Zoll Medical Corporation

John D Macho

Thomas E Kaib

Shane S Volpe

Marshal W Linder

Richard A Rattanni

Philip C Skalos

Wade T Braden

Phillip Hier Amsler

A wearable defibrillator for monitoring treatable arrhythmias in a patient in the presence of background noise includes a plurality of sensing electrodes configured to generate ECG data, one or more therapy pads, one or more audio devices, and one or more processors. The one or more audio devices include a microphone configured to detect background noise and a speaker. The one or more processors are configured to determine, from at least the ECG data, whether the patient is experiencing a treatable arrhythmia; cause, via the speaker, an audible alarm in response to determining that the patient is experiencing the treatable arrhythmia; delay a delivery of treatment to the patient in response to determining that at least the predetermined level of background noise exists; and during the delay, perform at least one of obtaining additional data or running an additional test to verify that the patient is experiencing the treatable arrhythmia.

Wearable defibrillator with audio input/output

A wearable arrhythmia monitoring and treatment device for improving confidence in determined arrhythmias prior to treatment includes a plurality of sensing electrodes, one or more therapy electrodes, and an electrode signal acquisition circuit having a plurality of inputs. The electrode signal acquisition circuit is configured to sense a respective signal provided by each of a plurality of different pairings of the plurality of sensing electrodes. The wearable arrhythmia monitoring and treatment device includes a monitoring and detection circuit including at least one processor configured to analyze the respective signals provided by each of the plurality of different pairings of the plurality of sensing electrodes, change a confidence level in a determined arrhythmia condition based on the respective signals provided by the plurality of different pairings of the plurality of sensing electrodes, and initiate a therapy to the patient via the one or more therapy electrodes based on the confidence level.

Wearable ambulatory medical device with multiple sensing electrodes

A wearable medical device for detecting and treating life-threatening arrhythmias includes a wearable vest portion, sensing electrodes, therapy pads, at least one motion sensor, and a cardiac monitor. The cardiac monitor is configured to detect whether the patient is experiencing a treatable arrhythmia using an ECG signal and in response, determine a confidence level for the detected treatable arrhythmia using outputs from the at least one motion sensor. Determining the confidence level includes detecting patient motion prior to the detection of the treatable arrhythmia. Determining the confidence level further includes increasing the confidence level in response to determining that the patient is motionless coinciding with the detection of the treatable arrhythmia, or decreasing the confidence level in response to determining the patient motion after the detection of the treatable arrhythmia. The cardiac monitor is configured to determine whether to deliver a treatment shock based on the confidence level.

Wearable medical treatment device with motion/position detection

A wearable medical treatment device for monitoring a patient's ECG and treating a cardiac condition is disclosed. The device includes a patient vest portion having cardiac sensing electrodes to obtain an ECG signal of a patient, therapy electrodes for external placement proximate to skin of the patient for delivering electrotherapy to treat the cardiac condition, and, a monitor coupled to the cardiac sensing electrodes and the therapy electrodes via at least one cable. The monitor includes a system computer disposed in the monitor. The system computer is configured to receive the ECG signals of the patient and to execute at least one arrhythmia detection algorithm to determine whether the patient is experiencing a cardiac condition in need of treatment, and a mechanical shock detector disposed on the monitor and configured to detect at least one of a force or acceleration indicative of a mechanical shock to the monitor.

An arrhythmia monitoring device includes a plurality of pairs of ECG sensing electrodes disposed in a garment configured to be worn about a torso of a patient, and signal acquisition circuit configured to be electrically coupled to the plurality pairs of ECG sensing electrodes. The device includes a processor in communication with the signal acquisition circuit configured to execute a selection process comprising identifying a quality of each of a plurality of ECG signals, ranking the signals based on the identified quality, and selecting at least two ECG signals to monitor having highest quality. The processor is configured to re-execute the selection process following an event including at least one of the garment shifting on the torso, the garment being repositioned on the torso, and the garment being removed and returned to the torso of the patient, and monitor the selected at least two ECG signals for a cardiac arrhythmia.

A wearable defibrillator includes a plurality of ECG electrodes configured to be removably attached to a patient and sense ECG information of the patient, and at least one therapy pad configured to deliver electrical therapy to the patient. The wearable defibrillator includes at least one audio device including a microphone configured to receive an audio input and an audio output device configured to provide an audio output. At least one processor of the wearable defibrillator is operatively connected to the plurality of ECG electrodes, the at least one therapy pad, a memory, and the at least one audio device. The at least one processor is configured to in a set up phase, receive by the microphone and store in the memory, the audio input comprising a voice recording, and cause the audio output device to provide the audio output by to playing back the voice recording to the patient.

A cardiac monitoring system includes cardiac sensing electrodes for external placement proximate to the patient to sense ECG signals of the patient; one or more accelerometers configured to generate patient activity data based on signals corresponding to changes in the patient's body position and movement; and a monitoring computer configured to correlate the ECG signals of the patient with the patient activity data generated from the one or more accelerometers to determine ECG signal contamination, analyze the ECG signals of the patient to extract at least heart rate data of the patient and detect a cardiac arrhythmia based at least in part on the heart rate data, and change a confidence in the detected cardiac arrhythmia based on the determined ECG signal contamination; wherein at least the patient activity data and the heart rate data are analyzed to determine a change in a physiological condition of the patient over time.

An external medical device includes a battery that can support a plurality of charge-discharge cycles prior to a predetermined battery life threshold. The device also includes a battery circuit that is operative for monitoring a condition of the battery, determining a battery life status of the battery based on the monitored condition and the predetermined battery life threshold, and, responsive to the determined battery life status, causing the device to enter into a low power operating mode. The low power operating mode can include modifying device functions that are performed, or modifying the manner in which a capacitor of the device is charged, or changing the battery that charges the capacitor, or isolating the capacitor from charge drainage, or causing the device to operate from charge stored on the capacitor.

Systems and methods for monitoring battery life status

A wearable defibrillator includes a plurality of ECG electrodes removably attached to a patient and configured to sense a cardiac condition of the patient, and at least one therapy pad configured to deliver electrical therapy to the patient. The wearable defibrillator may include a microphone configured to receive an audio input and sense environmental noise and a speaker configured to output one or more alarms signaling that treatment is about to be provided to the patient. At least one processor of the wearable defibrillator is operatively connected to the plurality of ECG electrodes, the at least one therapy pad, a memory, and the at least one audio device. The at least one processor is configured to monitor the sensed cardiac condition and increase a volume of the one or more alarms when the microphone senses from the environmental noise that the wearable defibrillator is in a high noise environment.

An ambulatory medical device including a plurality of electrodes configured to be disposed at spaced apart positions about a patient's body, an electrode signal acquisition circuit, and a monitoring circuit. The acquisition circuit has a plurality of inputs each electrically coupled to a respective electrode of the plurality of electrodes and is configured to sense a respective signal provided by a plurality of different pairings of the plurality of electrodes. The monitoring circuit is electrically coupled to an output of the acquisition circuit and is configured to analyze the respective signal provided by each of the plurality of different pairings and to instruct the acquisition circuit to select at least one of the plurality of different pairings to monitor based on at least one of the quality of the respective signal, a phase difference between the respective signal and that of other pairings, a position of electrodes relative to the patient's body, and other criteria.

A system includes: at least one identification device associated with a wearable medical therapy device and configured to have information read therefrom and written thereto; at least one controller operatively connected to the at least one identification device and configured to at least one of retrieve the information from the at least one identification device and write the information to the at least one identification device; and at least one device positioned externally from the wearable medical therapy device and configured to interrogate the at least one identification device to at least one of obtain the information from the at least one identification device and write additional information to the at least one identification device.

Systems and methods for utilizing identification devices in a wearable medical therapy device

A wearable device and method of monitoring the condition of a patient. The wearable device includes at least one sensor and at least one processor operatively connected to the at least one sensor. The wearable device also includes an operator interface device operatively connected to the at least one processor. The at least one processor causes the device to allow for customization of at least one output message to be delivered via the operator interface device.

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Farmington, PA, United States of America

John D Macho