WO2017158451A1 - Vorrichtung zur kardiopulmonalen massage und/oder reanimation - Google Patents
Vorrichtung zur kardiopulmonalen massage und/oder reanimation Download PDFInfo
- Publication number
- WO2017158451A1 WO2017158451A1 PCT/IB2017/050838 IB2017050838W WO2017158451A1 WO 2017158451 A1 WO2017158451 A1 WO 2017158451A1 IB 2017050838 W IB2017050838 W IB 2017050838W WO 2017158451 A1 WO2017158451 A1 WO 2017158451A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- patient
- holding plate
- massage
- plate member
- clamping means
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
- A61H31/004—Heart stimulation
- A61H31/006—Power driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
- A61H31/008—Supine patient supports or bases, e.g. improving air-way access to the lungs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1619—Thorax
- A61H2201/1621—Holding means therefor
Definitions
- the invention relates to a device for cardiopulmonary massage and / or resuscitation of a patient, having a massaging device connected to or connectable to a support board, which has a reversibly drivable massage stamp, which at a desired contact area on the chest of the patient for performing a cardiopulmonary massage is positionable.
- Such a device is known from DE 10 2013 100 943 AI.
- the massaging device can be reversibly driven by a drive device in an actuating direction in the case of the known device and has a pressure surface which can be positioned on a patient's thorax at a Söll contact region on its pressure piston.
- Deviations of the position of the pressure surface of the massage device from a target pressure point are determined by a position sensor device, with which it is possible to change the position of the massage device and / or the pressure surface relative to the target contact area on the chest of the patient in a plane normal to the direction of actuation To determine massage device.
- a patient for example, from an apartment or from the place of an accident first by means of suitable carrying aids to an ambulance or a helicopter, it may well be that during this transport process, the cardiac massage is not interrupted shall be.
- the known device is quite able to continue the massage with the plunger during the transport of the patient, for example by means of a stretcher or a baby sling. It can in such transport operations but easily come to the fact that the patient lying on the support board his situation - possibly very suddenly - relative to this changed, which in practice, for example, when transporting the patient via a staircase then results in a reasonably continuous operation of the massage device is not possible because too great changes in the position of the massage device relative to the desired contact area on the chest of the patient occur and thus an efficient resuscitation is not possible. Under certain circumstances, even a risk to the patient is possible.
- a device for stimulating and reviving the heart and lung activity of a patient which has a massage unit which is connected with straps on a support-board-like shoulder rest, the massage unit on the chest of lying on the shoulder rest patient hold tight.
- the holding forces that occur during the cardiac massage as reaction forces, deposited on the straps in the shoulder rest, which leads to very high holding forces in the straps because of not predominantly in the direction of actuation of the massage unit going course of the straps.
- the massage unit comes to a certain distance from the chest, which reduces the effectiveness of the chest compressions.
- the object of the invention is to improve a device of the type mentioned so that thus the machine cardiopulmonary massage can be maintained even during the explained, difficult transport measures.
- This object is achieved with the invention by a holding plate element which can be positioned on the desired contact region on the patient's thorax, which can be fixed by means of at least three tensioning means acting on its circumference, at least two of the three tensioning means being connectable and braceable to the support plate.
- the holding plate element according to the invention makes it possible to reliably fix the patient between himself and the support board so that even with a difficult transport, such as a down carry the patient through a staircase, the position of the patient's chest relative to the Auflagerbrett not, at least not abruptly changed appreciably, so that the massaging device connected to the support board maintains its position at the desired contact area and can continue to exercise its massage during transport.
- the patient is with his upper body between see the Aufbrettbrett and the holding plate member by means of acting between these two components of the rescue system clamping means in fact clamped so that he can not slip to relevant extent relative to Auflagerbrett, thereby providing the desired point of application for the massage device for correct Performing the cardiac massage would change.
- the holding plate member is provided with angeord Neten at its periphery mounting tabs on which the clamping means are releasably connected.
- This configuration makes it possible to apply the Vorrich device quickly and precisely to the patient by placing this next to the Auflagerbrett and then the Halteplat tenelement is placed on his chest to then connect the clamping means to the mounting tabs, which firmly with their other ends on the support board or (at least in part) a sling or a stretcher carrying the stretcher can be closed to.
- a sling or a stretcher carrying the stretcher can be closed to.
- To fix the patient between the on-board and the holding plate element then only the clamping means must be stretched.
- the holding plate element may be approximately circular with a central con tact surface for the massage stamp or in a particularly preferred ring shape with a central opening for the passage of the massage stamp be designed. If the holding plate element is circular with a closed central contact surface, this is aligned on the chest of the patient so that it is as accurately as possible above the desired contact area for the massage device. The plunger of the massage device then starts on the top of the contact surface on the holding plate element. It is also possible to fix the once set position of the pressure surface of the massage device relative to the contact surface on the holding plate member by a locking means between these two surfaces, for example by a hook and loop fastener with a fleece on one and a hook and loop on the other of the two surfaces.
- the desired desired contact area on the breastbone remains accessible, in particular visible, to the physician or paramedic during the cardiac massage, in order to allow a visual check of the correct position of the stamp, this is with the annular design the holding plate member by the annular opening formed therein easily possible, through which the massage punch on the chest of the patient can be attached.
- the holding plate member has four preferably uniformly distributed on its circumference arranged connection elements for four acting on corners of the Auflagerbretts clamping means. It is particularly advantageous if the holding plate element has an additional connection for an additional clamping means guided between the legs of the patient.
- Such an inserted between the legs of the patient auxiliary clamping means which can be connected to its other end either also on the Aufplatzbrett or when using a baby towel, a stretcher or other carrying system, even at high tilt of the patient, for example, at Transport can come over a staircase, a safe storage of the patient, who then certainly can not slip to any significant extent relative to Auflagerbrett.
- the sling or other carrying system is also the slipping of the system consisting of patient, support board with holding plate element and massage Device against the sling or other carrying system prevented.
- the tensioning means are in an advantageous embodiment of the invention tension straps with hook closure elements, which are detachably connectable with arranged on the holding plate element connection elements. It is particularly advantageous if the hook closure elements engage magnetically supported on the associated connection elements.
- the holding plate element is expediently at least largely inflexible in the radial and / or circumferential direction and designed to be deformable in a direction perpendicular to the patient's ribcage.
- the clamping forces which are exerted by the clamping means substantially in the radial direction on the holding plate element, absorb well and, on the other hand, adapt well to the anatomical shape of the thorax of the patient.
- the holding plate element may, for example, comprise a central ring or disc element of flexurally elastic plastic material, which is preferably covered with a high-strength fabric on which the connection elements are provided.
- connection elements and / or the additional connection can be arranged on attachment tabs which are arranged approximately radially projecting on the holding plate element.
- the arrangement is preferably such that at least one clamping means engaging the slat element is connected or connectable to the sling. It is then particularly preferred for the tensioning means connected or connectable to the sling to be able to be connected between the legs of the patient and connectable to the additional connection.
- FIG. 2 shows a preferred embodiment of the holding plate element used in the device according to FIG. 1 in a plan view
- FIG. 3 shows the subject matter of FIG. 2 in a section along the line III-III.
- FIG. 1 shows a device according to the invention designated in its entirety by 10, with the aid of which a patient 11 can be transported lying while at the same time receiving a cardiac massage.
- the device 10 is provided for this purpose with a support board 12, on which the patient flies up with his back.
- a massage device 14 is disposed on one of the top portions 13 located at the head end, which has a not shown in plan view of FIG. 1 portal support a projecting above the chest of the patient boom 15, the reversing at its free end drivable massage stamp 16 bears.
- the massage punch 16 can be positioned at a desired contact area 17 in order to carry out the cardiopulmonary massage on the patient 11 there by moving its print head up and down.
- a holding plate element 19 which can be positioned on the thorax 18 of the patient 11 at the desired contact region 17 is provided, which can be connected and braced with four supporting devices 20 acting on its circumference with the supporting board 12 in its corner regions.
- the holding plate element 19 has four diagonally opposite each other at its circumference, distributed uniformly around its circumference. ing and aligned to the corner regions of the Auflagerbretts 12 connecting elements 21, where the four attached to the corner regions of the Auflagerbretts clamping means 20 can attack.
- the tensioning means 20 are tension straps which are provided with hook closure elements 22 which can be detachably attached to the connecting elements 21 arranged on the holding plate element 19 and assigned to them. In order to facilitate the connection of the hook closure elements 22 to the associated connection elements 21, it is preferably provided that the hook closure elements engage in a magnet-assisted manner on the corresponding connection elements.
- the holding plate element 19 has an additional connection 23 for an additional clamping means 25 guided between the legs 24 of the patient 11, the other end 26 of which is sewn firmly to a sling 27 on which the support board 12 flies and with whose help the patient 11 can be carried by his rescuers through difficult terrain such as a narrow staircase.
- the inventive arrangement makes it possible to position the patient 11 during transportation relative to the massaging device 14 substantially in a constant position by the upper body of the patient between the support board 12 and the holding plate member 19 by means of acting between these two device parts clamping means 20 fixed is clamped so that he can not or at least not significantly slip while the patient is being transported.
- the massage device can therefore also perform the cardiac massage during transport without the risk that the massage stamp 16 will lose its position at the desired contact area (ie at the sternum of the patient).
- the additional connection 23 with the additional clamping means 25 guided between the legs 24 of the patient, which is fastened directly to the sling 27, ensures that the position of the patient also remains largely the same relative to the sling, and in particular the patient with his on the upper body applied device can not slide forward (ie left in Fig.l) from the sling, for example when the patient is carried by his rescuers one foot down the stairs.
- the holding plate member 19 is shown in more detail in Figs. 2 and 3. As can be seen, in the preferred embodiment shown, it is configured annularly with a central opening 28 which forms a passage for the massage punch 16 when the holding plate element 19 at the target contact area 17 of the patient, ie preferably concentric to the lower sternum third of Chest 18 is positioned.
- the holding plate element 19 has an inner ring element 29 made of an approximately 2 to 5 mm thick, flexurally elastic plastic material, which is covered with a high-strength fabric 30.
- connection elements 21 and the additional connection 23 are arranged on fastening lugs 31, which are arranged so as to protrude radially on the holding plate element 19.
- the fastening tabs 31 consist of strips 32 made of a high-strength fabric, which are looped around the covered ring element 29 and their then radially outwardly projecting ends 33 sewn together and with the connecting elements 21 and the additional terminal 23 or connected in any other suitable manner.
- the annular configuration of the holding plate member 19 with the central opening 28 facilitates the positioning of the massage stamp for cardiac massage by first the holding plate member correctly positioned on the patient's rib cage and then firmly connected to the lying under the patient support board 12 by means of the clamping means 20, so that it can not move laterally and firmly clamps the patient's chest between itself and the support board.
- the ring element 29 it is possible, for example, for the ring element 29 to be wise in the range of four offset by 90 ° to each other arranged mounting tabs for the to be connected to the support board clamping means 20 or between them with marking lines (not shown) to facilitate the correct alignment of the holding plate member concentric with the target contact area 17, with the center the central opening 28 coincides, that is concentric with the opening 28.
- the massage punch 16 with its pressure surface must be positioned centrally in the central opening 28 of the ring member 29.
- the retaining plate member is not ring-shaped, but designed to design closed and the pressure surface of the massage stamp then not directly on the chest of the patient, but the top of the holding plate member to set the up and down movement of the massage stamp due to the inherent flexibility in the direction perpendicular to the patient's chest.
- the massage stamp on its pressure surface, for example by means of a hook and loop fastener with the holding plate member and in this way to create a firm connection between the massage punch and the patient practically clamped by the device in a direction transverse to the direction of actuation of the massage punch ,
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Emergency Medicine (AREA)
- Pulmonology (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Percussion Or Vibration Massage (AREA)
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP17707677.5A EP3429539B1 (de) | 2016-03-14 | 2017-02-15 | Vorrichtung zur kardiopulmonalen massage und/oder reanimation |
CN201780004126.8A CN108289785B (zh) | 2016-03-14 | 2017-02-15 | 用于心肺按摩和/或复苏的设备 |
JP2018527243A JP6984806B2 (ja) | 2016-03-14 | 2017-02-15 | 心肺マッサージ及び/又は蘇生用の装置 |
ES17707677T ES2964995T3 (es) | 2016-03-14 | 2017-02-15 | Dispositivo para masaje y/o resucitación cardiopulmonar |
US15/777,356 US11523967B2 (en) | 2016-03-14 | 2017-02-15 | Device for cardiopulmonary massage and/or resuscitation |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102016104679.5A DE102016104679A1 (de) | 2016-03-14 | 2016-03-14 | Vorrichtung zur kardiopulmonalen Massage und/oder Reanimation |
DE102016104679.5 | 2016-03-14 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2017158451A1 true WO2017158451A1 (de) | 2017-09-21 |
Family
ID=58185570
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/IB2017/050838 WO2017158451A1 (de) | 2016-03-14 | 2017-02-15 | Vorrichtung zur kardiopulmonalen massage und/oder reanimation |
Country Status (7)
Country | Link |
---|---|
US (1) | US11523967B2 (de) |
EP (1) | EP3429539B1 (de) |
JP (1) | JP6984806B2 (de) |
CN (1) | CN108289785B (de) |
DE (1) | DE102016104679A1 (de) |
ES (1) | ES2964995T3 (de) |
WO (1) | WO2017158451A1 (de) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11179293B2 (en) * | 2017-07-28 | 2021-11-23 | Stryker Corporation | Patient support system with chest compression system and harness assembly with sensor system |
EP3735954A1 (de) * | 2019-05-06 | 2020-11-11 | Koninklijke Philips N.V. | Herz-lungen-wiederbelebungsvorrichtung, steuerungsverfahren und computerprogramm |
CN114373372B (zh) * | 2021-11-29 | 2023-04-07 | 苏州尚领医疗科技有限公司 | 人体胸腔心肺复苏模拟方法 |
Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
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DE1491745A1 (de) | 1965-10-18 | 1969-10-30 | Hewson Carl Edwin | Geraet zur Anregung und Wiederbelebung der Herz- und Lungentaetigkeit |
US3511275A (en) * | 1965-10-18 | 1970-05-12 | Carl E Hewson | Fluid pressure biased valve with dashpot |
US3985126A (en) * | 1975-02-07 | 1976-10-12 | Michigan Instruments, Inc. | Patient retention and support |
US4060079A (en) | 1975-11-17 | 1977-11-29 | Survival Technology, Inc. | Heart-lung resuscitator litter unit |
US4632094A (en) * | 1985-03-25 | 1986-12-30 | Thomas August A | Electro-mechanical heart compressor system |
US4915095A (en) | 1988-05-02 | 1990-04-10 | Newton Chun | Cardiac CPR mechanism |
US20030135139A1 (en) * | 2002-01-16 | 2003-07-17 | Bassuk Jorge I. | Medical cuirass for cardio-pulmonary resuscitation |
US20050015026A1 (en) * | 2003-07-16 | 2005-01-20 | Well Max Harry | Controlled chest compressor |
DE102013100943A1 (de) | 2013-01-30 | 2014-07-31 | GS Elektromedizinische Geräte G. Stemple GmbH | Vorrichtung zur kardiopulmonalen Massage und/oder Reanimation |
DE102015001616B3 (de) * | 2015-02-09 | 2016-03-03 | Dmt Produktentwicklung Ag | Tragbare Notfallerstversorgungseinrichtung zur autarken intensivmedizinischen Betreuung von Unfallopfern oder Kranken |
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US5211186A (en) * | 1991-11-13 | 1993-05-18 | Shoemaker Michael D | Patient immobilization harness and apparatus |
US5634222A (en) * | 1993-10-15 | 1997-06-03 | Zwickey; Wayne C. | Cardiopulmonary resuscitation back support |
US6174295B1 (en) * | 1998-10-16 | 2001-01-16 | Elroy T. Cantrell | Chest mounted cardio pulmonary resuscitation device and system |
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JP4933976B2 (ja) | 2007-08-07 | 2012-05-16 | 秀博 堂谷内 | 心臓マッサージ器具 |
CN101744714B (zh) * | 2008-12-08 | 2012-12-05 | 张维典 | 杠杆式主动压迫复扩张心肺复苏器 |
CN201356780Y (zh) | 2008-12-30 | 2009-12-09 | 上海三埃弗电子有限公司 | 一种小型化便携式心肺复苏辅助装置 |
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DE102011014304A1 (de) * | 2011-03-17 | 2012-09-20 | GS-Elektromedizinische Geräte, G. Stemple GmbH | Vorrichtung zur Reanimation eines Patienten |
WO2014044921A1 (en) * | 2012-09-24 | 2014-03-27 | Aid One Solutions Oy | A covering for resuscitation and a method for manufacturing thereof |
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JP2015001616A (ja) | 2013-06-14 | 2015-01-05 | 積水化学工業株式会社 | 液晶滴下工法用シール剤、上下導通材料、及び、液晶表示素子 |
JP6407531B2 (ja) | 2014-01-29 | 2018-10-17 | コ−ケンメディカル株式会社 | 自動式胸骨圧迫心臓マッサージ器を備える担架及びそれに用いる担架 |
US10085902B2 (en) * | 2014-04-30 | 2018-10-02 | Ferno Washington, Inc. | Pediatric transport harness for an ambulance cot |
US10092464B2 (en) * | 2014-10-03 | 2018-10-09 | Physio-Control, Inc. | Medical device stabilization strap |
DE102015101706A1 (de) * | 2015-02-06 | 2016-08-11 | GS Elektromedizinische Geräte G. Stemple GmbH | Vorrichtung zur kardiopulmonalen Massage und/oder Reanimation |
-
2016
- 2016-03-14 DE DE102016104679.5A patent/DE102016104679A1/de active Pending
-
2017
- 2017-02-15 US US15/777,356 patent/US11523967B2/en active Active
- 2017-02-15 CN CN201780004126.8A patent/CN108289785B/zh active Active
- 2017-02-15 EP EP17707677.5A patent/EP3429539B1/de active Active
- 2017-02-15 JP JP2018527243A patent/JP6984806B2/ja active Active
- 2017-02-15 WO PCT/IB2017/050838 patent/WO2017158451A1/de active Application Filing
- 2017-02-15 ES ES17707677T patent/ES2964995T3/es active Active
Patent Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE1491745A1 (de) | 1965-10-18 | 1969-10-30 | Hewson Carl Edwin | Geraet zur Anregung und Wiederbelebung der Herz- und Lungentaetigkeit |
US3511275A (en) * | 1965-10-18 | 1970-05-12 | Carl E Hewson | Fluid pressure biased valve with dashpot |
US3985126A (en) * | 1975-02-07 | 1976-10-12 | Michigan Instruments, Inc. | Patient retention and support |
US4060079A (en) | 1975-11-17 | 1977-11-29 | Survival Technology, Inc. | Heart-lung resuscitator litter unit |
US4632094A (en) * | 1985-03-25 | 1986-12-30 | Thomas August A | Electro-mechanical heart compressor system |
US4915095A (en) | 1988-05-02 | 1990-04-10 | Newton Chun | Cardiac CPR mechanism |
US20030135139A1 (en) * | 2002-01-16 | 2003-07-17 | Bassuk Jorge I. | Medical cuirass for cardio-pulmonary resuscitation |
US20050015026A1 (en) * | 2003-07-16 | 2005-01-20 | Well Max Harry | Controlled chest compressor |
DE102013100943A1 (de) | 2013-01-30 | 2014-07-31 | GS Elektromedizinische Geräte G. Stemple GmbH | Vorrichtung zur kardiopulmonalen Massage und/oder Reanimation |
DE102015001616B3 (de) * | 2015-02-09 | 2016-03-03 | Dmt Produktentwicklung Ag | Tragbare Notfallerstversorgungseinrichtung zur autarken intensivmedizinischen Betreuung von Unfallopfern oder Kranken |
Also Published As
Publication number | Publication date |
---|---|
US20210196564A1 (en) | 2021-07-01 |
DE102016104679A1 (de) | 2017-09-14 |
EP3429539A1 (de) | 2019-01-23 |
EP3429539B1 (de) | 2023-10-04 |
CN108289785B (zh) | 2021-03-12 |
ES2964995T3 (es) | 2024-04-10 |
JP2019509767A (ja) | 2019-04-11 |
CN108289785A (zh) | 2018-07-17 |
JP6984806B2 (ja) | 2021-12-22 |
US11523967B2 (en) | 2022-12-13 |
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