JP7319995B2 - 心肺蘇生中の自発循環再開の検出をサポートする装置、システム及び方法 - Google Patents

心肺蘇生中の自発循環再開の検出をサポートする装置、システム及び方法 Download PDF

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JP7319995B2
JP7319995B2 JP2020552763A JP2020552763A JP7319995B2 JP 7319995 B2 JP7319995 B2 JP 7319995B2 JP 2020552763 A JP2020552763 A JP 2020552763A JP 2020552763 A JP2020552763 A JP 2020552763A JP 7319995 B2 JP7319995 B2 JP 7319995B2
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signal
cuff
chest compression
processing unit
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JP2021519639A (ja
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ラルフ ウィルヘルム クリスティアヌス ジェミナ ローサ ワイスホフ
ピエール ヘルマヌス ウォールリー
ジェンス ミュールステフ
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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
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024Measuring pulse rate or heart rate
    • A61B5/02416Measuring pulse rate or heart rate using photoplethysmograph signals, e.g. generated by infrared radiation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H31/00Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage
    • A61H31/004Heart stimulation
    • A61H31/005Heart stimulation with feedback for the user
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021Measuring pressure in heart or blood vessels
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/02233Occluders specially adapted therefor
    • A61B5/02241Occluders specially adapted therefor of small dimensions, e.g. adapted to fingers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0225Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
    • A61B5/02255Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024Measuring pulse rate or heart rate
    • A61B5/02438Measuring pulse rate or heart rate with portable devices, e.g. worn by the patient
    • 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
    • A61B5/369Electroencephalography [EEG]
    • A61B5/372Analysis of electroencephalograms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5043Displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5048Audio interfaces, e.g. voice or music controlled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5061Force sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/04Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/65Impedance, e.g. skin conductivity; capacitance, e.g. galvanic skin response [GSR]

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Epidemiology (AREA)
  • Pulmonology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • General Business, Economics & Management (AREA)
  • Primary Health Care (AREA)
  • Business, Economics & Management (AREA)
  • Emergency Medicine (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Vascular Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
JP2020552763A 2018-04-17 2019-04-10 心肺蘇生中の自発循環再開の検出をサポートする装置、システム及び方法 Active JP7319995B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP18167635.4A EP3556281A1 (en) 2018-04-17 2018-04-17 Device, system and method for supporting detection of return of spontaneous circulation during cardiopulmonary resuscitation
EP18167635.4 2018-04-17
PCT/EP2019/059015 WO2019201689A1 (en) 2018-04-17 2019-04-10 Device, system and method for supporting detection of return of spontaneous circulation during cardiopulmonary resuscitation

Publications (4)

Publication Number Publication Date
JP2021519639A JP2021519639A (ja) 2021-08-12
JP2021519639A5 JP2021519639A5 (https=) 2023-06-07
JPWO2019201689A5 JPWO2019201689A5 (https=) 2023-06-07
JP7319995B2 true JP7319995B2 (ja) 2023-08-02

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JP2020552763A Active JP7319995B2 (ja) 2018-04-17 2019-04-10 心肺蘇生中の自発循環再開の検出をサポートする装置、システム及び方法

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US (1) US20210169736A1 (https=)
EP (2) EP3556281A1 (https=)
JP (1) JP7319995B2 (https=)
CN (1) CN111989034B (https=)
WO (1) WO2019201689A1 (https=)

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11679268B2 (en) 2018-10-05 2023-06-20 Medtronic, Inc. Multi-tier prediction of cardiac tachyarrythmia
US11694804B2 (en) 2019-05-06 2023-07-04 Medtronic, Inc. Reduced power machine learning system for arrhythmia detection
US11583687B2 (en) 2019-05-06 2023-02-21 Medtronic, Inc. Selection of probability thresholds for generating cardiac arrhythmia notifications
US20200352466A1 (en) 2019-05-06 2020-11-12 Medtronic, Inc. Arrythmia detection with feature delineation and machine learning
US11776691B2 (en) 2019-05-06 2023-10-03 Medtronic, Inc. Machine learning based depolarization identification and arrhythmia localization visualization
US11723577B2 (en) 2019-05-06 2023-08-15 Medtronic, Inc. Visualization of arrhythmia detection by machine learning
US20230149258A1 (en) * 2019-07-11 2023-05-18 Zoll Medical Corporation Selective activation of chest compressions synchronized with myocardial activity
EP3766411A1 (en) 2019-07-18 2021-01-20 Koninklijke Philips N.V. Device, system, and method to control activation and configuration of pulse detection and pulse oximetry measurements during cpr
EP4051101A1 (en) * 2019-10-28 2022-09-07 Edwards Lifesciences Corporation Finger cuff with de-coupled sensor and bladder and associated method
US20230043824A1 (en) * 2020-02-04 2023-02-09 Zoll Medical Corporation Active compression-decompression device integration
KR102419147B1 (ko) * 2020-03-13 2022-07-08 주식회사 케이티앤지 비정상적인 동작을 판단하는 에어로졸 생성 장치
EP4011286A1 (en) * 2020-12-11 2022-06-15 Koninklijke Philips N.V. Cardiopulmonary resuscitation decision support
CN114983794B (zh) * 2022-08-03 2022-11-04 苏州尚领医疗科技有限公司 胸外按压的风险反馈装置、存储介质和电子设备
EP4410216B1 (en) * 2023-02-03 2025-11-19 Stryker Corporation Enhancing patient monitoring with multiple sensors
CN116643268B (zh) * 2023-04-23 2024-03-22 中国医学科学院北京协和医院 一种基于毫米波雷达的心肺复苏按压检测评估方法及系统
CN117694883B (zh) * 2024-01-11 2024-06-14 江苏力磁医疗设备有限公司 一种用于磁共振的生命体征监护急救系统及方法
WO2025160444A1 (en) * 2024-01-25 2025-07-31 Medtronic, Inc. Assessing cardiopulmonary resuscitation by an implantable medical device
KR20250166628A (ko) * 2024-05-21 2025-11-28 서울대학교병원 자발순환회복을 판별하는 장치 및 방법

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140323846A1 (en) 2013-04-24 2014-10-30 Covidien Lp System and method for determining hemodynamic status through a blood pressure related index
JP2016538888A (ja) 2014-02-11 2016-12-15 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. Cpr中の自己心拍再開の決定
WO2016207306A1 (en) 2015-06-26 2016-12-29 Koninklijke Philips N.V. Determining return of spontaneous circulation during cpr
US20170065484A1 (en) 2015-09-08 2017-03-09 Covidien Lp System and method for cardiopulmonary resuscitation
WO2017072055A1 (en) 2015-10-27 2017-05-04 Koninklijke Philips N.V. System and method for monitoring spontaneous pulse and compressions using invasive arterial blood pressure during cardiopulmonary resuscitation
JP2018502683A (ja) 2014-12-17 2018-02-01 ザイル、 インコーポレイテッド. 心肺蘇生の最適化におけるフォトプレチスモグラフィを用いる方法および装置

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5485838A (en) * 1992-12-07 1996-01-23 Nihon Kohden Corporation Non-invasive blood pressure measurement device
US20030109790A1 (en) * 2001-12-06 2003-06-12 Medtronic Physio-Control Manufacturing Corp. Pulse detection method and apparatus using patient impedance
US7641614B2 (en) * 2005-08-22 2010-01-05 Massachusetts Institute Of Technology Wearable blood pressure sensor and method of calibration
US20070167844A1 (en) * 2005-11-29 2007-07-19 Asada Haruhiko H Apparatus and method for blood pressure measurement by touch
US7668579B2 (en) * 2006-02-10 2010-02-23 Lynn Lawrence A System and method for the detection of physiologic response to stimulation
US20120330199A1 (en) * 2010-07-02 2012-12-27 ResQSystems, Inc. Methods and systems for reperfusion injury protection after cardiac arrest
WO2011100694A1 (en) * 2010-02-12 2011-08-18 Advanced Circulatory Systems, Inc. Guided active compression decompression cardiopulmonary resuscitation systems and methods
WO2013181376A1 (en) * 2012-05-31 2013-12-05 Lifewave, Inc. Medical radar system for guiding cardiac resuscitation
US9042971B2 (en) * 2012-06-22 2015-05-26 Fitbit, Inc. Biometric monitoring device with heart rate measurement activated by a single user-gesture
EP2895852A4 (en) * 2012-09-11 2016-05-25 Univ Cornell DEVICE AND METHOD FOR COLLECTING POINT MEASUREMENT OF A BIOMOLECULAR RESPONSE
EP2943926A4 (en) * 2013-01-11 2018-05-23 Zoll Medical Corporation Ems decision support interface, event history, and related tools
JP6407994B2 (ja) * 2013-11-08 2018-10-17 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 特定の血圧を追跡するための装置
CN103860180B (zh) * 2013-12-16 2016-03-02 中国医学科学院北京协和医院 在心肺复苏(cpr)过程中实时识别自主循环恢复(rosc)
US20160089077A1 (en) * 2014-09-26 2016-03-31 Christine Tinio Geronimo-Button Hypertension prevention app and web based tools
WO2016077786A1 (en) * 2014-11-14 2016-05-19 Zoll Medical Corporation Medical premonitory event estimation
CN108778146B (zh) * 2015-12-10 2022-03-11 1929803安大略Dba Ke2科技公司 用于自动流体响应测量的系统及方法
US10252145B2 (en) * 2016-05-02 2019-04-09 Bao Tran Smart device
WO2017211814A1 (en) * 2016-06-06 2017-12-14 Koninklijke Philips N.V. System and methods for photoplethysmography-based pulse detection support during interruptions in chest compressions
AU2017335497B2 (en) * 2016-09-27 2020-01-16 Boston Scientific Neuromodulation Corporation System for pain management using objective pain measure

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140323846A1 (en) 2013-04-24 2014-10-30 Covidien Lp System and method for determining hemodynamic status through a blood pressure related index
JP2016538888A (ja) 2014-02-11 2016-12-15 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. Cpr中の自己心拍再開の決定
JP2018502683A (ja) 2014-12-17 2018-02-01 ザイル、 インコーポレイテッド. 心肺蘇生の最適化におけるフォトプレチスモグラフィを用いる方法および装置
WO2016207306A1 (en) 2015-06-26 2016-12-29 Koninklijke Philips N.V. Determining return of spontaneous circulation during cpr
US20170065484A1 (en) 2015-09-08 2017-03-09 Covidien Lp System and method for cardiopulmonary resuscitation
WO2017072055A1 (en) 2015-10-27 2017-05-04 Koninklijke Philips N.V. System and method for monitoring spontaneous pulse and compressions using invasive arterial blood pressure during cardiopulmonary resuscitation

Also Published As

Publication number Publication date
EP3556281A1 (en) 2019-10-23
US20210169736A1 (en) 2021-06-10
CN111989034B (zh) 2024-12-13
JP2021519639A (ja) 2021-08-12
CN111989034A (zh) 2020-11-24
EP3781029B1 (en) 2023-04-05
EP3781029A1 (en) 2021-02-24
WO2019201689A1 (en) 2019-10-24

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