WO2010148529A1

WO2010148529A1 - Cardiopulmonary resuscitation device

Info

Publication number: WO2010148529A1
Application number: PCT/CL2010/000010
Authority: WO
Inventors: Andrea Fernanda Andrade Donoso; Luis Alejandro Escobar Murgas
Original assignee: Andrea Fernanda Andrade Donoso; Luis Alejandro Escobar Murgas
Priority date: 2009-06-26
Filing date: 2010-02-12
Publication date: 2010-12-29

Abstract

The present invention relates to a pneumatic cardiopulmonary resuscitation (CPR) device, which uses cardiac and abdominal massage, as well as defibrillation and nasopharyngeal ventilation, useful for in situ, portable and self-supported applications.

Description

CARDIO-PULMONARY RESUSCITATION DEVICE.

DESCRIPTIVE MEMORY The present invention corresponds to a pneumo-pulmonary cardiopulmonary resuscitation (CPR) device, which applies cardiac and abdominal massage, along with nasopharyngeal defjbrilation and ventilation, useful for on-site, portable and self-sustained applications.

BACKGROUND OF THE INVENTION The success of resuscitation after a heart attack is low, according to statistics, less than 5% of patients survive long term after leaving resuscitation in the hospital. When this recovery is intra-hospital, this index can rise to 10%. A heart attack is an event in which the heart stops abruptly and suddenly. Associated symptoms and precursors are often unnoticed and include several cardiac deficiencies such as arrhythmias or disease such as atherosclerosis, anaphylactic profiindo shock, significant changes in the electrolyte composition of the blood, or drug overdose. A cardiac arrest is usually fatal within a few minutes, especially when it is not adequately addressed. If blood circulation and oxygenation throughout the body is reestablished within a few minutes after cardiac arrest, irreversible ischemic damage to body tissue (lack of oxygen) can be minimized or avoided.

In common or traditional treatments of cardiopulmonary resuscitation (CPR), massages are given or the victim is stimulated externally to recirculate blood through the patient's body. In addition, the patient is ventilated to provide air flow through the lungs for oxygenation of the blood. Often a defibrillator is used, which sends a strong electric current through the heart, it can be used to eliminate arrhythmic impulses. Traditionally, there are people medically trained to administer or provide CPR. Traditional CPR is delivered manually, wherein the chest is compressed in a cyclic fashion, and breathing is promoted by ventilation of the patient's airway, for example, by mouth-to-mouth ventilation.

The suggestion guide published by the European Council of Resuscitation and Heart Association of American recommends a compression of the thorax close to 20% of the depth of the sternum. The general, adult sternum depth varies from about 175 mm to 260 mm. Thus, the recommended depth of chest compression should be 35 to 52 millimeters. Manually, the compressions of the patient's chest should be vigorous and physically demanding, making it difficult to give CPR consistently or correctly for continuous and moderately extensive periods. Chest compression / decompression devices (CPR devices) are now available that mechanically stimulate the heart. These devices compress and decompress a patient's chest in a cyclic fashion. These devices can be incorporated in sets or portable systems, for example the LUCAS, Thumper and ZOLL devices. Chest compression / decompression or automated CPR devices include a compressor unit, which acts on a chest contact surface to compress and / or mechanically decompress the patient's chest. For this the patient is placed in an upright position during the administration of the CPR. In general, the compressor unit rests vertically on the chest of the patient so that the contact surface is exerting pressure on the patient's chest, just above the sternum. In other embodiments, the known automated PCR devices also use additional therapeutic measures. For example, electrical defibrillators can be used to defibrillate the patient's heart separately or in conjunction with the mechanical stimulus on the chest. For example, US 4,273,114 discloses an apparatus that can be use for mechanical compression of the chest simultaneously with defibrillation of the heart

A heart attack is often accompanied by a stoppage of respiratory function. Having a suitable source of oxygen for ventilation through the respiratory tract, allowing blood to be oxygenated, is of importance for the resuscitation of the patient, since said blood begins to recirculate through the patient's body driven by compression / decompression of the thorax . In purely manual procedures and traditional CPR administrations, the person providing first aid performs ventilation in a mouth-to-mouth system. In such a scenario, devices for ventilation are helpful during the execution of CPR, improving the time of oxygen flow to the patient's lungs. US Pat. No. 6,312,399 describes a stimulator with electrodes for stimulating the respiratory muscles of the patient during compression / decompression of the chest during CPR. The stimulation of respiratory muscles causes an increase in the magnitude and duration of negative intrathoracic pressure (chest decompression) by which venous blood is drawn to the heart and lungs.

Similarly, US Pat. No. 5,692,498 discloses the use of a valve for measuring air in a patient's lungs. The valve rests on an endotracheal tube, which is installed in the patient's trachea. The valve allows air to enter only when the lung cavity or intrathoracic pressures fall below a threshold pressure, for example, during chest decompression. Therefore, air entry during the administration of CPR occurs when venous blood flow is aspirated into the heart by low intrathoracic pressures.

The antecedents of the art are abundant in terms of the processes and devices for ventilating and performing thoracic pressure, on occasions together with electric defibrillation procedures. A practical mechanism for automating cardiac chest compression is disclosed in US 3,364,924, Michigan Instruments, Inc., and has been commercially exploited under the Thumper brand, Cardiopulmonary Resuscitation System. On the other hand, in the system disclosed in US 3,461,861, they added pulmonary ventilation to the Thumper, providing an intermittent ventilation cycle with respect to compression cycles.

Regarding the structure of the devices, in Maier, George W. and others, in circulation, vol. 1, 1984, "The physiology of external cardiac massage; High-Impulse cardiopulmonary resuscitation" discloses a new form of CPR under the name of high-impulse CPR. In this modality, it was discovered that the high energies provided by the CPR pulse significantly improved perfusion in the patient's cardiovascular system.

In the following patents, US 1,197,232, US 1,371,702, US 1,406,141, US 2,427,419, US 2,428,451, US 3,461,866, US 4,077,404, US No. 4,239,038, US 4,870. 962, US 5,009,226, US 1,197,232, disclose devices that include manual bellows with cameras. When the bellows are activated, the positive pressure remains in the first chambers and a vacuum is created in the second chambers.

In US 1,371,702, a device that includes a manual piston coupled to a mask is disclosed. When the piston is activated, pressure differences are created that allow air to be extracted from the patient's lungs. In US 1,406,141, it discloses an apparatus for producing a constant air circulation for sufficient time to ensure the complete expansion of the patient's lungs and bronchial tubes. In US 2,427,419, a resuscitative device is disclosed that forces suction of spent air from the lungs of the patient. In US 2,428,451, a resuscitator is disclosed which intermittently forces the entrance of oxygen into a patient's lungs to inflate them, emptying them will depend on the elasticity of the lungs. In US 3,461,866, a respirator is disclosed that includes a pair of piston-type pumps connected by a common bar where they are operated simultaneously by reciprocal operation. That is, one pump is operable to induce the inhalation of the patient and the other pump is operable in another movement to induce the exhalation of the patient, in both cases there is operation of the device on breathing by an effect on the air flow and not by chest pressure In US 4,077,404, a resuscitating device is disclosed comprising inspiratory and expiration ports, arranged to ensure automatic operation of the aeration air under operating conditions in such a manner as to prevent undesirable accumulation of pressure in the patient's lungs. . In US4,239,038, it discloses a manual resuscitator that has a set of valves that prevent the exhaled gas from returning to the breathing reservoir.

In relation to devices that have a double pressure system, using chest and abdominal pressure, we can cite US 2005165335 (US7.166.082) where a device for operating abdominal and thoracic compression by means of a mechanical device is disclosed. rollers and compressor belts, where it is not complemented by additional ventilation and / or defibrillation systems. On the other hand, in US 2006047228 (US7.211.056) a portable and manual operation device for thoracic and / or abdominal compression is described by means of an operator-dependent lever system, a device that is not supplemented by additional ventilation systems and / or defibrillation. On the other hand, in the patents US4,424,806, US5,222,478, US4,349,015, US5,630,789, US5,891,062, US5,487,722, US6,676,613 are described devices that contemplate the execution of thoracic and abdominal massage as a whole, without However, they do not contemplate a system that integrates both aspects together a ventilator and a defibrillator in a portable and automatic system. DESCRIPTION OF THE FIGURES

The following figures are associated with the present invention, correspond to evidence that supports innovation and illustrate some preferred embodiments, in no way corresponds or seeks to restrict the scope of the present invention. Figure 1 shows a graph that indicates the effectiveness of CPR when performed by first aid personnel or qualified for these purposes, where as the time elapses since the implementation of CPR, the chances of survival of the patient decrease. This can be due to the body's own biomechanical faculties, which are not very effective in prolonging the resuscitation exercise, since fatigue is generating lack of coordination and lack of strength to carry out adequate pressure.

Figure 2 shows the sequence of events that may occur in the transfer of a patient from the accident site where CPR is started to a hospital facility. Here it is appreciated that there are instances in which the CPR will be interrupted or deficient, since the person providing the first aid must perform multiple tasks, the operating space is reduced to attend to the patient or the pressure that must be exercised is not adequate to fatigue, time of operation, operating conditions and change of position of the patient. Figure 3 shows a comparison between performing abdominal or thoracic CPR when performed by first aid personnel and the device of the invention. It is appreciated that the device allows for first aid personnel in other care tasks, as well as maintaining the quality of the CPR at all times, due to the characteristics of portability and autonomy. Figure 4 shows a representation of the thoracic and abdominal area of the human body where the areas in which the pressure will be applied according to the device of the present invention are highlighted. Figure 5 shows a representation of the device of the invention where its location on a lying patient can be seen. The arrows indicate the direction of the pressure execution to perform the CPR.

Figure 6 represents the deployed device where its functions can be seen: perform abdominal and thoracic pressure, ventilation and defibrillation.

Figure 7 represents a preferred embodiment of the device of the invention. In 7 A and 7 B it is possible to see an external view of the device where the upper module or resuscitating casing (1) is shown, which brings together the resuscitation systems of the device and a registration and control screen (5), a base (2) where it is possible to position the patient and fix it with dorsal suction cups (3), in addition to a fixation and regulation system (4) that allows the base to be linked to the upper module and adjust the device to the patient's dimensions for an efficient operation. In a preferred embodiment, the screen is a touch screen (touchscreen or control display) that through a direct contact on its surface allows the entry of data and commands to the device. In turn, it acts as an output peripheral, a DIV function, that is, a visual computing device, which provides constant information about the patient's condition, for example heart rate, in addition to indicating operating parameters of the device, such as, for example, the alternation between massage and ventilation. Figure 8 represents a preferred embodiment of the invention. Figure 8 A shows a side view, Figure 8B is an enlargement and detail of some components, while Figure 8C is a top detail of a transparent representation of the device. It is possible to appreciate the disposition of the patches of the defibrillator (6), the mask or ventilation system (7), some electro-valves (8), the suckers and thoracic piston (9a and 9b) and suction cup and stomach piston (10a and 10b), among other components. DESCRIPTION OF THE INVENTION

The present invention relates to a pneumatic cardio-pulmonary resuscitation device that applies cardiac and abdominal massage, together with nasopharyngeal defjbrilation and ventilation, useful for on-site, portable and automatic applications. This device allows to coordinate and apply quickly and effectively, in an ambulatory modality or in hospital care, three essential actions to keep a patient alive: cardiac and abdominal massage, ventilation and defibrillation. Where the incorporation of abdominal massage is a remarkable progress to improve the quality and success of the resuscitation method. Furthermore, the present invention provides a method of operation of the device that provides autonomy to it, in addition to physical devices that allow programming, modifying and keeping a record or showing the behavior of the equipment and patient.

DETAILED DESCRIPTION OF THE INVENTION The present invention relates to a non-invasive, portable and integrated device to implement CPR procedures with the objective of re-establishing oxygenation of the blood, cardiac movement, promoting blood circulation through the body and, consequently, keep alive individuals who have experienced complex pulmonary heart disease. According to the invention, the device comprises at least means for generating cardiac massage and ventilation, it also comprises means for implementing abdominal massage complementary to cardiac massage and defibrillation. These processes are carried out automatically, practically independent of operators. On the other hand, in terms of quality and frequency, its operation is continuous and constant over time, so that a period of first aid of high efficiency is ensured. Furthermore, said means have versatility in their operation, on the one hand, they can function in a coordinated and synergistic manner, and for another, they can operate separately or sequentially and independently, according to the care requirements of the patient who is intervening. In its preferred modality, the equipment operator enters the data to initialize the device according to the patient's requirements (patient's check, its conditions of fibrillation, massage and fibrillation), according to this, the team executes the procedures indicated and delivers the feedback to the operator, in addition the team has a software in charge of moderating the operation of the circuit, to generate the tasks according to the information entered. Then the operator only receives the information provided by the screen, in a feedback process. In one embodiment of the invention, the breathing gas is under positive pressure and is applied to the respiratory tract of the patient. The supply of breathing gas can be effected through an endotracheal delivery tube or through a gas mask, which covers the patient's mouth and / or nose. In addition, the breathing gas may be oxygen or a convenient mixture of oxygen-inert gases plus other compounds useful for this treatment. Certainly, the breathing gas is operated in the appropriate and convenient ranges, conditions and measurements, for a beneficial administration to a patient. In one embodiment of the invention, the gas composition may include, for example, cardioplegic solutions (such as described in WO 02/11741) for alleviating the effect of a heart attack, compositions for improving recirculation (eg, adrenaline, vasodilators, vasopressin, cortisone, insulin, or cyclosporin A), and suitable saline chillers. The solutions can be introduced into the breathing gas in the form of aerosol, mist or according to the modalities suitable in the state of the art. In one embodiment of the invention, in terms of resuscitation and cardiac massage of the patient, this is mechanically and externally stimulated by massage using a compressor / decompressor device. The rates, frequency or reasons for the compression / decompression cycle can be configured or conveniently chosen according to the requirements of the patient and the objectives of the medical team. Preferably, the cycles can be programmed, for example, from at least 30 cycles / minute, preferably approximately 60 cycles per minute to 200 cycles per minute. During the cardiac massage cycle, the patient can be induced to have an inspiratory and expiratory cycle coordinated with the positive pressure of the breathing gas applied in resuscitation. The coordination of the massage and breathing cycles will depend on the feedback received by the operator from the patient's condition, through the screen or physiological observation, because this will be responsible for changing the cycles of the appliance's operation, as indicated for the patient. In one embodiment of the invention, electrical stimulation can be implemented by the use of defibrillation electrodes, which will be conveniently placed, for example, in the thorax and back of the patient. The stimulus of the electrode can, for example, be administered either as electric pulses or defibrillator shock, or a combination of both. The electrical stimulus can be administered in conjunction with the application of ventilation and while performing the mechanical stimulation of the heart. However, in some cases, the CPR procedure can be conveniently modified according to alternating periods of electrical stimulation with periods of mechanical stimulation.

The compressor unit used for mechanical stimulation can be pneumatically driven. The same ventilation gas that is applied to the respiratory tract can be used in the first instance to operate the compressor unit (s). A convenient source of venting gas can be, for example, a compressed gas tube or a pressurized gas container that can be used to drive the compressor unit. In standard CPR, only cardiac massage, the main difficulty is to maintain aortic pressure and good hemodynamics of cardiac output. One of the difficulties for this objective is the biomechanical and physical deficiency of the rescuers and paramedics, in general of the man, for the correct maintenance of the resuscitation action. prolonged and with invariable quality standards, said deficiency is shown in the figure

1. On the other hand, there is a physiological and anatomical cause that harms the execution of assistance and recovery, this has to do with the loss of muscle tone of an unconscious or unemployed person, which produces a deviation and loss of chest compressions towards the bones, empty spaces and concavities of the abdomen and thorax. In order to correct this deficiency, there are alternative techniques for a CPR, one of which is known as Interposed Abdominal Compression (CPR-CAI) or Simultaneous Abdominal Compression (CPR-CAS), which consist of applying abdominal compression synchronously or simultaneous with thoracic compression. When considering the standard CPR procedures this work should be done by a second or third rescuer or paramedic who provides first aid as shown in figure 3. These compressions in the abdomen during CPR would improve the pressure in the aorta of the heart, improving blood flow to the brain. Clinical studies have shown that aortic arterial pressures are adequate above the minimum circulation reaching even 80 to 90 mmHg, unlike standard RCP that reaches 40 mmHg, being insufficient for adequate perfusion of the brain and other vital organs. Another technique, also of physiological type, is known as active compression / decompression (CPR-CDA), which consists in that a suction cup lifts the anterior chest wall actively during decompression, in this way, by decreasing the intrathoracic pressure during the decompression phase increases the venous return to the heart, increases the cardiac output and, consequently, the pressures of coronary and cerebral perfusion during the compression phase. Additionally, the combination of both CPR techniques is derived in a third modality known as CPR with thoracic-abdominal phasic compressions / decompressions (RCP-CDFTA). According to the foregoing, a preferred embodiment of the invention comprises means for applying abdominal massage in any of the modalities described above, consequently the compression / decompression cycles are applied both to the thoracic cavity and to the abdominal cavity. This joint application allows maximizing resuscitation efforts.

In the CPR procedure, the synchronization and the strength of the compression / decompression cycles, the synchronization of the stimulus of the electro, and the ventilation are decided and programmed by the medical assistance body that provides the first aid, with the objective that the activities are synchronized to increase the effectiveness of the resuscitation procedure. Therefore, the device has a control screen that allows entering the programming data for its operation. Said touch screen provides advantages over the equipment described in the state of the art, since it allows the user to set the operating conditions of the equipment and obtain information referring to the patient's health condition in a comfortable, fast and practical way. Additionally, the device may include software that coordinates the operation of the device and the applications of the benefits according to previously designed programs and respond to alarm signals collected from the electrodes or sensors available to the equipment. In one embodiment of the invention, the device comprises a suction-piston system, preferably thoracic and abdominal, (9 and 10) to apply cardiac massage. The distance and location of said system can be adjustable so that the device can be applicable to patients of different build and age. In a preferred embodiment, one of the suction-piston systems is fixed and the other is movable, preferably the system that remains fixed is that which gives the thoracic massage. The equipment contemplates a security system that avoids the displacement of the pistons of one with respect to the other, once determined the ideal location for them. Said systems are contained within a housing or upper module (1) that could include the other components of the present invention. The ventilation system (7) comprises a mask or an endotracheal system that allows to provide efficient breathing to the patient. Since the ventilation system emerges from a casing (1) it gives a certain firmness and security to the device since it will move according to the movement of the patient in a range of motion restricted to that which naturally occurs between the head and the thorax.

The ventilation system (7) together with the thoracic and abdominal massage system (9 and 10) are powered and operated thanks to an external and portable system of compressed air or oxygen as mentioned above.

The device is composed of three parts, as shown in Figure 7, these are the base (2), the casing (1) and the fixing and regulating means (4). The base is solid, straight or ergonomic, with a suitable surface to contain the torso of a patient or the whole body, it is interchangeable, therefore it can operate with different preferred embodiments of the invention. The base comprises suckers (3) so that the patient, when placed in the device, maintains the position of the body, does not move, slides and the device can operate safely and efficiently. These suckers (3) can be multiple depending on the size of them and the patient to be treated, they can be removable, interchangeable, replaceable, nevertheless they remain fixed in their position when they are placed, which does not endanger the displacement of the patient. Preferably the suckers are 2 aligned vertically or horizontally, 3 organized in a triangular manner or 4 in parallel rows either horizontally or vertically, thus securely fix the patient. The design described above allows the device to be adjusted to the patient's body, avoiding its displacement and incorrect operation thereof. The casing (1) can be parallelepiped, rounded or a combination of both qualities, however it must have the capacity to contain the different devices of the invention and to have exposed, safe and operative devices such as screens, keyboards, controls, valves , flowmeters, hose starts, cables and those connections necessary for the operation of the device. The shaping and configuration of the housing (1) is understood without prejudice to the preferred embodiments described herein. The fixing and regulating means (4) allow the base (2) to be connected to the housing (1) in a safe, precise, accurate and efficient manner for adequate containment of the patient, operation of the device and provision of the services associated with the device. RCP The means (4) may comprise plastic or rigid means, such as belts, rails, tubes, elastics, etc. They also comprise fastening and closing means that ensure a secure and firm fit of the device assembly with the patient. The shaping and configuration of the fixing and regulating means (4) is understood without prejudice to the preferred embodiments described herein. The device comprises two additional suction cups located on the pistons (9 A and 9 B). These allow an adequate location of the massage system, eliminating the risk of displacement once the patient is located and properly positioned the torácico and abdominal massage system. In addition, said suction cups allow the implementation of an active compression / decompression system (RCP-CDA). The pistons (10 A and 10 B)) are operated by the external and portable ventilation system and are controlled by an electro-valve. These pistons can trigger a coordinated, separate, sequential or independent compression, while at the same time they can provide a decompression since the suction cup is firmly fixed to the patient. The operating and pressure ranges of the pistons are those determined by international standards and can be programmed at the moment by the equipment operator. The device comprises a defibrillator (6) which is incorporated in the housing (1) by means of a screen (5) and two electrodes (6). The electrodes can deliver electrical impulses, as well as collect information from the patient regarding their condition. The presence of this defibrillator in the invention gives advantages over the equipment described in the state of the art, since, together with the activities of cardiac and abdominal massage and respirator, they provide the necessary qualities to carry out an advanced and efficient resuscitation. EXAMPLE

A preferred embodiment of the invention is shown in Figure 7, where it can be seen that the equipment is comprised of a reanimator housing (1) that contemplates a lateral entrance of the oxygen supply, as well as an outlet for the respirator directed directly to the patient, This system contains a flow meter or manometer that regulates and records the passage of air. On the other hand, the casing has a recording and control screen on its surface (5), of tactile type that allows programming the operation of the device, as well as obtaining information on the patient's condition, for example heart rate, and equipment operation. The casing is joined to the base (2) by means of a fixing and regulation system (4) which consists of two parts, the lower part that is fixed to the base by means of a mechanism that makes it possible to keep this connection rigid and the upper part, constituted by a system of rails that is attached to the housing allowing adjustment according to the patient's chest size, also includes a locking system to prevent the movement of the housing with respect to the base once the ideal distance is determined. The base (2) has a system of posterior suckers (3) that allows its attachment to the back of the patient, to prevent the displacement of the device.

Inside the case are the suction cups and thoracic (9a and 9b) and abdominal (10a and 10b) pistons, located at a variable distance, adjustable by the operator according to the anatomical conditions of the patient, in this mode, the piston The thoracic remains fixed while the abdominal is mobile. The device has a locking system that allows to set the distance of the pistons once the operator has determined the optimal operating distance. Inside the housing are also the electro-valves, which regulate the operation of the pistons, and the defibrillator that contains the patches of the defibrillator which are fixed to the thorax of the patient.

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Claims

1. Cardio-pulmonary resuscitation device, characterized in that the device comprises means for applying cardiac and abdominal massage, as well as a means of ventilation or breathing and a defibrillation means.

2. Cardio-pulmonary resuscitation device according to claim 1, characterized in that the means of application of cardiac and abdominal massage are compressive or pneumatic units, independent and autonomous.

3. Cardiopulmonary resuscitation device according to claim 2, characterized in that the compression units are formed by a piston and a suction cup, whose mechanical stimulus can be pneumatically driven.

4. Device for cardio-pulmonary resuscitation according to claim 3, CHARACTERIZED because the operation of the pistons is regulated by independent and autonomous solenoid valves.

5. Cardio-pulmonary resuscitation device according to claim 4, characterized in that the distance between both compressor units is adjustable to the anatomical conditions of the patient.

6. Cardio-pulmonary resuscitation device according to claims 1 to 5 CHARACTERIZED because the means or systems that constitute the device operate automatically, independently, as well as in a coordinated and synergistic manner, being possible to program by an operator.

7. Cardio-pulmonary resuscitation device according to claim 6, characterized in that it comprises a software integrated in the equipment, which can be programmed by the operator through the touch screen.

8. Cardio-pulmonary resuscitation device according to claim 7, CHARACTERIZED because the different components can act in a coordinated and synergistic manner, separately or sequentially and independently, or other modality according to the operator's programming.

9. Device for cardio-pulmonary resuscitation according to claim 8, characterized in that it comprises a sensor system that allows information to be delivered to the operator, relative to the patient's state of health.

10. Device for cardio-pulmonary resuscitation according to claim 1, CHARACTERIZED because nasopharyngeal ventilation can be effected by endotracheal delivery, through a gas mask or other mechanism that serves the same function.

11. Cardio-pulmonary resuscitation device according to claim 1, characterized in that the breathing gas can be oxygen or a mixture of oxygen-inert gases plus other compounds useful for this treatment.

12. Cardiopulmonary resuscitation device according to claims 1 to 11, characterized in that it is of a portable and compact type, which improves the operability thereof in reduced space and space as in first aid transport means.

13. Cardiopulmonary resuscitation device according to claims 1 to 12, characterized in that it comprises a housing that contains the massage equipment and defibrillator, as well as the entrance of the compression / breathing air and the ventilation air outlet.

14. Cardiopulmonary resuscitation device according to claims 1 to 13, characterized in that it contains a housing with a screen that allows the programming of the operation of the device by the operator and the monitoring of patient conditions.

15. Cardiopulmonary resuscitation device according to claims 1 to 14, characterized in that it comprises an ergonomic base that is attached to the housing by means of a fixation system.

16. Cardio-pulmonary resuscitation device according to claim 15, characterized in that the fixation system between the housing and the ergonomic base allows its adjustment according to the patient's physiognomy.

17. Cardio-pulmonary resuscitation device according to claim 15, characterized in that it comprises an ergonomic base that has a fixation system to the patient's body, to avoid its displacement during the operation of the device.

18. Device for cardio-pulmonary resuscitation according to claim 16, characterized in that the system for securing the ergonomic base to the patient is by suction cups.

19. Cardio-pulmonary resuscitation device according to claim 1, characterized in that it comprises a system of defibrillation electrodes, implemented by means of electric pulses or defibrillator stroke, or a combination of both.