Cardiac assist curiass

• US 4,971,042 A
• Filed: 10/23/1989
• Issued: 11/20/1990
• Est. Priority Date: 11/14/1988
• Status: Expired due to Fees

• Current Assignee: Samuel I. Lerman
• Original Assignee: Samuel I. Lerman
• Inventors: Lerman, Samuel I.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): BAHR, JENNIFER DOYLE
• Application Number:
  US07/425,739
• Time in Patent Office: 393 Days
• Field of Search: 128/30, 128/30.2, 128/28
• US Class Current: 601/44
• CPC Class Codes: A61H 2031/001 fixed on the chest by suction
• CPC Class Codes: A61H 2230/04 Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
• CPC Class Codes: A61H 31/00 Artificial respiration or heart stimulation, e.g. heart massage artificial respiration by treatment with gas or air, e.g. mouth-to-mouth respiration A61M16/00; applying electric currents by contact electrodes for stimulation, e.g. heart pace-makers A61N1/36 ; teaching or training models, demonstration models for medical purposes G09B23/288
• 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: A61H 31/02 "Iron-lungs" , i.e. involving chest expansion by applying underpressure thereon, whether or not combined with gas breathing means

Abstract

A cardiac assist cuirass is disclosed that acts to alternately apply compression and vacuum to the torso of a patient. This draws venous blood back from the periphery into the lungs and forces oxygenated blood out from the lungs through the left heart to the rest of the body, while at the same time ventilating the lungs. Thus, it can maintain life even during complete cardio-pulmonary arrest. It can also be synchronized with a weakly beating heart for assistance in congestive heart failure or cardiogenic shock. It is adjustable for a wide range of body sizes, does not interfere with routine nursing care or intensive medical care. It is hand portable, uses standard electric supply and is easily adjustable for a wide range of cardiac and pulmonary purposes.

Claims

1. A cardiac assist method comprising the steps of:

providing a chamber which is substantially sealed about a patient'"'"'s torso for applying pressurized air and a vacuum upon the patient'"'"'s torso for applying either pressure or a vacuum caused suction upon the patient'"'"'s torso;

alternatingly applying pressurized air within the chamber and applying a vacuum within the chamber, by sucking air from the chamber, for alternate pressure squeezing and expansion of a patient'"'"'s torso in response to the alternating applications of pressure and vacuum;

restricting the flow of air into the patient'"'"'s body through the patient'"'"'s mouth and nose by a passive restrictive means;

setting the frequency of alternating the application of pressure and vacuum in the chamber to closely approximate the rate of the patient'"'"'s heartbeat and setting the pressure of the pressurized air entering into the chamber so that the chamber pressure approximates the patient'"'"'s blood pressure.

2. A cardiac assist method as defined in claim 1, and wherein the pressure is applied in the chamber and upon the patient'"'"'s torso during the time that corresponds to the patient'"'"'s heart contraction so as to compress the torso during the time of the heart contraction, and the vacuum is applied during the time of the heart'"'"'s expansion so that the torso is permitted to expand during the time of the heart expansion.

3. A cardiac assist apparatus comprising:

a chamber forming means shaped and sized to fit over the torso of the body of a patient and to define a chamber overlapping at least the chest and diaphragm regions of the torso, and including sealing means for substantially sealing the chamber against the torso so that changes in pressure within the chamber are applied to the patient'"'"'s torso;

means for alternatingly pumping pressurized air into the chamber and for sucking air from the chamber for regularly, alternatingly applying a pressure and a vacuum within the chamber and against the torso;

means for timing the frequency of change of applying the pressurized air and the vacuum within the chamber to correspond to the rate of the patient'"'"'s heartbeat with the pressure applied during the time of contraction of the heart and the vacuum applied during the time of expansion of the heart;

means for regulating the pressure of the pressurized air so that the chamber pressure approximately equals the patient'"'"'s blood pressure; and

means for passively restricting flow of air into a patient'"'"'s body through a patient'"'"'s mouth and nose.