A portable automatic life-saving system with dynamic adaptation
Patent Information
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- シーピーアールロボティクスリミテッド
- Filing Date
- 2021-03-02
- Publication Date
- 2026-06-30
Smart Images

Figure CN115427000B_ABST
Abstract
Description
Technical Field
[0001] This invention relates to the field of lifesaving equipment. More specifically, this invention is a portable, automated lifesaving system for performing comprehensive life-saving treatments tailored to different patient conditions without the need for the presence of medical personnel. Background Technology
[0002] Heart failure is the leading cause of death in the United States. If this type of heart failure is not treated within 4-6 minutes, the brain suffers irreversible damage due to lack of oxygen. Because most cases of heart failure occur before medical personnel arrive (in this case, it took more than 10 minutes to arrive), the patient's chances of survival are very low.
[0003] Heart failure can be caused by a heart attack, cardiac arrest, or abnormal heart rate. In some cases, administering a defibrillator shock to the heart can improve the patient's condition, but in all cases, chest compressions and continuous breathing are necessary until the patient returns to a normal state.
[0004] Routine CPR systems used in hospitals to treat heart conditions are typically large and cumbersome, and require the presence of a professional. For example, chest compressions require intervention from a doctor or nurse. In most cases, the doctor / nurse performing chest compressions quickly becomes fatigued, requiring a second professional to replace them. Often, the doctor / nurse does not have immediate information about the patient's cardiac condition during resuscitation, and therefore cannot maintain the rhythmic compressions that the patient particularly needs.
[0005] When a person suffers from heart failure, resuscitation is necessary, and during resuscitation, artificial respiration and chest compressions should be performed to keep blood flowing to the brain to prevent brain damage and keep the patient breathing (heart dysfunction can cause respiratory arrest).
[0006] Heart failure can occur for several reasons, such as:
[0007] 1. Irregular heart rate - In this case, a defibrillator that provides electrical pulses is used to restore the heart rate while massaging the heart.
[0008] 2. Myocardial infarction or blockage of blood vessels leading to and from the heart - in this case, it is very important to perform chest compressions at a specific rate and force corresponding to the specific condition.
[0009] Conventional resuscitation and chest compression systems are large, bulky, operated manually or semi-manually (not fully automated), and require a skilled team of doctors, nurses, or caregivers to operate them.
[0010] Current CPR systems typically perform chest compressions at a constant rate and amplitude, which is not always beneficial for a patient's changing condition. When there is a positive response to chest compressions, the amplitude and rate of compressions should be reduced. However, when there is no improvement or even worsening, the intensity and rate of chest compressions should be increased to maintain blood flow to the brain and prevent brain damage.
[0011] Therefore, one object of the present invention is to provide a portable automatic life-saving system for providing comprehensive life-saving treatment to patients with cardiac arrest.
[0012] Another object of the present invention is to provide a portable automated lifesaving system for performing comprehensive lifesaving treatments, similar to those available in hospital care, for an extended period of time until Hood's professional medical intervention.
[0013] Another object of the present invention is to provide a portable automated lifesaving system with computerized adaptation for automatically performing comprehensive lifesaving treatments to alter the patient's condition.
[0014] Another object of the present invention is to provide a portable automatic lifesaving system that does not require a skilled operator and is suitable for automatically providing comprehensive lifesaving treatment to a patient before the arrival of a doctor.
[0015] Other objects and advantages of the present invention will be described in detail in the following sections. Summary of the Invention
[0016] A portable automatic lifesaving system, comprising:
[0017] a) One or more sensors for collecting data related to the patient's current medical condition and sending the collected data to a main computer;
[0018] b) A main computer adapted with suitable hardware and software to process data received from the one or more sensors regarding a predetermined medical condition and corresponding life-saving treatment plan, thereby determining an initial life-saving treatment plan to be provided to the patient, and accordingly operating a main controller configured to activate the corresponding life-saving device.
[0019] c) A main controller, adapted to be operated by the main computer, for controllably activating fastening devices and for controllably activating one or more life-saving devices to provide life-saving treatment to the patient;
[0020] d) Two or more fastening devices, controllably activated by the main controller, for obtaining a secure connection between the automated lifesaving system and the patient;
[0021] e) One or more lifesaving devices, controllably activated by a main controller, for providing life-saving treatment to the patient; and
[0022] f) One or more batteries;
[0023] The portable automatic lifesaving system continuously monitors the patient's changing medical condition and adjusts the given treatment accordingly, i.e., the operation of the one or more lifesaving devices.
[0024] The system may also include a database related to the patient's medical history, which can be used to more accurately detect the patient's current medical condition.
[0025] The one or more sensors are selected from ECG sensors, blood oxygen saturation sensors, blood pressure sensors, blood glucose level sensors, and any combination thereof.
[0026] The one or more life-saving devices are selected from the group consisting of chest compression devices, defibrillators, breathing assist devices, external pacemakers, and any combination thereof.
[0027] The main controller can controllably activate the lifesaving device by selecting a control signal from a group consisting of electrical signals, pneumatic signals, hydraulic signals, and any combination thereof.
[0028] The two or more fastening devices may include at least two gripping arms adapted to be gripped laterally under the body of a lying patient.
[0029] The two or more fastening devices may include one or more inflatable pads, which are inflated by a pressurizing device selected from the group consisting of pressurized gas containers, pneumatic inflation devices, hydraulic inflation devices, and any combination thereof.
[0030] The system may also include alarm devices selected from the group consisting of: auditory alarms, visual alarms, or any combination thereof.
[0031] Alarm devices can be used to guide treatment personnel to perform necessary actions and to evacuate personnel before the system delivers an electric shock to the patient.
[0032] The system may also include a battery status indicator to indicate the battery's charge level.
[0033] The one or more sensors can be connected to communicate with the system via a connection device, the connection device being selected from a group consisting of wired connection, Bluetooth connection, Wi-Fi connection or any combination thereof.
[0034] The system may also include a connection port selected from a group consisting of a USB port, a memory card reader port, an Ethernet port, or any combination thereof.
[0035] The system may also include a memory card reader.
[0036] The system may also include an Ethernet connection port.
[0037] The system may also include remote communication devices for contacting medical assistance and other scheduled contacts.
[0038] The remote communication device can be selected from the group including cellular communication devices, Wi-Fi communication devices, or any combination thereof.
[0039] ECG sensors can be integrated with two or more fastening devices.
[0040] One defibrillator electrode can be placed on the patient's chest, while a second defibrillator electrode can be placed on the patient's back, thus enabling an electric shock to be delivered from the opposite side of the heart.
[0041] The system may also include:
[0042] a) Mobile phone applications that allow for the remote exchange of data and control signals with external servers;
[0043] b) A blood pressure cuff, used to allow for the measurement of a patient's blood pressure; and
[0044] c) External remote control for remote system operation, changing phone numbers, and receiving faults.
[0045] The adjustment mechanism includes a transverse guide rail and a longitudinal rod for adjusting the displacement of the fastening device.
[0046] The main computer is suitable for continuously recording the patient's ongoing medical conditions.
[0047] The system may also include self-testing operations that enable users to test their status.
[0048] The system may also include a cabinet for storage when the system is not in use, wherein the cabinet is adapted to have a gel socket, the gel socket being positioned accordingly to retain the ECG leads of the system lubricated with a gel layer.
[0049] At least one of one or more sensors can be embedded in a wearable wristband.
[0050] A wearable monitoring bracelet includes at least one ECG sensor, a pulse sensor, and a communication device for communicating with appropriate emergency services when it is detected that the wearer is experiencing an emergency.
[0051] A monitoring and alarm system includes one or more wearable monitoring wristbands adapted to communicate with a wall-mounted control box configured to alert emergency services and to issue an audible alarm when a medical emergency is detected in one or more persons wearing the one or more wearable monitoring wristbands. Attached Figure Description
[0052] The above and other features and advantages of the present invention will be better understood from the following illustrative and non-limiting detailed description of preferred embodiments with reference to the accompanying drawings, wherein:
[0053] - Figure 1A-1C A block diagram illustrating an exemplary configuration of a portable automated lifesaving system according to an embodiment of the present invention is shown;
[0054] - Figure 1D An exemplary interface block diagram of the system 100 proposed according to an embodiment of the present invention is shown;
[0055] - Figure 2A A front view of a portable automatic lifesaving system 200 according to an embodiment of the present invention is shown;
[0056] - Figure 2B yes Figure 2A A bottom view of the system;
[0057] - Figure 3 Additional accessories according to embodiments of the present invention are illustrated schematically;
[0058] - Figure 4 The wearing method according to an embodiment of the present invention is shown. Figure 2A-2B A diagram illustrating the human system;
[0059] - Figures 5A-5C This illustrates the side benefits of the proposed system for non-experts according to an embodiment of the present invention;
[0060] - Figure 6 An exemplary component diagram of the system proposed according to an embodiment of the present invention is shown;
[0061] - Figure 7 This is a front view of the proposed system auxiliary components;
[0062] - Figure 8A A schematic top view of a portable automatic lifesaving system 800 according to an embodiment of the present invention is shown;
[0063] - Figure 8B schematically shown Figure 8A A bottom view of the system;
[0064] - Figure 9schematically shown Figures 8A-8B A perspective view of the system;
[0065] - Figure 10-11 A stretchable elastic pad of the system proposed according to an embodiment of the present invention is shown;
[0066] - Figure 12A-12B A standalone wearable bracelet according to an embodiment of the present invention is shown and its use is illustrated; and
[0067] - Figure 13 A storage cabinet of a system proposed according to an embodiment of the present invention is shown. Detailed Implementation
[0068] This invention relates to a portable automated lifesaving system capable of optimally detecting a patient's emergency medical condition and thus enabling the execution of life-saving treatments, such as cardiopulmonary resuscitation (CPR), via artificial respiration and chest compressions, while continuously monitoring the patient's vital signs (e.g., electrocardiogram (ECG) signals, blood pressure, oxygen levels, heart rate, and glucose levels), and adapting the provided treatment to the patient's changing medical condition. The proposed system is compact, lightweight, suitable for wearing on a patient of any body size and shape, and can be easily activated by an ordinary person without requiring any medical skills.
[0069] The proposed lifesaving system is configured to continuously monitor and analyze a patient's current medical condition based on data received from several sensors and according to pre-known medical conditions and corresponding treatment protocols. The system continuously adapts the provided treatments (e.g., performance parameters of the CPR device) to the patient's response, i.e., to the patient's changing medical condition (e.g., reducing the intensity of chest compressions to achieve a target blood pressure). The monitored data and provided treatment protocols are continuously saved and can be retrieved by medical personnel for continuity of treatment and future use.
[0070] Figure 1A-1C A block diagram illustrating an exemplary configuration of a portable automated lifesaving system 100 according to an embodiment of the present invention is shown. The system 100 includes a host computer 110 configured to detect the patient's current medical condition, determine appropriate lifesaving treatment, and provide the determined treatment by operating a main controller 120 adapted to control appropriate lifesaving devices (further explained in the following figures) electrically or via electromechanical means such as pneumatic pulses.
[0071] Computer 110 includes appropriate hardware (e.g., processor, memory, storage, and communication devices) running dedicated medical software configured to process data received by computer 110 from multiple sensors, as well as a database related to the patient's medical history, a database of multiple predetermined medical conditions, and corresponding life-saving treatment plans. Based on these life-saving treatment plans, computer 110 characterizes the patient's current medical condition and determines an initial life-saving treatment plan to be provided to the patient via controller 120.
[0072] According to embodiments of the present invention, the following sensors are used to monitor and characterize a patient's medical condition:
[0073] a. An ECG module 102 provides data for assessing a patient's cardiac function. A computer 110 is configured to receive ECG signal data and convert it into digital data using several parameters representing the patient's cardiac condition.
[0074] b. A pulse oximeter 103 that continuously measures the pulse and instantaneous oxygen saturation in a patient's blood. Pulse oximeters are essential in emergency medicine for providing useful information about patients with respiratory or cardiac problems.
[0075] c. A blood pressure monitor 104 that measures and indicates blood pressure problems related to the heart.
[0076] d. A blood glucose meter 105 for measuring blood glucose levels (e.g., a non-invasive blood glucose sensor based on ultrasound / electromagnetic / light / thermal wave propagation analysis to infer blood glucose levels) to prevent unnecessary activation of the system in cases of decreased or increased blood glucose levels, which may manifest as heart problems.
[0077] Of course, the proposed system is not limited to using the aforementioned sensors 102-105 or other sensors currently known in the art, and can be readily adapted to receive and process data from future sensors as the corresponding technologies continue to evolve.
[0078] Computer 110 further utilizes medical database 109, which stores data related to the patient's medical history (i.e., past medical conditions, given treatments, and the patient's response to treatment). Medical database 109 is stored locally by computer 110 (e.g., internal electronic media integrated with computer 110, electronic storage devices that communicate wirelessly with computer 110 over short range, external devices physically connected to a corresponding port of system 100 (e.g., the patient's personal storage device), or a combination thereof), or remotely by a remote server with which computer 110 communicates remotely using appropriate communication devices (e.g., Wi-Fi devices, cellular communication devices, etc.), thereby allowing computer 110 to access the remote database and / or update its local database.
[0079] Utilizing a patient's medical history can be crucial for the accurate analysis of a set of monitored vital signs. These vital signs can be interpreted as different conditions; for example, when a patient exhibits low oxygen saturation and rapid, shallow breathing, oxygen therapy may be required. Knowing that a particular patient has chronic obstructive pulmonary disease (COPD) can have a critical impact on the level of oxygen administered.
[0080] The medical database 109 also stores data related to medical conditions and corresponding treatment plans unrelated to specific patients. The inclusive medical data stored in the database 109 is initially used by the computer 110 to optimally determine the treatment plan by comparing the patient's current condition, characterized by data received from sensors 102-105, with general, pre-known medical conditions and the specific patient's medical history, thereby enabling more accurate detection of the patient's current medical condition.
[0081] According to an embodiment of the present invention, system 100 includes the following processing devices controlled by controller 120 (also... Figure 1B (as shown in the image)
[0082] a. The chest compression device 121 is adapted to provide chest compressions at a rate (i.e., compressions per minute), amplitude (e.g., which can vary from 5 kg to 25 kg), and stroke (e.g., up to 5 cm) determined by a computer 110 in order to achieve target blood circulation.
[0083] b. The defibrillator 122 is used to deliver an electric shock at an amplitude and timing determined by the computer 110 (e.g., in the event of a cardiac pacing disorder).
[0084] c. Respiratory assist devices 123 (in) Figure 1C (As shown in detail) It is suitable to supply ambient air with 21% oxygen through mask 123a, or computer 110 determines that enriched air with a higher oxygen level should be supplied to the patient, controller 120 controls the valve of oxygen tank 123b to enrich the supplied air through mask 123a.
[0085] d. An external pacemaker 124 adapted to deliver low current to the heart at a controlled rate (e.g., 60-80 times per minute).
[0086] exist Figure 1C The fastening device 130 is also shown in the following diagram. Figure 2A-2B(further shown in Figure 9), which includes a gripping arm 131 controlled by a controller 120, with each fastening command sent by a computer 110. The fastening device 130 is required to achieve a secure connection between the system 100 and the patient, and sufficient contact between the electrical monitoring sensors (e.g., ECG 102) and the treatment device (e.g., defibrillator 122) and the patient, for effective monitoring and treatment. In the first step, two gripping arms 131 (further details in Figure 9) are engaged. Figure 9 The system 100 initially extends to its maximum extent (e.g., to a degree suitable for restricting large patients), then pivots to grip the patient's lower back (i.e., assuming system 100 is initially positioned on the chest of a lying patient) and keeps the system body close to the patient's chest. An elastic pad 132 fills the gap in the patient's chest and pulls the system body taut against the patient's chest. According to some embodiments of the invention, a single air compressor 132a is controlled by a controller 120 (i.e., a corresponding flow rate determined by a computer 110) to supply a relatively low volume of air to an oxygen mask 123a, which may also be enriched with oxygen supplied by an oxygen tank 123b. System 100 also includes suitable pressure gauges (e.g., potential sensors, capacitance sensors, piezoelectric sensors, etc.) arranged in the area in contact with the patient's chest, or integrated with the ECG lead 211, for detecting when sufficient connection has been achieved while avoiding excessive pressure applied to the patient's body.
[0087] Once the fastening operation is complete, system 100 begins monitoring the patient's medical condition and provides life-saving treatment determined by computer 110.
[0088] Figure 1D An exemplary interface block diagram of the proposed system 100 according to an embodiment of the present invention is shown. Computer 110 is capable of (e.g., via a short-range communication device such as Bluetooth, Wi-Fi, etc.) interfaceing with a neighboring mobile device such as smartphone 111, utilizing communication and location detection devices to contact and update emergency services with ongoing medical emergencies, the patient's condition, and their location, thereby enabling the prompting of appropriate medical assistance to the patient and notifying the patient of the nearest medical facility and preparing for the patient's arrival. According to some embodiments of the present invention, system 100 uses an internal cellular modem instead of or in conjunction with smartphone 111.
[0089] Figure 1D The diagram also shows a display screen 112 and a speaker 113, to which the computer 110 interfaces for displaying and announcing information, guidance, and warning messages to the patient's surroundings. While both the display screen 112 and the speaker 113 can be integrated into the system 100, the latter can be adapted to wired / wireless connectivity devices for interfacing with an external display screen 112 and / or speaker 113.
[0090] System operation steps
[0091] In the first step, the system is removed from its storage compartment (e.g., a briefcase and / or storage box attached to a wall of the structure) and placed on the patient's body (i.e., in most emergency medical situations, the patient is lying or reclining on a horizontal surface). Removing the system from the storage compartment triggers an alarm (e.g., an audible sound lasting for a limited period, such as 15 seconds) to alert nearby personnel to assist and / or clear the area around the patient. At the end of the alarm, computer 110 operates smartphone 111 or an optional integrated communication device for calling one or more pre-selected phone numbers (e.g., local ambulance services, family members, family doctor, etc.). In the next step, a medical professional (i.e., a passerby who cannot maintain medical skills) places the system on the patient's chest with the patient's hands placed laterally, while positioning the chest compression device 121 above the center of the patient's sternum, between the patient's ribs.
[0092] Simultaneously, the operator attaches the pulse oximeter 103 to the patient's finger and activates the blood pressure monitor 104. In the next step, the operator presses the (red) power button. In response, the system automatically performs the following actions:
[0093] 1. The grasping arm 131 extends out of the main body of the system and then grasps the patient's back, while the system is pressed against the chest.
[0094] 2. Located at the bottom of system 800 (e.g.) Figure 8B The elastic pad 132 (as shown) Figure 11 (As shown in detail) an adjustable contact is created between the system 800 and the patient's chest, allowing the system 800 to adapt to variable body patterns and sizes.
[0095] This arrangement compensates for various chest shapes in patients. The ECG 102 pad of the defibrillator 122 and the defibrillator pad 122 are integrated with one (or two) elastic pads 132 that press against the patient's body. Automatic pressing brings the sensor to the desired position.
[0096] 3. Computer 110 triggers sensors 102-105 to begin acquiring the patient's medical condition. The sensors may operate continuously (e.g., ECG 102, pulse oximeter 103, blood pressure monitor 104, and blood glucose meter) or intermittently (e.g., blood pressure monitor 105).
[0097] 4. The data stream is sent to the host computer 110, which characterizes the patient’s medical condition and compares it with known conditions stored in a database 109, which uses a medical algorithm that also takes into account the patient’s medical history (if available) to identify the most similar known conditions and corresponding treatment options.
[0098] 6. The computer 110 operates the controller 120 to controllably activate one or more life-saving devices (i.e., at the performance level defined by the treatment protocol determined by the computer 110).
[0099] According to some embodiments of the invention, the storage device of the retrieval system 100 triggers the computer 110 to begin streaming guidance instructions via the speaker 113, instructing the therapist on how to prepare the patient (e.g., “place the patient on a solid surface”, “position the patient’s hands sideways”, etc.) and to place the system 100 relative to the patient’s chest.
[0100] Figure 2A A front view of a portable automatic lifesaving system 200 according to an embodiment of the present invention is shown. The main body of the system 200 is connected to the patient's shoulder via two gripping arms 131 (e.g., buckles), while the system 200 is located at the patient's chest, with the patient's neck centered between the two buckles 131, and additional gripping arms 131 securing the system 200 to the patient's back and waist at the patient's chest.
[0101] System 200 also includes a display screen 112 (e.g., a touchscreen) for displaying diagnostics of the current event, a power on / off button 201, a built-in test (BIT) button 202 for self-testing the proper operation of system 200, a USB socket 203 for connecting various accessories to system 200 (e.g., a charging cable for recharging the battery of system 200), an operation keypad 204, a battery capacity status check button 205, an electronic alarm light 206 for providing warnings to those nearby regarding actual or impending electric shock, a speaker 113 for audible warnings and guidance, and instructions for the system operator, and a chest compression device 121 (whose top cover is located on...). Figure 2A (As shown in the image) and an oxygen mask 123a worn on the patient's face, which, when necessary, is worn on the patient's face to provide respiratory assistance using oxygen-enriched air.
[0102] USB socket 203 can also be used to connect an external computer or mobile device to system 200, thereby inputting new data from the computer or mobile phone, for example, changing telephone equipment, and retrieving measurement data for use by medical professionals, such as physicians. System 200 also includes a MICRO SD socket (not shown) for connecting an external memory drive, and an emergency stop button 207 to allow the operator to manually stop their operation at any time.
[0103] System 200 also includes a self-test button 208 to allow any patient (or user) to independently test their condition (of course, computer 110 is configured to prevent self-test button 208 from activating functions that should not be activated independently by the patient, such as chest compression device 121, defibrillator 122, or respiratory assist device 123). In this case, the user places the system on their chest, activated by self-test button 208, and computer 110 activates monitoring devices (e.g., sensors 102-105), displaying the monitored information on display screen 112. The self-test process automatically ends after the sensor readings are complete, and arms 131 are released and folded back to their storage location. System 200 is configured to submit the self-test results to a predetermined remote computing device, such as a doctor's computer / mobile device, and if an actual emergency is detected, system 200 transmits the results to a predetermined emergency services center to prompt medical assistance for the patient and sends the patient's geolocation. The geolocation can be detected by a GPS unit embedded in system 200 or by a wearable device worn by the patient that communicates with system 200.
[0104] For example, in self-test mode, the proposed system can also be adapted to analyze the results of blood tests performed by the user, i.e., detecting a level of an enzyme (e.g., troponin) that can be considered an indicator of a person who has recently experienced heart disease.
[0105] Figure 2B This is a bottom view of system 200, showing a defibrillator 122 suitable for administering electric shocks. Figure 1A 209 defibrillator pads, 124 chest compression devices Figure 1A The chest compression piston 210 is used to achieve a good connection and contact between the system 200 and the patient's body, and the elastic pad 132 is used to achieve this. Figure 11 (shown in detail below), and an ECG sensing lead 211 for the ECG sensor 102 used for continuously measuring ECG signals from the patient's heart. The defibrillator pad 209 also serves as an external pacemaker 124 (shown in detail below). Figure 1A These pads 209 are used to deliver a low current to the heart at a predetermined frequency.
[0106] Another option for achieving pad 132 is an inflatable pad that can be filled by an air compressor.
[0107] Figure 3The diagram schematically illustrates additional accessories and services that can be provided with system 200, including: a 24-hour control center 301 that receives calls and data from each operating device and provides assistance and guidance to users via speaker 113 and display 112; a mobile phone application 302 that allows remote exchange of data and control signals with an external server, power equipment, and cable 303 for recharging batteries and providing power to devices whenever connected; a blood pressure cuff 304 for allowing patient blood pressure measurement; a pulse oximeter 103 attached to a patient's fingertip for measuring the proportion of oxyhemoglobin in the patient's blood; a blood glucose meter 105; an oxygen cylinder 123b for supplying oxygen to an oxygen mask 123a; and an external remote control 305 for remote system operation, such as updating important phone numbers (i.e., contacting the system in an emergency) and receiving fault reports.
[0108] Figure 4 This is an illustration of a person 401 wearing a system 200 according to an embodiment of the present invention. An oxygen mask 123a is worn on the person's face, the main body of the system 200 is attached to the person's chest via two gripping arms 131 on the chest, two gripping arms 131 on the shoulders, a pulse oximeter sensor 103 and a blood glucose meter 105 are connected to the person's fingers, and a blood pressure monitor 104 is applied to the person's arm for continuous measurement of the patient's blood pressure.
[0109] The proposed system is adapted for wired / wireless communication with a wearable sensor 402, which is in the form of a flexible wristband that can be worn by a user. The wristband 402 includes internal sensors for sensing heart pulse, pulse oximetry, and blood glucose levels. An internal transmitter periodically sends data (i.e., to the system) and analyzes the data to assess the patient's condition. Upon detection of predetermined parameters indicating cardiac distress or failure, the systems 100 and 200 activate all necessary CPR functions and send an alert to the appropriate medical services along with the user's location.
[0110] The wristband 402 can also be adapted to other sensors: blood oxygen, blood pressure, ECG, and temperature, for providing additional diagnostic data to the system's computer 110. According to an embodiment of the invention, the wristband 402 is internally adapted to a pulse oximeter 103, a blood pressure sensor 104, and a blood glucose meter 105, thus eliminating the need for separately worn sensors.
[0111] Figures 5A-5C An embodiment of the invention is shown, in which the proposed system is applied laterally to a lying person, wherein the system 500 is initially positioned on the patient's chest, the chest compression device 121 is positioned above the center of the chest, and the two shoulder gripping arms 131 are positioned on the patient's shoulders (e.g., Figure 4As shown). The two lateral gripping arms 131, which grasp below the patient's waist, initially extend laterally and then fold downwards to a vertical position. Figure 5A Then it retracts vertically. Figure 5B Finally, it retracts laterally. Figure 5C To fully adapt to the patient's chest ( Figure 9 (Full details of the retainer system 800 shown).
[0112] Of course, those skilled in the art can choose from a variety of different extension devices suitable for different sizes and shapes of the proposed system, such as lateral guide rails / racks and pinions and vertical pneumatic extension mechanisms, or any other device that provides lateral and vertical extension as well as rotation of arm 131, without departing from the described gripping and fitting process that provides a firm grip without applying excessive load to the patient's body.
[0113] Figure 6 An exemplary component diagram of a system proposed according to an embodiment of the present invention is shown. The proposed system includes a rechargeable battery with an external charging power source, a capacitor for stabilizing the operating voltage, a control system for controlling the functional operation of the system, a cellular phone for communicating with a telemedicine facility, a blower and oxygen bulb for providing oxygen-enriched air for respiratory assistance, a defibrillator, a chest compression piston, an elastic pad (defibrillator pad, through which the ECG measurement leads contact the patient's body) for achieving good contact with the patient's body, shoulder grips, chest grips, and back grips, a computer with a SIM card (connecting the system to an emergency medical center, the patient's doctor, or the patient's home), and medical software for analyzing the patient's cardiac condition based on measurement sensors. This software determines the optimal treatment based on a large medical database. Other components include an ECG sensor for continuously and in real-time measuring ECG signals from the patient's heart and software for converting ECG signals into digital readings, a pulse oximeter for measuring the proportion of oxyhemoglobin in the patient's blood (which can affect the power and rate of chest compressions and the enrichment of resuscitation air to be given to the patient), a blood pressure monitor for continuously and in real-time measuring the patient's blood pressure, and a blood glucose sensor for measuring blood glucose levels.
[0114] Based on continuous and real-time measurements of the ECG signal from the patient's heart, the system operator determines whether a defibrillator shock is needed, and the power, activation alarm, on / off lights, and down-count display from 0 to 5 are cleared to empty the area. The defibrillator then delivers a shock to the patient, and the system begins chest compressions via an automatic piston while simultaneously determining and monitoring the patient's heart rate. At the same time, the pacemaker begins continuous operation.
[0115] The system may also include an ECG amplifier to increase the amplitude of the ECG signals so that they are isolated from background noise and separated from other signals in the system before reaching the host computer.
[0116] Figure 7 This is a front view of the auxiliary components of the proposed system: blower, cooling system, oxygen tank and CPR plunger, oxygen mask, battery, SIM card, capacitor, electronic card, computer, software and controller.
[0117] Figure 8A A schematic top view of a portable automated lifesaving system 800 according to an embodiment of the present invention is shown. The system 800 includes an ergonomically shaped housing 801 in which various components, such as a retractable handle 802 (in a storage location, and therefore in…), are integrated. Figure 8A (Not shown in the image), power on / off button 201, USB socket 203, touchscreen 112 (also shown in the image). Figure 2A As shown in Figures 2a, the system 800 includes a joystick pad 803 (i.e., together with the touch operator of the touch display 112, the joystick pad covers the function of the keypad 204 of Figure 2a), a speaker 113, a robotic gripper arm 131 in its stored state (further shown in Figures 8b-10), an electronic warning light 206 for providing a warning to those nearby about an actual or impending electric shock, an emergency stop button 207 for immediately stopping the system 800, a self-test button 208, and an accessory storage compartment 804. Supplementary accessories, such as atropine and insulin injectors, can be stored therein, which can be used under appropriate conditions according to each auditory and / or visual instruction and guidance provided by the system 800 via the display 112 and / or speaker 113.
[0118] According to some embodiments of the invention, remote takeover by a medical technician is enabled (i.e., computer 110 is adapted to authorize such takeover via smartphone 111 or an alternative communication device), allowing telemedicine personnel to utilize the monitoring capabilities of system 800 (e.g., sensors 102-105 and database 109) to analyze the patient's condition and the life-saving devices 121-124 of the remote operating system 800. During remote takeover operations, medical personnel can remotely control computer 110 and, via computer 110, display 112, speaker 113, and alarm light 206, instruct temporary treatment personnel to perform further life-saving operations and warn surrounding personnel to evacuate when preparing for electric shock.
[0119] Figure 8B A schematic bottom view of a portable automatic lifesaving system 800 is shown, illustrating multiple elastic pads 132 (in...). Figure 11 The image further shows that its ergonomically shaped design adapts to the patient's chest, and the gripping arm 131 in its storage state (in... Figure 9-10 (Further shown in the image) An emergency stop button 207 and multiple ECG leads 211 for obtaining detailed ECG monitoring of the patient's cardiac condition. Some of these can be used as electrodes in place of the defibrillator 122 and pacemaker 124. Figure 2B The pad is 209.
[0120] The system 800 is adapted to have a narrow and ergonomically shaped piston 210, which is adapted to apply compression only to the patient's sternum, thereby allowing the sternal ribs to retain most of their volume, thus avoiding undesirable excessive exhaust from the patient's lungs, while delivering the required compression, thereby mechanically forcing the patient's heart to retract to establish artificial blood pressure.
[0121] exist Figure 8B The image acquisition device 805, such as a digital camera, is also shown for correctly positioning the system 800 above a patient's chest, for example by initially placing a cross-marking label on the patient's chest, followed by the computer 110 seeking to match the detected cross-marking with corresponding virtual alignment marks to achieve proper alignment and positioning of the system 800. According to some embodiments, the system 800 is configured to project alignment marks onto the patient's chest (e.g., via a corresponding irradiation device).
[0122] chest support
[0123] Figure 9 A perspective view of system 800 is schematically shown, in which the robotic gripper arm 131 automatically extends to grasp a lying patient (i.e., to engage with...). Figure 4 (Similar to the method shown in -5). The gripping arm is adapted to a lateral extension mechanism 901 (e.g., a rack and pinion mechanism) and a suitable vertical extension mechanism, such that the lower portion 902a of the arm 131 can extend vertically, allowing the arm 131 to initially extend laterally to its outermost state, fold downwards to a substantially vertical position, and extend the lower portion 902a downwards until it reaches the ground (i.e., ground contact is detected using a suitable pressure / resistance device). After the retraction step of the lower portion 902a of the arm 131, the lower portion 902a of the arm 131 is retracted behind the patient to achieve a firm fit to the patient's body. Thus, the elastic pad 132 is firmly pressed to fit the patient's chest.
[0124] According to some embodiments of the invention, the lower portion 902a is adapted with a conductive pad 903 suitable for use as a defibrillator pad, thereby enabling the delivery of shocks from front to back (i.e., one electrode in contact with the patient's chest and the opposite electrode in contact with the patient's back), which has been found to be much more efficient than delivering a shock with both electrodes in contact with the front, i.e., the patient's chest.
[0125] The automatic unfolding and gripping process can be easily accomplished by pressing the self-test button 208. Figure 8A The system 800 may start automatically, either upon pressing the power button 201 or upon detecting its alignment on the patient's chest. However, the system 800 may be configured to recognize emergencies where only partial positioning is achieved (e.g., the patient experiences pain), retrieve information from the system 800's storage device, such as... Figure 13 (In cabinet 1300, then lose consciousness). In this situation, or in cases where a person is known to be at medical risk, system 800 can be configured to respond to such partial operations by performing predetermined emergency responses, such as audible alarms and communication with predetermined medical assistants.
[0126] ECG sensor
[0127] To enhance the contact between ECG lead 211 and the patient's chest, lead 211 and... Figure 10 The inflatable elastic lead 1001 shown is adapted to the conductive ECG sensor 1002, which is connected via this lead. When the system 800 is adapted to the patient's chest via the elastic pad 132 (Figures 8 and 11), the computer 110 instructs the controller 120 (… Figure 1C )Activate the appropriate hydraulic or pneumatic inflation system 1003 to fill the inflatable lead wire 1001 with liquid / gas until a predetermined pressure is reached in order to achieve full contact between the sensor 1002 and the patient's chest.
[0128] According to an embodiment of the invention, lead 1001 is adapted to have a pressure gauge to verify that lead 211 is not applying excessive pressure to the patient's chest. When system 800 is shut down, hydraulic / pneumatic filling is removed from ECG lead 1001 (e.g., air pressure equal to ambient atmospheric pressure), and ECG lead 1001 resiliently retracts to its stored state.
[0129] Figure 11 An elastic, spring-shaped, compressible pad 132 according to an embodiment of the present invention is shown. The elastic pad 132, made of a biocompatible plastic polymer, is located at the bottom of the system 800 (e.g., Figure 8B (As shown), it is used to create adjustable contact between the system 800 and the patient's chest, thereby enabling the system 800 to adapt to variable body patterns and sizes.
[0130] Figure 12AA standalone monitoring wristband for a portable automated lifesaving system according to some embodiments of the present invention is shown. The standalone wristband 1201, equipped with a pulse sensor and an ECG sensor 102, and a communication device (e.g., a cellular transceiver), can be used independently to communicate with appropriate emergency services when its sensors detect that the wearer is experiencing an emergency. For example, the standalone wristband 1201 is very useful for warning infants of dangerous sleep apnea events and cradle death.
[0131] The wristband 1201 includes an illumination indicator 1201a for providing a visual indication of sensor measurements. When detected vital signs are within the normal range, the corresponding indicator 1201a is illuminated with green light, and when detected vital signs are outside the normal range, the corresponding indicator 1201a is illuminated with red light.
[0132] Figure 12B The use of a wristband 1201 equipped with a Bluetooth communication device for communicating with a control box 1202 is illustrated schematically. The control box 1202 includes a cellular communication device 1203 for alerting emergency services and an auditory alarm device 1204 for sounding an alarm when a medical emergency is detected in one or more persons wearing the wristband 1201. The control box can be mounted on a wall in a home or installed at a swimming pool to prompt assistance to vulnerable swimmers.
[0133] When the system is in standby or off state, the system is stored in the designed cabinet 1300, such as... Figure 13 As shown, it can be easily removed from the cabinet (accessible and at an accessible height). The cabinet is plugged in with a cable connected to the charger. The proposed system is routinely inspected at a predetermined frequency (e.g., monthly), and detected faults are alerted by activating alarm light 206 and by sending a message, for example, to a predetermined contact via mobile phone. A designated test button (e.g., ...) can be clicked. Figure 2A The test can be executed automatically or started manually using button 202. Each test includes the following:
[0134] a. Battery voltage test and low voltage alarm.
[0135] b. The cardiac compression plunger test includes low-pressure activation of the soft cabinet system.
[0136] c. Defibrillator-Assisted Electricity Market Testing – Micromarket Flows within a Cabinet
[0137] d. Simultaneous ECG testing.
[0138] e. Breathing assistance.
[0139] f. Shut down the system to the synchronization host in the rack.
[0140] According to an embodiment of the invention, the cabinet 1300 includes a rear member 1301 adapted for attachment to a building wall, and a front member 1302 detachably attached (e.g., hinged) to the member 1301 for comfortable removal and operation of the system. The rear member is also adapted to connect with the ECG pad 211 ( Figure 10 Correspondingly positioned gel sockets ensure that the ECG wire 1002 always retains a gel layer, thus being ready to provide improved contact whenever the proposed system is removed from the cabinet 1300 for use.
[0141] Although embodiments of the invention have been described by way of illustration, it should be understood that the invention can be implemented in many variations, modifications and adjustments without departing from the scope of the claims.
Claims
1. A portable, ready-to-use automated system for saving the lives of patients experiencing cardiac arrest, characterized in that, include: a) System main body; b) Power button; c) One or more sensors that collect data related to the patient's current medical condition and send the collected data to a computer; d) A computer configured with hardware and software to process data received from the one or more sensors regarding a predetermined patient medical condition and a treatment plan to save the patient's life, and configured to determine an initial treatment plan to be provided to the patient to save the patient's life, and to operate a controller configured to activate a corresponding life-saving device. e) A controller adapted to be operated by the computer for controllably activating the fastening device and for controllably activating one or more of the lifesaving devices to provide lifesaving treatment to the patient; f) Two or more fastening devices, each of the fastening devices including a gripping arm controllably activated by the controller and one or more elastic pads for providing adjustable contact between the system and the patient's chest, for obtaining connection between the system and the patient; g) One or more lifesaving devices, controllably activated by the controller, for providing life-saving treatment to the patient; h) A database related to the patient's medical history, used to detect the patient's current medical condition; as well as i) One or more batteries; When set to standby or disabled mode, the system can be stored in a wall cabinet; The system is configured to automatically perform the following operations after being removed from the cabinet and the power button is pressed: i. Extend the gripping arm laterally from the system body and grip the patient’s back until the system, together with the elastic pad, presses against the patient’s chest, in order to adjust to a variable body pattern and size, and to ensure that one or more sensors will be positioned to collect data related to the patient’s current medical condition; ii. Trigger one or more sensors to collect data related to the patient's current medical condition; iii. Stream the collected data to the computer; iv. Using the computer, the collected data is used to characterize the patient's medical condition, and the characterized patient medical condition is compared with known patient medical conditions stored in the database to identify the most similar known patient medical condition and treatment plan; and v. Operate the controller to controllably activate one or more life-saving devices at a performance level defined by the treatment protocol; The system is configured to continuously monitor the patient's changing medical condition and adjust the operation of the one or more life-saving devices accordingly.
2. The system as described in claim 1, characterized in that, The one or more sensors are selected from the group consisting of ECG sensors, blood oxygen saturation sensors, blood pressure sensors, blood glucose level sensors, and combinations thereof.
3. The system as described in claim 1, characterized in that, The one or more life-saving devices are selected from the group consisting of chest compression devices, defibrillators, respiratory assist devices, external pacemakers, and combinations thereof.
4. The system as described in claim 1, characterized in that, The controller is configured to controllably activate the lifesaving device via a control signal selected from a group consisting of electrical signals, pneumatic signals, hydraulic signals, and combinations thereof.
5. The system as described in claim 1, characterized in that, The two or more fastening devices include one or more inflatable pads, which are inflated by a pressurizing device selected from the group consisting of pressurized gas containers, pneumatic inflation devices, hydraulic inflation devices, and combinations thereof.
6. The system as described in claim 1, characterized in that, It includes alarm devices selected from a group consisting of auditory alarms, visual alarms, and combinations thereof.
7. The system as described in claim 6, characterized in that, The alarm device is used to guide medical personnel to perform the necessary operations and to allow for the necessary evacuation of personnel before the system delivers an electric shock to the patient.
8. The system as described in claim 1, characterized in that, Includes a battery status indicator configured to indicate the charge level of the battery.
9. The system as described in claim 1, characterized in that, The one or more sensors are connected to communicate with the system via a connection device selected from a group consisting of wired connection, Bluetooth connection, Wi-Fi connection, and combinations thereof.
10. The system as claimed in claim 1, characterized in that, This includes connection ports selected from the group consisting of USB ports, memory card reader ports, Ethernet ports, and combinations thereof.
11. The system as claimed in claim 1, characterized in that, This includes memory card readers.
12. The system as claimed in claim 1, characterized in that, Includes Ethernet connection ports.
13. The system as claimed in claim 1, characterized in that, This includes remote communication devices used for contacting medical assistance and scheduling appointments.
14. The system as described in claim 13, characterized in that, The remote communication device is selected from cellular communication devices, Wi-Fi communication devices, and combinations thereof.
15. The system as described in claim 2, characterized in that, The ECG sensor is integrated with the two or more fastening devices.
16. The system as described in claim 2, characterized in that, One defibrillator electrode is configured to contact the patient's chest, while a second defibrillator electrode is configured to contact the patient's back, so as to generate an electric shock from the opposite side of the heart.
17. The system as claimed in claim 1, characterized in that, include: Mobile phone applications are used for remote exchange of data and control signals with external servers; A blood pressure cuff, used to allow for the measurement of the patient's blood pressure; as well as An external remote control is used for remote system operation, changing phone numbers, and receiving fault reports.
18. The system as claimed in claim 1, characterized in that, The adjustment mechanism includes a transverse guide rail and a longitudinal rod for adjusting the displacement of the fastening device.
19. The system as claimed in claim 1, characterized in that, The computer is adapted to continuously record the patient's ongoing medical condition.
20. The system as claimed in claim 1, characterized in that, This includes self-testing procedures for patients to assess their medical condition.
21. The system as claimed in claim 1, characterized in that, The system includes a wall cabinet for storage when not in use, wherein the wall cabinet is adapted to a gel socket for holding the ECG leads of the system lubricated with a gel layer.
22. The system as claimed in claim 1, characterized in that, At least one of the one or more sensors is embedded in a wearable wristband.