CPR Pause Penalty Assessment for Quality Feedback

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Solution Overview

Problem

Current CPR quality assessment methods fail to adequately account for interruptions in chest compressions, which can significantly impact patient outcomes, as they do not properly quantify the harmful effects of pauses during CPR sessions.

Innovation Solution

A system and method that determine penalty values for pauses in CPR chest compressions based on control factors unrelated to constant linear dependence on pause duration, allowing for real-time feedback and improved assessment of CPR quality by classifying pauses and emitting alarms when thresholds are exceeded.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If chest compression fraction is used as the primary metric for CPR quality assessment, then the assessment is simple and interpretable, but interruptions in chest compressions are not properly accounted for

Engineering Contradiction:
Improvesimplicity of assessmentVSAvoidaccuracy of pause accounting
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent segments the continuous CPR process into distinct compression phases and pause phases. By dividing the CPR interval into discrete segments (compressions and pauses), the system can individually assess each segment's quality and duration, then aggregate these segmented measurements to provide both simple overall metrics and detailed pause-specific feedback.

Inventive Principle:
Principle #1Segmentation

2Device complexity

If traditional CPR assessment methods are used, then the assessment process is straightforward, but the harmful effects of pauses are not properly quantified

Engineering Contradiction:
Improvesimplicity of assessment methodVSAvoidharmful effects of pauses
Core Design Contradiction:
Device complexityVSObject-affected harmful factors

Solution Approach 1:

The patent implements feedback mechanisms that provide real-time or near-real-time information to rescuers about pause duration and quality metrics. The system continuously monitors CPR performance, compares it against quality standards, and provides feedback signals (visual, auditory, or haptic) to guide rescuers in maintaining optimal compression quality and minimizing harmful pauses.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent replaces manual, subjective assessment of CPR quality with automated sensor-based detection systems. Using accelerometers, pressure sensors, or other mechanical sensors, the system objectively measures compression depth, rate, and pause duration, substituting human judgment with precise mechanical measurement to quantify the harmful effects of pauses.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Reliability

If continuous monitoring of CPR quality is implemented, then real-time feedback is provided, but the system complexity increases

Engineering Contradiction:
Improvereal-time assessment accuracyVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent designs the CPR assessment system to perform multiple functions using a single integrated platform. The same sensor array and processing unit that detect compression quality also identify pause events, calculate overall CPR performance metrics, and provide feedback. This multi-functional approach reduces overall system complexity compared to having separate dedicated systems for each measurement function.

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

Data Source

PatentUS10420702B2CPR quality assessment accounting for pause aspect
Publication Date: 2019.09.24 PHYSIO CONTROL CORP
  • US10420702B2 patent drawing
  • US10420702B2 patent drawing
  • US10420702B2 patent drawing

AI summary

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