EP1913924A1 - Träger für eine Brustkompressionsvorrichtung - Google Patents

Träger für eine Brustkompressionsvorrichtung Download PDF

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Publication number
EP1913924A1
EP1913924A1 EP07020602A EP07020602A EP1913924A1 EP 1913924 A1 EP1913924 A1 EP 1913924A1 EP 07020602 A EP07020602 A EP 07020602A EP 07020602 A EP07020602 A EP 07020602A EP 1913924 A1 EP1913924 A1 EP 1913924A1
Authority
EP
European Patent Office
Prior art keywords
patient
support according
back plate
support
side part
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.)
Granted
Application number
EP07020602A
Other languages
English (en)
French (fr)
Other versions
EP1913924B1 (de
Inventor
Frederik Hansen
Oyvind Tjolsen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Laerdal Medical AS
Original Assignee
Laerdal Medical AS
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from US11/584,256 external-priority patent/US8002720B2/en
Application filed by Laerdal Medical AS filed Critical Laerdal Medical AS
Publication of EP1913924A1 publication Critical patent/EP1913924A1/de
Application granted granted Critical
Publication of EP1913924B1 publication Critical patent/EP1913924B1/de
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/004—Heart stimulation
    • A61H31/006—Power driven
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/008—Supine patient supports or bases, e.g. improving air-way access to the lungs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
    • A61H2031/002—Artificial respiration or heart stimulation, e.g. heart massage fixed on the chest by adhesives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0161—Size reducing arrangements when not in use, for stowing or transport

Definitions

  • This invention is related to resuscitation systems, and more particularly to a support device for a chest compression system and a chest compression system provided with such a support.
  • CPR Cardio Pulmonary Resuscitation
  • Heart defibrillation is performed to re-establish normal heart rhythm by delivery of an external electric shock.
  • the quality of CPR is essential for survival. Chest compressions must be given with a minimum of interruptions, and be of sufficient depth and rate. Performing chest compressions manually is an extremely exhausting task, and it is practically impossible to give manual CPR of sufficient quality during transportation of a patient.
  • US 5743864 describes a device for automatic mechanical external chest compressions consisting of a vertical column attached to a base plate.
  • a cantilevered arm with a cylinder and piston assembly is connected to an annular collar adapted to surround the patient.
  • the annular collar is formed by a single membrane or by an outer and an inner membrane. The collar does not permit adaptation to different patient sizes and shapes.
  • US 6398745 is another example of an automatic CPR-device.
  • This device comprises a compression belt around the chest of the patient which compression belt is repetitively tightened and relaxed through the action of a belt tightening spool.
  • the compression belt will compress and decompress and can easily get caught in the patient's clothes. For this reason the patient must be unclothed before the chest compression procedure can start, and valuable time is lost.
  • Belt devices have other disadvantages, among other things that the belt covers a large area of the patient's chest interfering with defibrillation electrodes (requiring that the belt is removed before defibrillation can take place), that it makes stethoscope check of correct intubation and check of chest rise cumbersome.
  • US 2003181834 describes another chest compression apparatus.
  • the device comprises a back plate for positioning behind the patient's back posterior to the patient's heart and a front part for positioning around the patient's chest anterior to the patient's heart.
  • the front part comprises two legs which can be coupled to the back plate, these legs have a fixed position on the back plate and thus do not permit adaptation to the patient's width.
  • the front part comprises a compression unit which automatically compresses or decompresses the patient's chest and a compression member which can be fastened to the patient's chest by means of a vacuum cup. This vacuum cup will get correctly fixed in some patients but will displace on the chest in other patients leading to incorrect chest compressions (unstability).
  • the object of the invention is to provide a support which maintains a substantially constant positioning and force direction of the chest compression system on the patient's chest (stability) and at the same time is easily and swiftly ready for use.
  • a substantially constant positioning of the chest compression system on the patient's chest is important in order to obtain the necessary quality of the compressions and for safety reasons.
  • a support for a chest compression system comprising a back plate, a front part and a side part, where the front part comprises a seat for a compression member.
  • the support is characterised in that it is adapted to provide adjustable spacing between the seat and the back plate.
  • the invention comprises also a chest compression system comprising such a support.
  • the back plate comprises a patient receiving surface which is limited by the side part.
  • the patient receiving surface has an adjustable area. The object of this feature is to ensure that most patients regardless of their size will be limited in their lateral movement by the side part, this being displaceable on the back plate to a wanted distance from the patient's sides.
  • the support according to the invention can comprise rotatable and/or telescopic and/or sliding devices to provide said adjustable spacing between the seat of the compression member and the back plate.
  • One possibility is to provide a side part in the form of telescopic legs with a length adjustable to the patient's size and which can le locked into place thereafter.
  • Another possibility is to provide hinges in the side part to provide an adjustable length. It is also possible to equip the front part with devices for adjusting the distance while the side part has a constant length and configuration.
  • the adjustable area of the patient receiving surface is provided by the side part being slidably connected to the back plate.
  • This can be achieved by providing one or more slides and protrusions in the back plate and in the side part.
  • Said slides can have transversal recesses with circular cross permitting rotation of the side part. This permits displacement of the lower edge of the side part (e.g. legs) on the back plate to situate said lower edge against the patient's body and thus provide stability in the chest compression.
  • Locking of the side part can be performed by means of locking devices or e.g. by providing slides with separated locking positions (notches).
  • the side part prefferably be rotatable and not slidably fastened to the back plate. Rotation of the side part to a position near the patient's side will provide the wanted limitation of the patient's lateral movement.
  • a rotatable coupling can be provided during the manufacturing process if the side part (e.g. in the form of legs) is integrated to the back plate or by elements (e.g. hinges) situated between the side part and the back plate if the back plate and side part are separate elements.
  • the side part e.g. in the form of legs
  • elements e.g. hinges
  • the side part comprises two legs with adjustable length.
  • a variation in the length of one leg leads to a similar variation in the length of the other leg.
  • the legs can be fastened to or integrated in the front part and comprise coupling elements for coupling to the back plate, they can be fastened to or integrated in the back plate and comprise coupling elements for coupling to the front plate or they can comprise an upper part fastened to or integrated into the front plate and a lower part fastened to or integrated into the back plate, said parts comprising coupling elements for connection to one another.
  • the support according to the invention will in use surround the patient's body, and it will ensure that the compression member exerts a force on a determined place on the patient's body and in a determined direction. Said place corresponds to the lower sternum and said direction is substantially perpendicular to the patient's chest surface.
  • the support according to the invention is in one embodiment symmetric in relation to an axis longitudinal to the patient, to provide further precision.
  • the positioning of the patient relative to the support is partly or fully an inherent property of the support. As mentioned above, the positioning relative to the patient's width may be performed by arranging the side part of the support close in contact with the patient's sides and thus adapting the area of the patient's receiving surface to the actual patient's size.
  • the positioning relative to the patient's length may be facilitated by means of illustrations on the support or by other display devices, by means of straps, etc.
  • the support according to the invention can easily be adapted to patients with different body shapes and sizes by varying the distance between the back plate and the seat for the compression member in addition to the above mentioned width adaptation.
  • the chest compression system may be any system suitable for compressing the chest of a patient, such as pneumatic, hydraulic or electric actuated pistons, bladders, etc.
  • the chest compression member may be fixed to the patient's chest by means of fastening devices such as tape or by vacuum, or it can be merely in contact with the chest without being fastened to the chest.
  • the support according to one embodiment of the invention will be placed on the patient by first situating the back plate under the patient's back, then placing the front part over the patient and coupling the back plate to the front part by means of the side part.
  • the lower edge of the side part will be displaced until it comes into contact with the patient or is situated at a desired distance from the patient's sides, will be locked in position and finally the seat of the compression member will be lowered until it is situated at the desired distance from the patient's chest and locked into position. It is also possible to exchange the order of the above mentioned steps e.g. by positioning the seat in the correct distance before displacing the legs towards the patient.
  • the legs are provided with an adhesive or a high friction material on the lower end to permit secure positioning on the patient's body.
  • the seat comprises fastening devices for the compression member, which fastening devices ensure that the compression force has a direction substantially perpendicular to the patient's chest.
  • the compression member is integrated in the seat and the seat is attached to the front part in a manner which ensures that the compression force has a direction substantially perpendicular to the patient's chest.
  • the support comprises straps to provide correct positioning of the patient in the longitudinal direction.
  • the seat for the compression member comprises a transverse plate, which is arranged substantially parallel to the back plate when the support is deployed. In this way, the support forms a quadrangle round the patient. As mentioned before the width and the height of the quadrangle may be adjusted to fit each patient.
  • the side part in the form of legs is rotatably fastened to the front part and comprises coupling elements for coupling to the back plate.
  • the legs are telescopic, and the connection between the legs and the back plate is adjustable.
  • the legs are interconnected in such a way that the lateral adjustment of one leg leads to an equal lateral adjustment of the other leg.
  • the compression member is firmly and fixed connected to the transverse plate in a position which ensures correct positioning on the patient's chest and correct direction of the force applied on the patient's chest..
  • the support according to the invention can be implemented as a frame, a stand, etc. of suitable design.
  • the support may be collapsible, demountable or foldable in order to minimize volume of the system when not in use.
  • the support is easy to assemble and prepare for use, in order to minimize time wasted on assembling and mounting. This will be illustrated in the exemplary embodiments.
  • Figure 1 is a block diagram showing the support according to the invention schematically. It comprises a back plate 1, a front part 2 and a side part 3, where the front part comprises a seat 4 for a compression member 5 and the side part 3 can be coupled to the back plate 1 and to the front part 2 and is adapted to provide an adjustable distance d between the seat 4 and the back plate 1.
  • the term "hinges” used in the present invention relates to any element which permits at least rotational connection between two parts. Said elements can permit slidable connection in addition.
  • FIG. 2 shows a first embodiment of the invention.
  • the front part comprises a transverse plate 10 where the chest compression system is situated.
  • the chest compression system comprises in this embodiment of the invention a chest compression member 5 in the form of a piston, a transmission mechanism for transmitting energy to the piston, a motor, a power supply (not shown). It is possible within the scope of the present claims that part of the chest compression system is situated externally to the support, the support being mechanically attached to the compression member.
  • Transverse plate 10 is substantially rectangular in this embodiment of the invention and is coupled on its short edges to two lateral legs.
  • the connection between transverse plate 10 and the side part in the form of legs is implemented by hinges 11, this permitting to rotate the legs towards the transverse plate 10 to provide a storage position for the chest compression system and the support.
  • the legs are adapted for abutment against the sides of the patient's body.
  • the legs comprise an upper part 12 and a lower part 13.
  • the upper part 12 is hinged to the transverse plate 10 and is also situated telescopically inside the lower part 13. This arrangement permits easy adaptation of the legs' length to the patient's chest height.
  • the devices for locking the legs at the wanted length are not shown in the figure.
  • the lower edge of the lower part 13 is connected to the back plate 1 adapted for placement under the patient's back and defines the patient receiving surface 100.
  • the legs' lower parts 13 can be fixed or rotatably connected to back plate 1. In one embodiment of the invention they are rotatably and slidably connected to plate 1 (hinges 14).
  • Figure 3 shows back plate 1 which in this embodiment of the invention is provided with coupling devices or slides 20 which permit displacement of the lower edge of the legs on the back plate. These devices 20 permit to displace the lower edge of part 13 towards the patient to adjust the area of the patient receiving surface to the patient's size. It is also possible to provide a single slide for each leg.
  • the assembly formed by the front plate 10 and the legs 12, 13 provides a first section of the support and the back plate 1 provides a second section of the support.
  • FIG 4 shows the support according to the invention in a folded storage position.
  • the legs 12, 13 are reduced telescopically in length and transverse plate 10 with the chest compression system is situated adjacent to the legs.
  • Back plate 1 is situated under the first section comprising transverse plate 1 and legs 12, 13.
  • the support can be packed in a bag of suitable dimensions and one possibility is to situate back plate 1 on top of the first section so that the back plate is available for the operator when the bag is opened.
  • the operator will place the back plate 1 under the patient, thereafter get hold of the first part by means of handles (not shown) and the legs 12, 13 will rotate away from the transverse plate 10 either by means of spring devices or by gravity or by a combination of these.
  • the legs 12, 13 will also expand to their full length. This movement can be controlled e.g. by release mechanisms in connection with the handles.
  • the first element is placed over the patient, coupled to the back plate 1 and adjusted to the patient's size.
  • the upper and lower part 12, 13 of the legs can be separated, this operation providing two separate sections, one comprising the transverse plate 10 with the above mentioned devices on it and one comprising the lower part of the legs 13 and the back plate 1.
  • the separate parts can be folded to a flat position permitting easy storage of the device.
  • FIG. 5 shows a second embodiment of the invention.
  • the chest compression system is situated in a body 30.
  • the upper parts of the legs 12 are rotatably connected to the body 30 by means of hinges 31 or similar devices.
  • Hinges 31 are situated in the vicinity of one another and are in one embodiment of the invention interconnected.
  • the upper and lower parts of each leg (12 and 13 respectively) are also rotatably coupled to one another by means of hinges 32.
  • Hinges 31 and 32 provide also in one embodiment of the invention locking of the body 30 at a determined distance from the back plate 1.
  • the lower part of each leg is rotatably and slidably connected to back plate 1.
  • This device can be divided in a first and a second section in a manner similar as that described in relation to figures 1-4.
  • the support according to the invention can be provided with devices to ensure symmetry with respect to the patient's longitudinal direction during height and width adjustment.
  • These devices can comprise toothed wheels, rods, ribbons, etc.
  • the support can comprise a body 30 and telescopic legs.
  • Figure 7 shows a third embodiment of the invention where block 30 comprises elements 40 which can rotate and slide and where the connection 14 between the lower part of legs 13 and plate 1 permits sliding but rot rotation.
  • Figure 8 shows a fourth embodiment of the invention, where the front part comprises a body 30 provided with means for adjusting the distance between seat 4 for the compression member 5 and back plate 1.
  • legs 50 are inextensible, are slidably connected to back plate 1 and can be locked in different positions to provide an adjustable area for the patient receiving surface.
EP07020602A 2006-10-20 2007-10-19 Träger für eine Brustkompressionsvorrichtung Not-in-force EP1913924B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/584,256 US8002720B2 (en) 2006-10-20 2006-10-20 Support for chest compression system
NO20064770 2006-10-20

Publications (2)

Publication Number Publication Date
EP1913924A1 true EP1913924A1 (de) 2008-04-23
EP1913924B1 EP1913924B1 (de) 2010-10-06

Family

ID=38962716

Family Applications (1)

Application Number Title Priority Date Filing Date
EP07020602A Not-in-force EP1913924B1 (de) 2006-10-20 2007-10-19 Träger für eine Brustkompressionsvorrichtung

Country Status (5)

Country Link
EP (1) EP1913924B1 (de)
JP (1) JP5073445B2 (de)
AT (1) ATE483440T1 (de)
AU (1) AU2007229410B2 (de)
DE (1) DE602007009618D1 (de)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013030700A1 (en) * 2011-08-26 2013-03-07 Koninklijke Philips Electronics N.V. Cardio pulmonary resuscitation device with means for initial setup
WO2015082318A1 (en) * 2013-12-03 2015-06-11 Koninklijke Philips N.V. Moving box automated cardio pulmonary resuscitation device
US9707151B2 (en) 2010-09-20 2017-07-18 Koninklijke Philips N.V. Laser alignment for automated CPR device
CN109288663A (zh) * 2018-12-06 2019-02-01 青岛大学附属医院 一种急诊内科心脑肺复苏抢救装置
CN113057876A (zh) * 2021-03-23 2021-07-02 徐州医科大学 一种便携式心肺复苏保护装置

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101081150B1 (ko) 2008-11-07 2011-11-07 이성수 흉벽보조기
CN104981228B (zh) * 2013-02-04 2017-07-11 皇家飞利浦有限公司 用于自动cpr装置的可延伸元件的一次性覆盖套
KR101469742B1 (ko) * 2013-03-13 2014-12-05 선동윤 새가슴 교정기
KR101532418B1 (ko) * 2014-09-16 2015-06-30 서울특별시 흉부 압박 시스템
DE102015101706A1 (de) * 2015-02-06 2016-08-11 GS Elektromedizinische Geräte G. Stemple GmbH Vorrichtung zur kardiopulmonalen Massage und/oder Reanimation
KR102554486B1 (ko) * 2023-02-13 2023-07-11 서울특별시 휴대형 자동심폐소생장치

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB527048A (en) 1939-03-30 1940-10-01 Alfred Pericles Maxfield Improvements in artificial respiration appliances
US3425409A (en) * 1965-11-08 1969-02-04 Max Isaacson Resuscitator
US3489140A (en) * 1960-08-05 1970-01-13 Hyman Hurvitz Apparatus to restore heartbeat
US3782371A (en) * 1971-06-07 1974-01-01 R Derouineau Resuscitation apparatus for simultaneous cardiac massage and artificial respiration
US4237872A (en) * 1979-04-30 1980-12-09 Harrigan Roy Major External cardiac resuscitation aid
US4632094A (en) 1985-03-25 1986-12-30 Thomas August A Electro-mechanical heart compressor system
US5743864A (en) 1995-06-29 1998-04-28 Michigan Instruments, Inc. Method and apparatus for performing cardio-pulmonary resuscitation with active reshaping of chest
US6398745B1 (en) 1998-05-29 2002-06-04 Revivant Corporation Modular CPR assist device
US20030181834A1 (en) 2002-03-21 2003-09-25 Jolife Ab Support structure

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2000024069A (ja) * 1998-07-15 2000-01-25 Kooken Medical Kk 自動衝撃心肺蘇生器

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB527048A (en) 1939-03-30 1940-10-01 Alfred Pericles Maxfield Improvements in artificial respiration appliances
US3489140A (en) * 1960-08-05 1970-01-13 Hyman Hurvitz Apparatus to restore heartbeat
US3425409A (en) * 1965-11-08 1969-02-04 Max Isaacson Resuscitator
US3782371A (en) * 1971-06-07 1974-01-01 R Derouineau Resuscitation apparatus for simultaneous cardiac massage and artificial respiration
US4237872A (en) * 1979-04-30 1980-12-09 Harrigan Roy Major External cardiac resuscitation aid
US4632094A (en) 1985-03-25 1986-12-30 Thomas August A Electro-mechanical heart compressor system
US5743864A (en) 1995-06-29 1998-04-28 Michigan Instruments, Inc. Method and apparatus for performing cardio-pulmonary resuscitation with active reshaping of chest
US6398745B1 (en) 1998-05-29 2002-06-04 Revivant Corporation Modular CPR assist device
US20030181834A1 (en) 2002-03-21 2003-09-25 Jolife Ab Support structure

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9707151B2 (en) 2010-09-20 2017-07-18 Koninklijke Philips N.V. Laser alignment for automated CPR device
WO2013030700A1 (en) * 2011-08-26 2013-03-07 Koninklijke Philips Electronics N.V. Cardio pulmonary resuscitation device with means for initial setup
CN103764091A (zh) * 2011-08-26 2014-04-30 皇家飞利浦有限公司 具有初始设置工具的心肺复苏装置
RU2631415C2 (ru) * 2011-08-26 2017-09-21 Конинклейке Филипс Н.В. Устройство кардиопульмональной реанимации со средством для начальной установки
WO2015082318A1 (en) * 2013-12-03 2015-06-11 Koninklijke Philips N.V. Moving box automated cardio pulmonary resuscitation device
CN109288663A (zh) * 2018-12-06 2019-02-01 青岛大学附属医院 一种急诊内科心脑肺复苏抢救装置
CN113057876A (zh) * 2021-03-23 2021-07-02 徐州医科大学 一种便携式心肺复苏保护装置
CN113057876B (zh) * 2021-03-23 2021-09-07 徐州医科大学 一种便携式心肺复苏保护装置

Also Published As

Publication number Publication date
JP5073445B2 (ja) 2012-11-14
ATE483440T1 (de) 2010-10-15
AU2007229410B2 (en) 2013-05-16
JP2008119460A (ja) 2008-05-29
DE602007009618D1 (de) 2010-11-18
EP1913924B1 (de) 2010-10-06
AU2007229410A1 (en) 2008-05-08

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