WO2022175735A1 - Ambulatory full electronic cardiac shock-pace and pulmonary resuscitation device - Google Patents
Ambulatory full electronic cardiac shock-pace and pulmonary resuscitation device Download PDFInfo
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- WO2022175735A1 WO2022175735A1 PCT/IB2021/058284 IB2021058284W WO2022175735A1 WO 2022175735 A1 WO2022175735 A1 WO 2022175735A1 IB 2021058284 W IB2021058284 W IB 2021058284W WO 2022175735 A1 WO2022175735 A1 WO 2022175735A1
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Definitions
- An all-electronic shock/pace-maker device for the heart the pumping of blood by the heart is made possible only through electrical stimulation of the muscles, to increase the air pressure and direct it to the individual's lungs, turbine compressor technology connected to the brushless electric motor has been used, also the twin voltage booster is used as a see-saw so that when one capacitor is discharged, the other capacitor is charging constantly.
- a specific pad with a special design and noise-canceling cables with a special shield have been used in this device and to reduce the maximum amount of dead air during inhalation and exhalation, the container located on the nose has been specially designed with air conduction valves.
- a C.PR appardus comprising a chest compression unit and a mounting device for mounting the chest compression unit on a patient
- the chest compression unit comprises a housing, plunger disposed in the housing, a compression member at one end of the plunger and extending from the housing.
- the apparatus includes a linear induction motor comprising a stator affied to the housing and a rotor capable of linear motion and surrounding the stator, a connection from the rotor to the plunger for driving the plunger in a reciprocating manner.
- the apparatus also includes an induction motor control unit including a microprocessor; a monitor operable for monitoring the position of the plunger in respect of the housing the position monitored by the monitor is being communicated to the induction motor control unit, also disclosed is a method of CPR.
- the apardus C.PR device includes a chest compression unit and a device that can be installed on the patient's chest compression unit.
- the chest compression unit consists of a chamber and a piston removed from the chamber, as well as a compression member at one end of the piston added from the original location.
- the device includes a linear induction motor, which itself includes a stator attached to the housing and a rotor with the ability to move linearly and surround the stator, a connection from the rotor to the piston to create reciprocating mobility in the piston.
- This device also includes an induction motor control unit equipped with a microprocessor. Existing monitor for controlling and monitoring the position of the piston relative to the positioning chamber monitored by the monitor which is transmitted to the control unit of the induction motor, CPR method is also shown in this device.
- a cardiopulmonary resuscitation assisting apparatus including an acceleration sensor (13); a magnetic sensor (19); a first calculation section (233A) which obtains a relational expression (N) between a compression depth Da and the coil-to-coil distance AD; a determination section (234) which differentiates the relational expression (N) for an output value of the magnetic sensor (19) and compares a resulting differentiated value of the relational expression (N) with a predetermined threshold to thereby determining whether notification for the assistance of cardiopulmonary resuscitation is necessary or not; and a voice generating section (25) which performs the notification for the assistance of cardiopulmonary resuscitation.
- Cardiopulmonary resuscitation device includes an acceleration sensor and a magnetic sensor.
- the first part of the calculation is the relationship between the compression depth and the distance from the coil to the next coil.
- the sound production department that makes the announcement to help with cardiopulmonary resuscitation is also effective in this diagnosis.
- a mechanical stimulator equipped with an accelerometer was used to create mobility in the heart muscle and also to compress the chest to regenerate the lungs, and a voice recognition sensor was used to receive data from the heart. Compared to the claimed invention, the difference between the methods of creating mobility and measuring is quite obvious.
- a cardiopulmonary resuscitation device (11, 2.11, 3.11) that combines artificial, emergency ventilation of a patient's lungs with chest compressions on the patient's sternum area, said cardiopulmonary resuscitation device comprising:
- indicator means for providing an indication of the amount of force being applied to said top side (31) of said self-inflating bag (15).
- the utility model discloses a portable abdominal cardiopulmonary resuscitator for electrocardiogram monitoring, comprising an abdominal pull-push cardiopulmonary resuscitator body provided with a display and a central processing unit, wherein the abdominal pull-push cardiopulmonary resuscitator body is also provided with an electrocardiographic electrode communication module which is connected with the central processing unit; the electrocardiographic electrode communication module is connected with electrocardiographic electrodes in a wireless or wired way, and the display is used for displaying abdominal pull-push information and electrocardiogram monitoring information.
- the utility model by adding the electrocardiogram monitoring function on the display and following the abdominal pull-push information, operators can observe the electrocardiographic changes of patients in real-time during rescue without raising heads to adjust the pull and push situations of the abdominal cardiopulmonary resuscitator.
- the abdominal cardiopulmonary resuscitator is conveniently used, is not limited by the application sites, improves the success rate of rescue.
- the received signals will be analyzed and displayed using the wireless data transfer method to the electrocardiogram device.
- the difference between these sensors and previous examples is in how they are connected to the device.
- only the measurement of data is examined and there is no claim in the method of restoration.
- a manual cardiopulmonary resuscitation device for delivering chest compressions to a patient needing CPR.
- the device includes a handle, a deformable housing filled with foam, and a bottom plate.
- the deformable housing includes a first end coupled to the handle and a second end coupled to the bottom plate.
- a cardiopulmonary resuscitation monitoring apparatus includes: a detecting unit configured to obtain a detection signal of the timing of chest compression during the execution of cardiopulmonary resuscitation; a pulse oximeter configured to detect a change of a blood volume at the timing of the chest compression based on the detection signal, and configured to obtain an oxygen saturation from the change of the blood volume; an evaluating unit configured to perform evaluation related to the cardiopulmonary resuscitation based on the oxygen saturation, and an outputting unit configured to perform an outputting operation by a result of the evaluation.
- An elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation includes a base and an upper support operably coupled to the base.
- the upper support is configured to elevate an individual's upper back, shoulders, and head.
- the elevation device may include a chest compression device operably coupled with the base. This invention can be used on the bed used by the patient and can never be used as a mobile and portable system.
- a cardiopulmonary resuscitation monitoring apparatus includes: a light source section configured to cause light, which includes at least infrared light, to be incident on a living body; a light receiving unit configured to receive at least one of transmitted light that is transmitted through the living body and reflected light that is reflected from the living body; a calculating unit, based on DC components of received light intensities of the received light, configured to calculate a ratio of the DC components of the received light intensities of the received light during the execution of cardiopulmonary resuscitation; an evaluating unit configured to perform evaluation related to the cardiopulmonary resuscitation based on the ratio calculated by the calculating unit; and an outputting unit configured to perform output by a result of the evaluation performed by the evaluating unit.
- the movement of blood in the arteries was measured using infrared rays, and the information received will be used to apply force to the chest.
- This invention expresses only a measurement method and has no application in regenerating the heart.
- All-electronic shock-pacemaker ambulatory and cardiopulmonary resuscitation device is a relatively small portable electronic device (about the size of a mobile phone charging power bank) that can be used for cardiopulmonary resuscitation. Given the fact that people at high risk of heart failure are always at risk of dying from this failure, the need for devices that reduce the risk is very tangible. In the existing methods, this resuscitation is done by heart massage and chest compression, which due to individual's fatigue, although skilled, injuries caused by stress and fatigue and reduced power are undeniable.
- Cardiac resuscitation is an important link in the survival chain of cardiac arrest patients. Outcomes and survival of the injured with these conditions are highly dependent on the time of resuscitation, which the sooner it starts after cardiac arrest has better results. Because only proper and effective cardiac resuscitation can increase the likelihood of survival of patients with cardiac arrest; It is important to evaluate and control how resuscitation is performed.
- the common method of chest massage is intermittent and strong pressure on the lower half of the sternum, which by increasing the pressure inside the chest and direct compression of the heart causes blood circulation and provides blood supply and oxygen to the brain and heart. Until now, cardiac massage has been required to maintain blood circulation during cardiopulmonary resuscitation.
- a device To solve the existing problem that requires a portable device that can be carried by patients with cardiovascular disease that have a high traffic risk, a device has been designed with appropriate dimensions and weight, which is slightly larger and heavier than common power banks. In this device (10), the method of contracting the heart muscle affected by electricity has been used. The above device provides the required control equipment and display and potential difference by using a rechargeable battery (9).
- a 3.5-inch monitor (1) has been used in this device (10) to display the heart's electrical signals and commands.
- this device's design (10) an important factor has been taken into account which is that the helper has no familiarity with resuscitation. Audio and video instructions will help the resuscitator make the most use of the device, until the arrival of emergency rescuers.
- the large size of the battery (9) makes it functional for individuals for about 30 minutes. Charging this battery takes place through the input (5), which is similar to the chargers available on most Android mobile phones.
- the dimensions of the battery (9) are 144cm ⁇ 3 and its weight is about 261gr and the power is 21000mAh. This means that, if 10000mAh is being consumed, the battery will last more than 30 minutes.
- the requirements to use the device are based on the information received from the smartwatch and mobile phone, and the method of data transfer is through the standard Bluetooth frequency.
- the Bluetooth module (19) will transfer the data to the processor (20). In case of receiving an emergency message, help will be requested through the speaker (3).
- the processor module (8) is equipped with a microcontroller (20) and is connected to other parts of the device through connectors (17) and (18). This module (8) is located below the display (1) and above the battery (9), and it is placed at the maximum distance from the high voltage generator circuit (11) to prevent noise as much as possible.
- Connector (17) may be used to expand lateral circuits such as Cardiopulmonary resuscitation, etc. We can observe the input supply voltage and the grounding system, as well as the input and output of the information connected to the central processor in the connector (17). In connector (18), the power supply circuit and the information received from the electrodes and high voltage oscillation commands along with the time control commands and amount and intensity of the output potential difference are performed.
- the high voltage generator (11) located in the metal container can charge two capacitors (27) similar to a see-saw, up to 120 volts, and by commanding the transistors, it can control the duration and amount of output voltage (29). Because the output amp is very low, about 20 mA, it is obvious that the amount of electricity consumed in the above circuit will be reasonably low. Placing a relatively high voltage circuit in a metal container is one of the common methods for noise cancellation.
- the frequency of the oscillators (25), is determined by the central processor (20), and with the help of the chokes that increase voltage and decrease amps (26), transistors (25) can produce the required voltage and store it in capacitors.
- Electrical Relay (21) along with connector (22) is responsible for isolating the input voltage to base PA0. This base is used to measure the heart's electrical signal, this means that according to the entered program, every few seconds with a short pause in the application of regenerative voltage, the electrical signal of the heart is measured and if it is appropriate and the heartbeat is normal, the resuscitation operation by the device ends.
- connector (23) is used to control and connect to the processor, and connector (24) is used to connect to pads (61).
- a processor (15) is used which is connected to the main processor (20), so that it can record and play voice commands or requests at appropriate times.
- IC: ISD25120 has been used for audio memory in this circuit.
- a NAND gate (29) was used to create a jump in the interrupt procedure in the microcontroller (15).
- This device is capable to generate a heartbeat independently, using controlled electric shocks.
- cardiac resuscitation is always associated with respiratory resuscitation, this means that if artificial respiration is not performed for various reasons, such as lack of knowledge of the resuscitator, etc., despite the blood flow, the organs will be damaged after a few minutes, due to the lack of oxygen.
- the artificial respiration control device (55) using jet engine compressor technology will be able to increase the pressure up to 3 times.
- the air compressor (38) consists of stators (43) and low-pressure turbines (40) and high-pressure turbines (50) and a power transmission shaft (39).
- the reason for choosing this type of compressor is its long life and very small dimensions despite the ability to create compression.
- the "In runner” brushless motor (45) is used.
- the permanent magnet core (36) applies force to the compressor shaft through the shaft (37).
- the speed and amount of rotation of this core (36) will be done by changing the speed and amount of electric current of the coils (35) and the driver circuit (33).
- the existing processor (47) will transfer commands to the operational amplifier (46) according to a preset program, and the motor coils (45) will apply power.
- This program will be available based on the physical characteristics of the person and it will be different for each individual. For more precise control in this circuit, an external crystal (49) and an electric shock absorber coil (52) have been used.
- the circuit is connected to the motor with the connector (44) and the connection to the main circuit is done with the connector (51). Emergency removal of programs will be done by the reset key (49). Compressed air is transferred through the end of the shell (31) to the transfer hose (56) and then to the valve (57), and from there to the holder (58) and finally, enter the nose through the conductor tubes (59). To control the direction of the air, using a special valve (57), the action of air entering the lungs and directing it out of the nose takes place.
- the air pump (55) is compressing and transferring to the interface hose (56)
- the air pressure will overcome the constant force of the spring (79) and the piston (75) will move from the cylinder (76) to the spring, and the inlet path air (78) will enter the retainer (58) and the nasal tubes (59) and the inhale operation will be performed.
- Exhale takes place by reducing the pressure behind the piston (75) and returning to the previous position. In this case, the piston reaches the limiters (77) and the return path opens to the outside through the channel (82), and the exhaled air enters the air from the outlet (83).
- This two-way valve (57) is made of a piston (75) and two cylinders (76) and (81) and air conduction grooves (78) (82), built in the piston (75), return spring (79), and piston return limiters (77), which can be involved in inhaling and exhaling in any condition due to air pressure on the piston (75).
- the reason for placing this valve (57) as close to the nose as possible, is the maximum reduction of dead respiratory air.
- the above cable (56) is in the outermost layer with a plastic cover (67) and below it is the first layer of a metal shield (68). Then there is the high voltage plastic insulation layer (69) and the high voltage metal transmission wire is placed inside of it (71).
- an electrical conductor for which, if required, a gold plating with very low thickness, in the micrometer range might be used.
- Shields will be made of very thin metal wires, mostly aluminum alloy.
- the pad itself (62) is made of electrical insulation, but at the part that connects to the skin (64), it is made of metal and for a better connection, the electricity conductor gel (63) is used.
- the tip (65) For easier separation of the protective layer from the adhesive layer, there is a non-adhesive part at the tip (65), which will significantly help to speed up the regeneration process when connecting the pads.
- the simple user interface of the device can be programmed and save audio files in any language in the menu
- FIG. 1 shows the heart regenerator by electrical signals from three life-size views.
- the top view is on the left, the bottom view is on the right, and the bottom view map is on the bottom.
- No pulmonary resuscitation extension device is installed in this figure.
- This figure is dedicated to showing the main electronic board of the processor and the display, which has no scale due to the lack of printed circuit board fiber.
- This figure is used to show the electronic circuit of the high voltage generator and related connections.
- This figure shows how to connect the pads and the device and the respirator with a 5x magnification.
- the two bottom and side views show the location of the life-size respiratory resuscitation attachment, wires, pads, and nose connector in real size.
- High voltage isolation relay 22 High voltage input power connector 23. High voltage converter steering connector 24. High voltage output connector 25. Voltage boost choke amplifier 26. Voltage boost chokes 27. High voltage storage capacitor 28. The logic gate of the sound control circuit
- Air transfer hose 57 Airflow control chamber 58. Air chamber holder on the nose 59. The path of the air conductor into the nose 61. Electrical connection pads of the device to the body 62. Electrical connection cables of the device to the body.
- Audio speaker 4 Microphone to receive sound 13. Audio circuit connector 15. Audio recording and playback processor 16. Sound memory IC 29. The logic gate of the sound control circuit 30. Micro-switches for recording and playing audio
- Air transfer hose 57 Air transfer hose 57. Airflow control chamber 58. Air chamber holder on the nose 59. The path of the air conductor into the nose 75. Movable piston changes the direction of airflow 76. Airflow conductor cylinder 77. Restriction of air piston movement 78. Input current conductor path 79. Piston returns spring 80. Secondary air filter 81. Piston return limiter 82. Air outlet path in the piston 83. Breathing air outlet
- This device is used for people who are at risk of heart attack and heart failure. After manufacturing the device, the required program is entered in consultation with the doctor, and by specifying the location of the pads on the chests of risk individuals in case of failure, it can be easily used.
- This invention is used in the medical industry and can be used only for people with a history of heart and lung failure. In limited cases, it can be used for educational and research purposes.
Abstract
An all-electronic shock/pace-maker device for the heart. the pumping of blood by the heart is made possible only through electrical stimulation of the muscles, to increase the air pressure and direct it to the individual's lungs, turbine compressor technology connected to the brushless electric motor has been used, also the twin voltage booster is used as a see-saw so that when one capacitor is discharged, the other capacitor is charging constantly. To apply voltage and measure the electrical signals of the heart, a specific pad with a special design and noise-canceling cables with a special shield have been used in this device and to reduce the maximum amount of dead air during inhalation and exhalation, the container located on the nose has been specially designed with air conduction valves.
Description
An all-electronic shock/pace-maker device for the heart. the pumping of blood by the heart is made possible only through electrical stimulation of the muscles, to increase the air pressure and direct it to the individual's lungs, turbine compressor technology connected to the brushless electric motor has been used, also the twin voltage booster is used as a see-saw so that when one capacitor is discharged, the other capacitor is charging constantly. To apply voltage and measure the electrical signals of the heart, a specific pad with a special design and noise-canceling cables with a special shield have been used in this device and to reduce the maximum amount of dead air during inhalation and exhalation, the container located on the nose has been specially designed with air conduction valves.
Artificial respiration or heart stimulation, e.g. heart massage (A61H 31/00)
Cpr apparatus and method
AU2016203404A1
Disclosed is a C.PR appardus comprising a chest compression unit and a mounting device for mounting the chest compression unit on a patient The chest compression unit comprises a housing, plunger disposed in the housing, a compression member at one end of the plunger and extending from the housing. The apparatus includes a linear induction motor comprising a stator affied to the housing and a rotor capable of linear motion and surrounding the stator, a connection from the rotor to the plunger for driving the plunger in a reciprocating manner. The apparatus also includes an induction motor control unit including a microprocessor; a monitor operable for monitoring the position of the plunger in respect of the housing the position monitored by the monitor is being communicated to the induction motor control unit, also disclosed is a method of CPR.
The apardus C.PR device includes a chest compression unit and a device that can be installed on the patient's chest compression unit. The chest compression unit consists of a chamber and a piston removed from the chamber, as well as a compression member at one end of the piston added from the original location. The device includes a linear induction motor, which itself includes a stator attached to the housing and a rotor with the ability to move linearly and surround the stator, a connection from the rotor to the piston to create reciprocating mobility in the piston. This device also includes an induction motor control unit equipped with a microprocessor. Existing monitor for controlling and monitoring the position of the piston relative to the positioning chamber monitored by the monitor which is transmitted to the control unit of the induction motor, CPR method is also shown in this device. As can be seen in the existing maps and is stated in the summary and description of this invention, in this device, by mechanical compression of the chest and as a result, compression of the heart muscles, an attempt has been made to continue the process of blood circulation. This method of resuscitation of the heart is very different from the method and device claimed to be electrical stimulation of muscles.
Cardiopulmonary resuscitation assisting apparatus
WO2018101203A1
A cardiopulmonary resuscitation assisting apparatus including an acceleration sensor (13); a magnetic sensor (19); a first calculation section (233A) which obtains a relational expression (N) between a compression depth Da and the coil-to-coil distance AD; a determination section (234) which differentiates the relational expression (N) for an output value of the magnetic sensor (19) and compares a resulting differentiated value of the relational expression (N) with a predetermined threshold to thereby determining whether notification for the assistance of cardiopulmonary resuscitation is necessary or not; and a voice generating section (25) which performs the notification for the assistance of cardiopulmonary resuscitation.
Cardiopulmonary resuscitation device includes an acceleration sensor and a magnetic sensor. The first part of the calculation is the relationship between the compression depth and the distance from the coil to the next coil. There is also a determination section that distinguishes relational expression according to the output value of the magnetic sensor and compares the detected value resulting from the relational expression with a predetermined threshold to determine if it is needed to help with cardiopulmonary resuscitation. And the sound production department that makes the announcement to help with cardiopulmonary resuscitation is also effective in this diagnosis. In this invention, a mechanical stimulator equipped with an accelerometer was used to create mobility in the heart muscle and also to compress the chest to regenerate the lungs, and a voice recognition sensor was used to receive data from the heart. Compared to the claimed invention, the difference between the methods of creating mobility and measuring is quite obvious.
Cardiopulmonary resuscitation device
EP1988955B1
A cardiopulmonary resuscitation device (11, 2.11, 3.11) that combines artificial, emergency ventilation of a patient's lungs with chest compressions on the patient's sternum area, said cardiopulmonary resuscitation device comprising:
- a self-inflating bag (15) having a top side (31), a bottom side (33), and an outlet port (17) through which the content of said self-inflating bag (15) is forced when said top side (31) of said self-inflating bag (15) is pushed toward the said bottom side (33) of said self-inflating bag (15);
- a face mask (19) for placement over the patient's (P) mouth and nose;
- a tube (41) extending from said outlet port (17) of said self-inflating bag (15) to said face mask (19); and
- target indicia (35) on said self-inflating bag (15) to indicate the proper position of said self-inflating bag (15) on the patient's (P) sternum area (SA) and to indicate the proper location on said self-inflating bag (15) for applying force to said top side (31) of said self-inflating bag (15) to first force air from said self-inflating bag(15) through said tube (41) and said face mask (19) into the patient's (P) lungs to ventilate the patient's lungs and then to compress the patient's (P) sternum area (SA); said target indicia (35) including a bottom target indicia (37) on the said bottom side (33) of said self-inflating bag (15) to indicate the proper position of said self-inflating bag (15) on the patient's sternum area (SA) and including a top target indicia (39) on said top side (31) of said self-inflating bag (15) to indicate the proper location on said self-inflating bag (15) for applying force to said top side (31) of said self-inflating bag (15),
characterized in comprising indicator means (2.51) for providing an indication of the amount of force being applied to said top side (31) of said self-inflating bag (15).
In this invention, a mechanical resuscitation method has been used. The advantage of this invention and its difference compared to previous examples in the pulmonary resuscitation method is the simultaneous use of hand force through a mask placed on the face. This means the dual use of the resuscitator's hand force to regenerate the heart and lungs. This invention also does not use the method used in the claimed invention.
Portable abdominal cardiopulmonary resuscitator for electrocardiogram monitoring
US20180055726A1
The utility model discloses a portable abdominal cardiopulmonary resuscitator for electrocardiogram monitoring, comprising an abdominal pull-push cardiopulmonary resuscitator body provided with a display and a central processing unit, wherein the abdominal pull-push cardiopulmonary resuscitator body is also provided with an electrocardiographic electrode communication module which is connected with the central processing unit; the electrocardiographic electrode communication module is connected with electrocardiographic electrodes in a wireless or wired way, and the display is used for displaying abdominal pull-push information and electrocardiogram monitoring information. According to the utility model, by adding the electrocardiogram monitoring function on the display and following the abdominal pull-push information, operators can observe the electrocardiographic changes of patients in real-time during rescue without raising heads to adjust the pull and push situations of the abdominal cardiopulmonary resuscitator. The abdominal cardiopulmonary resuscitator is conveniently used, is not limited by the application sites, improves the success rate of rescue.
In this device, the received signals will be analyzed and displayed using the wireless data transfer method to the electrocardiogram device. The difference between these sensors and previous examples is in how they are connected to the device. In this invention, according to the claims and the description provided, only the measurement of data is examined and there is no claim in the method of restoration.
Cardiopulmonary resuscitation device and method of use
WO2014051551A1
A manual cardiopulmonary resuscitation device for delivering chest compressions to a patient needing CPR. The device includes a handle, a deformable housing filled with foam, and a bottom plate. The deformable housing includes a first end coupled to the handle and a second end coupled to the bottom plate.
In this invention, no electrical method is used to create pressure or contraction by electric current, and only a modified lever is used to create pressure.
Cardiopulmonary resuscitation monitoring apparatus
US20120245442A1
A cardiopulmonary resuscitation monitoring apparatus includes: a detecting unit configured to obtain a detection signal of the timing of chest compression during the execution of cardiopulmonary resuscitation; a pulse oximeter configured to detect a change of a blood volume at the timing of the chest compression based on the detection signal, and configured to obtain an oxygen saturation from the change of the blood volume; an evaluating unit configured to perform evaluation related to the cardiopulmonary resuscitation based on the oxygen saturation, and an outputting unit configured to perform an outputting operation by a result of the evaluation.
In this invention, using a change in blood volume for diagnosis at the time of chest compression, a method has been proposed that in the existing map, only a few algorithms are sufficient. According to the explanation in the description and drawings above, no device has been proposed for this method and it is only used as a method. The main difference between this invention and the claimed invention in the structure, method, and uses is quite clear.
Active compression-decompression and upper body elevation system
WO2017066770A1
An elevation device used in the performance of cardiopulmonary resuscitation (CPR) and after resuscitation includes a base and an upper support operably coupled to the base. The upper support is configured to elevate an individual's upper back, shoulders, and head. The elevation device may include a chest compression device operably coupled with the base. This invention can be used on the bed used by the patient and can never be used as a mobile and portable system.
Cardiopulmonary resuscitation monitoring apparatus
US20120232365A1
A cardiopulmonary resuscitation monitoring apparatus includes: a light source section configured to cause light, which includes at least infrared light, to be incident on a living body; a light receiving unit configured to receive at least one of transmitted light that is transmitted through the living body and reflected light that is reflected from the living body; a calculating unit, based on DC components of received light intensities of the received light, configured to calculate a ratio of the DC components of the received light intensities of the received light during the execution of cardiopulmonary resuscitation; an evaluating unit configured to perform evaluation related to the cardiopulmonary resuscitation based on the ratio calculated by the calculating unit; and an outputting unit configured to perform output by a result of the evaluation performed by the evaluating unit.
In this invention, the movement of blood in the arteries was measured using infrared rays, and the information received will be used to apply force to the chest. This invention expresses only a measurement method and has no application in regenerating the heart.
All-electronic shock-pacemaker ambulatory and cardiopulmonary resuscitation device is a relatively small portable electronic device (about the size of a mobile phone charging power bank) that can be used for cardiopulmonary resuscitation. Given the fact that people at high risk of heart failure are always at risk of dying from this failure, the need for devices that reduce the risk is very tangible. In the existing methods, this resuscitation is done by heart massage and chest compression, which due to individual's fatigue, although skilled, injuries caused by stress and fatigue and reduced power are undeniable.
Moreover, existing devices are very large, thus they are always difficult for a person to carry due to their size and weight. With electrical stimulation of the heart muscle and artificial respiration through the nose, this device makes it possible to maintain the injured person's two vital factors active until the medical team arrives. To increase the efficiency of the device, an acceptable system of electronic measurements of heart signals and display and voice messengers has also been placed in it.
Cardiac resuscitation is an important link in the survival chain of cardiac arrest patients. Outcomes and survival of the injured with these conditions are highly dependent on the time of resuscitation, which the sooner it starts after cardiac arrest has better results. Because only proper and effective cardiac resuscitation can increase the likelihood of survival of patients with cardiac arrest; It is important to evaluate and control how resuscitation is performed. The common method of chest massage is intermittent and strong pressure on the lower half of the sternum, which by increasing the pressure inside the chest and direct compression of the heart causes blood circulation and provides blood supply and oxygen to the brain and heart. Until now, cardiac massage has been required to maintain blood circulation during cardiopulmonary resuscitation. In this method, until the arrival of the hospital first aid team, compression of the chest in adults by all people should be done at least 100 times per minute and a depth of 5 cm. Given the fact that many of those around the above injured could not do this properly due to a lack of skills or sufficient information about resuscitation, it seemed necessary to build a device to assist. The problem for heart patients with a history of cardiac arrest is the lack of resuscitation equipment with the appropriate dimensions and performance at times when they are away from home or work. The available equipment is not portable due to its large size and weight, and generally uses the method of creating physical pressure on the chest. In this invention, the risk of leaving the homes of this group of people has been minimized by using the method of electrical stimulation of the heart muscle with suitable and portable dimensions.
To solve the existing problem that requires a portable device that can be carried by patients with cardiovascular disease that have a high traffic risk, a device has been designed with appropriate dimensions and weight, which is slightly larger and heavier than common power banks. In this device (10), the method of contracting the heart muscle affected by electricity has been used. The above device provides the required control equipment and display and potential difference by using a rechargeable battery (9).
A 3.5-inch monitor (1) has been used in this device (10) to display the heart's electrical signals and commands. In this device's design (10), an important factor has been taken into account which is that the helper has no familiarity with resuscitation. Audio and video instructions will help the resuscitator make the most use of the device, until the arrival of emergency rescuers.
The large size of the battery (9) makes it functional for individuals for about 30 minutes. Charging this battery takes place through the input (5), which is similar to the chargers available on most Android mobile phones. The dimensions of the battery (9) are 144cm^3 and its weight is about 261gr and the power is 21000mAh. This means that, if 10000mAh is being consumed, the battery will last more than 30 minutes. The requirements to use the device are based on the information received from the smartwatch and mobile phone, and the method of data transfer is through the standard Bluetooth frequency.
The Bluetooth module (19) will transfer the data to the processor (20). In case of receiving an emergency message, help will be requested through the speaker (3). The processor module (8) is equipped with a microcontroller (20) and is connected to other parts of the device through connectors (17) and (18). This module (8) is located below the display (1) and above the battery (9), and it is placed at the maximum distance from the high voltage generator circuit (11) to prevent noise as much as possible.
Connector (17) may be used to expand lateral circuits such as Cardiopulmonary resuscitation, etc. We can observe the input supply voltage and the grounding system, as well as the input and output of the information connected to the central processor in the connector (17). In connector (18), the power supply circuit and the information received from the electrodes and high voltage oscillation commands along with the time control commands and amount and intensity of the output potential difference are performed.
The high voltage generator (11) located in the metal container can charge two capacitors (27) similar to a see-saw, up to 120 volts, and by commanding the transistors, it can control the duration and amount of output voltage (29). Because the output amp is very low, about 20 mA, it is obvious that the amount of electricity consumed in the above circuit will be reasonably low. Placing a relatively high voltage circuit in a metal container is one of the common methods for noise cancellation.
The frequency of the oscillators (25), is determined by the central processor (20), and with the help of the chokes that increase voltage and decrease amps (26), transistors (25) can produce the required voltage and store it in capacitors. Electrical Relay (21) along with connector (22) is responsible for isolating the input voltage to base PA0. This base is used to measure the heart's electrical signal, this means that according to the entered program, every few seconds with a short pause in the application of regenerative voltage, the electrical signal of the heart is measured and if it is appropriate and the heartbeat is normal, the resuscitation operation by the device ends.
In-circuit (11), connector (23) is used to control and connect to the processor, and connector (24) is used to connect to pads (61). In the audio generator circuit, a processor (15) is used which is connected to the main processor (20), so that it can record and play voice commands or requests at appropriate times. IC: ISD25120 has been used for audio memory in this circuit. We used a NAND gate (29) to create a jump in the interrupt procedure in the microcontroller (15).
This device is capable to generate a heartbeat independently, using controlled electric shocks. However, considering the existing inventions and products, it can be seen that cardiac resuscitation is always associated with respiratory resuscitation, this means that if artificial respiration is not performed for various reasons, such as lack of knowledge of the resuscitator, etc., despite the blood flow, the organs will be damaged after a few minutes, due to the lack of oxygen. The artificial respiration control device (55) using jet engine compressor technology will be able to increase the pressure up to 3 times.
The air compressor (38) consists of stators (43) and low-pressure turbines (40) and high-pressure turbines (50) and a power transmission shaft (39). The reason for choosing this type of compressor is its long life and very small dimensions despite the ability to create compression. For more precise control of this part, the "In runner" brushless motor (45) is used. The permanent magnet core (36) applies force to the compressor shaft through the shaft (37).
The speed and amount of rotation of this core (36) will be done by changing the speed and amount of electric current of the coils (35) and the driver circuit (33). In the programmable controller circuit (33), the existing processor (47) will transfer commands to the operational amplifier (46) according to a preset program, and the motor coils (45) will apply power. This program will be available based on the physical characteristics of the person and it will be different for each individual. For more precise control in this circuit, an external crystal (49) and an electric shock absorber coil (52) have been used.
The circuit is connected to the motor with the connector (44) and the connection to the main circuit is done with the connector (51). Emergency removal of programs will be done by the reset key (49). Compressed air is transferred through the end of the shell (31) to the transfer hose (56) and then to the valve (57), and from there to the holder (58) and finally, enter the nose through the conductor tubes (59). To control the direction of the air, using a special valve (57), the action of air entering the lungs and directing it out of the nose takes place.
If the air pump (55) is compressing and transferring to the interface hose (56), the air pressure will overcome the constant force of the spring (79) and the piston (75) will move from the cylinder (76) to the spring, and the inlet path air (78) will enter the retainer (58) and the nasal tubes (59) and the inhale operation will be performed. Exhale, however, takes place by reducing the pressure behind the piston (75) and returning to the previous position. In this case, the piston reaches the limiters (77) and the return path opens to the outside through the channel (82), and the exhaled air enters the air from the outlet (83).
This two-way valve (57) is made of a piston (75) and two cylinders (76) and (81) and air conduction grooves (78) (82), built in the piston (75), return spring (79), and piston return limiters (77), which can be involved in inhaling and exhaling in any condition due to air pressure on the piston (75). The reason for placing this valve (57) as close to the nose as possible, is the maximum reduction of dead respiratory air. For electrical connection and measurement of electrical signals of the heart, it was required to design and manufacture special pad-leads (61).
Due to the dual function and placement of the high voltage connection wire, which is more than 10 volts next to the wire that carries the heart's electrical signal, which is a few hundredths of a volt, there was a need to build and design cable-wire- with a special shield. The above cable (56) is in the outermost layer with a plastic cover (67) and below it is the first layer of a metal shield (68). Then there is the high voltage plastic insulation layer (69) and the high voltage metal transmission wire is placed inside of it (71). To transmit the electrical signal of the heart from a thinner wire with the second layer of a metal shield (72) and inside it is a plastic layer of insulation (73) and in the innermost layer is an electrical conductor (74), for which, if required, a gold plating with very low thickness, in the micrometer range might be used.
Shields will be made of very thin metal wires, mostly aluminum alloy. The pad itself (62) is made of electrical insulation, but at the part that connects to the skin (64), it is made of metal and for a better connection, the electricity conductor gel (63) is used. For easier separation of the protective layer from the adhesive layer, there is a non-adhesive part at the tip (65), which will significantly help to speed up the regeneration process when connecting the pads.
The simple user interface of the device can be programmed and save audio files in any language in the menu
Lack of special training
No need for mechanical stress has reduced chest damage, and the use of cardiac muscle strength has been applied by electrical stimulation alone until the medical team arrives.
Continuous monitoring of heart rate by connected smartwatch minimizes the risk of golden time death and detection of fatal failures by device-connected leads.
Small and portable while maintaining performance
Usability for people with the least amount of information and experience
Examples
This device is used for people who are at risk of heart attack and heart failure. After manufacturing the device, the required program is entered in consultation with the doctor, and by specifying the location of the pads on the chests of risk individuals in case of failure, it can be easily used.
This invention is used in the medical industry and can be used only for people with a history of heart and lung failure. In limited cases, it can be used for educational and research purposes.
Claims (6)
- The first claim is the design and construction of an all-electronic shock/pace-maker device for the heart, by the definition in the medical branch which is also pocket-sized. This device has been provided based on technical plans by adding a mechatronic actuator to pump air, with a description of the possibility of pulmonary resuscitation also added to it. And also, the pumping of blood by the heart is made possible only through electrical stimulation of the muscles, which consists of the following main components:
- Electronic controller circuit equipped with a microcontroller for programming and sending commands
- A display system to show commands and status of measured parameters
- Audio system for playing and recording commands
- Two-stroke high voltage generator circuit which works similar to a see-saw
- Rechargeable power supply
- Mechatronic converter for increasing air pressure with compressor-turbine technology coupled with brushless motor
- Electronic interface between the main microcontroller and the turbine stepper motor
- Interface pads and cables with specific design for applying voltage and measuring electrical signals of the heart
- Inlet and outlet air rectifier hose and container to the nose
- According to the main first claim, it is claimed: In this pocket-sized device, only electrical stimulation of the heart muscle is used for blood circulation for cardiac resuscitation with a non-invasive method.
- According to the main first claim, it is claimed: To increase the air pressure and direct it to the individual's lungs, turbine compressor technology connected to the brushless electric motor has been used in pulmonary regeneration devices.
- According to the first claim, it is claimed: In shock/pacemaker device for the heart the twin voltage booster is used as a see-saw so that when one capacitor is discharged, the other capacitor is charging constantly.
- According to the main first claim, it is claimed: To apply voltage and measure the electrical signals of the heart, a specific pad with a special design and noise-canceling cables with a special shield have been used in this device.
- According to the first claim, it is claimed: To reduce the maximum amount of dead air during inhalation and exhalation, the container located on the nose has been specially designed with air conduction valves in this device.
Applications Claiming Priority (2)
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IR140050140003002089 | 2021-05-31 | ||
IR14003002089 | 2021-05-31 |
Publications (1)
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WO2022175735A1 true WO2022175735A1 (en) | 2022-08-25 |
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PCT/IB2021/058284 WO2022175735A1 (en) | 2021-05-31 | 2021-09-12 | Ambulatory full electronic cardiac shock-pace and pulmonary resuscitation device |
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Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR20160121173A (en) * | 2015-04-10 | 2016-10-19 | 주식회사메디아나 | Package module set type auto cardio pulmonary resuscitation device |
CN102781513B (en) * | 2010-02-12 | 2016-11-09 | Zoll医疗公司 | For providing diathermic device and external defibrillator to patient |
-
2021
- 2021-09-12 WO PCT/IB2021/058284 patent/WO2022175735A1/en unknown
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102781513B (en) * | 2010-02-12 | 2016-11-09 | Zoll医疗公司 | For providing diathermic device and external defibrillator to patient |
KR20160121173A (en) * | 2015-04-10 | 2016-10-19 | 주식회사메디아나 | Package module set type auto cardio pulmonary resuscitation device |
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