JP2011156371A - Cpr胸部圧迫モニタ - Google Patents
Cpr胸部圧迫モニタ Download PDFInfo
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Abstract
【解決手段】変位検出器は、CPR被救護者の脊椎方向への胸部の変位を示す変位指示信号を生成する。信号発生機構は、胸部に加えられる胸部圧迫力と圧迫の周波数とについて指示するための胸部圧迫指示信号を提供する。CPRを被救護者に対して自動的に行うために、自動コントローラ及び自動圧迫装置が設けられてもよい。自動コントローラは、信号発生機構から胸部圧迫指示信号を受信し、これに従って圧迫の力及び周波数を制御する。システムには、装置の傾斜の程度を示す傾斜補償信号を出力する傾斜センサ機構を備えた傾斜補償器が設けられてもよく、さらに、傾斜補償信号に従って距離値を調整する調整器が設けられてもよい。CPRを実施する間に測定されたECG信号からCPRによって誘発されたアーティファクトを除去するためのECG信号プロセッサが設けられてもよい。
【選択図】図6
Description
ここで、θは方向角度に等しく、tは時間ステップに等しく、wはジャイロスコープにより出力された回転速度である。
(2) x=x0+v0×t+(0.5)a×t2
ここで、xは位置に等しく、vは速度に等しく、aは加速度計により出力された加速度に等しい。
(3) xt=x+a×θ1+b×θ2
ここで、xは入力(加速度)、yは測定される出力、zは予測される出力である。
12…加速度計、
18…可聴インジケータ、
24,25…ジャイロスコープ、
26…インターフェース、
28…マイクロプロセッサ。
Claims (18)
- 心肺機能蘇生法(CPR)の効果的な実施を促進するために胸部圧迫の測定及び指示を行うシステムであって、
CPR被救護者の脊椎方向への胸部の変位を示す変位指示信号を生成する変位検出器と、
圧迫周波数を所望の周波数帯域内に変化させて維持し、かつ、胸部の変位を所望の距離範囲内に変化させて維持するために、上記胸部に加えられる所定の胸部圧迫力と所定の圧迫周波数とを指示する胸部圧迫指示信号を提供する信号発生機構とを備えたシステム。 - 上記システムは、
自動コントローラと、
上記自動コントローラの制御下で上記CPR被救護者の胸部に圧迫力を加えることにより被救護者にCPRを実施する自動圧迫装置とをさらに備え、
上記自動コントローラは、上記信号発生機構から上記胸部圧迫指示信号を受信し、上記胸部圧迫指示信号に従って上記CPR被救護者の胸部に加えられる圧迫の力および周波数を制御する請求項1記載のシステム。 - 上記変位検出器は、動作信号を生成する動作検出器を備え、
上記システムは、上記動作信号を距離値に変換する変換器をさらに備え、
上記信号発生機構は、上記距離値を所望範囲と比較する比較器を備えた請求項1記載のシステム。 - 上記動作検出器は、測定された加速度信号を生成する加速度計を備え、
上記変換器は、上記加速度信号を直線変位値に変換する積分器を備えた請求項3記載のシステム。 - 上記システムは、
装置の傾斜の程度を示す傾斜補償信号を出力する傾斜センサ機構を備えた傾斜補償器と、
上記傾斜補償信号に従って上記距離値を調整する調整器とをさらに備えた請求項4記載のシステム。 - 上記システムは、上記変位検出器を少なくとも備える携帯型装置を備えた請求項1記載のシステム。
- 上記携帯型装置は、ハウジング部に連結されたマウントを備え、
上記マウントは、救護者がCPRを実施する間に上記CPR被救護者の胸部に力を作用させる位置に最も近い上記救護者の腕に上記ハウジング部を取り外し可能に固定するための取り外し可能な固定機構を備えた請求項6記載のシステム。 - 上記携帯型装置は、救護者がCPRを実施する間に上記CPR被救護者の胸部に力を作用させる位置に最も近い上記救護者の手からの下向きに作用する力を直に受けるための、救護者の手の受け部を備えた請求項1記載のシステム。
- 上記携帯型装置は胸部接触部をさらに備え、
上記救護者の手の受け部は、上記救護者の手からの下向きに作用する力を上記胸部接触部に伝え、これによりCPRを実施する間に上記胸部接触部は上記CPR被救護者の胸部に上記伝えられた力を作用させる請求項8記載のシステム。 - 救護者がCPR被救護者にCPRを実施する間におけるCPR被救護者の脊椎方向へのCPR被救護者の胸部の動作を示す、測定された動作信号を受信する第1入力と、
CPRを実施する間における測定されたECG信号を受信する第2入力と、
上記測定された動作信号および上記測定されたECG信号を受信し、上記測定されたECG信号に含まれるCPRによって誘発されたアーティファクトを特定するCPR誘発アーティファクト特定器と、
上記測定されたECG信号から上記CPRによって誘発されたアーティファクトを除去することにより、処理されたECG信号を生成するCPR誘発アーティファクト除去器とを備えたECG信号プロセッサ。 - 上記CPR誘発アーティファクト特定器は、推定される線形システムHを特定するシステム特定器を備えた請求項10記載のECG信号プロセッサ。
- 心肺機能蘇生法(CPR)の効果的な実施を促進するために胸部圧迫の測定及び指示を行う方法であって、
CPR被救護者の脊椎方向への胸部の変位を示す変位指示信号を生成することと、
圧迫周波数を所望の周波数帯域内に変化させて維持し、かつ、胸部の変位を所望の距離範囲内に変化させて維持するために、上記胸部に加えられる所定の胸部圧迫力と所定の圧迫周波数とを指示する胸部圧迫指示信号を提供することとを含む方法。 - 上記方法は、
自動コントローラと、上記自動コントローラの制御下でCPR被救護者の胸部に圧迫力を加えることにより被救護者にCPRを実施する自動圧迫装置とを用いることと、
上記自動コントローラにおいて上記胸部圧迫指示信号を受信することと、
上記胸部圧迫指示信号に従って上記CPR被救護者の胸部に加えられる圧迫の力および周波数を上記自動コントローラを用いて制御することとを含む請求項12記載の方法。 - 上記変位指示信号を生成することは、
動作信号を生成する動作検出器を使用することと、
上記動作信号を距離値に変換することと、
上記距離値を所望の範囲と比較することとを含む請求項12記載の方法。 - 上記動作信号を生成することは、測定された加速度信号を生成することを含み、
上記変換することは、上記加速度信号を積分して直線変位値を生成することを含む請求項14記載の方法。 - 上記方法は、
上記動作検出器の傾斜の程度を示す傾斜補償信号を生成することと、
上記傾斜補償信号に従って上記距離値を調整することとをさらに含む請求項15記載の方法。 - 救護者がCPR被救護者にCPRを実施する間におけるCPR被救護者の脊椎方向へのCPR被救護者の胸部の動作を示す、測定された動作信号を受信することと、
CPRを実施する間における測定されたECG信号を受信することと、
上記測定された動作信号および上記測定されたECG信号を受信し、上記測定されたECG信号に含まれるCPRによって誘発されたアーティファクトを特定することと、
上記測定されたECG信号から上記CPRによって誘発されたアーティファクトを除去することにより、処理されたECG信号を生成することとを含むECG信号処理方法。 - 上記CPRによって誘発されたアーティファクトの特定は、推定される線形システムHを特定することを含む請求項17記載のECG信号処理方法。
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