A wearable medical device configured to monitor a patient for cardiac arrhythmias includes a water-resistant belt, ECG sensing electrodes, and therapy electrodes discrete from the ECG sensing electrodes. At least some of the ECG sensing electrodes and therapy electrodes are disposed on one or more common adhesive backings configured to be adhesively attached to the patient's torso. The wearable medical device also includes an elongated cable, including a removable connector, and a control unit configured to be removably electrically coupled to the electrodes via the removable connector. The control unit is configured to monitor a sensed ECG of the patient, and responsive to a detection of cardiac arrhythmia, provide at least one defibrillating pulse to at least one of the therapy electrodes. The control unit is housed in a waterproof case formed from a waterproof material that is sealed to prevent ingress of water during operation in a wet environment.
In an illustrative embodiment, a patient monitoring device for predicting patient temperature includes a user interface and a temperature prediction engine. The temperature prediction engine comprises hardware logic and/or software logic configured for execution on processing circuitry. The temperature prediction engine is configured to receive patient data; take into account at least one therapeutic intervention, wherein the at least one therapeutic intervention comprises a therapy that affects the patient's temperature; predict a first temperature of the patient for a first scenario in which the patient undergoes the at least one therapeutic intervention; prepare for presentation at the user interface the prediction of the first temperature; and provide the prediction of the first temperature to the user interface.
A wearable cardiac device for providing feedback during device assembly includes a garment configured to be continuously worn and an electrode belt including a plurality of assemblable elements. Each of the assemblable elements is configured for assembly into the garment prior to use of the wearable cardiac device. The plurality of assemblable elements includes electrodes configured to facilitate sensing electrical signals associated with cardiac activity of and/or deliver one or more therapeutic pulses to a patient. At least one of the plurality of assemblable elements includes respective local assembly feedback circuitry. Each respective local assembly feedback circuitry includes an assembly verification sensor configured to sense whether the respective assemblable element is correctly assembled into the garment and local assembly feedback indicator(s) locally disposed on the respective assemblable element and configured to provide a human-discernable feedback alert indicating whether the respective assemblable element is correctly assembled into the garment.
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p.ex. par le potentiel cardiaque
A61N 1/02 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet - Parties constitutives
A61N 1/32 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents
In an illustrative embodiment, a data transfer cable for transferring sensor data between a sensor device and a medical device includes at least one illumination element configured to provide at least two visual indications visible in a location distal to the connector, each visual indication corresponding to a respective state of the cable or a sensor connected thereto. The cable may include processing circuitry configured to receive, from the medical device responsive to user interaction with a portion of a user interface corresponding to the sensor connected to the cable, an identify signal, and provide a first visual indication for indicating correspondence between the cable and the sensor connected thereto. A second visual indication may provide prompting/feedback to a caregiver while using the sensor device.
5.
IMPROVED HEAT EXCHANGE CATHETERS FOR USE WITH A PATIENT BODY TEMPERATURE MANAGEMENT SYSTEM
In an illustrative embodiment, a heat exchange catheter includes a catheter body and a heat exchange region. The catheter body includes a delivery lumen, a return lumen, an inner wall separating the delivery and return lumens, and a side wall defining at least one opening in communication with the delivery lumen. The inner wall defines an opening in communication with the delivery and return lumens. A first end of the heat exchange region is coupled to the delivery lumen of the catheter body through the at least one opening. The heat exchange region is configured to be in fluid communication with the delivery and return lumens of the catheter body to receive a working fluid. The opening of the inner wall is located such that the working fluid flowing through the delivery lumen of the catheter body is bifurcated between the heat exchange region and the return lumen.
Hybrid ventilation apparatuses, systems and methods are provided. Some example mechanical ventilation apparatuses include a gas delivery system, at least one oxygen concentrator for generating oxygen enriched gas for delivery to a patient, at least one pressurized oxygen source for providing oxygen for delivery to the patient, and a controller. Based at least in part on an FIO2 setting for the gas to be delivered to the patient, the controller may determine an oxygen enriched gas flow rate of the oxygen enriched gas and a pressurized oxygen source flow rate of the oxygen from the at least one pressurized oxygen source, for the gas to be delivered to the patient. The controller may control the gas delivery system to deliver the gas to the patient in accordance with the FIO2 setting, the determined oxygen enriched gas flow rate, and the determined pressurized oxygen source flow rate.
An ambulatory medical device capable of delivering therapy to a patient is provided. The ambulatory medical device comprises at least one controller operatively connected to at least one sensor configured to detect a health disorder of the patient, at least one treatment element configured to deliver therapy to the patient, and at least one response mechanism configured to be actuated by the patient, the at least one response mechanism having one of a first state and a second state. The at least one controller being configured to delay delivery of the therapy to patient for a first predetermined period of time responsive to detection of the health disorder and the at least one response mechanism having the first state, and to deliver the therapy to the patient in response to continued detection of the health disorder, the at least one response mechanism remaining in the first state.
Hybrid ventilation apparatuses, systems and methods are provided. Some example mechanical ventilation apparatuses include a gas delivery system, at least one oxygen concentrator for generating oxygen enriched gas for delivery to a patient, at least one pressurized oxygen source for providing oxygen for delivery to the patient, and a controller. Based at least in part on an FIO2 setting for the gas to be delivered to the patient, the controller may determine an oxygen enriched gas flow rate of the oxygen enriched gas and a pressurized oxygen source flow rate of the oxygen from the at least one pressurized oxygen source, for the gas to be delivered to the patient. The controller may control the gas delivery system to deliver the gas to the patient in accordance with the FIO2 setting, the determined oxygen enriched gas flow rate, and the determined pressurized oxygen source flow rate.
Devices, systems, and methods for providing patient wear compliance information are provided. For example, a medical device includes a plurality of electrodes configured to be continuously coupled externally to a patient and to monitor electrical activity on the skin of the patient. The system also includes at least one motion sensor configured to generate a motion signal based upon movement of the patient. The system further includes a processor configured to receive an electrical signal based on the monitored electrical activity, record a wear onset event based on the electrical signal and the motion signal, record a wear offset event based on one or more of the electrical signal and the motion signal indicating that the patient is not wearing the medical device, and output a graphical representation including information regarding the patient's wear compliance based on the recorded wear onset event and the recorded wear offset event.
A patient monitoring system includes at least one sensor configured to measure patient data including physiologic waveform data, a defibrillator configured to couple to the at least one sensor and including a touchscreen user interface, at least one processor communicatively coupled to the touchscreen user interface and configured to cause the touchscreen user interface to display the patient data including at least one physiologic waveform based on the physiologic waveform data, detect user input including a first user touchscreen input and a second user touchscreen input, define endpoints of a caliper based on the first user touchscreen input and the second user touchscreen input, wherein the endpoints of the caliper identify a particular portion of the at least one physiologic waveform, and cause the touchscreen to display a measurement of the particular portion of the at least one physiologic waveform based on the endpoints of the caliper.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/0205 - Evaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p.ex. de l'état cardiaque et respiratoire
A61B 5/318 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG]
G06F 3/01 - Dispositions d'entrée ou dispositions d'entrée et de sortie combinées pour l'interaction entre l'utilisateur et le calculateur
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p.ex. basé sur des systèmes experts médicaux
A wearable treatment device for monitoring physical activity and providing therapy to a subject includes a garment, cardiac sensing electrodes configured to detect cardiac information for the subject, at least one activity sensor configured to monitor at least one of motion or position for the subject, treatment electrodes configured to deliver treatment shocks to the subject, and a controller. The controller is configured to guide the subject through a physical activity, measure the subject's performance of the physical activity using the detected cardiac information for the subject and the monitored at least one of motion or position for the subject, monitor the detected cardiac information for the subject to identify whether the subject is experiencing a treatable arrhythmia, and determine a confidence level for an identified treatable arrhythmia using the monitored at least one of motion or position for the subject.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p.ex. basé sur des systèmes experts médicaux
A medical equipment management system is described that includes a database including status and software information for medical equipment, a user interface configured to display at least one summary level indicator comprising a summary level status indicator for at least one group of the medical equipment, wherein the group of medical equipment corresponds to a user-defined geographic region, and a computer located remotely from the medical equipment and communicatively coupled to the user interface and the database, the computer configured to establish a communicative connection with the medical equipment, receive status updates from the medical equipment, update the status information in the database based on the status updates, receive a request to access the database, and provide the updated status information for the group of medical equipment to the user interface, wherein the summary level status indicator at the user interface is based on the updated status information.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p.ex. pour planifier la maintenance ou les mises à jour
13.
DEPLOYMENT STATIONS FOR EMERGENCY MEDICAL TREATMENT AND GUIDANCE APPARATUSES
In one aspect, a deployment station for portable emergency medical treatment and guidance apparatuses is provided. The deployment station can include a first storage section for holding at least one emergency medical treatment and guidance apparatus that includes a plurality of medical supplies; a second storage section for holding at least one defibrillator including electronic circuitry to administer electrotherapy; a housing containing the first storage section and the second storage section, the housing including: a readiness indicator for indicating a readiness of the at least one emergency medical treatment and guidance apparatus and the at least one defibrillator based on obtained readiness information; and at least one processor and memory mechanically coupled to the housing and communicatively coupled to the readiness indicator.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p.ex. pour planifier la maintenance ou les mises à jour
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
14.
MONITORING PHYSIOLOGICAL STATUS BASED ON BIO-VIBRATIONAL AND RADIO FREQUENCY DATA ANALYSIS
A patient monitoring device includes an ECG sensor coupled to a patient, a sensor coupled to the patient and configured to detect bio-vibrational signals, and a radiofrequency monitoring device configured to produce information responsive to electromagnetic energy reflected from the patient's thoracic cavity. A processor processes the ECG signals, the bio-vibrational signals, and the radio frequency information to generate a plurality of physiological parameters of the patient. The processor also performs at least one of a predictive analysis and a trend analysis of the plurality of physiological parameters to determine a current clinical condition of the patient. The trend analysis includes determining a substantial relationship between changes in the plurality of physiological parameters. The processor can also compare the current clinical condition of the patient to predetermined clinically actionable criteria to determine one or more clinically actionable events and provide an output relating to one or more clinically actionable events.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiques; Mesure utilisant des micro-ondes ou des ondes radio
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/366 - Détection de complexes QRS anormaux, p.ex. élargissement
H04Q 9/00 - Dispositions dans les systèmes de commande à distance ou de télémétrie pour appeler sélectivement une sous-station à partir d'une station principale, sous-station dans laquelle un appareil recherché est choisi pour appliquer un signal de commande ou
An ergonomic and unobtrusive cardiac monitoring and treatment device for continuous wear includes a band configured to be worn about a thoracic region of a patient within a T1 thoracic vertebra region to a T12 thoracic vertebra region. The band includes a vertical span of between 1 to 15 centimeters along at least 50 percent of a length of the band and is configured to be immobilized relative to a skin surface of the thoracic region by exerting one or more compression forces. The device also includes electrodes and associated circuitry disposed about the band, one or more sensor ports for receiving one or more physiological sensors separate from ECG sensing electrodes, and a controller. The controller includes an ingress-protected housing and a processor configured to analyze ECG information of the patient, detect one or more treatable arrhythmias based on the ECG information, and cause delivery of electrotherapy.
An external ambulatory medical system configured to be worn by a patient and release a fluid to the patient's skin before providing therapy is provided. The medical system includes a garment configured to be worn about the patient's torso, a medical device controller configured to receive cardiac signals of the patient, and a plurality of therapy electrodes configured to be operably connected to the medical device controller and disposed in the garment. Each of the plurality of therapy electrodes includes a pressure source configured to provide a pressurized fluid to facilitate conductive gel deployment for the medical system. The pressure source includes a reservoir containing the pressurized fluid and at least one release mechanism configured to cause a release of the pressurized fluid from the reservoir to an exit port of the pressure source when the medical system is preparing to deliver a therapeutic shock to the patient.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p.ex. stimulateurs cardiaques
09 - Appareils et instruments scientifiques et électriques
Produits et services
Battery packs for use with medical devices; battery pack charging stations for charging, calibration, maintenance and troubleshooting of battery packs for use with medical devices; battery packs and battery charging stations, for use with medical devices, that communicate capacity, calibration status and history of use
Example defibrillator electrode assemblies compression assemblies are described that may be dimensioned and configured for use on a patient despite physical constraints that limit the area or locations on a patient onto which an electrode assembly may be placed. A cardio pulmonary resuscitation (CPR) assembly is also described that protects a patient with a transthoracic incision from further injury during application of CPR compressions proximate to the incision.
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Data processing services in the field of healthcare Application service provider featuring application programming interface (API) software for supporting the exchange of healthcare data between emergency medical services, emergency dispatch services, hospitals, healthcare providers, and healthcare billing services, healthcare product companies, and health information networks; software as a service (SaaS) services featuring software for supporting the exchange of healthcare data between emergency medical services, emergency dispatch services, hospitals, healthcare providers, and healthcare billing services, healthcare product companies, and health information networks.
20.
SYSTEMS AND METHODS FOR PROVIDING CONTEXT SENSITIVE GUIDANCE FOR MEDICAL TREATMENT OF A PATIENT
An example of a context sensitive guidance (CSG) system for guiding caregivers providing medical care for a victim, for example a trauma victim, includes a CSG engine and contextual data sources communicatively coupled to the CSG engine. The contextual data sources include a medical device configured to collect physiologic data and provide the physiologic data to the CSG engine and an emergency environment data source configured to receive emergency environment data and provide the data to the CSG engine. The CSG engine includes hardware logic and/or software logic configured to receive the contextual data, evaluate protocols based on the contextual data, select at least one action item based on the protocols, generate at least one instruction based on the action item(s), the instruction(s) including a caregiver instruction and/or a medical device instruction, and provide the instruction to a caregiver interface device and/or the medical device.
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p.ex. pour la gestion du personnel hospitalier ou de salles d’opération
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
G06F 3/0488 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] utilisant des caractéristiques spécifiques fournies par le périphérique d’entrée, p.ex. des fonctions commandées par la rotation d’une souris à deux capteurs, ou par la nature du périphérique d’entrée, p.ex. des gestes en fonction de la pression exer utilisant un écran tactile ou une tablette numérique, p.ex. entrée de commandes par des tracés gestuels
G06F 3/0482 - Interaction avec des listes d’éléments sélectionnables, p.ex. des menus
G06F 3/01 - Dispositions d'entrée ou dispositions d'entrée et de sortie combinées pour l'interaction entre l'utilisateur et le calculateur
21.
COMPRESSION BELT ASSEMBLY FOR A CHEST COMPRESSION DEVICE
A chest compression device with a chest compression belt assembly including guards and sensors operable with a control system to control operation of the system depending on detection of proper installation of the guards.
In one aspect, a portable medical treatment and guidance apparatus for interactively assisting a user in treating a patient is provided. The apparatus can include: a housing having at least one compartment; a plurality of medical supplies housed within the at least one compartment; a user interface configured to provide an interactive query flow for assisting the user in providing medical treatment; at least one sensor adapted to detect removal of at least one medical item of the plurality of medical supplies; and at least one processor and memory mechanically coupled to the housing and communicatively coupled to the user interface, the at least one sensor, and communications circuitry.
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p.ex. pour la gestion du personnel hospitalier ou de salles d’opération
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p.ex. étiquettes utilisant des moyens électromagnétiques, p.ex. transpondeurs
A61B 90/96 - Moyens d’identification pour les patients ou les instruments, p.ex. étiquettes utilisant des symboles, p.ex. du texte utilisant des codes-barres
A system includes a guidance device that provides feedback to a user to compress a patient's chest at a rate of between about 90 and 110 compressions per minute and at a depth of between about 4.5 centimeters to about 6 centimeters. The system includes a pressure regulation system having a pressure-responsive valve that is configured to be coupled to a patient's airway. The pressure-responsive valve is configured to remain closed during successive chest compressions in order to permit removal at least about 200 ml from the lungs in order to lower intracranial pressure to improve survival with favorable neurological function. The pressure-responsive valve is configured to remain closed until the negative pressure within the patient's airway reaches about −7 cm H2O, at which time the pressure-responsive valve is configured to open to provide respiratory gases to flow to the lungs through the pressure-responsive valve.
An ambulatory non-invasive wearable defibrillator for providing therapeutic shocks to restore cardiac function includes sensing electrode(s), therapy electrodes, high-voltage circuitry connecting first and second pairs of therapy electrodes, a garment, and processing circuitry. The processing circuitry is configured to, responsive to detecting a suspected cardiac arrhythmia condition, output an alert and provide an electrical therapeutic pulse sequence to the patient. The electrical therapeutic pulse sequence includes a first multiphasic therapeutic pulse delivered at a first energy level via a first vector, and a second multiphasic therapeutic pulse delivered at a second energy level via a second vector. A timing of the electrical therapeutic pulse sequence includes a first leading edge of the first multiphasic therapeutic pulse being delivered at a first predetermined time and a second leading edge of the second multiphasic therapeutic pulse being delivered at a second predetermined time following a delay after the first predetermined time.
Methods and systems for delivering gas-enriched blood within a vasculature of a patient may include providing a gas-enrichment system, the gas-enrichment system comprising a mixing chamber and a blood pump. The process may include inserting a catheter for drawing blood from the patient into a radial artery of the patient. The process may include drawing blood from the radial artery or from a vessel upstream of the radial artery at a blood flow rate without collapsing the artery or vessel to a degree that would substantially impede drawing blood. The process may include generating a gas-enriched blood by mixing the withdrawn blood with a gas-enriched liquid in a mixing chamber. The process may include delivering the gas-enriched blood to the vasculature of the patient.
A medical device capable of determining its location is provided. The medical device comprises a memory, one or more antennas, one or more processors coupled with the memory and the one or more antennas, a location manager component executable by the one or more processors. The location manager component is configured to receive first location information from a first location information source and second location information from a second location information source, to rank the first location information source and the second location information source according to a hierarchy of location information sources, the hierarchy of location information sources specifying that the first location information source is of higher rank than the second location information source, determine an approximate location of the medical device based on the first location information, and improve the accuracy of the approximate location based on the second location information.
G01C 21/20 - Instruments pour effectuer des calculs de navigation
G01S 19/14 - Récepteurs spécialement adaptés pour des applications spécifiques
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
G01C 21/28 - Navigation; Instruments de navigation non prévus dans les groupes spécialement adaptés pour la navigation dans un réseau routier avec corrélation de données de plusieurs instruments de navigation
A system includes a processor coupled to a memory, the processor and memory configured to determine a proficiency level of a user of a rescue application based on stored data indicative of the user's proficiency level, and based on the user's proficiency level, select a level of operation for the rescue application. The rescue application is executed on a mobile device and configured to control operation of an AED. Each of multiple levels of operation for the rescue application allows the user a different degree of control over the operation of the AED. The processor and memory are configured to present, to the user, a set of instructions associated with the selected level of operation; and to enable control of the AED according to the selected levels of operation. A different set of instructions is associated with each of the multiple levels.
G09B 23/28 - Modèles à usage scientifique, médical ou mathématique, p.ex. dispositif en vraie grandeur pour la démonstration pour la médecine
A61B 5/25 - Détection, mesure ou enregistrement de signaux bioélectriques ou biomagnétiques du corps ou de parties de celui-ci Électrodes bioélectriques à cet effet
28.
SYSTEMS AND METHODS FOR DETERMINING ELECTRODE-SKIN CONTACT USING SIGNAL UNDERSAMPLING
A system for removing device signals from surface electrical signals received from an ambulatory patient worn device is provided. The system includes a wearable cardiac monitoring device configured to be continuously worn by a patient. The wearable cardiac monitoring device includes signal generation circuitry to provide a device-generated signal having a predetermined frequency; a skin-contacting surface to inject the device-generated signal into a skin of the patient; an electrode to acquire the surface electrical signal from the skin of the patient; and processing circuitry. The surface electrical signal includes a device-generated signal and a physiological signal generated by the patient. The processing circuitry samples the surface electrical signal from the patient, identifies, based on the predetermined frequency, aliasing content generated by the device-generated signal within the surface electrical signal, filters the aliasing content generated by the device-generated signal to isolate the physiological signal, and provides the physiological signal.
Data samples derived from raw physiological data captured by sensors of a wearable medical device monitoring a patient's heart, such as a first ECG channel data sample, a second ECG channel data sample, and/or a cardio-vibrational data sample, are applied to a multi-tier machine learning engine to determine a cardiac condition measure traditionally calculated based upon information typically derived in a laboratory or clinical setting. A first tier of the multi-tier machine learning engine may analyze the physiological data sample(s) using first machine learning classifier(s) to obtain a first result. The first result may then be applied to second machine learning classifier(s) of a second tier of the machine learning engine, along with physiological metrics and/or patient clinical information, to determine the cardiac condition measure.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A patient-coupled resuscitation device for use with a plurality of medical devices is provided. The resuscitation device includes a portion configured to provide treatment, a connector configured to connect the resuscitation device to one of a first medical device and a second medical device, and a housing including a memory and associated circuitry. The memory and associated circuitry is configured to store a device identifier to identify the resuscitation device; receive medical treatment information from the first medical device, the medical treatment information including at least one of: patient physiological data, patient characteristic data, and rescuer performance data; receive timing information of the medical treatment information from the first medical device; record the medical treatment information and the timing information; and transfer, upon detecting a connection to the second medical device, the medical treatment information and the timing information to the second medical device.
A wearable medical device is provided for monitoring a cardiac condition of a patient, where the device is releasably mounted to the patient's chest and includes at least two skin-facing electrodes forming a first one or more ECG leads for ongoing monitoring of heart functioning and at least one touch electrode for intermittently obtaining additional circuit vectors for deriving additional metrics regarding the functioning of the patient's heart. Each touch electrode is configured to form an additional lead/vector that is a larger vector and/or separated by at least 15° from a corresponding first lead/vector formed from the first one or more ECG leads in a vector cardiogram representation of the first one or more ECG leads and the additional lead/vector.
According to some aspects, a wearable device is provided. The wearable device includes a memory, one or more antennas, one or more processors coupled with the memory and the one or more antennas, a location manager component executable by the one or more processors and configured to determine a location of the wearable device, and a direction manager component executable by the one or more processors. The direction manager component may be configured to receive, via the one or more antennas, information descriptive of a location of the medical device, determine a path between the location of the wearable device and the location of the medical device, and provide information descriptive of the path.
G01C 21/36 - Dispositions d'entrée/sortie pour des calculateurs embarqués
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16Z 99/00 - Matière non prévue dans les autres groupes principaux de la présente sous-classe
G01C 21/16 - Navigation; Instruments de navigation non prévus dans les groupes en utilisant des mesures de la vitesse ou de l'accélération exécutées à bord de l'objet navigant; Navigation à l'estime en intégrant l'accélération ou la vitesse, c. à d. navigation par inertie
G01C 21/20 - Instruments pour effectuer des calculs de navigation
H04W 4/021 - Services concernant des domaines particuliers, p.ex. services de points d’intérêt, services sur place ou géorepères
H04W 4/02 - Services utilisant des informations de localisation
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
Disclosed is a wearable cardiac therapeutic system including a plurality of therapy electrodes disposed in a garment and a fluid pressure source including a barrel configured to house the conductive gel and an actuation mechanism. A therapy controller is configured to detect an arrhythmic event in a patient based on sensed electrical activity of the patient's heart, initiate an activation signal indicating that the conductive gel is to be released on to the body of the patient, and cause the delivery of one or more electrical therapeutic shocks to the heart of the patient. Gel activator circuitry is configured to receive the activation signal from the therapy controller, and cause the fluid pressure source to expel the conductive gel onto the body of the patient proximate the one or more of the therapy electrodes and prior to the delivery of the one or more electrical shocks to the patient.
A serviceable wearable cardiac treatment device for continuous extended use by an ambulatory patient includes a garment, a device controller, and an ingress-protective housing. The garment is configured to dispose therein a plurality of ECG sensing and therapy electrodes to monitor for and treat a cardiac arrhythmia in the patient. The device controller is configured to be in separable electrical communication with the plurality of ECG sensing and therapy electrodes and includes an impact-resistant energy core, and first and second circuit boards affixed to opposing sides of the impact-resistant energy core. The impact-resistant energy core includes a frame and at least one capacitor permanently bonded to the frame to form a unitary mass. The ingress-protective housing is configured to enable removal of the impact-resistant energy core and the first and second circuit boards during servicing.
A61N 1/02 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet - Parties constitutives
A smartphone is provided for documenting an emergency medical services (EMS) call within an electronic patient care record (ePCR). The smartphone includes a memory storing an ePCR including data fields; a touchscreen; and a processor coupled to the memory and the touchscreen. The processor is configured to provide a first data entry screen through the touchscreen, the first data entry screen including user interface controls configured to receive ePCR data field entries through touchscreen gestures, receive the ePCR data field entries through the user interface controls, store each ePCR data field entry in a respective data field of the data fields, identify at least one second data entry screen based on a data field entry of the ePCR data field entries, and provide the second data entry screen through the touchscreen.
G16H 10/20 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des essais ou des questionnaires cliniques électroniques
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p.ex. pour la gestion du personnel hospitalier ou de salles d’opération
G16H 80/00 - TIC spécialement adaptées pour faciliter la communication entre les professionnels de la santé ou les patients, p.ex. pour le diagnostic collaboratif, la thérapie collaborative ou la surveillance collaborative de l’état de santé
Systems and methods related to the field of cardiac resuscitation, and in particular to devices for assisting rescuers in performing cardio-pulmonary resuscitation (CPR) are described herein. The system includes an applicator device configured to provide ACD CPR treatment to a patient's chest according to a plurality of phases at least one sensor configured to be coupled to the patient's chest and to measure at least one parameter related to the ACD CPR treatment and information for determining whether at least one transition point of the ACD CPR treatment has been reached; and one or more processors configured to provide a feedback signal based on a parameter for administering ACD CPR treatment to the patient's chest according to a desired treatment protocol.
A61H 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p.ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
A61H 31/02 - Poumons d'acier combinés ou non avec des moyens pour respirer des gaz
37.
External Defibrillator System Configured with Cardiopulmonary Resuscitation Rescue Treatment Guidance
An external defibrillator system including at least one chest compression sensor configured to obtain motion data indicative of chest compressions administered to the victim, an electrode assembly configured to be applied to the chest of the victim and obtain electrocardiogram (ECG) data, a capacitor configured to provide a defibrillation shock to the victim based on the ECG data, and at least one processor, configured to perform operations for analyzing the motion data and the ECG data to calculate chest compression parameters associated with treatment of chest compressions, determining a CPR treatment metric indicative of an overall CPR treatment, and generating a recommendation to change one or more chest compression parameters.
A61B 5/308 - Circuits d’entrée à cet effet spécialement adaptés à des utilisations particulières pour l’électrocardiographie [ECG]
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16Z 99/00 - Matière non prévue dans les autres groupes principaux de la présente sous-classe
Systems and methods are provided for monitoring progression of a cardiac disease in a patient by providing cardio-vibrational image matrixes and/or ECG image matrices generated using sensor data supplied by a medical device. In some examples, cardio-vibrational image matrices and/or ECG image matrices are output as image files. In some implementations, systems and methods are provided for using such cardio-vibrational image matrices and/or an ECG image matrices, and/or other clinical information, using machine learning classifiers, to assess cardiac risk in a patient. In some implementations, systems and methods are provided for using cardio-vibrational image matrixes and/or ECG image matrices, and/or other clinical information for real-time analysis of cardiac risk.
A wearable therapeutic device to facilitate care of a subject is provided. The wearable therapeutic device can include a garment having a sensing electrode. The garment includes at least one of an inductive element and a capacitive element, and a controller identifies an inductance of the inductive element or a capacitance of the capacitive element, and determines a confidence level of information received from the sensing electrode based on the inductance or the capacitance. The wearable therapeutic device also includes an alarm module coupled with the controller and configured to provide a notification to a subject based on the confidence level.
A61B 5/053 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps
A61B 5/113 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre se produisant au cours de la respiration
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
A61B 5/0205 - Evaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p.ex. de l'état cardiaque et respiratoire
A system for monitoring and/or reviewing transitions between types of medical treatment events provided for a patient during a rescue effort includes a medical device and a computing device. The medical device includes a chest compression sensor configured to receive time-correlated signals representative of chest compressions. The medical device is configured to generate a case file for the rescue effort comprising times of occurrence for a plurality of medical events. The computing device is configured to: receive the case file for the rescue effort, select and determine the time of occurrence for a first event of the plurality of medical events from the case file, select and determine the time of occurrence for a second event of the plurality of medical events, and determine a transition time between the time of occurrence of the first event and the time of occurrence of the second event.
A61H 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 15/00 - TIC spécialement adaptées aux rapports médicaux, p.ex. leur création ou leur transmission
A wearable medical device is provided for monitoring the cardiac health of a patient, for example, for indications of cardiac anomalies, where the device includes ECG sensors in electrical contact with the patient’s body, therapy electrodes for providing electrical therapy to the patient’s heart, and a control unit having at least one touch control with force sensor disposed on its housing for contacting with a finger. Signals from the touch control may be analyzed to identify force application below a first force threshold and at or above a second force threshold below the first force threshold, and, responsive to detecting such application of force, user input may be registered. User inputs to the at least one touch control may be used to delay therapy by the therapy electrodes.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p.ex. stimulateurs cardiaques
42.
Vacuum and Positive Pressure Ventilation Systems and Methods for Intrathoracic Pressure Regulation
Medical techniques include systems and methods for administering a positive pressure ventilation, a positive end expiratory pressure, and a vacuum to a person. Approaches also include treating a person with an intrathoracic pressure regulator so as to modulate or upregulate the autonomic system of the person, and treating a person with a combination of an intrathoracic pressure regulation treatment and an intra-aortic balloon pump treatment.
Among other things, in one aspect, we describe a system for assisting with cardiopulmonary resuscitation (CPR). The system includes at least one sensor; and one or more processors configured for calculating a chest compliance relationship based on data received from the at least one sensor, and determining a neutral position of chest compression based at least in part on a feature of the chest compliance relationship. The system can take the form of an active compression-decompression device.
A61H 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p.ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
44.
Patient-Specific Cardiopulmonary Resuscitation Ramp Up Protocols
A system for administering patient-specific chest compressions includes an automated chest compressor configured to be applied to the chest of the patient to administer chest compressions to the patient; at least one force sensor configured to sense force information for force exerted on the patient by the chest compressor from the applied chest compressions; and at least one processor and memory communicatively coupled with the chest compressor and the at least one force sensor. The at least one processor and memory are configured to control the chest compressor to administer the chest compressions over an initial compression period according to an initial compression protocol. The initial compression protocol includes a plurality of chest compressions of increasing scheduled depths with a first compression at an initial depth and a final compression at a final target depth greater in magnitude than the initial depth.
Apparatuses, systems and methods are provided for providing assistance or corrective feedback relating to a medical treatment provided to a patient. A flexible structure, including capacitive cells, may be configured to be applied to the patient's body. A computerized system, coupled with the flexible structure, may be configured to receive signals associated with capacitance values corresponding to at least a portion of the capacitive cells. The computerized system may be further configured to, based at least in part on the received signals, estimate a change over a period of time during the medical treatment in a three dimensional shape of the flexible structure or track the three dimensional shape of the flexible structure. The computerized system may be further configured to determine data or provide output for use in providing the assistance or corrective feedback relating to the medical treatment.
A patient management system for generating customized patient reports for users is provided. The system includes communications circuitry configured to receive first physiological data from a plurality of monitoring medical devices and receive second physiological data from a plurality of therapeutic medical devices. The system also includes at least one processor configured to perform instructions configured to cause the at least one processor to receive a selection from an end user regarding a customized report on at least one of the first physiological data from the plurality of monitoring medical devices or the second physiological data from the plurality of therapeutic medical devices, determine at least one information field for the customized report based on an access level of the end user, and compile the customized report including the at least one information field and using the at least one of the first physiological data or the second physiological data.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p.ex. pour des dossiers électroniques de patients
G16H 10/65 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p.ex. pour des dossiers électroniques de patients stockées sur des supports d’enregistrement portables, p.ex. des cartes à puce, des étiquettes d’identification radio-fréquence [RFID] ou des CD
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p.ex. basé sur des systèmes experts médicaux
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/024 - Mesure du pouls ou des pulsations cardiaques
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang en utilisant des capteurs optiques, p.ex. des oxymètres à photométrie spectrale
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
Systems for detecting contact between an electrode and a patient's skin using one or more contact detection schemes are provided. An example system can include an electrode assembly comprising at least one electrode configured to be disposed substantially proximate to the patient's skin and configured to at least one of sense an ECG signal of the patient and provide one or more therapeutic pulses to the patient, one or more sensors disposed on the electrode assembly and isolated from the electrode, the sensors configured to measure one or more properties to determine contact between the electrode and the patient's skin, and a controller configured to receive data representing the measured one or more properties and determine, based at least in part on the received data, whether the electrode is in contact with the patient's skin. The sensors can include temperature, impedance, capacitance, optical, and other similar sensors.
In one example, an ambulatory medical device is provided. The ambulatory medical device includes a plurality of subsystems, at least one sensor configured to acquire data descriptive of a patient, a user interface and at least one processor coupled to the at least one sensor and the user interface. The at least one processor is configured to identify subsystem status information descriptive of an operational status of each subsystem of the plurality of subsystems and to provide a device health report for the ambulatory medical device via the user interface, the device health report being based on the operational status of each subsystem.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p.ex. pour planifier la maintenance ou les mises à jour
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p.ex. pour des dossiers électroniques de patients
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/318 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG]
A wearable therapeutic device is provided. The wearable therapeutic device includes a garment, and the garment includes an electrode and a conductive thread. A control unit is coupled to the conductive thread and identifies an electrical connection between a conductive surface of the electrode and the conductive thread, and an alarm module can provide information about the positioning of the electrode in the garment based on the electrical connection.
A patient-worn ambulatory cardiac monitoring device for monitoring a patient during a patient activity includes at least one physiological sensor configured to detect signals indicative of cardiac activity, an activity sensor and associated circuitry configured to monitor patient movements, and a vibrational sensor configured to monitor a cardio-vibrational signal of the patient. The at least one physiological sensor can include one of an ECG sensor and a heart rate sensor. At least one processor in communication with the at least one physiological sensor, the activity sensor, and the vibrational sensor, is configured to measure, during the patient activity, at least one time interval between an ECG fiducial point in an ECG signal and a cardio-vibrational fiducial point in the cardio-vibrational signal during a cardiac cycle of the patient’s heart.
In an illustrative embodiment, a system for providing automation and virtual assistance to medical claims processing includes a predictive analytics platform configured to receive patient information for a medical claim from a claims processing system, cross-reference the patient information with stored data to identify a patient record, apply the patient information to machine learning classifier(s) to estimate a likelihood of match between the patient information and the patient record, provide patient record information to the claims system, receive claims data from the claims system, access, from a data universe, requirements corresponding to a payer corresponding to the medical claim, the requirements having been generated through training machine learning classifier(s) with claims data corresponding to claims denied by the payer, verify the claims data in view of the requirements, and provide an indication of missing claims information and/or invalid claims information to the claims system.
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p.ex. pour la gestion du personnel hospitalier ou de salles d’opération
G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p.ex. pour analyser les cas antérieurs d’autres patients
53.
MEDICAL DEVICE INTEGRATED WITH PORTABLE DISPLAY AND FUNCTIONALITY
A system is provided for integrating at least one portable computing device with a resuscitative medical device such as a defibrillator. The system may include a carrying case coupled to the resuscitative medical device. The carrying case may include a storage space for the at least one portable computing device and a wireless charging system for charging the at least one portable computing device. The system may be configured to enable secure data transfer between each of the devices, including data communication and data storage. A processor of the resuscitative medical device may be configured to activate the wireless charging system and charge the at least one portable computing device under certain circumstances. The processor may further be configured to prioritize or optimize charging and data transfer between the resuscitative medical device and each of multiple portable computing devices.
A wearable cardiac monitoring and treatment system configured to remotely identify and/or verify treatable and/or alertable cardiac arrhythmias in an ambulatory patient is provided. The system includes a wearable cardiac monitoring and treatment device including ECG electrodes, therapy electrodes, and a medical device controller. The system also includes a remote server in electronic communication with the controller. The controller includes one or more processors configured to generate an ECG signal, determine one or more ECG segments corresponding to a suspected arrhythmia, transmit the ECG segment(s) to the remote server, receive, from the remote server, a remote indication as to whether the patient is experiencing an arrhythmia, independently analyze, at the medical device controller, the ECG segment(s) to generate a local indication as to whether the patient is experiencing an arrhythmia, and determine whether to deliver a therapeutic shock to the patient based on the remote and local indications.
A system for tracking and management of emergency medical services (EMS) responses includes one or more servers configured to assign two or more EMS responses of a plurality of EMS responses corresponding to a plurality of incidences to an EMS vehicle, wherein a first EMS response of the two or more EMS responses is an emergency patient transport and another EMS response of the two or more EMS responses is a pre-scheduled patient transport, provide a user interface comprising a map comprising location information for the two or more EMS responses, receive location information updates for the EMS vehicle, update the map and a status of the EMS vehicle at the user interface based on the location information updates, and store a status history for the EMS vehicle.
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.
G06F 1/3296 - Gestion de l’alimentation, c. à d. passage en mode d’économie d’énergie amorcé par événements Économie d’énergie caractérisée par l'action entreprise par diminution de la tension d’alimentation ou de la tension de fonctionnement
G06F 1/3234 - Gestion de l’alimentation, c. à d. passage en mode d’économie d’énergie amorcé par événements Économie d’énergie caractérisée par l'action entreprise
G06F 1/3203 - Gestion de l’alimentation, c. à d. passage en mode d’économie d’énergie amorcé par événements
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G06F 1/324 - Gestion de l’alimentation, c. à d. passage en mode d’économie d’énergie amorcé par événements Économie d’énergie caractérisée par l'action entreprise par réduction de la fréquence d’horloge
G06F 1/3293 - Gestion de l’alimentation, c. à d. passage en mode d’économie d’énergie amorcé par événements Économie d’énergie caractérisée par l'action entreprise par transfert vers un processeur plus économe en énergie, p.ex. vers un sous-processeur
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
In some implementations, data obtained by a temperature management system for delivering temperature management therapy to a patient is presented, within a single display region, as a graph of patient temperature over time representing the timespans of all phases of a multi-phase temperature management therapy. The graph may be fitted to present each phase separately in a manner that retains data complexity. The graph may include power data representing power output over time by a temperature management device. Data from other devices may be incorporated into the graph. A portion of the data may be patient temperature data and/or patient physiological data gathered during a time preceding temperature management therapy by the temperature management device.
A conformable garment or device, for example, for performing heat exchange with a patient, includes one or more tubes. At least one of the one or more tubes has a lumen configured to receive fluid for flowing through the lumen of that tube to heat or cool the tube. The one or more tubes may be coupled to form a conformable fabric or material, such that the conformable fabric or material conforms to a non-planar shape. The conformable garment or device may conform to cover a particular portion of the patient's body to heat or cool the patient's body.
A61F 7/00 - Appareils de chauffage ou de refroidissement pour traitement médical ou thérapeutique du corps humain
D04B 1/16 - Autres tricots ou articles caractérisés principalement par l'emploi de matières spéciales pour le fil fils synthétiques
D04B 1/22 - Procédés de tricotage trame pour la production de tricots ou d'articles ne dépendant pas de l'emploi de machines spéciales; Tricots ou articles définis par de tels procédés spécialement conçus pour le tricotage d'articles de configuration particulière
59.
WEARABLE COMPUTER DEVICE IDENTIFICATION AND USE FOR ROLE-BASED FEEDBACK
In an illustrative embodiment, a system for collecting and presenting metrics related to each member of a team of rescuers involved in a resuscitation effort includes a set of wearable devices, each configured to determine role-identifying data indicative of a role of a rescuer donning the respective device. The system may include a portable computing device for storing, during the resuscitation effort, a time progression of compression data and ventilation data, receiving the role-identifying data from the wearable devices, and storing a time series of role information representing a series of changes in roles among the team of rescuers. The system may include a remote computing system for preparing a case overview GUI presenting time periods of compression data, each time period being visually correlated with a current rescuer and/or current wearable device corresponding to the compression role.
A wearable medical monitoring device is configured to manage drive booting. The wearable medical monitoring device includes a plurality of ECG electrodes configured to sense ECG signals from a patient, a plurality of therapy pads configured to deliver one or more therapeutic shocks, and a monitor operably connected to the plurality of ECG electrodes and the plurality of therapy pads. The monitor includes at least one processor and a supervisory circuit configured to monitor a state of the at least one processor when the at least one processor is configured to boot from a current drive. The supervisory circuit is configured to control the at least one processor to boot from an alternative drive different from the current drive based on the state of the at least one processor.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p.ex. pour planifier la maintenance ou les mises à jour
G06F 11/14 - Détection ou correction d'erreur dans les données par redondance dans les opérations, p.ex. en utilisant différentes séquences d'opérations aboutissant au même résultat
The present disclosure provides systems and methods for controlling gas-enrichment, e.g., oxygen-enrichment, therapy. One or more sensors and/or one or more imaging systems may be used to measure or determine one or more physiological parameters of the patient. Feedback regarding one or more physiological parameters or microvascular resistance may be provided for titrating or controlling the gas-enrichment therapy.
A61M 1/36 - Autre traitement du sang dans une dérivation du système circulatoire naturel, p.ex. adaptation de la température, irradiation
A61M 1/14 - Systèmes de dialyse; Reins artificiels; Oxygénateurs du sang
A61M 60/113 - Pompes extracorporelles, c.-à-d. que le sang est pompé à l’extérieur du corps du patient incorporées dans des circuits ou des systèmes sanguins extracorporels dans d’autres dispositifs fonctionnels, p.ex. dialyseurs ou cœurs-poumons artificiels
A wearable defibrillator configured to provide changing alarms. The wearable defibrillator includes one or more physiological sensors including one or more ECG electrodes, one or more defibrillator electrodes, and a wearable medical device controller including a memory and at least processor coupled to the memory. The at least one processor is configured to monitor ECG signals from the one or more ECG electrodes, detect a cardiac abnormality in the patient based on the ECG signals, issue an alarm in response to detecting an event of interest, determine that no predetermined response to the issued alarm has been received, analyze information relating to historical alarms issued to the patient and historical patient responses to alarms stored in the memory to determine a patient tendency towards a particular alarm response pattern, and change the issued alarm according to the determined patient tendency towards the particular alarm response pattern.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p.ex. pour la gestion du personnel hospitalier ou de salles d’opération
A61N 1/08 - Aménagements ou circuits de surveillance, de protection, de commande ou d'indication
G08B 21/04 - Alarmes pour assurer la sécurité des personnes réagissant à la non-activité, p.ex. de personnes âgées
G08B 21/24 - Alarmes aide-mémoire, p.ex. alarmes contre la perte
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 20/10 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des médicaments ou des médications, p.ex. pour s’assurer de l’administration correcte aux patients
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
An ambulatory medical device comprises: a sensing component to be disposed on a patient for detecting a physiological signal of the patient; and monitoring and self-test circuitry configured for detecting a triggering event and initiating one or more self-tests based on detection of the triggering event. The ambulatory medical device senses the physiological signal of the patient substantially continuously over an extended period of time.
Apparatuses including portable ventilators are provided. Some example portable ventilators include a graspable handle, in which the portable ventilator is capable of single-handed operation, during the providing of mechanical ventilation, including grasping of the handle with one or more grasping fingers while operating first one or more first controls using one or more first fingers, and may further include operating one or more second controls using one or more second fingers. Some example portable ventilators include a blower, in which mechanical ventilation can be provided such that all gas flow generated by the blower is delivered to an inhalation limb of a breathing circuit and to the patient.
An external defibrillator system includes one or more compression sensors; one or more physiological sensors; and at least one processor. The at least one processor is configured to: receive and process chest compression signals and physiological signals from the sensors, determine values for chest compression depth and/or chest compression rate based on the received chest compression signals, determine a trend of at least one physiological parameter over a period comprising multiple chest compressions based on the received physiological signals, adjust a target chest compression depth and/or target chest compression rate based on the determined trend of the at least one physiological parameter, compare the determined values for chest compression depth and/or chest compression rate to the adjusted target compression depth and/or the adjusted target compression rate, and provide feedback about the quality of chest compressions performed on the patient.
A61H 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G09B 19/00 - Enseignement non couvert par d'autres groupes principaux de la présente sous-classe
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p.ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
A wearable cardiac treatment system configured to treat arrhythmias occurring in a patient is provided. The system includes a garment, a plurality of ECG electrodes, and a plurality of therapy electrodes, and a memory. The system also a cardiac controller including one or more processors configured to determine one or more timing parameters and/or morphology parameters of ECG signals of the patient and apply cardiac rhythm disruptive shock(s) at predetermined one or more times based on the one or more timing parameters and/or morphology parameters. The cardiac rhythm disruptive shock(s) are delivered at same and/or decreasing energy levels until a cardiac rhythm change is induced in the patient. The one or more processors are also configured to detect the cardiac rhythm change, record an energy level of a shock that induced the cardiac rhythm change, and adjust a defibrillation energy level for future defibrillation shock(s) based on the energy level.
A61B 5/332 - Dispositifs portables spécialement adaptés à cet effet
A61B 5/33 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] spécialement adaptées à l’utilisation conjointe avec d’autres dispositifs
The present disclosure provides systems and methods for controlling gas-enrichment, e.g., oxygen-enrichment, therapy. One or more sensors and/or one or more imaging systems may be used to measure or determine one or more physiological parameters of the patient. Feedback regarding one or more physiological parameters or microvascular resistance may be provided for titrating or controlling the gas-enrichment therapy.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiques; Mesure utilisant des micro-ondes ou des ondes radio
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
A61M 1/36 - Autre traitement du sang dans une dérivation du système circulatoire naturel, p.ex. adaptation de la température, irradiation
A remote alarm for use with a wearable medical device. The remote alarm is configured to receive alarms, voice messages and prompts issued by the wearable medical device and to repeat those alarms, voice messages and prompts in a manner that can more easily be perceived by a patient wearing the wearable medical device or a bystander. The remote alarm can be configured to receive a communication from the wearable medical device, and in response, to identify one or more messages to be provided to the patient or a bystander. The messages may be provided audibly, visually, tactilely or combinations thereof. The remote alarm may further be configured to take certain actions depending upon the content of the communication, such as sending a telephone message to alert emergency personnel to the identity, location and medical condition of the patient, or sending an email.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/01 - Mesure de la température de parties du corps
A61B 5/024 - Mesure du pouls ou des pulsations cardiaques
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
G08B 3/10 - Systèmes de signalisation audible; Systèmes d'appel sonore de personnes utilisant une transmission électromagnétique
G08B 21/02 - Alarmes pour assurer la sécurité des personnes
G08B 25/01 - Systèmes d'alarme dans lesquels l'emplacement du lieu où existe la condition déclenchant l'alarme est signalé à une station centrale, p.ex. systèmes télégraphiques d'incendie ou de police caractérisés par le moyen de transmission
G08B 25/10 - Systèmes d'alarme dans lesquels l'emplacement du lieu où existe la condition déclenchant l'alarme est signalé à une station centrale, p.ex. systèmes télégraphiques d'incendie ou de police caractérisés par le moyen de transmission utilisant des systèmes de transmission sans fil
An ambulatory medical device is provided. The ambulatory medical device includes at least one sensor configured to acquire data descriptive of a patient, a memory, a user interface, and at least one processor coupled with the memory, the at least one sensor, and the user interface. The at least one processor is configured to determine whether the ambulatory medical device is within a predefined range of a reference location and to initiate location-specific processing in response to determining that the ambulatory medical device is within the predefined range. The location-specific processing includes at least one of issuing a notification and adapting the user interface.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
H04W 4/02 - Services utilisant des informations de localisation
A61B 5/0205 - Evaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p.ex. de l'état cardiaque et respiratoire
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p.ex. stimulateurs cardiaques
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
A61N 1/00 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet
70.
Use of Muscle Oxygen Saturation and PH in Clinical Decision Support
Embodiments of the present invention include a system having at least one sensor configured to monitor a muscle oxygen saturation (SmO2) level of a patient who is undergoing cardiac arrest and to generate a signal representing SmO2 level; a user interface device; a processor communicably coupled to the user interface device, the processor configured to cause the user interface device to present an array of two or more possible nodes of a clinical decision support tree, wherein at least one of the nodes indicates cardiopulmonary resuscitation (CPR) treatment of the patient with no ventilation, and wherein at least another of the nodes indicates CPR treatment of the patient with active ventilation; determine which of the two or more possible nodes should be emphasized based on the SmO2 level; and update the array of the two or more possible nodes based on the determination.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
G16Z 99/00 - Matière non prévue dans les autres groupes principaux de la présente sous-classe
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p.ex. basé sur des systèmes experts médicaux
A61B 5/083 - Mesure du taux de métabolisme en utilisant un essai respiratoire, p.ex. mesure du taux de consommation d'oxygène
A61B 5/1468 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang en utilisant des procédés chimiques ou électrochimiques, p.ex. par des moyens polarographiques
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p.ex. de la concentration des gaz dans le sang, de la valeur du pH du sang
H04M 1/72409 - Interfaces utilisateur spécialement adaptées aux téléphones sans fil ou mobiles avec des moyens de soutien local des applications accroissant la fonctionnalité par interfaçage avec des accessoires externes
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
42 - Services scientifiques, technologiques et industriels, recherche et conception
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Software for use in wearable electronic devices for monitoring and recording, storing, and transmitting biometric data, ECG information, radio-frequency based physiological information, thoracic fluid information, heart rate, respiration rate, patient activity, and patient posture information; wearable devices for monitoring, recording, storing of, and transmitting biometric data, ECG information, radio-frequency based physiological information, thoracic fluid information, heart rate, respiration rate, patient activity, and patient posture information Medical devices, namely, ventilators, automatic resuscitators, aspirators, vacuum pumps, suction devices; cardiac monitors; medical devices used for chest compression and automated chest compression in cardiac resuscitation; medical component parts, featuring software for instantaneous feedback and information regarding ventilation, for use with medical ventilation units, including bag-valve masks (BVMs); medical devices used to perform active compression decompression cardiopulmonary resuscitation; medical devices intended to improve perfusion in spontaneously breathing patients with a pulse; emergency medical aid kits comprised of tourniquets, occlusive chest seals, nitrile gloves, medical dressings, and shears; first aid kits for the treatment of medical emergencies for use with an interactive mobile application; medical devices for use in providing clinical decision support guidance and physiological closed loop control treatment; medical devices, namely, wearable electronic devices for patient monitoring and recording, storing, and transmitting of medical information, including ECG information, radio-frequency based physiological information, thoracic fluid information, heart rate, respiration rate, patient activity, and patient posture information; temperature management systems comprised primarily of controllers, pumps, and heat exchangers for controlling the temperature of working fluid flowing through catheters, externally-applied heat exchange pads for medical use or heat exchangers for medical use; heat exchangers to cool or warm working fluid from intravascular temperature management catheters for medical use; heat exchangers to cool or warm working fluid from externally-applied heat exchange pads for medical use; externally-applied heat exchange pads for medical use; heat exchangers for medical use, temperature management tubing for medical use; intravascular heat exchange catheters; medical apparatus and instruments, namely, catheters, pump systems, and tubing for the preparation and delivery of physiologic solutions used to treat conditions such as tissue ischemia and post-ischemic tissues; non-invasive, diagnostic units used to assess and measure body functions and states and physiological conditions which affect the vasculature; medical testing kits consisting primarily of medical devices for measuring peripheral arterial tone, finger probes and computer software for the non-invasive monitoring, assessment, diagnosis and treatment of sleep disorders; medical devices for monitoring and managing respiratory rhythm, namely, implantable rhythm managers, leads, patient wands and programmers; medical leads, namely, cardiac leads, leads for introducing and delivering medical devices and media to the vascular system; medical devices; parts, accessories and components for medical devices Software as a service (SaaS) featuring software for patient data management; software as a service (SaaS) featuring software to manage and integrate data about self-pay and/or high deductible patients in EMS, medical, and healthcare fields for automated revenue optimization; software as a service (SaaS) featuring software for providing clinical charting, compliance, decision analytics and privacy management and practice management used in the field of medical transportation services; software as a service (SaaS) featuring software for health information exchange solutions; software as a service (SaaS) featuring software for managing the monitoring, assessment, diagnosis and treatment of sleep disorders; providing medical research and medical research information in the field of sleep apnea and heart failure treatment; medical research Providing medical information on cardiac health and cardiac events; providing medical information for medical professionals and medical patients that is collected from devices at remote locations, processed, and made available to users through a website
73.
SECURE LIMITED COMPONENTS FOR USE WITH MEDICAL DEVICES
In some examples, an ambulatory medical device is provided. The ambulatory medical device includes at least one sensor configured to acquire data descriptive of the patient, one or more processors in communication with the at least one sensor, a patient care component executable by the one or more processors, and a limited functionality component executable by the one or more processors. The patient care component is configured to perform one or more primary operations of the ambulatory medical device at least in part by accessing the data descriptive of the patient. The limited functionality component is configured to exchange information with a communication device and to not affect the one or more primary operations of the ambulatory medical device.
A61N 1/02 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet - Parties constitutives
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/333 - Appareils d’enregistrement spécialement adaptés à cet effet
An apparatus includes a medical device that includes a cardiopulmonary resuscitation (CPR) treatment feedback device, a memory, and at least one processor and a plurality of electrodes configured to provide at least an electrical impedance signal to the processor. The electrical impedance signal correspond to an electrical impedance measured at a chest of a patient. The processor is configured to receive the electrical impedance signal, process the electrical impedance signal to determine information representative of chest compressions performed by a rescuer on the patient during the CPR treatment of the patient, based on the processing, determine corrective action for the CPR treatment, and provide CPR treatment feedback comprising the corrective action at the CPR treatment feedback device.
A system for facilitating communications of assistance information for a caregiver includes an external defibrillator configured to collect patient treatment data, a first communications module for providing communication links between the external defibrillator and at least one remote medical services system, and at least one portable computing device comprising a second communications module. The first communications module is configured to communicate the patient treatment data to the at least one portable computing device via the second communications module, and the second communications module is configured to receive the patient treatment data in real-time, communicatively couple to the at least one remote medical services system, and based on the patient treatment data, receive assistance information for the caregiver from the at least one remote medical services system.
A medical device system for use in patient resuscitation and medical device management includes a fleet of medical devices associated with a common administrator and distributed over multiple locations. Each medical device includes a memory, a processor configured to store medical device information including device status information and clinical event information, and a communication component configured to transmit the stored medical device information via a network. The system includes one or more servers communicatively coupled to the fleet of medical devices and one or more user devices located remotely from the servers. The servers include a communication component configured to receive the medical device information from the fleet of medical devices, a memory configured to store the received medical device information, and a processor configured to provide a report comprising the device status information for the fleet of medical devices at a medical device dashboard accessible by the user devices.
H04L 67/125 - Protocoles spécialement adaptés aux environnements propriétaires ou de mise en réseau pour un usage spécial, p.ex. les réseaux médicaux, les réseaux de capteurs, les réseaux dans les véhicules ou les réseaux de mesure à distance en impliquant la commande des applications des terminaux par un réseau
G06F 9/451 - Dispositions d’exécution pour interfaces utilisateur
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p.ex. pour planifier la maintenance ou les mises à jour
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
H02J 7/00 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries
H04L 5/14 - Fonctionnement à double voie utilisant le même type de signal, c. à d. duplex
H04L 41/00 - Dispositions pour la maintenance, l’administration ou la gestion des réseaux de commutation de données, p.ex. des réseaux de commutation de paquets
H04L 41/08 - Gestion de la configuration des réseaux ou des éléments de réseau
H04L 41/22 - Dispositions pour la maintenance, l’administration ou la gestion des réseaux de commutation de données, p.ex. des réseaux de commutation de paquets comprenant des interfaces utilisateur graphiques spécialement adaptées [GUI]
Methods and systems for bidirectional priming of a blood circuit while a catheter is connected to the circuit that delivers gas-enriched blood to a patient. The system primes the circuit while the catheter is connected to the circuit by controlling a first flow control mechanism to close to prevent blood flow through the draw line to a catheter and causes a pump to circulate blood in a first direction through a mixing chamber and/or through a bubble trap that removes air bubbles from the circuit. The system controls a second flow control mechanism to close to prevent blood flow in a return line to the catheter while causing the first flow control mechanism to open after the second flow control mechanism is closed and while causing the pump to circulate the blood in a second, opposite direction through the mixing chamber that removes air bubbles from the circuit.
A61M 37/00 - Autres appareils pour introduire des agents dans le corps; Percutanisation, c. à d. introduction de médicaments dans le corps par diffusion à travers la peau
78.
SYSTEMS AND METHODS FOR AUTOMATIC BIDIRECTIONAL PRIMING OF A GAS-ENRICHMENT SYSTEM
Methods and systems for bidirectional priming of a blood circuit while a catheter is connected to the circuit that delivers gas-enriched blood to a patient. The system primes the circuit while the catheter is connected to the circuit by controlling a first flow control mechanism to close to prevent blood flow through the draw line to a catheter and causes a pump to circulate blood in a first direction through a mixing chamber and/or through a bubble trap that removes air bubbles from the circuit. The system controls a second flow control mechanism to close to prevent blood flow in a return line to the catheter while causing the first flow control mechanism to open after the second flow control mechanism is closed and while causing the pump to circulate the blood in a second, opposite direction through the mixing chamber that removes air bubbles from the circuit.
A wearable cardiac monitoring/rehabilitative system configured to manage patient engagement incentives is provided. The system includes a wearable cardiac monitoring device, configured to continuously monitor a patient for arrhythmias, including one or more externally worn sensors and motion detectors. The system also includes a non-transitory server database and one or more server processors. The server processor(s) are configured to receive incentive criteria for a predetermined patient engagement incentive program for the patient, store a patient incentive data structure based on the incentive criteria, and receive from the device at least one ECG signal, motion data, and wear state data. The server processor(s) are also configured to determine whether the patient has satisfied or partially satisfied the incentive criteria based on the motion data and/or wear state data and if so, update the patient incentive data structure to indicate that the patient has earned a complete or partial incentive reward.
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p.ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/332 - Dispositifs portables spécialement adaptés à cet effet
A61B 5/33 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] spécialement adaptées à l’utilisation conjointe avec d’autres dispositifs
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A remote interface system according to some embodiments includes one or more patient monitoring devices having one or more sensors for patient monitoring, one or more first processors to receive information from the sensors and generate patient data based thereon, a web server, a first communication system, and a first screen to display a representation of at least a first portion of the patient data, and a remote interface device including a second communication system, a second screen, one or more second processors, an application executed by the one or more second processors and configured to detect a presence of the first communication system, establish a communication link between the first and second communication systems, establish a reliable connection channel (e.g. secure websocket connection) with the web server, receive the patient data via the connection, and display at least a second portion of the patient data on the second screen.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
81.
WEARABLE CARDIAC THERAPEUTIC DEVICES WITH HYDROPHOBIS AND/OR HYDROPHILIC DIELECTRIC FIBERS
A wearable cardiac therapeutic device includes at least one therapy electrode configured to deliver therapeutic electrical pulses to a patient's heart; and a support garment including at least one support pocket for supporting the at least one therapy electrode including a mesh interface including: a first side including hydrophobic fiber(s) proximate to electrically conductive fluid deployment opening(s) on the therapy electrode; a second side including hydrophilic fiber(s) proximate to the patient's skin; and conductive fiber(s) and/or conductive particles configured to be interspersed with the hydrophobic fiber(s) and hydrophilic fiber(s) such that the conductive fiber(s) and/or conductive particles conduct therapeutic electrical current from the therapy electrode to the patient's skin, wherein the mesh interface is configured to transfer electrically conductive fluid dispersed from one or more electrically conductive fluid reservoirs disposed on the therapy electrode towards the patient's skin.
An ambulatory medical device configured to assess a patient's physical condition is provided. The device includes externally worn ECG sensing electrodes configured to detect at least one cardiac electric signal of the patient, motion detectors configured to detect at least one motion signal indicative of patient movement, and a processor operably coupled to the sensing electrodes and the motion detectors. The processor is configured to receive, for the patient, initiating criterion corresponding to an ambulatory exertion test, wherein the initiating criterion specifies heartrate-dependent parameter requirements and/or activity level-dependent parameter requirements; continuously monitor a current heartrate-dependent parameter and/or a current activity level-dependent parameter of the patient; periodically determine whether the current heartrate-dependent parameter and/or the current activity level-dependent parameter satisfies the initiating criterion; invite the patient to participate in the ambulatory exertion test; and initiate, upon receiving patient input indicating acceptance of the invitation, the ambulatory exertion test.
A chest compression device includes a piston to apply compression to the sternum and incorporates leaf springs simultaneously driven by the piston to apply lateral compression to the thorax during chest compressions. A motor in the chest compression device provides motive power to cyclically extend and contract the piston to provide therapeutic chest compressions. One end of each leaf spring is operably connected to the piston and the other end of each leaf spring is secured to the backboard/base or to a support leg of the chest compression device such that during extension of the piston, each leaf spring is compressed against the device base or leg which causes the springs to flex and provide lateral compression of the patient's thorax in addition to the sternal compression of the piston.
A patient monitoring device configured to monitor cardiac activity and sleep stage information of a patient is provided. The device includes a plurality of electrodes to acquire electrocardiogram (ECG) signals from the patient, at least one motion sensor configured to generate a motion signal based upon movement of the patient, and at least one processor. The processor is configured derive motion parameters from the motion signal, derive ECG parameters from the ECG signals, determine whether the patient is in an immobilized sleep stage or a non-immobilized sleep stage based upon the motion parameters and the ECG parameters, adjust one or more cardiac arrhythmia detection parameters such that the device operates in a first monitoring and treatment mode when the patient is in an immobilized sleep stage, and monitor the patient for the cardiac arrhythmia using the first monitoring and treatment mode.
A wearable cardioversion-defibrillation system for providing battery information is provided. The system includes a controller operably coupled to one or more sensing electrodes and one or more therapy electrodes, a battery well disposed on the controller, and battery circuitry disposed in either a removable battery or within the battery well. The battery circuitry can be configured to detect whether the removable battery is inserted into the battery well and providing power to monitor and/or treat the patient, and provide human-perceptible confirmation via one or more of tactile, visual, or audio feedback to the patient on detecting that the removable battery has been inserted into the battery well and is providing power to monitor and/or treat the patient. Upon proper insertion of the removable battery within the battery well, the controller can be configured to monitor and/or treat the patient for a cardiac arrhythmia based on power from the removable battery.
A portable medical triage kit and interactive application that leads a user through a medically acceptable triage protocol for treating medical emergencies. The interactive application leads the user to treat major life threats of all nearby victims before treating minor threats of anyone.
A non-invasive wearable ambulatory cardiac defibrillator configured to improve therapy electrode contact with a patient's skin is provided. The defibrillator device includes a garment configured to be worn around the patient's torso, a sensing electrode attached to the garment and configured to sense electrical signal(s) at the surface of the patient's skin indicative of electrical activity of the patient's heart, and therapy electrodes attached to the garment and configured to deliver one or more defibrillation pulses to the patient. The therapy electrodes include at least two posterior therapy electrodes configured to be disposed on a posterior portion of the patient's body. The device further includes at least one strap attached to a back portion of the garment and exerting a normal force on the posterior therapy electrodes to exert a substantially uniform normal force over the surfaces of the posterior therapy electrodes and/or limit displacement of the posterior therapy electrodes.
A non-invasive wearable ambulatory cardiac defibrillator configured to stabilize forces on one or more electrodes on the patient's skin is provided. The device includes a garment configured to be worn around a torso of a patient, a sensing electrode configured to sense electrical signals at the surface of the patient's skin indicative of electrical activity of the patient's heart, a therapy electrode configured to deliver defibrillation pulses to the patient, and a controller in communication with the sensing and therapy electrode. The controller is configured to receive the signals from the sensing electrode and to cause delivery of the defibrillation pulses from the therapy electrode based on the controller detecting a cardiac arrhythmia in the received electrical signals. The garment includes a main garment portion configured to engage the torso of the patient, an isolation zone material disposed within the main garment portion and to which the sensing electrode is attached, and a movement absorption region connecting the main garment portion to the isolation zone material.
Electrotherapy waveform and pulse generation and delivery systems, methods and devices are described, such as for generation and delivery of defibrillation or pacing electrotherapeutic waveforms to patients, using open or closed loop current control. An example system includes a power supply, a therapeutic current control network including a resonant tank and at least one current control switch, and a controller. The controller may adjust operation of at least one current control switch in adjusting delivery of an electrotherapeutic waveform to the patient to correspond with a specified waveform. Therapeutic current control networks are described that are quasi-resonant and boost a voltage of an electrotherapeutic waveform delivered to the patient. Therapeutic current control networks are also described that may switch between a parallel resonance mode and a series resonance mode. Systems are described that may utilize one or more of soft switching, wide bandgap materials and a bidirectional power supply.
A system for facilitating resuscitation includes: a first electrode assembly having a therapy side and a first motion sensor; a second electrode assembly having a therapy side and a second motion sensor; processing circuitry operatively connected to and programmed to receive and process signals from the first and second motion sensors to estimate at least one of a chest compression depth and rate during administration of chest compressions and to compare the chest compression depth or rate to a desired range; and an output device for providing instructions to a user to administer chest compressions based on the comparison of the estimated chest compression depth or rate to the desired range. One or both of the electrode assemblies may be constructed so that the conductive therapeutic portion is able to maintain substantial conformance to the anatomy of the patient when coupled thereto. For example, at least a portion of the flexible electrode pad may be able to flex from a more rigid sensor housing, or the sensor housing itself may be relatively small compared to the flexible electrode pad so as not to cause lift off of the therapeutic side from the patient.
A system for managing treatment of a person in need of emergency assistance is provided. The system includes at least one camera configured to be mounted to a person in need of medical assistance. The system also includes an image processing device, which can be configured to receive images captured by the at least one camera and to process the images to generate a representation of a rescue scene surrounding the person. The system further includes an analysis device. The analysis device can be configured to determine a characteristic associated with a resuscitation activity based on analysis of the representation of the rescue scene generated by the image processing device. A computer-implemented method for managing treatment of a person in need of emergency assistance is also provided.
Systems and methods for providing resuscitative chest compressions to a chest of a patient are described. One exemplary system may include a chest compressor for administering chest compressions to the patient, one or more sensors for measuring and generating electrocardiogram (ECG) signals of the patient's heart. The system may include at least one processor coupled to memory and configured to receive and analyze the signals corresponding to the ECG, determine an intrinsic heart rate, identify at least one ECG waveform within the ECG signals, select a chest compression protocol from at least three or at least four predetermined chest compression protocols for administration to the patient based at least in part on the intrinsic heart rate of the patient, and control the chest compressor based on the selected chest compression protocol.
Aspects of the present disclosure are directed toward apparatuses, systems, and methods that include at least one medical device having a device transceiver configured to wirelessly broadcast a device signal including at least unique identifier data and an information system is configured to maintain an active list of medical device inventory associated with a particular emergency response vehicle, and the processor is configured to automatically determine presence of the at least one medical device.
A temperature management system controls a temperature of a body of a patient and determines a value indicative of a thermoregulatory activity of the patient. The system includes a heat exchange system configured to exchange heat with a body of a patient and to record operational data while controlling the temperature of the body of the patient. The temperature management system receives temperature data from a sensor, controls the heat exchange system to maintain the temperature of the body of the patient within a target temperature range, receives, in response to the controlling, operational data, determines, based on the temperature data and the operational data, a value indicative of a thermoregulatory activity of the patient, and generates, based on the value, an alert through the user interface indicating the thermoregulatory activity of the patient.
A61F 7/00 - Appareils de chauffage ou de refroidissement pour traitement médical ou thérapeutique du corps humain
A61F 7/08 - Bassinoires, coussinets ou tapis chauffants; Bouillottes
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
96.
AUTOMATED DELIVERY OF MEDICAL DEVICE SUPPORT SOFTWARE
Embodiments of the present invention include a portable medical device with an integrated web server. The portable medical device is configured to establish a communication session with a user device. The integrated web server is configured to load software onto the user computing device for exchanging data with the portable medical device.
H04L 67/12 - Protocoles spécialement adaptés aux environnements propriétaires ou de mise en réseau pour un usage spécial, p.ex. les réseaux médicaux, les réseaux de capteurs, les réseaux dans les véhicules ou les réseaux de mesure à distance
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Software as a service (SAAS) services featuring software for analyzing, managing, and integrating patient data for use by emergency medical services (EMS), medical, and healthcare providers and health systems in assessing healthcare costs and insurance reimbursements
98.
ADVANCED SYSTEMS AND METHODS FOR PATIENT BODY TEMPERATURE CONTROL
A therapeutic electrode component includes a base plate having a first side and a second side having a conductive surface. A repository having an internal volume to releasably retain a conductive fluid is disposed on the first side of the base plate. A rupturable membrane is disposed between the internal volume of the repository and the conductive surface of the base plate. A coupling is disposed on the base plate that is configured to detachably engage a gas charge, whereby the gas charge is detachable from the coupling without causing destruction of the gas charge, to provide a hermetic seal with an outlet of the gas charge, and to provide fluid communication between the internal volume of the repository and the outlet of gas charge when the gas charge is engaged by the coupling. A retainer is configured to detachably secure the gas charge to the base plate.
An inventory management system includes a wearable cardiac device comprising an associated plurality of separate wearable cardiac device components stored as inventory at a first inventory location; a plurality of communication interface circuits associated with a corresponding one of the plurality of separate wearable cardiac device components and configured to facilitate transmission of inventory information through a network; at least one server device disposed at a central location and comprising a processor; and a memory comprising instructions that cause the processor to receive the inventory information from the plurality of communication interface circuits; receive a prescription for a patient; retrieve one or more prescription parameters based on the prescription; locate, in the inventory information, the wearable cardiac device based on the prescription parameters; determine a deployment status of the wearable cardiac device; and select the wearable cardiac device for the patient.
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p.ex. pour la gestion du personnel hospitalier ou de salles d’opération
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p.ex. la physiothérapie, l’acupression ou les exercices
G06Q 10/087 - Gestion d’inventaires ou de stocks, p.ex. exécution des commandes, approvisionnement ou régularisation par rapport aux commandes
