Dynamically adaptable portable automated life-saving system

Abstract

We provide a portable, automated life-saving system for performing life-saving procedures on patients suffering from cardiac arrest. [Solution] A portable automated life-saving system comprising: a sensor used to collect data on the patient's current medical condition; a main computer adapted to process the data received from the sensor and thereby determine an initial life-saving procedure protocol to be performed on the patient and to operate a main controller that activates a corresponding life-saving device; a fixing means operated in a controllable manner by the main controller to ensure a secure attachment of the automated life-saving system to the patient; a life-saving device operated in a controllable manner by the main controller to perform a life-saving procedure on the patient; and a battery. The portable automated life-saving system continuously monitors the patient's evolving medical condition and adapts the given procedure, i.e., the operation of the life-saving device.

Description

Technical Field

[0001] The present invention relates to the field of life-saving devices. More specifically, the present invention is a portable automatic life-saving system for the implementation of a complete life-saving treatment adapted to the varying state of a patient without the need for the presence of medical personnel.

Background Art

[0002] The first leading cause of death in the United States is due to heart failure. If such heart failure is not treated within 4 to 6 minutes, the brain suffers irreversible damage due to lack of oxygen received. Since the majority of heart failures occur before the paramedic reaches the patient (it takes more than 10 minutes for the paramedic to reach the patient), the patient's chance of survival is very low.

[0003] Heart failure can be a heart attack, cardiac arrest, and cardiac rate irregularities. In some cases, applying an electric shock to the heart with a defibrillator can improve the patient's condition, but in any case, chest compressions and continuous breathing are required until the patient returns to a normal state.

[0004] Conventional CPR systems commonly used in hospitals to treat cardiac events are large and cumbersome and also require the presence of an expert in the treatment area. Chest compressions, for example, require the intervention of a physician or paramedic. In most cases, the physician / paramedic performing the chest compressions quickly becomes tired and a second specialized person needs to replace the physician / paramedic. Frequently, the physician / paramedic does not have immediate information regarding the cardiac state during resuscitation and thus the physician / paramedic cannot perform the periodic compressions particularly required by the patient.

[0005] When a person suffers from heart failure, it is necessary to resuscitate, perform cardiac artificial respiration and chest compressions while resuscitating to prevent brain damage and maintain the patient's breathing (heart failure may cause respiratory arrest) and continue blood flow to the brain.

[0006] Heart failure can occur for several reasons, including the following: 1. Irregular heart rate - In this case, a defibrillator is used to massage the heart and deliver electrical pulses to restore the heart rate. 2. Myocardial infarction or occlusion of blood vessels entering or leaving the heart - In this case, it is extremely important to perform cardiac compressions at a specific speed and force corresponding to the specific condition.

[0007] Conventional resuscitation and cardiac compression systems are large, cumbersome, and heavy, operated manually or semi-manually (not fully automated), and require a skilled team of doctors, nurses, or paramedics to operate.

[0008] Existing CPR systems typically perform cardiac compressions at a constant rate and intensity, but this is not always ideal given the patient's changing condition. When there is a positive response to cardiac compressions, the intensity and rate of compressions should be reduced. Conversely, when there is no improvement, or even worsening, the intensity and rate of compressions should be increased to maintain blood flow to the brain and prevent brain injury. [Overview of the project] [Problems that the invention aims to solve]

[0009] Therefore, the object of the present invention is to provide a portable automated life-saving system for performing complete life-saving procedures on patients suffering from cardiac arrest.

[0010] Another objective of the present invention is to provide a portable automated life-saving system for performing complete life-saving procedures, similar to those available in hospital care, for extended periods until specialized medical intervention becomes available.

[0011] Another objective of the present invention is to provide a computerized, adaptable, portable, automated life-saving system for automatically performing complete life-saving procedures in response to fluctuating patient conditions.

[0012] A further objective of the present invention is to provide a portable, automated life-saving system that does not require a skilled operator and is adapted to automatically perform complete life-saving procedures on a patient before the arrival of paramedics / doctors. [Means for solving the problem]

[0013] Other objects and advantages of the present invention will be described in detail in the following paragraphs.

[0014] It is a portable automated life-saving system, a) One or more sensors used to collect data on the patient's current medical condition and to transmit the collected data to the main computer, b) A main computer, adapted with appropriate hardware and software, to process data received from one or more sensors regarding a given medical condition and corresponding life-saving treatment protocol, thereby determining the initial life-saving treatment protocol to be performed on the patient, and thus operating a main controller configured to activate the corresponding life-saving device. c) A main controller adapted to be operated by a main computer in order to control and operate the restraint means and to control and operate one or more life-saving devices in order to perform life-saving procedures on a patient, d) Two or more securing means that operate to be controllable by the main controller in order to ensure a secure attachment of the automated life-saving system to the patient, e) One or more life-saving devices that operate in a manner controllable by the main controller in order to perform life-saving procedures on a patient, f) One or more batteries and Equipped with, A portable automated life-saving system continuously monitors the patient's evolving medical condition and, in response, adapts the given procedure, i.e., the operation of one or more life-saving devices. Portable automated life-saving system.

[0015] The system may further comprise a database regarding the medical history of the patient to enable more accurate detection of the current medical condition of the patient.

[0016] One or more sensors may be selected from the group consisting of an ECG sensor, a blood oxygen saturation sensor, a blood pressure sensor, a blood glucose concentration sensor, or any combination thereof.

[0017] One or more life-saving devices may be selected from the group consisting of a chest compression device, a defibrillator, a respiratory support device, an external pacemaker, or any combination thereof.

[0018] The main controller is operated to be able to control the life-saving device by a control signal selected from the group consisting of an electrical signal, a pneumatic signal, a hydraulic signal, or any combination thereof.

[0019] Two or more fixing means may comprise at least two gripping arms adapted to grip laterally the lower side of the patient lying down.

[0020] Two or more fixing means may comprise one or more inflatable pads inflated by a pressurizing means selected from the group consisting of a pressurized gas container, an air inflation means, a water inflation means, or any combination thereof.

[0021] The system may further comprise alert means selected from the group consisting of an auditory alert, a visual alert, or any combination thereof.

[0022] The alert means may be used to guide the person performing the treatment at the required time of operation and at the required intervals before the system discharges an electric shock to the patient.

[0023] The system may further comprise battery status indicating means for indicating the charge level of the battery.

[0024] One or more sensors may be connected to communicate with the system by connection means selected from the group consisting of a wired connection, a Bluetooth® connection, a Wi-Fi® connection, or any combination thereof.

[0025] The system may further comprise a connection port selected from the group consisting of a USB port, a memory card reader port, an Ethernet® port, or any combination thereof.

[0026] The system may further comprise a memory card reader.

[0027] The system may further comprise an Ethernet® connection port.

[0028] The system may further comprise remote communication means for liaison with medical support and other predetermined liaisons.

[0029] The remote communication means may be selected from the group consisting of a cellular communication device, a Wi-Fi communication device, or any combination thereof.

[0030] The ECG sensor may be integrated with two or more fixing means.

[0031] One defibrillation electrode may contact the patient's chest, while a second defibrillation electrode contacts the patient's back, thus enabling the generation of an electrical shock from the opposite side of the heart.

[0032] The system may a) a mobile phone application for enabling remote exchange of data and control signals with an external server, and b) a blood pressure cuff for enabling measurement of the patient's blood pressure, and c) an external remote control for remote system operation that changes a phone number and receives a fault and may further comprise.

[0033] The adjustment mechanism includes a lateral rail and a vertical rod for adjusting the movement of the fixing means.

[0034] The main computer is adapted to continuously record the patient's ongoing medical condition.

[0035] The system may also include self-checking behavior that allows the user to check their own state.

[0036] The system may further include a wall cabinet for storage when the system is not in use, and the wall cabinet is fitted with gel sockets positioned in correspondence to maintain the system's ECG leads, which are smoothed with a gel layer.

[0037] At least one of the one or more sensors may be embedded in a wearable bracelet.

[0038] A wearable monitoring bracelet comprising at least one ECG sensor, a pulse sensor, and means of communication for communicating with a corresponding emergency service when it detects that the wearer is encountering an emergency situation.

[0039] A monitoring and alerting system comprising one or more wearable monitoring bracelets, each adapted to communicate with a wall-mounted control box configured to detect a medical emergency encountered by one or more persons wearing one or more wearable monitoring bracelets, and simultaneously alert emergency services and sound an audible alert.

[0040] The above and other features and advantages of the present invention will be better understood through the following illustrative and non-limiting detailed description of preferred embodiments of the invention with reference to the accompanying drawings. [Brief explanation of the drawing]

[0041] [Figure 1A] This is a block diagram of an exemplary configuration of a portable automatic life-saving system according to an embodiment of the present invention. [Figure 1B] This is a block diagram of an exemplary configuration of a portable automatic life-saving system according to an embodiment of the present invention. [Figure 1C] This is a block diagram of an exemplary configuration of a portable automatic life-saving system according to an embodiment of the present invention. [Figure 1D] This is an exemplary interface block diagram of the proposed system 100 according to an embodiment of the present invention. [Figure 2A] This is a front view of a portable automatic life-saving system 200 according to an embodiment of the present invention. [Figure 2B] Figure 2A is a bottom view of the system. [Figure 3] This figure schematically shows additional accessories according to embodiments of the present invention. [Figure 4] Figures 2A and 2B show a person wearing the system according to an embodiment of the present invention. [Figure 5A] This figure shows an example of the proposed system's use for a person lying down. [Figure 5B] This figure shows an example of the proposed system's use for a person lying down. [Figure 5C] This figure shows an example of the proposed system's use for a person lying down. [Figure 6] This is an illustrative diagram of the components of the proposed system according to an embodiment of the present invention. [Figure 7] This is a front view of the auxiliary parts of the proposed system. [Figure 8A] This figure schematically shows a top view of a portable automatic life-saving system 800 according to an embodiment of the present invention. [Figure 8B] This figure schematically shows the bottom view of the system in Figure 8A. [Figure 9] These figures show schematic perspective views of the systems in Figures 8A and 8B. [Figure 10]This figure shows an expandable, retractable pad of the proposed system according to an embodiment of the present invention. [Figure 11] This figure shows an expandable, retractable pad of the proposed system according to an embodiment of the present invention. [Figure 12A] This figure shows an independent, wearable bracelet according to an embodiment of the present invention, and illustrates its use. [Figure 12B] This figure shows an independent, wearable bracelet according to an embodiment of the present invention, and illustrates its use. [Figure 13] This figure shows a storage cabinet for the proposed system according to an embodiment of the present invention. [Modes for carrying out the invention]

[0042] The present invention relates to a portable automated life-saving system capable of optimally detecting a patient's emergency medical condition and thus continuously monitoring the patient's vital signs (e.g., electrocardiogram (ECG) signals, blood pressure, oxygen level, cardiac pulse, and glucose level) and performing life-saving procedures such as cardiopulmonary resuscitation (CPR) with artificial respiration and cardiac compression devices, while adapting the procedure protocol to the patient's evolving medical condition. The proposed system is compact, lightweight, adaptable to fit the body of a patient of any body size and shape, and can be easily operated by an ordinary person without requiring any medical skills.

[0043] The proposed life-saving system is configured to continuously monitor and analyze the patient's current medical condition based on data received from several sensors, as well as pre-known medical conditions and corresponding treatment protocols. The proposed system continuously adapts the procedures performed (e.g., the execution parameters of a CPR device) to the patient's response, i.e., the patient's evolving medical condition (e.g., reducing the intensity of chest compressions while simultaneously obtaining a target blood pressure). The monitored data and performed treatment protocols are continuously stored and can be retrieved by medical staff for continuity of treatment and future use.

[0044] Figures 1A to 1C show block diagrams of exemplary configurations of a portable automated life-saving system 100 according to an embodiment of the present invention. The system 100 comprises a main computer 110 configured to detect the patient's current medical condition, determine the corresponding life-saving treatment, and perform the determined treatment by operating a main controller 120 adapted to control appropriate life-saving devices by electrical or electromechanical means (as further described in the following figures herein), such as pneumatic pulses.

[0045] The computer 110 is equipped with appropriate hardware (e.g., a processor, memory, storage, and communication means) to run dedicated medical software, and the dedicated medical software is configured to process data received by the computer 110 from multiple sensors, as well as a database of the patient's medical history, and a database of multiple predetermined medical conditions and corresponding life-saving treatment protocols. Accordingly, the computer 110, through the controller 120, characterizes the patient's current medical condition and determines the initial life-saving treatment protocol to be performed on the patient.

[0046] According to embodiments of the present invention, the following sensors are used to monitor and characterize a patient's medical condition. a. An ECG module 102 provides data for evaluating the patient's cardiac function. A computer 110 is configured to receive ECG signal data and convert this data into digital data using several parameters that represent the patient's cardiac condition. b. A pulse oximeter 103 that continuously measures the pulse and instantaneous oxygen saturation levels of the patient's blood. Pulse oximeters are critically important in emergency medicine and provide useful information about patients with respiratory or cardiac disorders. c. The blood pressure monitor 104 measures blood pressure, which can also indicate heart problems. d. A blood glucose meter 105 for measuring blood glucose levels to prevent unnecessary system activation in the event of a decrease or increase in blood glucose indicated as a cardiac disorder (e.g., a non-invasive blood glucose sensor based on ultrasound / electromagnetic wave / light wave / thermal wave propagation analysis for estimating blood glucose levels).

[0047] Naturally, the proposed system is not limited to using the aforementioned sensors 102-105 or other sensors currently known in the art, and can be easily adapted to receive and process data from sensors developed in the future, as the corresponding technologies are continuously developing.

[0048] Computer 110 further utilizes a medical database 109 that stores data on the patient's medical history (i.e., past medical conditions, treatments given, and the patient's response to treatment). The medical database 109 is stored locally by computer 110 (for example, on internal electronic media integrated with computer 110, on an electronic storage device in short-range wireless communication with computer 110, on an external device such as the patient's personal memory device physically connected to a corresponding port of system 100, or a combination thereof), or remotely by a remote server that communicates with computer 110 using appropriate means of communication (for example, a Wi-Fi device, a cellular communication device, etc.), thereby enabling computer 110 to access the remote database and / or update its local database.

[0049] Utilizing a patient's medical history can be essential for correctly analyzing a set of monitored vital signs that could be interpreted differently. For example, the knowledge that a particular patient has chronic obstructive pulmonary disease (COPD), given that they are exhibiting hypoxic saturation and rapid, shallow breathing and are therefore being treated with oxygen, can make a crucial difference regarding the level of oxygen administered.

[0050] The medical database 109 further stores data on medical conditions not related to a specific patient, and corresponding treatment protocols. Here, the comprehensive medical data stored in database 109 is initially used by computer 110 to optimally determine treatment protocols by comparing the patient's current condition, characterized by data received from sensors 102-105, with general known medical conditions and the patient's medical history, thereby enabling a more accurate detection of the patient's current medical condition.

[0051] According to an embodiment of the present invention, the system 100 comprises the following treatment devices (also shown in Figure 1B) controlled by the controller 120. a. A chest compression device 121 adapted to apply chest compressions at a rate (i.e., compressions per minute), amplitude (e.g., an amplitude that can vary from 5 kg to 25 kg), and stroke (e.g., a maximum of 5 cm), as determined by a computer 110, in order to ensure targeted blood circulation. b. A defibrillator 122 for delivering an electric shock with amplitude and timing determined by the computer 110 (for example, if a conditional cardiac pace disorder is detected). c. A respiratory support device 123 (shown in detail in Figure 1C) adapted to supply ambient air containing 21% oxygen through a mask 123a, i.e., the computer 110 determines that the patient should be supplied with concentrated air with a higher oxygen level, while the controller 120 controls the valve of the oxygen tank 123b to concentrate the air supplied through the mask 123a. d. An external pacemaker 124 adapted to deliver a weak current to the heart at a controlled rate (e.g., 60-80 beats per minute).

[0052] A fixing means 130, which includes a gripping arm 131, is also shown in Figure 1C (and further shown in Figures 2A-2B and 9 below), and the gripping arm 131 is controlled by a controller 120 by fixing commands sent by a computer 110. The fixing means 130 is necessary to ensure a rigid attachment of the system 100 to the patient and to ensure sufficient contact between the electrical monitoring sensor (e.g., ECG 102) and the treatment device (e.g., defibrillator 122) and the patient, enabling effective monitoring and treatment. In the first step, the two gripping arms 131 (further details are shown in Figure 9) are first extended to their maximum range (e.g., a range suitable for confining a patient with a large body size), then grasp under the patient's back (i.e., it is assumed that the system 100 is initially positioned on the chest of a reclining patient), followed by a pivoting movement to hold the system body close to the patient's chest. The retractable pad 132 fills the gap to the patient's chest and tightens the system body against the patient's chest. According to some embodiments of the present invention, a single air compressor 132a is controlled by a controller 120 (i.e., the corresponding flow rate is determined by a computer 110) to supply air, which can also be concentrated with oxygen provided by an oxygen tank 123b, to an oxygen mask 123a in a relatively low volume. The system 100 also includes a suitable pressure gauge (e.g., a potentiometric sensor, a capacitance sensor, a piezoelectric sensor, etc.) introduced in the area of ​​contact with the patient's chest or integrated with the ECG lead 211 to detect that adequate fitting has been achieved while avoiding excessive pressure being applied to the patient's body.

[0053] While the fastening operation is complete, system 100 begins monitoring the patient's medical condition and performs life-saving procedures determined by computer 110.

[0054] Figure 1D shows an exemplary interface block diagram of the proposed system 100 according to an embodiment of the present invention. Computer 110 can interface with an adjacent mobile device such as a smartphone 111 (e.g., by a short-range communication means such as Bluetooth or Wi-Fi), and using communication and location detection means, can contact emergency services, update ongoing medical emergencies, patient conditions, and their location, thereby prompting appropriate medical assistance to the patient, notifying the nearest medical facility, and allowing them to prepare for the patient's arrival. According to some embodiments of the present invention, system 100 utilizes an internal cellular modem instead of, or in conjunction with, a smartphone 111.

[0055] Figure 1D also shows a display screen 112 and a speaker 113 interfaced by a computer 110 for displaying and broadcasting information, guidance, and warning information around the patient. Both the display 112 and the speaker 113 can be integrated with the system 100, although the latter can be adapted with wired / wireless connection means for interface with an external display 112 and / or speaker 113.

[0056] (System operation steps) In the first step, the system is removed from its storage box (e.g., a portable case and / or storage case mounted on the wall of a building) and placed on the patient's body (i.e., in the case of the most urgent medical needs, the patient is lying down or on a horizontal surface). Removing the system from the storage box triggers an alarm (e.g., sounding for a limited period, such as 15 seconds) to alert people nearby to provide assistance and / or to the area near the patient. At the end of the alarm, computer 110 activates a smartphone 111 or alternative integrated communication device to call one or more designated telephone numbers (e.g., local ambulance service, family, family doctor, etc.). In the next step, the person performing the procedure (i.e., a passerby who does not have medical skills) places the system on the patient's chest, places the patient's hands to the sides, and positions the chest compression device 121 over the center of the patient's rib cage between the patient's ribs.

[0057] Simultaneously, the person performing the procedure assembles the pulse oximeter 103 on the patient's finger and activates the blood pressure monitor 104. In the next step, the person performing the procedure presses the (red) power button. In response, the system automatically performs the following actions. 1. The gripping arm 131 extends from the system body and then grips the patient's back, and the system is pressed against the chest. 2. The retractable pad 132 (described in Figure 11) located at the bottom of the system 800 (as shown in Figure 8b) creates an adjustable contact between the system 800 and the patient's chest, thus allowing the system 800 to adapt to variable body patterns and sizes. This configuration accommodates various types of patient chests. The ECG102 pad and the defibrillation pad of the defibrillator 122 are integrated with one (or two) retractable pads 132 that are pressed against the patient's body. Automatic pressing brings the sensors to the desired location. 3. The computer 110 triggers sensors 102-105 to begin acquiring the patient's medical condition. The sensors can operate continuously (e.g., ECG 102, pulse oximeter 103, blood pressure monitor 104, and glucose meter) or intermittently (e.g., blood pressure monitor 105). 4. The data is streamed to the main computer 110, which uses a medical algorithm that characterizes the patient's medical condition and also considers the patient's medical history if available to compare the patient's medical condition with the known conditions stored in the database 109 and identify the most similar known condition and corresponding treatment protocol. 6. The computer 110 operates the controller 120 to control one or more life-saving devices (i.e., at a performance level defined by the treatment protocol determined by the computer 110).

[0058] According to some embodiments of the present invention, when the system 100 is removed from its storage location, the computer 110 is triggered to begin streaming guide instructions through the speaker 113, guiding the person performing the procedure on how to prepare the patient (e.g., “lay the patient on a hard surface,” “place the patient’s hands to the side,” etc.) and the position of the system 100 relative to the patient’s chest.

[0059] Figure 2A shows a front view of a portable automatic life-saving system 200 according to an embodiment of the present invention. The main body of the system 200 is attached to the patient's shoulders by two gripping arms 131 (e.g., clasps), while the system 200 is positioned on the patient's chest with the patient's neck centered between the two clasps 131, and additional gripping arms 131 tighten the system 200 on the patient's chest at the patient's back and waist.

[0060] System 200 further comprises a display screen 112 (e.g., a touchscreen) showing a diagnosis 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 (e.g., a charging cable for recharging the System 200's battery) to System 200, an operation keypad 204, a battery capacity status check button 205, an electric alarm light 206 for warning people nearby of an actual or imminent electric shock, a speaker 113 for auditory warnings, guidance and commands to the system operator, a chest compression device 121 (its top cover is shown in Figure 2A), and an oxygen mask 123a, which is fitted to the patient's face to provide respiratory assistance with oxygen-concentrated air whenever needed.

[0061] The USB socket 203 can also be used to connect an external computer or mobile device to the system 200, thereby allowing new data to be entered from the computer or mobile phone, for example, to change a telephone device and to retrieve measurement data for use by medical staff physicians. The 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 interrupt its operation at any time.

[0062] The system 200 further includes a self-examination button 208 to allow any patient (or user) to self-examine their condition when experiencing chest pain, tightness, or any other discomfort (i.e., the computer 110 is configured to prevent the self-examination button 208 from activating functions that the patient would not normally activate, such as the chest compression device 121, the defibrillator 122, or the respiratory support device 123). In such a case, the user places the system activated by the self-examination button on their chest, and the computer 110 activates the monitoring means (e.g., sensors 102-105) and displays the monitored information on the display screen 112. The self-examination process automatically ends after the sensor readings are complete, the arm 131 is released, folded, and returned to its storage position. System 200 is configured to input self-test results into a designated remote computing device, such as a physician's computer / mobile device. If an actual emergency is detected, System 200 transmits the results to a designated emergency service center to prompt medical assistance for the patient and sends the patient's geographical location. The geographical location may be detected by a GPS unit built into System 200 or by a wearable device worn by the patient and communicating with System 200.

[0063] For example, in self-test mode, the proposed system could also be adapted to analyze the results of a blood test performed by the user, i.e., to detect certain levels of enzymes (e.g., troponin) that could be considered biological markers indicating that a person has recently experienced a cardiac event.

[0064] Figure 2B is a bottom view of the system 200, showing the defibrillation pads 209 of the defibrillator 122 (Figure 1A) adapted to deliver an electric shock, the chest compression piston 210 of the chest compression device 124 (Figure 1A), the retractable pad 132 (detailed in Figure 11) used to ensure adequate mounting and contact between the system 200 and the patient's body, and the ECG detection lead 211 of the ECG sensor 102 for continuously measuring the ECG signal from the patient's heart. The defibrillation pads 209 also correspond to the external pacemaker 124 (Figure 1A) for delivering a weak current to the heart at a predetermined frequency via these pads 209.

[0065] An alternative option for implementing pad 132 is an inflatable pad that can be filled with an air compressor.

[0066] Figure 3 schematically illustrates additional accessories and services that can be provided by System 200, comprising a 24-hour management center 301 that receives calls and data from each operating device and provides help and guidance to the user via speaker 113 and display 112; a mobile phone application 302 to enable remote exchange of data and control signals with an external server; power equipment and cables 303 to recharge the battery as long as it is connected and to provide power to the devices; a blood pressure cuff 304 to enable measurement of the patient's blood pressure; a blood oxygen meter 103 to be attached to the patient's fingertip to measure the ratio of oxyhemoglobin in the patient's blood; a blood glucose meter 105; an oxygen tank 123b to deliver oxygen to an oxygen mask 123a; and external remote control 305 for remote system operation, such as updating important telephone numbers (i.e., to be contacted by the proposed system in case of emergency) and receiving faults.

[0067] Figure 4 shows a person 401 wearing the system 200 according to an embodiment of the present invention. An oxygen mask 123a is fitted to the person's face, the main body of the system 200 is attached to the person's chest by two gripping arms 131 on the chest and two gripping arms 131 on the shoulders, an oxygen concentration sensor 103 and a blood glucose meter 105 are attached to the person's fingers, and a blood pressure monitor 104 is placed on the person's arm to continuously measure the patient's blood pressure.

[0068] The proposed system is adapted to communicate via wired / wireless with a wearable sensor 402 in the form of a flexibly attachable bracelet, which can be worn by the user on their wrist. The bracelet 402 includes an internal sensor for detecting cardiac pulses, an oximeter, and a blood glucose meter. The internal transmitter periodically transmits data (i.e., to the proposed system), which is analyzed to assess the patient's condition. Upon detecting predetermined parameters indicating cardiac distress or dysfunction, the proposed system 100, system 200 activates all necessary CPR functions and transmits a corresponding alert, along with the user's location, to the appropriate medical service.

[0069] The bracelet 402 can also be fitted with additional sensors such as an oximeter, blood pressure, ECG, and temperature to send additional diagnostic data to the computer 110 of the proposed system. According to an embodiment of the present invention, the bracelet 402 is fitted internally with an oximeter 103, a blood pressure sensor 104, and a blood glucose meter 105, thus eliminating the need to wear the sensors separately.

[0070] Figures 5A to 5C show a side view of the proposed system for a reclining person according to an embodiment of the present invention, where the system 500 is first 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 (as shown in Figure 4). The two left and right gripping arms 131 that grip below the patient's waist first extend laterally, then bend vertically (Figure 5A), then contract vertically (Figure 5B), and finally contract laterally until they fit perfectly against the patient's chest (Figure 5C) (a complete detail of the holder system 800 is shown in Figure 9).

[0071] Naturally, without deviating from the described gripping and fitting process that firmly grasps the patient's body without placing excessive load on the patient, multiple different expansion configurations can be selected by those skilled in the art to suit different sizes and shapes of the proposed system, such as lateral rail / rack and pinion configurations and vertical air expansion mechanisms, or any other configurations that perform lateral and vertical expansion and rotation of the arm 131.

[0072] Figure 6 shows an exemplary component diagram of the proposed system according to an embodiment of the present invention. The proposed system includes a rechargeable battery with an external power source, a capacitor for stabilizing the operating voltage, a control system for controlling the functional operation of the system, a cell phone for communicating with medically authorized persons in remote locations, a blower and oxygen balloon for respiratory support with oxygen-concentrated air, a defibrillator, a cardiac compression piston, retractable pads to ensure proper attachment to the patient's body (the defibrillator pads that measure ECG leads are attached to the patient's body with retractable pads), shoulder grabs, chest grabs, and back grabs, a computer with a SIM card (for connecting the system to an emergency medical center, the patient's doctor, or the patient's family), and medical software for analyzing the patient's cardiac condition using measuring sensors. The software determines the optimal course of action based on a large medical database. An ECG sensor for continuously and in real time measuring ECG signals from a patient's heart, and software for converting ECG signals into digital readings; an oximeter for measuring the ratio of oxyhemoglobin in the patient's blood (this ratio can affect the force and speed of cardiac compressions and the concentration of resuscitation air with the oxygen that needs to be supplied to the patient); a blood pressure meter for continuously and in real time measuring the patient's blood pressure; and a glucose sensor for measuring blood glucose levels.

[0073] Based on the ECG signal continuously and in real time measured from the patient's heart, the system operator determines whether an electric shock needs to be delivered to the patient with a defibrillator and at what power, activates an alarm, turns lights on and off to illuminate the area, and counts down the display from 0 to 5. Next, an electric shock is delivered to the patient by the defibrillator, and the system begins to deliver cardiac compressions to the patient with an automatic piston, while simultaneously determining and monitoring the patient's heart rate. At the same time, the pacemaker begins to operate continuously.

[0074] The system may also include an ECG amplifier to increase the magnitude of the ECG signal in order to isolate the ECG signal from background noise and separate it from other signals in the system before it reaches the main computer.

[0075] Figure 7 is a front view of the auxiliary components of the proposed system, including the blower, cooling system, oxygen tank and cardiac compression plunger, oxygen mask, battery, SIM card, capacitor, electronic card, computer, software, and controller.

[0076] Figure 8A schematically shows a top view of a portable automated life-saving system 800 according to an embodiment of the present invention. The system 800 includes a retractable handle 802 (in the retracted position, and therefore not shown in Figure 8A), a power on / off button 201, a USB socket 203, a touch screen 112 (also shown in Figure 2A), a joystick operating pad 803 (i.e., together with the touch operator of the touch display 112, the joystick pad covers the functions of the keypad 204 in Figure 2A), a speaker 113, and a retracted robotic gripping arm 131 (further shown in Figures 8B to 10) for detecting actual or imminent electric shocks. The system features an ergonomically shaped housing 801 that integrates different components, including an electric alarm light 206 for warning people in the vicinity, an emergency stop button 207 for immediately stopping the system 800, a self-test button 208, and an accessory storage compartment 804, the accessory storage compartment 804 which can store auxiliary accessories such as atropine and insulin syringes that can be used in the corresponding state in accordance with auditory and / or visual commands and guidance provided by the system 800 through the display 112 and / or speaker 113.

[0077] According to some embodiments of the present invention, remote handover by a person with medical skills is enabled (i.e., the computer 110 is adapted to authorize such handover via a smartphone 111 or alternative communication means), thereby enabling a remote medical professional to use the monitoring capabilities of the system 800 (e.g., sensors 102-105 and database 109) to analyze the patient's condition and remotely operate the life-saving devices 121-124 of the system 800. During remote handover operations, the medical professional can instruct an emergency responder to use the computer 110, and through the computer 110, to remotely control the display 112, speaker 113, and alarm light 206 to warn those around them to leave when further life-saving actions are taken and when an electric shock is administered.

[0078] Figure 8B schematically shows a bottom view of the portable automated life-saving system 800, showing multiple retractable pads 132 (ergonomically shaped to fit the patient's chest and further shown in Figure 11), a retracted gripping arm 131 (further shown in Figures 9-10), an emergency stop button 207, and multiple ECG leads 211 used to obtain detailed ECG monitoring of the patient's cardiac condition, some of which can be used as electrodes for a defibrillator 122 and pacemaker 124 in place of the pad 209 in Figure 2B.

[0079] The system 800 is fitted with a slender, ergonomically shaped piston 210, which applies compression only to the patient's sternum, and is therefore fitted so that the ribs of the chest can retain most of their volume, thus performing the compression necessary to mechanically force the patient's heart to contract in order to increase artificial blood pressure, while avoiding undesirable excessive expulsion of air from the patient's lungs.

[0080] An image acquisition device 805, such as a digital camera, is further shown in Figure 8B, and the image acquisition device 805 is used to properly position the system 800 on the patient's chest, for example, by first placing a cross marker label on the patient's chest to enable proper alignment and positioning of the system 800, and then the computer 110 searches for a match between the detected cross mark and a corresponding virtual alignment mark. According to some embodiments, the system 800 is configured to project an alignment mark onto the patient's chest (for example, through a corresponding irradiation means).

[0081] (Chest holder) Figure 9 schematically shows a perspective view of the system 800 in which a robotic grasping arm 131 is automatically introduced for purposes such as grasping a reclining patient (i.e., in a similar manner to that shown in Figures 4-5). The grasping arm is fitted with a lateral extension mechanism 901 (e.g., rack and pinion arrangement) and a suitable vertical extension mechanism that allows vertical extension of the lower part 902a of the arm 131, so that the arm 131 first extends laterally to its outermost state, then bends to an essentially vertical position, extending the lower part 902a downward until it reaches the ground (i.e., using appropriate pressure / resistance means to detect contact with the ground, followed by a contraction step of the portion 902a of the arm 131, so that the portion 902a tucks under the patient's back to achieve a rigid fit to the patient's body). As a result, the retractable pad 132 is pressed firmly against the patient's chest.

[0082] According to some embodiments of the present invention, the lower portion 902a is fitted with a conductive pad 903 suitable for use as a defibrillation pad, thereby enabling the execution of an electric shock from front to back (i.e., one electrode in contact with the patient's chest, while the opposite electrode in contact with the patient's back), and this electric shock has been found to be much more effective than the execution of an electric shock with both electrodes in contact with the front, i.e., the patient's chest.

[0083] The automated placement and grasping process can be initiated simply by pressing the self-examination button 208 (Figure 8A), or automatically as soon as the system 800 detects that it has been positioned on the patient's chest with the power button 201 pressed. Nevertheless, the system 800 may be configured to identify emergencies where only partial positioning is achieved (for example, the patient experiences pain, removes the system 800 from its storage means, such as the cabinet 1300 in Figure 13, and then loses consciousness). In such cases, or when it is known that the person is in a medically dangerous condition, the system 800 may be configured to respond to such partial actions by performing predetermined emergency responses, such as providing an auditory alert and communicating with designated medical support personnel.

[0084] (ECG sensor) To enhance contact between the ECG lead 211 and the patient's chest, the lead 211 is fitted with an inflatable, retractable lead 1001 shown in Figure 10, through which a conductive ECG sensor 1002 is wired. When the system 800 is fitted to the patient's chest by the retractable pad 132 (Figures 8 and 11), the computer 110 commands the controller 120 (Figure 1C) to activate a suitable water or air inflation system 1003 to fill the inflatable lead 1001 with liquid / gas until a predetermined pressure is reached, in order to achieve sufficient contact between the sensor 1002 and the patient's chest.

[0085] According to an embodiment of the present invention, the lead 1001 is fitted with a pressure gauge to ensure that the lead 211 does not apply excessive pressure to the patient's chest. When the system 800 is turned off, the water / air fill is released from the ECG lead 1001 (for example, so that the air pressure is equal to the ambient pressure), and the ECG lead 1001 retracts and contracts to its retracted state.

[0086] Figure 11 shows a retractable spring-like compression pad 132 according to an embodiment of the present invention. The retractable pad 132 is made from a biocompatible plastic polymer and is placed at the bottom of the system 800 (as shown in Figure 8b) to create adjustable contact between the system 800 and the patient's chest, and thus allow the system 800 to be adapted to variable body patterns and sizes.

[0087] Figure 12A shows an independent monitoring bracelet for a portable automated life-saving system according to several embodiments of the present invention. The independent bracelet 1201 can be used independently and is provided with a pulse sensor and an ECG sensor 102, as well as communication means (e.g., a cellular transceiver) for detecting that the wearer is encountering an emergency situation using the sensors on the bracelet 1201 and for communicating with the corresponding emergency services. The independent bracelet 1201 can be very useful, for example, for alerting dangerous sleep apnea events and infant cradle death.

[0088] The bracelet 1201 is equipped with a light-up indicator 1201a for visual indication of sensor measurements. When the detected vital signs are within the normal range, the corresponding indicator 1201a lights up with green light, and when the detected vital signs are outside the normal range, the corresponding indicator 1201a lights up with red light.

[0089] Figure 12B schematically illustrates the use of a bracelet 1201 provided with a Bluetooth communication device for communicating with a control box 1202, the control box 1202 comprising a cellular communication means 1203 for alerting emergency services, and an auditory alert means 1204 for detecting a medical emergency encountered by one or more people wearing the bracelet 1201 and simultaneously sounding an alarm. The control box can be mounted on a wall in a house or in a swimming pool to call for assistance for a swimmer in distress.

[0090] When the proposed system is in standby mode or turned off, the system is housed in a wall cabinet 1300 designed as shown in Figure 13, and the system can be easily removed from the wall cabinet 1300 (it is accessible and at an accessible height). The cabinet is connected by an electrical cable to a charger. The proposed system is checked daily at predetermined intervals (e.g., once a month) and alerts of any detected faults by activating an alarm light 206 and through messages sent to a designated contact point, for example, via a mobile phone. The inspection can be performed automatically or manually initiated by clicking a designated inspection button, such as the BIT button 202 in Figure 2A. Each inspection includes: a. Battery voltage inspection and low voltage alarm. b. Cardiac compression plunger testing includes low-pressure operation of soft cabinet systems. c. Electric market test with the help of a defibrillator - weak market flow in the cabinet. d. Simultaneous ECG examination. e. Respiratory support. f. Close the system to the simultaneous body inside the cabinet. According to an embodiment of the present invention, the cabinet 1300 comprises a rear member 1301 adapted for mounting to a building wall, and a front member 1302 attached to member 1301 so as to be removable (e.g., movable by a hinge) for convenient removal and operation of the proposed system. The rear member is also fitted with a gel socket positioned in correspondence with an ECG pad 211 (Figure 10), so that the ECG lead 1002 is constantly maintained in the gel layer and thus ready to provide improved contact whenever the proposed system is removed from the cabinet 1300 for use.

[0091] While embodiments of the present invention have been described for illustrative purposes, it will be understood that the present invention can be carried out with many changes, modifications, and adaptations without exceeding the scope of the claims.

Claims

1. It is a portable automated life-saving system, a) One or more sensors used to collect data on the patient's current medical condition and to transmit the collected data to the main computer, b) A main computer, adapted with appropriate hardware and software, to process data received from one or more sensors regarding a given medical condition and corresponding life-saving treatment protocols, thereby determining an initial life-saving treatment protocol to be performed on the patient, and thus operating a main controller configured to activate the corresponding life-saving device; c) A main controller adapted to be operated by the main computer in order to operate the restraint means in a controllable manner and to operate one or more life-saving devices in a controllable manner in order to perform life-saving procedures on the patient, d) Two or more fastening means, which are operated in a manner controllable by the main controller, to ensure a secure attachment of the automated life-saving system to the patient, e) One or more life-saving devices that operate in a manner controllable by the main controller in order to perform life-saving procedures on the patient, f) One or more batteries and Equipped with, The portable automated life-saving system continuously monitors the patient's evolving medical condition and, in response, adapts the operation of the given treatment, i.e., the operation of one or more life-saving devices. Portable automated life-saving system.

2. The system according to claim 1, further comprising a database of the patient's medical history to enable more accurate detection of the patient's current medical condition.

3. The system according to claim 1, wherein the one or more sensors are selected from a group consisting of an ECG sensor, a blood oxygen saturation sensor, a blood pressure sensor, a blood glucose concentration sensor, or any combination thereof.

4. The system according to claim 1, wherein the one or more life-saving devices are selected from a group consisting of a chest compression device, a defibrillator, a respiratory support device, an external pacemaker, or any combination thereof.

5. The system according to claim 1, wherein the main controller is operated to control the life-saving device by a control signal selected from a group consisting of an electrical signal, a pneumatic signal, a hydrostatic signal, or a combination thereof.

6. The system according to claim 1, wherein the two or more fixing means comprises at least two gripping arms adapted to laterally grip the underside of the body of a reclining patient.

7. The system according to claim 1, wherein the two or more fixing means include one or more inflatable pads that are inflated by a pressurizing means selected from a group consisting of a pressurized gas container, an air expansion means, a water expansion means, or a combination thereof.

8. The system according to claim 1, further comprising an alerting means selected from a group consisting of auditory warnings, visual warnings, or a combination thereof.

9. The system according to claim 1, wherein the alert means is used to guide the person performing the procedure at the required time of operation and at the required interval before the system discharges an electric shock to the patient.

10. The system according to claim 1, further comprising a battery status indicator means for indicating the charge level of the battery.

11. The system according to claim 1, wherein one or more of the sensors are connected to the system by a connection means selected from a group consisting of a wired connection, a Bluetooth® connection, a Wi-Fi® connection, or a combination thereof.

12. The system according to claim 1, further comprising a connection port selected from a group consisting of a USB port, a memory card reader port, an Ethernet® port, or any combination thereof.

13. The system according to claim 1, further comprising a memory card reader.

14. The system according to claim 1, further comprising an Ethernet® connection port.

15. The system according to claim 1, further comprising remote communication means for contacting medical support and other predetermined communications.

16. The system according to claim 15, wherein the remote communication means is selected from a group consisting of a cellular communication device, a Wi-Fi communication device, or a combination thereof.

17. The system according to claim 3, wherein the ECG sensor is integrated with the two or more fixing means.

18. The system according to claim 3, wherein one defibrillator electrode is in contact with the patient's chest, while a second defibrillator electrode is in contact with the patient's back, thereby enabling the generation of an electric shock from the opposite side of the heart.

19. a) A mobile phone application to enable remote exchange of data and control signals with an external server, b) A blood pressure cuff to enable blood pressure measurement of the patient, c) Change the phone number, receive faults, and use external remote control for remote system operation. The system according to claim 1, further comprising:

20. The system according to claim 1, wherein the adjustment mechanism comprises a lateral rail and a vertical rod for adjusting the movement of the fixing means.

21. The system according to claim 1, wherein the main computer is adapted to continuously record the patient's ongoing medical condition.

22. The system according to claim 1, further comprising a self-checking operation that allows the user to check their own status.

23. The system according to claim 1, further comprising a wall cabinet for storage when the system is not in use, wherein the wall cabinet is fitted with a gel socket positioned in correspondence to maintain the ECG leads of the system, which are smoothed with a gel layer.

24. The system according to claim 1, wherein at least one of the one or more sensors is embedded in a wearable bracelet.

25. A wearable monitoring bracelet comprising at least one ECG sensor, a pulse sensor, and a means of communication for communicating with a corresponding emergency service when it detects that the wearer is in an emergency situation.

26. A monitoring and alerting system comprising one or more wearable monitoring bracelets, each adapted to communicate with a wall-mounted control box configured to detect a medical emergency encountered by one or more persons wearing the one or more wearable monitoring bracelets, and to alert emergency services and sound an audible alert.

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