Method and apparatus for enhancement of chest compressions during CPR

• US 9,545,359 B2
• Filed: 08/24/2016
• Issued: 01/17/2017
• Est. Priority Date: 11/06/2003
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Freeman, Gary A., Tan, Qing, Geheb, Frederick J.
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US15/246,013
• Publication Number:
  US 20160361227A1
• Time in Patent Office: 146 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/346 Analysis of electrocardiograms
• CPC Class Codes: A61B 5/361 Detecting fibrillation
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/4848 Monitoring or testing the effects of treatment, e.g. of medication
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• 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 2201/5058 Sensors or detectors
• CPC Class Codes: A61H 2201/5079 Velocity sensors
• 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 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: A61N 1/046 Specially adapted for shock therapy, e.g. defibrillation
• CPC Class Codes: A61N 1/0492 : Patch electrodes A61N1/0412, A61N1/0428 take precedence
• CPC Class Codes: A61N 1/3925 : Monitoring; Protecting
• CPC Class Codes: A61N 1/3987 : characterised by the timing or triggering of the shock
• CPC Class Codes: A61N 1/3993 : User interfaces for automatic external defibrillators

Abstract

An apparatus for assisting a rescuer in performing chest compressions during CPR on a victim, the apparatus comprising a pad or other structure configured to be applied to the chest near or at the location at which the rescuer applies force to produce the chest compressions, at least one sensor connected to the pad, the sensor being configured to sense movement of the chest or force applied to the chest, processing circuitry for processing the output of the sensor to determine whether the rescuer is substantially releasing the chest following chest compressions, and at least one prompting element connected to the processing circuitry for providing the rescuer with information as to whether the chest is being substantially released following chest compressions.

Claims

1. An apparatus for assisting a rescuer in performing chest compressions on a patient, the apparatus comprising:

a first defibrillation electrode pad or other structure configured to be applied to an anterior location on the thorax of the patient near or at the location at which the rescuer applies force to produce the chest compression, the first pad or other structure comprising a first motion sensor;

a second defibrillation electrode pad or other structure configured to be applied to a posterior location on the patient'"'"'s thorax, the second pad or other structure comprising a second motion sensor;

processing circuitry configured to process signals from the first motion sensor and the second motion sensor corresponding to relative motion between the anterior and posterior locations of the thorax to estimate displacement of the chest during resuscitation; and

a feedback device connected to the processing circuitry and configured to provide an indication to a rescuer of the estimated displacement of the chest during the performance of chest compressions.

2. The apparatus of claim 1, wherein the first motion sensor and the second motion sensor comprise a conductor and a magnet.

3. The apparatus of claim 2, wherein the conductor and magnet are adapted to be positioned on opposite surfaces of the chest.

4. The apparatus of claim 1, wherein at least one of the first defibrillation electrode pad and the second defibrillation electrode pad comprises an electrically conductive material configured to deliver defibrillation current to the patient.

5. The apparatus of claim 4, wherein the at least one of the first defibrillation electrode pad and the second defibrillation electrode pad comprises an adhesive conductive gel coupling agent adhered to the electrically conductive material.

6. The apparatus of claim 1, wherein at least one of the first defibrillation electrode pad and the second defibrillation electrode pad comprises an electrically insulating material.

7. The apparatus of claim 1, wherein the first motion sensor and the second motion sensor are configured to sense the motion due to the anterior surface of the thorax and the posterior surface of the thorax respectively.

8. The apparatus of claim 1, wherein at least one of the first defibrillation electrode pad and the second defibrillation electrode pad is configured to be adhered to the patient'"'"'s skin.

9. The apparatus of claim 1, wherein at least one of the first defibrillation electrode pad or other structure and the second defibrillation electrode pad or other structure is configured to be adhered to the patient'"'"'s skin.

10. The apparatus of claim 1, wherein the feedback device comprises a prompting device configured to prompt the rescuer as to whether compressions are within desired limits of compression depth.

11. The apparatus of claim 1, wherein the feedback device comprises a prompting device configured to prompt the rescuer as to whether compressions are outside desired limits of compression depth.

12. The apparatus of claim 11, wherein the prompting device comprises at least one of a display and a speaker for delivering a visual or an audible message to the rescuer.

13. The apparatus of claim 12, wherein the prompting device comprises at least one of a display and a speaker for delivering a visual or an audible message to the rescuer.

14. The apparatus of claim 1, wherein the processing circuitry is comprised within an external defibrillator.

15. The apparatus of claim 1, wherein the feedback device is comprised within an external defibrillator.

16. The apparatus of claim 1, wherein the processing circuitry is configured to acquire and analyze ECG signals from the patient in performing rhythm analysis.

17. The apparatus of claim 1, wherein the first motion sensor and second motion sensors comprise accelerometers.

18. A system for assisting a rescuer in performing chest compressions on a patient, the system comprising:

an external defibrillator configured to deliver at least one defibrillatory shock to the patient;

a first defibrillation electrode pad configured to be connected to the external defibrillator and configured to be applied to an anterior location on the thorax of the patient, the first defibrillation electrode pad connected to a first motion sensor;

a second defibrillation electrode pad configured to be connected to the external defibrillator and configured to be applied to the a posterior location on the patient'"'"'s thorax, the second defibrillation electrode pad connected to a second motion sensor;

processing circuitry configured to process signals from the first motion sensor and the second motion sensor corresponding to relative motion between the anterior and posterior locations of the thorax to estimate displacement of the chest during resuscitation, the processing circuitry further configured to acquire ECG signals from the patient and analyze the ECG signals in performing rhythm analysis; and

a feedback device connected to the processing circuitry and configured to provide an indication to a rescuer of the estimated displacement of the chest during resuscitation based on the relative motion between the anterior and posterior locations of the thorax.

19. The apparatus of claim 18, wherein each of the first and second defibrillation electrode pads is configured to be adhered to the patient'"'"'s skin.

20. The apparatus of claim 18, wherein the feedback device comprises a prompting device configured to prompt the rescuer as to whether compressions are within desired limits of compression depth.

21. The apparatus of claim 18, wherein the feedback device comprises a prompting device configured to prompt the rescuer as to whether compressions are outside desired limits of compression depth.

22. The apparatus of claim 18, wherein the first motion sensor and second motion sensors comprise accelerometers.

23. An apparatus for assisting a rescuer in performing chest compressions during CPR on a victim, the apparatus comprising:

a pad or other structure configured to be applied to the chest near or at the location at which the rescuer applies force to produce the chest compressions,

at least one accelerometer comprised within the pad or other structure, the accelerometer being configured to sense movement of the anterior location of the thorax;

at least one second sensor mechanically connected to the pad comprising the accelerometer, the second sensor being configured to be applied to a posterior location of the thorax and configured to sense a second chest compression parameter; and

processing circuitry for processing the output of the accelerometer and second sensor corresponding to relative motion between the anterior and posterior locations of the thorax to determine the depth of compression of the chest,

wherein the output of the accelerometer comprises motion due to the anterior surface of the thorax, and wherein the output of the accelerometer is band pass filtered and integrated to derive a displacement signal; and

wherein the output of the second sensor is digitized and used together with the displacement signal to determine the depth of compression of the chest.

24. The apparatus of claim 23, wherein an automated external defibrillator is electrically connected to the accelerometer and second sensor and supplies power to them.

25. The apparatus of claim 23, wherein the processing circuitry is comprised within the automated external defibrillator.

26. The apparatus of claim 23, wherein the second sensor comprises one of an accelerometer, force sensor or velocity sensor.