Emergency management system
First Claim
1. A method for allocating a medical professional (MP) from among a plurality of MPs to provide remote emergency medical assistance to at least one of (1) a victim, and (2) an enabler to the victim (VE), wherein each MP and each VE are associated with a respective communication station each of which is remote from a central station (CS), the method comprising the steps of:
- (a) maintaining a list at the CS of MPs who may be available to provide immediate medical assistance;
(b) transmitting a first signal to the central station from a VE representing that the respective VE is in need of emergency medical assistance and requesting such assistance;
(c) receiving said first signal at said CS and selecting a MP from said list; and
(d) at the CS, connecting the VE in need of assistance to the selected MP, if he is available, so that medical information may be passed between said selected MP and the VE in need of assistance.
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Accused Products
Abstract
The present disclosure relates to systems and methods for: 1) displaying all vital central station (CS) information and controls on a single screen; 2) linking peripheral central stations (pCSs) to a master central station (mCS); 3) operating the system disclosed in U.S. Ser. No. 10/460,458, without medical professionals (MPs) in the mCS or without any mCS; 4) linking a remote controlled defibrillator (RCD™) unit to an arrest sensor; 5) operating an RCD unit in a motor vehicle and linking an RCD unit to a vehicle communications system; 6) linking an RCD unit to a CS through a network of: a) non-vehicle-based stationary units (SUs), b) vehicle-based SUs/vehicle communication systems, or c) non-vehicle-based SUs and vehicle-based SUs/vehicle communication systems; 7) using an RCD unit with a chest compression device; 8) using the network of RCD units and MPs for disaster monitoring; and 9) monitoring and treating hospital patients and motor vehicle passengers.
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Citations
133 Claims
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1. A method for allocating a medical professional (MP) from among a plurality of MPs to provide remote emergency medical assistance to at least one of (1) a victim, and (2) an enabler to the victim (VE), wherein each MP and each VE are associated with a respective communication station each of which is remote from a central station (CS), the method comprising the steps of:
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(a) maintaining a list at the CS of MPs who may be available to provide immediate medical assistance;
(b) transmitting a first signal to the central station from a VE representing that the respective VE is in need of emergency medical assistance and requesting such assistance;
(c) receiving said first signal at said CS and selecting a MP from said list; and
(d) at the CS, connecting the VE in need of assistance to the selected MP, if he is available, so that medical information may be passed between said selected MP and the VE in need of assistance. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. A method for allocating a medical professional (MP) from among a plurality of MPs to provide remote emergency medical assistance to at least one of (1) a victim, and (2) to an enabler to the victim (VE), wherein each MP and each VE are associated with a respective communication station, each having a unique address and each of which is remote from a central station (CS), the method comprising the steps of:
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(a) maintaining a list at the CS of MPs who may be available to provide immediate medical assistance;
(b) transmitting a first signal to said CS from a VE representing that the respective VE is in need of emergency medical assistance and requesting such assistance;
(c) receiving said first signal at said CS and selecting a MP from said list;
(d) transmitting a second signal from the CS to the VE in need of assistance, said second signal indicating the address of the selected MP;
(e) initiating, from the VE communication station of the VE in need of assistance, a communication connection which connects said VE to the selected MP at the MP address indicated by said CS; and
(f) transmitting signals between the VE in need of assistance and the selected MP;
whereby medical information may be passed between the selected MP and the VE in need of assistance in a communications link that bypasses the CS. - View Dependent Claims (21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41)
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42. A method for allocating a medical professional (MP) from among a plurality of MPs to provide remote emergency medical assistance to at least one of (1) a victim, and (2) to an enabler to the victim (VE), wherein each MP and each VE are associated with a respective communication station, each having a unique address and each of which is remote from a central station (CS), the method comprising the steps of:
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(a) maintaining a list at the CS of MPs who may be available to provide immediate medical assistance;
(b) transmitting a first signal to the CS from a VE representing that the respective VE is in need of emergency medical assistance and requesting such assistance;
(c) receiving the first signal at a CS and selecting an available MP;
(d) transmitting a second signal from the CS to the selected MP, said second signal identifying the address of the VE in need of assistance;
(e) initiating, from the MP communication station of the selected MP, a communication connection which connects said MP to the VE in need of assistance at the VE address indicated by said CS; and
(f) transmitting signals between the selected MP and the VE in need of assistance;
whereby medical information may be passed between the selected MP and the VE in need of assistance in a communications link that bypasses the central station. - View Dependent Claims (43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60)
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61. A method for allocating a medical professional (MP) from among a plurality of MPs to provide remote emergency medical assistance to at least one of (1) a victim, and (2) an enabler to the victim (VE), wherein each MP and each VE are associated with a respective communication station, each communication station having a unique address, the method comprising the steps of:
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(a) maintaining at each VE a list of MPs and their addresses for a plurality MPs who are possibly available to provide immediate medical assistance;
(b) selecting a MP from said list at a VE in need of emergency medical assistance;
(c) initiating, from the VE communication station of the VE in need of assistance, a communication connection which connects said VE to the selected MP at the MP address (d) transmitting a first signal from the VE in need of assistance to the selected MP at his address to request assistance from the respective MP; and
(e) if the respective MP is available to provide immediate assistance, transmitting signals between the VE in need of assistance and the respective MP;
whereby medical information may be passed between the respective MP and the VE in need of assistance. - View Dependent Claims (62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78)
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79. A method for allocating a medical professional (MP) from among a plurality of MPs to provide remote emergency medical assistance to at least one of (1) a victim, and (2) an enabler to the victim, (VE), wherein each MP and each VE are associated with a respective communication station, each communication station having a unique address, the method comprising the steps of:
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(a) maintaining a list at each VE of a plurality of MPs and their respective addresses who are possibly available to provide immediate medical assistance;
(b) selecting two or more MPs from said list at a VE in need of emergency medical assistance;
(c) attempting to initiate, from the VE communication station of the VE in need of assistance, communication connections which connect said VE to said selected MPs at said MP addresses;
(d) transmitting a first signal to each selected MP from the VE in need of emergency medical assistance;
(e) if said first signal is received by a MP who is currently available to provide immediate medical assistance, transmitting a second signal from said MP to said VE in need of assistance, indicating that the respective MP will provide such assistance;
(f) if said first signal is received by a MP who is not currently available to provide immediate medical assistance, transmitting a third signal from said MP to said VE in need of assistance, indicating that the respective MP is not available; and
(g) if said VE in need of assistance receives a second signal from a particular MP, said VE continues to communicate with said particular MP such that the respective MP can provide assistance. - View Dependent Claims (80, 81, 82, 83, 84, 85, 86, 87, 88, 89)
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90. A method for allocating a medical professional (MP) from among a plurality of MPs to provide remote emergency medical assistance to at least one of (1) a victim, and (2) an enabler to the victim, (VE), wherein each MP and each VE are associated with a respective communication station, each having a unique address, and wherein the plurality of MPs are configured in a circular network with each MP assigned to a position in the network and linked to the MP assigned to an adjacent position in the network, the method comprising the steps of:
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(a) maintaining a list at each VE of at least one MP in the circular network, and his respective address, who is possibly available to provide immediate medical assistance;
(b) selecting said one MP, the initially selected MP, from said list at a VE in need of emergency medical assistance;
(c) attempting to initiate, from the VE communication station of the VE in need of assistance, a communication connection which connects said VE in need of assistance to the initially selected MP;
(d) transmitting a first, request signal to said initially selected MP from the VE in need of emergency medical assistance;
(e) if said request signal is received by an initially selected MP who is currently available to provide immediate medical assistance, transmitting a second, acceptance signal from said selected MP to said VE in need of assistance, indicating that the respective MP will provide such assistance;
(f) if said request signal is received by an initially selected MP who is not currently available to provide immediate medical assistance, transmitting said request signal from said initially selected MP to the MP in the next, adjacent position in the circular network, the next selected MP, indicating that the initially selected MP is not available to provide immediate medical assistance, and thereby requesting the next selected MP in the network to provide assistance to the VE in need of assistance;
(g) repeating step (f) until said request signal is received by a next selected MP who is currently available to provide immediate medical assistance; and
(h) if said VE in need of assistance receives a second, acceptance signal from a particular MP, said VE continues to communicate with said particular MP such that the respective MP can provide assistance. - View Dependent Claims (91, 92, 93, 94, 95, 96, 97, 98, 99, 100)
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101. Apparatus for sensing the possibility of a cardiac arrest in a mammal, said sensor apparatus comprising at least two of the following elements:
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(1) means for sensing cardiac electrical activity;
(2) means for sensing transthoracic chest wall impedance;
(3) means for sensing a change in respiration;
(4) means for sensing sudden deceleration;
(5) means for sensing audible cardiac activity;
(6) means for sensing audible sounds of distress;
(7) means for sensing a physical collapse of the mammal;
(8) means for sensing a change in body attitude of the mammal; and
(9) means for sensing that the mammal is in a supine position. - View Dependent Claims (102)
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103. Apparatus for sensing the possibility of a cardiac arrest in a mammal, said sensor apparatus comprising, in combination:
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(a) at least one of the following elements;
(1) means for sensing cardiac electrical activity;
(2) means for sensing transthoracic chest wall impedence;
(3) means for sensing a change in respiration;
(4) means for sensing sudden deceleration;
(5) means for sensing audible cardiac activity;
(6) means for sensing audible sounds of distress;
(7) means for sensing a physical collapse of the mammal;
(8) means for sensing a change in body attitude of the mammal; and
(9) means for sensing that the mammal is in a supine position; and
(b) means coupled to said at least two elements for producing a signal indicating a probability that the mammal is experiencing a cardiac arrest.
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104. A cardiac monitoring and resuscitation system which allows a victim of a medical emergency immediate access to a medical professional who can and will remotely monitor, diagnose and treat said victim at one of a plurality of remote sites, said system comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying medical information from a victim for evaluation by said medical professional;
(2) a first input device, responsive to said medical professional, for producing a first defibrillation control signal for controlling the application of a defibrillation pulse to said victim; and
(3) a first transmitting/receiving (T/R) device, coupled to said display device and said first input device, for electronic communication with emergency cardiac monitoring and defibrillation apparatus disposed at each of a plurality of remote sites; and
(b) emergency cardiac monitoring and external defibrillation apparatus disposed at each of a plurality of remote sites, each said apparatus comprising a portable unit including;
(1) a second transmitting/receiving (T/R) device for electronic communication with said first T/R device of said central station;
(2) a defibrillator circuit, having a control input coupled to said second T/R device, for generating a defibrillation pulse at a defibrillator circuit output in response to a defibrillation control signal received at said defibrillator circuit control input;
(3) an electrocardiogram (ECG) circuit, having an ECG circuit output, coupled to said second T/R device and having an ECG electrode input;
(4) a plurality of contact electrodes, adapted to be placed by a nearby enabler upon a chest wall of said victim, said plurality of contact electrodes being adapted to be arranged at separate locations on said chest wall for the receipt of ECG signals from said victim and for application of said defibrillation pulse to said victim;
(5) a connecting cable having a plurality of electric wires for connecting each of said contact electrodes to at least one of (i) said ECG electrode input and (ii) said defibrillator output; and
(6) at least one sensor, having an output coupled to said second T/R device, for producing at least one signal indicating that the victim may be in need of treatment for a medical emergency;
whereby (1) said ECG signals may be transmitted from selected ones of said contact electrodes via said ECG circuit to said central station for evaluation by said medical professional, (2) said first defibrillation control signal may be applied to the defibrillator circuit to generate said defibrillation pulse for application to at least one of said contact electrodes for resuscitation of said victim and (3) said at least one signal from said at least one sensor may be transmitted to said central station for evaluation by said medical professional. - View Dependent Claims (105, 106, 107)
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108. Apparatus for sensing the possibility of a cardiac arrest in a victim, said sensor apparatus comprising means for sensing the sudden collapse of the victim,
wherein said sensor monitors at least one of: -
(1) cardiac electrical activity, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external electrocardiogram monitor worn by said victim (2) heart rate, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external electrocardiogram monitor worn by said victim;
d) a camera which detects movement of at least one of;
i) said victim'"'"'s precordial area [heart vicinity], ii) the skin overlying said victim'"'"'s carotid artery, and iii) the skin overlying said victim'"'"'s abdominal aorta; and
e) a sensitive microphone;
(3) transthoracic chest wall impedance, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external monitor worn by said victim;
(4) respiratory rate, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external monitor worn by said victim which includes at least one of;
i) transthoracic impedance monitoring apparatus, and ii) a strain gauge which detects chest wall motion;
d) a camera which detects movement of at least one of;
i) said victim'"'"'s chest, ii) exhaled air [using infrared detection to detect the warmed air]; and
e) a sensitive microphone;
(5) sudden deceleration of at least one of
1) the victim'"'"'s body or
2) a part thereof, by monitoring at least one ofa) a gyroscope assembly worn by said victim, which allows for the monitoring of body position, b) a conductive or partially conductive-liquid-containing vessel, worn by the victim, with two or more conductive electrodes extending from the vessel surface into the liquid-containing chamber, with said electrodes positioned such that deceleration may cause a change in the liquid spatial distribution which is sensed as a change in impedance using said conductive electrodes;
c) a microphone, d) a video camera, and e) an accelerometer or piezoelectric transducer within a cardiac device implanted in said victim;
(6) audible sounds of distress, sensed by one or more microphones;
(7) ground proximity, by monitoring at least one of;
a) the detection of an increase in 50-60 cycle per second electromagnetic radiation by an antenna/transducer and amplifier worn by said victim;
b) an ultrasound detection system worn by said victim, wherein at least one of;
i) said victim wears a transducer and there is an ultrasound source situated in the floor; and
ii) said victim wears an ultrasound source and there is a transducer situated in the floor c) at least one video camera; and
d) a high resolution global positioning device;
(8) at least one of a) change in body attitude, b) rate of change in body attitude (J;
?OK patent language ? hereinbelow referred to as dA/dT, the first time derivative of attitude), c) the rate of change of dA/dT, a measure of acceleration (hereinbelow referred to as d2A/dT2), and higher derivatives of attitude with respect to time, by monitoring at least one of;
a) a gyroscopic device [? OK patent language ?described above], b) a fluid filled container [described above], c) an accelerometer or piezoelectric transducer within a cardiac device implanted in said victim, d) at least one video camera, and e) a polarized light detection system worn by said victim, wherein at least one of;
i) said victim wears a polarized light transducer and there is an polarized light source situated on one or more walls; and
ii) said victim wears a polarized light source and there is a polarized light transducer situated on one or more walls;
(9) attainment of supine position, by monitoring at least one of;
a) a fluid filled container [described above], b) at least one video camera, c) said polarized light detector [described above]; and
(10) victim video images obtained from at least one video camera, by monitoring at least one of;
a) the actual image of said victim, and b) a computer-analyzed image of said victim.
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109. Apparatus for sensing the possibility of a cardiac arrest in a victim comprising a cardiac monitoring and resuscitation system which allows the victim immediate access to a medical professional who can and will remotely monitor, diagnose and treat said victim at one of a plurality of remote sites, said system comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying medical information from a victim for evaluation by said medical professional;
(2) a first input device, responsive to said medical professional, for producing a first defibrillation control signal for controlling the application of a defibrillation pulse to said victim; and
(3) a first transmitting/receiving (T/R) device, coupled to said display device and said first input device, for electronic communication with emergency cardiac monitoring and defibrillation apparatus disposed at each of a plurality of remote sites; and
(b) emergency cardiac monitoring and external defibrillation apparatus disposed at each of a plurality of remote sites, each said apparatus comprising a portable unit including;
(1) a second transmitting/receiving (T/R) device for electronic communication with said first T/R device of said central station;
(2) a defibrillator circuit, having a control input coupled to said second T/R device, for generating a defibrillation pulse at a defibrillator circuit output in response to a defibrillation control signal received at said defibrillator circuit control input;
(3) an electrocardiogram (ECG) circuit, having an ECG circuit output, coupled to said second T/R device and having an ECG electrode input;
(4) a plurality of contact electrodes, adapted to be placed by a nearby enabler upon a chest wall of said victim, said plurality of contact electrodes being adapted to be arranged at separate locations on said chest wall for the receipt of ECG signals from said victim and for application of said defibrillation pulse to said victim; and
(5) a connecting cable having a plurality of electric wires for connecting each of said contact electrodes to at least one of (i) said ECG electrode input and (ii) said defibrillator output;
whereby (1) said ECG signals may be transmitted from selected ones of said contact electrodes via said ECG circuit to said central station for evaluation by said medical professional, and (2) said first defibrillation control signal may defibrillator circuit may generate said defibrillation pulse for application to at least one of said contact electrodes for resuscitation of said victim.
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110. Apparatus for sensing the possibility of a cardiac arrest in a victim, said sensor apparatus comprising means for sensing the sudden collapse of the victim,
wherein said sensor monitors at least two of: -
(1) cardiac electrical activity, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external electrocardiogram monitor worn by said victim (2) heart rate, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external electrocardiogram monitor worn by said victim;
d) a camera which detects movement of at least one of;
i) said victim'"'"'s precordial area [heart vicinity], ii) the skin overlying said victim'"'"'s carotid artery, and iii) the skin overlying said victim'"'"'s abdominal aorta; and
e) a sensitive microphone;
(3) transthoracic chest wall impedance, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external monitor worn by said victim;
(4) respiratory rate, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external monitor worn by said victim which includes at least one of;
i) transthoracic impedance monitoring apparatus, and ii) a strain gauge which detects chest wall motion;
d) a camera which detects movement of at least one of;
i) said victim'"'"'s chest, ii) exhaled air [using infrared detection to detect the warmed air]; and
e) a sensitive microphone;
(5) sudden deceleration of at least one of
1) the victim'"'"'s body or
2) a part thereof, by monitoring at least one ofa) a gyroscope assembly worn by said victim, which allows for the monitoring of body position, b) a conductive or partially conductive-liquid-containing vessel, worn by the victim, with two or more conductive electrodes extending from the vessel surface into the liquid-containing chamber, with said electrodes positioned such that deceleration may cause a change in the liquid spatial distribution which is sensed as a change in impedance using said conductive electrodes;
c) a microphone, d) a video camera, and e) an accelerometer or piezoelectric transducer within a cardiac device implanted in said victim;
(6) audible sounds of distress, sensed by one or more microphones;
(7) ground proximity, by monitoring at least one of;
a) the detection of an increase in 50-60 cycle per second electromagnetic radiation by an antenna/transducer and amplifier worn by said victim;
b) an ultrasound detection system worn by said victim, wherein at least one of;
i) said victim wears a transducer and there is an ultrasound source situated in the floor; and
ii) said victim wears an ultrasound source and there is a transducer situated in the floor c) at least one video camera; and
d) a high resolution global positioning device;
(8) at least one of a) change in body attitude, b) rate of change in body attitude (dA/dT, the first time derivative of attitude), c) the rate of change of dA/dT, a measure of acceleration (d2A/dT2), and higher derivatives of attitude with respect to time, by monitoring at least one of;
a) a gyroscopic device, b) a fluid filled container, c) an accelerometer or piezoelectric transducer within a cardiac device implanted in said victim, d) at least one video camera, and e) a polarized light detection system worn by said victim, wherein at least one of;
i) said victim wears a polarized light transducer and there is an polarized light source situated on one or more walls; and
ii) said victim wears a polarized light source and there is a polarized light transducer situated on one or more walls;
(9) attainment of supine position, by monitoring at least one of;
a) a fluid filled container, b) at least one video camera, c) said polarized light detector; and
(10) victim video images obtained from at least one video camera, by monitoring at least one of;
a) the actual image of said victim, and b) a computer-analyzed image of said victim. - View Dependent Claims (111)
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112. Apparatus for monitoring the possibility of infant death syndrome in a victim, said apparatus comprising means for sensing the failure of respiration in the victim and producing an output warning signal when the victim ceases breathing
wherein said sensing means monitors at least two of: -
(1) transthoracic chest wall impedance, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external monitor worn by said victim;
(2) respiratory rate, by monitoring at least one of;
a) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s heart;
b) a cardiac device within said victim'"'"'s body that is attached to lead wires within said victim'"'"'s torso;
c) an external monitor worn by said victim which includes at least one of;
i) transthoracic impedance monitoring apparatus, and ii) a strain gauge which detects chest wall motion;
d) a camera which detects movement of at least one of;
i) said victim'"'"'s chest, ii) infrared detection to detect warmed exhaled air; and
e) a sensitive microphone;
(3) audible sounds of distress, sensed by one or more microphones; and
(10) victim video images obtained from at least one video camera, by monitoring at least one of;
a) the actual image of said victim, and b) a computer-analyzed image of said victim.
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113. A patient monitoring system which allows a monitoring person who can and will remotely monitor, diagnose and try to correct a medical problem of a person at one of a plurality of remote sites, said system comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying medical information from a person for evaluation by said monitoring person; and
(2) a receiving device, coupled to said display device, for electronic communication with emergency medical monitoring apparatus disposed at each of a plurality of remote sites; and
(b) medical monitoring apparatus disposed at each of a plurality of remote sites, each said apparatus comprising;
(1) a transmitting device for electronic communication with said receiving device of said central station;
(2) at least one device, coupled to said transmitting device, for obtaining physiologic data from said person at said site, said device including means for monitoring the person'"'"'s respiration including at least one of (i) electrodes applied to the chest wall to measure transthoracic impedance, and (ii) a strain gauge applied to the chest wall; and
(iii) a microphone in the near vicinity of the person'"'"'s mouth coupled to data processing means for analysis of the signals produced by the microphone to detect breathing.
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114. A patient monitoring system which allows a monitoring person who can and will remotely monitor, diagnose and try to correct a medical problem of a person at one of a plurality of remote sites, said system comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying medical information from a person for evaluation by said monitoring person; and
(2) a receiving device, coupled to said display device, for electronic communication with emergency medical monitoring apparatus disposed at each of a plurality of remote sites; and
(b) medical monitoring apparatus disposed at each of a plurality of remote sites, each said apparatus comprising;
(1) a transmitting device for electronic communication with said receiving device of said central station;
(2) at least one device, coupled to said transmitting device, for obtaining physiologic data from said person at said site, said device being at least partially implanted in said person. - View Dependent Claims (115, 116, 117)
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118. A disaster monitoring system which allows a medical professional to remotely monitor a medical emergency at at least one remote site, said system comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying information from said remote sites for evaluation by said medical professional;
(2) at least one first input device, responsive to said medical professional, for producing at least one disaster action signal; and
(3) a first transmitting/receiving (T/R) device, coupled to said display device and to said first input device, for electronic communication with disaster monitoring apparatus disposed at each of a plurality of remote sites; and
(b) disaster monitoring apparatus disposed at at least one remote site, said apparatus comprising;
(1) a second transmitting/receiving (T/R) device for electronic communication with said first T/R device of said central station; and
(2) a least one sensor device selected from the group comprising;
(i) a biological sensor device, coupled to said second T/R device, for sensing the presence of a hazardous biological agent and producing a biological warning signal for transmission to said central station, indicative of the presence of said biological agent;
(ii) a chemical sensor device, coupled to said second T/R device, for sensing the presence of a hazardous chemical agent and producing a chemical warning signal for transmission to said central station, indicative of the presence of said chemical agent; and
(iii) a radiological sensor device, coupled to said second T/R device, for sensing the presence of hazardous nuclear agent and producing a radiological warning signal for transmission to said central station, indicative of the presence of said radiological agent;
(3) a least one device, coupled to said second T/R device to receive said disaster action signal, which is selected from the group consisting of;
(i) an audio output device capable of delivering a MP announcement;
(ii) an audio control device for audio inputs which allows remote adjustment of at least one of;
gain, filtering, sensitivity and directionality;
(iii) a video output device capable of displaying at least one of text, still images, and moving images;
(iv) a video camera control device with control inputs which allow remote adjustment of at least one of camera orientation, zoom, focus, iris diameter, resolution, frame rate, contrast, brightness, gain, picture coding format and camera choice;
(v) at least one fan, the operation of said fan causing an increase in airflow in the vicinity of said sensor devices;
(vi) a first releasable lock, the operation of which allows the detachment of said disaster monitoring apparatus from a fixed, relatively immovable structure; and
(vii) a second releasable lock, the operation of which allows the opening a door to a toolkit containing various devices useful for dealing with biological, chemical or radiological emergencies, whereby said medical professional at said central station may;
(a) make an announcement at said remote site;
(b) listen to sounds at said remote site;
(c) have a conversation with at least one person at said remote site;
(d) display at least one of text and video images at said remote site;
(e) observe said remote site;
(f) operate a fan at said remote site;
(g) release a lock which locks said disaster monitoring apparatus to a fixed structure at said remote site; and
(h) release a lock which locks a toolkit door of said disaster monitoring apparatus. - View Dependent Claims (119, 120)
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121. Cardiac monitoring and external defibrillation apparatus adapted to be arranged in a motor vehicle for cardiac monitoring and resuscitation of a victim of a medical emergency who is in the vicinity of the motor vehicle, said apparatus allowing an untrained human enabler adjacent the victim immediate access to a medical professional who can and will remotely monitor, diagnose and treat the victim, said apparatus comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying cardiac information from a victim for evaluation by said medical professional;
(2) a first input device, responsive to said medical professional, for producing a first defibrillation control signal for controlling the application of a defibrillation pulse to said victim; and
(3) a first transmitting/receiving (T/R) device, coupled to said display device and said first input device, for electronic communication with emergency cardiac monitoring and defibrillation apparatus disposed at each of a plurality of remote sites; and
(b) emergency cardiac monitoring and external defibrillation apparatus adapted to be disposed in said motor vehicle and comprising;
(1) a second transmitting/receiving (T/R) device for electronic communication with said first T/R device of said central station;
(2) a defibrillator circuit, having a control input coupled to said second T/R device, for generating a defibrillation pulse at a defibrillator circuit output in response to a defibrillation control signal received at said defibrillator circuit control input;
(3) an electrocardiogram (ECG) circuit, having an ECG circuit output, coupled to said second T/R device, and having an ECG electrode input;
(4) a plurality of contact electrodes, adapted to be placed by an enabler upon a chest wall of said victim, said plurality of contact electrodes being adapted to be arranged at separate locations on said chest wall for the receipt of ECG signals from said victim and for application of said defibrillation pulse to said victim; and
(5) a connecting cable having a plurality of electric wires for connecting each of said contact electrodes to at least one of (i) said ECG electrode input and (ii) said defibrillator output;
wherein (1) said ECG signals may be transmitted from selected ones of said contact electrodes via said ECG circuit to said central station for evaluation by said medical professional, (2) said first defibrillation control signal may be transmitted from said central station to said control input of said defibrillator circuit and (3), in response thereto, said defibrillator circuit may generate said defibrillation pulse for application to at least one of said contact electrodes for resuscitation of said victim. - View Dependent Claims (122, 123, 124, 125, 126, 127)
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128. Apparatus for applying chest compression to a victim of cardiac arrest, said apparatus comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying cardiac information from a victim for evaluation by a medical professional;
(2) a first input device, responsive to said medical professional, for producing a first control signal for controlling the application of chest compression to said victim; and
(3) a first transmitting/receiving (T/R) device, coupled to said display device and said first input device, for electronic communication with chest compression apparatus disposed at each of a plurality of remote sites; and
(b) emergency chest compression apparatus disposed at each of a plurality of remote sites, each said apparatus comprising;
(1) a second transmitting/receiving (T/R) device for electronic communication with said first T/R device of said central station; and
(2) a chest compression device, coupled to said second T/R device, for repeatedly applying pressure to the chest of a victim in the supine position in response to the receipt of said first control signal. - View Dependent Claims (129, 130, 131, 132)
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133. A cardiac monitoring and resuscitation system which allows a victim of a medical emergency immediate access to a medical professional who can and will remotely monitor, diagnose and treat said victim at one of a plurality of remote sites, said system comprising, in combination:
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(a) a central station comprising;
(1) a display device for displaying medical information from a victim for evaluation by said medical professional;
(2) a first input device, responsive to said medical professional, for producing a first defibrillation control signal for controlling the application of a defibrillation pulse to said victim; and
(3) a first transmitting/receiving (T/R) device, coupled to said display device and said first input device, for electronic communication with emergency cardiac monitoring and defibrillation apparatus disposed at each of a plurality of remote sites; and
(b) emergency cardiac monitoring and external defibrillation apparatus disposed at each of a plurality of remote sites, each said apparatus comprising a portable unit including;
(1) a second transmitting/receiving (T/R) device for electronic communication with said first T/R device of said central station;
(2) a defibrillator circuit, having a control input coupled to said second T/R device, for generating a defibrillation pulse at a defibrillator circuit output in response to a defibrillation control signal received at said defibrillator circuit control input;
(3) an electrocardiogram (ECG) circuit, having an ECG circuit output, coupled to said second T/R device and having an ECG electrode input;
(4) a plurality of contact electrodes, attached to a chest wall of said victim, said plurality of contact electrodes being adapted to be arranged at separate locations on said chest wall for the receipt of ECG signals from said victim and for application of said defibrillation pulse to said victim; and
(5) a connecting cable having a plurality of electric wires for connecting each of said contact electrodes to at least one of (i) said ECG electrode input and (ii) said defibrillator output;
whereby (1) said ECG signals may be transmitted from selected ones of said contact electrodes via said ECG circuit to said central station for evaluation by said medical professional, (2) said first defibrillation control signal may be applied to the defibrillator circuit to generate said defibrillation pulse for application to at least one of said contact electrodes for resuscitation of said victim.
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Specification