CPR Feedback System Using Plethysmography for Non-Cardiac Pulse Detection

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Solution Overview

Problem

Current cardiopulmonary resuscitation (CPR) methods lack effective feedback mechanisms for ensuring the quality of chest compressions and breaths administered, leading to potential inefficiencies and variations in patient care.

Innovation Solution

A medical monitoring system equipped with sensors and algorithms that analyze oxygen saturation and pulse signals to provide real-time feedback on the quality of CPR, adjusting parameters such as compression depth and frequency of breaths based on patient-specific metrics and physiological data.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If manual CPR is administered without feedback mechanisms, then the simplicity and ease of operation are maintained, but the quality and effectiveness of chest compressions and breaths cannot be ensured

Engineering Contradiction:
Improvequality of CPRVSAvoidcomplexity of monitoring system
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent implements feedback mechanisms through sensors that monitor chest compression depth, rate, and quality, as well as breath delivery effectiveness. This feedback is provided to the rescuer in real-time, enabling continuous adjustment of CPR technique to maintain optimal quality while keeping the system accessible to trained personnel.

Inventive Principle:
Principle #23Feedback

2Reliability

If real-time monitoring and feedback systems are implemented, then the effectiveness and quality of CPR can be optimized, but the device complexity and difficulty of operation increase

Engineering Contradiction:
Improveeffectiveness of CPRVSAvoidease of CPR administration
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The system automatically monitors and analyzes CPR quality parameters without requiring manual assessment by the rescuer. The device self-adjusts monitoring thresholds and provides automated feedback, reducing the cognitive burden on the rescuer while maintaining high effectiveness standards.

Inventive Principle:
Principle #25Self-service

3Measurement precision

If advanced sensors and algorithms are used to provide real-time feedback, then measurement precision and CPR quality control improve, but the device complexity and cost increase

Engineering Contradiction:
Improveprecision of CPR metricsVSAvoidcomplexity of sensors and algorithms
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent employs multi-functional sensors that simultaneously measure multiple CPR parameters (compression depth, rate, recoil quality, breath delivery) using a single integrated system. This approach achieves high measurement precision across all metrics while avoiding the complexity of multiple separate sensing systems.

Inventive Principle:
Principle #6Universality (Multi-functionality)

4Reliability

If continuous monitoring of CPR quality is implemented, then the reliability and effectiveness of resuscitation improve, but the loss of time for critical interventions may increase

Engineering Contradiction:
Improveconsistency of CPR qualityVSAvoidtime for CPR administration
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The system provides continuous real-time monitoring and feedback throughout the entire CPR process without interruption. This enables the rescuer to maintain consistent quality standards continuously rather than through periodic checks, ensuring reliable CPR delivery while minimizing time loss through automated rather than manual assessment.

Inventive Principle:
Principle #20Continuity of useful action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Improves the effectiveness of CPR by optimizing chest compressions and breaths, enhancing patient outcomes through data-driven adjustments and real-time feedback, and identifying the return of spontaneous circulation (ROSC) to guide appropriate cessation of CPR.

Implementation Method 1

a sensor applied to a patient and configured to generate a signal having characteristics of non-cardiac pulses due to CPR

Methodology Applied
Scientific EffectPhotoplethysmography: Absorption Spectroscopy

Data Source

PatentUS10413476B2System and method for cardiopulmonary resuscitation
Publication Date: 2019.09.17 COVIDIEN LP
  • US10413476B2 patent drawing
  • US10413476B2 patent drawing
  • US10413476B2 patent drawing

AI summary

A medical monitoring system includes an oximetry sensor having a light emitter positioned to emit light into a patient and a photodetector positioned to generate a plethysmography signal. The system includes a monitor having a processor configured to receive the plethysmography signal from the oximetry sensor and to identify a non-cardiac pulse based on a first pulse shape metric, the non-cardiac pulse being generated by the administration of cardiopulmonary resuscitation (CPR) to the patient. The processor is also configured to measure an oxygen saturation of the patient from the identified non-cardiac pulse and to output the measured oxygen saturation to a visual display.