Francis M. Charbonnier - McMinnville OR Paul V. Long - McMinnville OR
Assignee:
Hewlett-Packard Company - Palo Alto CA
International Classification:
A61N 136
US Classification:
128419D
Abstract:
A defibrillator apparatus applies defibrillation a shock pulse to a patient at a selected energy level. The peak current magnitude of the pulse is sensed and processed to produce an indication of the value of transthoracic load resistance presented by the patient during the pulse. Also produced is an indication of the energy actually delivered to the patient by the defibrillation pulse. An alarm is activated when patient transthoracic resistance exceeds a predetermined value, thereby to warn the operator to take corrective action before again attempting defibrillation.
Defibrillation Employing An Impedance-Corrected Delivered Energy
Francis M. Charbonnier - McMinnville OR Martin G. Rockwell - Sherwood OR
Assignee:
Hewlett-Packard Company - Palo Alto CA
International Classification:
A61N 139
US Classification:
128419D
Abstract:
Impedance-normalized delivered energy is used as a control parameter in a defibrillation methodolgy and can be selected to yield the highest probability of successful defibrillation while minimizing the risk of damage to the myocardium and nerve system. This control parameter is essentially independent of patient transthoracic impedance and of discharge pulse waveform and duration, thereby making it advantageous as a standard on which a universal defibrillation protocol may be based.
Francis M. Charbonnier - McMinnville OR Martin G. Rockwell - Sherwood OR Carl E. Benvegar - Corvallis OR
Assignee:
Hewlett-Packard Company - Palo Alto CA
International Classification:
A61N 136
US Classification:
128419D
Abstract:
A method and apparatus is disclosed for providing to the body of a patient a defibrillation pulse having a magnitude calculated to induce in that particular patient a desired defibrillation current. The patient's response to a defibrillation pulse is characterized in advance of defibrillation by repeatedly sampling the patient's transthoracic impedance to a small alternating current excitation signal. The sample having the lowest magnitude is taken to represent the patient's true transthoracic impedance. This lowest sampled impedance value is normalized to take into account the shape of the expected waveform and is then multiplied by the desired current to yield the target charge level to which an energy storage device must be charged to induce the desired current to flow in the patient on discharge. Charging of the energy storage device desirably begins before measurement of transthoracic impedance is completed and continues until the target charge is reached. Discharge of an energy storage device so charged causes the desired current to flow through the patient.
Name / Title
Company / Classification
Phones & Addresses
Francis Charbonnier President
Linfield College College/University · College
900 SE Baker St, McMinnville, OR 97128 503 883-2200, 503 883-2585
Francis Charbonnier Principal
Linfield Research Institute Noncommercial Research Organization
1655 NW Michelbook Ln, McMinnville, OR 97128
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