# US 9,433,554 B2 · Integrated resuscitation > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 9,433,554 B2 - Document ID: US9433554B2 - Status: Granted - Kind: B2 - Application number: 14/816,393 - Filed: 2015-08-03 - Published: 2015-12-10 - Granted: 2016-09-06 - Earliest claimed: 2000-02-04 - Assignees: ZOLL Medical Corporation - Applicants: Zoll Medical Corporation - Inventors: Gary A. Freeman - Web page: https://patentgrep.com/patent/US9433554B2 ## CPC - A61H 31/005: {with feedback for the user} - A61H 31/004: {Heart stimulation} - A61H 31/007: {Manual driven} - A61N 1/046: {Specially adapted for shock therapy, e.g. defibrillation} - A61N 1/0492: {Patch electrodes (A61N1/0412, A61N1/0428 take precedence)} - A61N 1/39044: {in combination with cardiopulmonary resuscitation [CPR] therapy} - A61N 1/3925: {Monitoring; Protecting} - A61N 1/3987: {characterised by the timing or triggering of the shock} - A61N 1/3993: {User interfaces for automatic external defibrillators} - A61H 2031/002: {fixed on the chest by adhesives} - A61H 2201/10: with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy - A61H 2201/5007: computer controlled - A61H 2201/5043: Displays - A61H 2201/5048: Audio interfaces, e.g. voice or music controlled - A61H 2201/5061: Force sensors - A61H 2201/5084: Acceleration sensors - A61H 2230/207: partial O2-value - A61H: PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY (electrotherapy, magnetotherapy, radiation therapy or ultrasound therapy A61N) - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) ## Abstract An integrated resuscitation system for use by a rescuer to resuscitate a patient is provided, including: a defibrillation and CPR resuscitation assembly including: a first high-voltage defibrillation electrode; a second high-voltage defibrillation electrode; a compression-sensing element mechanically connected with the first and second electrodes, the compression-sensing element comprising an accelerometer and associated circuitry; and a resuscitation control unit including an internal charge storage capacitor, a microprocessor and associated circuitry configured to be electrically connected to the first and second electrodes and the compression-sensing element and configured to analyze signals generated from the compression-sensing element and at least one of the first electrode and the second electrode to provide resuscitation prompts to the rescuer, wherein the prompts are based at least in part on use of the compression-sensing element by the rescuer. ## Claims ### Claim 1 An integrated resuscitation system for use by a rescuer to resuscitate a patient, comprising: a defibrillation and CPR resuscitation assembly comprising: a first high-voltage defibrillation electrode; a second high-voltage defibrillation electrode; a compression-sensing element mechanically connected with the first and second electrodes, the compression-sensing element comprising an accelerometer and associated circuitry; and a resuscitation control unit comprising an internal charge storage capacitor, a microprocessor and associated circuitry configured to be electrically connected to the first and second electrodes and the compression-sensing element and configured to analyze signals generated from the compression-sensing element and at least one of the first electrode and the second electrode and configured to provide resuscitation prompts to the rescuer, wherein at least one of the prompts are based at least in part on use of the compression-sensing element by the rescuer, and wherein the prompts comprise prompting the rescuer to attach the first and second electrodes to the patient, prompting the rescuer to assist a patient's breathing, and prompting the rescuer to apply chest compressions to the patient. ### Claim 2 (depends on 1) The resuscitation system according to claim 1, wherein the assembly is configured to electrically connect with the circuitry of the resuscitation control unit, and wherein the resuscitation control unit is a fully automated external defibrillator. ### Claim 3 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts further comprise prompting the rescuer to clear a patient's airway. ### Claim 4 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts further comprise instructions to the rescuer to check the patient's pulse. ### Claim 5 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts further comprise instructions to the rescuer on placing one of the rescuer's hands on the patient's chest and the compression sensing element. ### Claim 6 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts based on use of the compression-sensing element are oral prompts. ### Claim 7 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts based on use of the compression-sensing element are visual prompts. ### Claim 8 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts based on use of the compression sensing element further comprise prompting the rescuer to apply additional force. ### Claim 9 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts based on use of the compression sensing element further comprise prompting the rescuer to cease chest compressions if the user is performing CPR at an inappropriate point in time. ### Claim 10 (depends on 1) The resuscitation system according to claim 1, wherein the compression-sensing element comprises a semi-rigid housing. ### Claim 11 (depends on 1) The resuscitation system according to claim 1, wherein the compression-sensing element comprises a housing wherein at least one layer is composed of a rigid material. ### Claim 12 (depends on 1) The resuscitation system according to claim 1, wherein the defibrillation and CPR resuscitation assembly can be disconnected from the resuscitation control unit after use and replaced by another defibrillation and CPR resuscitation assembly. ### Claim 13 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation control unit analyzes the patient's electrical rhythm to determine if the rhythm is shockable and, if the rhythm is determined to be shockable, automatically causes a shock to be applied to the patient. ### Claim 14 (depends on 13) The resuscitation system according to claim 13, wherein the resuscitation control unit further prompts the rescuer to perform chest compressions. ### Claim 15 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation control unit is further configured to analyze the patient's electrical rhythm to determine if more than one shock is needed and to increase the energy of a subsequent shock if it is determined based upon the analysis that more than one shock is needed. ### Claim 16 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts further comprise prompting the rescuer to perform mouth-to-mouth resuscitation. ### Claim 17 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts further comprise prompting the rescuer to breathe into the patient's mouth. ### Claim 18 (depends on 1) The resuscitation system according to claim 1, wherein the assembly further comprises a pulse detection system. ### Claim 19 (depends on 1) The resuscitation system according to claim 1, wherein the pulse detection system comprises a pulse oximetry system. ### Claim 20 (depends on 1) The resuscitation system according to claim 1, wherein the pulse detection system comprises a phonocardiogram system for listening to the sounds of the patient's heart. ### Claim 21 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts further comprise prompting the rescuer to check a patient's airway. ### Claim 22 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts comprise oral and/or visual prompts. ### Claim 23 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts comprise text prompts. ### Claim 24 (depends on 1) The resuscitation system according to claim 1, wherein the resuscitation prompts comprise oral and text prompts. ### Claim 25 (depends on 1) The resuscitation system according to claim 1, wherein the prompts comprise at least one of prompting the rescuer to contact an emergency medical service, prompting the rescuer to contact an emergency medical system, prompting the rescuer to start CPR, prompting the rescuer to start chest compressions, prompting the rescuer to stop chest compressions, prompting the rescuer to press harder, prompting the rescuer to press faster, prompting the rescuer to press slower, and/or prompting the rescuer to press a button to deliver a shock. ### Claim 26 (depends on 1) The resuscitation system according to claim 1, wherein the integrated resuscitation system comprises at least two of: wherein the resuscitation control unit is configured to analyze the patient's electrical rhythm to determine if more than one shock is needed and to increase the energy of a subsequent shock if it is determined based upon the analysis that more than one shock is needed, wherein the assembly is configured to electrically connect with the circuitry of the resuscitation control unit, and wherein the resuscitation control unit is a fully automated external defibrillator, and/or wherein the compression-sensing element comprises a semi-rigid housing.