Omaha, NE, United States
Omaha, NE, United States

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A wearable cardiac defibrillator (WCD) system may include a support structure that a patient can wear, an energy storage module that can store an electrical charge, and a discharge circuit that can discharge the electrical charge through the patient so as to shock him or her, while the patient is wearing the support structure. Embodiments may actively take into account bystanders, both to protect them from an inadvertent shock, and also to enlist their help. In some embodiments the WCD system includes a microphone. The WCD system might be ready to deliver a shock, but may first wait before doing so until it hears from a bystander a preset ready word, such as: CLEAR.


A wearable cardioverter defibrillator (WCD) system includes a support structure that the patient may wear, and one or more sensors that may acquire patient physiological signals, such as ECG and others. A processor of the WCD system may determine diagnostics from the patient physiological signals. These diagnostics include a six-second ECG portion, heart rates as histograms, heart rates against QRS width, heart rate trends, clinical event counters, diagnostics relating to heart rate variability and about the atrial arrhythmia burden of the patient. In some embodiments, the WCD system includes a user interface with a screen that displays these diagnostics. In some embodiments, the WCD system exports these diagnostics for viewing by a different screen. When viewed, these diagnostics permit more detailed analysis of the state of the patient.


In embodiments, a wearable cardiac defibrillator system includes an energy storage module configured to store a charge. Two electrodes can be configured to be applied to respective locations of a patient. One or more reservoirs can store one or more conductive fluids. Respective fluid deploying mechanisms can be configured to cause the fluids to be released from one or more of the reservoirs, which decreases the impedance at the patient location, and decreases discomfort for the patient. In some embodiments an impedance is sensed between the two electrodes, and the stored charge is delivered when the sensed impedance meets a discharge condition. In some embodiments, different fluids are released for different patient treatments. In some embodiments, fluid release is controlled to be in at least two doses, with an intervening pause.


In embodiments, a WCD system includes one or more transducers that may sense patient parameters from different parts of the patients body, and thus render physiological inputs from those parameters. First aspects and second aspects may be detected from the physiological inputs. An aggregated first aspect may be generated from the detected first aspects, and an aggregated second aspect may be generated from the detected second aspects. An aggregate analysis score may be determined from the aggregated first aspect and the aggregated second aspect. A shock/no shock determination may be made depending on whether or not the aggregate analysis score meets an aggregate shock criterion. Accordingly, such a WCD system can make shock/no shock determinations by aggregating aspects of multiple patient parameters. Accordingly, multiple inputs are considered in making the shock/no shock determination.


A medical device such as an external defibrillator delivers electrical therapy using a special pulse sequence. The special pulse sequence includes a defibrillation shock that is automatically followed by a quick succession of automatic post-shock anti-tachycardia (APSAT) pacing pulses. Because of the pacing pulses, the defibrillation shock can be of lesser energy than an equivalent defibrillation shock of a larger energy. Accordingly, the external defibrillator can be made physically smaller and weigh less, without sacrificing the therapeutic effect of a larger external defibrillator that would deliver a defibrillation shock of higher energy. As such, the defibrillator is easier to configure for transporting, handling, and even wearing.


Chattopadhyay T.,West Corporation
IEEE Journal on Selected Topics in Quantum Electronics | Year: 2012

Conventional digital circuits lose energy because the bits of information are destroyed during the operation. Reversible circuits are currently on the top approaches to power minimization with its application in all-optical-based systems. Fredkin gate is a very common reversible logic gate. In this paper, a modification of the Fredkin gate is proposed. All-optical circuit of this modified Fredkin gate (MFG) is also designed using semiconductor optical amplifier on the Mach-Zehnder interferometer switch. A 16-Boolean logical operational circuit is also shown using this MFG. The main advantage of this scheme is that we can design a 15-Boolean logical function using a single MFG unit. Only one operation (nand) required two MFG units. Hence, complexity of the circuit can be reduced. Also, multivalued T-gate circuit using MFG is proposed. © 2011 IEEE.


Embodiments of a Wearable Cardiac Defibrillator (WCD) system include a measurement circuit that can render a physiological input from the patient (82). Such WCD systems may also receive a motion detection input that reveals whether a motion event has been detected by a motion detector. Optionally, a value becomes assigned to a motion level parameter in response to whether a motion event was detected or not, and the rhythm analysis can be based on the physiological input and on the assigned value. Optionally, a rhythm analysis of the physiological input may be performed in different manners, depending on whether or not a motion event has been detected. Optionally, a different shock/no shock criterion may be applied to the rhythm analysis, depending on whether or not a motion event has been detected. The patient (82) may receive an electrical shock (111) according to a shock/no shock determination.


A wearable cardiac defibrillator (WCD) system may include a support structure that a patient can wear, an energy storage module that can store an electrical charge, and a discharge circuit that can discharge the electrical charge through the patient so as to shock him or her, while the patient is wearing the support structure. Embodiments may actively take into account bystanders, both to protect them from an inadvertent shock, and also to enlist their help. In some embodiments the WCD system includes a microphone that can sense when a bystander speaks a preset delaying word like WAIT or NO, and prevent the discharge.


Patent
West Corporation | Date: 2016-07-18

A conductive fluid reservoir can be used to dispense conductive fluid to increase electrical connectivity between an electrode of a defibrillator and a patient. The reservoir includes a container that holds the conductive fluid, one or more outlets on the container, and an inflatable pouch located at least partially within the container. The inflatable pouch is capable of being inflated from a deflated state to an inflated state. In the deflated state, a free end of the inflatable pouch covers the one or more outlets. In the inflated state, the free end of the inflatable pouch is removed from the one or more outlets such that the conductive fluid is allowed to flow out of the container via the one or more outlets. Inflating the inflatable pouch causes the conductive fluid to be dispensed from the reservoir.


Patent
West Corporation | Date: 2016-05-04

In embodiments, a wearable cardiac defibrillation (WCD) system includes one or more flexible ECG electrodes (159, 459, 559, 659, 759, 859, 959, 1059, 1159, 1459). The WCD system may have a support structure (110, 310) that is configured to be worn by a patient (182, 382) and dimensioned relative to a body of the patient to be worn so as to press the electrodes towards the body of the patient. The electrodes may be made from appropriate material so as to flex in order to match a contour of the body of the patient. An advantage over the prior art is that the flexible electrode may make better electrical contact with the patients skin, and therefore provide a better ECG signal for the WCD system to perform its diagnosis.

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