Synchronization of repetitive therapeutic interventions

• US 9,283,140 B2
• Filed: 12/16/2009
• Issued: 03/15/2016
• Est. Priority Date: 09/14/2005
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Freeman, Gary A., Lisogurski, Daniel M.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): GHAND, JENNIFER LEIGH-STEWAR
• Application Number:
  US12/639,133
• Publication Number:
  US 20100160839A1
• Time in Patent Office: 2,281 Days
• Field of Search: 434/265, 601/41, 607/5, 607/7, 607/9
• US Class Current: 1/1
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• 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 2201/5048 Audio interfaces, e.g. voice or music controlled
• CPC Class Codes: A61H 2201/5084 Acceleration sensors
• 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 2230/205 partial CO2-value
• CPC Class Codes: A61H 2230/207 partial O2-value
• CPC Class Codes: A61H 2230/25 Blood flowrate, e.g. by Doppler effect
• CPC Class Codes: A61H 2230/42 Rate
• 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 31/007 Manual driven
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61N 1/3625 External stimulators
• CPC Class Codes: A61N 1/3628 using sub-threshold or non-excitatory signals
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 7/00 : Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

A medical device of the type used for assisting a user in manually delivering repetitive therapy to a patient (e.g., chest compressions or ventilations in cardiac resuscitation), the device comprising a feedback device configured to generate feedback cues to assist the user in timing the delivery of the repetitive therapy, at least one sensor or circuit element configured to detect actual delivery times, at which the user actually delivers the repetitive therapy, and a processor, memory, and associated circuitry configured to compare the actual delivery times to information representative of desired delivery times to determine cue times at which the feedback cues are generated by the feedback device.

Claims

1. A medical device for assisting a user in manually delivering chest compressions and/or ventilations to a patient as part of cardiac resuscitation, the device comprising

a feedback device configured to generate feedback cues to assist the user in timing the delivery of the chest compressions and/or ventilations, wherein compressions comprise an upstroke phase and a downstroke phase;

a processor, memory, and associated circuitry configured to determine cue times at which the feedback cues are generated by the feedback device,

wherein the feedback cues are auditory and non-verbal, and if both compression and ventilation cues are generated, the feedback cue for chest compressions is a different sound from the feedback cue for ventilations, and the difference in sound between the compression and ventilation cues comprises a difference in tone, and

wherein at least one of the feedback cues comprises a changing sound, wherein the change in sound is configured to improve the quality of the delivered compressions and/or ventilations.

2. The medical device of claim 1 wherein the ventilation and compression feedback cues are configured so that they are perceived by the user as the sounds of different musical instruments.

3. The medical device of claim 1 wherein one or both of the ventilation and compression feedback cues comprises a tone for which a fundamental frequency is shifted to provide feedback to the user.

4. The medical device of claim 1 wherein the compression feedback cue comprises an upstroke cue and a downstroke cue, with the upstroke cue differing in tone from the downstroke cue.

5. The medical device of claim 4 wherein the upstroke cue comprises a tone that increases in frequency during the upstroke phase of compression.

6. The medical device of claim 4 wherein the downstroke cue comprises a tone that has a greater audio volume than the upstroke cue.

7. The medical device of claim 4 wherein the duration of the downstroke cue is longer than the duration of the upstroke cue.

8. The medical device of claim 1 wherein the ventilation feedback cue comprises two phases corresponding substantially to a bag squeezing phase and a bag releasing phase, wherein the tone of the feedback cue is different for the two phases.

9. The device of claim 1 wherein the feedback cues have at least two phases distinguishable by the user, with a first phase corresponding to a first phase of the delivered compressions and/or ventilations, and a second phase of the feedback cue corresponding to a second phase of the delivered compressions and/or ventilations.

10. The device of claim 9 wherein the first phase of the feedback cue corresponds to the upstroke phase of chest compressions and the second phase of feedback cue corresponds to the downstroke phase.

11. The device of claim 10 wherein the first and second phases differ in one or both of frequency and amplitude.

12. The device of claim 11 wherein the feedback cues comprise an upstroke cue for chest compression, and the upstroke cue varies in frequency, with the frequency increasing during the upstroke phase prior to delivery of compression.

13. The device of claim 12 wherein the feedback cues further comprise a downstroke cue that varies in frequency, with the frequency varying with time during delivery of compression.

14. The device of claim 12 wherein the feedback cues further comprise a downstroke cue and wherein the downstroke cue is shorter in duration than the upstroke cue.

15. The device of claim 12 wherein the downstroke phase of a compression ends at a bottom of the delivered compression, and the feedback cues further comprise a downstroke cue and wherein the downstroke cue grows in volume, with crescendo at approximately the bottom of the delivered compression.

16. The device of claim 13 wherein the feedback cues further comprise a downstroke cue and wherein the downstroke cue is shorter in duration than the upstroke cue.

17. The device of claim 13 wherein the downstroke phase of a compression ends at a bottom of the delivered compression, and the feedback cues further comprise a downstroke cue and wherein the downstroke cue grows in volume, with crescendo at approximately the bottom of the delivered compression.