Medical monitoring and treatment device with external pacing

    公开(公告)号:US10898095B2

    公开(公告)日:2021-01-26

    申请号:US16502395

    申请日:2019-07-03

    Abstract: A non-invasive medical device includes a garment; at least one therapy electrode and a plurality of ECG sensing electrodes disposed in the garment; a memory storing ECG information of the patient; a therapy delivery interface; and at least one processor configured to identify, within the ECG information, at least one cardiac arrhythmia condition; determine at least one pacing routine corresponding to the detected cardiac arrhythmia condition; cause the therapy delivery interface to execute the at least one pacing routine by delivering a first pacing pulse; determine, subsequent to the first pacing pulse, that a first interval has passed without detection of an intrinsic heartbeat, and in response, cause the therapy delivery interface to continue executing the at least one pacing routine by delivering a second pacing pulse; and responsive to determining that the intrinsic heartbeat is detected within the first interval, suspend execution of the at least one pacing routine.

    WEARABLE MEDICAL TREATMENT DEVICE WITH MOTION/POSITION DETECTION

    公开(公告)号:US20200253486A1

    公开(公告)日:2020-08-13

    申请号:US16750028

    申请日:2020-01-23

    Abstract: 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.

    Wearable medical treatment device with motion/position detection

    公开(公告)号:US10582858B2

    公开(公告)日:2020-03-10

    申请号:US15850435

    申请日:2017-12-21

    Abstract: 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.

    SYSTEM AND METHOD FOR CONSERVING POWER IN A MEDICAL DEVICE

    公开(公告)号:US20200046990A1

    公开(公告)日:2020-02-13

    申请号:US16655440

    申请日:2019-10-17

    Abstract: A system and method for conservation of battery power in a portable medical device is provided. In one example, a processor arrangement includes a dual core processor having an ARM core and a DSP core. The portable medical device includes a monitor having the dual core processor, in communication with a belt node processor. The DSP core receives physiological data from the physiological sensor and sends the physiological data to the ARM core. The ARM core analyzes the physiological data to determine if a treatment sequence is necessary. The DSP core receives physiological data from the at least one physiological sensor and sends the physiological data to the ARM core, and also analyzes the physiological data to determine proper timing of the treatment sequence by the at least one therapy delivery device to synchronize at least one pulse of the treatment sequence with the physiological data.

    SYSTEMS AND METHODS OF DETERMINING LOCATION USING A MEDICAL DEVICE

    公开(公告)号:US20190313928A1

    公开(公告)日:2019-10-17

    申请号:US16455898

    申请日:2019-06-28

    Abstract: A medical device includes a sensor interface for measuring one or more physiological signals of the patient; at least one motion detector for detecting movement of the device; a processor coupled to the sensor interface and the at least one motion detector; and a memory communicatively coupled to the processor and comprising instructions that cause the processor to receive movement information comprising at least acceleration information and heading information from the at least one motion detector; detect movement of the medical device from the movement information, wherein the movement of the medical device comprises a distance traveled by the medical device and a direction traveled by the medical device; and estimate a current location of the medical device relative to a previous location of the medical device using dead reckoning based at least in part on the distance and direction traveled by the medical device.

    Wearable ambulatory medical device with multiple sensing electrodes

    公开(公告)号:US10405768B2

    公开(公告)日:2019-09-10

    申请号:US15899915

    申请日:2018-02-20

    Abstract: 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.

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