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Automated External Defibrillator

Biomedical Engineering

A portable device that automatically analyzes a collapsed person's heart rhythm through adhesive chest pads and, if it detects a shockable rhythm such as ventricular fibrillation, delivers an electric shock intended to let the heart's normal rhythm resume. Unlike the earlier hospital defibrillator, which required a trained operator to interpret an electrocardiogram and choose whether to shock, the automated version is designed for use by bystanders with minimal training, giving spoken step by step instructions and refusing to deliver a shock unless its own algorithm confirms one is appropriate. Devices of this kind reached wide civilian deployment beginning in the 1990s, placed in airports, offices, schools, and other public spaces as part of public access defibrillation programs intended to shorten the time between a cardiac arrest and the first shock, a delay strongly linked to survival. Because sudden cardiac arrest is often fatal within minutes without treatment, the device is generally used together with cardiopulmonary resuscitation performed by bystanders while waiting for emergency medical services to arrive.

Facts
Patent or First-Use Date
1978-05-09 1
Year
1978 2
Significance
The Heart-Aid, developed in the 1970s by physicians Arch Diack and W. Stanley Welborn with engineer Robert Rullman, became the precursor to the modern automated external defibrillator and was the first design meant for use by bystanders rather than trained personnel; its airway electrode, one of its early innovations, later fell out of use even as much of its basic design carried into later AEDs. 3
FAQs

Was the first public-use defibrillator the same as a modern AED?

No. The 1970s Heart-Aid was a fully automated forerunner that used an oral airway electrode and never became a commercial success.

The closest ancestor was the Heart-Aid, developed in Oregon in the early 1970s by physicians Arch Diack and W. Stanley Welborn with engineer Robert Rullman. Their aim was a defibrillator that could hang on a wall like a fire extinguisher and be used by the public. It differed from a modern unit in several ways. One electrode was an oral airway placed in the patient's mouth, the other was an adhesive pad on the upper abdomen, and the device was fully automated, with no button to press before it fired. Several hundred units were produced, but it never gained commercial success, partly because people disliked the oral airway. Later devices became semi-automated, and the adhesive pad and the spoken guidance for the user are now standard features.
Connections

In Field

Source Automated external defibrillator (Wikipedia)

Invented By

Source Automated external defibrillator (Wikipedia)
Sources
1. Cardiac Resuscitator and Monitoring Apparatus Patent US4088138 (Google Patents)
Google Patents / United States Patent OfficeBibliographic data panel, publication date
Quote, Bibliographic data panel, publication date
Publication date 1978-05-09
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2. Automated external defibrillator (Wikipedia)
Wikipedia
  • History section, Heart-Aid development
    In the late 1970s the Heart-Aid was developed as the first truly automated external defibrillator that was designed for the public.
  • In Field: Biomedical Engineering, Categories
    Emergency medical equipment
  • In Group: Life Support and Resuscitation Equipment, Lead
    An automated external defibrillator (AED) is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation (VF) and pulseless ventricular tachycardia, and is able to treat them through
  • Invented By: Frank Pantridge, Introduction
    The portable version of the defibrillator was invented in the mid-1960s by Frank Pantridge in Belfast, Northern Ireland
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3. The Forgotten History of the AED (Sudden Cardiac Arrest Foundation)
Sudden Cardiac Arrest FoundationArticle, Heart-Aid summary
Quote, Article, Heart-Aid summary
Called the Heart-Aid, the device they developed became the precursor to the modern automated external defibrillator (AED).
View the Source
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