Patent Publication Number: US-2023157926-A1

Title: Remote modular system and method for delivering cpr compression

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
     This application is a continuation of U.S. patent application Ser. No. 17/667,325, filed on Feb. 8, 2022, entitled REMOTE MODULAR SYSTEM FOR DELIVERING CPR COMPRESSION, which is a nonprovisional of and claims the benefit of priority from U.S. Provisional Patent Application No. 63/171,707, filed on Apr. 7, 2021, entitled REMOTE MODULAR SYSTEM FOR DELIVERING CPR COMPRESSION, the entire disclosures of each are incorporated herein by reference. 
    
    
     STATEMENT OF GOVERNMENT INTEREST 
     The present invention was made by employees of the United States Department of Homeland Security in the performance of their official duties. The U.S. Government has certain rights in this invention. 
    
    
     FIELD 
     Embodiments disclosed herein generally relate to cardio-pulmonary resuscitation (CPR). 
     BACKGROUND 
     In battlefield situations, personnel can receive injuries necessitating immediate application of CPR. Applying CPR, though, can put medical personnel at risk. There are current systems directed to machine applied CPR, e.g., automatic, machine exerted compression-release downward-upward displacement of a surface of a subject&#39;s chest, e.g., aligned with the subject&#39;s sternum. The machine applied CPR can provide significant advantages, statistically, over human-applied CPR. Such advantages can include automatic control of the magnitude, displacement, and periodicity of the force to most likely effect an appropriate contraction-expansion of the subject&#39;s heart chambers for forcing a certain blood flow within the subject. Current systems, though, can require medical personnel to exert significant effort, and incur substantial risk from exposure while doing so. Such efforts can include lifting the subject into and properly positioning the subject within a space above a supporting backboard and under an automatic CPR compression applicator attached above the backboard. 
     SUMMARY 
     In an embodiment, an example portable system for cardiopulmonary resuscitation (CPR) of a human can include a frame, an inflation actuated soft gripper device, supported by the frame, configured to receive an inflation gas at an operative pressure and, in response, change form to a deployed grip state that accommodates and grips a human torso. The example portable system for CPR of a human can include a pressure applicator device, which can be configured to receive an actuator power and a CPR control signal and, in response, concurrent with the deployed grip state, cyclically extend and retract a pressure applicator, along an axis. The example portable system for CPR of a human can include the CPR pressure applicator device being supported by the frame in a configuration enabling alignment of the axis with a sternum of the human torso. 
     In another embodiment, an example portable modular system for CPR of a human can include a first module hub housing and, removably attached to the first hub housing, a second module hub housing, and an inflation actuated soft gripper device, supported by the first module hub housing, configured to receive an inflation gas at an operative pressure and, in response, change form to a deployed grip state that accommodates and grips a human torso. The example portable modular system for CPR can also include a CPR pressure applicator device, supported by the second module hub housing, configured to receive an actuator power and a CPR control signal and, in response, concurrent with the deployed grip state, cyclically extend and retract a pressure applicator, in a movement along an axis, the axis being in an alignment with a sternum of the human torso. 
     In another embodiment, an example portable modular system for CPR of a human can include a housing, and an inflation actuated soft gripper, supported by the housing, configured to receive an inflation gas and, in response to inflation to an operative pressure, to change shape to a deployed grip state that accommodates and grips a human torso. The example portable modular system for CPR of a human can also include a CPR cycling pressure device, supported by the housing, configured to receive an actuator power and a CPR control signal and, in response, concurrent with the deployed grip state, actuate a reciprocating, cyclic CPR movement of a pressure applicator, along an axis in an alignment with a sternum of the human torso. 
     In another embodiment, an example portable modular system for CPR of a human can include a frame, an inflation actuated soft gripper, supported by the frame, having a non-inflated form state when not inflated and configured to respond to inflation by an inflation gas to an operative pressure, by changing from the non-inflated form state to deployed grip form state, the deployed grip form state having a configuration that extends around and grips a human torso. The example portable modular system for CPR of a human can include a CPR cycling pressure device, supported by the housing, configured to receive an actuator power and a CPR control signal and, in response, concurrent with the deployed grip form state, actuate a CPR movement of a pressure applicator, along an axis in an alignment with a sternum of the human torso. 
     Other features and aspects of various embodiments will be understood from reading the following detailed description in conjunction with the accompanying drawings. This summary is not intended to identify key or essential features, or to limit the scope of the invention, which is defined solely by the claims. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG.  1 A  shows a perspective view of a partial disassembly of an example remote modular cardio-pulmonary resuscitation (CPR) system according to one or more embodiments, including a main hub, attachable to a hub carrying a CPR pressure applicator module, and to a hub for a soft gripper module; and  FIG.  1 B  shows the assembled system  150 . 
         FIG.  2 A  shows a perspective view of an example remote modular CPR system according to another embodiment, featuring a main hub CPR pressure applicator module, removably attached to an attachment hub soft gripper module;  FIG.  2 B  shows a perspective view of an example remote modular CPR system according to still another embodiment, including a main hub implemented soft gripper module, removably attached to an attachment hub CPR pressure applicator module. 
         FIG.  3    shows a perspective view of an example generic main hub, featuring a hexagonal main hub housing, for modular remote CPR systems according to various embodiments. 
         FIG.  4    shows a perspective view of an example generic attachment hub, featuring a hexagonal housing, for modular remote CPR systems according to various embodiments. 
         FIG.  5    shows a perspective view of an example assembled configuration of reconfigurable modular assembly in accordance with one or more embodiments, including the  FIG.  3    example hexagonal generic main hub in a mutual attachment configuration with an illustrative set of  FIG.  4    hexagonal generic attachment hubs. 
         FIG.  6 A  is a partial cutaway front projection view of a non-inflated state of an example gas inflation deployable soft gripper device, for remote modular CPR systems in accordance with one or more embodiments;  FIG.  6 B  is a cross-cut projection view of certain structure of the  FIG.  6 A  gas inflation deployable soft gripper device, as visible on  FIG.  6 A  cross-cut projection plane  6 B- 6 B; and  FIG.  6 C  is a projection view, on the same projection as  FIG.  6 A , showing an inflated, fully deployed state of the  FIG.  6 A  implementation. 
         FIG.  7    is a perspective view of structural features of an example CPR pressure applicator for implementations of a CPR pressure applicator module for one or more modular remote CPR systems in accordance with various embodiments. 
         FIG.  8    is a multi-plane cross-cut projection view of structure of the  FIG.  7    example CPR pressure applicator, on  FIG.  7    projection  8 - 8 - 8 - 8 , with overlaid annotations showing item movability. 
         FIG.  9 A  is a perspective view of an example positioning and arrangement, on a hypothetical prone human, e.g., a patient, of a modular remote CPR system in accordance with various embodiments, showing, for purposes of example, the  FIG.  1 B  system with a not-yet-deployed soft gripper device; and  FIG.  9 B  shows, from the same perspective used for the  FIG.  9 A  view, the example modular remote CPR system after inflation deployment of the soft gripper device, to a full deployment state gripping the patient. 
         FIGS.  10 A and  10 B  are projection views of example details of inflation deployment of a soft gripper device according to various embodiments, using the  FIG.  6 A  example gas inflation deployable soft gripper device, in the context of the hypothetical shown on  FIGS.  9 A and  9 B , where  FIG.  10 A  shows a cross-sectional view, on  FIG.  9 A  projection  10 A- 10 A, and  FIG.  10 B  shows a cross-sectional view, on  FIG.  9 B  projection  10 B- 10 B. 
         FIGS.  11 A and  11 B  show front projection views of an inflation deployment of another soft gripper device, illustrating an example alternative arm connector hub structure. 
         FIGS.  12 A through  12 F  represent snapshots on the  FIG.  9 A  projection  10 A- 10 A, of a modular remote CPR system in accordance with various embodiments, implemented with the  FIG.  6 A  and  FIG.  6 B  air inflatable gripper, and the  FIG.  7    and  FIG.  8    CPR pressure applicator in performing a CPR compression cycle, on a hypothetical patient. 
         FIG.  13 A  is a first perspective view of an example implementation of a modular remote CPR system according to another embodiment, and  13 B is a second perspective view of the example implementation. 
         FIG.  14 A  is a projection view of the  FIG.  13 A- 13 B  example implementation of a modular remote CPR system according to another embodiment, on the  FIG.  13 B  projection  14 A- 14 A, with an added cushion device, and on the  FIG.  14 B  projection  14 A- 14 A;  FIG.  14 B  is a cross-cut projection view, on the  FIG.  14 A  cross-cut plane  14 B- 14 B. 
         FIGS.  15 A- 15 E  are projection views, on the  FIG.  14 A  cross-cut plane  14 B- 14 B, of a snapshot sequence of operative states of the  FIG.  13 A- 13 B  example implementation of a modular remote CPR system according to another embodiment, in a cycle within a CPR repeating cycle compression process. 
         FIGS.  16 A,  16 B,  16 C, and  16 D  show perspective views of various layers and hollowed-out shells of disk ridges from an example disk ridge bladder implementation of a soft gripper arm, in one or more embodiments of modular remote CPR systems in accordance with the present disclosure. 
         FIG.  17    shows a 3D graphic representation of a computer model of a disk ridge bladder implementation of a soft gripper arm. 
         FIG.  18    illustrates, in simplified schematic form, a computing system on which aspects of the present disclosure can be practiced. 
     
    
    
     DETAILED DESCRIPTION 
     In the drawings, like reference numerals designate identical or corresponding parts throughout the several views. The drawings are generally not drawn to scale unless specified otherwise or illustrating schematic structures or flowcharts. As used herein, the words “a,” “an” and the like generally carry a meaning of “one or more,” unless stated otherwise. For brevity, “modular remote” is alternatively recited as “ML.” It will be understood that “ML” as used herein has no intrinsic meaning; it is simply a reduced letter count recitation of “modular remote.” 
     In an example application, one or more modular remote (ML) CPR systems according to an embodiment can be assembled, e.g., at a staging area, by simple, no tools required, attachment of a hub-configured soft gripper module to a hub-configured CPR compression module. The assembled ML CPR system can include a controller, either as another attached hub or implemented in one or each of CPR compression module and soft gripper module. The controller can include life signs monitor functions. The system can be operated by one person 
     A system according to one or more embodiments can include a soft gripper module implemented on a first hub and a CPR pressure application module implemented on a second hub. The soft gripper module can include a bladder support mounted to the first hub, and an inflatable bladder that can be secured to the bladder support. The inflatable bladder can include an inflation gas port that can be configured to receive and to route to an interior of the inflation bladder an inflation gas at an inflation pressure. The inflation gas can correspondingly change an interior surface pressure within the inflatable bladder. The inflatable bladder can be configured to extend, in a bilateral wrapping or pincer manner accommodating a human torso, in response to the interior surface pressure exceeding a threshold. The CPR pressure application module can include a second hub, which can be coupled to the first hub, and mounted to the second hub a CPR cyclic pressure driver that can in turn be coupled to a CPR pressure applicator. The CPR pressure applicator can include a contact surface configured, e.g., have a surface area and contour, for contacting a human chest. The CPR cyclic pressure driver can be configured to cyclically extend and retract the CPR pressure applicator. Example implementations of the CPR cyclical pressure driver are described in further detail in subsequent paragraphs. 
     The inflation gas can, for example, be compressed air that can be provided, e.g., by a portable compressed air tank. In an aspect, the compressed air tank can be implemented as an inflation gas module, e.g., as a compressed air canister within another attachment hub. 
     In the above-described implementation where the soft gripper module uses a first hub and the CPR pressure module uses a second hub, an embodiment can include the first hub as a main hub and the second hub as an attachment hub. An example implementation according to this embodiment is described in greater detail in reference to  FIG.  2 A . In example alternative implementation according to this embodiment, the second hub can be a main hub and the first hub can be an attachment hub. An example of this implementation is described in more detail later, for example, in reference to  FIG.  2 B . According to one or more embodiments, a main hub may be provided with functionality other than an inflation actuated soft gripper module and other than the CPR pressure module. In an embodiment, the main hub can be configured with functionalities including, for example, but not limited to computer-based control, or user interface. In an implementation according to this embodiment, a CPR pressure module can be configured on a first attachment hub and a CPR pressure module configured on a second attachment hub, and a system according to various embodiments can be readily assembled by attaching the first attachment hub and the second attachment hub to the main hub. An example implementation according to this embodiment is described in more detail later, for example, in reference to  FIG.  1 A  and  FIG.  1 B . 
     Various embodiments&#39; technical feature of main hub—attachment hub provides numerous secondary features. One is enablement of field-configurable combinations of attachments, and spare attachments. Another is ease of field repair, e.g., when a component becomes contaminated and needs to be replaced. Still another is a ready availability of different sized tools, for example, for patients of various builds. Another of the provided features is adaptability, e.g., via attachment of new components or sensors, to perform a task additional to or other than CPR. 
     In one or more implementations the main hub can include a main hub housing. The main hub housing can include a main hub perimeter face or can include a plurality of main hub perimeter faces. The main hub housing can be implemented as a main hub polygon housing, for example, a main hub hexagonal housing. One or more implementations can provide or incorporate a stub and tube configuration. Features of a stub and tube configuration can include, but are not limited to, enablement of ready attachment and detachment of, for example, an assortment of different types of attachment hubs. The stub-and-tube configuration can include a hub-to-hub connection system that can be structured to provide, in an aspect, an interference fit. The connection system can configure the interference fit as a firm, friction-based connection between two parts without the use of an additional fastener. 
     In an aspect, tubes in the main hub can house one end of a connector, e.g., a female end of a USB-C, configured to can attach with a corresponding end, e.g., a male end of a USB-C, housed in the stub on the attachment hubs. Secondary technical features of this connection system include, for example and without limitation, allowance of the main hub to communicate with the specific attachment that it is connected to. 
     In an implementation, one or more of the faces of the main hub housing can include a hub-to-hub receiving and attachment structure, and the attachment hubs can include a corresponding attachment housing hub-to-hub engagement and attachment structure. The hub-to-hub engagement and attachment structure can be configured to align with, engage and attach to the hub-to-hub receiving and attachment structure of the main hub. In an aspect, the above-described connector ends can be configured to removably connect to the main hub communication cable connector in association with an engagement and attachment of the hub-to-hub engagement and attachment structure to the hub-to-hub receiving and attachment structure. 
     In one example implementation, the hub-to-hub receiving and attachment structures, or hub-to-hub engagement and attachment structures, or both, can include magnets that can that guide the main hub and attachment hub together and provide additional force to keep the two hubs together. One example can include two neodymium magnets that guide the main hub and attachment hub together and provide additional force to keep the two components together. 
     Embodiments can provide, through their modular architecture and structural features in accordance with this disclosure, a scalable robotics soft gripper that can grasp a victim or other subject, e.g., a test person, (hereinafter, collectively, “subject”) by or around the sides of the subject&#39;s body, with gripping force and gripping structure sufficient to stabilize the system while administering the CPR compression. In description of embodiments, “stabilize” can encompass, for example, stabilizing the CPR pressure module against excess movement relative to the subject&#39;s body, e.g., movement due to reactive force against the CPR pressure module, opposite the CPR compression force the CPR pressure module applies to the subject. It will be understood that “by or around the sides,” as used herein in describing embodiments, except where indicated explicitly or by context to be otherwise, encompasses by pressure on or against the subject&#39;s lateral sides, by pressure on or against portions of the subject&#39;s lateral sides and peripheral areas of the subject&#39;s back. 
     Various features of the modular remote CPR system according to various embodiments are as described in more detail in paragraphs and, as will be understood by persons of ordinary skill in the pertinent arts upon reading this disclosure, include but are not limited to mechanically secure attachment through, low cost, low complexity, durable, cooperative attachment structures. Features and benefits also include, modular configurability, and light weight, which can provide further benefits, such as a CPR system that can be easily brought to and rapidly utilized in a not fully controlled environment. Further features include, as provided by various structural features of the gas inflation actuated soft gripping module, a strong yet soft grasping force, as described in more detail in later sections of this disclosure. 
       FIG.  1 A  shows a perspective, “exploded view” state  100  of a system  100  of one example implementation of a three-module remote modular system for applying CPR compression according to one or more embodiments.  FIG.  1 A  shows the set of three modules in an arrangement, with dotted connection lines indicative of their intended assembly. The three modules are reversibly attachable to one another to form an operational, portable as assembled, remote modular system for delivering CPR compression.  FIG.  1 B  shows a perspective view of the assembly, providing a modular system for remote CPR system according to one or more embodiments. 
     The  FIG.  1 A  set of mutually attachable modules includes a main hub module  102  according to an embodiment, a CPR cyclical pressure applicator module  104  according to an embodiment, and a gas inflation actuated soft gripper module  106 . For purposes of description, the  FIG.  1 B  assembled, operational state system, functionality features of the system modules, and various structural features of the systems modules, including cooperative mutual attachment structures, are collectively referenced as a “modular remote (ML) cardio-pulmonary resuscitation (CPR) system,” which will be interchangeably recited as “modular remote CPR system” and “ML CPR system.” 
     In an embodiment, the main hub module  102  can include a main hub housing  108 , the CPR cyclical pressure applicator module  104  can include, e.g., can be structured with components mounted to, a first attachment hub housing  110 , and the gas inflation actuated soft gripper module  106  can include, e.g., can be structured with components secured to a second attachment hub housing  112 . As described in more detail later in this disclosure, e.g., in reference to  FIG.  4   , the attachment hub housings can be identically configured, e.g., as instances of a generic hexagon attachment hub housing. In such implementation, the first attachment hub housing  110  and the second attachment bub housing  112  can be, respectively a first hexagon attachment hub housing and a second hexagon attachment hub housing. In the implementation, the first hexagon attachment hub housing includes six first attachment hub housing outer faces, and the second hexagon attachment hub housing includes six second attachment hub housing outer faces. In an embodiment, the first attachment hub housing  110  and the second attachment hub housing  112  can be identically configured, e.g., as instances of a generic attachment hub, as is described in more detail later in this disclosure. 
     In embodiment, as visible in  FIGS.  1 A and  1 B , the main hub housing  108  can be configured as a three-dimensional hexagon that can provide six main hub housing outer faces, i.e., outer sides that can extend, for example, a housing height. In an embodiment, the main hub housing  108  can include, for example, on one or more of its six sides, a hub-to-hub receiving and attachment structure  114 . The  FIG.  1 A  example shows an instance of the hub-to-hub receiving and attachment structure  114  on each of the six sides, which provides technical benefits. These include, but are not limited to, enabling attachment of an attachment hub to each of the main hub housing  108  six sides. Technical benefits of a hub-to-hub receiving and attachment structure  114  on all six sides of the main hub housing  108  also include redundancy. As a specific example, notwithstanding reliability and durability benefits of the  FIG.  1 A  hub-to-hub receiving and attachment structure  114  not requiring moving parts, e.g., requiring no latch movement, as described in more detail in later paragraphs, harsh conditions and rough handling can cause failure of one or more of the hub-to-hub receiving and attachment structure  114 . However, it will be understood that an instance of the hub-to-hub receiving and attachment structure  114  on all sides of the main hub housing  108  is not a limitation. On the contrary, instances or portions of the hub-to-hub receiving and attachment structure  114  may be omitted from one or more of the housing sides. 
     An example implementation of the hub-to-hub receiving and attachment structure  114  can include a plurality of main hub housing magnets  116 . The main hub housing magnets  116 , in an embodiment, can be structured as protruding magnets, or can be embedded within non-magnetic protruding structures. In such embodiments, the engagement and attachment structures of hub housing of attachment modules, e.g., the engagement and attachment structures  118  of the hub housing  110  of the CPR cyclical pressure applicator module  104  and the engagement and attachment structures  120  of the housing  112  of the gas inflation actuated soft gripper module  106 , can be configured with recesses or receptacles and, disposed in or proximal to the recesses or receptacles, can include corresponding magnets, which can be referenced as attachment hub housing magnets, with polarities oriented to attract the main hub housing magnets  116 . The main hub housing magnets  116  and the attachment hub housing magnets can, in other words, have mutual alignment, and can have complementary polarity configurations to provide magnetic attractive coupling. The projection implementation of the main hub housing magnets  116  can, in a similar manner, be arranged to provide mutual alignment, locations matching locations of the attachment hub housing magnets, and vise-versa. Projections can therefore be complementary projections, in relation to receptacles formed in the attachment hub housings. Stated differently, the hub-to-hub receiving and attachment structure  114  and engagement and attachment structures  118  of the hub housing  110  of the CPR cyclical pressure applicator module  104  can be formed with cooperative mechanical structure, and structure  114  and the engagement and attachment structures  120  of the housing  112  of the gas inflation actuated soft gripper module  106 . Also, for purposes of description, the hub-to-hub receiving and attachment structure  114 , the engagement and attachment structure  118 , and the engagement and attachment structure  120  can be collectively referenced as housing hub-to-hub attachment structure and as housing hub-to-hub attachment structures. 
     In an embodiment, the CPR cyclical pressure applicator module  104  can include a CPR pressure applicator element  122 , which can be configured, e.g., structured to have cooperative mechanical interface with a movement guide, for movability aligned with a CPR pressure exertion axis such as the  FIG.  1 A  visible axis labeled CX. As described in more detail in later sections, the movement can be urged by an actuator, which can in turn be controlled by an actuator control logic, such as the examples described in more detail in subsequent sections. The CPR pressure applicator element  122  can have a distal end  122 A that, directly or through a pad or cushion can exert pressure cycles on a patient&#39;s chest with parameters that can cyclically compress and decompress the patient&#39;s heart, in a controlled, uninterrupted manner that can effectuate a corresponding flow of blood within the patient. In an embodiment, the CPR cyclical pressure applicator module  104  can include movement guide, described in more detail in later sections, which can support movement of the CPR pressure applicator element  122 , urged by various actuator features also described later, in cyclically extending and retracting, along the CPR axis CLP (see  FIGS.  7  and  8   ). 
     The gas inflation actuated soft gripper module  106  includes an air inflatable soft gripper  124 , which can include a soft gripper arm connector hub  126  that can be secured, e.g., mounted, bolted, to the second attachment hub housing  112  on which or in which the gas inflation actuated soft gripper module  106  is implemented. 
     Shown in a non-inflated state, the air inflatable soft gripper  124  can include two air inflatable gripper arms, shown as a first air inflatable gripper arm  126 A and a second air inflatable gripper arm  126 B that can connect to the soft gripper arm connector hub  126 . As described in more detail later in this disclosure, the  FIG.  1 A  implementation, the soft gripper arm connector hub  126  can be configured to enclose an interior volume and, within the interior volume, there can be a port or passage, such as the representative example first arm internal inflation port  130 A and second arm internal inflation port  130 B (collectively referenced as “internal inflation ports  130 .”). The internal inflation ports  130  can be configured to carry inflation gas, respectively, to an interior of the first air inflatable gripper arm  126 A and interior of the second air inflatable gripper arm  126 B. In an embodiment, via the interior volume of the soft gripper arm connector hub  126  can provide a plenum chamber for equalizing pressuring within the first air inflatable gripper arm  126 A and the second air inflatable gripper arm  126 B. 
     In an embodiment, the first air inflatable gripper arm  126 A and the second air inflatable gripper arm  126 B can include a plurality of individual gas-inflatable cells, such as the examples represented as first arm bladder cells  132 A and second arm bladder cells  132 B, collective referenced as “air bladder cells  132 . In an embodiment, the air bladder cells  132  can be respectively shaped, and structured, to expand with a particular varying three-dimension form in response to activation gas. The expansion, and effects thereof can be obtained by assigning particular thicknesses and position-varying profiles of thickness to position.  FIGS.  1 A and  1 B  show indication of such bladder cells, e.g., first arm bladder cells  132 A within the first air inflatable gripper arm  126 A and second arm bladder cells  132 B within the second air inflatable gripper arm  126 B. As shown by  FIGS.  2 A and  2 B , described in more detail later in this disclosure. Materials and structures of the first arm bladder cells  132 A and of the second arm bladder cells  132 B and of other regions of the air inflatable soft gripper  124  can be configured to impart a wrapping or pincer form of deployment characteristic to the air. 
     The  FIGS.  1 A and  1 B  implementation of the soft gripper arm connector hub  126  includes an external inflation port  134  that can receive, via tube  136  inflation gas from a gas source  138 . The gas source  138  can be, for example, a switchable valve that receives inflation gas from, e.g., an external compressed air tank. Alternatively, or additionally the gas source  138  can include a local storage tank. The valve feature of the gas source  138  can be controlled by a resource, e.g., in the main hub module  102 . 
     In an implementation, an internal power supply  140  and a controller  142  (shown in  FIG.  1 B ) can be included in the main hub housing  108  of the main hub module  102 . The internal power supply  140  can be a power resource implemented, for example, by multiple resources, or can be a single apparatus or device. For example, one implementation of the internal power supply  140  can provide a power resource for CPR cyclical pressure applicator module  104 , and a power resource for other components, e.g., the controller  142 . Particular power parameters for the internal power supply  140  can be based in part on application-specific factors, e.g., desired system weight, and desired number of consecutive uses. For one or more applications, consideration of implementations may, but do not necessarily encompass ranges that can include, for example, for DC storage battery implementations, batteries rated for storing approximately 7.4 volts, with storage a capacity of, for example, approximately 3000 milliamp-hours. 
       FIG.  2 A  shows a perspective view of an example of a direct-connect, remote modular CPR system  200 A according to another embodiment. In the  FIG.  2 A  embodiment, the direct-connect implementation of the remote nodular CPR system  200 A includes a main hub implemented CPR repeating cycle pressure applicator module  202 , communicatively connected to and supportively attached to an attachment hub implemented direct-connect gas inflation actuated soft gripper module  204 . The main hub implemented CPR repeating cycle pressure applicator module  202  can be implemented, for example, by a CPR repeating cycle pressure applicator  206  mounted on, or otherwise adapted to a main hub housing  208 . The main hub housing  208  can be implemented, for example, by the main hub housing  108  of system  100  of  FIGS.  1 A and  1 B , or by a generic main hub housing, as described in more detail in later sections of his disclosure. The attachment hub implemented direct-connect gas inflation actuated soft gripper module  204  can be implemented, for example, by a gas inflation actuated soft gripper  210  mounted on, or otherwise adapted to an attachment hub housing  212 . The attachment hub housing  212  can be implemented, for example, by the second attachment hub housing  112  of system  100  of  FIGS.  1 A and  1 B , or a by generic attachment hub housing, as described in more detail in later sections of his disclosure. 
       FIG.  2 B  shows a perspective view of an example of a direct-connect, remote modular CPR system  200 B according to another embodiment, including a main hub implemented, gas inflation actuated soft gripper module  214  communicatively connected to and supportively attached to an attachment hub implementation of a CPR cyclical pressure applicator module  216 . The main hub implemented, gas inflation actuated soft gripper module  214  can be implemented, for example, by a gas inflation actuated soft gripper  218  mounted on, or otherwise adapted to a main hub housing  220 . The main hub housing  220  can be implemented, for example, by an adaptation of the main hub housing  108  of system  100  of  FIGS.  1 A and  1 B , or by a generic main hub housing, as described in more detail in later sections of his disclosure. The attachment hub implemented CPR repeating cycle pressure applicator module  216  can be implemented, for example, by CPR pressure applicator  222  mounted on, or otherwise adapted to an attachment hub housing  224 . The attachment hub housing  224  can be implemented, for example, by the second attachment hub housing  112  of system  100  of  FIGS.  1 A and  1 B , or a by generic attachment hub housing, as described in more detail in later sections of his disclosure. 
     In another embodiment, a direct-connect, remote modular CPR system can be implemented by certain adaptations of the system  100  CPR cyclical pressure applicator module  104 , or the system  100  gas inflation actuated soft gripper module  106 , or both. An example adaptation can include replacing, in the CPR cyclical pressure applicator module  104 , one or more of the engagement-attachment connectors with structure of the main hub attachment structure, while maintaining the gas inflation actuated soft gripper module  106 . The replacement structure can include protruding magnets  116  or other structure as described above, e.g., but not limited to, magnets disposed in protruding non-magnetic material. An example adaptation can also include modifying one among or both the CPR cyclical pressure applicator module  104  and the gas inflation actuated soft gripper module  106 , to carry resources for remote modular CPR system  200 A support functions, described as carried for the system  100  by the main hub module  102 , i.e., batteries, power supply, processing resources, and various controller functionalities. 
     In an embodiment, the structure formed by the removable attachment of the attachment hub housing  224  to the main hub housing  220  can be referenced as a frame. An example remote modular CPR system can be formed on the described frame by mounting to the frame an inflation actuated soft gripper device, such as operative structures of the CPR cyclical pressure applicator module  104 , and a soft gripper device, such as operative structure of the gas inflation actuated soft gripper module  106 , that is configured to receive an inflation gas at an operative pressure and, in response, change form to a deployed grip state that accommodates and grips a human torso. The CPR pressure applicator device of the above-described example remote modular CPR system, e.g., the CPR cyclical pressure applicator module  104  can, as described above in reference to  FIGS.  1 A and  1 B , be configured to receive an actuator power and a CPR control signal and, in response, concurrent with the deployed grip state of as gas inflation actuated soft gripper module  106 , can cyclically extend and retract a pressure applicator, e.g., the  FIGS.  1 A and  1 B  CPR pressure applicator element  122 , along an axis, e.g., the CLP axis. In an embodiment, the described example remote modular CPR system can be configured such that the CPR pressure applicator device is supported by the frame (e.g., the assembly of the attachment hub housing  224  to the main hub housing  220 ) a configuration enabling alignment of the axis of the CPR movement with a sternum of the human torso. 
     Systems embodying described features of the direct-connect, remote modular may have some differences, e.g., in mission flexibility and in some operational metrics, (e.g., possibly due to some reduction of battery volume) in comparisons with implementations of the system  100 . However, there may be some features for some applications, such as a reduction in the population of modules. 
     In an embodiment, one or more power sources, e.g., batteries, one or more power supplies, e.g., voltage converters and regulators, controller resources, e.g., computer devices with digital and user interface resources can be included in, a controller resource which can be included in, or mounted to implementations of the example remote modular CPR system. 
       FIG.  3    shows a perspective view of a configuration, according to an embodiment, of a generic hexagonal main hub housing  300 , for modular remote CPR systems according to one or more embodiments. The generic hexagonal main hub housing  300  can include, for example, in one or more of, or in each of the housing sidewalls  302  main hub communication cable connector  304 . The main hub communication cable connector  304  can be implemented, for example, by a standard protocol communication cable connector, for example, and without limitation, a female USB-C connector. 
       FIG.  4    is a perspective view of one generic implementation of a generic hexagonal attachment hub  400 , for one or more embodiments of a modular remote CPR system in accordance with the present disclosure. The generic hexagonal attachment hub  400  can include, on each of five of its six faces  402 , an attachment hub communication cable connector  404 , e.g., but not limited to, a female USB-C connector. One of the generic hexagonal attachment hub  400  faces is shown as an attachment hub cable connector  406 . In an embodiment, the attachment hub cable connector  406  can be configured to connect to any of the main hub communication cable connectors  304 . For example, if the main hub communication cable connectors  304  are female USB-C connectors, the attachment hub cable connector  406  can be a male USB-C connector. 
       FIG.  5    shows a perspective view of an example assembled, readily disassembled modular assembly  500  in accordance with one or more embodiments. The modular assembly  500 , as shown, includes an example hexagonal generic main hub  502  according to an embodiment, in a secure and removable mutual attached combination with an illustrative set of hexagonal generic attachment hubs  504  in accordance with one or more embodiments. 
     In an embodiment, an air inflation soft gripper module can implement the first inflatable gripper arm and second inflatable gripper arm to include respective air bladder cells that can be supported, for the first inflatable gripper arm, by a first arm underside base and, by the second inflatable gripper, by a second arm underside base. The first air inflatable gripper arm can include first arm elastic structure forming a plurality of first arm bladder cells, attached to the first arm underside base, which enclose respective portions of the first arm internal volume. In an embodiment, the first arm bladder cells can be distributed to provide, when not inflated, a first arm interspacing between respective exterior surfaces of adjacent first arm bladder cells. The embodiments can include further configuration of the distribution of the first arm air bladder cells to effectuate, when inflated to the operative pressure, particular contacts between the respective exterior surfaces of adjacent first arm bladder cells. In accordance with one or more embodiments, the distribution, as well as the respective shape(s), thicknesses, and dimensions of the first arm air bladder cells can be configured to provide particular contact that exert particular first arm lateral forces. Such configuration can be selected such that the lateral forces have configurations, e.g., magnitudes, directions, and distributions that collectively force particular time evolution and end state as to dimension, shape, and orientation. The time evolution and end state can be configured to provide desired, safe, effective gripping of a human. 
     In embodiments, the second arm inflatable gripper arm can be similarly configured, for similar operation and purposes. Such embodiments can include, for example, elastic structure enclosing the second arm internal volume by a plurality of second arm bladder cells, connected to the second arm underside base. The second arm bladder cells can be shaped, dimensioned, and distributed to provide, when not inflated, a second arm interspacing between respective exterior surfaces of adjacent second arm bladder cells and, when inflated, to attain second arm contacts between the respective exterior surfaces of adjacent second arm bladder cells. The second arm contacts can exert respective second arm lateral forces that sum to a second arm net force, which effectuates, at the operative pressure, expansion of the second inflatable gripper arm to the deployed state. 
       FIG.  6 A  shows a partial cutaway front projection view of a non-inflated state of an example of such embodiment of a gas inflation deployable soft gripper device  600 , for remote modular CPR systems in accordance with one or more embodiments,  FIG.  6 B  is a cross-cut projection view of certain structure of the  FIG.  6 A  gas inflation deployable soft gripper device  600 , as visible on  FIG.  6 A  cross-cut projection plane  6 B- 6 B.  FIG.  6 C  is a projection view, on the same projection as  FIG.  6 A , showing an inflated, fully deployed state of the  FIG.  6 A  implementation. In overview, the gas inflation deployable soft gripper device  600  can provide the above-described dimensions, shapes, and distribution of air bladders using a particular configuration and distribution of hollow fins supported by a particularly configured extended arm base. 
     Referring to  FIG.  6 A , the gas inflation deployable soft gripper device  600  can include a soft gripper arm connector hub  602 , a first gas-inflatable gripper arm  604 A, and a second gas-inflatable gripper arm  604 B. An inflation tube  605  can connect to an external inflation port in an upper region of arm connector hub  602 . In an embodiment, a portion, e.g., an upper portion of the soft gripper arm connector hub  602 , can be configured to attach, for example, to the second attachment hub housing  112  of the  FIG.  1    system  100  air inflatable soft gripper module  106  or, referring to  FIG.  2 B , to the main hub housing  220  of the main hub configured air inflation soft gripper module  214 . 
     Referring to  FIG.  6 A , according to various embodiments the first gas-inflatable gripper arm  604 A can enclose a first arm internal volume, for filling with inflation gas at deployment. In the example shown in  FIGS.  6 A and  6 B , a portion of the first arm internal volume will be referred to as the “first arm gas distribution volume” and is shown enclosed by a first arm gas distribution base  606 A. The first arm gas distribution base  606 A is visible in cross-section, viewed on the  FIG.  2 B  cross-section plane  6 A- 6 A, and can extend outward a first arm length L 1  from the first arm base end. Referring to  FIG.  6 B , the first arm gas distribution base  606 A can extend a width LW 1 , in a direction that extends normal to and co-planar with the length L 1  direction. In an embodiment, the second gas-inflatable gripper arm  604 B can be configured similarly to or identical to the first inflatable gripper arm  604 A. As shown, the second arm gas distribution base  606 B can extend outward, e.g., the same amount as the first arm length L 1 , from the second arm base end and can enclose a similarly configured second arm gas distribution volume. 
     In an embodiment, the first gas-inflatable gripper arm  604 A can include, as first arm bladder cells, a plurality of first arm hollow fins  608 A. The first arm hollow fins  608 A can be formed by respective pairs of elastic material fin walls. The fin wall form outward facing surfaces paced apart by fin thickness W 1 , extend up from the first arm gas distribution base  606 A, and have end walls that, in combination, enclose respective compartments of the first arm internal volume. The second gas-inflatable gripper arm  604 B can include, as second arm bladder cells, a plurality of second arm hollow fins  608 B, formed by respective pairs of elastic material fin walls as described above for the first arm hollow fins  608 A, i.e., pairs of elastic material fin walls shaving outward facing walls paced apart by fin thickness W 1 , extending upward from the second arm gas distribution base  606 B, and enclosing respective compartments of the second arm internal volume. 
     In an embodiment the gas inflation deployable soft gripper device  600  can include a first internal inflation port  610 A, from an interior of the soft gripper arm connector hub  602  to an interior of the first gas-inflatable gripper arm  604 A, and a second internal inflation port  610 B, from an interior of the soft gripper arm connector hub  602  to an interior of the second gas-inflatable gripper arm  604 B. Alternative structures for an inflation gas path to the interior of the first gas-inflatable gripper arm  604 A can include an external tube, as opposed to the hollow structure of the soft gripper arm connector hub  602  and first internal inflation port  610 A. Similar alternative structure can provide an inflation gas path to the interior of the second gas-inflatable gripper arm  604 B. 
     As further visible in the expanded area of  FIG.  6 A , structure and arrangement of the first arm hollow fins  608 A, in addition to first arm fin thickness, W 1 , can include the first arm hollow fins  608 A being spaced, when uninflated, by a distance W 2  of spacing  612 . The spacing distance W 2  means between adjacent hollow fins, e.g., mutually facing surfaces of adjacent ones of the first arm hollow fins  608 A. During inflation, a flow of inflation gas, represented by dotted line arrows in  FIG.  6 A , passes from the first arm gas distribution volume, through base gaps visible in the figure, into the first arm hollow fins  608 A. The increasing pressure expands the first arm hollow fins  608 A in the width direction. In an embodiment, the first arm hollow fins  608 A are dimensioned and structured such that the width W 1 ′ at operative pressure has a value effectuating contact, i.e., the expansion forces adjacent ones of the first arm hollow fins  608 A into contact. The contacts create a net force that effectuates a curvature in the first gas-inflatable gripper arm  604 A′, as visible in  FIG.  6 C . In like manner, as also visible in  FIG.  6 C , inflation of the second arm hollow fins  608 B, by expanding fin widths to W 1 ′ created contacts between the second arm hollow fins  608 B, which sum to force a curvature in the second gas-inflatable gripper arm  604 B′. 
     In an embodiment, a CPR cyclical pressure applicator can be implemented with a support plate, mounted to or formed by a housing, e.g., the generic hexagonal attachment hub  400  described above. Mounted to the support plate can be a movement guide or movement support, for a CPR application structure. An actuator for the CPR application structure can include, for example, a rotary actuator motor that includes a rotatable output shaft. In an embodiment, coupled to the rotatable output shaft can be rotary to linear movement converter that, in response to rotation of the rotatable output shaft, drives a linear actuator member. The CPR application structure can, for example, couple to the linear actuator member.  FIGS.  7  and  8    are perspective and projection views, respectively, of an example implementation, 
       FIG.  7    is a perspective view of structural features of an example of a CPR pressure applicator device  700  (hereinafter referred to as CPR pressure applicator  700 ″). In overview, implementations and adaptations of the CPR pressure applicator device  700  can provide CPR pressure application functionality to different modules for modular remote CPR systems in accordance with various embodiments. For example, referring to  FIGS.  1 A,  3 , and  7   , in contemplated embodiments, an example CPR cyclical pressure applicator module  104  can be implemented by adapting or configuring a device according to the CPR pressure applicator device  700  on or within a configuration of the  FIG.  3    generic hexagonal attachment hub  400 . 
     Referring to  FIG.  7   , implementations of the CPR pressure applicator device  700  can include a base member  702  which, as shown in  FIG.  7    can include a plate that can provide a base member top surface  702 A. It will be understood that the base member  702  represents a functionality, e.g., physical support for an example set of components, including maintaining of certain relative positionings and engagements between such components. The illustrated physical configuration of the base member  702  is an example, it is not intended as a limitation. For example, contemplated embodiments can utilize alternatives to the plate implementation of the base member  702 . Such alternatives can include, without limitation, adaptation of structure of the first attachment hub housing  110  of the CPR cyclic pressure applicator module  104 , or adaptation of the  FIG.  2 A  main hub housing  208  of the main hub implemented CPR cyclic pressure applicator module  202 . Other alternative can include, without limitation. adaptation of the attachment hub  230  of the  FIG.  2 B  attachment hub implemented CPR cyclic pressure applicator module  216 . For convenience, detailed description of features, functionalities, and aspects of the  FIG.  7    example of the CPR pressure applicator  700  will reference the base member  702  and the base member top surface  702 A. It will therefore be understood, by persons of ordinary skill in the art while reading the following description, that such references are for convenience, e.g., a simple physical reference that does not introduce complexities, and that is easily carried over to implementation using a different structure or combination of structures for described functionality of the base member  702 . 
     CPR pressure application device  700  can include a CPR applicator element housing  704 , and since  FIG.  7    shows only visible external surfaces, description of structure that, for this example, can be disposed within the CPR applicator element housing  704  will include reference to  FIG.  8   . This figure shows a stepped plane, multi-projection cross-sectional view, on a stepped projection planes defined by  FIG.  7    stepped projection  8 - 8 . Referring to  FIGS.  7  and  8   , in an embodiment, disposed within the CPR applicator element housing  704  can be a CPR applicator element. In an implementation of the embodiment, the CPR applicator element can include a supported portion  706 , which can be dimensioned and shaped to cooperate, in a linear movement in directions CLP that are aligned with the CPR exertion axis CX, with an inward facing guide surface  707  of the CPR applicator element housing  704 . The inward facing guide surface  707  can likewise be aligned with the CPR exertion axis CX. In an example implementation, the supported portion  706  of the CPR applicator element  704  can be a piston-type structure, e.g., cylindrical and the inward facing guide surface  707  can be a cooperatively dimensioned inward facing cylindrical surface. In an embodiment, the outer surface of the supported portion  706  of the CPR applicator element  704  or the inward facing guide surface  707 , or both, can be coated with an anti-friction material. 
     In an embodiment, the CPR applicator element  704  can be connected, e.g., via a connector portion  708  coupled, via an actuation coupling  710 , to a rolling linear movement rack  712 . The rolling linear movement rack  712  can be supported, for example, by structure of the CPR applicator element housing  704 . A pinion gear  714 , arranged to rotate about an axis AX 1 , can engage the rolling linear movement rack  712 . It will be understood that counterclockwise rotation (from a viewing direction facing the sheet carrying  FIGS.  7  and  8   ) of the pinion gear  714  urges a rolling movement of the rolling linear movement rack  712  in a direction that, via the actuation coupling  710 , urges the CPR applicator element down. Clockwise rotation of the pinion gear  714  urges an opposite rolling movement of the rolling linear movement rack  712  that, via the actuation coupling  710 , urges the CPR applicator element upward. 
     Actuation of the pinion gear  714  can be provided by a servo motor  716 , which can be a rotary motor, configured to selectively actuate, via a rotary output shaft, a rotation of a primary drive gear  718 . The servo motor  716  elective actuation can include rotating direction, rate of rotation, and rotation force. The latter two can have an interrelation. Clockwise rotation of the primary drive gear  718  can urge a counterclockwise rotation of an intermediate drive gear  720 , In the  FIGS.  7  and  8    example, intermediate drive gear  720  is coaxial with the pinion gear  714 . Accordingly, clockwise rotation of the servo motor  716  urges the CPR applicator element downward, while motor  716  counterclockwise rotation urges the CPR applicator element upward. It will be understood that the primary drive gear  718 , intermediate drive gear  720 , pinion gear  714 , and rolling linear movement rack  712 , are an example implementation of a rotary-to-linear drive translator. Structure of the primary drive gear  718  receiving the output shaft of the servo motor  716  can function as a rotary drive input, and the rolling linear movement rack  712  can function as a linear drive output. The example rotary-to-linear drive translator, via reversibility of the servo motor  716 , function as a reversible linear movement actuator. The  FIG.  7    example of a rotary-to-linear drive translator is not intended as a limitation. Alternative rotary-to-linear translators can be employed. One example is a crankshaft, rotated by a rotary motor, with a pressure applicator connector coupled, vias or as a connecting rod to a throw of the crankshaft. 
     In an embodiment, to provide, for example and without limitation, a ready reserve of higher CPR exertion force, and/or to reduce actuator motor load, and for other benefits, the CPR pressure application device  700  can include multiple rolling linear movement racks. For example, as illustrated, the rolling linear movement rack  712  can be a first rolling linear movement rack  712 , the pinion gear  714  can be a first pinion gear  714 , the servo motor  716  can be a first servo motor  716 , the primary drive gear  718  can be a first primary drive gear  718 , and the intermediate drive gear  720  can be a first intermediate drive gear  720 . Continuing, the actuation coupling  710  can be a first actuation coupling  710 . Further to such embodiments, the CPR pressure application device  700  can include, e.g., can provide, can be formed on, integral to, or securely attached to the connector portion  708 , a second actuation coupling  722  that can couple the connector portion  708  to a second rolling linear movement rack  724 . A second pinion gear  726 , rotatable about a second axis AX 2 , can engage the second rolling linear movement rack  724 . The second pinion gear  726  can be supported by a support  728 . The second pinion gear  726  can be driven, e.g., by a second primary drive gear (similar to  718 ) driven by a second servo motor (similar to  716 ), and the second primary drive gear can drive the second pinion gear  726  through, for example, a second intermediate drive gear (similar to  720 ). 
     The first servo motor  716  and second servo motor can be implemented by various commercial off-the-shelf servo motors and can be configured actuate forwards and backwards, i.e., apply cyclic forward-reverse drive force, to reciprocate the CPR applicator element to move over a travel distance, e.g., 2-inch travel distance. 
     The rotation of first servo motor  716  and second servo motor, and the torque requirements of such servo motors, depend on the gear ratios of the gear couplings. For illustration, and without limitation, an implementation can use respective  39  tooth gears for the primary drive gear  718  and for the intermediate drive gear  720  and, for the first pinion gear  714  and the second pinion gear  726  a 77-tooth gear. In this specific implementation, the first servo motor  716  and second servo motor can operate with approximately 45-degree rotation, and with a torque rating of approximately 21 kilogram/centimeters, which can provide sufficient CPR force. 
       FIG.  9 A  is a perspective view of an example positioning and arrangement, on a hypothetical prone patient “SJ,” of the  FIG.  2 B  remote modular CPR system  200 B in accordance with various embodiments.  FIG.  9 A  shows, for purposes of example, the  FIG.  2 B  system with a not-yet-deployed state of a gas inflation actuated soft gripper device  218  (see assembled system  150  in  FIG.  1 B ).  FIG.  9 B  shows, from the same perspective used for the  FIG.  9 A  view, the  FIG.  2 B  remote modular CPR system  200 B after inflation deployment of the gas inflation actuated soft gripper device  218 , to a full deployment state, gripping the gripping the patient SJ. 
       FIGS.  10 A and  10 B  are projection views of example details of inflation deployment of a soft gripper device according to various embodiments, using the  FIG.  6 A  example gas inflation deployable soft gripper device, in the context of the hypothetical shown on  FIGS.  9 A and  9 B , where  FIG.  10 A  shows a cross-sectional view, on  FIG.  9 A  projection  10 A- 10 A, and  FIG.  10 B  shows a cross-sectional view, on  FIG.  9 B  projection  10 B- 10 B. 
       FIGS.  11 A and  11 B  show front projection views of an inflation deployment of another soft gripper device, illustrating an example alternative soft gripper arm connector hub structure. The example is shown at a deployment position above a human torso. The illustrated soft gripper device includes an arm connector hub  1102  structure, having a modified or alternative form with respect to attachment angle of the attached air inflatable arms. The arm connector hub  1102  encloses a plenum chamber, and includes a first arm attachment portion to which a base end of a first inflatable gripper arm  1104 A is attached, and a second arm attachment portion to which a base end of a second inflatable gripper arm  1104 B is attached (the inflatable arms are collective referenced as “gas inflatable arms  1104 .”). An inflation tube  1106  can connect to an external inflation port in an upper region of arm connector hub  1102 , which is fluidly connected to the interior plenum chamber. An internal inflation port  1110  can fluidly connect the plenum chamber to an interior volume of the first inflatable gripper arm  1104 A, and another internal inflation port  1110  can fluidly connect the plenum chamber to an interior volume of the second inflatable gripper arm  1104 B.  FIG.  11 B  shows by arrows an incoming inflation gas entering through the inflation tube  1106  into the plenum chamber, and passing through the internal inflation ports  1110  into the respective interior volumes of the inflatable arms  1104 . The hollow fins of the inflatable arms  1104 , in response, expand in width such that faces of adjacent hollow fins contact one another, exerting lateral forces that urge the respective curvatures. The curvatures are cooperative, so as to accommodate and, e.g., by wrapping partially around the human torso, grip the human torso. 
       FIGS.  12 A through  12 F  represent snapshots on the  FIG.  9 A  projection  10 A- 10 A, of a modular remote CPR system in accordance with various embodiments, implemented with the  FIG.  6 A  and  FIG.  6 B  gas inflation deployable soft gripper device  600 , and the  FIG.  7    and  FIG.  8    CPR pressure applicator  700  in performing a CPR compression cycle, on a hypothetical patient. Description will reference the modular remote CPR system as the “modular remote CPR system.” Visible structure of the CPR pressure applicator  700  includes the first pinion gear  714  and the second pinion gear  726 , first actuation coupling  710 , second actuation coupling  722 , the supported portion  706  and the extension/connector portion  708  of the CPR applicator element. For brevity, description will alternatively reference the CPR pressure applicator element as CPR pressure applicator element  706 / 708 . 
     As described above, respective rotations of the first pinion gear  714  and the second pinion gear  726  that effect movement of the CPR pressure applicator element  706 / 708  are necessarily opposite to one another. For purposes of description, servo motor actuation in the CPR pressure applicator  700  that rotating the first pinion gear  714  and second pinion gear  726  in respective directions effectuating downward, i.e., compressive direction movement of the CPR pressure applicator element  706 / 708 , will be referenced as “servo compression actuation.” Servo operation effectuating upward, or release direction movement will be referred to as “servo release actuation.” 
     Referring to  FIG.  12 A , an instance of can begin by placing the described modular remote CPR system on the patient, in a manner aligning the distal end of the CPR pressure applicator element  706 / 708  with the sternum of the patient. A next operation can include air inflation of the gas inflation deployable soft gripper device  600 , to the  FIG.  12 B  visible state, which is the  FIG.  6 B  deployed state in which the first gas-inflatable gripper arm  604 A curves and extends to a first pincer configuration  604 A′ and the second inflatable gripper arm  604 B curves and extends to a second pincer configuration  604 B′. This forms a pincer that partially wraps and grips the patient. Operation can also include adjustment, e.g., by manual adjustment or by computer resource control, the distal end of the CPR pressure applicator element  706 / 708  to its initial position “E 1 ”, e.g., in contact with the patient&#39;s chest above the patient&#39;s sternum. 
     Following initializing the distal end of the CPR pressure applicator element  706 / 708  to its initial position E 1 , the servo motors of the CPR pressure applicator  700  can be cyclically energized to perform a sequence of CPR compress-release cycles. Initiation can be, for example, by a first responder pressing a “Start” button on the modular remote CPR system. Alternatively, a remote operator or monitoring personnel can initiate the application of CPR cycles. Upon initiation, compressive actuation, the servo motors of the CPR pressure applicator  700  can continue rotating the first pinion gear  714  and second pinion gear  726  in the  FIG.  12 B  indicated directions, which urges the distal end of applicator element  706 / 708  downward.  FIG.  12 C  shows a snapshot during downward actuating rotation of first pinion gear  714  and second pinion gear  726  rotation of to “E 2 ”, which can be, for example, approximately 1 inch of distance downward. This, in turn, compresses the heart. In an embodiment, pressure exerted by the distal end of the applicator element  706 / 708  can be approximately 100 lbs. The force, though, will exert a 100 lb. reactionary force upward against the described modular remote CPR system. Depending on various factors, e.g., the particular implementation of the gas inflation deployable soft gripper device  600 , and the physique of the patient, the described reactionary force can separate the described modular remote CPR system a distance up upward, away from the patient. Due to such separation, achieving a 1-inch depression at E 2  can require extending the distal end of the applicator element  706 / 708  downward more than 1 inch, with a force that can be, for example, approximately 100 pounds. 
       FIG.  12 D  shows another snapshot after continuing downward actuating rotation of first pinion gear  714  and second pinion gear  726 , which lowered the distal end of the applicator element  706 / 708  downward another increment, for example, approximately another one inch, to what will be assumed a maximum compression depth “E 3 .” This heat is at maximum CP compression, e.g., the applicator element  706 / 708  still applying what can be approximately 100 lbs. 
     At this point the servo motors can reverse, thereby reversing the first pinion gear  714  and second pinion gear  726 , which effectuates upward or releasing movement of the applicator element  706 / 708 . This can be referenced as the release phase of the CPR cycle.  FIG.  12 E  shows one snapshot, and  FIG.  12 F  shows another snapshot. 
       FIG.  13 A  is a first perspective view of a system  1300 , which is an example implementation of a modular remote CPR system according to another embodiment.  FIG.  13 B  is a second perspective view of the example implementation. The system  1300  includes a modular assembly  1301  formed of a hexagonal main hub  1302  and attached to its six faces a set of six attachment hubs, of which two representative examples,  1304 - 1 , and  1304 - 2 , are labeled. The modular assembly  1301  is supported by an upper housing  1306 , which can be attached to, or can be an upper portion of a lower housing  1308 . In an embodiment, the upper housing  1306  can be omitted. Stated differently, the housing can be implemented as the lower housing  1308 . In an embodiment, the system  1300  can include a reciprocating movement actuator  1310  which can include, for example, but is not limited to, the  FIG.  7    CPR pressure applicator device  700 . The reciprocating movement actuator  1310  can be positioned with a central housing portion  1312 . 
     In an embodiment, positioned at respective sides of the central housing portion  1312  can be a first lateral housing portion  1314 A and a second lateral housing portion  1314 B. In an embodiment, a structure such as the first lateral housing portion  1314 A and the second lateral housing portion  1314 B, or another portion of lower housing  1308 , can support an inflation actuated soft gripper, including inflatable gripper arms. The inflatable gripper arms can include a first inflatable gripper arm  1316 A and a second inflatable gripper arm  1316 B. In an embodiment, an end of the first inflatable gripper arm  1316 A can be supported by the first lateral housing portion  1314 A, and an end of the second inflatable gripper arm  1316 B can be supported by the second lateral housing portion  1314 B. The first inflatable gripper arm  1316 A and second inflatable gripper arm  1316 B (collectively “gas-inflatable gripper arms  1316 ”) can be configured, for example as described above in reference to  FIG.  6   , to receive an inflation gas. Configuration can include, in response to inflation to an operative pressure, change of shape to a deployed grip state. As described above, and as described further in paragraphs below, the deployed grip state can accommodate a patient torso and provide torso contact surfaces with a distribution that, in combination, grip the patient torso. 
       FIG.  14 A  is a projection view of the  FIGS.  13 A- 13 B  example implementation of a modular remote CPR system according to another embodiment, on the  FIG.  13 B  projection  14 A- 14 A, with an added cushion device, and on the  FIG.  14 B  projection  14 A- 14 A;  FIG.  14 B  is a cross-cut projection view, on the  FIG.  14 A  cross-cut plane  14 B- 14 B. 
       FIGS.  15 A- 15 E  are projection views, on the  FIG.  14 A  cross-cut plane  14 B- 14 B, of a snapshot sequence of operative states of the  FIG.  13 A- 13 B  example implementation of a modular remote CPR system according to another embodiment, in a cycle within a CPR cyclical compression process.  FIGS.  15 A through  15 E  generally conform to the snapshot sequence described above in reference to  FIGS.  12 A- 12 E  with respect to the CPR applicator position. 
       FIGS.  16 A,  16 B,  16 C, and  16 D  show perspective views of various layers and hollowed-out shells of disk ridges from an example disk ridge bladder implementation of a soft gripper arm in  1600 A,  1600 B,  1600 C,  1600 D, respectively, in one or more embodiments of modular remote CPR systems in accordance with the present disclosure. 
       FIG.  17    shows a 3D graphic representation of a computer model of a disk ridge bladder  1700  implementation of a soft gripper arm. 
       FIG.  18    illustrates, in simplified schematic form, a computing system on which aspects of the present disclosure can be practiced. 
     The soft robotic gripper curls around the patient to stabilize the system and keep it in place while compressions are administered. When compressions are delivered to the patient with a force sufficient to compress the patient&#39;s chest approximately 2 inches, an equal and opposite force will be pushing the system up and away from the patient and can cause the device to be displaced or misaligned. The grippers will hold the sides of the patient with a friction force strong enough to oppose this motion, keeping the system in the correct position. The force/area in terms of pounds varies, dependent on the person. An example is between 80 and 100 pounds. 
     The air bladder of the soft gripper can be produced, for example, via 3-D printing using thermoplastic polyurethane (TPU). There can be two separate arms fingers to attach on opposite sides of the piston cylinder to allow for proper placement and alignment in accordance with the piston itself. The flat surface of the gripper can have a small protruding air tube that goes inside an air supply hose and can further be cinched down to ensure an airtight seal. The grippers are pneumatically actuated so when air is added, the difference in strain inside each disk causes the gripper to curl. 
     Communications can be implemented as I2C as its communication method for various reasons that are directly related to the systems functionality as well as its modularity. I2C communications work on two lines or wires, the SDA (Serial Data) and SCL (Serial Clock) and then power and ground. This avoids separate input and output lines for every attachment to the system, which can easily add up and become bulky. I2C allows for this to be possible by communicating to all attachments in the system on the same two communication lines, SDA and SCL. I2C also allows for multiple attachments to work at the same time because each attachment has a unique address that is sent from the master (Hub) through the SDA and SCL lines which only the slave (attachment) that has the unique address will respond to the commands. 
     USB-C can be an implementation for communications in the system, as capable of communicating I2C and has a substantial range of other capabilities. For example, USB-C is reversible, which is further to modularity as each attachment can be attached either way, without confusion. 
     Computer System 
       FIG.  18    illustrates, in simplified schematic form, a computing system  1800  on which aspects of the present disclosure can be practiced. The computing system  1800  can include a hardware processor  1802  communicatively coupled to an instruction memory  1804  and to a data memory  1806  by a bus  1808 . The instruction memory  1804  can be configured to store, on at least a non-transitory computer readable medium as described in further detail below, executable program code  1809 . The hardware processor  1802  may include multiple hardware processors and/or multiple processor cores. The hardware processor  1802  may include hardware processors from different devices, which cooperate. The computing system  1800  system may execute one or more basic instructions included in the executable program code  1809 .  FIG.  18    shows, coupled to the bus  1808 , an I/O interface  1810 , a display  1812 , and a network interface  1814  to interface with a WAN (Wide Area Network)  1816 . 
     Relationship Between Hardware Processor and Executable Program Code 
     The relationship between the executable program code  1809  and the hardware processor  1802  is structural; the executable program code  1809  is provided to the hardware processor  1802  by imparting various voltages at certain times across certain electrical connections, in accordance with binary values in the executable program code  1809 , to cause the hardware processor to perform some action, as now explained in more detail. 
     A hardware processor  1802  may be thought of as a complex electrical circuit that is configured to perform a predefined set of basic operations in response to receiving a corresponding basic instruction selected from a predefined native instruction set of codes. 
     The predefined native instruction set of codes is specific to the hardware processor; the design of the processor defines the collection of basic instructions to which the processor will respond, and this collection forms the predefined native instruction set of codes. 
     A basic instruction may be represented numerically as a series of binary values, in which case it may be referred to as a machine code. The series of binary values may be represented electrically, as inputs to the hardware processor, via electrical connections, using voltages that represent either a binary zero or a binary one. These voltages are interpreted as such by the hardware processor. 
     Executable program code may therefore be understood to be a set of machine codes selected from the predefined native instruction set of codes. A given set of machine codes may be understood, generally, to constitute a module. A set of one or more modules may be understood to constitute an application program or “app.” An app may interact with the hardware processor directly or indirectly via an operating system. An app may be part of an operating system. 
     Computer Program Product 
     A computer program product is an article of manufacture that has a computer-readable medium with executable program code that is adapted to enable a processing system to perform various operations and actions. 
     A computer-readable medium may be transitory or non-transitory. 
     A transitory computer-readable medium may be thought of as a conduit by which executable program code may be provided to a computer system, a short-term storage that may not use the data it holds other than to pass it on. 
     The buffers of transmitters and receivers that briefly store only portions of executable program code when being downloaded over the Internet is one example of a transitory computer-readable medium. A carrier signal or radio frequency signal, in transit, that conveys portions of executable program code over the air or through cabling such as fiber-optic cabling provides another example of a transitory computer-readable medium. Transitory computer-readable media convey parts of executable program code on the move, typically holding it long enough to just pass it on. 
     Non-transitory computer-readable media may be understood as a storage for the executable program code. Whereas a transitory computer-readable medium holds executable program code on the move, a non-transitory computer-readable medium is meant to hold executable program code at rest. Non-transitory computer-readable media may hold the software in its entirety, and for longer duration, compared to transitory computer-readable media that holds only a portion of the software and for a relatively short time. The term, “non-transitory computer-readable medium,” specifically excludes communication signals such as radio frequency signals in transit. 
     The following forms of storage exemplify non-transitory computer-readable media: removable storage such as a universal serial bus (USB) disk, a USB stick, a flash disk, a flash drive, a thumb drive, an external solid-state storage device (SSD), a compact flash card, a secure digital (SD) card, a diskette, a tape, a compact disc, an optical disc; secondary storage such as an internal hard drive, an internal SSD, internal flash memory, internal non-volatile memory, internal dynamic random-access memory (DRAM), read-only memory (ROM), random-access memory (RAM), and the like; and the primary storage of a computer system. 
     Different terms may be used to express the relationship between executable program code and non-transitory computer-readable media. Executable program code may be written on a disc, embodied in an application-specific integrated circuit, stored in a memory chip, or loaded in a cache memory, for example. Herein, the executable program code may be said, generally, to be “in” or “on” a computer-readable media. Conversely, the computer-readable media may be said to store, to include, to hold, or to have the executable program code. 
     Creation of Executable Program Code 
     Software source code may be understood to be a human-readable, high-level representation of logical operations. Statements written in the C programming language provide an example of software source code. 
     Software source code, while sometimes colloquially described as a program or as code, is different from executable program code. Software source code may be processed, through compilation for example, to yield executable program code. The process that yields the executable program code varies with the hardware processor; software source code meant to yield executable program code to run on one hardware processor made by one manufacturer, for example, will be processed differently than for another hardware processor made by another manufacturer. 
     The process of transforming software source code into executable program code is known to those familiar with this technical field as compilation or interpretation and is not the subject of this application. 
     User Interface 
     A computer system may include a user interface controller under control of the processing system that displays a user interface in accordance with a user interface module, i.e., a set of machine codes stored in the memory and selected from the predefined native instruction set of codes of the hardware processor, adapted to operate with the user interface controller to implement a user interface on a display device. Examples of a display device include a television, a projector, a computer display, a laptop display, a tablet display, a smartphone display, a smart television display, or the like. 
     The user interface may facilitate the collection of inputs from a user. The user interface may be graphical user interface with one or more user interface objects such as display objects and user activatable objects. The user interface may also have a touch interface that detects input when a user touches a display device. 
     A display object of a user interface may display information to the user. A user activatable object may allow the user to take some action. A display object and a user activatable object may be separate, collocated, overlapping, or nested one within another. Examples of display objects include lines, borders, text, images, or the like. Examples of user activatable objects include menus, buttons, toolbars, input boxes, widgets, and the like. 
     Communications 
     The various networks are illustrated throughout the drawings and described in other locations throughout this disclosure, can comprise any suitable type of network such as the Internet or a wide variety of other types of networks and combinations thereof. For example, the network may include a wide area network (WAN), a local area network (LAN), a wireless network, an intranet, the Internet, a combination thereof, and so on. Further, although a single network is shown, a network can be configured to include multiple networks. 
     CONCLUSION 
     For any computer-implemented embodiment, “means plus function” elements will use the term “means;” the terms “logic” and “module” have the meaning ascribed to them above and are not to be construed as generic means. An interpretation under 35 U.S.C. § 112(f) is desired only where this description and/or the claims use specific terminology historically recognized to invoke the benefit of interpretation, such as “means,” and the structure corresponding to a recited function, to include the equivalents thereof, as permitted to the fullest extent of the law and this written description, may include the disclosure, the accompanying claims, and the drawings, as they would be understood by one of skill in the art. 
     To the extent the subject matter has been described in language specific to structural features or methodological steps, it is to be understood that the subject matter defined in the appended claims is not necessarily limited to the specific features or steps described. Rather, the specific features and steps are disclosed as example forms of implementing the claimed subject matter. To the extent headings are used, they are provided for the convenience of the reader and are not to be taken as limiting or restricting the systems, techniques, approaches, methods, or devices to those appearing in any section. Rather, the teachings and disclosures herein can be combined or rearranged with other portions of this disclosure and the knowledge of one of ordinary skill in the art. It is intended that this disclosure encompass and include such variation. The indication of any elements or steps as “optional” does not indicate that all other or any other elements or steps are mandatory. The claims define the invention and form part of the specification. Limitations from the written description are not to be read into the claims. 
     Certain attributes, functions, steps of methods, or sub-steps of methods described herein may be associated with physical structures or components, such as a module of a physical device that, in implementations in accordance with this disclosure, make use of instructions (e.g., computer executable instructions) that may be embodied in hardware, such as an application specific integrated circuit, or that may cause a computer (e.g., a general-purpose computer) executing the instructions to have defined characteristics. There may be a combination of hardware and software such as processor implementing firmware, software, and so forth so as to function as a special purpose computer with the ascribed characteristics. For example, in embodiments a module may comprise a functional hardware unit (such as a self-contained hardware or software or a combination thereof) designed to interface the other components of a system such as through use of an application programming interface (API). In embodiments, a module is structured to perform a function or set of functions, such as in accordance with a described algorithm. This disclosure may use nomenclature that associates a component or module with a function, purpose, step, or sub-step to identify the corresponding structure which, in instances, includes hardware and/or software that function for a specific purpose. For any computer-implemented embodiment, “means plus function” elements will use the term “means;” the terms “logic” and “module” and the like have the meaning ascribed to them above, if any, and are not to be construed as means. 
     While certain implementations have been described, these implementations have been presented by way of example only and are not intended to limit the scope of this disclosure. The novel devices, systems and methods described herein may be embodied in a variety of other forms; furthermore, various omissions, substitutions, and changes in the form of the devices, systems and methods described herein may be made without departing from the spirit of this disclosure.