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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JP2016509937A (ja
JP2016509937A5 (enExample
Inventor
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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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7221—Determining signal validity, reliability or quality
    • 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
    • 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
    • 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
    • A61N1/3993—User 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)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Physiology (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Emergency Medicine (AREA)
  • Critical Care (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 (enExample) 2017-08-17
JP6664963B2 true JP6664963B2 (ja) 2020-03-13

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JP2015562487A Active JP6664963B2 (ja) 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

Country Status (7)

Country Link
US (1) US9919160B2 (enExample)
EP (1) EP2968963B1 (enExample)
JP (1) JP6664963B2 (enExample)
CN (1) CN105007980B (enExample)
MX (1) MX365730B (enExample)
RU (1) RU2672521C2 (enExample)
WO (1) WO2014141080A1 (enExample)

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
EP2968965B1 (en) 2013-03-12 2018-11-28 Koninklijke Philips N.V. Defibrillator and method using limb leads for artifact free ecg
JP6664963B2 (ja) 2013-03-13 2020-03-13 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 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
EP3089786B1 (en) 2014-01-02 2020-04-22 Koninklijke Philips N.V. Consistency monitoring for ecg shock advisory decisions
WO2016092480A1 (en) * 2014-12-12 2016-06-16 Koninklijke Philips N.V. Confidence analyzer for an automated external defibrillator (aed) with dual ecg analysis algorithms
BR112017012045A2 (pt) 2014-12-12 2018-01-16 Koninklijke Philips N.V. método para interromper instruções de saída de rcp, e, desfibrilador externo automático
JP6776239B2 (ja) 2014-12-12 2020-10-28 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． デュアルｅｃｇ解析アルゴリズムを用いた自動体外式除細動器（ａｅｄ）
WO2016097934A1 (en) 2014-12-18 2016-06-23 Koninklijke Philips N.V. Defibrillator with scheduled and continuous modes of operation
RU2017125785A (ru) 2014-12-18 2019-01-18 Конинклейке Филипс Н.В. Устройство для мониторинга сердечного ритма во время сердечно-легочной реанимации
CN108025179A (zh) * 2015-06-30 2018-05-11 皇家飞利浦有限公司 用于撤消自动外部除颤器中的电击决定的装置
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
CN115153574B (zh) * 2016-01-16 2025-04-11 Zoll医疗公司 除颤器
US10894168B2 (en) 2016-03-30 2021-01-19 Koninklijke Philips N.V. Automated external defibrillator with shortened pause for rhythm analysis
WO2018118568A1 (en) * 2016-12-22 2018-06-28 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
WO2020056028A1 (en) 2018-09-14 2020-03-19 Avive Solutions, Inc. Shockable heart rhythm classifier for defibrillators
WO2022115874A2 (en) * 2020-11-30 2022-06-02 Zoll Medical Corporation Mixed-segment electrocardiogram analysis in coordination with cardiopulmonary resuscitation for efficient defibrillation electrotherapy
US12350505B2 (en) 2020-12-23 2025-07-08 Stryker Corporation Defibrillators with enhanced functionality during cardiopulmonary resuscitation periods
US12350506B2 (en) 2020-12-23 2025-07-08 Stryker Corporation Up-to-date defibrillation recommendations based on continuous ECG analysis during cardiopulmonary resuscitation
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
CN101232844A (zh) 2004-07-30 2008-07-30 捷通心脏系统公司 检测由cpr或患者动作引起的人为信号
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
JP5455373B2 (ja) * 2005-12-16 2014-03-26 コーニンクレッカ フィリップス エヌ ヴェ 増加するｃｐｒ実施時間を有する自動対外除細動器
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
CN101550592B (zh) 2008-04-03 2012-01-25 清华大学 硅化铁纳米线的制备方法
US20100152600A1 (en) * 2008-04-03 2010-06-17 Kai Sensors, Inc. Non-contact physiologic motion sensors and methods for use
EP2172245B1 (en) * 2008-10-03 2017-04-12 Schiller Medical S.A.S. Apparatus for defibrillation delivery decision
JP6042722B2 (ja) * 2009-09-28 2016-12-14 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 不全収縮の誤表示の影響を受けにくい、事前接続された電極パッドを有する除細動器
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
US8725253B2 (en) * 2010-02-12 2014-05-13 Zoll Medical Corporation Defibrillator display including CPR depth information
EP2533856B1 (en) * 2010-02-12 2016-06-01 Zoll Medical Corporation Defibrillator charging
EP3097950B1 (en) * 2010-02-12 2021-11-24 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
WO2011130541A2 (en) * 2010-04-14 2011-10-20 The Board Of Regents Of The University Of Texas System 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
WO2013128306A1 (en) * 2012-02-28 2013-09-06 Koninklijke Philips N.V. Combined aed and cpr delivery assistance unit
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
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
US10420701B2 (en) * 2013-05-17 2019-09-24 Zoll Medical Corporation Cameras for emergency rescue
US9409034B2 (en) 2012-06-01 2016-08-09 Koninklijke Philips N.V. System, 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
EP2968965B1 (en) * 2013-03-12 2018-11-28 Koninklijke Philips N.V. Defibrillator and method using limb leads for artifact free ecg
JP6664963B2 (ja) 2013-03-13 2020-03-13 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 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
WO2014152520A1 (en) * 2013-03-14 2014-09-25 Zoll Medical Corporation Shock determination based on prior shocks
US20140277228A1 (en) * 2013-03-14 2014-09-18 Zoll Medical Corporation Treatment guidance based on victim circulatory status and prior shock outcome
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
MX365730B (es) 2019-06-12
RU2015143530A (ru) 2017-04-19
CN105007980A (zh) 2015-10-28
MX2015011918A (es) 2015-12-01
RU2672521C2 (ru) 2018-11-15
US9919160B2 (en) 2018-03-20
WO2014141080A1 (en) 2014-09-18
JP2016509937A (ja) 2016-04-04
EP2968963B1 (en) 2017-10-18
US20160015991A1 (en) 2016-01-21
EP2968963A1 (en) 2016-01-20
CN105007980B (zh) 2017-08-15

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