CPR device with counterpulsion mechanism

• US 6,869,408 B2
• Filed: 09/10/2002
• Issued: 03/22/2005
• Est. Priority Date: 11/10/1998
• Status: Expired due to Fees

• Current Assignee: Zoll Circulation Incorporated (Asahi Kasei Corporation)
• Original Assignee: Revivant Corporation (Asahi Kasei Corporation)
• Inventors: Mollenauer, Kenneth H., Sherman, Darren R.
• Primary Examiner(s): DeMille, Danton D.
• Application Number:
  US10/238,296
• Publication Number:
  US 20030009115A1
• Time in Patent Office: 924 Days
• Field of Search: 601 41- 44, 128/202.19, 128/204.18, 606/201, 606/202
• US Class Current: 601/41
• CPC Class Codes: A61H 2011/005 with belt or strap expanding and contracting around an encircled body part
• CPC Class Codes: A61H 2031/003 with alternated thorax decompression due to lateral compression
• CPC Class Codes: A61H 2201/0173 Means for preventing injuries
• CPC Class Codes: A61H 2201/0176 By stopping operation
• CPC Class Codes: A61H 2201/018 By limiting the applied torque or force
• CPC Class Codes: A61H 2201/5007 computer controlled
• CPC Class Codes: A61H 2201/501 connected to external computer devices or networks
• CPC Class Codes: A61H 2201/5043 Displays
• CPC Class Codes: A61H 2201/5058 Sensors or detectors
• CPC Class Codes: A61H 2201/5089 Gas sensors, e.g. for oxygen or CO2
• CPC Class Codes: A61H 2201/5097 wireless
• CPC Class Codes: A61H 2205/08 Trunk
• CPC Class Codes: A61H 2205/083 Abdomen
• CPC Class Codes: A61H 2230/207 partial O2-value
• 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 31/005 with feedback for the user
• 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: Y10S 601/06 Artificial respiration conforming to shape of torso

Abstract

A system for performing chest compression and abdominal compression for Cardiopulmonary Resuscitation. The system includes a motor and gearbox including a system of clutches and brakes which allow for controlling and limiting the movement of compressing mechanisms operating on the chest and the abdomen of a patient.

Claims

1. A device for treating a human, said device comprising:

a chest belt adapted to extend around the chest of the patient;

an abdominal belt adapted to extend around the abdomen of the patient;

a first motor-driven drive spool operably connected to the chest belt such that rotation of the drive spool causes the chest belt to spool upon the first drive spool, and connected to a motor;

a second motor-driven drive spool operably connected to the abdominal belt such that rotation of the drive spool causes the abdominal belt to spool upon the second drive spool, and connected to a motor;

a computer module which controls the operation of the chest belt and the abdominal belt to cause the chest belt to be spooled upon the first drive spool and unspooled from the first drive spool and cause the abdominal belt to be spooled upon the second drive spool and unspooled from the second drive spool;

wherein the first drive spool and the second drive spool are operably connected to a single motor through a first clutch and a second clutch, said first clutch connecting the motor to the first drive spool, and said second clutch connecting the motor to the second drive spool.

2. The device of claim 1, wherein:

the first clutch is operable to disconnect the motor from the first drive spool while the motor is operating, and is operable to connect the motor to the first drive spool while the motor is operating; and

wherein said motor and first clutch are operable to alternatingly rotate the first drive spool in a direction causing the chest belt to constrict around the chest of the patient, and permit the spool to spin in a direction causing the chest belt to loosen around the chest of the patient, wherein said alternate rotations of the first drive spool in the direction causing constriction and rotations of the first drive spool in the direction permitting relaxation occur while the motor is operating; and

the second clutch is operable to disconnect the motor from the second drive spool while the motor is operating, and is operable to connect the motor to the second drive spool while the motor is operating;

wherein said motor and second clutch are operable to alternatingly rotate the second drive spool in a direction causing the abdominal belt to constrict around the abdomen of the patient, and permit the spool to spin in a direction causing the abdominal belt to loosen around the abdomen of the patient, wherein said alternate rotations of the second drive spool in the direction causing constriction and rotations of the second drive spool in the direction permitting relaxation occur while the motor is operating.

3. The device of claim 2 wherein the computer module is programmed control the motor to run continuously in one direction, and to control the first clutch and second clutch to alternatingly engage the first clutch with the first drive spool and engage the second clutch with the second drive spool while the motor is running.

4. A device for treating a human, said device comprising:

a chest belt adapted to extend around the chest of the patient;

an abdominal belt adapted to extend around the abdomen of the patient;

a first motor-driven drive spool operably connected to the chest belt such that rotation of the drive spool causes the chest belt to spool upon the first drive spool, and connected to a motor;

a second motor-driven drive spool operably connected to the abdominal belt such that rotation of the drive spool causes the abdominal belt to spool upon the second drive spool, and connected to a motor;

a computer module which controls the operation of the chest belt and the abdominal belt to cause the chest belt to be spooled upon the first drive spool and unspooled from the first drive spool and cause the abdominal belt to be spooled upon the second drive spool and unspooled from the second drive spool;

wherein the computer module is programmed to adjust a system limit during operation of the device.

5. A device for treating a human, said device comprising:

a chest belt adapted to extend around the chest of the patient;

an abdominal belt adapted to extend around the abdomen of the patient;

a first motor-driven drive spool operably connected to the chest belt such that rotation of the drive spool causes the chest belt to spool upon the first drive spool, and connected to a motor;

a second motor-driven drive spool operably connected to the abdominal belt such that rotation of the drive spool causes the abdominal belt to spool upon the second drive spool, and connected to a motor;

a computer module which controls the operation of the chest belt and the abdominal belt to cause the chest belt to be spooled upon the first drive spool and unspooled from the first drive spool and cause the abdominal belt to be spooled upon the second drive spool and unspooled from the second drive spool;

wherein the computer module is programmed to adjust a mode of operation during operation of the device.

6. The device of claim 5 wherein the mode of operation is constriction of the chest belt out of phase with the abdominal belt.

7. The device of claim 5 wherein the mode of operation is constriction of the chest belt in phase with the abdominal belt.

8. A device for treating a human, said device comprising:

a chest belt adapted to extend around the chest of the patient;

an abdominal belt adapted to extend around the abdomen of the patient;

a first motor-driven drive spool operably connected to the chest belt such that rotation of the drive spool causes the chest belt to spool upon the first drive spool, and connected to a motor;

a second motor-driven drive spool operably connected to the abdominal belt such that rotation of the drive spool causes the abdominal belt to spool upon the second drive spool, and connected to the motor;

a computer module which controls the operation of the chest belt and the abdominal belt to cause the chest belt to be spooled upon the first drive spool and unspooled from the first drive spool and cause the abdominal belt to be spooled upon the second drive spool and unspooled from the second drive spool;

wherein the first drive spool and the second drive spool are operably connected to the motor through a first clutch and a second clutch, said first clutch connecting the motor to the first drive spool, and said second clutch connecting the motor to the second drive spool;

wherein the first clutch is operable to disconnect the motor from the first drive spool while the motor is operating, and is operable to connect the motor to the first drive spool while the motor is operating;

wherein said motor and first clutch are operable to alternatingly rotate the first drive spool in a direction causing the chest belt to constrict around the chest of the patient, and permit the spool to spin in a direction causing the chest belt to loosen around the chest of the patient, wherein said alternate rotations of the first drive spool in the direction causing constriction and rotations of the first drive spool in the direction permitting relaxation occur while the motor is operating;

the second clutch is operable to disconnect the motor from the second drive spool while the motor is operating, and is operable to connect the motor to the second drive spool while the motor is operating;

wherein said motor and second clutch are operable to alternatingly rotate the second drive spool in a direction causing the abdominal belt to constrict around the abdomen of the patient, and permit the spool to spin in a direction causing the abdominal belt to loosen around the abdomen of the patient, wherein said alternate rotations of the second drive spool in the direction causing constriction and rotations of the second drive spool in the direction permitting relaxation occur while the motor is operating;

a first brake and a second brake, said first brake operably connected to the first drive spool to selectively prevent rotation of the first drive spool and operably connected to the computer module whereby operation of the first brake is controlled, said second brake operably connected to the second drive spool to selectively prevent rotation of the second drive spool and operably connected to the computer module whereby operation of the second brake is controlled; and

wherein the computer module is programmed to operate the first brake to engage the first drive spool at selected times between the constriction and loosening of the first belt while the first clutch is disengaged, and the computer module is programmed to operate the second brake to engage the second drive spool at selected times between the constriction and loosening of the second belt while the second clutch is disengaged.

9. The device of claim 8 wherein the computer module is programmed to operate the second clutch and second brake to hold the abdominal belt in an at least partially constricted state while operating the first clutch and first drive spool to accomplish a plurality of compressions on the chest of the patient.

10. The device of claim 8 wherein the computer module is programmed to operate the second clutch and second brake to hold the abdominal belt in constricted state after constricting operation of the second drive spool.

11. The device of claim 8 wherein the computer module is programmed for operating the first clutch and the first brake to cause chest compressions out of phase with operating the second clutch and the second brake to cause abdominal compressions.

12. A method of performing abdominal compressions and chest compressions on a human comprising the steps of:

providing a device for treating a human having a chest and an abdomen, said device comprising;

a chest belt adapted to extend around the chest of the patient;

an abdominal belt adapted to extend around the abdomen of the patient;

a first motor-driven drive spool operably connected to the chest belt such that rotation of the drive spool causes the chest belt to spool upon the first drive spool, and connected to a motor;

a second motor-driven drive spool operably connected to the abdominal belt such that rotation of the drive spool causes the abdominal belt to spool upon the second drive spool, and connected to the motor;

wherein the first drive spool and the second drive spool are operably connected to the motor through a first clutch and a second clutch, said first clutch connecting the motor to the first drive spool, and said second clutch connecting the motor to the second drive spool;

a computer module which controls the operation of the first clutch to cause the chest belt to be spooled upon the first drive spool and unspooled from the first drive spool and wherein the computer module controls the operation of the second clutch to cause the abdominal belt to be spooled upon the second drive spool and unspooled from the second drive spool;

securing the device onto the human;

thereafter operating the first clutch, with the computer module, to repeatedly tighten and loosen the chest belt about the chest of the patient; and

operating the second clutch, with the computer module, to repeatedly tighten and loosen the abdominal belt about the abdomen of the patient.

13. The method of claim 12 wherein the step of operating the first clutch is performed out of phase with the step of operating the second clutch.

14. The method of claim 12 wherein the step of providing a device further comprises providing a device that further comprises:

a first brake and a second brake, said first brake operably connected to the first drive spool to selectively prevent rotation of the first drive spool and operably connected to the computer module, whereby operation of the first brake is controlled, said second brake operably connected to the second drive spool to selectively prevent rotation of the second drive spool and operably connected to the computer module whereby operation of the second brake is controlled.

15. The method of claim 14 comprising the further step of operating the first clutch and the first brake to hold the chest belt in an at least partially constricted state during at least one compression.

16. The method of claim 14 wherein the step of operating the first clutch is performed out of phase with the step of operating the second clutch.

17. The method of claim 15 wherein the step of operating the first clutch is performed out of phase with the step of operating the second clutch.

18. The method of claim 14 comprising the further step of operating the second clutch and second brake to hold the abdominal belt in an at least partially constricted state while operating the first clutch and first drive spool to accomplish a plurality of compressions on the chest of the patient.

19. The method of claim 15 comprising the further step of operating the second clutch and second brake to hold the abdominal belt in an at least partially constricted state while operating the first clutch and first drive spool to accomplish a plurality of compressions on the chest of the patient.

20. A method of performing abdominal compressions and chest compressions on a human comprising the steps of:

providing a device for treating a human having a chest and an abdomen, said device comprising;

a chest belt adapted to extend around the chest of the patient;

an abdominal belt adapted to extend around the abdomen of the patient;

a first motor-driven drive spool operably connected to the chest belt such that rotation of the drive spool causes the chest belt to spool upon the first drive spool, and connected to a motor;

a second motor-driven drive spool operably connected to the abdominal belt such that rotation of the drive spool causes the abdominal belt to spool upon the second drive spool, and connected to the motor;

a computer module which controls the operation of the chest belt and the abdominal belt to cause the chest belt to be spooled upon the first drive spool and unspooled from the first drive spool and cause the abdominal belt to be spooled upon the second drive spool and unspooled from the second drive spool;

wherein the first drive spool and the second drive spool are operably connected to the motor through a first clutch and a second clutch, said first clutch connecting the motor to the first drive spool, and said second clutch connecting the motor to the second drive spool;

wherein the first clutch is operable to disconnect the motor from the first drive spool while the motor is operating, and is operable to connect the motor to the first drive spool while the motor is operating;

wherein said motor and first clutch are operable to alternatingly rotate the first drive spool in a direction causing the chest belt to constrict around the chest of the patient, and permit the spool to spin in a direction causing the chest belt to loosen around the chest of the patient, wherein said alternate rotations of the first drive spool in the direction causing constriction and rotations of the first drive spool in the direction permitting relaxation occur while the motor is operating;

the second clutch is operable to disconnect the motor from the second drive spool while the motor is operating, and is operable to connect the motor to the second drive spool while the motor is operating;

wherein said motor and second clutch are operable to alternatingly rotate the second drive spool in a direction causing the abdominal belt to constrict around the abdomen of the patient, and permit the spool to spin in a direction causing the abdominal belt to loosen around the abdomen of the patient, wherein said alternate rotations of the second drive spool in the direction causing constriction and rotations of the second drive spool in the direction permitting relaxation occur while the motor is operating;

a first brake and a second brake, said first brake operably connected to the first drive spool to selectively prevent rotation of the first drive spool and operably connected to the computer module whereby operation of the first brake is controlled, said second brake operably connected to the second drive spool to selectively prevent rotation of the second drive spool and operably connected to the computer module whereby operation of the second brake is controlled; and

wherein the computer module is programmed to operate the first brake to engage the first drive spool at selected times between the constriction and loosening of the first belt while the first clutch is disengaged, and the computer module is programmed to operate the second brake to engage the second drive spool at selected times between the constriction and loosening of the second belt while the second clutch is disengaged;

securing the device onto the human;

thereafter operating the first clutch, with the computer module, to repeatedly tighten and loosen the chest belt about the chest of the patient; and

operating the second clutch, with the computer module, to repeatedly tighten and loosen the abdominal belt about the abdomen of the patient.

21. The method of claim 20 comprising the further step of operating the first clutch and the first brake to hold the chest belt in an at least partially constricted state during at least one compression.

22. The method of claim 20 wherein the step of operating the first clutch is performed out of phase with the step operating the second clutch.

23. The method of claim 20 comprising the further step of operating the second clutch and second brake to hold the abdominal belt in an at least partially constricted state while operating the first clutch and first drive spool to accomplish a plurality of compressions on the chest of the patient.

24. The method of claim 21 comprising the further step of operating the second clutch and second brake to hold the abdominal belt in an at least partially constricted state while operating the first clutch and first drive spool to accomplish a plurality of compressions on the chest of the patient.