WO2016085433A1 - Automated electroshock wristband - Google Patents

Automated electroshock wristband Download PDF

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Publication number
WO2016085433A1
WO2016085433A1 PCT/TR2015/050190 TR2015050190W WO2016085433A1 WO 2016085433 A1 WO2016085433 A1 WO 2016085433A1 TR 2015050190 W TR2015050190 W TR 2015050190W WO 2016085433 A1 WO2016085433 A1 WO 2016085433A1
Authority
WO
WIPO (PCT)
Prior art keywords
electroshock
wristband
automated
ecg
heart
Prior art date
Application number
PCT/TR2015/050190
Other languages
French (fr)
Inventor
Umut ORHAN
Original Assignee
Orhan Umut
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Orhan Umut filed Critical Orhan Umut
Publication of WO2016085433A1 publication Critical patent/WO2016085433A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3968—Constructional arrangements, e.g. casings

Definitions

  • the invention involves an automated electroshock wristband, in which by monitoring patients in cardiac arrest, tachyarrhythmia or ventricular fibrillation, it implements an immediate shock to the patient and this occurs when it detects irregularities in heart rhythm, and correspondingly repeats the electroshock process by adjusting the energy level when needed.
  • the defibrillator is a device that electrically shocks the heart back to its normal rhythm when the heart beat stops, when the rhythm completely gets lost (ventricular fibrillation) or when it beats faster and irregularly (tachyarrhythmia- atrial fibrillation).
  • Defibrillation is applied to the place called the heart area on the chest by giving determined amount of energy.
  • Defibrillation device stores the generated energy within a capacitor, and then gives this energy to the application area (at the body of the person at risk in a short time) via two electrodes.
  • defibrillation is a shock therapy applied to retrieve the heart rhythm back.
  • the most common application is the 200-300-360J series.
  • the patient's condition is assessed by monitoring ECG rhythm, and depending on the situation, the energy in which its level is determined is given. Energy level can be increased after each unsuccessful attempt.
  • Every stage of the process of electroshock (defibrillation / cardio version) having critical details like the location where the electrodes placed, the level of applied energy, timing of energy application to patient at risk, monitoring after implementation, and if necessary repeating the application should be handled carefully. The proper implementation of these details requires strict control of heartbeat of the patient at risk. Therefore in recent years, most of medical purpose-built electroshock devices can measure ECG. Even in some specific cases, application timing is automatically determined by synchronizing the ECG measurement.
  • the timing of electroshock applications is insignificant in ventricular fibrillation, it is important in tachycardia.
  • the most intense contraction moment of the heart muscles i.e. the R wave of the QRS complex, is the best synchronization point for cardio-version application. In this way the effect of shock is maximized.
  • the shock application synchronized onto T wave by reversing intended treatment, can put the patient into a ventricular fibrillation.
  • the blood At the heart's blood pumping function which is performed via contraction and relaxation, the blood, at the instant of contraction, is sent from the right ventricle to the lungs, and also to the whole body via the aorta from the left ventricle.
  • contraction and relaxation process of the heart In cases such as ventricular fibrillation, contraction and relaxation process of the heart is impaired, and at this time, since clean blood in view of oxygen cannot be sent to vital organs, the patient is at life-threatening.
  • life chances of patient in ventricular fibrillation decreases 10% within each passing minute. In the first minute, while recovery chance of the patient is 90%, after ten minutes, the chance of survival falls below 10%. After the first ten minutes, only one of every 250 patients who got intervention can be rescued.
  • Automated Electroshock Wristband in the view of its applying position, is separated from known techniques. Chest-heart area on which the traditional defibrillation is applied makes it difficult to design a practical and useful device.
  • the invention to overcome the difficulties mentioned, has benefited from acupuncture philosophy. According to acupuncture techniques, it is possible to send shock energy from several points to the heart, and this invention applies electroshock to the wrist where four specific points close to each other on the "heart meridian" energy path.
  • Figure 1 The location of wristband at Automated Electroshock Wristband system and, a general view of heart meridian in the arm according to acupuncture technique.
  • FIG. 1 A general view of wristband at the Automated Electroshock Wristband system.
  • Electro- acupuncture technique spreading in recent years is also developed based on this information. Unlike pricking in traditional acupuncture, intervention in electro acupuncture is applied by giving energy at different frequencies to electrodes which touches appropriate acupuncture points.
  • Electrocardiogram (ECG) device conventionally used to monitor the heart rhythm, thanks to new technologies, is designed small as much as to be used in home easily.
  • Electroshock Wristband is composed of an ECG (2) and an electroshock (3) device. Based on the measured ECG signals; the microprocessor located within ECG device (2) of the wristband (1 ) determines the intervention timing; and sends a command to start the application of the electroshock device (3) by internal lines.
  • electroshock The technology also known by the name electroshock is frequently used in many fields such as defense, attack and treatment. Circuits of defibrillators- cardioverters have some similarities with ones of other electroshock devices: to have a capacitor which stores energy and to discharge the stored energy in a short time. A battery of and charge/discharge circuit of an electroshock device that produces direct current and biphasic wave was reconsidered in view of shape, and they were accordingly positioned in wristband at the Automated Electroshock Wristband system (1 ).
  • the proposed invention can apply one of two different shock options.
  • the first one is used to regulate fast heart beat related to tachyarrhythmia.
  • Automated Electroshock Wristband system is treated as a cardioverter.
  • cardiac rhythm is monitored by ECG device (2) of the wristband (1 ), and electroshock application command synchronously to a detected R wave is given (low energy level compared to defibrillation).
  • the second option is the defibrillation process applied in full cardiac arrest or ventricular fibrillation.
  • the electroshock device (3) acts as a defibrillator.
  • electroshock electrodes (4) in the Wristband (1 ) is in constant contact with skin; in preparation for the shock process; charging the capacitor in the electroshock device (3) is sufficient.
  • the energy stored in the capacitor is given into body through electroshock electrodes (4) touched acupuncture points.
  • ECG signals are continuously monitored, and if any cardiac activity requiring electroshock is detected by microprocessor, for the preparatory process of the electroshock device (3), the first sign is sent via internal lines. At this stage, the capacitor in the electroshock device (3) is charged. While ECG device (2) in the Wristband (1 ) continues to examine heart activities; electroshock device (3) gives a beep to notify the start of application. After ECG signals are followed for at least 15 seconds, if the problem at rhythm continues and the situation requires electroshock, the second sign is sent. Upon receiving this sign, electroshock device (3) discharges energy stored in capacitor to the patient's wrist via electroshock electrode (4).
  • ECG activities are monitored; and if a decision is made by the microprocessor about intervention requirement; the third sign is sent to electroshock device (3).
  • electroshock device (3) is prepared by charging the capacitor in re-determined energy level, an audible warning is given again.
  • ECG device (2) sends the fourth sign.
  • electroshock device (3) completes the intervention via electroshock electrode (4). This application sequence is continued until obtaining an absolute result.
  • the energy level is set by microprocessor in the wristband (1 ). Initial application is started with the lowest level, and for each application, energy level can be changed.
  • Each application command from Wristband (1 ) is represented by two signs. These signals are transmitted to the electroshock device (3) located at the wristband (1 ) via internal lines hidden into cord. Whereas the first sign is sent electroshock device (3) to prepare charging, the capacitor charged in the device is discharged to the patient by the second sign. After all electroshock interventions, monitoring the heart rhythm is important. According to cardiac activity from the ECG device (2), microprocessor in the Wristband (1 ) may decide to apply electroshock once again. If necessary, band of wristband (1 ) can be adjusted according to the patient's wrist width, thus both the ECG device (2) and electroshock electrodes (4) keep in contact with the skin.
  • ECG device (2) continuously consumes energy because of running uninterrupted throughout day. Therefore the ECG device (2) and the electroshock device (3) have different batteries. When their battery power weakens, both devices, by emitting a warning, indicate that you should charge them. In addition, both devices are water resistant. Thus, wearing the wristband (1 ) without interruption can be possible.

Abstract

The invention involves an automated electroshock wristband, in which by monitoring patients in cardiac arrest, tachyarrhythmia or ventricular fibrillation, it implements an immediate shock to the patient and this occurs when it detects irregularities in heart rhythm, and correspondingly repeats the electroshock process by adjusting the energy level when needed.

Description

DESCRIPTION
AUTOMATED ELECTROSHOCK WRISTBAND
TECHNICAL FIELD
The invention involves an automated electroshock wristband, in which by monitoring patients in cardiac arrest, tachyarrhythmia or ventricular fibrillation, it implements an immediate shock to the patient and this occurs when it detects irregularities in heart rhythm, and correspondingly repeats the electroshock process by adjusting the energy level when needed.
PREVIOUS TECHNICS
The defibrillator is a device that electrically shocks the heart back to its normal rhythm when the heart beat stops, when the rhythm completely gets lost (ventricular fibrillation) or when it beats faster and irregularly (tachyarrhythmia- atrial fibrillation). Defibrillation is applied to the place called the heart area on the chest by giving determined amount of energy. Defibrillation device stores the generated energy within a capacitor, and then gives this energy to the application area (at the body of the person at risk in a short time) via two electrodes. In other words, defibrillation is a shock therapy applied to retrieve the heart rhythm back. When the heart rhythm seem as "too fast" and "irregular rhythmic (tachyarrhythmia-atrial fibrillation), reorganization of the rhythm by giving certain energy is known as cardio version. Depending on the condition of patient, there are different levels of shock energy in which its unit is expressed as joule (J). For intervention, it is recommended to start with 100-200J in atrial fibrillation, 50-100J in atrial flutter, 200J in polymorphic ventricular tachycardia, and 100J in monomorphic ventricular tachycardia. Nevertheless, it is likely to be successful with 5-10J in ventricular tachycardia. In case of the risk called ventricular fibrillation or cardiac arrest, the most common application is the 200-300-360J series. The patient's condition is assessed by monitoring ECG rhythm, and depending on the situation, the energy in which its level is determined is given. Energy level can be increased after each unsuccessful attempt. Every stage of the process of electroshock (defibrillation / cardio version) having critical details like the location where the electrodes placed, the level of applied energy, timing of energy application to patient at risk, monitoring after implementation, and if necessary repeating the application should be handled carefully. The proper implementation of these details requires strict control of heartbeat of the patient at risk. Therefore in recent years, most of medical purpose-built electroshock devices can measure ECG. Even in some specific cases, application timing is automatically determined by synchronizing the ECG measurement. Although the timing of electroshock applications is insignificant in ventricular fibrillation, it is important in tachycardia. According to the researches, the most intense contraction moment of the heart muscles, i.e. the R wave of the QRS complex, is the best synchronization point for cardio-version application. In this way the effect of shock is maximized. The shock application synchronized onto T wave, by reversing intended treatment, can put the patient into a ventricular fibrillation.
At the heart's blood pumping function which is performed via contraction and relaxation, the blood, at the instant of contraction, is sent from the right ventricle to the lungs, and also to the whole body via the aorta from the left ventricle. In cases such as ventricular fibrillation, contraction and relaxation process of the heart is impaired, and at this time, since clean blood in view of oxygen cannot be sent to vital organs, the patient is at life-threatening. According to scientific statistics, life chances of patient in ventricular fibrillation decreases 10% within each passing minute. In the first minute, while recovery chance of the patient is 90%, after ten minutes, the chance of survival falls below 10%. After the first ten minutes, only one of every 250 patients who got intervention can be rescued. In twenty minutes, if heart does not work again, there is not any probability to return to life. In many countries, the arrival of emergency service to the area after the call takes 7-1 1 minutes or longer. In this critical time, survival chance of the patient, if any, remained to applications of those around him. BRIEF DESCRIPTION OF THE INVENTION
Depending on the monitoring of heart rhythm; Automated Electroshock Wristband, in the view of its applying position, is separated from known techniques. Chest-heart area on which the traditional defibrillation is applied makes it difficult to design a practical and useful device. The invention, to overcome the difficulties mentioned, has benefited from acupuncture philosophy. According to acupuncture techniques, it is possible to send shock energy from several points to the heart, and this invention applies electroshock to the wrist where four specific points close to each other on the "heart meridian" energy path.
MEANING OF THE FIGURES
Figure 1 . The location of wristband at Automated Electroshock Wristband system and, a general view of heart meridian in the arm according to acupuncture technique.
Figure 2. A general view of wristband at the Automated Electroshock Wristband system.
The part numbers mentioned in the figures corresponds to,
1 . Wristband
2. ECG Device
3. Electroshock device
4. Electroshock Electrodes
DETAILED DESCRIPTION OF THE INVENTION
According to acupuncture techniques which is initially considered as alternative medicine but now accepted by the World Health Organization, there are some special points located in several parts of the body and affecting different organs. It has been reported in researches that the acupuncture points are near to blood vessels and nerves and thus provides low impedance transmissions to some organs, also the heart rhythm may be regulated partially with the help of the interventions made at some of these points. Besides, at the electrical injuries, it is a common observation high that current mostly enters the body via hands and firstly attempts to stop the heart by disrupting its electrical layout. Electro- acupuncture technique spreading in recent years is also developed based on this information. Unlike pricking in traditional acupuncture, intervention in electro acupuncture is applied by giving energy at different frequencies to electrodes which touches appropriate acupuncture points.
Another important issue as much as application location is to follow the heart rhythm. Electrocardiogram (ECG) device conventionally used to monitor the heart rhythm, thanks to new technologies, is designed small as much as to be used in home easily.
Wristband (1 ) apparatus used in mentioned invention Automated
Electroshock Wristband is composed of an ECG (2) and an electroshock (3) device. Based on the measured ECG signals; the microprocessor located within ECG device (2) of the wristband (1 ) determines the intervention timing; and sends a command to start the application of the electroshock device (3) by internal lines.
The technology also known by the name electroshock is frequently used in many fields such as defense, attack and treatment. Circuits of defibrillators- cardioverters have some similarities with ones of other electroshock devices: to have a capacitor which stores energy and to discharge the stored energy in a short time. A battery of and charge/discharge circuit of an electroshock device that produces direct current and biphasic wave was reconsidered in view of shape, and they were accordingly positioned in wristband at the Automated Electroshock Wristband system (1 ).
Based on heart rhythms, the proposed invention can apply one of two different shock options. The first one is used to regulate fast heart beat related to tachyarrhythmia. In this case, Automated Electroshock Wristband system is treated as a cardioverter. In such application, cardiac rhythm is monitored by ECG device (2) of the wristband (1 ), and electroshock application command synchronously to a detected R wave is given (low energy level compared to defibrillation). The second option is the defibrillation process applied in full cardiac arrest or ventricular fibrillation. In this case, the electroshock device (3) acts as a defibrillator. Because electroshock electrodes (4) in the Wristband (1 ) is in constant contact with skin; in preparation for the shock process; charging the capacitor in the electroshock device (3) is sufficient. The energy stored in the capacitor is given into body through electroshock electrodes (4) touched acupuncture points.
ECG signals are continuously monitored, and if any cardiac activity requiring electroshock is detected by microprocessor, for the preparatory process of the electroshock device (3), the first sign is sent via internal lines. At this stage, the capacitor in the electroshock device (3) is charged. While ECG device (2) in the Wristband (1 ) continues to examine heart activities; electroshock device (3) gives a beep to notify the start of application. After ECG signals are followed for at least 15 seconds, if the problem at rhythm continues and the situation requires electroshock, the second sign is sent. Upon receiving this sign, electroshock device (3) discharges energy stored in capacitor to the patient's wrist via electroshock electrode (4). At least 10 seconds after the initial application, ECG activities are monitored; and if a decision is made by the microprocessor about intervention requirement; the third sign is sent to electroshock device (3). With this sign, while electroshock device (3) is prepared by charging the capacitor in re-determined energy level, an audible warning is given again. At the end of the follow-up of the rhythm for at least 15 seconds; if needed, ECG device (2) sends the fourth sign. As in the first application, electroshock device (3) completes the intervention via electroshock electrode (4). This application sequence is continued until obtaining an absolute result.
For electroshock intervention, the energy level is set by microprocessor in the wristband (1 ). Initial application is started with the lowest level, and for each application, energy level can be changed.
Each application command from Wristband (1 ) is represented by two signs. These signals are transmitted to the electroshock device (3) located at the wristband (1 ) via internal lines hidden into cord. Whereas the first sign is sent electroshock device (3) to prepare charging, the capacitor charged in the device is discharged to the patient by the second sign. After all electroshock interventions, monitoring the heart rhythm is important. According to cardiac activity from the ECG device (2), microprocessor in the Wristband (1 ) may decide to apply electroshock once again. If necessary, band of wristband (1 ) can be adjusted according to the patient's wrist width, thus both the ECG device (2) and electroshock electrodes (4) keep in contact with the skin.
ECG device (2) continuously consumes energy because of running uninterrupted throughout day. Therefore the ECG device (2) and the electroshock device (3) have different batteries. When their battery power weakens, both devices, by emitting a warning, indicate that you should charge them. In addition, both devices are water resistant. Thus, wearing the wristband (1 ) without interruption can be possible.

Claims

C L A I M S An automated electroshock wristband, comprising; a wristband (1 ), an ECG device (2), an electroshock device (3), and a multiple of electroshock electrodes (4). The automated electroshock wristband of claim 1 , wherein the wristband
(1 ) includes a microprocessor which determines frequency and energy level of the electroshock process.
The automated electroshock wristband of claim 1 , wherein the electroshock device (3) includes at least one capacitor.
The automated electroshock wristband of claim 1 , wherein the ECG device
(2) includes at least one battery.
The automated electroshock wristband of claim 1 , wherein the electroshock device (3) includes at least one battery.
The automated electroshock wristband of claim 1 , wherein the wristband (1 ) includes internal lines hidden in band to send signs from the microprocessor in the ECG device (2) to the electroshock device (3). The automated electroshock wristband of claim 1 , wherein the wristband (1 ) includes an audible warning system notifying both when batteries of the ECG and the electroshock devices are empty and when electroshock intervention starts.
The automated electroshock wristband of claim 1 , wherein the wristband (1 ) has an adjustable band according to patient's wrist width.
PCT/TR2015/050190 2014-11-25 2015-11-23 Automated electroshock wristband WO2016085433A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR201413954 2014-11-25
TR2014/13954 2014-11-25

Publications (1)

Publication Number Publication Date
WO2016085433A1 true WO2016085433A1 (en) 2016-06-02

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PCT/TR2015/050190 WO2016085433A1 (en) 2014-11-25 2015-11-23 Automated electroshock wristband

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107170081A (en) * 2017-05-08 2017-09-15 成都智慧家信息技术有限公司 Portable intelligence s ervice gate inhibition management apparatus

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0229735A2 (en) * 1986-01-17 1987-07-22 Edward Lamb Apparatus for monitoring a child's pulse rate
US20040215247A1 (en) * 2003-01-11 2004-10-28 Armin Bolz Method and device for detecting an anomaly in the cardiac activity of a patient
US20130013014A1 (en) * 2007-06-07 2013-01-10 Zoll Medical Corporation Medical device configured to test for user responsiveness
WO2014072981A1 (en) * 2012-11-12 2014-05-15 Inovytec Medical Solutions Ltd. System and method for providing non-invasive ventilation

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0229735A2 (en) * 1986-01-17 1987-07-22 Edward Lamb Apparatus for monitoring a child's pulse rate
US20040215247A1 (en) * 2003-01-11 2004-10-28 Armin Bolz Method and device for detecting an anomaly in the cardiac activity of a patient
US20130013014A1 (en) * 2007-06-07 2013-01-10 Zoll Medical Corporation Medical device configured to test for user responsiveness
WO2014072981A1 (en) * 2012-11-12 2014-05-15 Inovytec Medical Solutions Ltd. System and method for providing non-invasive ventilation

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107170081A (en) * 2017-05-08 2017-09-15 成都智慧家信息技术有限公司 Portable intelligence s ervice gate inhibition management apparatus

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