The present invention relates generally to a user interface method and apparatus for a medical device, and more particularly to a user interface method and apparatus for a defibrillator.
Sudden cardiac death is a leading cause of death in the United States. Most sudden cardiac deaths are caused by ventricular fibrillation, in which the heart's muscle fibers contract without coordination, thereby interrupting normal blood flow into the body. The best known effective treatment for ventricular fibrillation is electrical defibrillation, in which an electrical pulse is applied to the patient's heart. The electrical pulse must be delivered within a short time after onset of ventricular fibrillation in order for the patient to have any reasonable chance of survival.
The current trend in the medical industry is to make life-saving portable medical devices, such as automated external defibrillators (AEDs), more widely accessible so that patients in need can be treated as quickly as possible. As the availability of portable medical devices continues to increase, more places will have these devices for use in emergency situations, such as in homes, police cars, worksites, and public gathering places. This increase also comes with the heightened likelihood that these portable medical devices will be used by people without medical training or people who are minimally trained in the handling of the medical devices. At the same time, the benefit of having life-saving medical devices immediately available in many places is not fully realized unless the medical devices can be promptly activated and used quickly in case of emergency. Therefore, a portable medical device, such as an AED, must be configured such that even a lay person can intuitively and quickly activate and use the medical device.
A medical device may automatically instruct an operator how to properly operate the medical device via various user interface components. For example, an AED may include a voice command system, a screen command system, and/or various graphics visible to the operator. To be used effectively, an AED should provide the user with instructions and prompts in the user's primary language. This is particularly important when the medical device is likely to be used by a lay person who is not very familiar with the medical device and thus needs to rely on commands issued by the medical device to properly handle the medical device. In many areas, the population is diverse with respect to languages spoken. For example, in some parts of the United States, a portion of the population uses only the English language; another uses the Spanish language only, while still another includes bi-lingual individuals who use both English and Spanish in everyday life. Some bi-lingual individuals may be most comfortable using their primary language. When information is presented predominantly in their secondary language, it may be helpful to have at least a part of that information also available in some format available in their primary language. Ideally, publicly accessible AEDs ideally should be usable by any of the individuals who may be available to act as a rescuer in a given location, whatever language or languages the individual uses.
In accordance with the present invention, a method and apparatus is disclosed for providing a medical device that provides the user with instructions in two (or more) languages at the same time.
In one aspect of the invention, a medical device for patient treatment includes an audible medium giving user instructions in a first language and a visual medium giving user instructions in a second language. In an embodiment of the invention, the medical device is an external defibrillator.
In another aspect of the invention, the user instructions in a visual medium include text instructions in the second language. The user instructions in a visual medium may also further include diagrammatical representations of the text instructions.
In another aspect, of the invention, the visual medium is a print medium. The print medium may be a card. In an embodiment where the medical device includes a lid, the card may be carried under the lid.
In another aspect of the invention, the visual medium is an LCD display.
In another aspect of the invention, the audible medium includes an audio speaker.
In another aspect of the invention, an external defibrillator adapted to lead an operator through a sequence of operations to deliver a defibrillation shock to a patient, includes an audio speaker that delivers instructions to the operator in a first language and a visual medium that presents instructions to the operator in a second language. The visual medium may present text instructions in the second language. It may also present pictorial representations of the text instructions in proximity to the text instructions. In another embodiment, the visual medium may be a display screen on the external defibrillator.
In another aspect of the invention, a method for providing a user interface to an operator of a medical device includes providing instructions to the operator audibly in a first language and visually in a second language.
The foregoing aspects and many of the attendant advantages of this invention will become more readily appreciated as the same become better understood by reference to the following detailed description, when taken in conjunction with the accompanying drawings, wherein:
In accordance with the present invention, a user interface is provided for a portable medical device comprising user instructions presented in a first language in an audible medium, and in a second language in a visual medium. In this manner, the medical device may accommodate users who are fluent in either one of the two languages, and also users who have an understanding of the first language but are more comfortable having text prompts in a second language in which they are more skilled. Thus, an embodiment of the invention provides a bi-lingual user interface, i.e., an interface that prompts the user in two (or more) languages at the same time. For illustrative purposes, the invention is described in the context of a medical device which has a plurality of layered user interface components. Such a medical device is described in PCT Application Publication No. WO 03/097161, which is hereby incorporated by reference in its entirety. The user interface components are layered so as to become available to the operator of the device as they become necessary or appropriate during the operation of the device and treatment of the patient. Stated another way, the user interface components are layered to successively provide the operator with instructions and implements for operating the device and treating the patient. In the present description, the term “user interface component” is used to encompass any message and or/instruction sent to or received from the operator of the medical; device, any device component or accessory used to send or receive such messages/instructions, and any implement that is physically used by the operator for operation of the device or treatment of the patient.
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During defibrillation operation, the microprocessor 190 analyzes an electrocardiogram (ECG) of a patient using an automatic heart rhythm detection algorithm also stored in the memory 199 to identify whether the patient is experiencing a shockable heart rhythm, such as ventricular fibrillation. The detection algorithm executed by the microprocessor 190 in the actual embodiment of the present invention described herein is similar to that used in the LIFEPAK 500 defibrillator provided by Medtronic Emergency Response Systems Inc. of Redmond, Wash. Other known heart rhythm detection algorithms may also be used without departing from the scope of the present invention, such as those algorithms designed to comply with standards promulgated by the Association for the Advancement of Medical Instruments (AAMI). The ECG signals analyzed by the detection algorithm are collected by defibrillation electrodes 142, 144 and passed through a monitor circuit 194 to an analog-to-digital converter 192. The analog-to-digital converter 192 then passes the digitized signals to the microprocessor 190. If the microprocessor 190 detects a shockable rhythm, the microprocessor causes a charge circuit 196 to generate a current causing a storage capacitor (not shown) to charge in preparation for delivery of a defibrillation pulse. When the capacitor is fully charged, and delivery of the defibrillation pulse initiated, a discharge circuit 198 coupled to the microprocessor 190 and charge circuit 196 discharges the defibrillation pulse to the defibrillation electrodes 142, 144 for application of the defibrillation pulse to the patient.
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As will be appreciated by those skilled in the defibrillator arts, once an AED is activated, the next step in its operation is typically to apply a pair of defibrillation electrodes to the patient's chest that are used to monitor the patient's heart rhythm and deliver a defibrillation pulse is necessary. Accordingly, in one embodiment of the present invention, the electrode package 120 is positioned beneath the lid 104 and sized so as to attract the operator's immediate attention as the next appropriate action to take in the operation of the device and treatment of the patient. To further intuitively guide the operator in the correct operation and application of the electrodes, the electrode package 120 includes a package opening member, such as handle 128, which the operator pulls to open the electrode package along a tear line 130 and release the defibrillation electrodes packaged therein. To further bring attention to the handle, the handle is configured and colored to be conspicuous to the operator. For example, in one embodiment the handle 128 is large in size (relative to its required mechanical function) and colored bright red to visually contrast with the substantially white colored electrode package 120. Also, the handle has a skew orientation—i.e., not aligned parallel with the sides of the substantially rectangular electrode package 120—which further visually attracts the operator's attention. Still further, the handle 128 itself may include diagrammatic arrows 134 indicating the direction the operator should pull the handle and the upper surface of the electrode package 120 may include a graphical diagram 132 depicting how the operator should grasp and pull the handle 128 in order to open the electrode package 120 (as well as a patient diagram 136 that depicts the appropriate placement of the defibrillation electrodes on the chest of a patient).
In addition to the size, configuration, color and placement of the electrode package 120 and the handle 128, the AED 100 may issue audible instructions to the operator upon opening of the lid 104 to pull the handle 128 to open the electrode package 120, as well as audible instructions to first call for help and remove clothing from the patient's chest.
To further guide the operator in the placement of the electrodes once separated from one another and removed from the liner 146, the defibrillation electrodes 142 and 144 include pad placement diagrams 148 and 150, respectively, which illustrate for the operator the proper location for each electrode on the patient. In one embodiment, each pad placement diagram depicts the proper location of only its corresponding pad, it does not depict both pads. Proper placement of each electrode is further intuitively encouraged by placing the defibrillator electrode 142 intended for placement on the left side of the patient (from the operator's perspective) on the left side of the liner 146, and placing the defibrillator electrode 144 intended for placement of the right side of the patient on the right side of the liner 146. Proper placement is encouraged further by coloring the boundaries of the defibrillation electrodes 142 and 144 differently (e.g., yellow and red as mentioned above) and by using corresponding colors in the pad placement diagrams 148 and 150.
In addition to the size, configuration, color and placement of the defibrillation electrodes 142 and 144 and the liner 146, the AED 100 may issue additional audible instructions to the operator via an audio speaker 152 to remove each of the defibrillation electrodes 142, 144 from the liner 146 and to then apply the defibrillation electrodes to the exposed chest of the patient.
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Returning to the electrode status display 160, the diagram includes electrode indicators 162, 164 that indicate whether the defibrillation electrodes have been placed on the patient. The electrode indicators 162, 164 can include visual display elements, such as light-emitting diodes, that produce first and second visual signals. For example, the electrode indicators 162 and 164 will display a red light if one of the defibrillation electrodes 142 and 144 has not yet been or is not attached to the patient. Conversely, once the corresponding defibrillation electrode is properly placed on the patient (i.e., the liner has been removed, the electrode attached to the bare-chested patient, and impedance has been detected), the electrode indicators 162, 164 then display a green light.
Once the electrodes are properly placed on the patient, the AED 100 begins collecting electrocardiogram (“ECG”) signals from the patient and analyzing them for a shockable rhythm.
If a shockable rhythm is detected, the operator's attention is immediately drawn to the shock key 170 (which is only made available to the operator after the electrode package 120 has been opened and removed from the housing 102) via further visual and/or audible indications. For example, the shock key 170 may be sized, colored and labeled such that it draws the attention of the operator and indicates its function to the operator. For example, the shock key 170 shown in
It will be appreciated, however, that in another embodiment of the present invention, the AED 100 can be a fully automatic defibrillator (rather than a semi automatic defibrillator), meaning that the device automatically initiates delivery of a defibrillation pulse to a patient upon detecting a shockable heart rhythm. Accordingly, operator initiation is not required and the shock key 170 is eliminated. A fully automatic AED 180 is shown in
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Where a display screen is used to provide the text prompts in the second language, the display may scroll through the text prompts, with each particular text prompt displayed simultaneously with the issuance of the corresponding voice prompt, or a group of text prompts may be displayed at the same time on the screen. Text instructions in additional languages could also be provided by including additional cards with text in each of the additional languages with the medical device, or by provide instructions in additional languages in proximity to the text in the second language. On a reference card, for example, text in the second a third language could be both be printed on the card, with instructions for each picture appearing in two or more languages under that picture (different languages printed on separate lines). Alternatively, instructions in a third language could be printed on back of the card, with some indicia appearing on its front side to inform the user of the third language instructions available on the flip side of the card. Where a display is used, the text in the additional languages could be displayed simultaneously with the text in the second language, or the user could be given the option to choose which language he wants displayed, through a user interface such as, for example, a push button which results in language choices being scrolled through until the desired choice is reached.
In an embodiment of the invention, substantially all of the instructions provided in the form of audible voice prompts in the first language are also provided in the visual medium in the second language. The illustrated embodiment also provides the user guidance in formats which do not use words. These include visual media such as pictorial and diagrammatic representations of actions to be taken, attention-getting colors, and the like. Audible prompts may also include non-verbal prompts such as tones, for example. These additional non-verbal guidance features and prompts further aid to make the device one which may be comfortably and competently used by users who are fluent in either one of the first or second languages.
Accordingly, the operator is given an immediate and always visible idea of what steps must be taken to operate the device and treat the patient. Those skilled in the art will appreciate, however, that the reference card 140 may include any instructions, diagrams, text, etc. deemed desirable by the manufacturer.
In one embodiment of the present invention, the operator is further guided through the layered user interface in the operation of the device and treatment of the patient by a series of audible instructions or voice prompts in a first language provided by the AED 100 to the operator via an audio speaker 152 (see
Particular details of such circuitry and software need not be disclosed for one skilled in the art to understand the teachings of the present invention. However, one example of such circuitry and software as implemented in an AED is described in commonly assigned U.S. Pat. No. 6,334,070, entitled “Visual and Aural User Interface for an Automated External Defibrillator,” issued Dec. 25, 2001, and specifically incorporated herein by reference.
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Once the condition of decision block 230 is met, the routine 200 then continues to block 240, in which the AED 100 issues audible instructions concerning removal of the defibrillation electrodes 142, 144 from the electrode package 120 and removal of the electrodes from the liner 146. The routine 200 then continues to a decision block 250 testing whether the defibrillation electrodes 142, 144 have been removed from the liner 146. If not, the routine 200 returns to block 240 and the appropriate audible instructions are repeated.
Once the condition of decision block 250 is met, the routine 200 then continues with a third instructional step 260, in which the AED 100 issues audible instructions concerning placement of the defibrillation electrodes 142, 144 on the patient's chest and lights up the LEDs 162, 164 of the electrode status display 160 accordingly. The routine 200 continues to a decision block 270 and tests whether the defibrillation electrodes 142, 144 have been properly placed on the patient. If not, the routine 200 returns to block 260 to repeat the appropriate visual and aural instructions to the operator.
Once the condition of decision block 270 is met, the routine 200 continues to block 280, in which the AED 100 issues visual information confirming the proper placement of the defibrillation electrodes 142, 144 (i.e., lights the LEDs of the electrode status display 160 green) and audible information concerning evaluation of the patient's heart rhythm and preparations for delivering a defibrillation pulse. The AED 100 then issues visual instructions (e.g., flashing shock key 170) and audible instructions to the operator to press the shock key 170 and initiate delivery of the defibrillation pulse to the patient.
Those skilled in the art will appreciate that a number of well-known operations are not presented in the flow diagram of
It will be appreciated by those skilled in the art that the audible instructions and text instructions used in a medical device may vary in content or scope from what is described above, may omit some of the instructions described above or include other instructions not described above, without departing from the spirit or scope of the present invention.
While certain embodiments of the invention have been illustrated and described, those skilled in the art will appreciate that various changes can be made without departing from the spirit and scope of the invention. Additional layers of user interface components may be added as appropriate to assist in the operation of the device, treatment of the patient or perhaps the maintenance of the device. For example, as illustrated in
This application claims the benefit of U.S. Provisional Application No. 60/623,192 filed on Oct. 29, 2004.
Number | Date | Country | |
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60623192 | Oct 2004 | US |