An automated chest compression device for performing CPR, with distance sensors disposed on a compressing mechanism and on a structure fixed relative to the CPR patient, for determining inferior/superior movement of the compressing mechanism over the course of multiple compressions.

A medical monitoring and treatment device that includes a therapy delivery interface, a plurality of therapy electrodes coupled to the therapy delivery interface, a plurality of electrocardiogram sensing electrodes to sense electrocardiogram signals of a patient, a sensor interface to receive the electrocardiogram signals and digitize the electrocardiogram signals, and at least one processor coupled to the sensor interface and the therapy delivery interface to analyze the digitized electrocardiogram signals, to detect a cardiac arrhythmia based on the digitized electrocardiogram signals, and to control the therapy delivery interface to apply electrical therapy to the patient based upon the detected cardiac arrhythmia. The at least one processor is further configured to analyze a frequency domain transform of the digitized electrocardiogram signals, to determine a metric indicative of a metabolic state of a heart of the patient, and to accelerate or delay application of the electrical therapy based upon the metric.

The apparatus of the invention is used for cardiopulmonary massaging and/or resuscitation of a patient and includes a massaging device (15) which can be reversibly driven in an actuating direction (23) by a drive unit (18) and which has a pressure surface (20) that can be placed in a target contact zone (21) on the rib cage (12) of a patient (11). In order to easily and reliably prevent the pressure surface of the massaging device to deviate from a target pressure point (21), the plunger (19) can be secured to the rib cage (12) of the patient (11) in the target contact zone (21) and is mounted in such a way as to be freely movable in a plane running transversely to the actuating direction (23) at least during an unloaded state between two massaging strokes.

Systems and methods related to the field of cardiac resuscitation, and in particular to devices for assisting rescuers in performing cardio-pulmonary resuscitation (CPR) are described herein. The system includes an applicator device configured to provide ACD CPR treatment to a patient's chest according to a plurality of phases at least one sensor configured to be coupled to the patient's chest and to measure at least one parameter related to the ACD CPR treatment and information for determining whether at least one transition point of the ACD CPR treatment has been reached; and one or more processors configured to provide a feedback signal based on a parameter for administering ACD CPR treatment to the patient's chest according to a desired treatment protocol.

A resuscitation system for use by a rescuer for resuscitating a patient, comprising at least two high-voltage defibrillation electrodes, a first electrical unit comprising circuitry for providing resuscitation prompts to the rescuer, a second electrical unit separate from the first unit and comprising circuitry for providing defibrillation pulses to the electrodes, and circuitry for providing at least one electrical connection between the first and second units. In another aspect, at least two electrical therapy electrodes adapted to be worn by the patient for extended periods of time, circuitry for monitoring the ECG of the patient, an activity sensor adapted to be worn by the patient and capable of providing an output from which the patient's current activity can be estimated, and at least one processor configured for estimating the patient's current activity by analyzing the output of the activity sensor, analyzing the ECG of the patient, and determining whether electrical therapy should be delivered to the electrodes.

A resuscitation system comprising at least two high-voltage defibrillation electrodes; a first electrical unit comprising circuitry for providing resuscitation prompts to the rescuer; a second electrical unit separate from the first unit and comprising circuitry for providing defibrillation pulses to the electrodes; circuitry for providing at least one electrical connection between the first and second units, an activity sensor adapted to be worn by the patient and capable of providing an output from which the patient's current activity can be estimated, wherein the patient's current activity comprises overall body activity rather than cardiac activity; and at least one processor configured for estimating the patient's current activity by analyzing the output of the activity sensor.

An example of a resuscitation system is that includes at least two defibrillation electrodes configured to be applied to the exterior of the chest of a patient for delivering a defibrillation shock, a source of one or more ECG signals from the patient, a defibrillation circuit for delivering a defibrillation shock to the defibrillation electrodes, a control box that receives and processes the ECG signals to determine whether a defibrillation shock should be delivered or whether CPR should be performed, and that issues instructions to the user either to deliver a defibrillation shock or to perform CPR, wherein the determination of whether CPR should be performed and the instructions to perform CPR can occur at substantially any point during a rescue.

A wearable resuscitation system is used for resuscitating a patient. The system comprises at least two defibrillation electrodes adapted to be worn by the patient for extended periods of time; circuitry for monitoring the an ECG of the patient; at least one processor configured for analyzing the ECG of the patient, and determining whether electrical therapy should be delivered to the at least two defibrillation electrodes; circuitry for providing defibrillation pulses to the at least two defibrillation electrodes; and circuitry for providing resuscitation prompts, wherein at least the circuitry for monitoring the ECG, the processor configured for analyzing the ECG, and the circuitry for providing resuscitation prompts are contained in one or more devices adapted to be worn by the patient.

An example of a resuscitation system is that includes at least two defibrillation electrodes configured to be applied to the exterior of the chest of a patient for delivering a defibrillation shock, a source of one or more ECG signals from the patient, a defibrillation circuit for delivering a defibrillation shock to the defibrillation electrodes, a control box that receives and processes the ECG signals to determine whether a defibrillation shock should be delivered or whether CPR should be performed, and that issues instructions to the user either to deliver a defibrillation shock or to perform CPR, wherein the determination of whether CPR should be performed and the instructions to perform CPR can occur at substantially any point during a rescue.

A resuscitation system for use by a rescuer for resuscitating a patient, comprising at least two high-voltage defibrillation electrodes, a first electrical unit comprising circuitry for providing resuscitation prompts to the rescuer, a second electrical unit separate from the first unit and comprising circuitry for providing defibrillation pulses to the electrodes, and circuitry for providing at least one electrical connection between the first and second units. In another aspect, at least two electrical therapy electrodes adapted to be worn by the patient for extended periods of time, circuitry for monitoring the ECG of the patient, an activity sensor adapted to be worn by the patient and capable of providing an output from which the patient's current activity can be estimated, and at least one processor configured for estimating the patient's current activity by analyzing the output of the activity sensor, analyzing the ECG of the patient, and determining whether electrical therapy should be delivered to the electrodes.