JP2001522272A - 細動除去方法および装置 - Google Patents
細動除去方法および装置Info
- Publication number
- JP2001522272A JP2001522272A JP54616498A JP54616498A JP2001522272A JP 2001522272 A JP2001522272 A JP 2001522272A JP 54616498 A JP54616498 A JP 54616498A JP 54616498 A JP54616498 A JP 54616498A JP 2001522272 A JP2001522272 A JP 2001522272A
- Authority
- JP
- Japan
- Prior art keywords
- patient
- impedance
- defibrillation pulse
- defibrillation
- energy
- 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.)
- Ceased
Links
- 238000000034 method Methods 0.000 title claims abstract description 46
- 210000000038 chest Anatomy 0.000 claims abstract description 82
- 238000002847 impedance measurement Methods 0.000 claims abstract description 21
- 238000005259 measurement Methods 0.000 claims description 48
- 238000004146 energy storage Methods 0.000 claims description 46
- 230000001276 controlling effect Effects 0.000 claims description 8
- 238000004891 communication Methods 0.000 claims description 7
- 238000007599 discharging Methods 0.000 claims description 7
- 230000000875 corresponding effect Effects 0.000 claims description 5
- 230000001862 defibrillatory effect Effects 0.000 claims description 4
- 230000002596 correlated effect Effects 0.000 claims description 3
- 238000012544 monitoring process Methods 0.000 claims description 3
- 239000003990 capacitor Substances 0.000 abstract description 47
- 238000013459 approach Methods 0.000 abstract 1
- 230000001965 increasing effect Effects 0.000 description 13
- 206010061592 cardiac fibrillation Diseases 0.000 description 7
- 230000002600 fibrillogenic effect Effects 0.000 description 7
- 230000035939 shock Effects 0.000 description 7
- 208000037918 transfusion-transmitted disease Diseases 0.000 description 7
- 238000010420 art technique Methods 0.000 description 5
- 230000008859 change Effects 0.000 description 5
- 230000006378 damage Effects 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 5
- 230000004044 response Effects 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 230000007423 decrease Effects 0.000 description 4
- 238000013461 design Methods 0.000 description 4
- 230000010349 pulsation Effects 0.000 description 3
- 208000003663 ventricular fibrillation Diseases 0.000 description 3
- 238000004458 analytical method Methods 0.000 description 2
- 206010003119 arrhythmia Diseases 0.000 description 2
- 230000002238 attenuated effect Effects 0.000 description 2
- 238000004364 calculation method Methods 0.000 description 2
- 238000013194 cardioversion Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000007774 longterm Effects 0.000 description 2
- 230000002861 ventricular Effects 0.000 description 2
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 230000007831 electrophysiology Effects 0.000 description 1
- 238000002001 electrophysiology Methods 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000017525 heat dissipation Effects 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000013178 mathematical model Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000006461 physiological response Effects 0.000 description 1
- 238000013139 quantization Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 230000033764 rhythmic process 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
- 238000012360 testing method Methods 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
- A61N1/3904—External heart defibrillators [EHD]
- A61N1/39046—User protection from shock
-
- 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
- A61N1/3904—External heart defibrillators [EHD]
-
- 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
- A61N1/3943—Monitoring output parameters for threshold determination
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 (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US84457297A | 1997-04-18 | 1997-04-18 | |
| US08/844,572 | 1997-04-18 | ||
| PCT/US1998/007669 WO1998047563A1 (en) | 1997-04-18 | 1998-04-17 | Defibrillator method and apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2001522272A true JP2001522272A (ja) | 2001-11-13 |
| JP2001522272A5 JP2001522272A5 (https=) | 2005-11-24 |
Family
ID=25293098
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP54616498A Ceased JP2001522272A (ja) | 1997-04-18 | 1998-04-17 | 細動除去方法および装置 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US5999852A (https=) |
| EP (1) | EP1009481A1 (https=) |
| JP (1) | JP2001522272A (https=) |
| CN (1) | CN1230227C (https=) |
| AU (1) | AU7125198A (https=) |
| IL (1) | IL131821A (https=) |
| WO (1) | WO1998047563A1 (https=) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2008534107A (ja) * | 2005-03-29 | 2008-08-28 | 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 |
| JP2013132456A (ja) * | 2011-12-27 | 2013-07-08 | Fukuda Denshi Co Ltd | 体外式除細動器 |
Families Citing this family (49)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6317628B1 (en) | 1999-01-25 | 2001-11-13 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with painless defribillation lead impedance measurement |
| US6208898B1 (en) * | 1999-03-25 | 2001-03-27 | Agilent Technologies, Inc. | Impedance estimation with dynamic waveform control in an electrotherapy apparatus |
| WO2001082099A1 (en) * | 1999-05-01 | 2001-11-01 | The Court Of Napier University | Method of analysis of medical signals |
| GB2389047B (en) * | 1999-06-30 | 2004-02-11 | Koninkl Philips Electronics Nv | Electrotherapy apparatus |
| US6317635B1 (en) * | 1999-06-30 | 2001-11-13 | Dennis E. Ochs | Sensor responsive electrotherapy apparatus |
| US6546287B1 (en) * | 1999-10-08 | 2003-04-08 | Purdue Research Foundation | Controlled-power defibrillator and method of defibrillation |
| US6647290B2 (en) | 2000-01-18 | 2003-11-11 | Koninklijke Philips Electronics N.V. | Charge-based defibrillation method and apparatus |
| US6421563B1 (en) * | 2000-03-01 | 2002-07-16 | Medtronic Physio-Control Manufacturing Corp. | Solid-state multiphasic defibrillation circuit |
| US6400984B1 (en) * | 2000-06-09 | 2002-06-04 | Medtronic Physio-Control Manufacturing Corp. | Method and apparatus for detecting whether a load is a patient or a test device |
| US6438419B1 (en) * | 2000-09-28 | 2002-08-20 | The University Of Pittsburgh | Method and apparatus employing a scaling exponent for selectively defibrillating a patient |
| US6539258B1 (en) | 2000-10-06 | 2003-03-25 | Medtronic Physio-Control Manufacturing Corp. | Energy adjusting circuit for producing an ultra-low energy defibrillation waveform with fixed pulse width and fixed tilt |
| US6553257B2 (en) * | 2001-03-13 | 2003-04-22 | Koninklijke Philips Electronics N.V. | Interactive method of performing cardipulmonary resuscitation with minimal delay to defibrillation shocks |
| US6751502B2 (en) | 2001-03-14 | 2004-06-15 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with defibrillation threshold prediction |
| US6650936B2 (en) | 2001-04-23 | 2003-11-18 | Medtronic Physio-Control Manufacturing Corporation. | Method and apparatus for delivering electrotherapy having an equivalent probability of success for different patients |
| US20030125771A1 (en) * | 2001-08-01 | 2003-07-03 | Medical Research Laboratories, Inc. | Multiphasic defibrillator utilizing controlled energy pulses |
| EP1432474A4 (en) * | 2001-08-31 | 2008-05-28 | Access Cardiosystems Inc | AUTOMATIC EXTERNAL DEFIBRILLATOR SYSTEM (DEA) |
| US6839590B2 (en) | 2001-10-22 | 2005-01-04 | Medtronic Physio-Control Corp. | Average current mode controlled energy storage in a defibrillator |
| US6813517B2 (en) | 2001-11-06 | 2004-11-02 | Medtronic Physio-Control Corp. | Configuring defibrillator energy dosing |
| US8417327B2 (en) * | 2002-06-20 | 2013-04-09 | Physio-Control, Inc. | Variable frequency impedance measurement |
| US20040116969A1 (en) * | 2002-08-26 | 2004-06-17 | Owen James M. | Pulse detection using patient physiological signals |
| US7920917B2 (en) * | 2003-07-17 | 2011-04-05 | Physio-Control, Inc. | External defibrillator and methods for operating the external defibrillator |
| US6827695B2 (en) | 2002-10-25 | 2004-12-07 | Revivant Corporation | Method of determining depth of compressions during cardio-pulmonary resuscitation |
| US7047072B2 (en) * | 2002-12-04 | 2006-05-16 | Medtronic Emergency Response Systems, Inc. | Selecting Electrotherapy dosage |
| US7917217B2 (en) | 2003-05-07 | 2011-03-29 | Medtronic, Inc. | Wet tantalum reformation method and apparatus |
| 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 |
| CA2617229A1 (en) * | 2004-07-30 | 2006-02-09 | Access Cardiosystems, Inc. | Method and apparatus for determining battery capacity in a defibrillator |
| US20060022645A1 (en) | 2004-07-30 | 2006-02-02 | Bowers Kyle R | Method and apparatus for determining battery capacity in a defibrillator |
| EP1793894B1 (en) * | 2004-09-20 | 2010-06-02 | Koninklijke Philips Electronics N.V. | External defibrillator having a ceramic storage capacitor and energy conditioning circuit |
| US7711425B2 (en) * | 2005-08-22 | 2010-05-04 | Cardiac Pacemakers, Inc. | Defibrillation threshold prediction methods and systems |
| US7890167B2 (en) * | 2007-04-03 | 2011-02-15 | Cardiac Pacemakers, Inc. | Pain free defibrillation threshold estimation |
| USD671125S1 (en) | 2010-09-02 | 2012-11-20 | Nellcor Puritan Bennett Llc | Display screen with a graphical user interface |
| US8521247B2 (en) | 2010-12-29 | 2013-08-27 | Covidien Lp | Certification apparatus and method for a medical device computer |
| US10500405B2 (en) * | 2012-09-28 | 2019-12-10 | Physio-Control, Inc. | Preventing use of sync mode during cardioversion and defibrillation |
| US9827435B2 (en) * | 2012-09-28 | 2017-11-28 | Physio-Control, Inc. | Defibrillator with sync mode assisting selection of feature to lock-on |
| US9981141B2 (en) * | 2012-09-28 | 2018-05-29 | Physio-Control, Inc. | Intelligent sync mode for defibrillation |
| US9981140B2 (en) * | 2012-09-28 | 2018-05-29 | Physio-Control, Inc. | Defibrillator warning of sync mode setting after delivery of shock |
| US8868178B2 (en) * | 2012-12-11 | 2014-10-21 | Galvani, Ltd. | Arrhythmia electrotherapy device and method with provisions for mitigating patient discomfort |
| CN102974041A (zh) * | 2012-12-20 | 2013-03-20 | 久心医疗科技（苏州）有限公司 | 一种具有自适应能力的智能除颤装置 |
| EP3188795B1 (en) * | 2014-09-02 | 2023-12-27 | ZOLL Medical Corporation | Impedance spectroscopy for defibrillator applications |
| US10682282B2 (en) | 2015-10-16 | 2020-06-16 | Zoll Circulation, Inc. | Automated chest compression device |
| US10639234B2 (en) | 2015-10-16 | 2020-05-05 | Zoll Circulation, Inc. | Automated chest compression device |
| WO2017066001A1 (en) | 2015-10-16 | 2017-04-20 | Zoll Medical Corporaton | Dual sensor electrodes for providing enhanced resuscitation feedback |
| US11246795B2 (en) | 2017-04-20 | 2022-02-15 | Zoll Circulation, Inc. | Compression belt assembly for a chest compression device |
| US10874583B2 (en) | 2017-04-20 | 2020-12-29 | Zoll Circulation, Inc. | Compression belt assembly for a chest compression device |
| US10946207B2 (en) * | 2017-05-27 | 2021-03-16 | West Affum Holdings Corp. | Defibrillation waveforms for a wearable cardiac defibrillator |
| US10905629B2 (en) | 2018-03-30 | 2021-02-02 | Zoll Circulation, Inc. | CPR compression device with cooling system and battery removal detection |
| US12508203B2 (en) | 2018-03-30 | 2025-12-30 | Zoll Circulation, Inc. | CPR compression device with cooling system and battery removal detection |
| CN119909317B (zh) * | 2025-01-09 | 2025-07-11 | 北京维康达心科技有限公司 | 提高除颤系统的除颤能量释放精度的方法、装置及存储介质 |
Family Cites Families (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3886950A (en) * | 1973-10-01 | 1975-06-03 | Spacelabs Inc | Defibrillator |
| US3860009A (en) * | 1973-11-29 | 1975-01-14 | David Bell | Computer controlled defibrillator |
| US4328808A (en) * | 1980-10-09 | 1982-05-11 | Hewlett-Packard Company | Defibrillator with means for determining patient impedance and delivered energy |
| US4574810A (en) | 1984-10-05 | 1986-03-11 | Lerman Bruce B | Automatic threshold defibrillator |
| US5088489A (en) * | 1986-10-03 | 1992-02-18 | Lerman Bruce B | Current-based defibrillating method |
| US4771781A (en) * | 1986-10-03 | 1988-09-20 | Lerman Bruce B | Current-based defibrillating method |
| US4840177A (en) | 1987-11-03 | 1989-06-20 | Hewlett-Packard Company | Current-based defibrillator |
| US5215081A (en) * | 1989-12-28 | 1993-06-01 | Telectronics Pacing Systems, Inc. | Method and device for measuring subthreshold defibrillation electrode resistance and providing a constant energy shock delivery |
| US5111813A (en) | 1990-05-18 | 1992-05-12 | Hewlett-Packard Company | Defibrillation employing an impedance-corrected delivered energy |
| US5243975A (en) * | 1991-07-31 | 1993-09-14 | Physio-Control Corporation | Defibrillator with user-interactive screen display |
| US5230336A (en) | 1991-08-16 | 1993-07-27 | Ventritex, Inc. | Method and apparatus for impedance based automatic pulse duration adjustment for defibrillation shock delivery |
| US5224475A (en) * | 1991-11-20 | 1993-07-06 | Medtronic, Inc. | Method and apparatus for termination of ventricular tachycardia and ventricular fibrillation |
| US5474574A (en) * | 1992-06-24 | 1995-12-12 | Cardiac Science, Inc. | Automatic external cardioverter/defibrillator |
| US5431687A (en) * | 1993-04-09 | 1995-07-11 | Angeion Corporation | Impedance timed defibrillation system |
| US5607454A (en) * | 1993-08-06 | 1997-03-04 | Heartstream, Inc. | Electrotherapy method and apparatus |
| US5601612A (en) * | 1993-08-06 | 1997-02-11 | Heartstream, Inc. | Method for applying a multiphasic waveform |
| US5540723A (en) * | 1993-10-06 | 1996-07-30 | Duke University | Method and apparatus for delivering an optimum shock duration in treating cardiac arrhythmias |
| US5540724A (en) * | 1995-02-03 | 1996-07-30 | Intermedics, Inc. | Cardiac cardioverter/defibrillator with in vivo impedance estimation |
| US5899924A (en) * | 1996-04-12 | 1999-05-04 | Survivalink Corporation | Single capacitor truncated damped sinusoidal defibrillation waveform |
-
1998
- 1998-04-17 AU AU71251/98A patent/AU7125198A/en not_active Abandoned
- 1998-04-17 IL IL13182198A patent/IL131821A/en not_active IP Right Cessation
- 1998-04-17 WO PCT/US1998/007669 patent/WO1998047563A1/en not_active Ceased
- 1998-04-17 EP EP98918299A patent/EP1009481A1/en not_active Withdrawn
- 1998-04-17 JP JP54616498A patent/JP2001522272A/ja not_active Ceased
- 1998-04-17 CN CNB988041782A patent/CN1230227C/zh not_active Expired - Fee Related
- 1998-04-17 US US09/062,192 patent/US5999852A/en not_active Expired - Lifetime
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2008534107A (ja) * | 2005-03-29 | 2008-08-28 | 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 |
| JP2013132456A (ja) * | 2011-12-27 | 2013-07-08 | Fukuda Denshi Co Ltd | 体外式除細動器 |
Also Published As
| Publication number | Publication date |
|---|---|
| IL131821A (en) | 2004-07-25 |
| CN1252733A (zh) | 2000-05-10 |
| EP1009481A1 (en) | 2000-06-21 |
| WO1998047563A1 (en) | 1998-10-29 |
| CN1230227C (zh) | 2005-12-07 |
| AU7125198A (en) | 1998-11-13 |
| IL131821A0 (en) | 2001-03-19 |
| US5999852A (en) | 1999-12-07 |
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