chest compression depth or rate to a desired range; and an output device for providing instructions to a user to administer chest compressions based on the comparison of the estimated chest compression depth or rate to the desired range. One or both of the electrode assemblies may be constructed so that the conductive therapeutic portion is able to maintain substantial conformance to the anatomy of the patient when coupled thereto. For example, at least a portion of the flexible electrode pad may be able to flex from a more rigid sensor housing, or the sensor housing itself may be relatively small compared to the flexible electrode pad so as not to cause lift off of the therapeutic side from the patient.

Claims

1. A system for facilitating resuscitation, comprising:

a resuscitation assembly comprising;

a first electrode assembly comprising a therapy side configured to sense ECG signals and deliver a therapeutic shock and a first motion sensor,

a second electrode assembly comprising a therapy side configured to sense ECG signals and deliver a therapeutic shock and a second motion sensor and an identification component associated with the resuscitation assembly;

processing circuitry operatively connected to the resuscitation assembly and configured to

identify the resuscitation assembly as one of a pediatric or adult resuscitation assembly based on an identification signal produced by the identification component,

receive and process signals from at least one of the first and second motion sensors to estimate at least one of a compression depth and rate during administration of chest compressions, and

receive and process ECG signals from the first and second electrode assemblies and deliver electrotherapy through the first and second electrode assemblies; and

an output device for providing one or more chest compression parameters including at least one of the estimated compression depth and the estimated compression rate for a user,

wherein the output device is configured to adjust presentation of the one or more chest compression parameters based on whether the resuscitation assembly is identified as pediatric or adult, and

wherein the processing circuitry is configured to compare at least one of the estimated compression depth and the estimated compression rate to a desired range, and the output device is configured to display at least one of the estimated compression depth and the estimated compression rate and provide chest compression prompting for the user when the resuscitation assembly is identified as adult and the output device is configured to display at least one of the estimated depth and the estimated rate without providing chest compression prompting for the user when the resuscitation assembly is identified as pediatric.

2. The system of claim 1, wherein the processing circuitry is configured to determine a placement orientation of the first electrode assembly and the second electrode assembly on a patient based on a signal from at least one of the first motion sensor and the second motion sensor.

3. The system of claim 2, wherein the processing circuitry is configured to determine whether the first electrode assembly is positioned on a first portion of the patient'"'"'s anatomy based on a signal from the first motion sensor and whether the second electrode assembly is positioned on a second portion of the patient'"'"'s anatomy in an anterior-posterior orientation based on a signal from the second motion sensor.

4. The system of claim 2, wherein the processing circuitry is configured to determine whether the first electrode assembly is positioned on a first portion of the patient'"'"'s anatomy based on a signal from the second motion sensor and whether the second electrode assembly is positioned on a second portion of the patient'"'"'s anatomy in an anterior-anterior orientation based on a signal from the second motion sensor.

5. The system of claim 2, wherein the processing circuitry is configured to:

at least one of display on the output device the ECG signal and determine an orientation of a pacing vector; and

adjust at least one of the displayed ECG signal and the pacing vector based on the determined placement orientation of the first electrode assembly and the second electrode assembly.

6. The system of claim 1, wherein at least one of the first motion sensor and the second motion sensor is separable from the respective first or second electrode assembly.

7. The system of claim 1, wherein the estimated chest compression depth is calculated by subtracting a distance traveled by the second motion sensor from a distance traveled by the first motion sensor.

8. The system of claim 1, wherein the first motion sensor is configured to produce a first signal representative of acceleration caused by compressions and the second motion sensor is configured to produce a second signal representative of acceleration due to movement on a compressible surface.

9. The system of claim 1, wherein the processing circuitry and the output device are provided in an external defibrillator.

10. The system of claim 1, wherein the identification component comprises at least one of a memory and a resistor from which the identification signal is based and the processing circuitry is configured to adjust a shock algorithm based on the identification of the resuscitation assembly as pediatric or adult.

11. The system of claim 1, wherein at least one of the first electrode assembly and the second electrode assembly includes a flexible electrode layer including the therapy side, at least one of the first electrode assembly and the second electrode assembly includes a sensor housing configured to receive one of the first motion sensor or the second motion sensor and attached to the electrode layer at an attachment region, and wherein at least a portion of the electrode layer is constructed and arranged to deflect from the sensor housing at a location away from the attachment region such that the electrode layer substantially conforms to an anatomy of a patient.

12. The system of claim 1, wherein the resuscitation assembly includes a cable extending from at least one of the first electrode assembly and the second electrode assembly toward the processing circuitry, and the cable further includes additional processing circuitry.

13. The system of claim 12, wherein the additional processing circuitry of the cable is configured to process signals from the first and second motion sensors by subtracting acceleration signals from the first and second motion sensors.

14. The system of claim 1, wherein the processing circuitry is configured to receive and process signals from at least one of the first and second motion sensors to estimate release velocity, and the output device is configured to provide guidance to the user based on the estimated release velocity.

15. The system of claim 1, wherein the processing circuitry is configured to determine whether electrotherapy is required based on the processed ECG signals after receiving and processing the ECG signals from the first and second electrode assemblies and prior to delivering electrotherapy through the first and second electrode assemblies.

16. The system of claim 1, wherein the processing circuitry is configured to adjust electrotherapy based on the identification of the resuscitation assembly as pediatric or adult.

17. The system of claim 1, wherein the output device is configured to provide instructions to a user for a surface upon which a patient is positioned to be changed based on information sensed from the first and second motion sensors.

18. The system of claim 1, wherein the processing circuitry is configured to estimate an angle relative to a vertical axis of a patient at which a user is administering chest compressions during CPR based on the signals received from the first and second motion sensors.

19. The system of claim 1, wherein the processing circuitry is configured to estimate rate of ventilations applied to a patient based on a signal from at least one of the first motion sensor and the second motion sensor.

20. The system of claim 19, wherein the output device is configured to provide instructions to a user for administering ventilations to the patient based on the estimated rate of ventilations.

21. A system for facilitating resuscitation, comprising:

a resuscitation assembly comprising;

a first electrode assembly comprising a therapy side configured to sense ECG signals and deliver a therapeutic shock and a first motion sensor,

a second electrode assembly comprising a therapy side configured to sense ECG signals and deliver a therapeutic shock and a second motion sensor, and an identification component associated with the resuscitation assembly;

processing circuitry operatively connected to the resuscitation assembly and configured to

identify the resuscitation assembly as one of a pediatric or adult resuscitation assembly based on an identification signal produced by the identification component,

receive and process signals from at least one of the first and second motion sensors to estimate at least one of a compression depth and rate during administration of chest compressions, and

receive and process ECG signals from the first and second electrode assemblies and deliver electrotherapy through the first and second electrode assemblies; and

an output device for providing one or more chest compression parameters including at least one of the estimated compression depth and the estimated compression rate for a user,

wherein the output device is configured to adjust presentation of the one or more chest compression parameters based on whether the resuscitation assembly is identified as pediatric or adult,

wherein at least one of the first motion sensor and the second motion sensor comprises an accelerometer capable of measuring acceleration in multiple directions,

wherein the processing circuitry is configured to estimate a difference in orientation between the first electrode assembly and the second electrode assembly based on a signal from at least one of the first motion sensor and the second motion sensor, and

wherein the output device is configured to provide instructions to a user for administering chest compressions based on the estimation of orientation between the first and second electrode assemblies.

22. The system of claim 21, wherein the processing circuitry is configured to determine a placement orientation of the first electrode assembly and the second electrode assembly on a patient based on a signal from at least one of the first motion sensor and the second motion sensor.

23. The system of claim 22, wherein the processing circuitry is configured to determine whether the first electrode assembly is positioned on a first portion of the patient'"'"'s anatomy based on a signal from the first motion sensor and whether the second electrode assembly is positioned on a second portion of the patient'"'"'s anatomy in an anterior-posterior orientation based on a signal from the second motion sensor.

24. The system of claim 22, wherein the processing circuitry is configured to determine whether the first electrode assembly is positioned on a first portion of the patient'"'"'s anatomy based on a signal from the second motion sensor and whether the second electrode assembly is positioned on a second portion of the patient'"'"'s anatomy in an anterior-anterior orientation based on a signal from the second motion sensor.

25. The system of claim 21, wherein at least one of the first motion sensor and the second motion sensor is separable from the respective first or second electrode assembly.

26. The system of claim 21, wherein the estimated chest compression depth is calculated by subtracting a distance traveled by the second motion sensor from a distance traveled by the first motion sensor.

27. The system of claim 21, wherein the first motion sensor is configured to produce a first signal representative of acceleration caused by compressions and the second motion sensor is configured to produce a second signal representative of acceleration due to movement on a compressible surface.

28. The system of claim 21, wherein the identification component comprises at least one of a memory and a resistor from which the identification signal is based and the processing circuitry is configured to adjust a shock algorithm based on the identification of the resuscitation assembly as pediatric or adult.

29. The system of claim 21, wherein at least one of the first electrode assembly and the second electrode assembly includes a flexible electrode layer including the therapy side, at least one of the first electrode assembly and the second electrode assembly includes a sensor housing configured to receive one of the first motion sensor or the second motion sensor and attached to the electrode layer at an attachment region, and wherein at least a portion of the electrode layer is constructed and arranged to deflect from the sensor housing at a location away from the attachment region such that the electrode layer substantially conforms to an anatomy of a patient.

30. The system of claim 21, wherein the resuscitation assembly includes a cable extending from at least one of the first electrode assembly and the second electrode assembly toward the processing circuitry, and the cable further includes additional processing circuitry.

31. The system of claim 30, wherein the additional processing circuitry of the cable is configured to process signals from the first and second motion sensors by subtracting acceleration signals from the first and second motion sensors.

32. The system of claim 21, wherein the processing circuitry is configured to receive and process signals from at least one of the first and second motion sensors to estimate release velocity, and the output device is configured to provide guidance to the user based on the estimated release velocity.

33. The system of claim 21, wherein the processing circuitry is configured to determine whether electrotherapy is required based on the processed ECG signals after receiving and processing the ECG signals from the first and second electrode assemblies and prior to delivering electrotherapy through the first and second electrode assemblies.

34. The system of claim 21, wherein the processing circuitry is configured to adjust electrotherapy based on the identification of the resuscitation assembly as pediatric or adult.

35. The system of claim 21, wherein the output device is configured to provide instructions to a user for a surface upon which a patient is positioned to be changed based on information sensed from the first and second motion sensors.

36. The system of claim 21, wherein the processing circuitry is configured to estimate rate of ventilations applied to a patient based on a signal from at least one of the first motion sensor and the second motion sensor.

37. The system of claim 36, wherein the output device is configured to provide instructions to a user for administering ventilations to the patient based on the estimated rate of ventilations.