Physio-control, Inc.

Medtronic Physio-control Manufacturing Corporation

Medtronic Physio-control Corp.

Ronald Eugene Stickney

David R Hampton

Fred William Chapman

Cynthia P Jayne

Joseph Leo Sullivan

Robert G Walker

James W Taylor

Patricia O'Hearn

Paula Lank

Richard C Nova

Isabelle L Banville

Tae Hong Joo

Daniel W Piraino

Daniel Yerkovich

William Edward Crone

Gary DeBardi

Gregory T Kavounas

John C Daynes

James M Owen

Robert A Niskanen

Steven E Sjoquist

Blaine Krusor

D Craig Edwards

Stephen W Radons

Rene Ann Young Mitchell

Jose Daniel Martinez Galan

Tyson G Taylor

Jason W Fouts

Mark Rutzer

Christina Mason

Mike Chambers

Michelle Liu

Lisa Spencer

William E Saltzstein

Patrick F Kelly

René Ann Young Mitchell

Dan Galan

The system and method provide for electrocardiogram analysis and optimization of patient-customized cardiopulmonary resuscitation and therapy delivery. An external medical device includes a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions and to select at least one filter mechanism and to apply the filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal. A real time dynamic analysis of a cardiac rhythm is applied to adjust and integrate CPR prompting of a medical device. Real-time cardiac rhythm quality is facilitated using a rhythm assessment meter.

System and method for electrocardiogram analysis and optimization of cardiopulmonary resuscitation and therapy delivery

A medical device for indicating a chest compression depth, including a first electrode assembly structured to be disposed on a chest of a patient, a second electrode assembly structured to be disposed on a back of the patient, and a processor configured to determine a chest compression depth as a proportion of chest height based on a first impedance measurement between the first electrode assembly and the second electrode assembly when the chest is not compressed and a second impedance measurement between the first electrode assembly and the second electrode assembly when the chest is compressed.

Determining chest compression depth using impedance

Systems, devices, and methods relate to utilizing an electronic caliper to analyze an electronic electrocardiogram (ECG). An example method for includes outputting, by a display, an electronic ECG within a graphical user interface (GUI). An electronic caliper is output, by the display, as overlaid on the electronic ECG within the GUI. The electronic caliper includes a first electronic tip and a second electronic tip. The method further includes receiving, by a user input device, a user input signal and moving, based on the user input signal, the first electronic tip, the second electronic tip, or both the first electronic tip and the second electronic tip, relative to the electronic ECG within the GUI.

Electronic electrocardiogram calipers

An example method of analyzing electrocardiogram (ECG) signals includes receiving, at an ECG device, ECG signals from a multi-lead ECG system. The multi-lead ECG system includes multiple electrodes and leads, and each lead of the multi-lead ECG system provides one of the ECG signals and is coupled to more than one of the multiple electrodes, where certain electrodes are coupled to more than one lead. The method also includes detecting artifact in one or more of the ECG signals, classifying the artifact as a type of artifact, determining which leads of the multiple leads contain at least a threshold amount of the type of artifact, for the leads of the multiple leads that contain at least the threshold amount of the type of artifact identifying a common electrode to the leads, and generating a notification by the ECG device indicating that the common electrode is sensing the artifact.

Devices and methods for analyzing electrocardiogram (ECG) signals for artifact and notification of culprit electrode

A defibrillation system for the administration of a dual sequential defibrillation and/or simultaneous defibrillation therapy. A first defibrillation device is inductively coupled to a second defibrillation device. An energy delivery of the first defibrillation device generating, or causing to be generated, an artifact that is received by the second defibrillation device. The artifact causing a sync mode, or sync mode circuitry, of the second defibrillation device to administer a second energy delivery. The second energy delivery can be delayed relative to the energy delivery by the first defibrillation device.

System for multiple defibrillation therapies

An apparatus and method is provided for a defibrillator that specifies treatment protocols in terms of number of chest compressions instead of time intervals. The defibrillator includes a connection port that is configured to attach with a plurality of electrodes that are capable of delivery of a defibrillation shock and/or sensing one or more physical parameters. An energy storage device capable of storing a charge is attached to the plurality of electrodes. A controller is coupled to the plurality of electrodes and the energy storage device, the controller is configured to provide CPR chest compression instructions in terms of the numbers of CPR chest compressions.

Defibrillator that monitors CPR treatment and adjusts protocol

Devices, systems, software and methods for CPR quality assessment. Patient data is received, derived from a session of administering sets of CPR chest compressions to a patient. The sets can be separated by pauses. In some embodiments, a penalty value can be determined for at least one of the pauses, from at least one control factor unrelated to a constant linear dependence on the pause duration. An indicative value can be derived from the penalty value. In some embodiments, at least some of the pauses are classified in one or more pause groups, depending on how well they meet one or more classification criteria. The indicative value can be derived for one of the pause groups. The indicative value can be output, and/or an alarm can be emitted if it exceeds a threshold. CPR quality assessment can be improved in real time, and provide feedback for training.

CPR quality assessment accounting for pause aspect

Integrated devices for performing external chest compression (ECC) and defibrillation on a person and methods using the devices. Integrated devices can include a backboard, at least one chest compression member operably coupled to the backboard, and a defibrillator module operably coupled to the backboard. The integrated devices can include physiological sensors, electrodes, wheels, controllers, human interface devices, cooling modules, ventilators, cameras, and voice output devices. Methods can include defibrillating, pacing, ventilating, cooling, and performing ECC in an integrated, coordinated, and/or synchronous manner using the full capabilities of the device. Some devices include controllers executing methods for automatically performing the coordinated activities utilizing the device capabilities.

Integrated external chest compression and defibrillation devices and methods of operation

Appropriate cardiac therapy is determined by data sensed and analyzed by the disclosed defibrillators and other medical devices that one or both of treat and monitor a patient. The disclosed devices sense various patient physiological parameters including patient pulse and breathing data to determine whether the patient has a pulse and to determine if the patient is breathing. Depending on the analysis of the generated patient physiological data, the disclosed devices determine the appropriate therapy for the patient, which can include providing breathing assistance to the patient and providing electrotherapy and other therapies to the patient. Some of the disclosed medical devices can be wearable by the patient. The disclosed devices can include therapy modules like electrotherapy for delivering therapies to the patient while other devices monitor but do not deliver the therapies to the patient.

Pulse detection apparatus, software, and methods using patient physiological signals

The presence of a cardiac pulse in a patient is determined by evaluating fluctuations in an electrical signal that represents a measurement of the patient's transthoracic impedance. Impedance signal data obtained from the patient is analyzed for a feature indicative of the presence of a cardiac pulse. Whether a cardiac pulse is present in the patient is determined based on the feature in the impedance signal data. Electrocardiogram (ECG) data may also be obtained in time coordination with the impedance signal data. Various applications for the pulse detection of the invention include detection of PEA and prompting PEA-specific therapy, prompting defibrillation therapy and/or CPR, and prompting rescue breathing depending on detection of respiration.

Pulse detection method and apparatus using patient impedance

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Edmonds, WA, United States of America

Ronald Eugene Stickney