SYSTEMS AND METHODS FOR DETECTING CARDIAC ACTIVITY AND/OR INACTIVITY

• US 20170354373A1
• Filed: 06/12/2017
• Published: 12/14/2017
• Est. Priority Date: 06/13/2016
• Status: Abandoned Application

• Current Assignee: Stryker Corporation
• Original Assignee: Stryker Corporation
• Inventors: Kostic, Marko N.
• Application Number:
  US15/620,254
• Publication Number:
  US 20170354373A1
• Time in Patent Office: Days
• CPC Class Codes: A61B 2505/01 Emergency care
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/4848 Monitoring or testing the effects of treatment, e.g. of medication
• CPC Class Codes: A61B 5/6806 Gloves
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 5/7415 Sound rendering of measured values, e.g. by pitch or volume variation A61B5/741 takes precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

A non-invasive sensor unit, such as a glove or pad, is adapted to be placed over the chest of an injured person who may be in need of CPR and/or AED. The sensor unit includes a plurality of electrodes for detecting one or more ECG voltages of the person. A controller processes the ECG voltages and displays them on a display, thereby enabling the user to assess whether CPR and/or AED is needed. The sensor unit is adapted to continue to provide ECG data while the user is applying chest compressions to the person. The sensor unit may include accelerometers for reducing artifacts from the ECG voltages that arise from the movement of the user while applying chest compressions. The electrodes are, in some embodiments, capacitive sensors that enable ECG voltages to be detected without requiring direct contact with the skin of the person.

Claims

1. A glove for use by a rescuer when performing Cardio Pulmonary Resuscitation (CPR) compressions on a victim, the glove comprising:

a plurality of sheaths adapted to receive a plurality of digits of the rescuer'"'"'s hand;

a first electrode positioned adjacent a distal end of a first one of the sheaths, the first electrode adapted to detect a first ECG voltage of the victim when the glove is worn by the rescuer and placed over the victim'"'"'s chest;

a second electrode positioned away from the first electrode, the second electrode adapted to detect a second ECG voltage of the victim when the glove is worn by the rescuer and placed over the victim'"'"'s chest; and

a controller adapted to receive and process the first and second ECG voltages, the controller adapted to output a signal indicative of cardiac activity of the victim'"'"'s heart based on the first and second ECG voltages.

2. The glove of claim 1 further comprising:

a third electrode positioned away from the first and second electrodes, the third electrode adapted to detect a third ECG voltage of the victim when the glove is worn by the rescuer and placed over the victim'"'"'s chest; and

wherein the controller is further adapted to receive the third ECG voltage and to process the third ECG voltage in conjunction with at least one of the first and second ECG voltages when outputting the signal indicative of cardiac activity of the victim'"'"'s heart.

3. The glove of claim 1 wherein the first and second electrodes are adapted to detect changes in capacitance due to electrical activity of the victim'"'"'s heart.

4. The glove of claim 3 wherein the first and second electrodes detect changes in capacitance due to the electrical activity of the victim'"'"'s heart without needing to be placed in direct contact with the victim'"'"'s skin.

5. The glove of claim 1 wherein the second electrode is positioned on the glove at a location adjacent a palm of the rescuers hand.

6. The glove of claim 2 wherein the second electrode is positioned on the glove at a location adjacent a palm of the rescuers hand, and the third electrode is positioned on the glove at a location adjacent a distal end of a second one of the sheaths.

7. The glove of claim 1 further comprising an indicator attached to a dorsal surface of the glove, the indicator in communication with the controller and adapted to provide at least one of an audio and visual indication to the rescuer of cardiac activity of the victim'"'"'s heart.

8. The glove of claim 1 further comprising a wireless transceiver in communication with the controller, the controller adapted to use the wireless transceiver to wirelessly transmit data regarding the first and second ECG voltages to a second device.

9. The glove of claim 8 wherein the controller is adapted to wirelessly transmit data regarding the first and second ECG voltages to the second device while the rescuer is performing chest compressions on the victim.

10. The glove of claim 1 further comprising:

a first accelerometer positioned adjacent the distal end of the first one of the sheaths;

a second accelerometer positioned adjacent the distal end of a second one of the sheaths; and

wherein the controller is further adapted to use outputs from the first and second accelerometers to remove artifacts from the first and second ECG voltages that are due to movement of the rescuer when applying chest compressions to the victim.

11. The glove of claim 3 further including a first dielectric layer positioned between the first electrode and an interior of the first one of the sheaths, the first dielectric layer adapted to shield the first electrode from electrical interference caused by the rescuer'"'"'s hand.

12. The glove of claim 2 wherein the controller is further adapted to determine first, second, and third signal-to-noise ratios (SNR) of the first, second, and third ECG voltages, respectively, compare the ECG voltage with the highest SNR to the ECG voltage with the second highest SNR, and to output the signal indicative of cardiac activity of the victim'"'"'s heart based on the comparison.

13. A glove for use by a rescuer when performing Cardio Pulmonary Resuscitation (CPR) compressions on a victim, the glove comprising:

a plurality of sheaths adapted to receive a plurality of digits of the rescuer'"'"'s hand;

a first electrode positioned adjacent a distal end of a first one of the sheaths, the first electrode adapted to detect a first ECG voltage of the victim when the glove is worn by the rescuer and placed over the victim'"'"'s chest;

a second electrode positioned away from the first electrode, the second electrode adapted to detect a second ECG voltage of the victim when the glove is worn by the rescuer and placed over the victim'"'"'s chest;

a display attached to a dorsal surface of the glove; and

a controller adapted to receive the first and second ECG voltages and to display data related to the first and second ECG voltages on the display.

14. The glove of claim 13 wherein the controller is adapted to display a difference between the first and second ECG voltages on the display.

15. The glove of claim 14 wherein the controller displays a graph of the difference between the first and second ECG voltages with respect to a time axis on the display.

16. The glove of claim 13 further comprising:

a first accelerometer positioned adjacent the distal end of the first one of the sheaths;

a second accelerometer positioned adjacent the distal end of a second one of the sheaths; and

wherein the controller is further adapted to use outputs from the first and second accelerometers to remove artifacts from the first and second ECG voltages that are due to movement of the rescuer when applying chest compressions to the victim, the controller removing the artifacts prior to displaying the data related to the first and second ECG voltages on the display.

17. The glove of claim 13 wherein the first and second electrodes are adapted to detect changes in capacitance due to electrical activity of the victim'"'"'s heart.

18. The glove of claim 17 wherein the first and second electrodes detect changes in capacitance due to the electrical activity of the victim'"'"'s heart without needing to be placed in direct contact with the victim'"'"'s skin.

19. A glove for use by a rescuer when performing Cardio Pulmonary Resuscitation (CPR) compressions on a victim, the glove comprising:

at least four electrodes positioned on a ventral face of the glove at locations adapted to face the victim'"'"'s chest when the glove is worn by the rescuer while applying chest compressions to the victim, the at least four electrodes adapted to detect first, second, third, and fourth ECG voltages, respectively, when the glove is worn by the rescuer and placed over the victim'"'"'s chest;

an indicator positioned on a dorsal face of the glove; and

a controller adapted to determine at least first, second, third and fourth signal-to-noise ratios (SNR) of the first, second, third, and fourth ECG voltages, respectively, and to output a signal indicative of cardiac activity of the victim'"'"'s heart based upon the ECG voltage with the highest SNR.

20. The glove of claim 19 wherein the controller is further adapted to output a signal indicative of cardiac activity of the victim'"'"'s heart based upon the ECG voltage with the second highest SNR.

21. The glove of claim 19 wherein the indicator is a graphical display adapted to display a first graph derived from the ECG voltage with the highest SNR and a second graph derived from the ECG voltage with the second highest SNR.

22. The glove of claim 19 wherein the indicator includes a Light Emitting Diode (LED) adapted to have its illumination state changed each time the victim'"'"'s heart is detected to beat.

23. The glove of claim 19 further including at least four accelerometers, each of the accelerometers positioned adjacent a corresponding one of the four electrodes, wherein the controller is further adapted to use outputs from the at least four accelerometers to remove artifacts from the first, second, third, and fourth ECG voltages that are due to movement of the rescuer when applying chest compressions to the victim.

24. The glove of claim 19 wherein a first one of the electrodes is positioned adjacent a lower palm area, a second one of the electrodes is positioned adjacent a first fingertip of the glove;

and a third one of the electrodes is positioned adjacent a second fingertip of the glove.

25. The glove of claim 23 wherein the controller is further adapted to detect a depth of the chest compressions using outputs from at least one of the four accelerometers.

26. The glove of claim 21 wherein the graphical display is positioned outside of an opisthenar portion of the glove such that the rescuer is able to place his or her non-gloved hand over the opisthenar portion of the glove while applying chest compressions.

27. The glove of claim 26 wherein the graphical display is positioned adjacent a wrist area of the glove.