Abstract: An external defibrillator system is disclosed that generates and applies a diagnostic signal to the patient in conjunction with defibrillation therapy. The diagnostic signal is designed to elicit a physiologic response from the patient's heart, namely, mechanical cardiac response and electrical cardiac response, electrical cardiac response only, or no cardiac response. Depending upon the type of cardiac response detected, the system selects an appropriate resuscitation protocol that considers the likely responsiveness of the patient to defibrillation therapy. In one practical embodiment, a stimulus signal is applied to patients that show mechanical and electrical capture in response to the diagnostic signal. The stimulus signal maintains the mechanical capture (and, therefore, perfusion) for a period of time prior to the delivery of a defibrillation pulse.

Abstract: Signal data obtained from a piezoelectric sensor placed on a patient's body is used to detect the presence of a cardiac pulse. The piezoelectric sensor has a transducing element adapted to sense movement due to a cardiac pulse and produce piezoelectric signal data in response thereto. Processing circuitry analyzes the piezoelectric signal data for a feature indicative of a cardiac pulse and determines whether a cardiac pulse is present in the patient based on the feature. In one aspect, the feature may be a temporal feature such as a relative change in energy. In another aspect, the feature may be a spectral feature such as the energy or frequency of a peak in the energy spectrum of the signal. In yet another aspect, the feature may be obtained by comparing the piezoelectric signal data with a previously-identified pattern known to predict the presence of a cardiac pulse. Multiple features may also be obtained from the piezoelectric signal data and classified to determine the presence of a cardiac pulse.

Abstract: Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

Abstract: The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

Abstract: Methods and apparatus are provided for documenting the myocardial ischemia of a patient's heart. The apparatus comprises an ECG monitor and data collector configured to receive electrocardial data about the patient's heart. The apparatus further comprises a cardiac marker data collector configured to receive cardiac marker data about the patient's heart. A data processing and recording module is in electrical communication with the ECG monitor and data collector and the cardiac marker data collector and is configured to record the electrocardial data and the cardiac marker data. The method comprises the steps of obtaining electrocardial data about the patient's heart and receiving results of a cardiac marker test performed on the patient. The electrocardial data and the test results are stored in a patient report, which then may be displayed.

Abstract: A transportation, storage and installation device for rig utilities. The device includes a telescoping bridge having an outer frame assembly with an opening therethrough supporting a plurality of cables. The telescoping bridge also includes an inner beam assembly receivable within the outer frame assembly opening supporting a plurality of cables, wherein the inner beam assembly may be extended from or retracted into the opening. The device also includes a utility boom having an elongated post terminating in a rotatable boom base, and a boom pivotally connected to the boom base wherein the pivotal connection has an axis transverse to the post. At least one cylinder moves the boom from a storage position substantially perpendicular to the post to a position wherein the boom is at an obtuse angle to the storage position. The device also includes a service arm supporting a plurality of electrical cables.

Abstract: A method for the failsafe monitoring of the rotational movement of a shaft comprises a first step of picking up a characteristic pulse train with a number of pulses following one another at successive times, the time interval between the pulses is dependent on the rotational movement. A second step determines a monitoring time period and a third step monitors whether an expected pulse of the pulse train occurs within the monitoring time period. Finally, there is a fourth step of generating a control signal when the expected pulse does not occur within the monitoring time period. The monitoring time period is repeatedly adapted to the time interval of the pulses during monitoring.

Abstract: A very compact interactive toy is provided that provides highly life-like and intelligent seeming interaction with the user thereof. The toy can take the form of a small animal-like creature having a variety of moving body parts that have very precisely controlled and coordinated movements thereof so as to provide the toy with life-like mannerisms. The toy utilizes sensors for detecting sensory inputs which dictate the movements of the body parts in response to the sensed inputs. The sensors also allow several of the toys to interact with each other. The body parts are driven for movement by a single motor which is relatively small in terms of its power requirements given the large number of different movements that it powers. In addition, the motor is reversible so that the body parts can be moved in a non-cyclic life-like manner.

Abstract: A controller for model trains on a train track is provided. The controller causes direct current control signals to be superimposed on alternating current power signals to control effects and features on model vehicles. The model vehicle includes a receiver unit responsive to the direct current control signals.