Defibrillator display including CPR depth information

• US 8,725,253 B2
• Filed: 08/12/2011
• Issued: 05/13/2014
• Est. Priority Date: 02/12/2010
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Johnson, Guy, Silver, Annemarie, Freeman, Gary A.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): CAREY, MICHAEL JAMES
• Application Number:
  US13/208,871
• Publication Number:
  US 20120010543A1
• Time in Patent Office: 1,005 Days
• Field of Search: 607/5, 607/7
• US Class Current: 607/5
• 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 2201/1253 driven by a human being, e.g. hand driven
• CPC Class Codes: A61H 2201/5007 computer controlled
• CPC Class Codes: A61H 2201/5043 Displays
• CPC Class Codes: A61H 2201/5084 Acceleration sensors
• CPC Class Codes: A61H 2230/04 Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
• CPC Class Codes: A61H 2230/045 used as a control parameter for the apparatus
• CPC Class Codes: A61H 2230/065 used as a control parameter for the apparatus
• CPC Class Codes: A61H 2230/207 partial O2-value
• CPC Class Codes: A61H 2230/208 used as a control parameter for the apparatus
• CPC Class Codes: A61H 2230/30 Blood pressure A61H2230/04 takes precedence
• CPC Class Codes: A61H 2230/405 used as a control parameter for the apparatus
• 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: A61N 1/046 Specially adapted for shock therapy, e.g. defibrillation
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3993 User interfaces for automatic external defibrillators
• CPC Class Codes: G09B 19/003 Repetitive work cycles; Sequence of movements
• CPC Class Codes: G09B 23/288 for artificial respiration or heart massage
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 50/20 : for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/00 : ICT specially adapted for the handling or processing of medical references
• CPC Class Codes: G16H 70/60 : relating to pathologies

Abstract

Systems and methods related to the field of cardiac resuscitation, and in particular to devices for assisting rescuers in performing cardio-pulmonary resuscitation (CPR) are described herein. In some aspects, a system and method can include obtaining values for depths of a plurality of the chest compressions and information about a physiological parameter of the person and providing periodic feedback to a user about chest compressions performed by the user based at least in part on the values for the depths of the plurality of the chest compressions and a target compression depth.

Claims

1. A method for providing adaptive Cardiopulmonary Resuscitation (CPR) treatment to a person in need of emergency assistance, the method comprising:

obtaining, by a portable computing unit, values for depths of a plurality of the chest compressions;

obtaining, by the portable computing unit, information about a physiological parameter of the person selected from t he group consisting of end-tidal carbon dioxide, arterial pressure, volumetric carbon dioxide, and blood pressure;

providing, at a first rate, periodic feedback to a user about chest compressions performed by the user based at least in part on the values for the depths of the plurality of the chest compressions and a target compression depth, and

periodically determining, at a second rate that is slower than the first rate, whether to adjust the target compression depth based at least in part on the information about the physiological parameter of the person;

upon determining to adjust the target compression depth based at least in part on the information about the physiological parameter of the person, storing an updated target compression depth; and

providing, at the first rate, periodic feedback to the user about chest compressions performed by the user based at least in part on the values for the depths of the plurality of the chest compressions and the updated target compression depth.

2. The method of claim 1, further comprising providing information about a target CPR compression depth to the user.

3. The method of claim 1, wherein the periodic feedback to a user about chest compressions performed by the user comprises feedback to the user about the compression depth.

4. The method of claim 1, wherein providing the periodic feedback to the user about chest compressions comprises displaying on a graphical display screen of a defibrillator, an indication of the values for the depths of one or more of the plurality of the chest compressions and an indication of the target compression depth.

5. The method of claim 1, wherein providing the periodic feedback to the user about chest compressions further comprises displaying on a graphical display screen of a defibrillator, a graphical representation of the depths of one or more of the plurality of the chest compressions and an indication of the target compression depth.

6. The method of claim 1, wherein providing the periodic feedback to the user about chest compressions further comprises displaying on a graphical display screen of a defibrillator, a graph having a visual indicia representing the target compression depth and visual indicia representing the values for the depths of one or more of the plurality of the chest compression displayed above or below the visual indicia representing the target compression depth.

7. The method of claim 1, wherein providing the periodic feedback to the user about chest compressions further comprises displaying on a graphical display screen of a defibrillator, a graph having a bar representing the target compression depth and additional bars representing depths of one or more of the plurality of chest compressions.

8. The method of claim 7, wherein compressions that are deeper than the target compression depth are displayed below the bar representing the target compression depth and compressions that are more shallow than the target compression depth are displayed above the bar representing the target compression depth.

9. The method of claim 1, wherein providing the periodic feedback to a user about chest compressions comprises displaying an icon that indicates whether the chest compressions are being performed properly.

10. The method of claim 1, further comprising receiving information about the patient'"'"'s heart activity and displaying on a graphical display, with the feedback about chest compressions, an electrocardiogram of the patient.

11. The method of claim 10, wherein displaying the electrocardiogram comprises moving an electrocardiogram trace laterally across the display.

12. The method of claim 1, wherein the periodic feedback to the user about chest compressions comprises a bar graph that displays the depth of the plurality of the chest compressions and an indicator of the target compression depth.

13. The method of claim 12, wherein lengths of bars in the bar graph represent compression depths.

14. The method of claim 1, wherein obtaining information regarding depths of a plurality of the chest compressions comprises obtaining data regarding chest compressions performed on the patient comprises from an accelerometer that is positioned to move in coordination with the patient'"'"'s breastbone.

15. The method of claim 1, wherein the portable computing unit is integrated with a portable defibrillator.

16. The method of claim 1, wherein the portable computing unit comprises a touchscreen tablet computer.

17. The method of claim 1, further comprising displaying a graphical representation of the information about the physiological parameter of the person.

18. The method of claim 1, further comprising displaying a graphical representation of the information about the physiological parameter including a time varying graph of the physiological parameter.

19. The method of claim 1, further comprising displaying a graphical representation of the information about the physiological parameter including trend data associated with a trend in values of the physiological parameter.

20. The method of claim 1, further comprising determining a trend in the obtained information about the physiological parameter of the person;

and

displaying a graphical representation of the determined trend.

21. The method of claim 20, wherein displaying the graphical representation of the determined trend comprises:

providing multiple arrows showing potential trend directions; and

providing a visual indicia associated with one of the multiple arrows, the visual indicia being indicative of a direction of the determined trend.

22. The method of claim 1, wherein the first rate comprises a per compression rate and the second rate comprises a time period of between 10 seconds and one minute.

23. The method of claim 1, wherein the first rate comprises rate of 5 seconds or less and the second rate comprises a rate of 10 seconds or greater.

24. An external defibrillator, comprising:

one or more sensors arranged to contact a patient and obtain measurements regarding chest compressions performed on the patient;

one or more additional sensors arranged to contact a patient and obtain measurements regarding a physiological parameter of the patient selected from the group consisting of end-tidal carbon dioxide, arterial pressure, volumetric carbon dioxide, and blood pressure;

a feeedback device configured to provide, at a first rate, periodic feedback to a user about chest compressions performed by the user based at least in part in the values for the depths of the plurality of the chest compressions and a target compression depth, and

a processor connected to memory that stores computer instructions for;

periodically determining, at a second rate that is slower than the first rate, whether to adjust the target compression depth based at least in part on the information about the physiological parameter of the person, so that multiple instances of feedback about chest compressions performed by the user are provided to the user for each instance of determining whether to adjust the target compression depth; and

upon determining to adjust t he target compression depth based at least in part on the information about the physiological parameter of the person storing an updated target compression depth; and

wherein the feedback device is further configured to provide periodic feedback to a user about chest compressions performed by the user based at least in part on the values for the depths of the plurality of the chest compressions and the updated target compressions depth.

25. A method for providing adaptive Cardiopulmonary Resuscitation (CPR) treatment to a person in need of emergency assistance, the method comprising:

obtaining, by a portable computing unit, values for depths of a plurality of the chest compressions;

obtaining, by a portable computing unit, information about a physiological parameter of the person selected from the group consisting of end-tidal carbon dioxide, arterial pressure, volumetric carbon dioxide, and blood pressure;

displaying a graphical representation of the information about the physiological parameter including trend data associated with a trend in values of the physiological parameter;

providing periodic feedback to a user about chest compressions performed by the user based at least in part on the values for the depths of the plurality of the chest compressions and a target compression depth, and

determining whether to adjust the target compression depth based at least in part on the information about the physiological parameter of the person;

upon determining to adjust the target compression depth based at least in part on the information about the physiological parameter of the person, storing an updated target compression depth; and

providing feedback to the user about chest compressions performed by the user based at least in part on the values for the depths of the plurality of the chest compressions and the updated target compression depth.