Cooperating defibrillators and external chest compression devices

• US 8,121,681 B2
• Filed: 12/10/2007
• Issued: 02/21/2012
• Est. Priority Date: 02/14/2003
• Status: Expired due to Fees

• Current Assignee: Physio-Control Incorporated (Stryker Corporation)
• Original Assignee: Physio-Control Incorporated (Stryker Corporation)
• Inventors: Hampton, David R., Stickney, Ronald E., Nova, Richard C., Radons, Stephen W., Edwards, D. Craig, Jayne, Cynthia, Sullivan, Joseph L., Sjoquist, Steven E.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Dinga, Roland
• Application Number:
  US11/953,665
• Publication Number:
  US 20080114406A1
• Time in Patent Office: 1,534 Days
• Field of Search: 607/5, 607/6, 607/8, 607/142, 607/32, 607/60, 128/202.23, 128/903
• US Class Current: 607/5
• CPC Class Codes: A61H 2201/0214 cooled
• 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 2201/5012 using the internet
• CPC Class Codes: A61H 2201/5048 Audio interfaces, e.g. voice or music controlled
• CPC Class Codes: A61H 2201/5058 Sensors or detectors
• CPC Class Codes: A61H 2201/5097 wireless
• CPC Class Codes: A61H 2230/04 Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
• 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: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.

Claims

1. A system comprising:

an external chest compression device having a first communication module and a first controller, wherein the first controller is operably coupled to the external chest compression device and the first communication module;

a defibrillator having a second communication module and a second controller, wherein the second controller is operably coupled to the defibrillator and the second communication module; and

at least one sensor configured to sense data indicative of blood perfusion and coupled to at least one of the first controller and the second controller,

wherein at least one of the first controller and the second controller is configured to analyze the sensor data to monitor blood perfusion over time and to generate an output responsive to the monitored blood perfusion to change a characteristic of chest compression being delivered with the external chest compression device, and

wherein the first communication module and the second communication module are configured for wireless communication therebetween and form a wireless interface between the external chest compression device and the defibrillator.

2. A system as in claim 1 wherein the external chest compression device includes the at least one sensor.

3. A system as in claim 2 wherein the first communication module of the external chest compression device is coupled to the at least one sensor.

4. A system as in claim 2 wherein the at least one sensor configured to sense data comprises at least one sensor configured to sense at least one attribute from the group consisting of pulse, heartbeat, breathing, body temperature, externally applied chest pressure and thoracic impedance.

5. A system as in claim 1 wherein the external chest compression device includes a chest compression member, the chest compression member including at least one pressure sensor disposed thereon and coupled to the first communication module.

6. A system as in claim 1 wherein the external chest compression device includes a manually operable chest compression member.

7. A system as in claim 1 wherein the external chest compression device includes a backboard and a ventilator operably coupled to the backboard.

8. A system as in claim 7 wherein the ventilator is coupled to the first communication module.

9. A system as in claim 1 wherein the first communication module and the second communication module utilize a wireless communications protocol selected from the group consisting of Bluetooth and 802.11.

10. A system as in claim 1 wherein the first communication module and the second communication module utilize a wireless communications medium selected from the group consisting of radio frequency and infrared light.

11. A system as in claim 1 wherein at least one of the first controller and the second controller is configured to execute logic for coordinating external chest compression and defibrillation based on data transmitted between the first communication module and the second communication module.

12. A system as in claim 1, further comprising:

a chest compression member,

an electrode disposed on the chest compression member,

a first electrical connector electrically coupled to the electrode disposed on the chest compression member,

in which the defibrillator includes a second electrical connector adapted to connect to the first electrical connector.

13. A system as in claim 1, in which at least one of the first controller and the second controller is configured to execute logic to monitor chest compressions over time and to generate an output to administer a defibrillation pulse in synchrony with chest compressions.

14. A system as in claim 1, wherein the at least one sensor comprises a sensor for monitoring ECG signals, and the sensor for monitoring ECG signals is coupled to at least one of the first and second controllers, in which the at least one of the first and second controllers executes logic to administer pacing after an ECG signal indicates that a defibrillation pulse results in a perfusing ECG rhythm.

15. A system as in claim 1, wherein the at least one sensor comprises a sensor for monitoring ECG signals, and the sensor for monitoring ECG signals is coupled to at least one of the first and second controllers, in which the at least one of the first and second controllers executes logic to administer external chest compression after an ECG signal indicates that a defibrillation pulse has not resulted in a perfusing ECG rhythm.

16. A system as in claim 1, further comprising a cooling module.

17. A system as in claim 16 wherein the cooling module includes a cooling garment.

18. A system as in claim 16, wherein at least one of the first controller and the second controller is configured to execute logic in response to sensor data indicative of cardiac arrest to initiate cooling using the cooling module.

19. A system as in claim 1, wherein the external chest compression device includes an automatic chest compressions device, and the output to change a characteristic of chest compression includes an output that causes the external chest compression device to automatically adjust.