WO2016085433A1 - Bracelet à électrochocs automatisé - Google Patents
Bracelet à électrochocs automatisé Download PDFInfo
- Publication number
- WO2016085433A1 WO2016085433A1 PCT/TR2015/050190 TR2015050190W WO2016085433A1 WO 2016085433 A1 WO2016085433 A1 WO 2016085433A1 TR 2015050190 W TR2015050190 W TR 2015050190W WO 2016085433 A1 WO2016085433 A1 WO 2016085433A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- electroshock
- wristband
- automated
- ecg
- heart
- Prior art date
Links
- 238000000034 method Methods 0.000 claims abstract description 13
- 230000008569 process Effects 0.000 claims abstract description 8
- 239000003990 capacitor Substances 0.000 claims description 9
- 210000000707 wrist Anatomy 0.000 claims description 4
- 230000033764 rhythmic process Effects 0.000 abstract description 17
- 230000035939 shock Effects 0.000 abstract description 9
- 208000003663 ventricular fibrillation Diseases 0.000 abstract description 9
- 208000001871 Tachycardia Diseases 0.000 abstract description 6
- 238000012544 monitoring process Methods 0.000 abstract description 6
- 206010049447 Tachyarrhythmia Diseases 0.000 abstract description 5
- 208000010496 Heart Arrest Diseases 0.000 abstract description 4
- 238000001467 acupuncture Methods 0.000 description 10
- 230000000694 effects Effects 0.000 description 5
- 230000008602 contraction Effects 0.000 description 4
- 206010003658 Atrial Fibrillation Diseases 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 230000000747 cardiac effect Effects 0.000 description 3
- 238000013194 cardioversion Methods 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- 206010047302 ventricular tachycardia Diseases 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 230000004083 survival effect Effects 0.000 description 2
- 206010003662 Atrial flutter Diseases 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000007123 defense Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 210000005240 left ventricle Anatomy 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 208000014321 polymorphic ventricular tachycardia Diseases 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000000718 qrs complex Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 230000008521 reorganization Effects 0.000 description 1
- 230000001020 rhythmical effect Effects 0.000 description 1
- 210000005241 right ventricle Anatomy 0.000 description 1
- 238000002633 shock therapy Methods 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 230000006794 tachycardia Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- 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
-
- 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
- A61N1/3968—Constructional arrangements, e.g. casings
Definitions
- the invention involves an automated electroshock wristband, in which by monitoring patients in cardiac arrest, tachyarrhythmia or ventricular fibrillation, it implements an immediate shock to the patient and this occurs when it detects irregularities in heart rhythm, and correspondingly repeats the electroshock process by adjusting the energy level when needed.
- the defibrillator is a device that electrically shocks the heart back to its normal rhythm when the heart beat stops, when the rhythm completely gets lost (ventricular fibrillation) or when it beats faster and irregularly (tachyarrhythmia- atrial fibrillation).
- Defibrillation is applied to the place called the heart area on the chest by giving determined amount of energy.
- Defibrillation device stores the generated energy within a capacitor, and then gives this energy to the application area (at the body of the person at risk in a short time) via two electrodes.
- defibrillation is a shock therapy applied to retrieve the heart rhythm back.
- the most common application is the 200-300-360J series.
- the patient's condition is assessed by monitoring ECG rhythm, and depending on the situation, the energy in which its level is determined is given. Energy level can be increased after each unsuccessful attempt.
- Every stage of the process of electroshock (defibrillation / cardio version) having critical details like the location where the electrodes placed, the level of applied energy, timing of energy application to patient at risk, monitoring after implementation, and if necessary repeating the application should be handled carefully. The proper implementation of these details requires strict control of heartbeat of the patient at risk. Therefore in recent years, most of medical purpose-built electroshock devices can measure ECG. Even in some specific cases, application timing is automatically determined by synchronizing the ECG measurement.
- the timing of electroshock applications is insignificant in ventricular fibrillation, it is important in tachycardia.
- the most intense contraction moment of the heart muscles i.e. the R wave of the QRS complex, is the best synchronization point for cardio-version application. In this way the effect of shock is maximized.
- the shock application synchronized onto T wave by reversing intended treatment, can put the patient into a ventricular fibrillation.
- the blood At the heart's blood pumping function which is performed via contraction and relaxation, the blood, at the instant of contraction, is sent from the right ventricle to the lungs, and also to the whole body via the aorta from the left ventricle.
- contraction and relaxation process of the heart In cases such as ventricular fibrillation, contraction and relaxation process of the heart is impaired, and at this time, since clean blood in view of oxygen cannot be sent to vital organs, the patient is at life-threatening.
- life chances of patient in ventricular fibrillation decreases 10% within each passing minute. In the first minute, while recovery chance of the patient is 90%, after ten minutes, the chance of survival falls below 10%. After the first ten minutes, only one of every 250 patients who got intervention can be rescued.
- Automated Electroshock Wristband in the view of its applying position, is separated from known techniques. Chest-heart area on which the traditional defibrillation is applied makes it difficult to design a practical and useful device.
- the invention to overcome the difficulties mentioned, has benefited from acupuncture philosophy. According to acupuncture techniques, it is possible to send shock energy from several points to the heart, and this invention applies electroshock to the wrist where four specific points close to each other on the "heart meridian" energy path.
- Figure 1 The location of wristband at Automated Electroshock Wristband system and, a general view of heart meridian in the arm according to acupuncture technique.
- FIG. 1 A general view of wristband at the Automated Electroshock Wristband system.
- Electro- acupuncture technique spreading in recent years is also developed based on this information. Unlike pricking in traditional acupuncture, intervention in electro acupuncture is applied by giving energy at different frequencies to electrodes which touches appropriate acupuncture points.
- Electrocardiogram (ECG) device conventionally used to monitor the heart rhythm, thanks to new technologies, is designed small as much as to be used in home easily.
- Electroshock Wristband is composed of an ECG (2) and an electroshock (3) device. Based on the measured ECG signals; the microprocessor located within ECG device (2) of the wristband (1 ) determines the intervention timing; and sends a command to start the application of the electroshock device (3) by internal lines.
- electroshock The technology also known by the name electroshock is frequently used in many fields such as defense, attack and treatment. Circuits of defibrillators- cardioverters have some similarities with ones of other electroshock devices: to have a capacitor which stores energy and to discharge the stored energy in a short time. A battery of and charge/discharge circuit of an electroshock device that produces direct current and biphasic wave was reconsidered in view of shape, and they were accordingly positioned in wristband at the Automated Electroshock Wristband system (1 ).
- the proposed invention can apply one of two different shock options.
- the first one is used to regulate fast heart beat related to tachyarrhythmia.
- Automated Electroshock Wristband system is treated as a cardioverter.
- cardiac rhythm is monitored by ECG device (2) of the wristband (1 ), and electroshock application command synchronously to a detected R wave is given (low energy level compared to defibrillation).
- the second option is the defibrillation process applied in full cardiac arrest or ventricular fibrillation.
- the electroshock device (3) acts as a defibrillator.
- electroshock electrodes (4) in the Wristband (1 ) is in constant contact with skin; in preparation for the shock process; charging the capacitor in the electroshock device (3) is sufficient.
- the energy stored in the capacitor is given into body through electroshock electrodes (4) touched acupuncture points.
- ECG signals are continuously monitored, and if any cardiac activity requiring electroshock is detected by microprocessor, for the preparatory process of the electroshock device (3), the first sign is sent via internal lines. At this stage, the capacitor in the electroshock device (3) is charged. While ECG device (2) in the Wristband (1 ) continues to examine heart activities; electroshock device (3) gives a beep to notify the start of application. After ECG signals are followed for at least 15 seconds, if the problem at rhythm continues and the situation requires electroshock, the second sign is sent. Upon receiving this sign, electroshock device (3) discharges energy stored in capacitor to the patient's wrist via electroshock electrode (4).
- ECG activities are monitored; and if a decision is made by the microprocessor about intervention requirement; the third sign is sent to electroshock device (3).
- electroshock device (3) is prepared by charging the capacitor in re-determined energy level, an audible warning is given again.
- ECG device (2) sends the fourth sign.
- electroshock device (3) completes the intervention via electroshock electrode (4). This application sequence is continued until obtaining an absolute result.
- the energy level is set by microprocessor in the wristband (1 ). Initial application is started with the lowest level, and for each application, energy level can be changed.
- Each application command from Wristband (1 ) is represented by two signs. These signals are transmitted to the electroshock device (3) located at the wristband (1 ) via internal lines hidden into cord. Whereas the first sign is sent electroshock device (3) to prepare charging, the capacitor charged in the device is discharged to the patient by the second sign. After all electroshock interventions, monitoring the heart rhythm is important. According to cardiac activity from the ECG device (2), microprocessor in the Wristband (1 ) may decide to apply electroshock once again. If necessary, band of wristband (1 ) can be adjusted according to the patient's wrist width, thus both the ECG device (2) and electroshock electrodes (4) keep in contact with the skin.
- ECG device (2) continuously consumes energy because of running uninterrupted throughout day. Therefore the ECG device (2) and the electroshock device (3) have different batteries. When their battery power weakens, both devices, by emitting a warning, indicate that you should charge them. In addition, both devices are water resistant. Thus, wearing the wristband (1 ) without interruption can be possible.
Abstract
L'invention concerne un bracelet à électrochocs automatisé, qui, pendant la surveillance de patients en arrêt cardiaque, tachyarythmie ou fibrillation ventriculaire, applique un choc immédiat au patient, ce qui se produit lorsqu'il détecte des irrégularités du rythme cardiaque et répète de même manière le processus d'électrochoc en ajustant le niveau d'énergie lorsque si besoin est.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
TR2014/13954 | 2014-11-25 | ||
TR201413954 | 2014-11-25 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2016085433A1 true WO2016085433A1 (fr) | 2016-06-02 |
Family
ID=55066745
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/TR2015/050190 WO2016085433A1 (fr) | 2014-11-25 | 2015-11-23 | Bracelet à électrochocs automatisé |
Country Status (1)
Country | Link |
---|---|
WO (1) | WO2016085433A1 (fr) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107170081A (zh) * | 2017-05-08 | 2017-09-15 | 成都智慧家信息技术有限公司 | 便携式智慧服务门禁管理装置 |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0229735A2 (fr) * | 1986-01-17 | 1987-07-22 | Edward Lamb | Appareil de surveillance de la fréquence du pouls d'un enfant |
US20040215247A1 (en) * | 2003-01-11 | 2004-10-28 | Armin Bolz | Method and device for detecting an anomaly in the cardiac activity of a patient |
US20130013014A1 (en) * | 2007-06-07 | 2013-01-10 | Zoll Medical Corporation | Medical device configured to test for user responsiveness |
WO2014072981A1 (fr) * | 2012-11-12 | 2014-05-15 | Inovytec Medical Solutions Ltd. | Système et procédé de fourniture de ventilation non effractive |
-
2015
- 2015-11-23 WO PCT/TR2015/050190 patent/WO2016085433A1/fr active Application Filing
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0229735A2 (fr) * | 1986-01-17 | 1987-07-22 | Edward Lamb | Appareil de surveillance de la fréquence du pouls d'un enfant |
US20040215247A1 (en) * | 2003-01-11 | 2004-10-28 | Armin Bolz | Method and device for detecting an anomaly in the cardiac activity of a patient |
US20130013014A1 (en) * | 2007-06-07 | 2013-01-10 | Zoll Medical Corporation | Medical device configured to test for user responsiveness |
WO2014072981A1 (fr) * | 2012-11-12 | 2014-05-15 | Inovytec Medical Solutions Ltd. | Système et procédé de fourniture de ventilation non effractive |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107170081A (zh) * | 2017-05-08 | 2017-09-15 | 成都智慧家信息技术有限公司 | 便携式智慧服务门禁管理装置 |
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