Integrated external chest compression and defibrillation devices and methods of operation

• US 20040162510A1
• Filed: 08/29/2003
• Published: 08/19/2004
• Est. Priority Date: 02/14/2003
• Status: Abandoned Application

• Current Assignee: Medtronic Physio-Control Corp. (Medtronic Plc)
• Original Assignee: Medtronic Physio-Control Corp. (Medtronic Plc)
• Inventors: Sullivan, Joseph L., Nova, Richard C., Edwards, D. Craig, Stickney, Ronald E., Hampton, David R., Jayne, Cynthia, Radons, Stephen W., Sjoquist, Steven E.
• Application Number:
  US10/652,392
• Publication Number:
  US 20040162510A1
• Time in Patent Office: Days
• US Class Current: 601/41
• 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. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device,comprising:

a backboard;

at least one chest compression member operably coupled to the backboard;

a defibrillator module operably coupled to the backboard; and

at least one sensor for sensing physiological data from the patient.

2. An integrated device as in claim 1, in which the backboard is formed of an electrically non-conductive material and has an electrode attached to the backboard.

3. An integrated device as in claim 1, 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,

4. An integrated device as in claim 1, further comprising wheels operably attached to the device.

5. An integrated device as in claim 1, further comprising a controller operably coupled to the backboard.

6. An integrated device as in claim 5, further comprising a human interface device coupled to the controller.

7. An integrated device as in claim 1, further comprising a controller coupled to the at least one sensor and executing logic to defibrillate the person responsive to sensor data indicative of cardiac arrest.

8. An integrated device as in claim 1, further comprising a pacing module and a controller coupled to the at least one sensor and executing logic to pace the person responsive to sensor data indicative of a condition which may benefit from pacing.

9. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

a backboard;

at least one chest compression member operably coupled to the backboard;

a defibrillator module operably coupled to the backboard; and

a cooling device for cooling the person.

10. An integrated device as in claim 9, in which the cooling device includes a cooling garment that can be disposed on the person.

11. An integrated device as in claim 9, further comprising at least one sensor coupled to the device, and a controller coupled to the at least one sensor and executing logic to initiate cooling using the cooling device responsive to sensor data indicative of cardiac arrest in the person.

12. An integrated device as in claim 9, further comprising at least one sensor coupled to the device, and a controller coupled to the at least one sensor and executing logic to initiate cooling using the cooling device responsive to sensor data indicative of stroke in the person.

13. An integrated device as in claim 9, further comprising at least one sensor coupled to the device, and a controller coupled to the at least one sensor and executing logic to initiate cooling using the cooling device responsive to sensor data indicative of acute myocardial infarction in the person.

14. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

a backboard;

at least one chest compression member operably coupled to the backboard;

a defibrillator module operably coupled to the backboard; and

an electrode disposed on the chest compression member.

15. An integrated device as in claim 14, in which the electrode includes a releasable electrolyte.

16. An integrated device as in claim 14, in which the electrode is coupled to the defibrillator module.

17. An integrated device as in claim 14, in which the chest compression member includes a belt.

18. An integrated device as in claim 17, further comprising a powered belt retractor coupled to the belt.

19. An integrated device as in claim 14, in which the chest compression member includes a rigid member pivotally coupled to the backboard.

20. An integrated device as in claim 18, further comprising a powered actuator for driving the chest compression rigid member.

21. An integrated device as in claim 17, in which the chest compression rigid member is manually operable to effect ECC.

22. An integrated device as in claim 14, in which the device further includes a pressure sensor.

23. An integrated device as in claim 14, in which the device includes a second defibrillation electrode.

24. An integrated device as in claim 14, in which the device includes multiple defibrillation electrodes coupled to the chest compression member.

25. An integrated device as in claim 14, in which the device includes multiple ECG electrodes.

26. An integrated device as in claim 14, in which the device includes ECG electrodes coupled to the chest compression member.

27. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

a backboard;

at least one chest compression member operably coupled to the backboard;

a defibrillator module operably coupled to the backboard; and

a voice output device.

28. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

a backboard;

at least one chest compression member operably coupled to the backboard;

a defibrillator module operably coupled to the backboard; and

a camera.

29. An integrated device as in claim 28, further comprising a transmitter coupled to the camera.

30. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

a backboard;

at least one chest compression member operably coupled to the backboard;

a defibrillator module operably coupled to the backboard; and

a ventilator.

31. An integrated device as in claim 30, further comprising at least one respiration sensor coupled to the device, and a controller coupled to the at least one sensor and executing logic to initiate ventilating the person using the ventilator responsive to sensor data indicative of lack of respiration in the person.

32. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

means for supporting the person'"'"'s back;

means for compressing the person'"'"'s chest operably coupled to the back support means;

means for defibrillating the person operably coupled to the back support means; and

means for sensing at least one physiological attribute of the person.

33. An integrated device as in claim 32, in which the physiological attribute is selected from the group consisting of pulse, ECG, heartbeat, breathing, body temperature, externally applied chest pressure and thoracic impedance.

34. An integrated device as in claim 32, further comprising means for controlling the defibrillation means operably coupled to the back support means and to the means for sensing.

35. An integrated device as in claim 34, further comprising means for communicating with a human assistant.

36. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

means for supporting the person'"'"'s back;

means for compressing the person'"'"'s chest operably coupled to the back support means;

means for defibrillating the person operably coupled to the back support means; and

means for cooling the person operably coupled to the device.

37. An integrated device for performing external chest compression (ECC) and defibrillation on a person, the device comprising:

means for supporting the person'"'"'s back;

means for compressing the person'"'"'s chest operably coupled to the back support means;

means for defibrillating the person operably coupled to the back support means; and

an electrode disposed on the chest compression means.

38. An integrated device as in claim 37, further comprising means for releasing an electrolyte near the electrode.

39. An integrated device as in claim 37, further comprising means for automatically actuating the chest compression means.

40. An integrated device as in claim 37, further comprising means for manually actuating the chest compression means.

41. An integrated device as in claim 37, further comprising means for sensing applied chest compression.

42. A method comprising:

placing a person on a backboard of a device;

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

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

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

43. The method of claim 42, further comprising listening to a voice output of the device.

44. The method of claim 42 in which the signals are sensed by bringing the sensor in contact with the person.

45. The method of claim 44, in which the sensor is brought in contact with the person by bringing the chest compression member in contact with the chest of the person.

46. The method of claim 42, in which placing the person on the backboard results in the person contacting a defibrillator electrode of the device.

47. The method of claim 42, further comprising cooling the person using a cooling module of the device.

48. The method of claim 47, in which the cooling includes cooling the person using a cooling garment.

49. The method of claim 47, in which the cooling is performed responsive to the signals.

50. The method of claim 47, in which the cooling is performed automatically by the device responsive to the signals.

51. The method of claim 42, further comprising ventilating the person using a ventilator of the device.

52. The method of claim 51, in which the ventilating is performed responsive to the signals.

53. The method of claim 42, further comprising causing a pacing module of the device to pace the person responsive to the signals.

96. A method as in claim 42, further comprising causing a communication signal indicative of the physiological signal to be transmitted to a remote assistance center.

97. A method as in claim 96, further comprising causing data indicative of the communication signal to be processed by a computer at the remote assistance center to produce computer output, and the computer output transmitted to the location of the person on the backboard.

54. A method comprising:

receiving an input indicating that a person has been placed on a backboard of a device;

generating instructions to operate a chest compression member of the device to compress the person against the backboard;

receiving a physiological signal of the person; and

operating a defibrillation module of the device to defibrillate the person in response to the signal.

55. A method as in claim 54 in which the input indicating that a person has been placed on the backboard of the device is the powering on of the device.

56. The method of claim 54, further comprising further controlling the chest compression member in response to the signal.

57. The method of claim 54, further comprising generating voice outputs.

58. The method of claim 57, in which the voice outputs include chest compression instructions.

59. The method of claim 57, in which the voice outputs include drug delivery instructions.

60. The method of claim 57, in which the voice outputs include manual ventilation instructions.

61. The method of claim 57, in which the voice outputs include instructions to cool the person.

62. The method of claim 57, in which the voice outputs include instructions to deliver a precordial thump

63. The method of claim 57, in which the voice outputs include instructions to manually ventilate the person in synchrony with the chest compression instructions.

64. The method of claim 54, in which the defibrillation module is operated in synchrony with operation of the chest compression member.

65. The method of claim 54, further comprising generating outputs to control a ventilator of the device.

66. The method of claim 54, further comprising generating instructions to initiate defibrillation responsive to physiological signals indicative of ventricular fibrillation.

67. The method of claim 54, further comprising generating instructions to initiate defibrillation responsive to physiological signals indicative of ventricular tachycardia.

68. The method of claim 54, further comprising generating instructions to deliver drugs responsive to physiological signals indicative of cardiac arrest.

69. The method of claim 54, further comprising generating instructions to ventilate the person responsive to physiological signals indicative of lack of breathing.

70. The method of claim 54, further comprising generating instructions to operate a pacing module responsive to physiological signals indicative of a condition which may benefit from pacing.

71. The method of claim 54, further comprising generating instructions to operate a cooling module responsive to physiological signals indicative of cardiac arrest.

72. The method of claim 54, further comprising monitoring chest compressions and generating instructions to operate a pacing module in synchrony with the monitored chest compressions.

73. The method of claim 54, further comprising generating instructions to monitor thoracic impedance over time.

74. An article comprising:

a storage medium, the storage medium having instructions stored thereon, in which when the instructions are executed by at least one device, they result in;

receiving an input indicating that a person has been placed on a backboard of a device;

generating instructions to operate a chest compression member of the device to compress the person against the backboard;

receiving a physiological signal of the person; and

operating a defibrillation module of the device to defibrillate the person in response to the signal.

75. An article as in claim 74, in which the receiving an input indicating that a person has been placed on the backboard of the device is the powering on of the device.

76. An article as in claim 74, in which the instructions further result in further controlling the chest compression member in response to the signal.

77. An article as in claim 74, in which the instructions further result in generating voice outputs.

78. An article as in claim 77, in which the voice outputs include chest compression instructions.

79. An article as in claim 77, in which the voice outputs include drug delivery instructions.

80. An article as in claim 77, in which the voice outputs include manual ventilation instructions.

81. An article as in claim 77, in which the voice outputs include instructions to cool the person.

82. An article as in claim 77, in which the voice outputs include instructions to deliver a precordial thump

83. An article as in claim 77, in which the voice outputs include instructions to manually ventilate the person in synchrony with the chest compression instructions.

84. An article as in claim 74, in which the instructions further result in the defibrillation module being operated in synchrony with operation of the chest compression member.

85. An article as in claim 74, in which the instructions further result in controlling a ventilator of the device.

86. An article as in claim 74, in which the instructions further result in initiating defibrillation responsive to physiological signals indicative of ventricular fibrillation.

87. An article as in claim 74, in which the instructions further result initiating defibrillation responsive to physiological signals indicative of ventricular tachycardia.

88. An article as in claim 74, in which the instructions further result in generating instructions to deliver drugs responsive to physiological signals indicative of cardiac arrest.

89. An article as in claim 74, in which the instructions further result in generating instructions to ventilate the person responsive to physiological signals indicative of lack of breathing.

90. An article as in claim 74, in which the instructions further result in generating instructions to operate a pacing module responsive to physiological signals indicative of a condition which may benefit from pacing.

91. An article as in claim 74, in which the instructions further result in generating instructions to operate a cooling module responsive to physiological signals indicative of cardiac arrest.

92. An article as in claim 74, in which the instructions further result in generating instructions to operate a cooling module responsive to physiological signals indicative of stroke.

93. An article as in claim 74, in which the instructions further result in generating instructions to operate a cooling module responsive to physiological signals indicative of acute myocardial infarction.

94. An article as in claim 74, in which the instructions further result in monitoring chest compressions and generating instructions to operate a pacing module in synchrony with the monitored chest compressions.

95. An article as in claim 74, in which the instructions further result in generating instructions to monitor thoracic impedance over time.