JP6664963B2 - 心肺蘇生中にショック勧告の信頼性をスコアリングするための方法及び装置 - Google Patents

心肺蘇生中にショック勧告の信頼性をスコアリングするための方法及び装置 Download PDF

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JP6664963B2
JP6664963B2 JP2015562487A JP2015562487A JP6664963B2 JP 6664963 B2 JP6664963 B2 JP 6664963B2 JP 2015562487 A JP2015562487 A JP 2015562487A JP 2015562487 A JP2015562487 A JP 2015562487A JP 6664963 B2 JP6664963 B2 JP 6664963B2
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shock
cpr
reliability
ecg
recommendation
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JP2016509937A5 (cg-RX-API-DMAC7.html
JP2016509937A (ja
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レザ フィルーザバディ
レザ フィルーザバディ
サイード ババエイザデ
サイード ババエイザデ
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Koninklijke Philips NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3925Monitoring; Protecting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7221Determining signal validity, reliability or quality
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3904External heart defibrillators [EHD]
    • A61N1/39044External heart defibrillators [EHD] in combination with cardiopulmonary resuscitation [CPR] therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3993User interfaces for automatic external defibrillators

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Physiology (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Critical Care (AREA)
  • Emergency Medicine (AREA)
  • Human Computer Interaction (AREA)
  • Electrotherapy Devices (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2015562487A 2013-03-13 2014-03-12 心肺蘇生中にショック勧告の信頼性をスコアリングするための方法及び装置 Active JP6664963B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201361778658P 2013-03-13 2013-03-13
US61/778,658 2013-03-13
PCT/IB2014/059647 WO2014141080A1 (en) 2013-03-13 2014-03-12 Method and apparatus for scoring the reliability of shock advisory during cardiopulmonary resuscitation

Publications (3)

Publication Number Publication Date
JP2016509937A JP2016509937A (ja) 2016-04-04
JP2016509937A5 JP2016509937A5 (cg-RX-API-DMAC7.html) 2017-08-17
JP6664963B2 true JP6664963B2 (ja) 2020-03-13

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Country Status (7)

Country Link
US (1) US9919160B2 (cg-RX-API-DMAC7.html)
EP (1) EP2968963B1 (cg-RX-API-DMAC7.html)
JP (1) JP6664963B2 (cg-RX-API-DMAC7.html)
CN (1) CN105007980B (cg-RX-API-DMAC7.html)
MX (1) MX365730B (cg-RX-API-DMAC7.html)
RU (1) RU2672521C2 (cg-RX-API-DMAC7.html)
WO (1) WO2014141080A1 (cg-RX-API-DMAC7.html)

Families Citing this family (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9545211B2 (en) 2012-03-27 2017-01-17 Physio-Control, Inc. System and method for electrocardiogram analysis and optimization of cardiopulmonary resuscitation and therapy delivery
JP6505964B2 (ja) * 2012-10-05 2019-04-24 日本光電工業株式会社 心電図解析機能付き除細動器の制御方法および除細動器
BR112015022003A2 (pt) 2013-03-12 2017-07-18 Koninklijke Philips Nv método para mostrar seletivamente um ecg em um desfibrilador durante um evento de ressuscitação cardíaca de um indivíduo, e, desfibrilador
RU2672521C2 (ru) 2013-03-13 2018-11-15 Конинклейке Филипс Н.В. Способ и устройство для оценки надежности рекомендации относительно разряда при сердечно-легочной реанимации
JP6500026B2 (ja) * 2014-01-02 2019-04-10 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. Ecgショック勧告の決定に対する整合性モニタリング
US10406374B2 (en) 2014-12-12 2019-09-10 Koninklijke Philips N.V. Confidence analyzer for an automated external defibrillator (AED) with dual ECG analysis algorithms
CN107249683B (zh) 2014-12-12 2021-05-28 皇家飞利浦有限公司 利用双ecg分析算法的自动体外除颤器(aed)
WO2016091948A1 (en) 2014-12-12 2016-06-16 Koninklijke Philips N.V. Analyze option button for an automated external defibrillator (aed) with dual ecg analysis algorithms
WO2016097934A1 (en) 2014-12-18 2016-06-23 Koninklijke Philips N.V. Defibrillator with scheduled and continuous modes of operation
JP6727209B2 (ja) 2014-12-18 2020-07-22 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. Cpr中の心律動をモニタリングする装置
US11076795B2 (en) 2015-06-30 2021-08-03 Koninklijke Philips N.V. Apparatus for reversing a shock decision in an automated external defibrillator
CN107847131B (zh) * 2015-10-16 2021-05-28 深圳迈瑞生物医疗电子股份有限公司 监护装置和监护信息显示方法
EP3402395B1 (en) * 2016-01-16 2023-08-02 ZOLL Medical Corporation Fast identification of shockable or non-shockable rhythms in ecg data
CN109689157A (zh) 2016-03-30 2019-04-26 皇家飞利浦有限公司 具有用于节律分析的缩短的暂停的自动体外除颤器
US10687728B2 (en) * 2016-12-22 2020-06-23 Cardiac Pacemakers, Inc. Learning techniques for cardiac arrhythmia detection
US11179293B2 (en) 2017-07-28 2021-11-23 Stryker Corporation Patient support system with chest compression system and harness assembly with sensor system
CN111683593B (zh) * 2018-01-18 2023-09-01 深圳迈瑞生物医疗电子股份有限公司 一种ecg信号的去噪方法及终端
US11089989B2 (en) 2018-09-14 2021-08-17 Avive Solutions, Inc. Shockable heart rhythm classifier for defibrillators
EP4251265A2 (en) * 2020-11-30 2023-10-04 Zoll Medical Corporation Mixed-segment electrocardiogram analysis in coordination with cardiopulmonary resuscitation for efficient defibrillation electrotherapy
US12350506B2 (en) 2020-12-23 2025-07-08 Stryker Corporation Up-to-date defibrillation recommendations based on continuous ECG analysis during cardiopulmonary resuscitation
US12350505B2 (en) 2020-12-23 2025-07-08 Stryker Corporation Defibrillators with enhanced functionality during cardiopulmonary resuscitation periods
WO2023115482A1 (zh) * 2021-12-23 2023-06-29 深圳迈瑞生物医疗电子股份有限公司 用于除颤仪的节律分析和决策方法、装置以及存储介质

Family Cites Families (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5511553A (en) * 1989-02-15 1996-04-30 Segalowitz; Jacob Device-system and method for monitoring multiple physiological parameters (MMPP) continuously and simultaneously
US5571142A (en) * 1994-08-30 1996-11-05 The Ohio State University Research Foundation Non-invasive monitoring and treatment of subjects in cardiac arrest using ECG parameters predictive of outcome
US8932227B2 (en) * 2000-07-28 2015-01-13 Lawrence A. Lynn System and method for CO2 and oximetry integration
US6179793B1 (en) * 1998-01-14 2001-01-30 Revivant Corporation Cardiac assist method using an inflatable vest
US6438419B1 (en) * 2000-09-28 2002-08-20 The University Of Pittsburgh Method and apparatus employing a scaling exponent for selectively defibrillating a patient
US8527044B2 (en) * 2002-05-15 2013-09-03 Physio-Control, Inc. User interface method and apparatus for a medical device
US7272444B2 (en) * 2003-05-07 2007-09-18 Cardiac Pacemakers, Inc. Medical device interface system with automatic rate threshold adjustment
US7769465B2 (en) * 2003-06-11 2010-08-03 Matos Jeffrey A System for cardiac resuscitation
US7567837B2 (en) 2003-12-19 2009-07-28 Institute Of Critical Care Medicine Enhanced rhythm identification in compression corrupted ECG
US7269454B2 (en) * 2004-04-30 2007-09-11 Lawrence Duane Sherman Methods and devices to guide therapy for ventricular fibrillation based on waveform analysis and survival benefit analysis
US7565194B2 (en) * 2004-05-12 2009-07-21 Zoll Medical Corporation ECG rhythm advisory method
WO2005112749A1 (en) * 2004-05-12 2005-12-01 Zoll Medical Corporation Ecg rhythm advisory method
WO2006015348A2 (en) 2004-07-30 2006-02-09 Access Cardiosystems, Inc. Detectin g artifact signals caused by cpr or patient motion
US20060178865A1 (en) * 2004-10-29 2006-08-10 Edwards D Craig Multilingual user interface for a medical device
RU2316363C2 (ru) * 2004-11-26 2008-02-10 Общество с ограниченной ответственностью "Медицинские Компьютерные Системы" Автоматический внешний дефибриллятор
FR2879937B1 (fr) * 2004-12-23 2008-01-11 Schiller Medical Sas Defibrillateur dont le circuit de decharge est securise et comporte un pont en h
US7805191B2 (en) * 2005-01-31 2010-09-28 Physio-Control, Inc. CPR time indicator for a defibrillator data management system
US8501818B2 (en) 2005-03-14 2013-08-06 Ceptaris Therapeutics, Inc. Stabilized compositions of alkylating agents and methods of using same
RU2393887C2 (ru) * 2005-12-16 2010-07-10 Конинклейке Филипс Электроникс, Н.В. Автоматический внешний дефибриллятор с увеличенным временем проведения слр
US7668579B2 (en) * 2006-02-10 2010-02-23 Lynn Lawrence A System and method for the detection of physiologic response to stimulation
US7747319B2 (en) * 2006-03-17 2010-06-29 Zoll Medical Corporation Automated resuscitation device with ventilation sensing and prompting
US20100152600A1 (en) * 2008-04-03 2010-06-17 Kai Sensors, Inc. Non-contact physiologic motion sensors and methods for use
CN101550592B (zh) 2008-04-03 2012-01-25 清华大学 硅化铁纳米线的制备方法
EP2172245B1 (en) * 2008-10-03 2017-04-12 Schiller Medical S.A.S. Apparatus for defibrillation delivery decision
EP2482917B1 (en) * 2009-09-28 2018-07-11 Koninklijke Philips N.V. Pre-connected electrode pads with reduced susceptibility to false asystole indications by a defibrillator
US9539434B2 (en) * 2009-10-02 2017-01-10 Physio-Control, Inc. Deciding on patient electric shock therapy
WO2011040929A1 (en) 2009-10-02 2011-04-07 Physio-Control, Inc. Deciding on patient electric shock therapy
US8509881B2 (en) 2009-11-03 2013-08-13 Cardiac Science Corporation True ECG measurement during cardio pulmonary resuscitation by adaptive piecewise stitching algorithm
JP5963089B2 (ja) * 2009-11-30 2016-08-03 ゾール メディカル コーポレイションZOLL Medical Corporation デュアルモード医療装置用のディスプレイ
CN106310522A (zh) * 2010-02-12 2017-01-11 Zoll医疗公司 除颤器充电
US8725253B2 (en) * 2010-02-12 2014-05-13 Zoll Medical Corporation Defibrillator display including CPR depth information
EP3978069A1 (en) * 2010-02-12 2022-04-06 Zoll Medical Corporation Defibrillator charging
US9308383B2 (en) 2010-03-12 2016-04-12 Schiller Medical S.A.S. Method, apparatus and computer program for defibrillation delivery decision
US20130144181A1 (en) * 2010-04-14 2013-06-06 Donovan L. Fogt Measurements of fatigue level using heart rate variability data
RU2597137C2 (ru) * 2011-03-23 2016-09-10 Конинклейке Филипс Н.В. Дефибриллятор с протоколом выборочного прерывания слр
US8868179B2 (en) * 2011-11-11 2014-10-21 Zoll Medical Corporation Determination for effective defibrillation
WO2013128308A1 (en) * 2012-02-28 2013-09-06 Koninklijke Philips N.V. Single use aed
US8903498B2 (en) * 2012-03-27 2014-12-02 Physio-Control, Inc. System and method for electrocardiogram analysis and optimization of cardiopulmonary resuscitation and therapy delivery
US9084545B2 (en) * 2012-05-03 2015-07-21 Physio-Control, Inc. Filter mechanism for removing ECG artifact from mechanical chest compressions
US9545211B2 (en) * 2012-03-27 2017-01-17 Physio-Control, Inc. System and method for electrocardiogram analysis and optimization of cardiopulmonary resuscitation and therapy delivery
US10420701B2 (en) * 2013-05-17 2019-09-24 Zoll Medical Corporation Cameras for emergency rescue
WO2013179234A1 (en) * 2012-06-01 2013-12-05 Koninklijke Philips N.V. Method and apparatus for analyzing cardiac rhythm during cpr
JP6505964B2 (ja) * 2012-10-05 2019-04-24 日本光電工業株式会社 心電図解析機能付き除細動器の制御方法および除細動器
EP2919739B1 (en) * 2012-11-13 2020-06-10 Schiller AG Apparatus for providing cardiopulmonary resuscitation
BR112015022003A2 (pt) * 2013-03-12 2017-07-18 Koninklijke Philips Nv método para mostrar seletivamente um ecg em um desfibrilador durante um evento de ressuscitação cardíaca de um indivíduo, e, desfibrilador
RU2672521C2 (ru) 2013-03-13 2018-11-15 Конинклейке Филипс Н.В. Способ и устройство для оценки надежности рекомендации относительно разряда при сердечно-легочной реанимации
CN105263564A (zh) * 2013-03-14 2016-01-20 佐尔医药公司 基于先前电击的电击确定
EP2967395A4 (en) * 2013-03-14 2016-03-16 Zoll Medical Corp WINDOW TECHNOLOGY FOR IDENTIFICATION OF IMPACT RESULTS
US9782093B2 (en) * 2014-03-14 2017-10-10 Zoll Medical Corporation Vector-based shock indication
WO2015191761A1 (en) * 2014-06-10 2015-12-17 Zoll Medical Corporation Determining initial treatments from spectral data

Also Published As

Publication number Publication date
US9919160B2 (en) 2018-03-20
RU2672521C2 (ru) 2018-11-15
EP2968963A1 (en) 2016-01-20
CN105007980B (zh) 2017-08-15
US20160015991A1 (en) 2016-01-21
WO2014141080A1 (en) 2014-09-18
RU2015143530A (ru) 2017-04-19
CN105007980A (zh) 2015-10-28
EP2968963B1 (en) 2017-10-18
JP2016509937A (ja) 2016-04-04
MX365730B (es) 2019-06-12
MX2015011918A (es) 2015-12-01

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