Method and apparatus for reducing defibrillation energy

• US 6,374,137 B1
• Filed: 10/13/1999
• Issued: 04/16/2002
• Est. Priority Date: 12/31/1996
• Status: Expired due to Fees

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Leyde, Kent W., Morgan, Carlton B., Jorgenson, Dawn, Gliner, Bradford E.
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US09/417,269
• Time in Patent Office: 916 Days
• Field of Search: 607/1, 607/2, 607/5-8, 607/10, 607/143, 607/145, 607/148
• US Class Current: 607/5
• CPC Class Codes: A61N 1/3931 Protecting, e.g. back-up systems
• CPC Class Codes: A61N 1/3937 Monitoring output parameters

Abstract

An energy reduction unit is removably connectable to an external defibrillator to reduce the defibrillation energy delivered by the defibrillator to a patient. Use of the energy reduction unit is particularly suited to defibrillating pediatric patients (infants and children under 8) with an automatic or semi-automatic external defibrillator (AED). In one embodiment, the energy reduction unit includes an attenuator which partially dissipates energy produced by the AED. The attenuator is advantageously designed to present an impedance to the AED which, when connected to the patient, is approximately equal to the patient'"'"'s impedance. The energy reduction unit may include a presence-detect function which enables the defibrillator to modify analysis of ECG signals to account for differences heart rhythms of pediatric and adult patients. In a second embodiment, the energy reduction unit includes an energy control modifier circuit which affects the charging operations performed internal to the AED. Other than being attached to the defibrillation equipment, the energy reduction unit does not otherwise change how an operator uses the equipment.

Claims

1. A method of treating ventricular fibrillation in a pediatric patient with an electrical defibrillator calibrated for adults, the method comprising the steps of:

determining whether the pediatric patient is below a selected measurement threshold level, wherein the determining comprises comparing a linear dimension measurement of the pediatric patient to a corresponding linear dimension of the energy reduction unit;

if the pediatric patient is below the selected measurement threshold level, connecting an energy reduction unit to the electrical defibrillator, wherein the energy reduction unit automatically reduces the amount of energy delivered; and

delivering defibrillation energy to the pediatric patient.

2. The method of claim 1 wherein the step of comparing a linear dimension measurement of the pediatric patient to a corresponding linear dimension of the energy reduction unit includes the step of comparing the height of the pediatric patient to the length of a cable included in the energy reduction unit.

3. A method of treating ventricular fibrillation in a patient by delivering defibrillation energy produced by a defibrillator to the patient, the method comprising the steps of:

determining whether the defibrillation energy delivered to the patient should be modified; and

if the electrical defibrillation delivered to the patient should be modified, modifying the defibrillation energy delivered to the patient by connecting an energy modifier to the defibrillator which automatically reduces the amount of energy delivered, wherein modifying the defibrillation energy comprises modifying energy storage operations of the defibrillator by providing a mechanical signal from the energy modifier to the defibrillator.