DE60032448T2 - Auf Ladung basierte Vorrichtung zur Defibrillation - Google Patents
Auf Ladung basierte Vorrichtung zur Defibrillation Download PDFInfo
- Publication number
- DE60032448T2 DE60032448T2 DE60032448T DE60032448T DE60032448T2 DE 60032448 T2 DE60032448 T2 DE 60032448T2 DE 60032448 T DE60032448 T DE 60032448T DE 60032448 T DE60032448 T DE 60032448T DE 60032448 T2 DE60032448 T2 DE 60032448T2
- Authority
- DE
- Germany
- Prior art keywords
- patient
- waveform
- charge
- defibrillator
- voltage
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 230000008878 coupling Effects 0.000 claims description 8
- 238000010168 coupling process Methods 0.000 claims description 8
- 238000005859 coupling reaction Methods 0.000 claims description 8
- 230000007704 transition Effects 0.000 claims description 5
- 238000000034 method Methods 0.000 description 45
- 239000003990 capacitor Substances 0.000 description 34
- 238000004146 energy storage Methods 0.000 description 24
- 230000006870 function Effects 0.000 description 19
- 230000003321 amplification Effects 0.000 description 13
- 238000003199 nucleic acid amplification method Methods 0.000 description 13
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- 230000035479 physiological effects, processes and functions Effects 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 4
- 230000006978 adaptation Effects 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 230000009471 action Effects 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000002051 biphasic effect Effects 0.000 description 2
- 210000004027 cell Anatomy 0.000 description 2
- 210000002421 cell wall Anatomy 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 238000007599 discharging Methods 0.000 description 2
- 238000001827 electrotherapy Methods 0.000 description 2
- 230000005669 field effect Effects 0.000 description 2
- 230000001939 inductive effect Effects 0.000 description 2
- 230000005055 memory storage Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 208000010496 Heart Arrest Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000002238 attenuated effect Effects 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 230000008094 contradictory effect Effects 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 230000001862 defibrillatory effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000005284 excitation Effects 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 238000010304 firing Methods 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000028161 membrane depolarization Effects 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
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- 210000004165 myocardium Anatomy 0.000 description 1
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- 230000009467 reduction Effects 0.000 description 1
- 230000036279 refractory period Effects 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 229910052710 silicon Inorganic materials 0.000 description 1
- 239000010703 silicon Substances 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 208000003663 ventricular fibrillation Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3925—Monitoring; Protecting
- A61N1/3937—Monitoring output parameters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3906—Heart defibrillators characterised by the form of the shockwave
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3906—Heart defibrillators characterised by the form of the shockwave
- A61N1/3912—Output circuitry therefor, e.g. switches
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US484983 | 2000-01-18 | ||
| US09/484,983 US6647290B2 (en) | 2000-01-18 | 2000-01-18 | Charge-based defibrillation method and apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE60032448D1 DE60032448D1 (de) | 2007-02-01 |
| DE60032448T2 true DE60032448T2 (de) | 2007-10-11 |
Family
ID=23926458
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE60032448T Expired - Lifetime DE60032448T2 (de) | 2000-01-18 | 2000-12-22 | Auf Ladung basierte Vorrichtung zur Defibrillation |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US6647290B2 (enExample) |
| EP (1) | EP1118353B1 (enExample) |
| JP (2) | JP4364443B2 (enExample) |
| DE (1) | DE60032448T2 (enExample) |
Families Citing this family (38)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA2469159A1 (en) * | 2001-12-03 | 2003-06-12 | Medtronic, Inc. | Control of arbitrary waveforms for constant delivered energy |
| FR2834218A1 (fr) * | 2001-12-28 | 2003-07-04 | Schiller Medical | Procede et dispositif d'ajustage de l'energie de defibrillation par rapport a la resistance transthoracique d'un patient |
| US8417327B2 (en) * | 2002-06-20 | 2013-04-09 | Physio-Control, Inc. | Variable frequency impedance measurement |
| US20040088011A1 (en) * | 2002-10-31 | 2004-05-06 | Koninklijke Philips Electronics N.V. | Defibrillation circuit that can compensate for a variation in a patient parameter and related defibrillator and method |
| US20050107833A1 (en) | 2003-11-13 | 2005-05-19 | Freeman Gary A. | Multi-path transthoracic defibrillation and cardioversion |
| JP4889939B2 (ja) * | 2003-11-13 | 2012-03-07 | ゾール メディカル コーポレイション | 経胸腔式除細動器 |
| US7224575B2 (en) | 2004-07-16 | 2007-05-29 | Cardiac Pacemakers, Inc. | Method and apparatus for high voltage aluminum capacitor design |
| US20060122657A1 (en) * | 2004-12-04 | 2006-06-08 | Jeffrey Deal | Programmable voltage-waveform-generating battery power source for implantable medical use |
| US8140165B2 (en) | 2005-01-28 | 2012-03-20 | Encore Medical Asset Corporation | Independent protection system for an electrical muscle stimulation apparatus and method of using same |
| JP5047942B2 (ja) * | 2005-03-29 | 2012-10-10 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | インピーダンス補償されたエネルギー供給機能付き除細動器 |
| US7398122B1 (en) * | 2005-04-07 | 2008-07-08 | Pacesetter, Inc. | Self adjusting optimal waveforms |
| EP1874404B1 (en) | 2005-04-19 | 2015-11-04 | Compex Technologies, Inc. | Electrical stimulation device |
| US7821766B2 (en) * | 2007-04-19 | 2010-10-26 | Taser International, Inc. | Systems and methods for pulse delivery |
| US8753334B2 (en) | 2006-05-10 | 2014-06-17 | Covidien Ag | System and method for reducing leakage current in an electrosurgical generator |
| US8170662B2 (en) * | 2006-08-03 | 2012-05-01 | Cardiac Pacemakers, Inc. | Method and apparatus for charging partitioned capacitors |
| US8761875B2 (en) * | 2006-08-03 | 2014-06-24 | Cardiac Pacemakers, Inc. | Method and apparatus for selectable energy storage partitioned capacitor |
| US8154853B2 (en) * | 2006-08-03 | 2012-04-10 | Cardiac Pacemakers, Inc. | Method and apparatus for partitioned capacitor |
| US8620438B1 (en) | 2007-02-13 | 2013-12-31 | Encore Medical Asset Corporation | Method and apparatus for applying neuromuscular electrical stimulation |
| US20090207770A1 (en) * | 2008-02-14 | 2009-08-20 | Fayfield Robert T | Apparatus and method for power management of wirelessly networked devices |
| US8447413B2 (en) * | 2008-04-29 | 2013-05-21 | Medtronic, Inc. | Configuring stimulation therapy using stimulation intensity |
| AR078688A1 (es) | 2009-02-25 | 2011-11-30 | Andrade Eduardo Javier | Disposicion de control para la generacion de ondas de defibrilacion, de carga automaticamente compensada, sin medicion de impedancia del paciente |
| US20100217344A1 (en) * | 2009-02-25 | 2010-08-26 | Gustavo Ernesto Carranza | Control system to generate defibrillation waves of automatically compensated charge without measurement of the impedance of the patient |
| US9764147B2 (en) * | 2009-04-24 | 2017-09-19 | Medtronic, Inc. | Charge-based stimulation intensity programming with pulse amplitude and width adjusted according to a function |
| EP2575962B1 (en) * | 2010-06-04 | 2015-04-01 | University Health Network | Electrical stimulation device |
| US20130093501A1 (en) * | 2010-06-07 | 2013-04-18 | The University Of Electro-Communications | Electrical stimulation device and electrical stimulation method |
| EP2477329A1 (en) * | 2011-01-12 | 2012-07-18 | BIOTRONIK SE & Co. KG | Defibrillator having specialized output waveforms |
| TWI446944B (zh) * | 2011-05-13 | 2014-08-01 | Univ Nat Chiao Tung | 具負載適應性之生物電流刺激器 |
| BE1020076A3 (nl) * | 2011-07-15 | 2013-04-02 | Care Medical Services Q | Werkwijze en een samenstel voor het genereren van signaalvormen voor wondgenezing door elektrostimulatie. |
| US9126055B2 (en) | 2012-04-20 | 2015-09-08 | Cardiac Science Corporation | AED faster time to shock method and device |
| US9295850B2 (en) * | 2012-04-24 | 2016-03-29 | Medtronic, Inc. | Charge-balancing during electrical stimulation |
| CN104736198B (zh) * | 2012-08-20 | 2017-03-08 | 佐尔医药公司 | 将双相方波功率波形施加于负载 |
| US20170056682A1 (en) | 2014-02-24 | 2017-03-02 | Element Science, Inc. | External defibrillator |
| WO2017035502A1 (en) | 2015-08-26 | 2017-03-02 | Element Science, Inc. | Wearable devices |
| US11607555B2 (en) | 2016-12-12 | 2023-03-21 | Avive Solutions, Inc. | Defibrillator discharge control |
| US10946207B2 (en) | 2017-05-27 | 2021-03-16 | West Affum Holdings Corp. | Defibrillation waveforms for a wearable cardiac defibrillator |
| CA3112450C (en) | 2018-10-10 | 2024-11-19 | Element Science, Inc. | A wearable medical device containing both disposable and reusable components. |
| JP2023528159A (ja) * | 2020-05-26 | 2023-07-04 | ゾール メディカル コーポレイション | 電気治療波形及びパルス生成及び送達システム並びに方法 |
| JP2025172996A (ja) * | 2022-10-05 | 2025-11-27 | 株式会社オンラインマスター | 自動体外式除細動器 |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4800883A (en) | 1986-04-02 | 1989-01-31 | Intermedics, Inc. | Apparatus for generating multiphasic defibrillation pulse waveform |
| US4771781A (en) | 1986-10-03 | 1988-09-20 | Lerman Bruce B | Current-based defibrillating method |
| US4953551A (en) | 1987-01-14 | 1990-09-04 | Medtronic, Inc. | Method of defibrillating a heart |
| US4840177A (en) | 1987-11-03 | 1989-06-20 | Hewlett-Packard Company | Current-based defibrillator |
| US5111813A (en) * | 1990-05-18 | 1992-05-12 | Hewlett-Packard Company | Defibrillation employing an impedance-corrected delivered energy |
| US5431686A (en) | 1992-02-18 | 1995-07-11 | Angeion Corporation | Method for optimal pulse defibrillation using an implantable defibrillator |
| US5243975A (en) * | 1991-07-31 | 1993-09-14 | Physio-Control Corporation | Defibrillator with user-interactive screen display |
| US5601612A (en) | 1993-08-06 | 1997-02-11 | Heartstream, Inc. | Method for applying a multiphasic waveform |
| US5607454A (en) | 1993-08-06 | 1997-03-04 | Heartstream, Inc. | Electrotherapy method and apparatus |
| US5540724A (en) * | 1995-02-03 | 1996-07-30 | Intermedics, Inc. | Cardiac cardioverter/defibrillator with in vivo impedance estimation |
| WO1997031680A1 (en) * | 1996-03-01 | 1997-09-04 | Heartstream, Inc. | Electrotherapy method and apparatus |
| US5904706A (en) * | 1996-12-18 | 1999-05-18 | Zmd Corporation | Method and apparatus for producing electrotherapy current waveform with ripple |
| US5800462A (en) * | 1996-12-18 | 1998-09-01 | Zmd Corporation | Electrotherapy circuit for producing therapeutic discharge waveform based on high-current sensing pulse |
| AU7107698A (en) * | 1997-04-08 | 1998-10-30 | Survivlink Corporation | Aami specification optimized truncated exponential waveform |
| WO1998047563A1 (en) | 1997-04-18 | 1998-10-29 | Physio-Control Manufacturing Corporation | Defibrillator method and apparatus |
| US6208896B1 (en) * | 1998-11-13 | 2001-03-27 | Agilent Technologies, Inc. | Method and apparatus for providing variable defibrillation waveforms using switch-mode amplification |
| US6208898B1 (en) * | 1999-03-25 | 2001-03-27 | Agilent Technologies, Inc. | Impedance estimation with dynamic waveform control in an electrotherapy apparatus |
-
2000
- 2000-01-18 US US09/484,983 patent/US6647290B2/en not_active Expired - Fee Related
- 2000-12-22 DE DE60032448T patent/DE60032448T2/de not_active Expired - Lifetime
- 2000-12-22 EP EP00128449A patent/EP1118353B1/en not_active Expired - Lifetime
-
2001
- 2001-01-18 JP JP2001010183A patent/JP4364443B2/ja not_active Expired - Fee Related
-
2009
- 2009-04-14 JP JP2009097569A patent/JP2009154008A/ja active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| DE60032448D1 (de) | 2007-02-01 |
| US20030074025A1 (en) | 2003-04-17 |
| EP1118353A3 (en) | 2004-02-04 |
| US6647290B2 (en) | 2003-11-11 |
| JP2009154008A (ja) | 2009-07-16 |
| JP4364443B2 (ja) | 2009-11-18 |
| EP1118353B1 (en) | 2006-12-20 |
| JP2001218855A (ja) | 2001-08-14 |
| EP1118353A2 (en) | 2001-07-25 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 8364 | No opposition during term of opposition |