Devices and methods for external chest compression

• US 5,454,779 A
• Filed: 04/12/1994
• Issued: 10/03/1995
• Est. Priority Date: 04/17/1991
• Status: Expired due to Term

• Current Assignee: Regents of the University of California (University of California)
• Original Assignee: Regents of the University of California (University of California)
• Inventors: Lurie, Keith G., Cohen, Todd J.
• Primary Examiner(s): JONES, MARYBETH O
• Application Number:
  US08/226,431
• Time in Patent Office: 539 Days
• Field of Search: 128/639, 607/142, 607/152, 607/153, 601/41, 601/43, 601/44, 2/160, 2/161 R, 15/227
• US Class Current: 601/43
• CPC Class Codes: A61H 2031/001 fixed on the chest by suction
• CPC Class Codes: A61H 2031/002 fixed on the chest by adhesives
• CPC Class Codes: A61H 2201/10 with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
• 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 31/007 Manual driven
• CPC Class Codes: A61N 1/00 Electrotherapy; Circuits therefor A61N2/00 takes precedence; irradiation apparatus A61N5/00

Abstract

A method for performing cardiopulmonary resuscitation employs an applicator device having a body with an upper surface and a lower surface. The lower surface includes provisions for detachably securing to the patient'"'"'s chest, such as a vacuum cup or an adhesive layer. For manual resuscitation, the upper surface will include a strap or other means for securing a performer'"'"'s hand thereto. For automatic applications, a mechanical drive member will be secured to the upper surface. By alternately pressing and lifting on the applicator device, the patient'"'"'s chest can be compressed and expanded to improve induced ventilation and circulation.

Claims

1. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

pressing an applicator body against the patient'"'"'s sternum to compress the patient'"'"'s chest, wherein sufficient pressure is applied to the sternum to compress the chest in the range from about 3.5 to 5 cm;

lifting the applicator to actively expand the patient'"'"'s chest wherein a lower surface of the applicator adheres to the patient'"'"'s chest; and

alternating the pressing and lifting steps at a rate in the range from about 80 to 100 repititions per minute until the patient'"'"'s heartbeat and respiration are restored.

2. A method as in claim 1, wherein at least one of the performer'"'"'s hands presses directly against an upper surface of the applicator.

3. A method as in claim 1, wherein the lower surface adheres to the patient'"'"'s chest at a location over the sternum at least in part as a result of suction.

4. A method as in claim 1, wherein the lower surface adheres to the patient'"'"'s chest at least in part as a result of an adhesive.

5. A method as in claim 6, wherein the patient is lying on a flat surface, a performer kneels next to the patient, and the performer alternately presses and lifts the applicator using fully extended arms.

6. A method as in claim 1, wherein the performer presses against and lifts upon a handle which is secured to an upper surface of the applicator.

7. A method as in claim 6, wherein the applicator is a flexible cup and the performer grasps lateral extensions disposed symmetrically on the handle with each hand, wherein the handle is disposed at the center of the upper surface.

8. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

compressing the patient'"'"'s chest by manually pressing on an upper surface of a flexible cup having a hollow interior, where a lower lip of the cup is disposed against the patient'"'"'s sternum resulting in a vacuum, wherein the chest is compressed sufficiently to induce blood circulation from the chest;

actively expanding the patient'"'"'s chest by manually lifting on the upper surface of the flexible cup, wherein the chest is raised by the vacuum to further induce blood circulation and ventilation; and

alternating the compressing and expanding steps according to a preselected rhythm, wherein each compressing step is followed by the expanding step.

9. A method as in claim 8, further comprising securing a performer'"'"'s hand to the upper surface of the flexible cup prior to compressing and expanding.

10. A method as in claim 9, wherein the performer'"'"'s hand is secured by a strap attached to the upper surface.

11. A method as in claim 9, wherein the performer'"'"'s hand is secured by a glove or mitten attached to the upper surface.

12. A method as in claim 8, wherein the patient is lying on a flat surface, a performer kneels next to the patient, and the performer alternately presses and lifts on the upper surface of the flexible cup using fully extended arms.

13. A method as in claim 8, wherein the applicator includes a handle having lateral extensions disposed symmetrically thereon, where the performer grasps the lateral extension with each hand to apply pressure uniformly on the upper surface of the applicator.

14. A method as in claim 8, wherein the patient'"'"'s chest is compressed in the range from about 3.5 cm to 5 cm at a rhythm in the range from 80 to 100 repititions per minute.

15. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

compressing the patient'"'"'s chest by manually pressing on an upper surface of a flexible cup having a hollow interior, where a lower lip of the cup is disposed against the patient'"'"'s sternum resulting in a vacuum, wherein the chest is compressed sufficiently to induce blood circulation from the chest;

actively expanding the patient'"'"'s chest by manually lifting on the upper surface of the flexible cup, whereby the chest is raised by the vacuum to further induce blood circulation and ventilation;

alternating the compressing and expanding steps according to a preselected rhythm, wherein the chest is lifted and allowed to remain ventilated until the following compressing step; and

monitoring the patient'"'"'s electrocardiographic characteristics using an electrode which is on the lip of the cup.

16. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

compressing the patient'"'"'s chest by manually pressing on an upper surface of a flexible cup having a hollow interior, where a lower lip of the cup is disposed against the patient'"'"'s sternum resulting in a vacuum, wherein the chest is compressed sufficiently to induce blood circulation from the chest;

actively expanding the patient'"'"'s chest by manually lifting on the upper surface of the flexible cup, whereby the chest is raised by the vacuum to further induce blood circulation and ventilation;

alternating the compressing and expanding steps according to a preselected rhythm, wherein the chest is lifted and allowed to remain ventilated until the following compressing step; and

defibrillating the patient by applying electrical energy using an electrode which is on the lip of the cup.

17. A method for simultaneously resuscitating and monitoring electrocardiographic activity of a patient suffering cardiac arrest, said method comprising:

pressing an applicator body against the patient'"'"'s chest at a location over the sternum to compress the chest;

lifting the applicator to actively expand the patient'"'"'s chest, wherein a lower surface of the applicator adheres to the chest at said location over the sternum;

detecting the patient'"'"'s electrocardiographic pattern through an electrode in the lower surface of the applicator; and

alternating the pressing and lifting steps so that each pressing step will last in the range from about 0.2 to 0.7 seconds and each lifting step will last in the range from about 0.2 to 0.7 seconds until the patient'"'"'s heartbeat and respiration are restored.

18. A method as in claim 17, wherein a performer manually presses and lifts an upper surface of the applicator body.

19. A method as in claim 18, wherein at least one of the performer'"'"'s hands is secured to the upper surface.

20. A method as in claim 18, wherein a performer manually presses and lifts the applicator body using a handle attached to an upper surface thereof.

21. A method as in claim 17, wherein the applicator is pressed and lifted using a mechanical reciprocator.

22. A method as in claim 21, wherein the mechanical reciprocator is powered.

23. A method as in claim 17, wherein the electrode is interconnected through a connector on the applicator to an electrocardiogram monitor to produce the electrocardiograph pattern through said electrode.

24. A method for simultaneously resuscitating and defibrillating a patient suffering cardiac arrest, said method comprising:

pressing an applicator body against the patient'"'"'s chest at a location over the sternum to compress the chest;

lifting the applicator to actively expand the patient'"'"'s chest, wherein a lower surface of the applicator adheres to the chest at said location over the sternum;

applying a current to the patient'"'"'s chest through an electrode in the lower surface to effect defibrillation; and

alternating the pressing and lifting steps so that each pressing step will last in the range from about 0.2 to 0.7 seconds and each lifting step will last in the range from about 0.2 to 0.7 seconds until the patient'"'"'s heartbeat and respiration are restored.

25. A method as in claim 24, wherein a performer manually presses and lifts an upper surface of the applicator body.

26. A method as in claim 25, wherein at least one of the performer'"'"'s hands is secured to the upper surface.

27. A method as in claim 25, wherein a performer manually presses and lifts the applicator body using a handle attached to an upper surface thereof.

28. A method as in claim 24, wherein the applicator is pressed and lifted using a mechanical reciprocator.

29. A method as in claim 28, wherein the mechanical reciprocator is powered.

30. A method as in claim 24, wherein the electrode is interconnected through a connector on the applicator to electrical defibrillation equipment to pass an electric current through said electrode.

31. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

pressing an applicator body against the patient'"'"'s sternum to compress the patient'"'"'s chest, wherein sufficient pressure is applied to the sternum to compress the chest in the range from about 3.5 to 5 cm;

lifting the applicator to actively expand the patient'"'"'s chest wherein a lower surface of the applicator adheres to the patient'"'"'s chest, the lower surface having a circular periphery with a diameter in the range from about 3 to 20 cm; and

alternating the pressing and lifting steps at a rate in the range from about 80 to 100 repetitions per minute until the patient'"'"'s heartbeat and respiration are restored.

32. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

compressing the patient'"'"'s chest sufficiently to induce blood circulation from the chest by manually pressing on a relatively rigid portion of an upper surface of a flexible cup having a hollow interior and a relatively resilient circular lower lip with a diameter in the range from about 3 to 20 cm, which lower lip is disposed against the patient'"'"'s sternum resulting in a vacuum within the cup;

actively expanding the patient'"'"'s chest by manually lifting on the upper surface of the flexible cup, whereby the chest is raised by the vacuum to further induce blood circulation and ventilation; and

alternating the compressing and expanding steps according to a preselected rhythm.

33. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

pressing an applicator body against the patient'"'"'s sternum to compress the patient'"'"'s chest, wherein sufficient pressure is applied to the sternum to compress the chest in the range from about 3.5 to 5 cm;

lifting the applicator to actively expand the patient'"'"'s chest wherein a lower surface of the applicator adheres to the patient'"'"'s chest; and

alternating the pressing and lifting steps at a rate in the range from about 80 to 100 repetitions per minute until the patient'"'"'s heartbeat and respiration are restored;

wherein the patient is lying on a flat surface, a performer kneels next to the patient, and the performer alternately presses and lifts and applicator using fully extended arms.

34. A method for performing cardiopulmonary resuscitation of a patient suffering cardiac arrest and apnea, said method comprising:

pressing an applicator body against the patient'"'"'s sternum to compress the patient'"'"'s chest, wherein sufficient pressure is applied to the sternum to compress the chest in the range from about 3.5 to 5 cm;

lifting the applicator to actively expand the patient'"'"'s chest wherein a lower surface of the applicator adheres to the patient'"'"'s chest; and

alternating the pressing and lifting steps at a rate in the range from about 80 to 100 repetitions per minute until the patient'"'"'s heartbeat and respiration are restored;

wherein the performer presses against and lifts upon a handle which is secured to an upper surface of the applicator.

35. A method as in claim 34, wherein the applicator is a flexible cup and the performer grasps lateral extensions disposed symmetrically on the handle with each hand, wherein the handle is disposed at the center of the upper surface.