JP2007289785A - 細動除去器 - Google Patents
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- JP2007289785A JP2007289785A JP2007212450A JP2007212450A JP2007289785A JP 2007289785 A JP2007289785 A JP 2007289785A JP 2007212450 A JP2007212450 A JP 2007212450A JP 2007212450 A JP2007212450 A JP 2007212450A JP 2007289785 A JP2007289785 A JP 2007289785A
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- 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]
- A61N1/39044—External heart defibrillators [EHD] in combination with cardiopulmonary resuscitation [CPR] therapy
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Abstract
【解決手段】可聴音及び/または可視画像を発生する発生手段(24、26)と、心臓律動を解析する解析手段(20)と、前記解析手段(20)に応答して、CPRの実行の際に救助者に対する同期プロンプトの形式で前記発生手段(24、26)に前記可聴音及び/または可視画像を発生させ、前記救助者が前記同期プロンプトに対応するレートでCPRを実行するのを補助するCPR命令発生器(22)とを有する細動除去器。
【選択図】図1
Description
米国だけで一日あたり1000人以上の人々が突然の心拍停止の犠牲者になると推定される。
2.高度のケアが到来するまで患者の生存を助けるために傍観者あるいは他の初期の治療提供者によって開始される初期のCPR
3.早い細動除去
4.航空路管理、医薬品等のような高度心臓病患者生命維持(“ACLS”)の早期利用
この救命方式の長所は、カミンズら著の「突然の心拍停止からの生存を改善する(“Improving Survival from Sudden Cardiac Arrest):‘サバイバルの鎖’概念(The 'Chain of Survival' Concept)」(Circulation 83:1832-1847(1991))でより詳細に論述されている。細動除去ステップ(#3)を除いて、これらのガイドラインは、SCAばかりではなく全ての心臓の緊急状態の犠牲者を治療するのに適切である。
・現場が救助に対して安全であることを確認する。
・一般的な予防措置、すなわち手袋、ポケットマスク等を持っていることを確認する。
・患者の数を把握しているか確認する。
・軽く叩いて、“大丈夫か”と叫ぶことで患者が意識があるかどうかを決定する。
・反応が全然ない場合、誰かに911に電話をしてもらう。
・患者をあおむけに置く。
・頭を傾け、下あごを持ち上げるかあるいはあごの骨をぐいと強く突く操作で気道を開く。
・呼吸の間に目で見て、耳で聞き、手で触る。5〜10秒間呼吸を検査する。
・患者が全然呼吸をしていない場合、2回人工呼吸を施す。
・10秒間脈拍を検査する。
・脈拍が全然ない場合、胸圧迫を始め、1分間下記の速度で呼吸する(患者の年齢に依存する)
(付記1)可聴音を発生できる細動除去器であって、前記細動除去器が心臓律動を解析し、かつCPRを実行する際に救助者に命令することを特徴とする細動除去器。
(付記2)前記CPR命令が可聴プロンプトであることを特徴とする付記1記載の細動除去器。
(付記3)前記可聴プロンプトが言葉であることを特徴とする付記2記載の細動除去器。
(付記4)前記可聴プロンプトが音であることを特徴とする付記2記載の細動除去器。
(付記5)前記可聴プロンプトが所定の速度で出されることを特徴とする付記2記載の細動除去器。
(付記6)前記命令が子供のCPRを実行するためのものであることを特徴とする付記1記載の細動除去器。
(付記7)前記命令が大人のCPRを実行するためのものであることを特徴とする付記1記載の細動除去器。
(付記8)可視画像を発生できる細動除去器であって、前記細動除去器が心臓律動を解析し、かつCPRを実行する際に救助者に命令することを特徴とする細動除去器。
(付記9)前記細動除去器が可聴音を発生できることを特徴とする請求の範囲弟8記載の細動除去器。
(付記10)前記CPR命令が可視プロンプトであることを特徴とする付記8記載の細動除去器。
(付記11)前記可視プロンプトがグラフィック画像であることを特徴とする付記10記載の細動除去器。
(付記12)別個のグラフィック画像が、胸圧迫ステップおよび救助呼吸ステップのために与えられることを特徴とする付記11記載の細動除去器。
(付記13)前記可視プロンプトが所定の速度で点滅することを特徴とする付記12記載の細動除去器。
(付記14)前記CPR命令が可聴プロンプトであることを特徴とする付記9記載の細動除去器。
(付記15)前記可聴プロンプトが言葉であることを特徴とする付記14記載の細動除去器。
(付記16)前記可聴プロンプトが所定の速度で出されることを特徴とする付記14記載の細動除去器。
(付記17)前記可聴プロンプトが可視画像と同期化されることを特徴とする付記14記載の細動除去器。
(付記18)前記可視画像が可聴プロンプトと一致するように調時されることを特徴とする付記14記載の細動除去器。
(付記19)前記命令が子供のCPRを実行するためのものであることを特徴とする付記8記載の細動除去器。
(付記20)前記命令が大人のCPRを実行するためのものであることを特徴とする付記8記載の細動除去器。
(付記21)細動除去器システムであって、エネルギー源と、電極インタフェースと、可聴音発生器とを含み、前記電極インタフェースが前記エネルギー源と電気的につながっており、患者に電気療法を与えることと、前記可聴音発生器とつながっているACLS命令発生器とを備えていることを特徴とする細動除去器システム。
(付記22)前記可聴音発生器が、前記ACLS命令発生器からの命令に応じて可聴プロンプトを発生することを特徴とする付記21記載の細動除去器システム。
(付記23)前記可聴プロンプトが言葉であることを特徴とする付記22記載の細動除去器システム。
(付記24)前記可聴プロンプトが音であることを特徴とする付記22記載の細動除去器システム。
(付記25)前記可聴プロンプトが所定の速度で出されることを特徴とする付記22記載の細動除去器システム。
(付記26)前記細動除去器が可視画像発生器を有することを特徴とする付記22記載の細動除去器システム。
(付記27)前記ACLS命令発生器が前記可視画像発生器と通信することを特徴とする付記26記載の細動除去器システム。
(付記28)前記可視画像発生器が可視プロンプトを発生することを特徴とする付記26記載の細動除去器システム。
(付記29)前記可視プロンプトがグラフィック画像であることを特徴とする付記28記載の細動除去器システム。
(付記30)前記命令が子供のCPRを実行するためのものであることを特徴とする付記21記載の細動除去器。
(付記31)前記命令が大人のCPRを実行するためのものであることを特徴とする付記21記載の細動除去器。
(付記32)処置を施す方法であって、(a)患者の心臓律動を解析し、(b)前記心臓律動が電気ショックで治療可能であるかどうかを決定し、(c)ACLS命令を救助者に与えることを含むことを特徴とする処置を施す方法。
(付記33)ACLSを施すプロンプトを提供するステップが、可聴プロンプトを提供することをさらに含むことを特徴とする付記32記載の方法。
(付記34)ACLSを施すプロンプトを提供するステップが、可視プロンプトを提供することをさらに含むことを特徴とする付記32記載の方法。
(付記35)ACLSを施すプロンプトを提供するステップが、可聴プロンプトを提供し、可視プロンプトを提供することをさらに含むことを特徴とする付記32記載の方法。
(付記36)前記命令が子供のACLSを実行するためのものであることを特徴とする付記32記載の方法。
(付記37)前記命令が大人のACLSを実行するためのものであることを特徴とする付記32記載の方法。
12 エネルギー源
14 電極インターフェイス
16 電極対
18 患者
20 コントローラ
22 命令発生器
24 可視画像発生器
26 可視音声発生器
28 データ収集器
Claims (12)
- 可聴音及び/または可視画像を発生する発生手段と、
心臓律動を解析する解析手段と、
前記解析手段に応答して、CPRの実行の際に救助者に対する同期プロンプトの形式で前記発生手段に前記可聴音及び/または可視画像を発生させ、前記救助者が前記同期プロンプトに対応するレートでCPRを実行するのを補助するCPR命令発生器と
を有する細動除去器。 - エネルギー源と、
前記エネルギー源と電気的に連通し、患者に電気療法を与える電極インタフェースと、
前記発生手段と通信するACLS命令発生器と
をさらに有する、請求項1に記載の細動除去器。 - 前記発生手段が、前記ACLS命令発生器からの命令に応答して可聴及び/または可視のACLSプロンプトを発生するように構成されている、請求項2に記載の細動除去器。
- 前記ACLSプロンプトが、言葉または音のプロンプトの形式の可聴プロンプトである、請求項3に記載の細動除去器。
- 前記発生手段が、所定レートで前記可聴ACLSプロンプトを発するように構成されている、請求項3または4に記載の細動除去器。
- 前記発生手段が、可視画像と、前記可視画像に同期した可聴プロンプトとを発生するように構成されている、請求項1乃至5いずれか一項に記載の細動除去器。
- 前記発生手段が、可聴プロンプトと、前記可聴プロンプトに対応するように時間を決められた可視画像とを発生するように構成されている、請求項1乃至6いずれか一項に記載の細動除去器。
- 前記発生手段が、グラフィックス画像の形式で可視プロンプトを発生するように構成されている、請求項1乃至7いずれか一項に記載の細動除去器。
- 前記発生手段が、胸部圧迫ステップと人工呼吸ステップに対して別々のグラフィック画像を発生するように構成された、請求項1乃至8いずれか一項に記載の細動除去器。
- 前記発生手段が、所定レートで点滅する可視プロンプトを発生するように構成されている、請求項1乃至9いずれか一項に記載の細動除去器。
- 前記発生手段が、子供にCPRを実行するための同期CPRプロンプトを発生するように構成されている、請求項1乃至10いずれか一項に記載の細動除去器。
- 前記発生手段が、大人にCPRを実行するための同期CPRプロンプトを発生するように構成されている、請求項1乃至11いずれか一項に記載の細動除去器。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US96534797A | 1997-11-06 | 1997-11-06 | |
US99449597A | 1997-12-19 | 1997-12-19 | |
US08/994,495 | 1997-12-19 | ||
US08/965,347 | 1997-12-19 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP52633699A Division JP4741720B2 (ja) | 1997-11-06 | 1998-10-21 | 同期cprプロンプトを与える細動除去器 |
Publications (2)
Publication Number | Publication Date |
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JP2007289785A true JP2007289785A (ja) | 2007-11-08 |
JP5032916B2 JP5032916B2 (ja) | 2012-09-26 |
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Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP52633699A Expired - Lifetime JP4741720B2 (ja) | 1997-11-06 | 1998-10-21 | 同期cprプロンプトを与える細動除去器 |
JP2007212450A Expired - Lifetime JP5032916B2 (ja) | 1997-11-06 | 2007-08-16 | 細動除去器 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
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JP52633699A Expired - Lifetime JP4741720B2 (ja) | 1997-11-06 | 1998-10-21 | 同期cprプロンプトを与える細動除去器 |
Country Status (5)
Country | Link |
---|---|
US (1) | US6356785B1 (ja) |
EP (1) | EP0948374B1 (ja) |
JP (2) | JP4741720B2 (ja) |
DE (1) | DE69829358T2 (ja) |
WO (1) | WO1999024114A1 (ja) |
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Also Published As
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EP0948374B1 (en) | 2005-03-16 |
EP0948374A1 (en) | 1999-10-13 |
JP5032916B2 (ja) | 2012-09-26 |
WO1999024114A1 (en) | 1999-05-20 |
JP4741720B2 (ja) | 2011-08-10 |
DE69829358T2 (de) | 2006-04-06 |
US6356785B1 (en) | 2002-03-12 |
DE69829358D1 (de) | 2005-04-21 |
JP2001508347A (ja) | 2001-06-26 |
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