A cardiac assist cuirass is disclosed that acts to alternately apply compression and vacuum to the torso of a patient. This draws venous blood back from the periphery into the lungs and forces oxygenated blood out from the lungs through the left heart to the rest of the body, while at the same time ventilating the lungs. Thus, it can maintain life even during complete cardio-pulmonary arrest. It can also be synchronized with a weakly beating heart for assistance in congestive heart failure or cardiogenic shock. It is adjustable for a wide range of body sizes, does not interfere with routine nursing care or intensive medical care. It is hand portable, uses standard electric supply and is easily adjustable for a wide range of cardiac and pulmonary purposes.
An artificial respirator employs rotating chambers to modulate pressure from a unidirectional fluid source. The chambers are defined by a core rotating in a shell. The core includes an internal divider and a back wall. The core also includes a shaft coupled to a motor. The motor is mounted on the shell via screws.
A method of operating a magnetic resonance imaging scanner for imaging the heart of a patient comprising inducing apnoea in the patient; sensing an electrical heart waveform; in response thereto moving the chest wall of the patient to a desired location; and triggering the scanner to image.
An active compression/decompression CPR device capable of providing both complete cardiopulmonary support and cardiopulmonary assistance includes two or more thoracic compressors, preferably inflatable bladders, positioned so that the chest can first be flattened and compressed, increasing the pressure in the chest, and then circularized and decompressed, decreasing the pressure in the chest. When inflatable bladders are used, they can be surrounded with a rigidifying vest which resists outward bladder expansion. Compression and decompression can be performed along with abdominal compression, and the device is capable of shifting between support and assist modes when the patient's condition so requires. Also described is a method of compressing and then decompressing a patient's thorax by applying anterior and/or posterior pressure to the thorax, so as to compress the thorax and increase pressure therein, relieving that pressure, and then applying lateral pressure to the thorax to decompress and relieve pressure in the thorax, and then relieving the lateral pressure.
A method and device are disclosed for inflating an inflatable vest to assist the heart in patients suffering from heart failure. The inflation of the vest is synchronized with on-set of the systole phase of the heart, when the left ventricular compresses to force blood out of the heart and through the aorta. The inflated vest compresses the patient's chest and increases the intrathoracic pressure. This increase in pressure assists the heart in moving blood out of the heart and through the aorta. In addition, the vest is arranged to leave the patient's abdomen free of restraint so that the increase in intrathoracic pressure due to the vest moves blood into the abdomen, and to allow the abdomen to dynamically recoil in response to the vest inflation. In addition, ECG signals from electrodes applied to the patient are processed to trigger the vest inflation in real time with the current heartbeat cycle, such that the vest inflation is triggered when the heart begins to contract.
A method is disclosed for inflating an inflatable vest to assist the heart in patients suffering from heart failure. The inflation of the vest is synchronized with on-set of the systole phase of the heart, when the left ventricular compresses to force blood out of the heart and through the aorta. The inflated vest compresses the patient's chest and increases the intrathoracic pressure. This increase in pressure assists the heart in moving blood out of the heart and through the aorta. In addition, the vest is arranged to leave the patient's abdomen free of restraint so that the increase in intrathoracic pressure due to the vest moves blood into the abdomen, and to allow the abdomen to dynamically recoil in response to the vest inflation. In addition, ECG signals from electrodes applied to the patient are processed to trigger the vest inflation in real time with the current heartbeat cycle, such that the vest inflation is triggered when the heart begins to contract. A controller provides an adjustable signal blanking period to avoid noise components following the QRS complex.