Hennepin County Medical Center, Minneapolis, MN, USA.
Lompoc Valley Medical Center, 1515 E Ocean Avenue, Lompoc, CA, 93436, USA.
Forensic Sci Med Pathol. 2020 Dec;16(4):613-621. doi: 10.1007/s12024-020-00284-7. Epub 2020 Aug 18.
Conducted electrical weapons (CEW) are ubiquitous in law enforcement given their unique ability to physically incapacitate violently resisting subjects. Early use of animal models to study CEW incapacitation effectiveness (e.g. porcine model with 4-limb strain gauges) proved to be poorly predictive of human incapacitation effectiveness. In a previously published human study, we developed a methodology for the prospective assessment of the incapacitation effectiveness of CEWs in highly motivated human subjects. Here we use this methodology in Part 1 to compare the incapacitation effectiveness of the newly released Axon® (formerly TASER® International) T(ASER) 7 to the TASER X26E, the "gold standard", and the TASER X2, a current model. The T7 has a new "adaptive cross-connect" technology that may improve incapacitation effectiveness in the scenario of small spreads between probe pairs, a common cause of weapon "failure" in the field. In Part 2, we use our methodology to test the functionality of the T7 cross-connect technology by comparing different bay and probe configurations. This is the first published study in the literature comparing different CEW models using this human model. For Part 1, 29 subjects completed the study and had data available for analysis. For Part 2, 21 subjects completed the study and had data available for analysis. The subjects were motivated to complete the task of reaching a suspended martial arts dummy 3.4 m (11 ft) away while being exposed "under power" to the CEW. In Part 1, subjects were assigned to 1 of 6 groups with probe spreads of 10, 20, and 30 cm (4, 8, 12 in). Subjects were exposed to a "control" CEW (either the X2 or X26E) and the T7 on alternating sides. Exposures with the X2 and T7 included 2 bay-exposures. In Part 2, 21 subjects were assigned to 1 of 5 groups of different T7 bay and probe configurations all with a theoretical effective spread of 30 cm (12 in). Subjects were rated on their progress towards successfully reaching the dummy and on the extent of limb incapacitation using a quasi-blinded expert-observer scoring panel based on high-speed video review. In Part 1, all CEW models achieved maximal or near-maximal subject control with the 30 cm probe spread. With probe spreads of 10 and 20 cm the pooled data showed the T7 to be superior to the X2 for goal achievement (p < 0.001) and limb incapacitation (p = 0.002) mostly driven by differences seen with the 10 cm spread (2-bay exposures). The T7 was non-inferior to the X26E. In Part 2, there was no statistical significance between the limb capture scores, but there was a statistically significant difference in goal scores. The results overall validate that the T7 CEW cross-connect feature performed as expected. The T7 adaptive cross-connect feature with two simultaneous deployed probe pairs demonstrated a significant improvement in incapacitation effectiveness compared to the current X2 CEW with two simultaneously deployed probe pairs. Small probe spreads are a common reason for limited incapacitation effectiveness in the field and this study suggests the T7 may offer an improvement in this scenario. The T7, with single-bay exposures, was non-inferior to the single-bay X26E.
经皮电神经刺激(CEW)因其能够使暴力抵抗者身体丧失能力的独特能力而在执法中无处不在。早期使用动物模型研究 CEW 失效效果(例如,使用四肢应变计的猪模型)被证明对人类失效效果的预测能力很差。在之前发表的一项人类研究中,我们开发了一种前瞻性评估 CEW 在高度激励的人类受试者中失效效果的方法。在这里,我们在第 1 部分中使用该方法比较了新发布的 Axon(前身为 TASER International)T(ASER)7 与 TASER X26E(“黄金标准”)和 TASER X2(当前模型)的失效效果。T7 具有新的“自适应交叉连接”技术,当探头对之间的间距较小(现场武器“失效”的常见原因)时,可能会提高失效效果。在第 2 部分中,我们使用我们的方法通过比较不同的探头和探头配置来测试 T7 交叉连接技术的功能。这是文献中首次使用这种人体模型比较不同 CEW 模型的研究。第 1 部分,29 名受试者完成了研究,并有数据可供分析。第 2 部分,21 名受试者完成了研究,并有数据可供分析。受试者有动力完成将一个悬挂的武术假人 3.4 米(11 英尺)远的任务,同时“通电”接受 CEW。在第 1 部分中,受试者被分配到 6 个组中的 1 个,探头间距为 10、20 和 30 厘米(4、8 和 12 英寸)。受试者接受“对照”CEW(X2 或 X26E)和 T7 的交替暴露。X2 和 T7 的暴露包括 2 个探头暴露。在第 2 部分中,21 名受试者被分配到 5 个不同的 T7 探头和探头配置组中的 1 个,所有配置的理论有效间距均为 30 厘米(12 英寸)。根据高速视频审查,使用准盲专家观察员评分小组对受试者成功到达假人和四肢失效程度进行评分。在第 1 部分中,所有 CEW 模型都在 30 厘米探头间距下实现了最大或接近最大的受试者控制。在 10 和 20 厘米探头间距的情况下,汇总数据显示 T7 在实现目标方面优于 X2(p<0.001),在肢体失效方面优于 X2(p=0.002),主要原因是 10 厘米探头间距(2 个探头暴露)之间的差异。T7 与 X26E 相比无劣势。在第 2 部分中,肢体捕获分数之间没有统计学意义,但目标分数有统计学意义。总体结果验证了 T7 CEW 交叉连接功能的预期性能。与当前具有两个同时部署探头对的 X2 CEW 相比,T7 自适应交叉连接功能与两个同时部署的探头对相比,在失效效果方面有显著提高。探头间距小是现场失效效果有限的常见原因,本研究表明 T7 可能在此类情况下有所改进。T7 具有单探头暴露,与单探头 X26E 相比无劣势。