TW509566B - Extracorporeal auxiliary device for massaging heart - Google Patents

Extracorporeal auxiliary device for massaging heart Download PDF

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TW509566B
TW509566B TW88119181A TW88119181A TW509566B TW 509566 B TW509566 B TW 509566B TW 88119181 A TW88119181 A TW 88119181A TW 88119181 A TW88119181 A TW 88119181A TW 509566 B TW509566 B TW 509566B
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Taiwan
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electrical stimulation
host
circuit
electrode
stimulation
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TW88119181A
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Chinese (zh)
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Shuenn-Lin Chiou
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Shuenn-Lin Chiou
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Abstract

An extracorporeal auxiliary device for massaging heart mainly comprises an electric stimulation main device, a hand press mat, electrode plates and electrode belts. While in use, the electrode plates and the electrode belts are mounted on the arms and thighs of a patient where acupoints are located. The hand press mat is mounted on the palm. The power to the electric stimulation main device is turned on and a desired current stimulation intensity is adjusted. The hand press mat is used to control the electric stimulation main device. Together with the press period or the relaxation period in massaging a heart, a low frequency d.c. from the electrode main device stimulates the muscles and acupoints on the arms and the thighs to trigger some muscles for transient and regular contractions and pressing the blood vessels for increasing the blood flow.

Description

509566 —-«-ΜΙ9181-丄 五、發明說明(1) 一'"~一 在1 960閉胸式體外心臟按摩未被推廣前,直接心臟按 用於院内心跳終止的病人上,從195〇s的研究顯示並 率可由16%到37%,直到閉胸式體外心臟按摩推廣後、,認〜 有快速且不具侵略性質,因此很快的成為標準常用的、疋 CPR,心肺復甦術的體外心臟按摩的意念是提供冠狀循产 及大惱循環一種支持,可惜目前的方式離目標還有一大衣 距離,體外心臟按摩只能達到大腦血流正常值的5%,這= 維持大腦代謝所需的最小血流還少,而開胸做心臟按摩可 1正常值以上的大腦血流,但這技術在院外與院内大部份 十月況下並不可行。根據統計在院外心跳停止下,在現場早 做去顫術是最重要的,大多數成年人8〇%〜9〇%因非外傷者 突然倒,而心跳停止的患者是心室顫動,單靠cpR幫助不 大,CPR成為暫時等待下一個急救來臨維持循環的一種方 式,避免臨床已死的人發生生物學上的死亡。 由於目前標準的CPR所能達到效果實在有限,為了拎加效 能便有許多方法及輔助的裝置產生。以下簡單說曰一此 法及裝置: 二 插入性腹部壓迫CPR(IAC —CPR),此方法以設計成為標準 CPR的替代方式,在操作時在按摩心臟的放鬆時期壓迫腹 部,其設計的目的在於期望用腹部壓力加強心臟按摩之放 鬆時期之主動脈舒張壓及改善冠狀動脈的血液,其實驗報 告顯不它確實比傳統CPR能增加收縮及舒張壓和心肌之灌 注壓,但其他的實驗室研究顯示它不會增加24小時存活 率,且有關IAC-CPR研究目前都在插管下進行,要考慮包含 腹部造成的傷害、換氣是否足夠、肺内吸入等等危‘ 509566 __案號88119181_年月日 修正 五、發明說明(2) 1AC-CPR目前只能視為可能替代目前標準CPR的實驗性 CPR,不可常規使用於心跳終止的病人上,目前也有相關 輔助操作工具的設計出現。 同時換氣心臟按摩CPR(SVC-CPR),這方法便是利用胸腔做 為動力幫浦用以造成前進血流之原理,所設計出的C P R在 操作時胸内及胸外有壓力差,藉以造成血液的流動,實驗 室模式顯示比目前標準CPR可改善收縮及頸動脈血流,有 一些實驗顯示有改善,但一些則否認,臨床的研究顯示標 準的CPR在血液動力學及存活率方面卻比SVC-CPr較好,因 此目前不建議心跳終止的病人使用。 背心式CPR(VEST CPR),原理與SVC —cpR相同,便是使胸内 壓力增加造成血|流動,但不同的是換氣不同,豆法 以規律的放氣與打起胸部周圍的充氣背心,研究顯示 統CPR可明顯增加動脈壓。 得 高,度CPR ’其被倡導來改善心跳終止的急救,部分實驗 研究(但非全部)顯示比傳统C p R右φ 、、t M + u Μ , 士 >、 有較佳的心搏出及心臟灌 庄壓力及2 4小時存活率,彳曰需费& 終止的有效性。+仁而更進-步研究來決定其心跳 主動放壓CPR(ACD-CPR),主動於厭 ^ Ψ ^ ACPI? /λ ^ X 動放壓的裝置用於CPR顯示有 布望成為CPR的輔助裝置,豆今 巧 鬆期以拙¢5奘罟斜的* ζ、β 。十重點在於心臟按摩的放 彩期以抽吸裝置對胸部施以抽 及人艚的;w资齠-u«冰 及的負壓力,一些實驗模式 汉人體的研九顯不比傳統cpR可 標目前雷又善一些血液動力學的指 知,a刖需要更多研究來證明有效性。 本發日月—的思念是是做為丰翻你_ & 的輔助工具1意在增加血液=去顫術中體外心臟按摩 ---—__、冠狀動脈血流與腦部509566 —- «-ΜΙ9181- 丄 Ⅴ. Description of the Invention (1) One '" ~ 1 Before the 1960 closed chest external cardiac massage was not promoted, the direct heart was used for patients with in-hospital heartbeat termination from 195. s research shows that the rate can be from 16% to 37%. After the closed chest external cardiac massage was promoted, it was recognized to be fast and non-aggressive, so it quickly became the standard commonly used in vitro CPR and CPR. The idea of cardiac massage is to provide support for coronary birth and annoying circulation. Unfortunately, the current method is still a long way from the goal. Extracorporeal cardiac massage can only reach 5% of normal cerebral blood flow. This = what is needed to maintain brain metabolism. The minimum blood flow is still small. Opening the chest for cardiac massage can increase the cerebral blood flow above normal. However, this technique is not feasible in most hospitals outside the hospital and in October. According to statistics, it is most important to perform defibrillation early on the scene when the heartbeat stops outside the hospital. Most adults 80% to 90% suddenly fall because of non-trauma, and patients with cardiac arrest are ventricular fibrillation, relying solely on cpR Not much help, CPR has become a way to temporarily wait for the next emergency to come to maintain circulation and avoid biological deaths for clinically dead people. Because the current standard CPR can achieve limited results, there are many methods and auxiliary devices to increase the efficiency. The following is a brief description of this method and device: II. Insertive abdominal compression CPR (IAC-CPR). This method is designed to be an alternative to standard CPR. During the operation, the abdomen is massaged to relax the heart. The purpose of its design is to Expect to use abdominal pressure to strengthen the aortic diastolic pressure and improve coronary blood in the relaxation period of cardiac massage. The experimental report shows that it does increase systolic and diastolic blood pressure and myocardial perfusion pressure compared to traditional CPR, but other laboratory studies It is shown that it will not increase the 24-hour survival rate, and related IAC-CPR studies are currently performed under intubation. Consideration must be given to the dangers of abdominal injury, adequate ventilation, pulmonary inhalation, etc. '509566 __Case No 88119181 _Year, Month, and Day Amendment V. Description of the Invention (2) 1AC-CPR can only be regarded as an experimental CPR that may replace the current standard CPR. It cannot be used routinely in patients with heartbeat termination. At present, related auxiliary operation tools are also designed. At the same time, ventilating cardiac massage CPR (SVC-CPR), this method is to use the chest cavity as a power pump to cause the principle of forward blood flow. The CPR is designed to have a pressure difference between the chest and outside the chest during operation. Causes blood flow. The laboratory model shows that it can improve systolic and carotid blood flow than the current standard CPR. Some experiments have shown improvement, but some have denied that clinical studies have shown that standard CPR is not good in hemodynamics and survival. Better than SVC-CPr, so it is not currently recommended for patients with heartbeat termination. Vest CPR (VEST CPR), the same principle as SVC-cpR, is to increase the pressure in the chest and cause blood | flow, but the difference is that the ventilation is different, the law of law to deflate regularly and lift the inflatable vest around the chest Studies have shown that conventional CPR can significantly increase arterial pressure. High, CPR 'It is advocated to improve the first aid of cardiac termination, some experimental studies (but not all) have shown that it has better heart beat than traditional C p R right φ ,, t M + u Μ, 士 > The stress and cardiac survival and 24-hour survival rate, and the effectiveness of termination & termination. + Benevolence-Further research to determine its heartbeat. Actively depressurize CPR (ACD-CPR). Actively disgusted. ^ ^ ACPI? / Λ ^ X The device for dynamic depressurization is used for CPR display and is expected to be an auxiliary to CPR Installation, the beans are now in the loose phase with a slanted 奘 罟 5, ζ, β. Ten important points are that the pumping device is used to pump the chest and the human body during the coloring period of the cardiac massage; the negative pressure of w Zi-u «ice and some experimental modes is not as good as the traditional cpR. Lei and some of the hemodynamic knowledge, a 刖 needs more research to prove effectiveness. The present sun and the moon—I miss it as an auxiliary tool for turning your _ & 1 intended to increase blood = external cardiac massage during defibrillation ---__, coronary blood flow and the brain

^IIM 第5頁 509566 _案號88119181_年月日 修正____ 五、發明說明(3) 的流量,提高生存的機會,並可用於不適合插入性腹部壓 迫CPR或背心式CPR此類腹胸壓迫的病人身上,例如孕婦、 腹部創傷的患者,並有加速周邊靜脈血流,可增加周邊靜 脈注射藥物到達心臟的速度。 早在1948年瓦金(K、G、 Wakim)和他的工作同人,便以電 流通過正常’癌攣性與他緩性麻痒的下肢’作實驗便可發 現電刺激引起肌肉收縮可顯著促進受試者的血液增加等研 究,電刺激在醫療學上的應用,正在快速的成長,例如應 用於各醫療去顫術及治療帕金森等上面。 本發明原理乃將電極片'電極帶安於患者的手臂及大腿肌 肉及針灸點上,而將手壓塾套於本身手上,在心臟按摩的 施壓期或放鬆期,配合以手壓墊來控制電極主機,利用電 刺激主機放出5〜20mA的低週波直流電,在施壓期或放鬆期 的同時’同步與心臟按摩相同次數的刺激肌肉及穴道,藉 以使部份的肌肉做短暫有力的收縮,壓迫血管使血流增 加0 當心肺復甦術之心臟時,在於心臟按摩放鬆期(手部提高 同時),以電流使肌肉做同步收縮,可使一部分動脈血液 流往肢體的末端,另使一部分動脈血液在放鬆期逆回心臟 方向藉以提高冠狀動脈血流,肌肉收縮可使靜脈血液回心 ,四肢有較多的靜脈瓣較易使血液逐漸回流心臟,增加 二臟舒張,並可增加周邊靜脈注射藥物到達心臟的速度。 二=肺復甦術之心臟時,在於心臟按摩施壓期(手部施力 =,)、,以電流使肌肉同步收縮,其設計的用意是增加頸 ——外的周邊動脈阻力_^^使手臂肌肉收縮,短暫的 509566 _案號 88119181 五、發明說明(4) 主月 日_ 阻止肱動脈及鎖骨下動脈的血液不易往前,使平均動脈壓 大於顱内壓力,來增加頸動脈血液貫流入腦部的機會,依 上述原理可實驗設計出較理想的放鬆期與收縮期交互刺激 型模式’例如在5下的按摩中,連續η下電極在放鬆期、連 續m下在施壓期的模式或15下的按摩中,連續^下電極在放 鬆期、連續m下在施壓期的模式。 電極帶(片)貼放位置: 貼放位置乃依據電刺激理論與針灸學利用較弱的低週波電 流可使靠近血管並能產生該 據,如果貼於手臂則將電極 上,微弱的低週波電流可使 果貼於大腿則將電極片的一 附近(血海穴),另一片則貼 内側肌及股二頭肌附近肌肉 由於救護與傷害往往在一線 者,除受傷肢體有嚴重骨折 如裝有心律調節器、糖尿病 等皆可能不適用。 使用方法: 部位肌肉最大收縮量為貼放依 帶的兩極均貼放於肱二頭肌 肢二頭肌及附近肌肉收縮,如 極貼於屈膝,嬪骨内上緣上2寸 於屈肌群上,其目的是要使股 收縮。 之,’使用的對象會有不適合 、嚴重出血等等不適用外,例 患、嚴重灼傷及嚴重腦部傷害^ IIM Page 5 509566 _Case No. 88119181_ Year, Month, and Day Amendment ____ V. The flow of invention (3) increases the chance of survival, and can be used for abdominal and chest compressions that are not suitable for CPR or vest-type CPR Patients, such as pregnant women and patients with abdominal trauma, have accelerated peripheral venous blood flow, which can increase the speed at which peripheral intravenous drugs reach the heart. As early as 1948, K, G, and Wakim and his colleagues worked with electric currents through normal 'cancerous and his mildly itchy lower limbs' experiments to find that electrical stimulation caused muscle contractions to significantly promote Research on blood increase of subjects and the application of electrical stimulation in medical science are growing rapidly, for example, in various medical defibrillation and treatment of Parkinson's. The principle of the invention is that the electrode sheet 'electrode strip is placed on the arm and thigh muscles and acupuncture points of the patient, and the hand is pressed on the hand, and the hand massage pad is used during the pressure or relaxation period of the heart massage. To control the electrode host, use the electrical stimulation host to release 5 ~ 20mA of low-frequency direct current. During the pressure or relaxation period, 'synchronize the muscles and acupuncture points with the same number of times as the heart massage, so that some muscles are short and powerful. Constriction and compression of blood vessels increase blood flow. When the heart of CPR is in the period of cardiac massage relaxation (while raising the hands), the current will cause the muscles to contract synchronously, allowing some arterial blood to flow to the extremities of the limbs. Part of the arterial blood is reversed to the heart in the relaxation phase to improve coronary blood flow. Muscle contraction can return venous blood to the heart. There are more venous valves in the limbs. It is easier for the blood to gradually return to the heart, increase visceral relaxation, and increase the periphery. The speed at which the intravenous drug reaches the heart. Two = The heart of pulmonary resuscitation, during the period of cardiac massage pressure (hand force =,), the muscles are contracted synchronously with electric current, and its design purpose is to increase the resistance of the neck and outer peripheral arteries _ ^^ 使Arm muscle contraction, short-term 509566 _ case number 88119181 V. Description of the invention (4) Main month day _ Prevent the blood of the brachial artery and subclavian artery from moving forward, make the average arterial pressure greater than the intracranial pressure, and increase carotid blood flow Opportunity to enter the brain. According to the above principles, an ideal interactive stimulation mode of relaxation and systole can be experimentally designed. For example, in a massage of 5 times, the continuous η electrode is in the relaxation phase and the continuous m is in the pressure phase. In the mode or the massage under 15, the mode of continuous ^ lower electrode in the relaxation period and continuous pressure in the pressure period. Electrode band (sheet) placement position: The placement position is based on the theory of electrical stimulation and acupuncture. Weak low-frequency currents can bring them closer to the blood vessels and generate the data. If they are attached to the arms, the electrodes are faintly low-frequency. The current can make the fruit stick to one of the electrodes near the thigh (blood sea acupoint), and the other one sticks to the medial muscle and the muscles near the biceps femoris. Because of the rescue and injury, they are often in the front line, except for severe fractures of the injured limb. Heart rate regulators, diabetes, etc. may not be applicable. How to use: The maximum amount of muscle contraction for the site is that the two poles of the patch are placed on the biceps and biceps and nearby muscles. For example, if it is placed on the knee flexion, the upper edge of the patella is 2 inches on the flexor group. The purpose is to shrink the stock. In other words, the object to be used may be unsuitable, severe bleeding, etc. are not applicable, such as cases, severe burns, and severe brain injury.

1 在ΐϊίϋΠ等等ί忌,將電極片與電極帶貼黏固定 先固定再將插頭杨入電刺激主機 上’在電極帶的使用只需裹著即可不必束 2·將手壓墊套於本身手掌上。 、 電源、’並依病患體型調整刺激強度。 4·做正、的心贓按摩程序即可,在做人工呼吸時如不影響1 In ΐϊίϋΠ and so on, avoid sticking the electrode pads to the electrode strips and fixing them first, and then plug the plug into the electrical stimulation host. 'You can wrap the electrode strips without binding them. 2. Put a hand pressure pad on itself On the palm. , Power supply, and adjust the stimulation intensity according to the patient's size. 4. It is enough to do positive and heart massage procedures, if it does not affect artificial respiration

509566 修正 案號 88119181 五、發明說明(5) 時可不必取下手壓墊,如要在該地方做靜脈注射則可先打 開電極帶,後再包回。 茲將本發明心臟按摩輔助器及其元件功效配合附圖說明如 下: 助裝置外觀立體示意圖,揭示各 第一圖:係體外心臟按摩輔 元件相對關係。 第二圖:係放鬆期刺激主機型裝置方塊圖,揭示單具備有 在心臟按摩放鬆期電刺激主機之初略結構與各元件之關 係。 第三圖:係放鬆期與收縮期交互刺激型主機裝置方塊圖, 揭示具有放鬆期與收縮期交互刺激型主機之初略結構與各 元件之關係。 第四圖:係手壓墊立體分解圖,揭示手壓墊各元件相對關 係。 第五圖··係手壓墊斷面圖,揭示手壓墊内部結構。 第六圖:係一種型式的電極帶仰視圖,揭示電極帶内面結 構。 第七圖:係一種型式的電極帶分解圖,揭示電極帶内部結 構。 第八圖:係一種型式的電極帶使用示意圖。 如圖所示: 1·為電刺激主機:如第二圖所示為放鬆期電刺激型式之電 刺激主機者,主機内以乾電池為供應電源11 0,先經由變 壓電源電路111調整成所需要之電壓,再經脈波產生電路 11 2產生低週波脈波’輸出時間控制電路11 3可為簡單之延509566 Amendment No. 88119181 V. Description of the invention (5) You do not need to remove the hand pressure pad. If you want to do intravenous injection in this place, you can open the electrode band first, and then wrap it back. The effects of the cardiac massage assisting device and its components of the present invention with the accompanying drawings are described as follows: A three-dimensional schematic diagram of the appearance of the assisting device, each of which is shown in the first figure: the relative relationship between the auxiliary components of the external cardiac massage. The second figure: is a block diagram of the stimulation host type device during the relaxation period, revealing that the unit has an initial structure of the electrical stimulation host during the relaxation period of the cardiac massage and the relationship between the components. The third figure is a block diagram of the interactive stimulation host device in the relaxation period and the systole, which reveals the initial structure of the interactive stimulation host device in the relaxation period and the systole and the relationship between the components. The fourth figure: a three-dimensional exploded view of the hand pressure pad, revealing the relative relationship between the various components of the hand pressure pad. The fifth figure ... is a sectional view of the hand pressure pad, revealing the internal structure of the hand pressure pad. Figure 6: A bottom view of a type of electrode strip, revealing the inner structure of the electrode strip. Figure 7: An exploded view of a type of electrode strip, revealing the internal structure of the electrode strip. Figure 8: A schematic diagram of the use of a type of electrode strip. As shown in the figure: 1. Electrical stimulation host: as shown in the second figure, the electrical stimulation host in the relaxation phase of the electrical stimulation type. The host uses dry batteries as the power supply 110, which is first adjusted by the transformer power circuit 111. The required voltage can then be generated by the pulse wave generation circuit 11 2 to generate a low-frequency pulse wave 'output time control circuit 11 3 for a simple delay.

第8頁 五、發明說明(6) 控制延遲電刺激的時間’在放鬆期 強度調整電路114,可調整成合適 产不太相二又,由於大人或小孩各種體型所需的刺激強 設刺激強度調整祕,以調整刺激電流 再:設ίϊ:腿所需的刺激強度不太相同,因此 2調電阻,產生不同的輸出刺激強度。 ί關np_L可如第一圖所示’可設電源開關13,以便容 容易i窣:!源。在主機外部上可設電源指示燈14,以便 二力是否足夠。在主機外部上可設刺激強 便在外部調整刺激強度,可設刺激強 μ 1 f關16 ’方便在外部調整各個刺激強度,在主 在主1休Γ*設刺激指示燈17以便容易觀察刺激動作時間, 換電極g :^可3又電極片與電極帶插座18,方便使用及更 與帶’在主機外部上可設手壓墊插座19,方 便使用及更換各類型的手麼墊。 =圖所示,電刺激主機為放鬆期與收縮期交互電刺激 電路所而要之電壓,再經脈波產生電 生低週波脈波,並增加電腦裝置123,做為記錄手 :換電路124可為繼電器等組成,可依據電 即時或延遲放電時間,便可產生在收縮期與放 鬆期刺激的效果,輸出時間控制電路125則具有即時電路 及延遲電路,再經刺激強度調整電路126,可調整成合適 2刺τ電佻強冑’由於大人或小孩各種體型所需的刺激強 &不相同因此a又刺激強度調整電路’以調整刺激電流 509566 __案號88119181_年月日 修正 五、發明說明(7) 強度’另由於手臂與大腿所需的刺激強度不太相同,因此 再分设可調電阻,產生不同的輸出刺激強度。 2 ·為手壓墊,以兩片薄金屬鋼片分開與合閉動作,做為傳 遞電流或控制信號之用途,如第四圖及第五圖所示,21為 套環與外層布料,其作用是方便手壓墊固定於手掌上,22 一薄海绵體,海綿體手掌跟部有一凹陷能容納並固定23薄 金屬銅片,24為另一片金屬銅片,25為一外層布料,而金 屬銅片固定24在上面。手壓墊的型式可設計製成套在手指 上方便使用於幼兒身上。為方便更換手壓塾電線可設計 為活動插頭。 5·為電極片,使用於大腿上的電極貼片,電極片的種類可 為目前一般使用的預膠自粘式電極或碳膠類電極等等,為 方便使用電線,電線可設計為活動插頭。 … 4·為電 手腕彈 電極帶 一塊平 電刺激 極片及 鬼粘貼 布料上 膚。為 所示電 内之42 極帶,使用於手臂上的電極貼片裝置,並具有壓制 起的作用,如第六圖、第七圖所示’為一種型式的 ,41為電極帶外層,帶子長度足可裹住手臂,“為 薄且有彈性的塑膠條,其作用是壓著關節,減少在 時手部彈起的力量,43為一薄海綿,44為膠碳類電 電線,45為電極帶的内面與以可以相粘之材料46魔 布料製成,而46另一魔鬼粘貼布料縫製於45上,45 有451開孔,方便44膠碳類電極片露出貼於人體皮 2使用電極帶電線可設計為活動插頭。如第八圖 擊帶使用示意圖,電極帶4在裹住手臂時,電極帶 塑膠條壓著關節5,減少在電刺激時手部彈起。Page 8 V. Description of the invention (6) Controlling the time for delaying the electrical stimulation 'In the relaxation period, the intensity adjustment circuit 114 can be adjusted to a suitable level, and the intensity of the stimulus is required due to the various stimuli required by adults or children. Adjust the secret to adjust the stimulus current again: Let ϊ: the stimulus intensity required for the legs is not the same, so 2 resistance adjustments produce different output stimulus intensity. ί 关 np_L can be as shown in the first picture ’, a power switch 13 may be provided to make it easier i 窣:! source. A power indicator 14 can be provided on the outside of the main unit to ensure that the secondary force is sufficient. The stimulus intensity can be set on the outside of the host, and the stimulus intensity can be adjusted externally. The stimulus intensity can be set μ 1 f off 16 'It is convenient to adjust the intensity of each stimulus externally, and the stimulus indicator light 17 is set at the main and main Γ. During the operation time, the electrode g can be replaced. The electrode pad and the electrode can be replaced with a socket 18, which is convenient to use and more convenient. A hand pressure pad socket 19 can be provided on the outside of the host to facilitate the use and replacement of various types of hand pads. As shown in the figure, the electrical stimulation host needs the voltage required for the electrical stimulation circuit during the relaxation period and the contraction period, and then generates a low-frequency electrical pulse wave through the pulse wave, and adds a computer device 123 as a recording hand: changing the circuit 124 may It is composed of relays, etc., which can produce the stimulation effect in the contraction period and relaxation period according to the electric instant or delayed discharge time. The output time control circuit 125 has an instant circuit and a delay circuit, and can be adjusted by the stimulation intensity adjustment circuit 126. Become a suitable 2 thorn τ electric 佻 strong 由于 because the stimulus required by various sizes of adults or children & is different, a stimulus intensity adjustment circuit 'to adjust the stimulus current 509566 __Case No. 88119181_ Explanation of the invention (7) Intensity 'In addition, since the stimulus intensity required by the arm and thigh is not the same, an adjustable resistor is further divided to generate different output stimulus intensity. 2 · It is a hand pressure pad, which uses two thin metal steel sheets to separate and close. It is used for transmitting current or control signals. As shown in the fourth and fifth figures, 21 is the collar and the outer fabric. The role is to facilitate the hand pressure pad to be fixed on the palm, 22 a thin sponge body, the palm of the sponge body has a depression on the heel to accommodate and fix 23 thin metal copper sheets, 24 is another metal copper sheet, 25 is an outer fabric, and metal The copper sheet is fixed 24 on it. The type of hand pressure pad can be designed to be put on the finger for easy use on children. To facilitate the replacement of the hand-pressed wire, it can be designed as a movable plug. 5 · As electrode pads, electrode patches used on thighs. The types of electrode pads can be pre-adhesive self-adhesive electrodes or carbon gel electrodes, etc., which are generally used at present. To facilitate the use of electrical wires, the electrical wires can be designed as movable plugs. . … 4 · Electric wrist strap Electrode strap A flat electrical stimulation pole piece and ghost sticking on the fabric skin. It is a 42-pole band shown in the figure. It is used for the electrode patch device on the arm and has the function of pressing. As shown in Figures 6 and 7, 'is a type, 41 is the outer layer of the electrode band, the band It is long enough to wrap the arm. "It is a thin and elastic plastic strip. Its role is to press the joints and reduce the force of the hand springing up. 43 is a thin sponge, 44 is a rubber-carbon electric wire, 45 is The inner surface of the electrode strip is made of 46 devil cloth, which is a material that can be adhered, and 46 another devil sticks the cloth to sew on 45. 45 has 451 openings, which is convenient for the 44 rubber carbon electrode sheet to be exposed and attached to the human skin. 2 Use the electrode The belt wire can be designed as a movable plug. As shown in the eighth figure, when the electrode tape 4 is wrapped around the arm, the electrode tape plastic strip presses the joint 5 to reduce the spring of the hand during electrical stimulation.

Claims (1)

50956^50956 ^ — ®-—年 θ a 勝, 六、申請專利範圍 1· 一種體外心臟按摩輔助裝置,包括一電刺激主機,該裝 置為低週波直流電做為刺激患者肌肉穴道收縮的一種電刺 激主機裝置,在心臟按摩的放鬆期電刺激肌肉或心臟按摩 的放鬆期及收縮交互電刺激肌肉;有一手壓墊,套於施救 者的手上的一種手上控制裝置,有導線與電刺激主機連 結;兩條電極帶,用以包纏固定於患者手臂,其内置有電 極片有導線與電刺激主機連結;兩組電極片,貼於腿部 肌膚上之電極片,有導線與電刺激主機連結y 6 Lϊί申請專利範圍第一項所述之裝置,其中-電刺激主 二鬆期刺激主機者,主機内以乾電池為供應電源,先 壓電源電路調整成所需要之電壓,再經脈波產生電 低週波脈波,輸出時間控制電路可為簡單之延遲電 *去配合手壓墊控制延遲電刺激的時間,在放鬆期電刺激 =,1=經刺激強度調整電路,調整成合適的刺激電流強 用於各種體型,另由於手臂與大腿所需的刺激強 g太相g,可再分設可調整電阻來產生不同的輸出刺激 3機ϊ Ϊf ί利範圍第一項所述之裝置,其中-電刺激主 為2i 縮期交互電刺激型^,主貞内以乾電池 電^,、ΐ源,先經由變壓電源電路調整成各電路所需要之 置,傲a,脈波產生電路產生低週波脈波,並增加電腦裝 择即昧:记錄手壓次數之用,切換電路可依據電腦裝置選 的效果31遲放電時間’便可產生在收縮期與放鬆期刺激 ’輸出時間控制電路則具有即時電路及延遲電路,— ®-—year θ a wins, VI. Patent application scope 1. An extracorporeal cardiac massage auxiliary device, including an electrical stimulation host, the device is a low frequency direct current as an electrical stimulation host device for stimulating contraction of muscle acupuncture points in patients. Electrical stimulation of the muscles during the relaxation phase of the cardiac massage or relaxation of the cardiac massage and contraction of the electrical stimulation muscles; a hand pressure pad, a hand control device that is placed on the rescuer's hand, and a wire is connected to the electrical stimulation host; An electrode strip is used to wrap and fix on the patient's arm. It has built-in electrode pads with wires connected to the electrical stimulation host; two sets of electrode pads, electrode pads attached to the skin of the legs, have wires connected to the electrical stimulation host y 6 The device described in the first item of the scope of patent application by Lϊί, where-electrical stimulation of the main two-phase stimulation of the host, the host uses dry batteries as the power supply, the power circuit is first adjusted to the required voltage, and then the electric low cycle is generated by the pulse wave Pulse wave, output time control circuit can be a simple delayed electric * to cooperate with the hand pressure pad to control the delayed electric stimulation time, during the relaxation period electric stimulation =, 1 = thorn The stimulus intensity adjustment circuit is adjusted to a suitable stimulus current for various body types. In addition, because the stimulus strength g required by the arm and thigh is too much, you can set an adjustable resistance to generate different output stimuli. 3 machines Ϊ f ί The device described in the first item of the benefit range, where-the electrical stimulation is mainly 2i contracted interactive electrical stimulation ^, the main battery is powered by dry batteries ^, and the source is first adjusted by the transformer power circuit to the required for each circuit The pulse wave generating circuit generates low-frequency pulse waves and increases the selection of the computer equipment. It is used to record the number of hand pressures. The switching circuit can be based on the effect of the computer device. Period and relaxation period stimulation 'output time control circuit has instant circuit and delay circuit, 509566509566 第13頁Page 13
TW88119181A 1999-11-01 1999-11-01 Extracorporeal auxiliary device for massaging heart TW509566B (en)

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WO2014182735A3 (en) * 2013-05-08 2015-04-30 EZ as a Drink Productions, Inc. Systems and methods for facilitating coaching and/or analysis of pressure-based treatment
US9230064B2 (en) 2012-06-19 2016-01-05 EZ as a Drink Productions, Inc. Personal wellness device
US9229476B2 (en) 2013-05-08 2016-01-05 EZ as a Drink Productions, Inc. Personal handheld electronic device with a touchscreen on a peripheral surface
US9262064B2 (en) 2013-07-09 2016-02-16 EZ as a Drink Productions, Inc. Handheld computing platform with integrated pressure sensor and associated methods of use
US10102345B2 (en) 2012-06-19 2018-10-16 Activbody, Inc. Personal wellness management platform
US10124246B2 (en) 2014-04-21 2018-11-13 Activbody, Inc. Pressure sensitive peripheral devices, and associated methods of use
US10133849B2 (en) 2012-06-19 2018-11-20 Activbody, Inc. Merchandizing, socializing, and/or gaming via a personal wellness device and/or a personal wellness platform
CN111939031A (en) * 2020-08-19 2020-11-17 郑州铁路职业技术学院 Special nursing physiotherapy pad of cardiovascular internal medicine
US11064910B2 (en) 2010-12-08 2021-07-20 Activbody, Inc. Physical activity monitoring system
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Publication number Priority date Publication date Assignee Title
US11064910B2 (en) 2010-12-08 2021-07-20 Activbody, Inc. Physical activity monitoring system
US9230064B2 (en) 2012-06-19 2016-01-05 EZ as a Drink Productions, Inc. Personal wellness device
US10102345B2 (en) 2012-06-19 2018-10-16 Activbody, Inc. Personal wellness management platform
US10133849B2 (en) 2012-06-19 2018-11-20 Activbody, Inc. Merchandizing, socializing, and/or gaming via a personal wellness device and/or a personal wellness platform
WO2014182735A3 (en) * 2013-05-08 2015-04-30 EZ as a Drink Productions, Inc. Systems and methods for facilitating coaching and/or analysis of pressure-based treatment
US9229476B2 (en) 2013-05-08 2016-01-05 EZ as a Drink Productions, Inc. Personal handheld electronic device with a touchscreen on a peripheral surface
US9262064B2 (en) 2013-07-09 2016-02-16 EZ as a Drink Productions, Inc. Handheld computing platform with integrated pressure sensor and associated methods of use
US10124246B2 (en) 2014-04-21 2018-11-13 Activbody, Inc. Pressure sensitive peripheral devices, and associated methods of use
CN111939031A (en) * 2020-08-19 2020-11-17 郑州铁路职业技术学院 Special nursing physiotherapy pad of cardiovascular internal medicine
TWI758917B (en) * 2020-10-26 2022-03-21 林忠信 cardiopulmonary resuscitation aids
TWI760256B (en) * 2020-10-26 2022-04-01 林忠信 CPR delivery aids (2)

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