JP2011524782A - 除細動器 - Google Patents
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- JP2011524782A JP2011524782A JP2011514519A JP2011514519A JP2011524782A JP 2011524782 A JP2011524782 A JP 2011524782A JP 2011514519 A JP2011514519 A JP 2011514519A JP 2011514519 A JP2011514519 A JP 2011514519A JP 2011524782 A JP2011524782 A JP 2011524782A
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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
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0526—Head electrodes
- A61N1/0546—Nasal electrodes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4806—Sleep evaluation
- A61B5/4818—Sleep apnoea
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- 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
- A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
- A61H39/002—Using electric currents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M15/00—Inhalators
- A61M15/08—Inhaling devices inserted into the nose
- A61M15/085—Fixing means therefor
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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
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3601—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of respiratory organs
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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
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36114—Cardiac control, e.g. by vagal stimulation
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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
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B7/00—Instruments for auscultation
- A61B7/003—Detecting lung or respiration noise
-
- 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
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1604—Head
-
- 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
- A61H2205/00—Devices for specific parts of the body
- A61H2205/02—Head
-
- 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
- A61H2230/00—Measuring physical parameters of the user
- A61H2230/04—Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
- A61H2230/06—Heartbeat rate
-
- 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
- A61H2230/00—Measuring physical parameters of the user
- A61H2230/40—Respiratory characteristics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M15/00—Inhalators
- A61M15/08—Inhaling devices inserted into the nose
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- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract
Description
対象者が細動する心臓を有しており、かくして除細動を必要としているかどうか決定するために適切なパラメータは、心拍即ち心拍パターンに関するパラメータを含む。基本的に、細動する心臓を例えば心拍及び/もしくは心拍数を感知することによって感知するための体のいかなる部位も、前記検出装置16によって使用され得る。しかしながら、適切な実施では、前記検出装置16は、動脈中の血流を例えば咽頭の周辺で感知するように設定されている。そして、前記検出装置16は、血流信号を電子部材12に送る。マイクロプロセッサ20は、当業者に周知の方法で、前記血流信号を処理し、この信号から心電図を作成するように、設定されている。
Arita H., Oshima T., Kita I., Sakamoto M.: Generation of hiccup by electrical stimulation in medulla of cats. Neurosci. Lett. 175: 67-70, 1994.
Batsel H.L., Lines A.J.: Bulbar respiratory neurons participating in the sniff reflex in the cat, J. Exper. Neurol 39:469-481, 1973.
R. Benacka, Disorders of central regulation of breathing and their influencing by upper airway reflexes (in Slovak). Orbis Medince S; No. : 53-63, 2004.
R. Benacka and Z. Tomori, The sniff-like aspiration reflex evoked by electrical stimulation of the nasopharynx, Respir. Physiol. 102: 163-174, 1995.
J. Jakus, Z. Tomori and A. Stransky, Neural determinants of breathing, coughing and related motor behaviours, Monograph, Wist, Martin, 2004.
Sridhar R., Thach B.T. et al.: Characterization of successful and failed autoresuscitation in human infants including those dying of SIDS. Pediatr. Pulmon. 36:113-122, 2003.
St John W.M. , Bledsoe T.A., Sokol H.W: Identification of medullary loci critical for neurogenesis of gasping J. Appl. Physiol. 56: 1008-1019, 1984.
Z. Tomori, M. Kurpas, V. Doni. and R. Benacka, Reflex reversal of apnoeic episodes by electrical stimulation of upper airway in cats, Respir. Physiol. 102: 175-185, 1995.
Z. Tomori, R. Benacka, V. Doni. and J. Jakus, Contribution of upper airway reflexes to apnoea reversal, arousal, and resuscitation, Monaldi Arch. Chest Dis. 55: 398-403, 2000.
Z. Tomori, R. Benacka and V. Doni., Mechanisms and clinicophysiological implications of the sniff- and gasp-like aspiration reflex, Respir. Physiol. 114: 83-98, 1998.
Z. Tomori and J.G. Widdicombe, Muscular, bronchomotor and cardiovascular reflexes elicited by mechanical stimulation of the respiratory tract, J. Physiol 200: 25-49, 1969.
Xie J., Weil M.H., Sun S., Yu T., Yang W.: Spontaneous gasping generates cardiac output during cardiac arrest, Crit. Care Med. 32: 238- 240, 2004.
Claims (13)
- ケーシング(11)と、
このケーシング(11)中に配置されている電子部材(12)と、
この電子部材(12)に接続されている検出装置(16)と、
前記電子部材(12)に接続されている刺激装置(17)と、を具備し、
前記電子部材(12)は、前記検出装置(16)から、細動する心臓と心筋梗塞と脳梗塞とTIAとのうちの少なくとも1つを含んでいる体の異常を示す検出信号を受け、この検出信号を処理し、そして、前記刺激装置(17)が、脳幹中の呼吸中枢を活性化させて前記体の異常に対抗するように、蘇生刺激を生じさせることを可能にするために、前記検出信号に基づいて前記刺激装置(17)に対する制御信号を発生させるように設定されており、
前記ケーシング(11)は、鼻孔中に挿入されるように設定された鼻プラグとして形成されており、
前記刺激装置(17)は、哺乳類の咽頭領域を刺激するように設定されている、除細動器。 - 電気的方法と機械的方法との少なくとも一方によって前記咽頭領域を刺激するように、糸とワイヤと繊維との少なくとも1つを具備している、請求項1に記載の除細動器。
- 前記刺激装置(17)は、鼻孔中に化学成分を与えるように設定されている、請求項1に記載の除細動器。
- 前記ケーシング(11)に接続されている鼻キャップ(60)を具備している、請求項1乃至3のいずれか1に記載の除細動器。
- 前記ケーシング(11)は、可撓性の生物学的適合性の材料によって形成されている、請求項1乃至4のいずれか1に記載の除細動器。
- 前記可撓性の材料は、シリコーンである、請求項5に記載の除細動器。
- 前記電子部材(12)は、可撓性の基板(30)上に電子部品(31)を有している、請求項6に記載の除細動器。
- 前記電子部材(12)は、波形発生器(23)に接続されているマイクロプロセッサ(20)を有しており、この波形発生器(23)は、前記制御信号を発生させるように設定されており、この制御信号は、予め規定されている周波数と持続期間と振幅とを有するサイン波とブロック波とスパイクの連続とこれらのいかなる組み合わせとの少なくとも1つから選択された波形の形態を有している、請求項1乃至7のいずれか1に記載の除細動器。
- 前記検出装置(16)は、心拍信号を感知するためのセンサ(38)を前記ケーシング(11)上に有している、請求項1乃至8のいずれか1に記載の除細動器。
- 前記ケーシングは、哺乳類が鼻孔を通して呼吸できるようにするための貫通孔(50)を有している、請求項1乃至9のいずれか1に記載の除細動器。
- 前記検出装置(16)は、前記貫通孔(50)を通る気流から呼吸活動を感知するように設定されている、請求項10に記載の除細動器。
- 細動する心臓と、心筋梗塞と、脳梗塞と、TIAとの少なくとも1つを含む体の異常を体が示すかどうか検出することと、
脳幹中の呼吸中枢を活性化させて心臓血管制御中枢を活性化させ、かくして前記異常に対抗するように、蘇生刺激を生じさせることと、を含み、
前記蘇生刺激は、哺乳類の咽頭領域に与えられる、体の異常に対抗するための方法。 - 挿入可能な除細動器を哺乳類の鼻咽頭の中、もしくはこの後ろに挿入することを含み、この除細動器は、前記検出することと前記蘇生刺激を生じさせることとを果たすように形成されている、請求項12に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NL2001698A NL2001698C2 (en) | 2008-06-18 | 2008-06-18 | Cardioverter / defibrillator. |
NL2001698 | 2008-06-18 | ||
PCT/NL2009/050359 WO2009154459A2 (en) | 2008-06-18 | 2009-06-18 | Cardiovertor/defibrillator. |
Publications (2)
Publication Number | Publication Date |
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JP2011524782A true JP2011524782A (ja) | 2011-09-08 |
JP5619736B2 JP5619736B2 (ja) | 2014-11-05 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011514519A Expired - Fee Related JP5619736B2 (ja) | 2008-06-18 | 2009-06-18 | 除細動器 |
Country Status (10)
Country | Link |
---|---|
US (1) | US8532763B2 (ja) |
EP (1) | EP2303398B1 (ja) |
JP (1) | JP5619736B2 (ja) |
KR (1) | KR20110043547A (ja) |
CN (1) | CN102143779B (ja) |
AU (1) | AU2009261009A1 (ja) |
CA (1) | CA2728429A1 (ja) |
ES (1) | ES2401610T3 (ja) |
NL (1) | NL2001698C2 (ja) |
WO (1) | WO2009154459A2 (ja) |
Cited By (1)
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JP2018522650A (ja) * | 2015-06-28 | 2018-08-16 | イラン,ヤロン | 胃腸刺激のための装置およびその使用 |
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- 2009-06-18 KR KR1020107029698A patent/KR20110043547A/ko not_active Application Discontinuation
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WO2009154459A3 (en) | 2010-04-01 |
CA2728429A1 (en) | 2009-12-23 |
AU2009261009A1 (en) | 2009-12-23 |
EP2303398B1 (en) | 2012-12-19 |
US20110313480A1 (en) | 2011-12-22 |
CN102143779A (zh) | 2011-08-03 |
ES2401610T3 (es) | 2013-04-23 |
EP2303398A2 (en) | 2011-04-06 |
US8532763B2 (en) | 2013-09-10 |
WO2009154459A2 (en) | 2009-12-23 |
NL2001698C2 (en) | 2009-12-22 |
JP5619736B2 (ja) | 2014-11-05 |
CN102143779B (zh) | 2014-07-09 |
KR20110043547A (ko) | 2011-04-27 |
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