Method and device for rapidly inducing hypothermia
Disclosed is a system and method for inducing therapeutic levels of hypothermia in a patient in the emergent care setting. The system consists of a small battery operated console and one or more garments. The garments are connected to the console by one or more umbilicals. The console provides cold fluid to the garments under pressure and the garment cools the surface of the body. Fluid returns from the garment back to the console in a closed loop fashion. The console contains an electrical battery and a thermal battery that provides operation of the system for more than one hour. The cooling capacity of the system is sufficient to induce therapeutic levels of hypothermia in approximately 30 to 90 minutes in most patients. Use of the system does not preclude any therapeutic or diagnostic interventions that are commonly performed in the emergent care setting.
1. A thermal regulation system, comprising:
a console having:
a fluid reservoir configured to hold a thermal exchange fluid,
a pressure source in fluid communication with the fluid reservoir, and
a suction source in fluid communication with the fluid reservoir; and
a thermal regulation device having:
a cap configured to cover at least a portion of a patient's head to define a fluid circulation space into which the thermal exchange fluid can be introduced to contact the patient's head;
at least one inlet coupled to the pressure source and configured to introduce the thermal exchange fluid into the fluid circulation space under positive gage pressure;
at least one outlet coupled to the suction source and configured to withdraw the thermal exchange fluid from the fluid circulation space, the cap further configured to induce negative gage pressure in the fluid circulation space compared to atmospheric pressure outside the fluid circulation space; and
a cooling collar in fluid communication with the fluid reservoir.
2. The thermal regulation system of claim 1 , wherein the at least one outlet comprises an aspiration channel disposed at least partially about a periphery of the cap.
3. The thermal regulation system of claim 1 , wherein the cap comprises an outer liner formed of an insulation material.
4. The thermal regulation system of claim 1 , wherein the fluid reservoir comprises a pressure switch configured to engage a closed position to activate the pressure source when a pressure within the fluid reservoir is below atmospheric pressure.
5. The thermal regulation system of claim 1 , wherein the cap is configured to induce hypothermia.
6. The thermal regulation system of 1 , wherein the negative gage pressure in the fluid circulation space seals an edge of the cap to the patient's head.
7. A method for inducing hypothermia in a patient, comprising:
covering at least a portion of a patient's head with a cap to define a fluid circulation space, the cap having at least one inlet configured to introduce a cooling fluid into the fluid circulation space and at least one outlet configured to withdraw the cooling fluid from the fluid circulation space;
coupling the at least one inlet to a pressure source;
coupling the at least one outlet to a suction source;
activating the pressure source to provide the cooling fluid under positive gage pressure to the fluid circulation space; and
activating the suction source to remove the cooling fluid from the fluid circulation space under negative gage pressure.
8. The method of claim 7 wherein the at least one outlet comprises an aspiration channel disposed at least partially about a periphery of the cap.
9. The method of claim 7 wherein the cap comprises an outer liner formed of an insulation material.
10. The method of claim 7 , comprising:
placing a physiological sensor in proximity to the patient to monitor body cooling of the patient; and
controlling operation of at least one of the pressure source and the suction source based on the monitoring by the physiological sensor to control cooling.
11. The method of claim 7 , wherein the negative gage pressure in the fluid circulation space seals an edge of the cap to the patient's head.