Patent Publication Number: US-2023158318-A1

Title: Resuscitation device

Description:
FIELD OF INVENTION 
     The present disclosure generally relates to resuscitation devices. 
     BACKGROUND 
     A primary task of the heart is to pump oxygenated, nutrient-rich blood throughout the body. Electrical impulses generated by a portion of the heart regulate the pumping cycle. When the electrical impulses follow a regular and consistent pattern, the heart functions normally and the pumping of blood is optimized. When the electrical impulses of the heart are disrupted (i.e., cardiac arrhythmia), sudden cardiac arrest may result, which inhibits the circulation of blood. As a result, the brain and other critical organs are deprived of nutrients and oxygen. A person experiencing sudden cardiac arrest may suddenly lose consciousness and die shortly thereafter if left untreated. 
     A well known and effective treatment for sudden cardiac arrest or arrhythmia is defibrillation. Defibrillation involves passing a current through the person to shock the heart back into a normal rhythm. There are a wide variety of resuscitation devices. For example, implantable cardioverter-resuscitation devices (“ICD”) involve surgically implanting wire coils and a generator device within a person. ICDs are typically for people at high risk for a cardiac arrhythmia. When a cardiac arrhythmia is detected, a current is automatically passed through the heart of the user with little or no intervention by a third party. 
     Another, more common type of resuscitation device is the automated external resuscitation device (“AED”). Rather than being implanted, the AED is an external device used by a third party to resuscitate a person who has suffered from sudden cardiac arrest. A conventional AED includes a base unit and two pads connected to the base unit using electrical cables. Sometimes electrodes with handles are used instead of the pads. 
     A typical protocol for using the AED on a subject who has suffered from sudden cardiac arrest (the “patient”) is as followed. The patient is initially placed on the floor. Clothing on the subject is removed to reveal the chest. The AED pads are applied to appropriate locations on the chest. The electrical system within the base unit generates a high voltage between the two pads, which delivers an electrical shock to the subject. Ideally, the shock restores a normal cardiac rhythm, and in some cases, multiple shocks are required. 
     SUMMARY 
     The following embodiments and aspects thereof are described and illustrated in conjunction with systems, tools and methods which are meant to be exemplary and illustrative, not limiting in scope. 
     There is provided, in accordance with an embodiment, a resuscitation device, including an electric pulse generator configured to generate an electric pulse that is administered to a subject, electrodes operative to administer the electric pulse to the subject, one or more sensors configured to measure vital signs of the subject, one or more processing units configured to monitor the vital signs measured by the one or more sensors, determine the housing and electrodes are properly placed on the subject according to the monitoring of the vital signs, determine what treatment has to be administered to the subject, generate notification instructing the treatment to be administered to the subject, and providing real-time, continuous feedback of treatment provided and condition of the subject. 
     In some embodiments, the electric pulse generator includes an electrical circuit for generating an electric pulse, said electric circuit includes a controller, a switch, an inductor, a charging circuit, and a capacitor array electrically connected to the charging circuit and adapted to store energy supplied by the charging circuit, where the controller is adapted to control the switch to cause energy to be stored in the inductor and discharged to the charging circuit. 
     In some embodiments, the controller is a controller and gate driver chip, the inductor is a low-profile boost inductor, and the charging circuit is a plurality of interconnected charging capacitors and diodes. 
     In some embodiments, the controller chip, the switch, and charging capacitor are surface mount components. 
     In some embodiments, the circuit includes an electric pulse generator for a low profile AED. 
     In some embodiments, the capacitor array includes a plurality of interconnected discrete energy-storing capacitors capable of storing up to a predetermined amount of bi-phasic electric pulse energy. 
     In some embodiments, the capacitor array has a total capacitance of at least 100 microfarads and 1.5 kilovolts to provide at least 150 joules of energy storage. 
     In some embodiments, the resuscitation device further includes a communication unit configured to communicate with a mobile device, the mobile device configured to present the user with user interface and instructional content, receive user commands for administering the electric pulse to the subject, transmit the user commands to the communication unit. 
     In some embodiments, the resuscitation device further includes a housing, a case operative to store the housing and the electrodes. 
     In some embodiments, the resuscitation device further includes a case, an activation switch, a sensor case configured to detect when the case is opened, where the processor is configured to switch from a sleep mode to a hibernation mode when the case sensor detects the case is opened, switch to an active mode when the activation switch is engaged. 
     There is further provided in accordance with an embodiment, a system including a resuscitation device configured to measure and monitor vital signs of a subject, administer an electric pulse to the subject, provide instruction to a treatment provider of the treatment provided to the subject, one or more mobile devices configured to be in wireless communication with the resuscitation device, the v configured to, receive the vital signs, present a user of the mobile device with a user interface configured to, display the vital signs, and obtain commands from the user that are provided to resuscitation device, transmit the commands to the resuscitation device, the resuscitation device executes the commands received from the mobile device. 
     In some embodiments, the resuscitation device is further configured to recognize that the mobile device is within a predetermined distance from the resuscitation device, receive authentication information from the mobile device, determine the authentication information matches a stored authentication information, grant the mobile communication access to communicate with the resuscitation device. 
     In some embodiments, the resuscitation device is further configured to determining a plurality of mobile device have authority to access the resuscitation device, allow access to the mobile device having a highest priority according to a priority hierarchy. 
     In some embodiments, the resuscitation device includes one or more sensors configured to measure the vital signs, an electric pulse generator configured to generate the electric pulse, at least two electrodes configured to administer the electric pulse. 
     In some embodiments, the electric pulse generator includes a capacitor array configured to facilitate storing the electric pulse prior to administration. 
     In some embodiments, the resuscitation device further includes a tarp operative to facilitate covering the chest of the subject during administration of medical treatment. 
     There is further provided in accordance with an embodiment, a resuscitation device configured to administer an electric pulse to a subject, including electrodes operative to administer an electric pulse to a body of the subject, and an electric pulse generator configured to generate the electric pulse that is administered to via the electrodes to the subject, the electric pulse generator including an electric circuit configured to store an electric charge sufficient to generate the electric pulse. 
     In some embodiments, the resuscitation device further includes one or more sensors configured to measure vital signs of the subject, one or more processing units configured to monitor the vital signs measured by the one or more sensors, determine the housing and electrodes are properly placed on the subject according to the monitoring of the vital signs, determine what treatment has to be administered to the subject, generate notification instructing the treatment to be administered to the subject, providing real-time, continuous feedback of treatment provided and condition of the subject. 
     There is further provided in accordance with an embodiment, an electrical circuit for generating an electric pulse, including a controller, a switch, an inductor, a charging circuit, and a capacitor array electrically connected to the charging circuit and adapted to store energy supplied by the charging circuit, where the controller is adapted to control the switch to cause energy to be stored in the inductor and discharged to the charging circuit. 
     In some embodiments, the controller is a controller and gate driver chip, the inductor is a low-profile boost inductor, and the charging circuit is a plurality of interconnected charging capacitors and diodes. 
     In some embodiments, the controller chip, the switch, and charging capacitor are surface mount components. 
     In some embodiments, the circuit includes an electric pulse generator for a low profile AED. 
     In some embodiments, the capacitor array includes a plurality of interconnected discrete energy-storing capacitors capable of storing up to a predetermined amount of bi-phasic electric pulse energy. 
     In some embodiments, the capacitor array has a total capacitance of at least 100 microfarads and 1.5 kilovolts to provide at least 150 joules of energy storage. 
     In addition to the exemplary aspects and embodiments described above, further aspects and embodiments will become apparent by reference to the figures and by study of the following detailed description. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
       Some non-limiting exemplary embodiments or features of the disclosed subject matter are illustrated in the following drawings. 
         FIG.  1    shows a resuscitation device connected to a subject for administering an electric pulse, according to certain exemplary embodiments; 
         FIGS.  2 A- 2 C  schematically illustrates the resuscitation device in various configurations, according to certain exemplary embodiments; 
         FIG.  3    schematically illustrates a system for operation of the resuscitation device, according to certain exemplary embodiments; 
         FIG.  4    schematically illustrates an electrical circuit of the resuscitation device of  FIG.  3    configured for charging the electric pulse generator, according to certain exemplary embodiments; 
         FIG.  5    schematically illustrates a capacitor array of the electrical circuit of  FIG.  4   , according to certain exemplary embodiments; 
         FIG.  6    outlines operations of a method for connecting the resuscitation device with a mobile device, according to certain embodiments; and, 
         FIG.  7    outlines operations of a method for administering the electric pulse to the subject, according to exemplary embodiments; and, 
         FIG.  8    outlines operations of a method for activating the resuscitation device, according to certain exemplary embodiments. 
     
    
    
     Identical, duplicate, equivalent or similar structures, elements, or parts that appear in one or more drawings are generally labeled with the same reference numeral, optionally with an additional letter or letters to distinguish between similar entities or variants of entities, and may not be repeatedly labeled and/or described. 
     Dimensions of components and features shown in the figures are chosen for convenience or clarity of presentation and are not necessarily shown to scale or true perspective. For convenience or clarity, some elements or structures are not shown or shown only partially and/or with different perspective or from different point of views. References to previously presented elements are implied without necessarily further citing the drawing or description in which they appear. 
     DETAILED DESCRIPTION 
     Disclosed herein is a system and method for administering resuscitation, according to certain exemplary embodiments. 
       FIG.  1    schematically illustrates a resuscitation device  100  for administering an electric pulse to a subject  185 , according to certain embodiments. Resuscitation device  100  includes electrodes  120 ,  125  that are positioned on a body  190  of subject  185  during an arrythmia incident. Resuscitation device  100  is configured to pass electric pulses of a selected shape and size through body  190  via electrodes  120  and  125 . Electrodes  120  and  125  are connected by leads  121  and  126 , respectively, to resuscitation device  100 . In some embodiments, electrodes  120 ,  125  are configured to measure vital signs when attached to body  190  thereby facilitating a treatment provider (not shown) to monitor a condition of subject  185  and determining the necessary treatment required and whether an electric pulse needs to be administered, as further described in conjunction with  FIG.  3   . Resuscitation device  100  is configured to communicate, represented by arrow  175 , with a mobile device  170  that is operated by the treatment provider as described in conjunction with  FIGS.  3  and  7   . 
       FIG.  2 A- 2 C  schematically illustrates resuscitation device  100 , according to certain exemplary embodiments.  FIG.  2 A  shows resuscitation device  100  having a housing  200 , according to certain embodiments. Housing  200  is configured to provide convenient carrying and storage of resuscitation device  100  when it is not in use. In some embodiments, housing  200  includes a power access port  205  configured to provide access to a power source  315  ( FIG.  3   ), for example, for replacement of a battery or to connect resuscitation device to an external power source such as an electrical socket. Housing  200  include a clip  210  configured to close housing  200  and prevent it from opening when resuscitation device  100  is not in use. 
       FIG.  2 B  shows an open configuration of resuscitation device  100 , according to certain exemplary embodiments. Prior to operation of resuscitation device  100 , housing is opened to expose an internal storage area, referenced as  215 , for storing electrodes  120 ,  125 , leads  121 ,  126 , a user interface  220 , or the like. Internal storage area  215  includes a connector  240  for connecting leads  125 ,  126  to resuscitation device  100 . 
       FIG.  2 C  shows user interface  220 , according to certain embodiments. User interface  220  includes a power button  225 , a pulse administration button  230  and an instruction interface  235  to provide the treatment provider with instructions for operating the resuscitation device  100 . Instruction interface  235  can include pictures, diagrams or the like that show the operating procedures for resuscitation device  100 . 
     In some embodiments, resuscitation device  100  is configured to toggle in and out of a low power mode, via opening of housing  200  or engagement of power button  225 . When resuscitation device  100  is powered up for the first time, it performs a series of power tests after which it waits for electrodes  120 ,  121  to be attached to subject  190 . 
       FIG.  3    schematically illustrates components of resuscitation device  100 , according to certain exemplary embodiments. Resuscitation device  100  includes one or more processors  300 , a communication unit  305 , an indication unit  310 , power source  315  and an electric pulse generator  320 . Electrodes  120 ,  125  include one or more sensors referenced generally  302 ,  304 , configured to measure vital signs of subject  185  ( FIG.  1   ) when electrodes  120 ,  125  are attached to body  190  ( FIG.  1   ). In some embodiments, the vital signs can include heart rate, blood pressure, breathing rate, or the like. 
     Communication unit  305  can be configured to connect and communicate, represented by arrow  175 , with mobile device  170 . In some embodiments, mobile device  170  is operated by an authorized treatment provider. Communication unit  305  can be configured to continuously transmit the vital signs in real-time to mobile device  170  and to receive commands from mobile device  170 , for example, a command to administer an electric pulse to the subject  190 . 
     Mobile device  170  can include an application executed by mobile device  170  to present a mobile user interface  325  configured to display the vital signs received from resuscitation device  100 . Mobile user interface  325  can include an input through which the treatment provider can input a command to administer an electric pulse to the subject. In some embodiments, mobile user interface  325  can include a display that shows a tutorial video provided by the application that assists the treatment provider with operating resuscitation device  100 . In some embodiments, mobile device  170  can provide an audio tutorial to assist with operating resuscitation device  100 . 
     Indication unit  310  can be configured to provide audio and visual instruction for placement of electrodes  120 ,  125  onto subject  185  and for administration of an electric pulse to subject  185 . Electric pulse generator  320  generates the electric pulse that is administered to subject  185  through electrodes  120 ,  125 . 
     Processor  300  is configured to operate resuscitation device and to regulate communication with mobile device  170  as described in conjunction with  FIGS.  4 - 5   . 
     Electric pulse generator  320  is preferably configured to include a capacitor flat pack array  405  ( FIG.  4   ) to replace a capacitor for generating the electric pulse. Reference is now made to  FIG.  4   ., schematically illustrating an electric circuit  600  of electric pulse generator  320 , according to certain embodiments. 
     In some embodiments, resuscitation device  100  can also includes a case sensor  325  configured to detect when case  200  ( FIG.  2   ) is opened. Resuscitation device  100  can remain in a hibernation mode while case  200  remains closed. In such embodiments, when case  200  is opened, case sensor  325  detects the opening of case  200  which switches resuscitation device  100  from the hibernation mode to a sleep mode. During sleep mode, resuscitation device  100  can execute periodic self-tests and wait to detect a microcurrent or other signal from electrodes  120 ,  125 . Upon detection of a microcurrent or any other predetermined condition, resuscitation device  100  can switch to a full operation mode during which an electric pulse can be administered. In some embodiments, electric pulse generator  320  automatically initiates the charging of an electric charge for use as an electric pulse once resuscitation device  100  switches to sleep mode. 
     Reference is made to  FIG.  4   , schematically illustrating an exemplary electrical circuit  400  of electric pulse generator  320  configured for generating the electric pulse to be administered to subject  185 , according to certain exemplary embodiments. Electrical circuit  400  schematically represents a low-profile charging circuit including a controller and gate driver chip  410 , a low-profile boost inductor  420 , a semiconductor switch  430 , a plurality of charging capacitors  450 , a plurality of in-parallel, alternating direction, charging diodes  460 , and an output energy storage capacitor array  405 . Electrical circuit  400  is configured to enable a treatment charge to be accumulated and stored therein, facilitating a bi-phasic electric pulse discharge to subject  185  ( FIG.  1   ) during defibrillation thereby returning subject  185  to sinus rhythm. Once discharged, electric circuit  400  may recharge output energy storage capacitor array  405  for a subsequent electric pulse discharge that can be delivered by electric pulse generator  320 . 
     This circuit design enables a “very low profile” charging topology for any electric pulse generator requiring such a low profile form factor, whether used in a portable AED or other applications. Using a multiplicity of diodes  460  and charging capacitors  450  and replacing the transformer typically found in the pulse generators of many AED&#39;s with boost inductor  420  for the charging circuit is advantageous because it allows for lower overall circuit height (low physical profile). One primary reason is that inductor  420 , while similar in construction to a transformer in that both entail windings, needs to store less energy in this circuit design than in other designs and consists of only a single winding, whereas a larger transformer requires at least two windings. This lower profile component enables a reduced height for enclosing charging circuit  400 . In some embodiments, other components in electrical circuit  400  are preferably very low profile “surface mount’ components. 
       FIG.  5    schematically illustrates in greater detail capacitor array  405  of electrical circuit  400 , according to certain exemplary embodiments. Capacitor array  405  is configured to store the necessary bi-phasic electric pulse energy amongst a plurality of series and parallel connected discrete capacitors  500 . In some embodiments, capacitor array  405  stores a bi-phasic electric pulse energy of 150 Joules. While a single capacitor could meet all electrical requirements for electric pulse generator  320 , capacitor array  405  facilitates a more flexible packaging of the overall electric pulse generator  320  than a single capacitor, thereby further enabling a reduction in the size dimension of resuscitation device  100 , enabling an extremely compact, portable design. 
     Turning back to  FIG.  4   , combining these space saving designs in circuit  400  may enable the form factor of electric pulse generator  320  and in turn, resuscitation device  100  to be very compact. For example, in some embodiments, resuscitation device  100  designed with electric charging circuit  400  can have a height within a range of 1-1.5 inches, a length within a range of 6-6.50 inches and a width within a range of 3.6-3.65 inches. 
     In operation, controller chip  410  controls switch  430  to turn on and thereby drive current through boost inductor  420  resulting in energy stored in the magnetic field of inductor  420 . Controller  410  thereafter turns off switch  420 , thereby allowing inductor  420  to discharge through the multiplicity of charging diodes  460  and into charging capacitors  450 . Controller chip  410  monitors output voltage which accumulates in storage capacitor array  405  and adjusts the duty cycle of switch  430  to regulate the output voltage and thus the energy stored in the capacitor array  405 . 
     Capacitor array  405  includes an array of a predetermined number of capacitors  500 , and in the present embodiment  12  capacitors, configured to provide requisite energy accumulation and storage of the electric pulse energy. For example, capacitor array  405  can include a number of capacitors  500  within a range of 9-16. In some applications, the number of storage capacitors in array  500  may be as few as 2 and as many as 64 or more. In certain cases, where capacitor array  405  includes twelve capacitors  500  as shown, each capacitor  500  can have a capacitance of 140 Microfarads (“μF”) and voltage rating of 425 Volts (“V”) each, thereby achieving a total capacitance of 105 g and 1.7 kilovolts (“kV”) to provide approximately 150 Joules of energy storage. 
     Reference is made back to  FIG.  3   . Mobile device  170  can execute an application that provides a user of mobile device  170 , such as a treatment provider, with a user interface  325  that enables the treatment provider to communicate with resuscitation device  100  and monitor the vital signs and condition of subject  185 . User interface  325  can present video and audio instructions to the treatment provider facilitating the operation of resuscitation device  100  and to enable treatment provider to provide commands to resuscitation device  100 . For example, treatment provider can command resuscitation device  100  to administer an electric pulse through user interface  325 . User interface  325  can display an instructional video presentation providing step-by-step instructions to the user to correctly operate resuscitation device  100 , for example, a video and audio instructional that after each instructional step gives the provider time to perform the step. Resuscitation device  100  can provide mobile device  100  with real-time feedback about performance of the step and user interface  178  can provide the treatment provider with additional instructional material, repeat the instructional step or continue to the next step according to the performance of the treatment provider. 
     Reference is now made to  FIG.  6   , outlining operations executed by processor  300  ( FIG.  3   ) to associate resuscitation device  100  ( FIG.  1   ) with mobile device  170  ( FIG.  1   ), according to certain embodiments. When emergency services are notified of a medical emergency requiring operation of resuscitation device  100 , the emergency services can notify a treatment provider of the incident and the treatment provider is dispatched to the event. The treatment provider can be dispatched according to vicinity to the resuscitation device  100 , which can be determined by registration of resuscitation device  100  with a location-based crowdsourcing platform or, in conjunction with any conventional geo-locating technology, with medical services within a predetermined area, such as a city, district, state, and/or the like. 
     When the treatment provider is within a predetermined distance from resuscitation device  100 , processor  300  executes operation  600  detecting whether mobile device  170  is within a predetermined distance from resuscitation device  100 . Processor  300  detects whether mobile device  170  is within a predetermined distance from resuscitation device  100 , for example from pings received from mobile devices near resuscitation device  100 . For example, the distance can be within a  1 -meter radius from a location of resuscitation device  100 . 
     In operation  605 , processor  300  receives authentication information from mobile device  170  from communication unit  305 . Communication unit  305  receives the authentication information from mobile device  170  as described in conjunction with  FIG.  3   . 
     In operation  610 , processor  300  determines whether mobile device  170  has a necessary authorization to enable communication between to resuscitation device  100  and mobile device  170 . In some embodiments, processor  300  compares the authentication information received from mobile device  170  with stored authentication information. The stored authentication information can be authentication information that is registered with resuscitation device  100  prior to a medical emergency, for example, during production, first time activation and/or the like. The stored authentication information can include authentication information for all treatment providers within a predetermined area such as a city, district, and/or the like, or can be of predetermined organizations such as the red cross, first aid responders and/or the like. In certain embodiments, registration can be achieved through crowdsourcing platforms. 
     Where the authentication information matches the stored authentication information, processor executes step  615  enabling communication  175  ( FIG.  1   ) between resuscitation device  100  and mobile device  170 . Where the authentication information does not match the stored authentication information mobile device  170 , processor  300  executes step  620  denying mobile device  170  access to resuscitation device. 
     In certain exemplary embodiments, multiple mobile devices may have authentication information that will enable communication with resuscitation device  100 . In such cases a hierarchy of authentication can be stored in resuscitation device  100 , and processor  300  executes optional step  625  to determine a priority of mobile device  170 . According to the priority of mobile device  170 , processor  300  prioritizes mobile device  170  over other mobile devices according to the hierarchy of authentication based on the authentication information of mobile device  170  and executes step  430  to enable communication with mobile device  170  with highest priority. 
     In operation  635 , processor  300  initiates outputting of instructional material for operation of resuscitation device  100 . Processor  300  provides the command to communication unit  305 , which transmits the command to mobile device  170 . Upon receipt of the command, mobile device  170  initiates instructional presentation in the application of mobile device  170 . The instructional presentation can be in the form of a video and/or audio presentation that guides the user of mobile device  170  to properly position electrodes  120 ,  125  ( FIG.  1   ) on subject  185  and when to administer an electric pulse to subject  190 . 
       FIG.  7    outlines operations executed by processor  300  ( FIG.  3   ) for administering treatment to the subject, according to exemplary embodiments. 
     In operation  700 , processor  300  monitors vital signs which it receives from sensors  302 ,  304  ( FIG.  3   ) in electrodes  120 ,  125  ( FIG.  1   ). In some embodiments, sensors  302 ,  304  activate once the seal covering electrodes  120 ,  125  is removed. 
     In operation  705  processor  300  determines whether electrodes  120 ,  125  ( FIG.  1 ,  3   ) have been positioned at designated locations on subject  185  ( FIG.  1   ). Processor  300  determines proper positioning of electrodes  120 ,  125  according to the vital signs measured by sensors  302 ,  304  in electrodes  120 ,  125 . 
     In operation  708 , processor  300  generates a notification for mobile device  170  informing the user whether electrodes  120 ,  125  are positioned at the designated locations. Processor  300  transfers the notification to communication unit  305  which transmits the notification to the mobile device  170 . In some embodiments, the notification is accessible via user interface  325  ( FIG.  1   ). The notification can inform the user that electrodes  120 ,  125  are properly positioned at the designated locations or that they are not properly positioned and must be moved to the designated locations, after which processor  300  executes operations  500 ,  505  and  508  until electrodes  120 ,  125  are properly placed. 
     In operation  710 , processor  300  operates communication unit  310  to transmit the vital signs to mobile device  170 , which are then be displayed on user interface  325 . Processor  300  operates communication unit  305  ( FIG.  3   ) to continuously transmit in real time the vital signs measured by sensors  302 ,  304  to mobile device  170 . Through monitoring of the vital signs transmitted to mobile device, the treatment provider can assess the condition of the subject and determine the best course of treatment. 
     In operation  712 , processor  300  assess the status of the subject  185  and generates a treatment recommendation. Processor  300  analyzes the vital signs thereby making an assessment of the condition of the subject  185 . In some embodiments, the analysis is achieved by comparing the vital signs obtained by sensors  302 ,  304  with and determines the treatment necessary to subject  185 . For example, processor  300  can determine subject  185  is suffering from heart arrythmia and therefore an electric pulse must be administered to subject  185 . 
     In operation  715 , processor  300  generates a notification instructing the necessary treatment for the subject, which is transmitted by communication device  305  to mobile device  170 . 
     In operation  725 , processor  300  generates a pulse administration notification to notify treatment administer to administer an electric pulse to the subject  185 . The notification is transmitted by communication unit  305  to mobile device  170  to be displayed on user interface  325  to enable treatment provider with the ability to provide a command to administer the electric pulse. 
     In operation  730 , processor  300  receives a command to administer an electric pulse to the subject  325 . 
     In operation  740 , processor  300  administers the electric pulse to the subject  190 . Processor  300  operates electric pulse generator  169  to generate an electric pulse that is administered to subject  185  via electrodes  120 ,  125 . After administration of the electric pulse, processor  300  continuously executes operations  710 ,  712 ,  715  and operation  725 ,  730  if necessary. 
       FIG.  8    outlines operations of a method for activating the resuscitation device  100  ( FIG.  1   ), according to certain exemplary embodiments. In operation  800 , processor  300  ( FIG.  3   ) detects whether an activation operation has occurred. Resuscitation device  100  is configured to remain in a hibernation mode as long as case  200  ( FIG.  2   ) remains sealed. Case sensor  325  ( FIG.  3   ) detects that case  200  is opened and transmits a signal to processor  300 . 
     In operation  805 , processor  300  switches to a sleep mode. After processor  300  receives the detection that case  200  is opened, it switches from the hibernation mode to the sleep mode at which time. During sleep mode, processor  300  waits to receive a detection of microcurrent which signals to the processor  300  to switch to an active mode. In some embodiments, during sleep mode, processor  300  executes periodic internal diagnostic tests to ensure proper operation of resuscitation device  100  and operate electric pulse generator  320  ( FIG.  3   ) to commence charging the electric charge that can be used to administer the electric pulse. 
     In operation  810 , processor  300  detects a microcurrent. In some embodiments, the microcurrent can be detected by sensors  302 ,  304  ( FIG.  3   ) when a cover (not shown) is removed from electrodes  120 ,  125  ( FIG.  1   ), when electrodes  120 ,  125  are removed from a pack (not shown), when plastic line (not shown) is removed from electrodes  120 ,  125 , or the like. 
     In operation  815 , processor  300  switches to active mode. Upon detection of the microcurrent, processor  300  switches to active mode, which commences the operation of resuscitation device  100  in a configuration to administer the electric pulse, to monitor the vital signs of subject  185  ( FIG.  1   ), communicate with mobile device  170  ( FIG.  1   ), and the like. 
     In operation  820 , processor  300  contacts emergency medical services. 
     In operation  825 , processor transmits a GPS location message to emergency medical services. 
     In the context of some embodiments of the present disclosure, by way of example and without limiting, terms such as ‘operating’ or ‘executing’ also imply capabilities, such as ‘operable’ or ‘executable’, respectively. 
     Conjugated terms such as, by way of example, ‘a thing property’ implies a property of the thing, unless otherwise clearly evident from the context thereof. 
     The terms ‘processor’ or ‘computer’, or system thereof, are used herein as ordinary context of the art, such as a general purpose processor or a micro-processor, RISC processor, or DSP, possibly comprising additional elements such as memory or communication ports. Optionally or additionally, the terms ‘processor’ or ‘computer’ or derivatives thereof denote an apparatus that is capable of carrying out a provided or an incorporated program and/or is capable of controlling and/or accessing data storage apparatus and/or other apparatus such as input and output ports. The terms ‘processor’ or ‘computer’ denote also a plurality of processors or computers connected, and/or linked and/or otherwise communicating, possibly sharing one or more other resources such as a memory. 
     The terms ‘software’, ‘program’, ‘software procedure’ or ‘procedure’ or ‘software code’ or ‘code’ or ‘application’ may be used interchangeably according to the context thereof, and denote one or more instructions or directives or circuitry for performing a sequence of operations that generally represent an algorithm and/or other process or method. The program is stored in or on a medium such as RAM, ROM, or disk, or embedded in a circuitry accessible and executable by an apparatus such as a processor or other circuitry. 
     The processor and program may constitute the same apparatus, at least partially, such as an array of electronic gates, such as FPGA or ASIC, designed to perform a programmed sequence of operations, optionally comprising or linked with a processor or other circuitry. 
     The term computerized apparatus or a computerized system or a similar term denotes an apparatus comprising one or more processors operable or operating according to one or more programs. 
     As used herein, without limiting, a module represents a part of a system, such as a part of a program operating or interacting with one or more other parts on the same unit or on a different unit, or an electronic component or assembly for interacting with one or more other components. 
     As used herein, without limiting, a process represents a collection of operations for achieving a certain objective or an outcome. 
     As used herein, the term ‘server’ denotes a computerized apparatus providing data and/or operational service or services to one or more other apparatuses. 
     The term ‘configuring’ and/or ‘adapting’ for an objective, or a variation thereof, implies using at least a software and/or electronic circuit and/or auxiliary apparatus designed and/or implemented and/or operable or operative to achieve the objective. 
     A device storing and/or comprising a program and/or data constitutes an article of manufacture. Unless otherwise specified, the program and/or data are stored in or on a non-transitory medium. 
     In case electrical or electronic equipment is disclosed it is assumed that an appropriate power supply is used for the operation thereof. 
     The flowchart and block diagrams illustrate architecture, functionality or an operation of possible implementations of systems, methods and computer program products according to various embodiments of the present disclosed subject matter. In this regard, each block in the flowchart or block diagrams may represent a module, segment, or portion of program code, which includes one or more executable instructions for implementing the specified logical function(s). It should also be noted that, in some alternative implementations, illustrated or described operations may occur in a different order or in combination or as concurrent operations instead of sequential operations to achieve the same or equivalent effect. 
     The corresponding structures, materials, acts, and equivalents of all means or step plus function elements in the claims below are intended to include any structure, material, or act for performing the function in combination with other claimed elements as specifically claimed. As used herein, the singular forms “a”, “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms “comprises” and/or “comprising” and/or “having” when used in this specification, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof. 
     As used herein the term “configuring” and/or ‘adapting’ for an objective, or a variation thereof, implies using materials and/or components in a manner designed for and/or implemented and/or operable or operative to achieve the objective. 
     Unless otherwise specified, the terms ‘about’ and/or ‘close’ with respect to a magnitude or a numerical value implies within an inclusive range of −10% to +10% of the respective magnitude or value. 
     Unless otherwise specified, the terms ‘about’ and/or ‘close’ with respect to a dimension or extent, such as length, implies within an inclusive range of −10% to +10% of the respective dimension or extent. 
     Unless otherwise specified, the terms ‘about’ or ‘close’ imply at or in a region of, or close to a location or a part of an object relative to other parts or regions of the object. 
     When a range of values is recited, it is merely for convenience or brevity and includes all the possible sub-ranges as well as individual numerical values within and about the boundary of that range. Any numeric value, unless otherwise specified, includes also practical close values enabling an embodiment or a method, and integral values do not exclude fractional values. A sub-range values and practical close values should be considered as specifically disclosed values. As used herein, ellipsis ( . . . ) between two entities or values denotes an inclusive range of entities or values, respectively. For example, A . . . Z implies all the letters from A to Z, inclusively. 
     The terminology used herein should not be understood as limiting, unless otherwise specified, and is for the purpose of describing particular embodiments only and is not intended to be limiting of the disclosed subject matter. While certain embodiments of the disclosed subject matter have been illustrated and described, it will be clear that the disclosure is not limited to the embodiments described herein. Numerous modifications, changes, variations, substitutions and equivalents are not precluded. Terms in the claims that follow should be interpreted, without limiting, as characterized or described in the specification.