Other

Physio-control, Inc.

West Affum Holdings Corp.

West Affum Holdings Dac

Robert P Marx

Joseph Leo Sullivan

Jaeho Kim

Fred William Chapman

Robert G Walker

Isabelle L Banville

Randy L Merry

Alexander Esibov

Robert Walker

A wearable medical includes a walking detector module with a motion sensor that is configured to detect when the patient is walking or running. In embodiments, a parameter (referred to herein as a 'Bouncy' parameter) is determined from Y-axis acceleration measurements. In some embodiments, the Bouncy parameter is a measurement of the AC component of the Y-axis accelerometer signal. This detection can be used by the medical device to determine how and/or whether to provide treatment to the patient wearing the medical device. For example, when used in a WCD, the walking detector can prevent “false alarms” because a walking patient is generally conscious and not in need of a shock.

Detecting walking in a wearable cardioverter defibrillator system

A wearable cardioverter defibrillator system includes a support structure that a patient can wear. The system also includes electrodes that contact the patient, and define two or more channels from which ECG signals are sensed. A processor may evaluate the channels by analyzing their respective ECG signals, to determine which contains less noise than the other(s). The analysis can be by extracting statistics from the ECG signals, optionally after first processing them, and then by comparing these statistics. These statistics may include tall peak counts, amplitudes of peaks compared to historical peak amplitudes, signal baseline shift, dwell time near a baseline, narrow peak counts, zero crossings counts, determined heart rates, and so on. Once the less noisy signal is identified, its channel can be followed preferentially or to the exclusion of other channels, for continuing monitoring and/or determining whether to shock the patient.

Medical device with enhanced electrocardiogram channel selection

A wearable medical includes a walking detector module with a motion sensor that is configured to detect when the patient is walking or running. In embodiments, a parameter (referred to herein as a 'Bouncy' parameter) is determined from Y-axis acceleration measurements. In some embodiments, the Bouncy parameter is a measurement of the AC component of the Y-axis accelerometer signal. This detection can be used by the medical device to determine how and/or whether to provide treatment to the patient wearing the medical device. For example, when used in a WCD, the walking detector can prevent 'false alarms' because a walking patient is generally conscious and not in need of a shock.

Wearable cardioverter defibrillator (WCD) system evaluating its ECG signals for noise according to tall peak counts

Embodiments operate in contexts where field data have been generated from a field event, and annotations have been generated from the field data, which purport to identify events within the field data, such as CPR compressions and ventilations. Metrics are generated from the annotations, which are used in training. In such contexts, a grade may be assigned that reflects how well the annotations meet one or more accuracy criteria. The grade may be used in a number of ways. Reviewers may opt to disregard field data and metrics that have a low grade. Expert annotators may be guided as to precisely which annotations to revise, saving time. A low grade may decide that the results are not emailed to reviewers, but to annotators. A learning medical device can use the grade internally to adjust its own internal parameters so as to improve its annotating algorithms.

Automatically evaluating likely accuracy of event annotations in field data

An external medical device can include a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions from a mechanical chest compression device. The processor can also be configured to select at least one filter mechanism, the mechanical chest compression device having a chest compression frequency f. The processor can be further configured to apply the at least one filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal, wherein the chest compression artifacts correspond to the chest compressions being delivered to the patient by the mechanical chest compression device, and wherein the at least one filter mechanism substantially rejects content in the frequency f plus content in at least one more frequency that is a higher harmonic to the frequency f.

Filter mechanism for removing ECG artifact from mechanical chest compressions

A wave motion-actuated pumping apparatus includes a pair of inner and outer telescoping sleeves, a float, an anchoring arrangement, and a pair of one-way flow valves. The inner and outer sleeve are telescopically fitted together for reciprocal sliding movement relative to one another and define a water flow chamber therebetween being variable in volume in response to reciprocal movement of the tubular members relative to one another. The inner and outer tubular members also respectively define an inlet to and an outlet from the chamber. The float is attached about the outer sleeve so as to provide it with sufficient buoyancy to floatably follow up and down motion of waves with the float when the float and outer sleeve are disposed in a body of water. The inner sleeve is attached to the anchoring arrangement to restrain the inner sleeve from following up and down motion of waves with the outer sleeve, thereby causing the outer sleeve to reciprocally move relative to the inner sleeve. The upper and lower one-way flow valves are mounted respectively to the inner and outer sleeves across the respective inlet and outlet of the chamber in an arrangement which produces opening and closing of the valves in response to, and thereby in coordination with, reciprocal movement to the outer sleeve relative to the inner sleeve so as to cause pumping of water from the outlet of the chamber.

Apparatus for pumping water from rise and fall motion of waves

An apparatus for generating rotary motion from rise and fall motion of waves includes an outer hollow sleeve, a float sealably attached across the upper end of the outer sleeve to define an interior cavity, prevent entry of water into the cavity and provide the outer sleeve with sufficient buoyancy to floatably follow up and down motion of waves, an inner hollow sleeve fitted telescopically within the outer sleeve, and an anchoring arrangement attached to the inner sleeve for restraining it from following up and down motion of waves with the outer sleeve and float. The outer sleeve will slidably move up and down relative to the inner sleeve as the outer sleeve and float floatably follow up and down motion of waves and correspondingly will draw a flow of water upwardly and force a flow of water downwardly through the inner sleeve. The apparatus also includes a single rotary motion-producing mechanism mounted within the inner sleeve intersecting and engaging the flow of water through the inner sleeve. The rotary mechanism includes a rotary shaft and a turbine rotor mounted on the shaft for rotation therewith. The rotor has a set of hinged blades being pivotally reversable in their deflected positions in response to change in direction of the flow of water upwardly and downwardly through the inner sleeve for continuously rotating the shaft in a single direction.

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Redmond, WA, United States of America

Robert P Marx