Method and apparatus for improved cardio-pulmonary resuscitation using cycles with 4 and 5 states

1. A cardio-pulmonary resuscitation apparatus to assist in the rescue of a patient in cardiac arrest, comprising:

sealing means to control the airway of the patient, and

an airway valve that in combination with said sealing means is configured to open and close the airway of the patient, and

means to actuate the airway valve, and

an oxygen source to provide oxygen to the patient, and

an oxygen line to deliver oxygen at the airway of the patient, and

an oxygen valve to control oxygen flow, and

an oxygen valve actuator, and

means to deliver mechanical compressions to the chest of the patient, and

a control unit, coupled to said airway valve actuating means and to said oxygen valve actuator and to said mechanical compression delivery means, the control unit configured to actuate the airway valve, the oxygen valve and the mechanical compression delivery means, so as to effect the sequence of states consisting of:

a) compressed chest with closed airway,

b) compressed chest with open airway to ventilate respiratory gas out of the lungs of the patient,

c) decompressed chest with closed airway,

d) decompressed chest with the oxygen valve open to ventilate oxygen into the lungs of the patient.

2. The cardio-pulmonary resuscitation apparatus of claim 1 , configured to provide passive oxygen inspiration, wherein the oxygen line is located to deliver oxygen in front of the airway valve, and wherein state d) of the sequence further includes the airway valve open.

3. The cardio-pulmonary resuscitation apparatus of claim 1 , configured to provide active oxygen delivery, wherein the oxygen line is located to deliver oxygen between the airway valve and the patient's lungs, and wherein state d) of the sequence further includes the airway valve closed.

4. A cardio-pulmonary resuscitation apparatus to assist in the rescue of a patient in cardiac arrest, comprising:

sealing means to control the airway of the patient, and

an airway valve that in combination with said sealing means is configured to open and close the airway of the patient, and

means to actuate the airway valve, and

an oxygen source to provide oxygen to the patient, and

an oxygen line to deliver oxygen at the airway of the patient, and

an oxygen valve to control oxygen flow, and

an oxygen valve actuator, and

sensor means to sense compressions on the chest of the patient, and

a control unit, coupled to said airway valve actuating means and to said oxygen valve actuator and to said sensor means, the control unit configured to use the sensor information to actuate the airway valve and the oxygen valve so as to effect the sequence of states consisting of:

a) closed airway during a sensed compression,

b) open airway to ventilate respiratory gas out of the lungs of the patient during a sensed compression,

c) closed airway during a sensed decompression,

d) open oxygen valve to ventilate oxygen into the lungs of the patient during a sensed decompression.

5. The cardio-pulmonary resuscitation apparatus of claim 4 , configured to provide passive oxygen inspiration, wherein the oxygen line is located to deliver oxygen in front of the airway valve, and wherein state d) of the sequence further includes the airway valve open.

6. The cardio-pulmonary resuscitation apparatus of claim 4 , configured to provide active oxygen delivery, wherein the oxygen line is located to deliver oxygen between the airway valve and the patient's lungs, and wherein state d) of the sequence further includes the airway valve closed.

7. A method for cardio-pulmonary resuscitation to assist in the rescue of a patient in cardiac arrest, comprising:

providing sealing means to control the airway of the patient, and

providing an airway valve that in combination with said sealing means is configured to open and close the airway of the patient, and

providing means to actuate the airway valve, and

providing an oxygen source to provide oxygen to the patient, and

providing an oxygen line to deliver oxygen at the airway of the patient, and

providing an oxygen valve to control oxygen flow, and

providing an oxygen valve actuator, and

providing means to deliver mechanical compressions to the chest of the patient, and

providing a control unit, coupled to said airway valve actuating means and to said oxygen valve actuator and to said mechanical compression delivery means, the control unit configured to actuate the airway valve, the oxygen valve and the mechanical compression delivery means, so as to effect the sequence of states consisting of:

a) compressing the chest with a closed airway,

b) compressing chest with an open airway to ventilate respiratory gas out of the lungs of the patient,

c) decompressing the chest with a closed airway,

d) decompressing the chest with the oxygen valve open to ventilate oxygen into the lungs of the patient.

8. The cardio-pulmonary resuscitation method of claim 7 , delivering passive oxygen inspiration, by providing the oxygen line located to deliver oxygen in front of the airway valve, and by further opening the airway valve in state d) of the sequence.

9. The cardio-pulmonary resuscitation method of claim 7 , providing active oxygen delivery, by providing the oxygen line located to deliver oxygen between the airway valve and the patient's lungs, and by further closing the airway valve in state d) of the sequence.

10. A method for cardio-pulmonary resuscitation to assist in the rescue of a patient in cardiac arrest, comprising:

providing sealing means to control the airway of the patient, and

providing an airway valve that in combination with said sealing means is configured to open and close the airway of the patient, and

providing means to actuate the airway valve, and

providing an oxygen source to provide oxygen to the patient, and

providing an oxygen line to deliver oxygen at the airway of the patient, and

providing an oxygen valve to control oxygen flow, and

providing an oxygen valve actuator, and

providing sensor means to sense compressions on the chest of the patient, and

providing a control unit, coupled to said airway valve actuating means and to said oxygen valve actuator and to said sensor means, the control unit configured to use the sensor information to actuate the airway valve and the oxygen valve, so as to effect the sequence of states consisting of:

a) closing the airway during a sensed compression,

b) opening the airway to ventilate respiratory gas out of the lungs of the patient during a sensed compression,

c) closing the airway during a sensed decompression,

d) opening the oxygen valve to ventilate oxygen into the lungs of the patient during a sensed decompression.

11. The cardio-pulmonary resuscitation method of claim 10 , delivering passive oxygen inspiration, by providing the oxygen line located to deliver oxygen in front of the airway valve, and by further opening the airway valve in state d) of the sequence.

12. The cardio-pulmonary resuscitation method of claim 10 , providing active oxygen delivery, by providing the oxygen line located to deliver oxygen between the airway valve and the patient's lungs, and by further closing the airway valve in state d) of the sequence.

13. A method for cardio-pulmonary resuscitation to assist in the rescue of a patient in cardiac arrest, comprising:

providing sealing means to control the airway of the patient, and

providing a valve that in combination with said sealing means is configured to open and close the airway of the patient, and

providing means to actuate the valve, and

providing a timing light to cue the rescuer, and

providing sensor means to sense compressions on the chest of the patient, and

providing a control unit, coupled to said valve actuating means and to said sensor means and to said timing light, the control unit configured to cue the rescuer to deliver chest compressions at a rate between 80 and 120 per minute, and to use the sensor information to actuate the valve, so as to effect the sequence of states consisting of:

a) closing the airway during a sensed compression,

b) closing the airway during a sensed decompression,

c) opening the airway to ventilate respiratory gas out of the lungs of the patient during a sensed compression,

d) closing the airway during a sensed decompression,

e) opening the airway to ventilate respiratory gas into the lungs of the patient during a sensed decompression.

14. A cardio-pulmonary resuscitation apparatus to assist in the rescue of a patient in cardiac arrest, comprising:

sealing means to control the airway of the patient, and

a valve that in combination with said sealing means is configured to open and close the airway of the patient, and

means to actuate the valve, and

a mechanical ventilation device to actively inflate the lungs, and

means to deliver mechanical compressions to the chest of the patient, and

a control unit, coupled to said valve actuating means and to said mechanical ventilation device and to said mechanical compression delivery means, the control unit configured to actuate the valve, the mechanical ventilation device, and the mechanical compression delivery means, so as to effect the sequence of states consisting of:

a) compressed chest with closed airway,

b) compressed chest with open airway to ventilate respiratory gas out of the lungs of the patient,

c) decompressed chest with closed airway,

d) decompressed chest with active lung inflation to ventilate respiratory gas into the lungs of the patient.

15. A method for cardio-pulmonary resuscitation to assist in the rescue of a patient in cardiac arrest, comprising:

providing sealing means to control the airway of the patient, and

providing a valve that in combination with said sealing means is configured to open and close the airway of the patient, and

providing means to actuate the valve, and

providing a mechanical ventilation device to actively inflate the lungs, and

providing means to deliver mechanical compressions to the chest of the patient, and

providing a control unit, coupled to said valve actuating means and to said mechanical ventilation device and to said mechanical compression delivery means, the control unit configured to actuate the valve, the mechanical ventilation device, and the mechanical compression delivery means, so as to effect the sequence of states consisting of:

a) compressing the chest with a closed airway,

b) compressing the chest with an open airway to ventilate respiratory gas out of the lungs of the patient,

c) decompressing the chest with a closed airway,

d) decompressing the chest and actively inflating the lungs to ventilate respiratory gas into the lungs of the patient.