Method and apparatus for aperiodic self-testing of a defibrillator

• US 5,899,925 A
• Filed: 08/07/1997
• Issued: 05/04/1999
• Est. Priority Date: 08/07/1997
• Status: Expired due to Term

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Heartstream, Inc. (HP Inc.)
• Inventors: Morgan, Carlton B., Ochs, Dennis E.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US08/910,970
• Time in Patent Office: 635 Days
• Field of Search: 607/5
• US Class Current: 607/5
• CPC Class Codes: A61N 1/3931 Protecting, e.g. back-up systems

Abstract

A method and circuit are described for automatically testing various components of a defibrillator at random or otherwise aperiodic time intervals. A random number is generated that falls within a range of numbers corresponding to minimum and maximum acceptable time intervals between successive testing of the defibrillator. Ambient conditions can be measured and the acceptable range of numbers adjusted accordingly. High energy test procedures may be performed less frequently, as appropriate for the measured ambient conditions. The range of numbers can also be adjusted to provide greater frequency testing where desirable, such as following a use of the defibrillator, following a repair of the defibrillator, to detect infant mortality effects, or to detect wear-out effects. The defibrillator includes a testing circuit for testing the various other components. The testing circuit includes a controller coupled with a timer, a random number generator, a memory, and an ambient condition sensor.

Claims

1. A method of automatically testing a defibrillator, comprising the steps of:

selecting an aperiodic time interval; and

initiating testing of the defibrillator after the aperiodic time interval has elapsed.

2. The method of claim 1 wherein the step of selecting an aperiodic time interval includes the step of selecting a random time interval.

3. The method of claim 1 wherein the step of selecting an aperiodic time interval includes the step of selecting one of a plurality of predetermined time intervals.

4. The method of claim 1 wherein the step of selecting an aperiodic time interval includes the step of generating a random number, the aperiodic time interval being determined as a function of the random number.

5. The method of claim 1 wherein the step of selecting an aperiodic time interval includes the steps of:

generating a first random number;

determining whether the first random number falls within a test interval range of numbers; and

if the first random number does not fall within the test interval range, generating a second random number.

6. The method of claim 1 wherein the step of selecting an aperiodic time interval includes the steps of:

determining a condition parameter; and

selecting an aperiodic time interval corresponding to the determined condition parameter.

7. The method of claim 6 wherein the step of determining a condition parameter includes the step of measuring an ambient temperature or an ambient humidity.

8. The method of claim 6 wherein the step of determining a condition parameter includes the step of determining a time associated with a most recent use of the defibrillator.

9. The method of claim 6 wherein the step of determining a condition parameter includes the step of determining a time associated with a most recent repair of the defibrillator.

10. The method of claim 6 wherein the step of determining a condition parameter includes the step of determining a time associated with an age of the defibrillator.

11. The method of claim 1 wherein the step of initiating testing of the defibrillator includes the steps of:

selecting a test procedure;

determining whether the test procedure is one of a selected category of test procedures;

if the test procedure is one of the selected category, then determining an elapsed last-tested time interval since a most recent completion of the test procedure;

comparing the last-tested time interval to a selected test time value; and

if the last-tested time interval exceeds the test time value, then initiating the test procedure.

12. The method of claim 11 wherein the step of determining whether the test procedure is one of a selected category of test procedures includes the step of determining whether the test procedure is one of a high-energy category of test procedures.

13. The method of claim 11 wherein the test time value is selected by determining a condition parameter and determining a time value corresponding to the condition parameter.

14. The method of claim 13 wherein determining a condition parameter includes measuring an ambient temperature or an ambient humidity.

15. The method of claim 13 wherein determining the condition parameter includes determining a time associated with a most recent use of the defibrillator.

16. The method of claim 13 wherein determining the condition parameter includes determining a time associated with a most recent repair of the defibrillator.

17. The method of claim 13 wherein determining the condition parameter includes determining a time associated with an age of the defibrillator.

18. A method of automatically testing a defibrillator, comprising:

determining if the defibrillator is subject to a selected condition;

if the defibrillator is subject to the selected condition, then initiating testing of the defibrillator at a first interval; and

if the defibrillator is not subject to the selected condition, then initiating testing of the defibrillator at a second interval.

19. The method of claim 18 wherein the step of determining if the defibrillator is subject to a selected condition includes the step of determining if the defibrillator was recently used.

20. The method of claim 18 wherein the step of determining if the defibrillator is subject to a selected condition includes the step of determining if the defibrillator was recently repaired.

21. The method of claim 18 wherein the step of determining if the defibrillator is subject to a selected condition includes the step of determining if the defibrillator is of young age.

22. The method of claim 18 wherein the step of determining if the defibrillator was subject to a selected condition includes the step of determining if the defibrillator is of old age.

23. The method of claim 18 wherein the step of determining if the defibrillator is subject to a selected condition includes the step of determining if the defibrillator was recently used, and wherein the first interval is progressively varied from a higher to a lower interval.

24. The method of claim 18 wherein the step of determining if the defibrililator is subject to a selected condition includes the step of determining if the defibrillator was recently repaired, and wherein the first interval is progressively varied from a higher to a lower frequency.

25. The method of claim 18 wherein the step of determining if the defibrillator is subject to a selected condition includes the step of determining if the defibrillator is of young age, and wherein the first interval is progressively varied from a higher to a lower frequency.

26. The method of claim 18 wherein the step of determining if the defibrillator is subject to a selected condition includes the step of determining if the defibrillator is of old age, and wherein the first interval is progressively varied from a lower to a higher frequency.

27. The method of claim 18 wherein the second interval is a constant frequency.

28. A method of automatically testing a defibrillator, comprising the steps of:

determining a defibrillator condition;

selecting a time interval corresponding to the condition; and

testing the defibrillator after the selected time interval has elapsed.

29. The method of claim 28 wherein the step of determining a defibrillator condition includes the step of determining an ambient condition.

30. The method of claim 28 wherein the step of determining a defibrillator condition includes the step of determining an age of the defibrillator.

31. The method of claim 28 wherein the step of determining a defibrillator condition includes the step of determining a use history of the defibrillator.

32. The method of claim 28 wherein the step of determining a defibrillator condition includes the step of determining a repair history of the defibrillator.

33. The method of claim 28 wherein the step of selecting a time interval corresponding to the condition includes the steps of:

selecting a range of numbers corresponding to the condition; and

generating a random number that falls within the selected range.

34. The method of claim 33 wherein the step of selecting a range of numbers includes the step of selecting a number corresponding to a minimum acceptable time interval between successive testing of the defibrillator.

35. The method of claim 33 wherein the step of selecting a range of numbers includes the step of selecting a number corresponding to a maximum acceptable time interval between successive testing of the defibrillator.

36. The method of claim 33 wherein the step of generating a random number that falls within the selected range includes the steps of:

generating a first random number;

determining whether the first random number falls within the selected range; and

if the first random number does not fall within the selected range, generating additional random numbers until one is determined to fall within the selected range.

37. The method of claim 33 wherein the step of selecting a time interval corresponding to the random number includes the step of selecting a time interval equal to the random number.

38. A method of automatically testing a defibrillator, comprising the steps of:

selecting a test procedure;

determining whether the test procedure is one of a selected category of test procedures; and

if the test procedure is one of the selected category, then;

determining an elapsed time interval since a most recent performing of the test procedure;

comparing the elapsed time interval to a predetermined test time value; and

if the elapsed time interval exceeds the test time value, then performing the test procedure.

39. The method of claim 38 wherein the test time value is determined by determining a minimum acceptable time interval between successive performances of the selected category of test procedures.

40. The method of claim 38 wherein the test time value is determined by determining a defibrillator condition and selecting a time value corresponding to the defibrillator condition.

41. The method of claim 40 wherein determining the defibrillator condition includes measuring ambient temperature or ambient humidity.

42. The method of claim 40 wherein determining the defibrillator condition includes determining a time associated with a most recent use of the defibrillator.

43. The method of claim 40 wherein determining the defibrillator condition includes determining a time associated with a most recent repair of the defibrillator.

44. The method of claim 40 wherein determining the defibrillator condition includes determining an age of the defibrillator.

45. The method of claim 40 wherein selecting a time value corresponding to the defibrillator condition includes selecting a minimum acceptable time interval, in correspondence with the defibrillator condition, between successive performances of the selected category of test procedures.

46. The method of claim 38 wherein the step of determining whether the test procedure is one of a selected category of test procedures includes the step of determining whether the test procedure is one of a high energy category of test procedures.

47. An electrical defibrillator, comprising a testing circuit operable to automatically test other components of the electrical defibrillator at aperiodic time intervals.

48. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine an ambient condition and to correspondingly adjust the aperiodic time intervals.

49. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine a use history of the defibrillator and to correspondingly adjust the aperiodic time intervals.

50. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine a repair history of the defibrillator and to correspondingly adjust the aperiodic time intervals.

51. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine an age of the defibrillator and to correspondingly adjust the aperiodic time intervals.

52. The electrical defibrillator of claim 47 wherein the testing circuit is operable to perform a first category of selected tests less frequently than a second category of selected tests.

53. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine an ambient condition and to correspondingly perform a first category of selected tests more frequently than a second category of selected tests.

54. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine a use history of the defibrillator and to correspondingly perform a first category of selected tests more frequently than a second category of selected tests.

55. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine a repair history of the defibrillator and to correspondingly perform a first category of selected tests more frequently than a second category of selected tests.

56. The electrical defibrillator of claim 47 wherein the testing circuit is operable to determine an age of the defibrillator and to correspondingly perform a first category of selected tests more frequently than a second category of selected tests.

57. The electrical defibrillator of claim 47 wherein the testing circuit includes:

a timing circuit operable to produce a timing signal following elapse of an aperiodic time interval; and

a controller circuit coupled with the timing circuit and operable to receive the timing signal and to initiate testing of the other components in response thereto.

58. The electrical defibrillator of claim 47 wherein the testing circuit includes:

a random number generator operable to produce a random number;

a timing circuit coupled with the random number generator and operable to produce a timing signal following elapse of a time interval corresponding with the random number; and

a controller circuit coupled with the timing circuit and operable to receive the timing signal and to initiate testing of the other components in response thereto.

59. The electrical defibrillator of claim 47 wherein the testing circuit includes:

a memory operable to store data;

a timing circuit coupled with the memory and operable to produce a timing signal following elapse of a time interval corresponding with the data stored in the memory; and

a controller circuit coupled with the timing circuit and operable to receive the timing signal and to initiate testing of the other components in response thereto.

60. The electrical defibrillator of claim 47 wherein the testing circuit includes:

a sensor operable to measure an ambient condition value;

a timing circuit coupled with the sensor and operable to produce a timing signal following elapse of an aperiodic time interval corresponding with the measured ambient condition value; and

a controller coupled with the timing circuit and operable to receive the timing signal and to initiate testing of the other components in response thereto.

61. An electrical defibrillator for defibrillating a patient, comprising:

a high voltage circuit operable to produce a high energy electrical pulse for delivery to the patient;

a controller circuit coupled with and operable to control operations of the high voltage circuit; and

a testing circuit coupled with and operable to test operations of the high voltage circuit at aperiodic time intervals.

63. The electrical defibrillator of claim 61 wherein the testing circuit includes a random number generator operable to generate random numbers, the testing circuit being operable to test operations of the high voltage circuit at time intervals corresponding thereto.

64. The electrical defibrillator of claim 61 wherein the testing circuit includes a sensor operable to determine an ambient condition value, the testing circuit being operable to test operations of the high voltage circuit at time intervals corresponding thereto.

65. The electrical defibrillator of claim 61 wherein the testing circuit includes a memory adapted to store data corresponding to a use history of the defibrillator, the testing circuit being operable to test operations of the high voltage circuit at time intervals corresponding thereto.

66. The electrical defibrillator of claim 61 wherein the testing circuit includes a memory adapted to store data corresponding to a repair history of the defibrillator, the testing circuit being operable to test operations of the high voltage circuit at time intervals corresponding thereto.

67. The electrical defibrillator of claim 61 wherein the testing circuit includes a memory adapted to store data corresponding to an age of the defibrillator, the testing circuit being operable to test operations of the high voltage circuit at time intervals corresponding thereto.

68. The electrical defibrillator of claim 61, further comprising an ECG circuit adapted to detect an electrocardiogram signal produced by the patient, the controller circuit coupled with and operable to control operations of the ECG circuit, and the testing circuit coupled with and operable to test operations of the ECG circuit at aperiodic time intervals.

70. The electrical defibrillator of claim 68 wherein the testing circuit is operable to test operations of the high voltage circuit less frequently than operations of the ECG circuit.

71. The electrical defibrillator of claim 68 wherein the testing circuit includes a sensor operable to determine an ambient condition value, the testing circuit being operable to test operations of the ECG circuit at time intervals corresponding thereto.

72. The electrical defibrillator of claim 68 wherein the testing circuit includes a memory operable to store data corresponding to a use history of the defibrillator, the testing circuit being operable to test operations of the ECG circuit at time intervals corresponding thereto.

73. The electrical defibrillator of claim 68 wherein the testing circuit includes a memory operable to store data corresponding to a repair history of the defibrillator, the testing circuit being operable to test operations of the ECG circuit at time intervals corresponding thereto.

74. The electrical defibrillator of claim 68 wherein the testing circuit includes a memory operable to store data corresponding to an age of the defibrillator, the testing circuit being operable to test operations of the ECG circuit at time intervals corresponding thereto.

62. An electrical defibrillator for defibrillating a patient, comprising:

a high voltage circuit operable to produce a high energy electrical pulse for delivery to the patient;

a controller circuit coupled with and operable to control operations of the high voltage circuit; and

a testing circuit coupled with and operable to test operations of the high voltage circuit at aperiodic time intervals wherein the testing circuit is coupled with the high voltage circuit by the controller circuit.

69. An electrical defibrillator for defibrillating a patient, comprising:

a high voltage circuit operable to produce a high energy electrical pulse for delivery to the patient;

a controller circuit coupled with and operable to control operations of the high voltage circuit;

a testing circuit coupled with and operable to test operations of the high voltage circuit at aperiodic time intervals; and

an ECG circuit adapted to detect an electrocardiogram signal produced by the patient, the controller circuit coupled with and operable to control operations of the ECG circuit, and the testing circuit coupled with and operable to test operations of the ECG circuit at aperiodic time intervals wherein the testing circuit is coupled with the ECG circuit by the controller circuit.