Heartstream, Inc.

Koninklijke Philips Corporation N.V.

Physio-control, Inc.

Agilent Technologies, Inc.

Advanced Neuromodulation Systems, Inc.

Other

Northstar Neuroscience, Inc.

Laerdal Medical Corporation

Koninklijke Philips Electronics N.v.

Advanced Neuromodulation Systems, Inc., D/b/a St. Jude Medical Neuromodulation Division

Carlton B Morgan

Daniel J Powers

Thomas D Lyster

Clinton S Cole

Bradford Evan Gliner

Daniel Yerkovich

David B Cameron

Thomas Allen Solosko

Steven T Mydynski

James Daren Bledsoe

David E Snyder

Kim J Hansen

Andrew D Firlik

Helge Fossan

Alan Joel Levy

Jeffrey Balzer

Curtis W Freeman

Cecily Anne Snyder

David A Johnson

Kent W Leyde

John F Harris

Hans Patrick Griesser

Eric L Jonsen

Katrina S Firlik

Eric C Hagen

Donald C Maier

Michael J Leventhal

Douglas H Roberts

Gust H Bardy

Jon Mikalson Bishay

Dennis Eugene Ochs

Dawn Blilie Jorgenson

Anthony George Picardo

Ian G MacDuff

Judith L Cyrus

Christine Janae

Alan J Levy

Steven Thomas Mydynski

Dawn Billie Jorgenson

Joseph E Szyperski

Judi Cyrus

Bradford E Gliner

David Snyder

David Cameron

An improved self-testing method is described which is incorporated into a defibrillator. The method performs a self-testing protocol which operates on a first frequency until a threshold condition is reached. When the threshold condition is reached, the self-testing protocol switches to a second frequency. Such a method enables quicker identification of a failure mode in a population of defibrillators, while maintaining acceptable battery life in the device.

Adaptive self-testing and stress analysis of medical devices

An improved self-testing method is described which is incorporated into a defibrillator (). The method performs a self-testing protocol which operates on a first frequency until a threshold condition is reached. When the threshold condition is reached, the self-testing protocol switches to a second frequency. Such a method enables quicker identification of a failure mode in a population of defibrillators, while maintaining acceptable battery life in the device.

An electrode includes a conductive adhesive layer and a conductive foil layer having a void therein. One such electrode may be mounted in conjunction with another electrode upon a release liner having one or more openings therein to facilitate electrical signal exchange between electrodes. A release liner may include a moisture permeable and/or moisture absorbent membrane. A release liner may alternatively include a conductive backing layer. A release liner may also include an insulating swatch covering an opening. A release liner may be implemented as a foldable sheet, such that multiple electrodes may be mounted upon the same side of the foldable sheet. A medical device to which the mounted electrodes are coupled may characterize the electrical path between the electrodes. The medical device may perform a variety of electrical measurements, including real and/or complex impedance measurements. Based upon one or more measurements, the medical device may provide an indication of electrode condition, fitness for use, and/or an estimated remaining lifetime. An electrode condition indicator, which may form a portion of the medical device, may generate, present, or display electrode condition and/or estimated remaining lifetime information via a visual metaphor, such as a fuel gauge.

Medical electrode and release liner configurations facilitating packaged electrode characterization

Disclosed are several apparatuses and methods for applying intracranial electrical stimulation to treat or enhance the neural function of the patient. In accordance with the invention, intracranial electrical stimulation can be administered to treat brain damage, brain disease, and/or brain disorders. Additionally the intracranial electrical stimulation can be applied to a normal healthy brain to enhance neural-function or control sensory functions. The electrical stimulation site(s) of the brain are located where neuroplasticity is occurring, expected to occur, or in a region where neuroplasticity is not occurring. The intracranial stimulation is expected to produce a lasting effect on the intended neural activity by applying subthreshold stimulation to the increasing the resting membrane potential of the neurons at the stimulation site.

Methods and apparatus for effectuating a lasting change in a neural-function of a patient

A system in which one or more alarm sources (), can wirelessly communicate with a receiver (), to activate an alarm and does not contain any identification that indicates the communication's source (). The system may include 'repeaters' (), whose function is to relay the communication from one station to another over distances longer than can be reached by a single transmitter (), Apparatuses for transmitting (), repeating (), and receiving (), are also disclosed, as well as a communication system comprised of various elements of these.

Method and apparatus for communicating the existence of an emergency situation without uniquely identifying the source of the communication

The following disclosure describes a method for intracranial electrical stimulation to treat or otherwise effectuate a change in neural-functions of a patient. Several embodiments are directed toward enhancing or otherwise inducing a lasting change in neural activity to effectuate a particular neural-function. Such lasting change in neural activity is defined as 'neuroplasticity.' The methods can be used to treat brain damage (e.g., stroke, trauma, etc.), brain disease (e.g., Alzheimer's, Pick's, Parkinson's, etc.), and/or brain disorders (e.g., epilepsy, depression, etc.). The methods can also be used to enhance neural-function of normal, healthy brains (e.g., learning, memory, etc.), or to control sensory functions (e.g., pain).

This invention relates to an external defibrillator whose language of operation can be easily changed when the defibrillator is deployed for use. Defibrillators include, manual defibrillators, automatic or semi-automatic external defibrillators ('AEDs') and defibrillator trainers. In one embodiment, the invention provides a way to change the language in which the defibrillator delivers instructions to a user. Defibrillators of this invention would contain multiple languages in their memory. During the set-up of the defibrillator some or all of the languages could be designated as a language in which a prompt will be offered. Additionally, during set-up, one language will be designated as the default language. Once the defibrillator is deployed for use in an emergency, the operator will indicate a language preference for the defibrillator operating instructions. Once the user has indicated which language the prompts should be in, the defibrillator will then begin instructing the user in the use of the defibrillator in that language. Conversely, if the user fails to make any language preference indication, the defibrillator will begin instructing the user in the use of the defibrillator in the default language. In an alternate embodiment, the defibrillator issues each instruction in multiple languages.

Multilingual defibrillator

A defibrillation system for patients of all ages may include an Automated External Defibrillator (AED) coupled to a set of universal electrodes. Universal electrodes may be reduced-size versions of adult electrodes, and may include an opening to lower effective impedance. The AED may include an adult/pediatric mode control or switch. Based upon the setting of the adult/pediatric switch, the AED may perform an adult defibrillation sequence or a pediatric defibrillation sequence. An adult defibrillation sequence may comprise delivery of one or more waveforms or shocks characterized by energies appropriate for adults, for example, 150 Joule biphasic waveforms. A pediatric defibrillation sequence may comprise delivery of one or more waveforms characterized by energies appropriate for children, for example, 50 Joule biphasic waveforms. Another pediatric defibrillation sequence may comprise delivery of an escalating low-energy shock sequence to a patient, such as a 25 to 50 Joule shock, followed by a 65 to 75 Joule shock as necessary, followed by one or more 100 Joule shocks as necessary.

Method and apparatus for defibrillating patients of all ages

The following disclosure describes several methods and apparatus for intracranial electrical stimulation to treat or otherwise effectuate a change in neural-functions of a patient. Several embodiments of methods in accordance with the invention are directed toward enhancing or otherwise inducing a lasting change in neural activity to effectuate a particular neural-function. Such lasting change in neural activity is defined as 'neuroplasticity.' The methods in accordance with the invention can be used to treat brain damage (e.g., stroke, trauma, etc.), brain disease (e.g., Alzheimer's, Pick's, Parkinson's, etc.), and/or brain disorders (e.g., epilepsy, depression, etc.). The methods in accordance with the invention can also be used to enhance neural-function of normal, healthy brains (e.g., learning, memory, etc.), or to control sensory functions (e.g., pain). Certain embodiments of methods in accordance with the invention electrically stimulate the brain at a stimulation site where neuroplasticity is occurring. The stimulation site may be different than the region in the brain where neural activity is typically present to perform the particular neural function according to the functional organization of the brain. In one embodiment in which neuroplasticity related to the neural-function occurs in the brain, the method can include identifying the location where such neuroplasticity is present. In an alternative embodiment in which neuroplasticity is not occurring in the brain, an alternative aspect is to induce neuroplasticity at a stimulation site where it is expected to occur. Several embodiments of these methods that are expected to produce a lasting effect on the intended neural activity at the stimulation site use electrical pulses that increase the resting membrane potential of neurons at the stimulation site to a subthreshold level.

An electrotherapy device including at least one sensor operable to sense at least one physiological parameter of a patient. A controller is operably connected to the at least one sensor operable to receive signals from the at least one sensor corresponding to the at least one physiological parameter. Memory is operable to store computer-programming code executed by the controller. The programming code includes decision-making criteria operable to adapt a patient treatment in response changes to the detected at least one physiological parameter. At least one pair of electrodes is operably connected to the controller and operable to administer the treatment to the patient.

Adaptive analysis method for an electrotherapy device and apparatus

A cartridge is provided for storing one or more electrode pads such as a defibrillator electrode pad. The cartridge includes a housing having a rigid portion, a storage space disposed within the housing, and a storage-space opening that allows one to remove/insert the electrode pad or pads from/into the storage space. Because it has a housing with a rigid portion, such a cartridge can better protect one or more electrode pads from handling damage. Furthermore, one can construct the cartridge such that it is attachable to a medical device such as an AED. This allows an operator to carry or store the medical device, cartridge, and one or more electrode pads as a single unit. In addition, one can construct the cartridge such that the one or more electrode pads can be pre-connected to the medical device. This can eliminate connecting the one or more electrode pads to the medical device during an emergency.

Cartridge for storing an electrode pad

This invention relates to an external defibrillator whose language of operation can be easily changed when the defibrillator is deployed for use. Defibrillators include, manual defibrillators, automatic or semi-automatic external defibrillators (&ldquo;AEDs&rdquo;) and defibrillator trainers. In one embodiment, the invention provides a way to change the language in which the defibrillator delivers instructions to a user. Defibrillators of this invention would contain multiple languages in their memory. During the set-up of the defibrillator some or all of the languages could be designated as a language in which a prompt will be offered. Additionally, during set-up, one language will be designated as the default language. Once the defibrillator is deployed for use in an emergency, the operator will indicate a language preference for the defibrillator operating instructions. Once the user has indicated which language the prompts should be in, the defibrillator will then begin instructing the user in the use of the defibrillator in that language. Conversely, if the user fails to make any language preference indication, the defibrillator will begin instructing the user in the use of the defibrillator in the default language. In an alternate embodiment, the defibrillator issues each instruction in multiple languages.

A method for reducing delay between termination of cardiopulmonary resuscitation and administration of a defibrillating shock. An electrocardiogram signal of the patient is monitored during administration of cardiopulmonary resuscitation to a patient. The electrocardiogram signal is analyzed to determine whether a shockable rhythm exists. It is indicated that a shockable rhythm exists and/or that a defibrillating shock will be administered. Cardiopulmonary resuscitation is stopped. The defibrillating shock is administered within 10 seconds of the cessation of cardiopulmonary resuscitation.

Interactive method of performing cardipulmonary resuscitation with minimal delay to defibrillation shocks

An energy reduction unit is removably connectable to an external defibrillator to reduce the defibrillation energy delivered by the defibrillator to a patient. Use of the energy reduction unit is particularly suited to defibrillating pediatric patients (infants and children under 8) with an automatic or semi-automatic external defibrillator (AED). In one embodiment, the energy reduction unit includes an attenuator which partially dissipates energy produced by the AED. The attenuator is advantageously designed to present an impedance to the AED which, when connected to the patient, is approximately equal to the patient's impedance. The energy reduction unit may include a presence-detect function which enables the defibrillator to modify analysis of ECG signals to account for differences heart rhythms of pediatric and adult patients. In a second embodiment, the energy reduction unit includes an energy control modifier circuit which affects the charging operations performed internal to the AED. Other than being attached to the defibrillation equipment, the energy reduction unit does not otherwise change how an operator uses the equipment.

Method and apparatus for reducing defibrillation energy

Growing community of inventors

Bainbridge Island, WA, United States of America

Carlton B Morgan