Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Reexamination Certificate
2011-03-29
2011-03-29
Evanisko, George R (Department: 3762)
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
Reexamination Certificate
active
07917209
ABSTRACT:
The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.
REFERENCES:
patent: 3716059 (1973-02-01), Welborn et al.
patent: 3871359 (1975-03-01), Pacela
patent: RE30101 (1979-09-01), Kubicek et al.
patent: 4181134 (1980-01-01), Mason et al.
patent: 4220160 (1980-09-01), Kimball et al.
patent: RE30750 (1981-09-01), Diack et al.
patent: 4428380 (1984-01-01), Wong et al.
patent: 4446873 (1984-05-01), Groch et al.
patent: 4450527 (1984-05-01), Sramek
patent: 4519397 (1985-05-01), Tabata
patent: 4548204 (1985-10-01), Groch et al.
patent: 4559946 (1985-12-01), Mower
patent: 4562843 (1986-01-01), Djordjevich et al.
patent: 4610254 (1986-09-01), Morgan et al.
patent: 4777962 (1988-10-01), Watson et al.
patent: 4792145 (1988-12-01), Eisenberg et al.
patent: 4896675 (1990-01-01), Ohsuga et al.
patent: 4919145 (1990-04-01), Marriott
patent: 4947859 (1990-08-01), Brewer et al.
patent: 4951679 (1990-08-01), Harada
patent: 4967760 (1990-11-01), Bennett, Jr. et al.
patent: 5002052 (1991-03-01), Haluska
patent: 5035247 (1991-07-01), Heimann
patent: 5036857 (1991-08-01), Semmlow et al.
patent: 5077667 (1991-12-01), Brown et al.
patent: 5078134 (1992-01-01), Heilman et al.
patent: 5178154 (1993-01-01), Ackmann et al.
patent: 5273036 (1993-12-01), Kronberg et al.
patent: 5305745 (1994-04-01), Zacouto
patent: 5318592 (1994-06-01), Schaldach
patent: 5337752 (1994-08-01), Reeves
patent: 5339819 (1994-08-01), Takashima
patent: 5353793 (1994-10-01), Bornn
patent: 5362966 (1994-11-01), Rosenthal et al.
patent: 5366486 (1994-11-01), Zipes et al.
patent: 5392780 (1995-02-01), Ogino et al.
patent: 5404877 (1995-04-01), Nolan et al.
patent: 5405362 (1995-04-01), Kramer et al.
patent: 5423326 (1995-06-01), Wang et al.
patent: 5425750 (1995-06-01), Moberg
patent: 5433731 (1995-07-01), Hoegnelid et al.
patent: 5443072 (1995-08-01), Kagan et al.
patent: 5458621 (1995-10-01), White et al.
patent: 5490516 (1996-02-01), Hutson
patent: 5497779 (1996-03-01), Takaya et al.
patent: 5617868 (1997-04-01), Harada et al.
patent: 5620003 (1997-04-01), Sepponen
patent: 5622182 (1997-04-01), Jaffe
patent: 5683424 (1997-11-01), Brown et al.
patent: 5685317 (1997-11-01), Sjostrom
patent: 5687738 (1997-11-01), Shapiro et al.
patent: 5700283 (1997-12-01), Salo
patent: 5704363 (1998-01-01), Amano
patent: 5727561 (1998-03-01), Owsley
patent: 5776071 (1998-07-01), Inukai et al.
patent: 5795300 (1998-08-01), Bryars
patent: 5807268 (1998-09-01), Reeves et al.
patent: 5825895 (1998-10-01), Grasfield et al.
patent: 5885222 (1999-03-01), Kassal et al.
patent: 6005658 (1999-12-01), Kaluza et al.
patent: 6050950 (2000-04-01), Mohler
patent: 6053872 (2000-04-01), Mohler
patent: 6122536 (2000-09-01), Sun et al.
patent: 6125298 (2000-09-01), Olson et al.
patent: 6125299 (2000-09-01), Groenke et al.
patent: 6141584 (2000-10-01), Rockwell et al.
patent: 6155257 (2000-12-01), Lurie et al.
patent: 6161038 (2000-12-01), Schookin et al.
patent: 6171256 (2001-01-01), Joo et al.
patent: 6179783 (2001-01-01), Mohler
patent: 6293915 (2001-09-01), Amano et al.
patent: 6298267 (2001-10-01), Rosborough et al.
patent: 6304773 (2001-10-01), Taylor et al.
patent: 6304780 (2001-10-01), Owen et al.
patent: 6312399 (2001-11-01), Lurie et al.
patent: 6356785 (2002-03-01), Snyder et al.
patent: 6371920 (2002-04-01), Kamimoto et al.
patent: 6428483 (2002-08-01), Carlebach
patent: 6440082 (2002-08-01), Joo et al.
patent: 6443906 (2002-09-01), Ting et al.
patent: 6501983 (2002-12-01), Natarajan et al.
patent: 6575914 (2003-06-01), Rock et al.
patent: 6650940 (2003-11-01), Zhu et al.
patent: 2001/0039383 (2001-11-01), Mohler
patent: 2001/0047140 (2001-11-01), Freeman
patent: 2002/0032383 (2002-03-01), Weil et al.
patent: 2002/0072685 (2002-06-01), Rymut et al.
patent: 2002/0165585 (2002-11-01), Dupelle et al.
patent: 2002/0173725 (2002-11-01), Rock et al.
patent: 2003/0060723 (2003-03-01), Joo et al.
patent: 2003/0109790 (2003-06-01), Stickney et al.
patent: 2004/0039419 (2004-02-01), Stickney et al.
patent: 2004/0039420 (2004-02-01), Jayne et al.
patent: 2005/0240234 (2005-10-01), Joo et al.
patent: 0 339 471 (1989-11-01), None
patent: 0 435 500 (1991-07-01), None
patent: 1 057 498 (2000-12-01), None
patent: 2 150 332 (1985-06-01), None
patent: WO 84/01705 (1984-05-01), None
patent: WO 93/22970 (1993-11-01), None
patent: WO 97/05821 (1997-02-01), None
patent: 0122885 (2001-04-01), None
Akira, I., et al., “Pattern Classification of the Phonocardiogram Using Linear Prediction Analysis ,”Medical&Biological Engineering&Computing15(4):407-412, Jul. 1977.
Alt, E., et al., “Feasibility of Using Intracardiac Impedance Measurements for Capture Detection,”Pacing and Clinical Electrophysiology15:1873-1879, November, Part II, 1992.
“American Heart Guidelines 2000 For Cardiopulmonary Resuscitation and Emergency Cardiovasular Care, Part 3: Adult Basic Life Support,”Circulation102 Suppl. I:I-22 to I-59, 2000.
Bahr, J., “Skills of Lay People in Checking the Carotid Pulse,”Resuscitation35:23-26, 1997.
Bogaard, H.J., et al., “Assessment of the Haemodynamic Response to Exercise by Means of Electrical Impedance Cardiography: Method, Validation and Clinical Applications,”Physiological Measurement18:95-105, May 1997.
Bulgrin, J.R., et al., “Comparison of Short-time Fourier, Wavelet and Time-domain Analyses of Intracardiac Sounds”Biomedical Sciences Instrumentation29:465-472, 1993, ISA Paper #93-059.
CardioDynamics, “What Is the BioZ® ICG Test?” http://www.cardiodynamics.com/cdpati10.html [accessed Dec. 8, 2005.].
CardioDynamics, BioZ Technology, “ICG Technology,” <http://www.cardiodynamics.com/cdprod40.html> [accessed Dec. 2005.].
L. Cobb et al., “Influence of Cardiopulmonary Resuscitation Prior to Defibrillation in Patients With Out-of-Hospital Ventricular Fibrillation,”JAMA281:1182-1188 (1999).
R. Duda and P. Hart, “Pattern Classification and Scene Analysis,” published by John Wiley & Sons, New York, pp. 1-482, (1973).
Eberle, B., et al., “Checking the Carotid Pulse Check: Diagnostic Accuracy of First Responders in Patients With and Without a Pulse,”Resuscitation33:107-116, 1996.
Geddes, L.A., and L.E. Baker,Doppler: Principals of Applied Biomedical Instrumentation, 3d ed., John Wiley and Sons, New York, 1989, “Applications of Ultrasound,” pp. 184-209.
Gravenstein, J.S., et al.,CO2: Gas Monitoring in Clinical Practice, 2d ed., Butterworth-Heinemann, Boston, 1995, Chap. 4, “Monitoring Carbon Dioxide,” pp. 23-42.
Gulcur et al., “Estimation of Systolic Blood Pressure from the Second Heart Sounds,”2ndInternational Biomedical Engineering Days, 1998, pp. 39-40.
Hasegawa, M.D., and S. Rodbard, M.D., Ph.D., “Delayed Timing of Heart and Arterial Sounds in Patients with Implanted Pacemakers,”Journal of Thoracic and Cardiovascular Surgery72(1):62-66, Jul. 1976.
Hoffman, S., et al., “Respiratory Monitoring With a New Impedance Plethysmograph,”Anaesthesia41:1139-1142, 1986.
Hu, W., et al., “A Study on Methods for Impedance Cardiography,”Proceedings-19thInternational Conferen
Crone William E.
Hampton David R.
Jayne Cynthia P.
Joo Tae H.
Lank Paula
Evanisko George R
Physio-Control, Inc.
Shumaker & Siefert, P.A.
LandOfFree
Pulse detection apparatus, software, and methods using... does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Pulse detection apparatus, software, and methods using..., we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Pulse detection apparatus, software, and methods using... will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-2634566