Patent Application
20210308005
The present invention relates to medical emergency equipment.
Various types of first aid medical equipment are known to be used, e.g., in the event of accidents, traumatic events or sudden pathological events.
A known type of equipment is related to the treatment of patients with a cardiac arrest.
This type of equipment has a load-bearing frame which defines a supporting surface of the patient's back, and on which mechanical means for cardiac massage are applied. These mechanical means are adapted to exert pressure on the patient's chest, with a frequency that varies according to the patient's condition.
The use of this type of equipment is however limited in time, i.e. it is useful only in the moments immediately following cardiac arrest, as it does not allow the patient to be kept alive.
This implies that the patient must necessarily be transported urgently to a hospital in order to allow the medical staff to perform the necessary interventions to keep the patient alive and to restore a proper clinical picture.
The main aim of the present invention is to devise medical emergency equipment that allows offering a therapeutic support to the patient over a long period of time compared to the equipment of known type.
In particular, the equipment to which the present invention relates aims to keep the patient alive at the same time and/or after resuscitation, in order to allow medical staff to intervene promptly even during the transport of the patient to a hospital.
Within this aim, one object of the present invention is to devise a piece of equipment that is easily transportable and allows assisting the action of the means for cardiac massage.
Another object of the present invention is to devise medical emergency equipment that allows overcoming the aforementioned drawbacks of the prior art in a simple, rational, easy, effective to use as well as cost-effective solution.
The aforementioned objects are achieved by the present medical emergency equipment according to claim 1.
Other characteristics and advantages of the present invention will become more evident from the description of a preferred, but not exclusive, embodiment of medical emergency equipment, illustrated by way of non-limitative example in the accompanying tables of drawings in which:
With particular reference to these figures, reference numeral 1 globally indicates a type of medical emergency equipment.
The equipment 1 comprises a load-bearing frame 2, which defines a supporting surface 3 for a patient's back.
The frame 2 has an elongated and substantially slab-shaped conformation, so that it can be easily transported.
The frame 2 is associated with at least one of a defibrillator 21 and means for cardiac massage 4.
Therefore, embodiments are possible which provide for the presence of only one of the defibrillator 21 and the means for cardiac massage 4 and others, such as the one shown in the figures, which provide for the simultaneous presence of both the defibrillator 21 and the means for cardiac massage 4.
Preferably, the means for cardiac massage 4 comprise at least one pusher element 5 which is adapted to operate on the patient's chest in order to reactivate the heartbeat. More particularly, the pusher element 5 can be of the type of a band that wraps around the patient's chest, and that is moved mechanically so as to exert pressure on the patient him/herself, or a single element movable alternately in translation and adapted to operate on a circumscribed area of the patient. Alternative embodiments of the means for cardiac massage known to the technician of the sector cannot however be ruled out.
Appropriately, sensor means 4a are provided which are adapted to detect the patient's heartbeat. In the embodiment shown in the figures, the sensor means 4a are built in the means for cardiac massage 4; alternative embodiments wherein the sensor means 4a are separate from the means for cardiac massage 4 cannot however be ruled out.
According to the invention, the equipment 1 also comprises a circuit 6 for the extracorporeal circulation of the patient's blood, which is associated with the frame 2 and operatively connected to the defibrillator 21 and/or to the means for cardiac massage 4.
In particular, the circuit 6 comprises at least one venous line 7 connectable to the patient to take the blood to be oxygenated, at least one oxygenator 8 which is adapted to supply oxygen to the blood and/or to remove carbon dioxide from the same, where along the venous line 7 are located blood pumping means 9, and at least one arterial line 10 connected at outlet to the oxygenator 8 and adapted to bring the oxygenated blood back to the patient.
The oxygenator 8 comprises at least one inlet port for the blood to be oxygenated connected to the venous line 7 and at least one outlet port for the oxygenated blood connected to the arterial line 10, at least one inlet channel 11 and at least one outlet channel 12 of a work gas, such as air or oxygen, intended to supply oxygen to the blood and/or to remove carbon dioxide from the same.
The pumping means 9 comprise at least one driving motor, not visible in detail in the figures, and the frame 2 has at least one seat 13 for housing the driving motor itself
Advantageously, the equipment 1 comprises at least one electronic control unit 14 programmed to control the circuit 6 for extracorporeal circulation and at least one of a defibrillator 21 and means for cardiac massage 4. In particular, the electronic control unit 14 is adapted to manage the transitional phase occurring between the use of the defibrillator 21 and/or the means for cardiac massage 4 and the autonomous operation of the circuit 6.
More in detail, the electronic control unit 14 is provided with a processing unit 15, of the type of a microprocessor, which is adapted to receive the signal from the sensor means 4a that detect the heart rate of the patient.
Preferably, the electronic control unit 14, and in particular the processing unit 15, is operatively connected to the pumping means 9, and in particular to its driving motor, in such a way as to regulate the flow rate of the blood flowing through the circuit 6.
In the embodiment that provides for the presence of means for cardiac massage 4, the processing unit 15 is adapted to control the movement of the pusher element 5 in order to increase or decrease the rate at which it interacts with the patient. Appropriately, the electronic control unit 14 is also provided with a programmable memory 16 which is operatively connected to the processing unit 15 and inside which reference pressure values and/or flow values can be set.
Advantageously, along the circuit 6 are arranged at least one pressure sensor 17 and/or at least one flow rate sensor 18 which are adapted to detect the pressure and flow rate respectively of the blood flowing through the circuit itself and operatively connected to the processing unit 15. Preferably, along the circuit 6 are arranged both the pressure sensor 17 and the flow rate sensor 18.
The processing unit 15 is programmed to compare the pressure and/or flow rate values detected by the sensors 17 and 18 with the reference pressure and/or flow rate values set in the programmable memory 16, respectively.
The processing unit 15 is adapted to calculate the difference between the reference pressure and/or flow rate values and the pressure and/or flow rate values detected by the sensors 17 and 18 and to operate on said pusher element 5 and on said pumping means 9 depending on the calculated difference. More in detail, the processing unit 15 is adapted to reduce or increase the frequency of movement of the pusher element 5 as the calculated difference decreases or increases, respectively. In fact, if the difference between the reference pressure and/or flow rate values and the values detected by the sensors 17 and 18 increases, it means that the extracorporeal circulation is not yet able to independently support the patient's vital functions, so it is necessary to increase the action of the means for cardiac massage 4. Similarly, when the difference calculated by the processing unit 15 decreases, it means that the extracorporeal circulation is increasing its efficiency, so the action of the means for cardiac massage 4 can be interrupted.
The means for cardiac massage 4 and the circuit 6 can operate simultaneously as described above only if they are synchronized with the heartbeat.
When the pressure and/or flow rate values detected by the sensors 17 and 18 are equal to the respective reference values, the processing unit 15 deactivates the action of the pusher element 5 since the circuit 6 is able to support the patient's vital functions independently.
If the pressure and/or flow rate values detected by the sensors 17 and 18 exceed the reference pressure and/or flow rate values, it means that the demand of the circuit 6 is greater than the patient's needs, so the processing unit 15 is adapted to intervene on the pumping means 9 in order to reduce the flow rate of the blood flowing through the circuit 6.
Preferably, the electronic control unit 14 is operatively connected to a display 19 and the processing unit 15 is adapted to receive the data detected by the sensors 4a, 17 and 18 to show them at least partly on the display 19 in a graphic and/or numerical form.
In the embodiment that provides for the presence of the defibrillator 21 only, the processing unit 15 is adapted to keep deactivated the pumping means 9 during the operation of the defibrillator 21. When the processing unit 15 detects the presence of the heartbeat by means of the signal received from the sensor means 4a, the unit disables the operation of the defibrillator 21 and activates the pumping means 9 so as to allow extracorporeal circulation flowing through the circuit 6.
In the embodiment which provides for the simultaneous presence of the defibrillator 21 and of the means for cardiac massage 4, the processing unit 15 is adapted to keep deactivated both the means for cardiac massage themselves and the pumping means 9 during the operation of the defibrillator 21. When the processing unit 15 detects the presence of the heartbeat by means of the signal received from the sensor means 4a, the unit disables the operation of the defibrillator 21 and activates at least one of the means for cardiac massage 4 and the pumping means 9.
The equipment 1 also comprises manual activation means 20 of at least one of the defibrillator 21 and the means for cardiac massage 4, so that the medical staff can activate the operation thereof once the patient has been placed in the correct position, and the pumping means 9, so that the medical operator can activate the extracorporeal circulation after the circuit 6 has been properly assembled and the venous and arterial lines 7 and 10 have been connected to the patient.
The operation of the present invention is as follows.
When there is an urgent need to assist a patient with a cardiac arrest, the medical staff shall first of all place the patient safely on the supporting surface 3 so that his or her chest is placed below the pusher element 5.
Then, depending on the equipment 1, the medical operator activates one of the defibrillator 21 and the means for cardiac massage 4 by means of manual activation means 20, so as to reactivate the patient's cardiac function as soon as possible.
If the equipment 1 is provided with both, the medical operator can decide, based on the patient's condition, whether to activate only one of them or whether to activate the defibrillator 21 first and then the means for cardiac massage 4.
While the defibrillator 21 or the means for cardiac massage 4 are in operation, the medical operator, after the circuit 6 has been assembled, connects the venous line 7 and the arterial line 10 to the patient, after which he/she intervenes on the activation means 20 to activate the driving motor, which has been suitably positioned inside the seat 13, and consequently the extracorporeal circulation.
As mentioned above, in the event of the defibrillator 21 being active, the electronic control unit 14 is adapted to prevent the activation of the pumping means 9 until the defibrillator itself is active.
If, on the other hand, the means for cardiac massage 4 are active, the electronic control unit 14 is programmed, if necessary, to manage the transient, i.e. the progressive intervention of the extracorporeal circulation through the circuit 6.
The possible simultaneous operation of the means for cardiac massage 4 and the circuit 6 is synchronized with the patient's heartbeat.
It has in practice been found that the described invention achieves the intended objects and in particular the fact is underlined that the equipment to which the present invention relates allows intervening promptly on a patient suffering from cardiac arrest both by restoring the cardiac activity thereof and at the same time allowing medical staff to carry out surgical interventions or pharmacological therapies. By means of the extracorporeal blood circulation it is in fact possible to stabilize the patient's condition, thus allowing medical staff to implement the most suitable therapies in a very short time and without having to wait to reach a fully equipped hospital.
In addition, the equipment according to the invention allows modulating the activity of the means for cardiac massage according to the parameters of extracorporeal circulation, so as to optimize the operation of both and ensure good therapeutic support to the patient while maintaining synchronization with the patient's heartbeat.
| Number | Date | Country | Kind |
|---|---|---|---|
| 102018000007542 | Jul 2018 | IT | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/IB2019/056324 | 7/24/2019 | WO | 00 |
