Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Reexamination Certificate
2005-11-01
2005-11-01
Schaetzle, Kennedy (Department: 3762)
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
C607S005000, C601S041000
Reexamination Certificate
active
06961612
ABSTRACT:
An automatic external defibrillator including: a sensor for detecting when a rescuer is delivering a CPR chest compression to the patient; electrodes for application to the thorax of the patient for delivering a defibrillation shock to the patient and for detecting an ECG signal; defibrillation circuitry for delivering a defibrillation shock to the electrodes; and a processor and associated memory for executing software that controls operation of the defibrillator. The software provides: ECG analysis for analyzing the ECG signal to determine if the cardiac rhythm is shockable; CPR detection for analyzing the output of the sensor to determine when a CPR chest compression has been delivered, and integration of the ECG analysis and CPR detection so that the determination of whether the cardiac rhythm is shockable is based only on time periods of the ECG signal during which there has not been a CPR chest compression delivered.
REFERENCES:
patent: 4059099 (1977-11-01), Davis
patent: 4088138 (1978-05-01), Diack et al.
patent: RE30372 (1980-08-01), Mirowski et al.
patent: 4296755 (1981-10-01), Judell
patent: 4355634 (1982-10-01), Kanter
patent: 4588383 (1986-05-01), Parker et al.
patent: 4610254 (1986-09-01), Morgan et al.
patent: 4619265 (1986-10-01), Morgan et al.
patent: 4680708 (1987-07-01), Ambos et al.
patent: 4928674 (1990-05-01), Halperin et al.
patent: 5077667 (1991-12-01), Brown et al.
patent: 5092341 (1992-03-01), Kelen
patent: 5109862 (1992-05-01), Kelen et al.
patent: 5247945 (1993-09-01), Heinze et al.
patent: 5285792 (1994-02-01), Sjoquist et al.
patent: RE34800 (1994-11-01), Hutchins
patent: 5391187 (1995-02-01), Freeman
patent: 5466244 (1995-11-01), Morgan
patent: 5474574 (1995-12-01), Payne et al.
patent: 5496257 (1996-03-01), Kelly
patent: 5511553 (1996-04-01), Segalowitz
patent: 5562710 (1996-10-01), Olsen et al.
patent: 5589639 (1996-12-01), Antonio et al.
patent: 5591213 (1997-01-01), Morgan
patent: 5611815 (1997-03-01), Cole et al.
patent: 5617853 (1997-04-01), Morgan
patent: 5619265 (1997-04-01), Suzuki et al.
patent: 5645571 (1997-07-01), Olson et al.
patent: 5662690 (1997-09-01), Cole et al.
patent: 5683424 (1997-11-01), Brown et al.
patent: 5700281 (1997-12-01), Brewer et al.
patent: 5735879 (1998-04-01), Gliner et al.
patent: 5755671 (1998-05-01), Albrecht et al.
patent: 5957856 (1999-09-01), Weil et al.
patent: 6125299 (2000-09-01), Groenke et al.
patent: 6171257 (2001-01-01), Weil et al.
patent: 6174295 (2001-01-01), Cantrell et al.
patent: 6178357 (2001-01-01), Gliner et al.
patent: 6224562 (2001-05-01), Lurie et al.
patent: 6246907 (2001-06-01), Lin et al.
patent: 6263238 (2001-07-01), Brewer et al.
patent: 6306107 (2001-10-01), Myklebust et al.
patent: 6308094 (2001-10-01), Shusterman et al.
patent: 6351671 (2002-02-01), Myklebust et al.
patent: 6390996 (2002-05-01), Halperin et al.
patent: 6393316 (2002-05-01), Gillberg et al.
patent: 6418342 (2002-07-01), Owen et al.
patent: 6427685 (2002-08-01), Ray, II
patent: 6438419 (2002-08-01), Callaway et al.
patent: 6496731 (2002-12-01), Lovett
patent: 6597943 (2003-07-01), Taha et al.
patent: 6658290 (2003-12-01), Lin et al.
patent: 6671545 (2003-12-01), Fincke
patent: 6687540 (2004-02-01), Marcovecchio
patent: 2001/0047140 (2001-11-01), Freeman
patent: 2002/0026131 (2002-02-01), Halperin
patent: 2002/0055694 (2002-05-01), Halperin et al.
patent: 2002/0165471 (2002-11-01), Halperin et al.
patent: 2002/0165585 (2002-11-01), Dupelle et al.
patent: 2002/0193711 (2002-12-01), Halperin et al.
patent: 2004/0162585 (2004-08-01), Elghazzawi et al.
patent: 2004/0215244 (2004-10-01), Marcovecchio et al.
patent: 1057451 (2000-12-01), None
patent: 9713345.8 (1997-06-01), None
patent: 98/30282 (1998-07-01), None
patent: 99/24114 (1999-05-01), None
patent: 99/25306 (1999-05-01), None
patent: 02/15836 (2002-02-01), None
Aase et al., “Compression Depth Estimation for CPR Quality Assessment Using DSP on Accelerometer Signals,” IEEE Transactions on Biomedical Engineering, vol. 49, No. 3, Mar. 2002.
American Red Cross—Adult CPR/AED Training—Workplace Programs, http://www.redcross.org/hss/cpraed.html, printed from Internet May 14, 1999.
Force Sensing Resistors—An Overview of the Technology, FSR Integration Guide & Evaluation Parts Catalog with Suggested Electrical Interfaces (no date).
Gruben et al., “System for Mechanical Measurements During Cardiopulmonary Resuscitation in Humans,” IEEE Transactions on Biomedical Engineering, vol. 37, No. 2, Feb. 1990.
Heartstream—The Background Behind Our Technology, http://www.heartstream.com/techbk.htm, printed from Internet Jun. 25, 1999.
Flewelling, Nellcor Incorporated, Noninvasive Optical Monitoring, Chap. 88, pp. 1346-1353. CRC Press, Inc., 1995.
Aase et al., “CPR Artifact Removal from Human ECG Using Optimal Multichannel Filtering”, IEEE Transactions on Biomedical Engineering, vol. 47:11, pp. 1440-1449 (2000).
Afonso et al., “Detecting Ventricular Fibrillation”, IEEE Engineering In Medicine and Biology, vol. 14:2, pp. 152-159 (1995).
Al-Fahoum et al., “Combined wavelet transformation and radial basis neural networks for classifying life-threatening cardiac arrhythmias”, Medical & Biological Engineering & Computing, vol. 37:5, pp. 566-573 (1999).
Amann et al., Reliability of Fibrillation Detection Algorithms In Automatic External Defibrillators (AEDs), Dept. of Anaesthesia and Intensive Care Medicine, Leopold-Franzens-Universitat Innsbruck, Anichstr. 35, A-6020 Innsbruck, Austria, Dept. of Computer Science, Applied Mathematics Group, FH-Vorarlberg, Achstr. 1, A-6850 Dornbirn, Austria. At the top of the paper I have is the following: Jahrestaguug der Osterreichischen Deutschen und Schweizerischen Gesellschaft fur Biomedizimische Technik Sep. 2003.
Barro et al., “Algorithmic sequential decision-making in the frequency domain for life threatening ventricular arrhythmias and imitative artifacts: a diagnostic system”, J. Biomed. Eng., vol. 11:4, pp. 320-328 (1989).
Botsivaly et al., “Evaluation of a new technique for the Detection of Ventricular Fibrillation and Ventricular Tachycardia”, Procs of the 22ndAnn EMBS Int Conf, Chicago, IL (2000).
Callaway et al., “Scaling exponent predicts defibrillation success for out-of-hospital ventricular fibrillation cardiac arrest,” Circulation 103(12):1656-1661 (2001).
Callaway et al., “Ventricular Fibrillation Waveform Predicts Defibrillation Success by Automatic External Defibrillators”, Academic Emergency Medicine, vol. 7:5, pp. 1-2 (2000).
Cardiac Science Brochure, Analysis Algorithm Overview, Powerheart® AED Automated External Defibrillator with RHYTHMx® Technology (no date).
Clayton et al., “Comparison of four techniques for recognition of ventricular fibrillation from the surface ECG”, Medical & Biological Engineering & Computing, vol. 31:2, pp. 111-117 (1993).
Eftestol et al., “Effects of Interrupting Precordial Compressions on the Calculated Probability of Defibrillation Success During Out-of-Hospital Cardiac Arrest,” Circulation, 105, 2270-2273, (2002).
Eftestøl et al., “Predicting Outcome of Defibrillation by Spectral Characterization and Nonparametric Classification of Ventricular Fibrillation in Patients With Out-of-Hospital Cardiac Arrest”, Circulation, 102:1523-1529 (2000).
Efestol et al., “Probability of successful defibrillation as a monitor during CPR in out-of-hospital cardiac arrested patients,” Resuscitation 48(3):245-254 (2001).
Fitzgibbon et al., “Determination of the noise source in the electrocardiogram during cardiopulmonary resuscitation”, Crit Care Med, vol. 30:4, pp. S148-S152 (2002).
Ge et al., “Cardiac arrhythmia classification using autoregressive modeling”, Biomed Eng. Online, pp. 13, (2002).
Geheb, Frederick J., “A System for the Determination of Ventricular Tachycardia or Ventricular Fibrillation during Cardio-Pulmonary Resuscitation&#x
Akiyama Edward Neil
Boucher Donald R.
De La Vega Ciro A.
Elghazzawi Ziad E.
Mullen Kristen
Schaetzle Kennedy
Zoll Medical Corporation
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