Cardiac massage device with simultaneous artificial ventilation, cardiac activity monitoring in persons with severe forms of heart failure
SUBSTANCE: device refers to medical equipment, namely to a device for cardiac massage with simultaneous artificial ventilation, cardiac activity monitoring in persons with severe heart failure. The device contains a cannula for transthoracic injection connected to a two-channel distributor. The device includes two elastic chambers connected to each other via the cannula, made of hermetic biocompatible material. The chambers have an identical volume. One of the chambers is placed with a possibility of transthoracic insertion in the folded state through the cannula and inflated under the pressure of the injected air to exert a pressure on the heart, the other, external, with an ability to visually control the device functioning. The device contains a flexible mask connected to the two-channel distributor. The device includes a compressor for air introduction and removal via the air ducts into the chambers and a flexible mask connected to the two-channel distributor. The device contains a two-channel distributor, connected by the air ducts to the cannula and the flexible mask. The device includes an automatic compressor control unit for air pumping into the chambers and the flexible mask via the two-channel distributor. The device includes fixing belts connected to the cannula with chambers, an automatic control unit, an autonomous power supply unit and an electrocardiograph with a possibility of device fixation on the body and connected to the flexible mask to fix the device on the head. The device contains an electrocardiograph with three electrodes for recording cardiac activity in three leads as per Einthoven, connected to the autonomous power supply unit.
EFFECT: elimination of heart failure and prolonged maintenance of blood circulation with simultaneous monitoring of cardiac activity and artificial lungs ventilation.
SUBSTANCE: invention relates to medical equipment, namely to devices for medical aid to patient in urgent condition. Device includes clothes item, controlling device, located on clothes item and controlling at least one physiological patient's function, and therapeutic device, located on clothes item, in order to treat patient, when controlling device determines urgent condition. Device can be carried on patient's body, providing patient's mobility. Therapeutic device includes perforating device, which can deliver drug in intraosseous method, defibrillator and device for heart compression for heart resuscitation. Controlling device is functionally connected with therapeutic device and is made with possibility of starting therapeutic device and treating patient without active participation of patient of third parties, when controlling device determines urgent condition, with defibrillator and device for heart compression being made with possibility of working until controlling device detects recovery of cardiac activity, or until they are deactivated externally.
EFFECT: application of invention makes it possible to extend arsenal of devices for medical aid to patient.
12 cl, 2 dwg
SUBSTANCE: invention relates to medicine, namely to resuscitation, and can be applied in case of necessity of carrying out resuscitation actions in case if the patient is in condition of apparent death. For this purpose the injured person is placed in a sitting position. A resuscitator takes position behind and sideways from the injured person, one resuscitators leg rests against the support plane on which the injured person is sitting with its knee. The other leg is half-bent in the knee joint and brought behind the injured person's back, which simultaneously serves as a rest for the injured person and a support for the application of resuscitation. The resuscitator's hand catches the neck, fixing the chin on the elbow bent and throwing back the injured person's head. The other hand fixes the nape, resting with the elbow against the leg, half-bent and brought behind the injured person's back. Resuscitation is realised by bringing the half-bent leg forward, which will lead to straightening of the spine and lowering of the diaphragm - "inhalation". Stopping the influence - return of the resuscitator's leg into the initial position - "exhalation".
EFFECT: method provides effective carrying out resuscitation actions without the application of the breathing assistance with the simultaneous reduction of the time for normalisation of haemodynamical indices and elimination of trauma, aggravating the patient's condition.
1 dwg, 2 ex
SUBSTANCE: invention refers to medicine and can be used for stabilising and supporting a patient. A shoulder brace for an automated system of cardiopulmonary resuscitation comprises at least one kit of stabilising elements, a kit of collectors and a back element which limits a plane. The connectors are arranged on side ends of the back element and configured to attach the shoulder brace to the automated system of cardiopulmonary resuscitation. The stabilising elements transversally project from the edge of the above plane.
EFFECT: providing stabilising and supporting the patient.
14 cl, 13 dwg
SUBSTANCE: pneumatic cuffs are placed on an upper one-third of thighs with the extended extremities lifted to an angle of 45°C to horizon. The cuffs are inflated to generate a pressure of 180 mm Hg, and the extremities are lowered to a horizontal position. Therapeutic solutions and respiratory gases are heated to +42°C and administered. A gastric probe with an oesophageal balloon heated to +42°C is introduced into an oesophagus and a stomach, and the probe, balloon and stomach are filled with drinking water heated to +42°C. The cuffs are remained inflated to recover the cardiac function.
EFFECT: effective cardiopulmonary resuscitation ensured by preventing excessive cardiac hypothermia, permanent cortical damages caused by administration of solutions, therapeutic preparations, gastric probe heated to a certain temperature.
SUBSTANCE: invention relates to medical equipment and can be used for cardiac-pulmonary resuscitation due to cyclic compression of a patient's thoracic cage. A device contains the frontal construction with the first and second mobile modules, made with a possibility of travel in opposite directions forward and backward along the frontal construction; a support for a back for placement behind the patient's back, made with a possibility of supporting the frontal construction in a fixed position with respect to the patient's back; a cushion for the thoracic cage; two levers, each of which is connected with a possibility of rotation with the cushion for the thoracic cage with one end and each of which is connected with a possibility of rotation to the respective one of the first and second mobile modules; and drive means, made with a possibility of travel of the first and second mobile modules in opposite directions forward and backward in such a way that the cushion for the thoracic cage cyclically compresses the patient's thoracic cage.
EFFECT: invention makes it possible to reduce energy consumption for resuscitation procedures.
9 cl, 8 dwg
SUBSTANCE: group of inventions relates to medicine, namely to resuscitation, and can be applied in case of necessity to perform cardiopulmonary reanimation. For this purpose claimed is automatised device, which contains: executive mechanism of chest compression, drive of executive mechanism, sensor of physiological parameter, device of adaptive control, basing on comparison of measured form of chest compression signal with specified form of chest compression signal. Claimed is method with application of claimed device, which includes stages of setting initial safe values of working parameters, execution of at least one chest compression by device, obtaining form of chest compression signal, evaluation of form of chest compression signal and respective changes of working parameters. Also claimed is carrier, which contains program code, making it possible for processor to carry out the method.
EFFECT: inventions ensure optimal compression of chest in the course of carrying out reanimation measures due to automatic adaptation of device to changes in the process of chest compression.
8 cl, 10 dwg
SUBSTANCE: invention refers to medicine. The system comprises a force application device for applying compression forces to the patient's chest, measuring device, for the purpose of measuring the chest displacement corresponding to each of the compression forces; and a control unit for determining the chest peculiarities described by the displacements corresponding to each of the compression forces. The control unit is further configured to determine an optimal compression force to ensure the optimum chest displacement derived from the chest peculiarities.
EFFECT: individualising the cardiopulmonary resuscitation system ensured by determining the maximum force required to achieve the desired compression depth.
9 cl, 7 dwg
SUBSTANCE: invention relates to field of medicine, in particular to neurology resuscitation, rehabilitology and can be applied for early rehabilitation of patients in acute period of stroke. For this purpose monitoring and drug correction of arterial pressure (AP), cardiac activity, main parameters of homeostasis are carried out to patient. In case if level of systolic arterial pressure (SAP) not higher than 220 mm Hg, diastolic pressure (DAP) not higher than 120 mm Hg is observed in patient suffering from arterial hypertension, and if in patients who do not suffer from arterial hypertension or in case of thrombotic therapy level of SAP is not higher than 185 mm Hg, DAP level is not higher than 100 mm Hg, body temperature is not higher than 39°C, heart rate is not less than 45 or not more than 120 beats per minute, acute irregularity of heart rhythm is absent, saturation of blood is not less than 92% and frequency of breathing, if patient breathes independently, is not more than 30 respirations per minute, and if in carrying out artificial lungs inhalation desynchronisation of patient with ALI apparatus is absent, robotised mechanothramy of arms and legs on training apparatus MOTOmed letto is carried out simultaneously against the background of drug correction and under control of monitoring of AP, HR, blood saturation, body temperature and breathing frequency parameters. On the first day passive round motions of legs for 40 minutes at rate 20 turnings per minute and with change of direction - "forward-backward" after each 5 minutes, and then round motions by arms for 30 minutes at rate 20 turns per minute and the same change of direction are performed, and on the second day and all following days time of passive round motion by legs is increased until 60 minutes, duration of mechanotherapy course being 21 days.
EFFECT: method makes it possible to achieve acceleration of rehabilitation in case off neurological deficit at early stage and reduce thrombosis frequency in the system of inferior vena cava.
SUBSTANCE: invention refers to medicine, namely to neurology and speech therapy, and may be used for the rehabilitation of patients with speech disturbance, as well as for the development of speech forms and functions of a healthy human speech. The speech disturbances are assessed for a degree of deviation from an age norm using 7-rate scale of speech maturity and/or complicating a human response to the environmental factors. The 3-point degree of speech deviations requires giving lessons including massage of chest, throat, hands, facial and articulatory muscles, and using a moderate and noxious stimulus on an upper and lower respiratory system to elicit audible responses and vocalisms. The 4-point degree provides giving lessons including massage of chest, massage of throat, massage of hands, massage of facial and articulatory muscles with passive articulation exercises accompanied by elements of maximum tension and limited chest excursion. The 5-point degree giving lessons including the passive articulation exercises with elements of maximum tension with the active articulation exercises with the facial exercises, and the exposure to various analysers and limited chest excursion. The 6-point degree ensures giving lessons that include the active articulation exercises with the facial exercises, as well as name-calling with set expressions and singing. The 7-point degree is giving lessons, including mechanical noise, any physical exercises that can be performed by a patient in the dynamic or static mode, as well as external mechanical disturbances: kicks, vibration, percussions, tickling. The 8-point degree is giving lessons that include singing in various octaves, pantomime, using the rhetorical exercises and involving acoustic noise. The 9-point degree is giving lessons that include optical interference: various eye movements during a conversation in the static and dynamic mode, viewing the various images - magazines, illustrations. The 10-point degree provides the exercises involving vestibular load, or mixed load: use a combination of different 2-3 interference. using combinations of 2-3 various interferences.
EFFECT: method enables improving the effectiveness of the solution of speech, psychological and social problems of a patient or a healthy person while recovering and developing the speech functions.
SUBSTANCE: invention relates to medical equipment, namely to system for carrying out CPR. Device of providing feedback in carrying out CPR contains sensor of compression, adapted for placement between rescuer's hands and victim's chest, module of control with feedback, connected with compression sensor, and programmed for registration of output data of compression, their analysis, identification of single compression cycles and comparison of single cycles of compression with multitude of evaluation criterions. Matrix of comparison is output on presentation device, and each element of matrix corresponds to comparison of one of single compression cycles with one of multitude of evaluation criteria. Method of feedback presentation includes stages of carrying out compression of victim's chest through sensor of compression, registration, analysis, identification and comparison of output data from compression sensor with multitude of evaluation in form of comparison matrix elements.
EFFECT: invention makes it possible to increase efficiency of improvement of technical methods in carrying out CPR.
19 cl, 6 dwg
FIELD: medical engineering.
SUBSTANCE: device has belt manufactured from inextensible flexible material having clamps mounted on one side along its length, with rollers enveloped by cords. Closed chambers built from flexible material, filled with liquid and having pressure gages, are attached to its other side in camp projections. Electromotor is mounted in the middle part of the belt on the same side with the clamps. The electromotor has control system. Drum enveloped with cords is rigidly fixed on the electromotor end part. The middle portion of each cord is rigidly connected to cylindrical drum surface. Free ends of the cords are connected to end clamps.
EFFECT: retained ability of unrestrained patient movements.
SUBSTANCE: method involves applying auxiliary non-invasive lung ventilation with air-and-oxygen mixture in PSV mode with supporting pressure being equal to 8-12 cm of water column at inspiration phase, FiO2 0.25-0.3, positive pressure at expiration phase end equal to 2-4 cm of water column being applied. Inspiration trigger sensitivity being equal to 15-2 cm of water column relative to positive pressure at expiration phase end level to reach tidal respiratory volume not less than 6-7 ml/kg under SpO2 and blood gases control.
EFFECT: prevented acute respiratory insufficiency; improved alveolar ventilation; reduced venous bypass.
SUBSTANCE: method involves applying dosed load to cardiac respiration system due to compressed gas working pressure being reduced by 0.4 kg/m2 keeping it constant during 5-20 min. Then, the working pressure is reduced depending on patient state starting with a rate of 0.02-0.08 kg/m2/min. Gas exchange and hemodynamic parameters being in norm, the selected rate is increased. The parameters deviating from a norm, the selected rate is adjusted by increasing working pressure to reach their normal values. Optimum gas flow rate is determined and the working pressure is reduced at this rate, continuing to adjust its value under unchanged gas exchange and hemodynamic parameter values or their deviation from norm.
EFFECT: accelerated treatment course.
SUBSTANCE: method involves setting respirator operation parameter values taking into account height h, age a and patient body mass m; proper value of thoracic pulmonary extensibility Cprop is determined with patient body mass taken into account. Positive pressure at the end of expiration as forced ventilation characteristic with thoracic pulmonary extensibility taken into account. Then, forced volume-controlled artificial pulmonary ventilation is carried out. Breathing frequency and inhaled volume are adjusted to achieve normal lung ventilation followed by auxiliary lung ventilation.
EFFECT: reduced negative influence upon lungs, systemic and cerebral hemodynamic characteristics; retained pulmonary gas exchange.
4 cl, 3 dwg
FIELD: medicine, resuscitation, intensive therapy.
SUBSTANCE: a patient should be placed onto a flat inflexible surface to put his either right or left hand bent in elbow joint onto thorax followed by energetic pressing with a rescuer's palms, moreover, one of the palms should be placed into area of elbow joint and another - into area of patient's wrist. The present innovation helps to restore respiration and circulation in shortest terms, respiration - due to efficient diaphragmatic movement that enables to remove air out of patient's lungs and open a vocal fissure, and circulation - due to intensive inflow of blood into the main vessels and increased pressure in thorax.
EFFECT: higher efficiency.
FIELD: medicine, cardio-pulmonary resuscitation.
SUBSTANCE: one should strike a blow for the 2nd intercostal area right-hand against patient's sternum. The present innovation enables to restore rhythmic contractions of cardiac muscle due to inducing mechanical energy with a pacemaker followed by transforming it into electric energy.
EFFECT: higher efficiency.
FIELD: medicine; medical engineering.
SUBSTANCE: method involves applying claimed device for measuring cardiac rhythm step-by-step. Pressure pulsation is created in peripheral vascular system synchronized with cardiac rhythm at given cardiac cycle moment in counterpulsation mode. At least one input system parameter exciting pressure pulsation is changed to achieve optimized reduction at least heart beat rate or systolic pressure and to obtain resulting heart load reduction in this way. The heart load is considered to be functionally dependent on heart beat rate and systolic blood pressure.
EFFECT: enhanced effectiveness in relieving heart load; high safety level.
39 cl, 19 dwg
SUBSTANCE: method involves increasing respiration minute volume after applying carbodioxyperitoneum in a way that CO2 concentration is to be within 32-38 mm of mercury column and remaining at this level during the carbodioxyperitoneum treatment course. The CO2 concentration is supported at 30-32 mm of mercury column for 5-10 min after canceling the carbodioxyperitoneum with following respiration minute volume reduction until CO2 concentration reaches normal values.
EFFECT: reduced frequency of postoperative nausea and vomiting attacks.
1 dwg, 4 tbl
FIELD: medicine, cardiology, medicinal equipment.
SUBSTANCE: the present innovation refers to the devices for correcting human functional state and could be applied for normalizing cardiac activity, autonomic unbalance, optimizing a reflecting and coordinating functions of central nervous system during the process of adaptation to natural and professionally-induced extreme factors and, also, in complex therapy of cardiovascular and psychosomatic diseases. The device has got a unit for registering the rhythm of inferior limbs' locomotions with possibility of generating monopolar rectangular impulses modulated in the rhythm of inferior limb's locomotions at rearranged carrying frequency; a unit for registering the rhythm of cardiac contractions at possibility for generating monopolar rectangular impulses modulated in the rhythm of automatically detected R wave at rearranged carrying frequency, a commutator and switches at normally opened wrenches that provides the chance for multi-variant connection of two head telephones at separate supply and glasses with protective light filters and with light diodes of different color and separate supply, the regulators of sound power and brightness degree of light diodes designed with the chance for individual independent matching the intensity of sound and/or light signals according to the criterion of the comfort of subjective perception - all being on internal surface of each glass. The innovation provides widened functional capacities and area of application of the device suggested, its simplified exploitation, decreased price and easiness of procedures fulfilled with its help.
EFFECT: higher efficiency.
7 dwg, 3 ex, 1 tbl
SUBSTANCE: it is necessary to carry out 5-7 courses of complex rehabilitation per 100 trainings/each. Moreover, complex rehabilitation consists of 3 types of trainings. During trainings on social-vocal rehabilitation it is necessary to form fluent and rhythmic speech through deep release of vocal brake and dosed loading upon auditory perception increased from training to training, through pronunciation and psychoemotional sphere. So, at first, it is necessary to activate the brain due to stimulating auditory and vocal areas. During trainings on adaptive-physical rehabilitation it is important to carry out deep muscular pull. The main part of trainings should be supplemented with performing gymnastic exercise known as "piked seat" in static isometric mode. While performing the exercise a patient should achieve the position "legs together, breast - on legs", when the angle formed by a patient's back and legs corresponds to 0. While performing this exercise a patient's back should be additionally affected with external loading as either pressing with a trainer's hands or putting a load onto a patient's back. During trainings on psychological-pedagogical rehabilitation it is necessary to elaborate stress resistance due to multiple repetition of stress loadings being increased from training to training and their psychocorrection. The innovation enables to provide stable effect of recovery at complete absence of disease regress and under condition of excluding medicinal therapy from the course of therapy.
EFFECT: higher efficiency of therapy.
7 cl, 1 ex