Chest compression belt with belt position monitoring system

• US 9,925,114 B2
• Filed: 08/05/2014
• Issued: 03/27/2018
• Est. Priority Date: 06/01/2012
• Status: Active Grant

• Current Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Original Assignee: Zoll Medical Corporation (Asahi Kasei Corporation)
• Inventors: Herken, Ulrich R., Freeman, Gary A.
• Primary Examiner(s): Thanh, Quang D
• Application Number:
  US14/452,014
• Publication Number:
  US 20140343466A1
• Time in Patent Office: 1,330 Days
• CPC Class Codes: A61H 2011/005 with belt or strap expanding and contracting around an encircled body part
• CPC Class Codes: A61H 2031/002 fixed on the chest by adhesives
• CPC Class Codes: A61H 2031/003 with alternated thorax decompression due to lateral compression
• CPC Class Codes: A61H 2201/0161 Size reducing arrangements when not in use, for stowing or transport
• CPC Class Codes: A61H 2201/0173 Means for preventing injuries
• CPC Class Codes: A61H 2201/0184 by raising an alarm
• CPC Class Codes: A61H 2201/1215 Rotary drive
• CPC Class Codes: A61H 2201/1664 linear
• CPC Class Codes: A61H 2201/5007 computer controlled
• CPC Class Codes: A61H 2201/5043 Displays
• CPC Class Codes: A61H 2201/5046 Touch screens
• 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 2201/5064 Position sensors
• CPC Class Codes: A61H 2201/5084 Acceleration sensors
• CPC Class Codes: A61H 2201/5092 Optical sensor
• CPC Class Codes: A61H 2201/5097 wireless
• CPC Class Codes: A61H 2205/083 Abdomen
• CPC Class Codes: A61H 2230/04 Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
• 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: A61N 1/0492 : Patch electrodes A61N1/0412, A61N1/0428 take precedence

Abstract

An automated chest compression device for performing CPR, with distance sensors disposed on a compressing mechanism and on a structure fixed relative to the CPR patient, for determining inferior/superior movement of the compressing mechanism over the course of multiple compressions.

Claims

1. A system for performing CPR on a patient comprising:

a housing providing a platform adapted to be disposed under the thorax of the patient;

a belt tensioner coupled to the housing;

a computer control system configured to control the belt tensioner;

a compression belt coupled to the belt tensioner, wherein the computer control system is configured to control the belt tensioner to compress the thorax of the patient at a resuscitative rate; and

a plurality of distance sensors, which comprise a plurality of accelerometers, disposed at a plurality of different locations on the compression belt, the plurality of distance sensors operable to output data indicative of a position of the compression belt, wherein the computer control system is programmed to receive the data and calculate the position of the compression belt, and to detect non-uniform movement of the compression belt based on the received data.

2. The system of claim 1, wherein the computer control system is further programmed to calculate, based on the received data, an inferior/superior location of the compression belt.

3. The system of claim 1, wherein the computer control system is further programmed to calculate, based on the received data, movement of the compression belt comprising one or more of inferior/superior movement of the compression belt, transverse movement of the compression belt, and anterior/posterior movement of the compression belt.

4. The system of claim 3, wherein the computer control system is further programmed to compare the calculated movement of the compression belt to a predetermined value, and suspend compressions when the movement of the compression belt exceeds the predetermined value.

5. The system of claim 3, wherein the computer control system is further programmed to compare the calculated movement of the compression belt to a predetermined value and provide prompts to a CPR provider based on the comparison.

6. The system of claim 3, wherein the computer control system is further programmed to compare the calculated movement of the compression belt to a predetermined value, and adjust a depth of compression provided by the compression belt, while still providing compression, to account for the calculated movement of the compression belt.

7. The system of claim 5, wherein the prompts to the CPR provider based on the comparison comprise a prompt that indicates a detection of slippage of the compression belt.

8. The system of claim 7 wherein the detection of slippage of the compression belt indicates one or more of motion of the compression belt along an inferior/superior axis of the system, motion of the patient, and a change of shape of the chest of the patient.

9. The system of claim 1 wherein the computer control system is further programmed to calculate a shape of the ribcage of the patient based on the received data and to adjust a depth of compression of the compression belt based on the calculated shape of the ribcage of the patient.

10. The system of claim 1 wherein the plurality of distance sensors further comprising at least one of optical sensors, ultrasound sensors, RFID sensors, and motion sensors.

11. The system of claim 10 wherein the motion sensors comprise magnetic sensors.

12. The system of claim 1, wherein the plurality of accelerometers is disposed on a load distributing panel of the compression belt.

13. The system of claim 1, further comprising a reference accelerometer disposed in the housing wherein the computer control system is further programmed detect overall movement of the housing based on signals from the reference accelerometer.

14. The system of claim 13, wherein the computer control system is further programmed to combine the signals from the reference accelerometer and from the plurality of accelerometers to determine movement of the compression belt with respect to the housing.

15. The system of claim 1, wherein the computer control system is further programmed to determine an original location of the compression belt based on a signal from the plurality of accelerometers indicating that the plurality of accelerometers is stationary.

16. The system of claim 15, wherein the computer control system is further programmed to determine a distance over which the plurality of accelerometers move from the original location of the compression belt.

17. The system of claim 1, wherein the computer control system is further programmed to alert an operator of the system when the non-uniform movement of the compression belt is non-uniform to a first extent and to suspend compression of the compression belt when the non-uniform movement of the compression belt is non-uniform to a second extent larger than the first extent.

18. The system of claim 1, wherein the computer control system is further programmed to detect the non-uniform movement of the compression belt by comparing an acceleration signal from at least one accelerometer of the plurality of accelerometers to an acceleration signal from at least one other accelerometer of the plurality of accelerometers.

19. The system of claim 1 wherein the plurality of accelerometers is disposed along an inferior/superior axis of the compression belt such that at least a first accelerometer is disposed on an inferior portion of the compression belt and at least a second accelerometer is disposed on a superior portion of the compression belt.

20. The system of claim 19 wherein the computer control system is further programmed to detect tilting of the compression belt based on data from the first accelerometer and from the second accelerometer, wherein the tilting of the compression belt comprises a rotation of the compression belt around an axis perpendicular to an inferior/superior axis of the system and substantially parallel to the chest of the patient.

21. The system of claim 1 further comprising a plurality of pressure sensors.

22. The system of claim 21 wherein the computer control system is further programmed to calculate a chest resilience based on measurements from the plurality of pressure sensors and from the plurality of accelerometers.

23. The system of claim 22 wherein the computer control system is further programmed to identify a change in the calculated chest resilience, wherein the change in the calculated chest resilience is indicative of a rib fracture of the patient.

24. The system of claim 22 wherein the computer control system is further programmed to utilize the measurements from the plurality of pressure sensors and from the plurality of accelerometers to identify changes in the calculated chest resilience at locations on the patient, wherein the locations of the changes of the calculated chest resilience are indicative of locations of broken ribs of the patient.

25. The system of claim 22 wherein the computer control system is further programmed to change a depth of compression provided by the compression belt, during operation of the compression belt, based on the calculated chest resilience.

26. The system of claim 1 wherein the computer control system is further programmed to provide an output, based on the calculated position of the compression belt, for providing treatment to the patient.

27. The system of claim 26 wherein the output is a treatment prompt for a rescuer.

28. The system of claim 27 wherein the treatment prompt is one or more of an audible prompt or a visual prompt and further wherein the treatment prompt comprises one or more of a prompt to inspect compression belt placement, a prompt to confirm compression belt placement, a prompt for confirmation of proper patient placement, a prompt for adjustment of a compression depth, and a prompt indicative of detected patient movement.

29. The system of claim 26 wherein the output comprises instructions for a processor controlling operation of the compression belt to control the operation of the compression belt based on the calculated position of the compression belt.

30. The system of claim 1 wherein the belt tensioner includes a motor.