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.
2.
HYBRID VENTILATION SYSTEM WITH OXYGEN CONCENTRATOR AND PRESSURIZED OXYGEN SOURCE
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 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
4.
DOUBLE SEQUENTIAL AND MULTIPLE VECTOR DEFIBRILLATION FOR WEARABLE CARDIOVERTER DEFIBRILLATORS
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.
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
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 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.
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.
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.
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
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
12.
SYSTEMS AND METHODS FOR PERFORMING EXERTION TESTING OF A PATIENT WEARING AN AMBULATORY MEDICAL DEVICE
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 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 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 waterproof modular electrocardiogram (ECG) electrode assembly for use in a wearable cardiac monitoring device comprises a first, main circuit board comprising active ECG processing circuitry encapsulated in a waterproof moldable dielectric polymer, and an ECG electrode mechanically coupled to the waterproof moldable dielectric polymer, the ECG electrode configured to be electrically coupled to a portion of the main circuit board.
A61B 5/28 - Détection, mesure ou enregistrement de signaux bioélectriques ou biomagnétiques du corps ou de parties de celui-ci Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG]
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
18.
SYSTEMS AND METHODS FOR AUTOMATED MEDICAL DATA CAPTURE AND CAREGIVER GUIDANCE
A patient data charting device configured to automatically capture electronic patient care record (ePCR) data from a caregiver is provided. The device includes a memory storing an ePCR including a plurality of data fields, an output device, a microphone configured to acquire speech, and a processor. The processor is configured to convert the speech to text, identify a first value of a data field of the plurality of data fields based on the text, populate the first data field with the first value, generate a prompt that requests a second value of a second data field of the plurality of data fields based on the first data field, and present the prompt to the caregiver via the output device.
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 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 15/00 - TIC spécialement adaptées aux rapports médicaux, p.ex. leur création ou leur transmission
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 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
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
19.
SECURELY EXCHANGING INFORMATION BETWEEN A MEDICAL DEVICE AND A MOBILE COMPUTING DEVICE USING VISUAL INDICATORS
A medical system is provided. The medical system includes a medical device and a mobile computing device. The medical device includes at least one physiologic sensor configured to acquire physiological signals from a patient, at least one processor coupled to the at least one physiologic sensor, and at least one optical code encoded with encrypted data. The mobile computing device includes a camera and one or more processors coupled to the camera and configured to acquire one or more images of the at least one optical code, decode the one or more images of the at least one optical code to generate a copy of the encrypted data, decrypt the copy of the encrypted data to generate decrypted data, and process the decrypted data to establish an operable connection between the mobile computing device and the medical device.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/33 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] spécialement adaptées à l’utilisation conjointe avec d’autres dispositifs
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
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 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
G06F 21/62 - Protection de l’accès à des données via une plate-forme, p.ex. par clés ou règles de contrôle de l’accès
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 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
H04W 12/02 - Protection de la confidentialité ou de l'anonymat, p.ex. protection des informations personnellement identifiables [PII]
Apparatus, systems and methods are described, such as for providing, or controlling mechanical ventilation provided to, a patient. A controller may control a gas delivery system to deliver gas to the patient according to a FiO2 setting and a PEEP setting. The controller may adjust the FiO2 setting to an updated FiO2 setting based at least in part on a determined oxygen concentration of the patient's blood and may update the PEEP setting based at least in part on the updated FiO2 setting. Furthermore, the controller may update the PEEP setting based at least in part on the updated FiO2 setting and the current PEEP setting. An updated PEEP setting may be based at least in part on PEEP change eligibility rules and PEEP selection rules. The FiO2 setting may be adjusted so as to relatively rapidly increase the FiO2 setting in response to a rapidly decreasing patient SpO2.
A context sensitive guidance (CSG) system for providing clinical interventions to a patient in an emergency medical event includes a CSG engine, patient interface devices configured to generate signals indicative of patient physiologic data, and a display device configured to provide a CSG user interface and medical device(s) configured to couple to the patient interface devices, the CSG engine and the display device, receive the signals, generate the physiologic data from the signals, and send the physiologic data to the CSG engine and the display device, wherein the CSG engine is configured to receive and evaluate the physiologic data, identify a clinical intervention, and send an output based on the clinical intervention to the medical device(s) configured to perform at least one operation in response to the sent output.
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 20/10 - 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 50/00 - 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
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 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
22.
AUTOMATED EXTERNAL DEFIBRILLATOR AND POWER SUPPLY ADAPTED FOR NON-CLINICAL USE
Some embodiments of the current disclosure are directed toward defibrillation and defibrillation equipment, and more particularly, an automated external defibrillator (AED) and a non-clinical power adapter therefor. In some embodiments, an AED may include an electrical connector to receive a battery pack, at least one capacitor to store energy, an electrotherapy delivery circuit to deliver the energy externally as electrotherapy, at least one discharge circuit to internally discharge energy stored in the capacitor(s), a non-clinical power adapter to be received by the electrical connector, and at least one processor. The processor(s) may determine whether the non-clinical power adapter is electrically coupled to the electrical connector, determine whether the automated external defibrillator recognizes the non-clinical power adapter, and/or enable power to be supplied to the automated external defibrillator from the non-clinical power adapter if the automated external defibrillator recognizes the non-clinical power adapter.
A61N 1/00 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet
A61N 1/18 - Application de courants électriques par électrodes de contact
A61N 1/38 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour produire des effets de choc
23.
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.
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 20/13 - 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 delivrés par des distributeurs
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 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
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 40/40 - 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
25.
MIXED-SEGMENT ELECTROCARDIOGRAM ANALYSIS IN COORDINATION WITH CARDIOPULMONARY RESUSCITATION FOR EFFICIENT DEFIBRILLATION ELECTROTHERAPY
An external defibrillator is provided. The external defibrillator includes therapy delivery circuitry configured to discharge electrotherapy to a patient, a chest compression sensor configured to acquire motion signals during and after administration of CPR to the patient, an ECG sensor configured to acquire ECG signals from the patient, and a processor coupled to the therapy delivery circuitry, the chest compression sensor, and the ECG sensor. The processor is configured to generate first ECG data from ECG signals acquired during a cycle of CPR, generate second ECG data from ECG signals acquired after the cycle of CPR, identify a plurality of temporally overlapping segments in the first ECG data, determine shock/no-shock guidance based on the plurality of temporally overlapping segments, confirm the shock/no-shock guidance based on the second ECG data, and control the therapy delivery circuitry to discharge the electrotherapy where the shock/no-shock guidance is confirmed to specify electrotherapy.
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.
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 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 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
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 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 5/11 - 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
28.
RESPIRATORY DISTRESS MANAGEMENT APPARATUS, SYSTEM AND METHOD
Respiratory distress apparatuses, systems and methods are described. An example respiratory distress management device includes a housing, and further has a mechanical ventilation apparatus and a controller within the housing. The controller may include a processor and a memory. The controller may be configured to determine whether, at a particular time, a fault mode condition exists. If a fault mode condition is determined not to exist, then the controller may be configured to enable control of the mechanical ventilation apparatus of the respiratory distress management device by a source in delivering mechanical ventilation to a patient, via signals received by the controller from the source. If a fault mode condition is determined to exist, then the controller may be configured to control the mechanical ventilation apparatus of the respiratory distress management device in delivering mechanical ventilation to the patient.
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
A61M 16/00 - Dispositifs pour agir sur le système respiratoire des patients par un traitement au gaz, p.ex. bouche-à-bouche; Tubes trachéaux
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
29.
REMOTE MONITORING DEVICES AND RELATED METHODS AND SYSTEMS WITH AUDIBLE AED SIGNAL LISTENING
A remote monitoring device and related systems and methods for monitoring and managing by a monitoring service via a communications network a condition of an AED based on audio signals from the AED. The remote monitoring device includes a housing configured to be positioned outside of the AED such that audio sounds from the AED can be detected. The housing contains at least one processor, a communications module, a first audio sensor, a first audio detection circuitry, a second audio sensor, and a second audio detection circuitry. The communications module is operably connected to the at least one processor and configured to transmit electronic communications to the monitoring service via the communications network. The at least one processor is configured to power on in response to the wakeup notification signal, process digital audio signals, and transmit a signal to the monitoring service to report a condition of the AED.
A medical treatment system includes a medical treatment device for monitoring and providing treatment to a patient and a companion device communicatively coupled to the medical treatment device. The medical treatment device may display case information including physiological information visually rendered from physiological sensor inputs in a first display format and transmit the case information and medical data to the companion device. The companion device may include a device interface having a display screen to accept user input instructions for the medical treatment device during a medical event. The companion device may process the case information and medical data received from the medical treatment device and also cause display, at the device interface, of multiple data display views in which each of the display views is selectable via a respective display view selection portion of the device interface.
A61M 16/10 - Préparation de gaz ou vapeurs à respirer
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
A61B 5/024 - Mesure du pouls ou des pulsations cardiaques
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
31.
SYSTEMS AND METHODS FOR GENERATING AND APPLYING MATRIX IMAGES TO MONITOR CARDIAC DISEASE
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.
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
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
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 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.
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 and a controller. A therapeutic current control network may include at least one current control switch and a resonant tank. During delivery of an electrotherapeutic waveform to a patient with optional closed loop current control, the controller may compare a signal associated with a determined or estimated current provided to the patient with a signal associated with a reference waveform. Based at least in part on the comparison, the controller may adjust operation of the at least one current control switch of the therapeutic current control network in adjusting delivery of the electrotherapeutic waveform to the patient to correspond with the reference waveform. The system may utilize one or more of soft switching, wide bandgap materials and a bidirectional power supply.
A medical device system for providing sensor data capture includes a medical device that may include one or more removably coupled sensor hubs and that includes a display to provide sensor data and at least one data interface (DI) port that may be a sensor-agnostic DI (SA-DI) port and a data transfer cable that may be compatible with the sensor-agnostic DI port and includes a first electromechanical connector configured to detachably couple to the SA- DI port and a second electromechanical connector configured to couple to the sensor and that includes a cable memory and processor configured to execute stored software to format sensor data according to a protocol of the SA-DI port, an authentication circuit, and a cable isolation device to limit patient leakage current flow from the medical device to the sensor and to electrically isolate the authentication circuit from the cable processor and the cable memory.
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.
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 5/113 - 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 5/0507 - 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 utilisant des micro-ondes ou des ondes térahertz
A61B 5/053 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps
36.
PORTABLE MEDICAL TREATMENT APPARATUS WITH INTERACTIVE GUIDANCE AND CARDIOPULMONARY RESUSCITATIVE FUNCTIONALITY
A portable medical treatment apparatus and interactive application that leads a user through a medically acceptable query flow for treating medical emergencies, including cardiac or pulmonary medical emergencies that can be treated with electrotherapy and other medical emergencies.
A61N 1/00 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet
37.
SYSTEMS AND METHODS OF INTEGRATING MEDICAL DEVICE CASE FILES WITH CORRESPONDING PATIENT CARE RECORDS
A system for integrating medical device case files with corresponding electronic patient care records (ePCRs) is provided. The system includes a database storing a plurality of medical device case files and at least one processor. The at least one processor receives, from a patient charting device, charting data documented in an ePCR for an encounter with a particular patient, generates a search criterion based at least in part on the charting data, the search criterion including a predetermined relationship between at least one first parameter from the charting data and at least one second parameter associated with a medical device case file, identifies the medical device case file based on the generated search criterion, and generates an integrated patient encounter record including at least a portion of medical device data from the medical device case file and the charting 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
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
G16H 15/00 - TIC spécialement adaptées aux rapports médicaux, p.ex. leur création ou leur transmission
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 40/63 - 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
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
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
38.
SYSTEMS AND METHODS OF PRODUCING PATIENT ENCOUNTER RECORDS
A system for consolidating medical data from multiple devices involved in a patient encounter is provided. The system includes a mobile computing device that acquires, via a medical device interface, identifiers of each medical device, generates association information including the one or more identifiers, and transmits the association information to a server. The server receives and stores one or more medical device case files from the medical devices, receives the association information from the mobile computing device, associates the one or more medical device case files with one another, and produces an integrated data source encounter structure including case data from the one or more medical device case files for subsequent processing.
G16H 15/00 - TIC spécialement adaptées aux rapports médicaux, p.ex. leur création ou leur transmission
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
39.
SYSTEMS AND METHODS FOR CLASSIFYING MOTION OF A PATIENT WEARING AN AMBULATORY MEDICAL DEVICE
A wearable medical device for monitoring arrhythmias during patient activity is provided. The device includes a plurality of electrodes configured to receive electrical signals from the patient and monitor for a cardiac arrhythmia and provide a therapeutic shock to a patient in response to detecting the cardiac arrhythmia. The device includes a user interface configured to receive patient input indicating one of initiation or termination of a high-noise activity. The device can include one or more accelerometers to generate a plurality of motion signals. The device includes at least one processor to monitor for initiation or termination of the high-noise activity based on at least one of a noise level in the electrical signals from the patient, the plurality of motion signals and the patient input via the user interface indicating the initiation or termination of the high-noise activity. The at least one processor can cause, in response to the initiation of the high-noise activity, an arrhythmia detection process to execute in an activity-induced noise (AIN) robust mode, and cause, in response to the termination of the high-noise activity, the arrhythmia detection process to execute in an AIN sensitive mode.
A system is provided for resuscitative therapy to a patient by delivering active chest compression decompressions. The system may include an ACD device configured to be coupled to the patient's chest and constructed for a rescuer to press and pull on the ACD device to administer active compression decompression therapy. Additionally, the ACD device may include at least one sensor for sensing at least one active compression decompression parameter, processing circuitry configured to process the at least one active compression decompression parameter and provide an output based on the at least one parameter, a first communication circuit configured to transfer data related to the processed output of the at least one parameter, and a second communication circuit capable of being removably coupled to either the electrode assembly or the ACD device.
A patient-worn arrhythmia monitoring and treatment device includes at least two pads configured to affix to skin on a torso of a patient. At least one of a pair of sensing electrodes is disposed on each one of the pads and configured to sense surface ECG activity of the patient. At least one of a pair of therapy electrodes is disposed on each one of the pads and configured to deliver one or more therapeutic pulses to the patient. A controller is in communication with the pairs of sensing and therapy electrodes and is configured to monitor for cardiac arrhythmias based on the sensed surface ECG activity and cause the delivery of the one or more therapeutic pulses. The device includes a removable garment to be worn about the torso to immobilize on the torso the one of the at least two pads to which the controller is coupled.
A system for managing an individualized cardiac rehabilitation plan is provided. The system includes an externally worn device and a server. The server includes a processor configured to receive input regarding the rehabilitation plan; generate one or more plans specifying an individualized set of rehabilitative exercise sessions for a patient, receive electrocardiogram (ECG) and non-ECG physiological information acquired from the patient compare the ECG and/or non-ECG physiological information to predetermined criteria and dynamically adjust the cardiac rehabilitation plan based on the comparison to create an adjusted cardiac rehabilitation plan.
A system for managing responders acquiring medical equipment and responding to an emergency medical event includes mobile devices associated with responders; a computer aided dispatch (CAD), and an equipment/responder management system communicatively coupled to the mobile devices and CAD and configured to receive an event location from the CAD, retrieve medical equipment locations from a database, receive responder locations from the mobile devices, send the event and equipment locations to a first mobile device, generate an activity log for the event including first responder status information based on the responder location, the event and medical equipment locations, send the activity log to the first mobile device, send the event location and the medical equipment locations to a second mobile device, update the activity log with second responder status information based on the responder, event and medical equipment locations, and send the activity log to the mobile devices.
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 40/40 - 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
G08B 27/00 - Systèmes d'alarme dans lesquels la condition déclenchant l'alarme est signalée par une station centrale à plusieurs sous-stations
H04W 4/02 - Services utilisant des informations de localisation
44.
SELECTIVE ACTIVATION OF CHEST COMPRESSIONS SYNCHRONIZED WITH MYOCARDIAL ACTIVITY
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.
A system for documenting emergency medical events related to treatment of a patient is provided. The system includes a medical device configured to obtain physiological information from the patient and generate a first plurality of log entries that mark events that occur during treatment of the patient. The system also includes a mobile device configured to receive input for generating a second plurality of log entries that mark events that occur during treatment, establish a communicative connection with the medical device to access the first plurality of time-stamped log entries, and present, during the treatment of the patient, a single consolidated event log that includes the first plurality of log entries and the second plurality of log entries.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/024 - Mesure du pouls ou des pulsations cardiaques
A61B 5/0408 - Electrodes spécialement adaptées à cet effet
A61B 5/1171 - Identification des personnes basée sur la morphologie ou l’aspect de leur corps ou de parties de celui-ci
A61B 5/1172 - Identification des personnes basée sur la morphologie ou l’aspect de leur corps ou de parties de celui-ci utilisant des empreintes digitales
46.
SYSTEMS AND METHODS FOR PROVIDING DRUG PRESCRIPTION INFORMATION WITH MONITORED CARDIAC INFORMATION
A system for providing electrocardiogram (ECG) information to a healthcare provider (HCP) is provided. The system includes a network interface configured to receive drug prescription information from a computing device associated with the HCP and ECG data from a medical device associated with a patient. The system also includes a memory configured to store the drug prescription information and the ECG data. The system can further a processor configured to select a period of time over which to review the received drug prescription information and the received ECG data, retrieve the received ECG data for the selected period of time, derive one or more ECG metrics including at least one heart rate parameter, and generate a graphical representation indicating a trend in the one or more ECG metrics and a relationship between the one or more ECG metrics and the drug prescription information.
An example of a system for review of clinical data includes a medical device configured to receive patient data signals from patient interface devices coupled to the medical device, and an auxiliary device configured to communicatively couple to the medical device via a communication channel and including an output device, a memory, a communication interface, and a processor configured to establish the communication channel, estimate a transmission age for the patient data, receive the patient data from the medical device via the communication channel, determine a patient data age based on at least one of the transmission age and a playback selection age, select a patient data age threshold based on a patient data context, compare the patient data age to the patient data age threshold to determine a patient data age indication, and provide the patient data and the patient data age indication at the output device.
G06F 3/0484 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] pour la commande de fonctions ou d’opérations spécifiques, p.ex. sélection ou transformation d’un objet, d’une image ou d’un élément de texte affiché, détermination d’une valeur de paramètre ou sélection d’une plage de valeurs
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
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
48.
SYSTEMS AND METHODS FOR DETERMINING COMPRESSION DEPTH AND PROVIDING FEEDBACK DURING ACTIVE COMPRESSION DECOMPRESSIONS
A system for assisting with cardiopulmonary resuscitation (CPR) includes an active compression decompression (ACD) device configured for a user to push downward and pull upward on a chest of a patient, a sensor to measure force applied to the chest of the patient, a sensor configured to measure displacement of the chest of the patient, one or more processors, and a user interface. The processor is configured to configured to execute computer-executable instructions to determine a maximum compression force applied to the chest of the patient during a compression cycle and a maximum decompression force applied to the chest of the patient during the compression cycle, estimate a displacement value for a total displacement of the chest of the patient during the compression cycle for compressing and decompressing the chest of the patient, and estimate at least one of a compression depth and a decompression displacement for the compression cycle.
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 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
49.
WEARABLE MEDICAL DEVICE RESPONSE MECHANISMS AND METHODS OF USE
System and methods for providing a patient with arrhythmia treatment are described. For example, a system includes an arrhythmia monitoring and treatment assembly configured to be worn on the torso of the patient. The assembly has a housing discreetly extending from a skin surface of the patient. The assembly is configured to provide therapy on detecting one or more arrhythmia conditions of the patient. A first at least one user response button is disposed on the assembly at a first location on the torso concealed under clothing, and a second at least one user response button is configured to be worn on a second location of the patient's body, a location other than the torso that is accessible to the patient. The system suspends an impending therapy upon receiving a user input from either one of the first or second at least one user response buttons.
A medical device for review of clinical data in a playback mode is described. The medical device includes at least one output device comprising at least one display screen, at least one memory, and at least one processor coupled to the at least one memory and the at least one output device, the at least one processor configured to receive signals indicative of patient data from one or more patient interface devices communicatively coupled to the medical device, control the at least one display screen to provide a first visual representation of the patient data as an operational interface, and selectively display a playback interface at the at least one display screen wherein the playback interface enables user interactive review of the patient data based on a second visual representation of the patient data.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
G06F 3/0481 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] fondées sur des propriétés spécifiques de l’objet d’interaction affiché ou sur un environnement basé sur les métaphores, p.ex. interaction avec des éléments du bureau telles les fenêtres ou les icônes, ou avec l’aide d’un curseur changeant de comport
G06F 3/0485 - Défilement ou défilement panoramique
G16H 20/00 - 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
G16H 40/60 - 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
A patient-worn arrhythmia monitoring and treatment device weight between 250 grams and 2,500 grams includes at least one contoured pad configured to be adhesively coupled to a patient's torso, a plurality of therapy electrodes, at least one of which is integrated with the at least one contoured pad, and a plurality of ECG sensing electrodes, at least one of which is integrated with the at least one contoured pad. At least one housing configured to form a watertight seal with the at least one contoured pad extends no more than 5 cm from the contoured pad. A processor disposed within the housing is coupled to a therapy delivery circuit and configured to detect one or more treatable arrhythmias based on at least one ECG signal and cause a therapy delivery circuit to deliver at least one defibrillation pulse on detecting the one or more treatable arrhythmias.
A system for assisting a user in performing chest compressions includes: at least one input device for providing information representative of a plurality of physical features of a patient; at least one chest compression sensor; a feedback device for providing chest compression feedback for the user; and at least one processor. The at least one processor is configured to: receive and process the information representative of the plurality of physical features of the patient to determine a target chest compression criterion for the patient, receive and process the signals indicative of the chest compressions from the at least one chest compression sensor to calculate at least one chest compression parameter, determine whether the at least one chest compression parameter meets the target chest compression criterion, and cause the feedback device to provide an indication for the user of whether the chest compression parameter meets the target criterion.
A medical device for assessing clinical patient deterioration in an in-patient hospital environment is provided. The medical device includes a processor and sensors that couple externally to a skin of the patient to acquire electrocardiogram (ECG) and other physiologic signals. The processor is configured to receive a medical history of the patient; generate physiologic data, including ECG data, over a period of time based on one or more physiologic signals; and execute a risk assessment process associated with a clinical condition of the patient. The risk assessment process analyzes the physiologic data and the medical history of the patient to generate a risk estimate of deterioration of the patient's clinical condition.
Systems and method for providing chest compressions to a patient during cardiopulmonary resuscitation may comprise at least one ECG sensor configured to obtain ECG signals, an automated chest compressor configured to provide chest compressions and at least one processor, memory and associated circuitry of a medical device communicatively coupled with the at least one ECG sensor and the automated chest compressor. The at least one processor may be configured to receive and analyze the ECG signals, determine, based on the analysis, whether the patient is in a condition of unconscious hypotension with organized ECG, analyze, in response to a determination that the patient is in the condition of unconscious hypotension with organized ECG, the received ECG signals to detect a QRS complex, and generate an output to apply a chest compression at a predetermined time relative to the detected QRS complex.
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.
A patient monitoring device includes an ECG sensor coupled to a patient, a sensor coupled to the patient and configured to bio-vibrational signals, and a radio frequency 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 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 5/0452 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
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 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A medical system (100) for assisting with an intubation procedure for a patient. The system comprising airflow sensors (127) configured to obtain data indicative of airflow in the patient's airway and physiological sensors configured to obtain information regarding airflow in the patient's lungs. The system further including a monitoring device (202) communicatively coupled to the airflow sensors and the physiological sensors. The patient monitoring device comprising at least one processor coupled to memory and configured to: provide a user interface on a display (1502) and assist the rescuer in determining proper placement of an endotracheal tube (129), receive the data indicative of the airflow in the patient's airway, receive the physiological information regarding the airflow in the patient's lungs, and determine whether the tube is properly placed based on the received physiological information, and present an output of the determination of whether the ET tube was properly placed.
A61H 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
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
A61B 5/04 - Mesure de signaux bioélectriques du corps ou de parties de celui-ci
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61M 16/10 - Préparation de gaz ou vapeurs à respirer
A computer-implemented method for managing medical equipment is described that includes providing a medical equipment management software application. The method includes presenting, at an output device of a computing device, an user interface configured to capture user inputs, receiving inspection account information via the one or more user inputs, receiving a location of the computing device, providing, at the output device, identification information for at least one item of medical equipment that is associated with the inspection account information, receiving status information for the at least one item of medical equipment, and updating previously stored status information for the at least one item of medical equipment with the received status information and the location of the computing device. The status information may include inspection information and the location of the computing device may be a location of a mobile device associated with an equipment inspector during an equipment inspection.
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
G01S 19/01 - Systèmes de positionnement par satellite à radiophares émettant des messages horodatés, p.ex. GPS [Système de positionnement global], GLONASS [Système global de navigation par satellite] ou GALILEO
G06F 19/00 - Équipement ou méthodes de traitement de données ou de calcul numérique, spécialement adaptés à des applications spécifiques (spécialement adaptés à des fonctions spécifiques G06F 17/00;systèmes ou méthodes de traitement de données spécialement adaptés à des fins administratives, commerciales, financières, de gestion, de surveillance ou de prévision G06Q;informatique médicale G16H)
Techniques that enable medical devices to quickly recover from loss of sensory functions are provided. In some examples, a medical device is configured to advantageously leverage differences between a first type of sensing electrode and a second type of sensing electrode that has a shorter recovery time than the first type of sensing electrode. In some examples, a medical device is configured to reference data generated by a first conditioning circuit that is configured to process signals acquired under a first set of environmental conditions and to reference data generated by a second conditioning circuit that is configured to process signal acquired under a second set of environmental conditions. In some examples, a medical device is configured to arrange electrodes used by the medical device to acquire signals in at specific locations to reduce the amount of disruptive power the electrodes encounter.
A system includes an ambulatory medical device including: a digital signal processing module configured to: detect an abnormal rhythm from an electrocardiogram (ECG) signal of a patient and generate a first flag indicating an abnormal rhythm is detected; and a noise detector module configured to: receive the ECG signal and classify the abnormal rhythm as one of an arrhythmia event and a noise event; and, if classified as a noise event, initiate a preconfirmation period during which the noise detector module continues to evaluate the abnormal rhythm and classify the abnormal rhythm as one of an arrhythmia event and a noise event; and generate a second flag indicating the start of the preconfirmation period; and a server configured to: receive the ECG signal, the first flag indicating the abnormal rhythm, and the second flag indicating the start of the preconfirmation period; and provide a visual indication of the preconfirmation period.
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
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 a chest compression device having force sensing capabilities, for providing feedback in enhancing the quality of acute care. The force sensor(s) may exhibit varying resolutions over different dynamic force ranges, for example, to provide information helpful to the resuscitative treatment. Chest compression devices that are able to sense force may be able to assist a system in providing accurate chest compression depth and rate information, as well as assess the amount of work exerted by one or more rescuers during the course of resuscitation. Force sensors described herein may employ relatively inexpensive components, such as pressure sensors, emitters, optical detectors, simple circuit boards, springs, compliant/resilient materials, electrically resistive layers, force-sensitive materials, amongst other suitable parts.
A support garment for supporting a patient wearable defibrillator is made from a fabric having an outside surface and an inside surface and is configured to be worn about a chest of a patient. The support garment includes a back portion and a front portion connected to the back portion. The back portion and the front portion are configured to support a plurality of sensing electrodes and at least one therapeutic defibrillator electrode on the inside surface thereof. The front portion of the support garment further includes at least one bra portion. The at least one bra portion is configured to support front upper torsal female anatomy.
Systems, devices and methods for providing a pressurized fluid for facilitating conductive gel release prior to providing cardiac therapy to a patient are disclosed. A first system can include a chemical reaction chamber including a first chemical and a second chemical isolated from each other by a mechanical barrier. The mechanical barrier is configured to be compromised upon receiving a signal from an electrotherapy device controller such that the first chemical and second chemical come into contact to produce a sufficient amount of pressurized fluid. An alternative system can include a pressure source comprising a reservoir containing a pressurized fluid. The pressure source can also include 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 a wearable medical device is preparing to deliver a therapeutic shock to a patient.
An ambulatory medical device is provided. The ambulatory medical device includes at least one sensor configured to acquire sensor data descriptive of patient motion and at least one processor coupled to the at least one sensor. The at least one processor is configured to detect the patient motion from the sensor data, and to classify the patient motion.
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 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
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
65.
FAST IDENTIFICATION OF SHOCKABLE OR NON-SHOCKABLE RHYTHMS IN ECG DATA
Methods and systems that analyze electrocardiogram (ECG) data to identify whether it would be beneficial for a caregiver to administer an electric shock to the heart in an effort to get the heart back into a normal pattern and a consistent, strong beat. By conducting a running check for conditions that are pre-validated by a comprehensive patient database to have high predictive value (e.g., with a low false-positive rate), a shockable rhythm can be identified fast (e.g., less than 6 seconds, less than 3 seconds, possibly in less than a second) and without having to analyze ECG data for longer time segments than would otherwise be required using conventional methods.
An apparatus comprising: a first garment configured to be worn about a torso of a patient; and a first garment identification component disposed as a part of the first garment, the first garment identification component configured to operably couple with a medical device controller, wherein the medical device controller is configured to identify the first garment based on one or more values provided by the first garment identification component.
A41D 13/12 - Blouses de chirurgien ou vêtements pour malades
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
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
A61N 1/00 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet
According to at least one aspect, a wearable cardiac device is provided. The wearable cardiac device includes a garment worn about a torso of a patient, at least one sensing electrode to monitor cardiac activity of the patient, and a controller including a plurality of separate and distinct modules distributed about and/or integrated into the garment. The plurality of separate and distinct modules includes, for example, an operations module coupled to the at least one sensing electrode and configured to detect at least one cardiac condition of the patient and/or a communications module coupled to the operations module to communicate with an external device. In some examples, the wearable cardiac device may be configured as a treatment device and include an energy storage module coupled to at least one therapy electrode and configured to store energy for at least one therapeutic shock to be applied to the patient.
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.
An ambulatory medical device comprising: a monitoring component comprising at least one sensing electrode for detecting a cardiac condition of a patient; at least one processor configured for: adjusting one or more detection parameters for detecting the cardiac condition of the patient based at least in part on at least one of 1) one or more environmental conditions and 2) input received from the monitoring component; and providing at least one of an alarm and a treatment in response to detecting the cardiac condition of the patient based on the adjusted one or more detection parameters.
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.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/103 - Dispositifs de mesure pour le contrôle de la forme, du dessin, de la dimension ou du mouvement du corps ou de parties de celui-ci, à des fins de diagnostic
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
A61H 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
71.
DETECTION OF MYOCARDIAL CONTRACTIONS INDICATIVE OF PERFUSION
A system for assisting with a cardiopulmonary resuscitation (CPR) treatment being administered to a patient. In one aspect, the system includes electrodes to provide an ECG signal of the patient, one or more sensors configured to measure an intrinsic myocardial wall movement of the patient, and one or more processors. The one or more processors are configured to perform operations including: during the CPR treatment being administered to the patient, receiving an input from the sensor(s), processing the input from the sensor(s) and the ECG signal, determining, based on processing, whether the intrinsic myocardial wall movement is indicative of a perfusion movement of the patient's heart, and providing an indication to a user of the system based on the determination.
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
A61B 5/04 - Mesure de signaux bioélectriques du corps ou de parties de celui-ci
In an example implementation, a system includes one or more memory devices configured to store computer readable instructions, and a treatment adjustment engine that includes one or more processing devices. The treatment adjustment engine is configured to obtain a first image of an eye of a subject, and a second image of the eye of the subject. The second image is captured in the presence of an electronic light source. The treatment adjustment engine is further configured to determine, based on the first and second images, one or more metrics representing shapes of the iris and pupil in the corresponding images, and determine, based on the one or more metrics, a pupillometry measure of the subject. The treatment adjustment engine is also configured to generate a signal for adjusting a cardiopulmonary therapy based on the determined pupillometry measure.
A61B 3/06 - Appareils pour l'examen optique des yeux; Appareils pour l'examen clinique des yeux du type à mesure subjective, c. à d. appareils de d’examen nécessitant la participation active du patient pour examen de vision des couleurs
A61B 3/10 - Appareils pour l'examen optique des yeux; Appareils pour l'examen clinique des yeux du type à mesure objective, c. à d. instruments pour l'examen des yeux indépendamment des perceptions ou des réactions du patient
A61B 3/14 - Dispositions spécialement adaptées à la photographie de l'œil
A61H 31/00 - Respiration artificielle ou stimulation du cœur, p.ex. massage cardiaque
73.
SYSTEMS AND METHODS FOR POSITIONING AN INTUBATION TUBE
This document describes a system for determining positioning of an intubation tube in a patient. The system can include a first acoustic sensor configured to be disposed to listen to one of a lung and a stomach of the patient and to provide a first signal. The system includes a signal processing unit, coupled to the first acoustic sensor, configured to analyze spectral components of the first signal and determine whether a frequency of the spectral components of the first signal are characteristic of sounds induced by ventilation via the intubation tube of airflow to the lung or the stomach of the patient.
A system and method for aiding in the proper placement of ECG electrodes and other resuscitation parameters. The system includes motion sensors disposed on the ECG electrodes, and a defibrillator control system operable to interpret motion signals from the motions sensors to determine that an electrode is in motion, and thus being handled by rescuer setting up the system for use, and, based on this determination, prompt the rescuer to place the electrode in its intended location on the body of the patient. The control system may also be operable to determine relative motion and/orientation of the motion sensors and control resuscitation based on the relative motion and/orientation of the motion sensors
A management server is configured to receive device-readiness information, device performance information, and/or clinical event information from a medical device. The management server facilitates providing a graphical user interface (GUI) that enables a user to view the received information. The management server may also enable configuration updates and software updates to be provided to the medical device from a remote location.
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. The self-tests can also be initiated based on predetermined schedule, can be user activated or wirelessly triggered. The triggering event may be at least one of the following events: impact or vibration event, software update, device configuration update, battery event, insufficient electrode contact, temperature too high or too low, excessive strain. In response to detecting the at least one of the impact and the vibration event, the medical device stores a flag in the memory.
According to at least one aspect, a medical device is provided. The medical device includes at least one electrode to sense an electrocardiogram (ECG) signal of a patient and a controller coupled to the at least one electrode. The controller may be configured to generate a first ECG template based on a first ECG signal of the patient, generate a second ECG template based on a second ECG signal of the patient, and determine whether the patient is experiencing a cardiac event based on the ECG signal of the patient and an identified one of the first ECG template and the second ECG template.
Aspects of the present disclosure are directed toward systems, methods an apparatuses for hand off of clinical data during a medical event. Certain embodiments of the present disclosure include a first medical device configured to, during a first part of a medical event, monitor a patient and store clinical information and a second medical device. A second medical device may display at least some of the clinical information, modify operation of the second medical device, or store the clinical information.
G06F 19/00 - Équipement ou méthodes de traitement de données ou de calcul numérique, spécialement adaptés à des applications spécifiques (spécialement adaptés à des fonctions spécifiques G06F 17/00;systèmes ou méthodes de traitement de données spécialement adaptés à des fins administratives, commerciales, financières, de gestion, de surveillance ou de prévision G06Q;informatique médicale G16H)
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
A system for remotely managing a medical device includes a selective shielding component, configured to (a) shield with an electronic key any portion of device information that identifies the medical device individually while maintaining unshielded with the electronic key an association between such any portion and a rest of the device information and/or (b) shield with an electronic key any portion of device information that identifies the patient individually while maintaining unshielded with the electronic key an association between such any portion and a rest of the device information, and record the selectively shielded device information; a first communication component configured to facilitate transmitting the selectively shielded device information through a network; and a server device communicatively coupled to the network and configured to use the selectively shielded device information to generate reports about the device information, and the clinical event information, but wherein the server device lacks access to the electronic key.
G06F 17/30 - Recherche documentaire; Structures de bases de données à cet effet
G06F 21/00 - Dispositions de sécurité pour protéger les calculateurs, leurs composants, les programmes ou les données contre une activité non autorisée
G06Q 50/00 - Systèmes ou procédés spécialement adaptés à un secteur particulier d’activité économique, p.ex. aux services d’utilité publique ou au tourisme
H04K 3/00 - Brouillage de la communication; Contre-mesures
80.
SYSTEMS AND METHODS OF DETERMINING LOCATION USING A MEDICAL DEVICE
According to at least one aspect, a wearable medical device is provided. The wearable medical device may include a sensing electrode to sense an electrocardiogram signal of a patient, a therapy electrode to provide treatment to the patient, a garment to be worn about a torso of the patient and receive the sensing electrode and the therapy electrode, and a controller operatively coupled to the sensing electrode and the therapy electrode. The controller may be configured to determine a current location of the wearable medical device based on a previous position of the medical device and at least a speed and a direction of movement of the wearable medical device.
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
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
A61N 1/08 - Aménagements ou circuits de surveillance, de protection, de commande ou d'indication
A medical monitoring and treatment device that includes a therapy delivery interface, a plurality of therapy electrodes coupled to the therapy delivery interface, a plurality of electrocardiogram sensing electrodes to sense electrocardiogram signals of a patient, a sensor interface to receive the electrocardiogram signals and digitize the electrocardiogram signals, and at least one processor coupled to the sensor interface and the therapy delivery interface to analyze the digitized electrocardiogram signals, to detect a cardiac arrhythmia based on the digitized electrocardiogram signals, and to control the therapy delivery interface to apply electrical therapy to the patient based upon the detected cardiac arrhythmia. The at least one processor is further configured to analyze a frequency domain transform of the digitized electrocardiogram signals, to determine a metric indicative of a metabolic state of a heart of the patient, and to accelerate or delay application of the electrical therapy based upon the metric.
In at least one example, a medical device is provided. The medical device includes at least one therapy electrode, at least one electrocardiogram (ECG) electrode, at least one acoustic sensor, and at least one processor coupled with the at least one acoustic sensor, the at least one ECG electrode, and the at least one therapy electrode. The at least one processor can receive at least one acoustic signal from the at least one acoustic sensor, receive at least one electrode signal from the ECG electrode, detect at least one unverified cardiopulmonary anomaly using the at least one electrode signal, and verify the at least one unverified cardiopulmonary anomaly with reference to data descriptive of the at least one acoustic signal.
An electrode system includes a gel deployment receptacle configured to release a conductive gel onto a body of a subject and a fluid pump in fluid communication with the gel deployment receptacle.
An electrode for use with a therapeutic current delivery system can include a flexible, water vapor-permeable, conductive adhesive material; a current dispersing element in contact with the conductive adhesive material; and a non-conductive, flexible, water vapor-permeable, electrically-insulating top layer provided in contact with the current dispersing element. The current dispersing element can be conductive at least laterally along a plane of the electrode. The conductive adhesive material can be conductive in a direction substantially orthogonal to the plane of the electrode and semi-conductive in a direction substantially lateral to the plane of the electrode.
A wearable medical monitoring device can include a monitor and an update manager. The monitor is configured to monitor a physiological parameter of a subject. The update manager is configured to receive a software update corresponding to the at least one software module for the monitor, and cause an installation of the software update such that the at least one software module installed on the monitor is updated. A wearable medical monitoring device can also include at least one processor, and a supervisory circuit configured to provide redundant booting. The supervisory circuit is configured to monitor a state of the processor when the processor is configured to boot from a current drive. The supervisory circuit is further configured to control the processor to boot from an alternative drive based on the state of the at least one processor or if there is an error caused by the current drive.
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
An external defibrillator system, the system comprising: one or more sensors configured to detect one or more parameters associated with performance of CPR; one or more wearable computing devices configured to provide feedback to a user about CPR performed by the user based on the one or more parameters associated with the performed CPR; and an external defibrillator comprising: a memory configured to store instructions; and a processor to execute the instructions to perform an operation comprising: analyzing the one or more parameters to determine a CPR performance metric indicative of an overall performance of the user.
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 5/113 - 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
A patient data management platform, e.g., a community paramedicine platform, which may also be referred to as a mobile integrative health platform or system, may include a web-based, cloud-based, and/or software-based system for tracking patients and patient visits by health care providers, paramedics or other emergency medical services ("EMS") professionals in an out of hospital, mobile, and/or non-emergency context. Such a platform performs functions and data input, visit logging, and reporting tasks that are distinct from that of a traditional EMS electronic patient care reporting system.
G06F 19/00 - Équipement ou méthodes de traitement de données ou de calcul numérique, spécialement adaptés à des applications spécifiques (spécialement adaptés à des fonctions spécifiques G06F 17/00;systèmes ou méthodes de traitement de données spécialement adaptés à des fins administratives, commerciales, financières, de gestion, de surveillance ou de prévision G06Q;informatique médicale G16H)
G06F 19/28 - pour la programmation d'outils ou de systèmes de bases de données, p.ex. ontologies, intégration de données hétérogènes, entreposage de données ou architectures informatiques
G06Q 50/24 - Gestion de dossiers médicaux (traitement de données médicales ou biologiques à des fins scientifiques G06F 19/00)
88.
SYSTEMS AND METHODS OF DETERMINING LOCATIONS OF MEDICAL DEVICES RELATIVE TO WEARABLE DEVICES
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.
In at least one example, a medical device is provided. The medical device includes at least one therapy electrode, at least one acoustic sensor, and at least one processor coupled with the at least one therapy electrode and the at least one acoustic sensor. The at least one processor is configured to deliver at least one pacing pulse via the at least one therapy electrode and to analyze processed acoustic data to determine whether the at least one pacing pulse resulted in capture.
A case for a wearable medical device is provided. The wearable medical device includes internal circuitry enclosed within an external housing. The case includes a first part sized to surround a first portion of the external housing and a second part sized to surround a second portion of the external housing. The first part includes an inner surface with contours configured to receive corresponding contours of the external housing. The first part is connected to the second to form a parting line around the external housing. An assembly including a wearable medical device and an external case is also provided.
A system and method for medical premonitory event estimation includes one or more processors to perform operations comprising: acquiring a first set of physiological information of a subject, and a second set of physiological information of the subject received during a second period of time; calculating first and second risk scores associated with estimating a risk of a potential cardiac arrhythmia event for the subject based on applying the first and second sets of physiological information to one or more machine learning classifier models, providing at least the first and second risk scores associated with the potential cardiac arrhythmia event as a time changing series of risk scores, and classifying the first and second risk scores associated with estimating the risk of the potential cardiac arrhythmia event for the subject based on the one or more thresholds.
G06F 19/00 - Équipement ou méthodes de traitement de données ou de calcul numérique, spécialement adaptés à des applications spécifiques (spécialement adaptés à des fonctions spécifiques G06F 17/00;systèmes ou méthodes de traitement de données spécialement adaptés à des fins administratives, commerciales, financières, de gestion, de surveillance ou de prévision G06Q;informatique médicale G16H)
92.
TRANSESOPHAGEAL OR TRANSTRACHEAL CARDIAC MONITORING BY OPTICAL SPECTROSCOPY
Devices, systems and methods useable for useable for monitoring a physiological variable in a target tissue or body fluid located within the thorax of a subject by optical spectroscopy.
A61B 5/1459 - 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 invasifs, p.ex. introduits dans le corps par un cathéter
A method for measuring a myocardial physiologic parameter according to an embodiment includes placing an at least partially convex portion of a spectral sensor against an intercostal space of a human over a heart of the human and measuring the physiologic parameter of a myocardium of the heart with the spectral sensor over time during an emergency medical event. The spectral sensor may be configured to determine and visually display a suggested position adjustment for directing the spectral radiation more directly toward the tissue of interest (e.g. the myocardium), and/or for placing the operative elements of the spectral sensor closer to the tissue of interest (e.g. the myocardium).
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
A61B 5/1477 - 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 non invasifs
94.
IMPEDANCE SPECTROSCOPY FOR DEFIBRILLATOR APPLICATIONS
A computing device includes a memory configured to store instructions. The computing device also includes a processor to execute the instructions to perform operations that include providing an alternating electrical signal to a patient through at least a pair of electrodes, and determining transthoracic impedance of the patient from a measurement associated with the applied alternating electrical signal. Operations also include identifying, from the transthoracic impedance, a sequence of resistance values for controlling the discharge of a charge storage device located external to the patient, and controlling the discharge of the charge storage device using the identified sequence of resistance values.
An external medical device is provided. The external medical device includes a memory and circuitry, in communication with the memory, to receive input specifying at least in part at least one prompt relating to a health survey for a patient, the at least one prompt being customized based on to the patient; convert the at least one prompt to an audio representation; and perform the health survey by at least delivering to the patient the audio representation.
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
96.
SYSTEM AND METHOD FOR DISTINGUISHING A CARDIAC EVENT FROM NOISE IN AN ELECTROCARDIOGRAM (ECG) SIGNAL
A cardiac monitoring device includes: at least one sensing electrode for obtaining an electrocardiogram (ECG) signal from a patient; a processing unit comprising at least one processor operatively coupled to the at least one sensing electrode. The cardiac monitoring device is configured to: obtain the ECG signal from the at least one sensing electrode; determine a transformed ECG signal based on the ECG signal; extract at least one value representing at least one feature of the transformed ECG signal; provide the at least one value to determine a score associated with the ECG signal, thereby providing an ECG-derived score; compare the ECG-derived score to a predetermined threshold score determined by machine learning; and provide an indication of a cardiac event if the ECG-derived score is one of above or below the predetermined threshold score determined by the machine learning.
This document presents a system for managing treatment for an emergency cardiac event. The system includes memory, one or more electronic ports for receiving ECG signals, and a treatment module executable on one or more processing devices. The module is configured to generate transform values for a time segment of ECG, obtain one or more previous values derived from one or more earlier time segments of the ECG, and determine, based on the generated transform values, and the one or more previous values, at least one of: a) a future therapeutic action for treating the emergency cardiac event, or b) a phase of the cardiac event. The module is further configured to cause one or more output devices to present an indication of at least one of the therapeutic action or the phase of the cardiac event.
A61N 1/00 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet
In an aspect, a system for treating a patient in cardiac arrest is described and includes memory, one or more electronic ports for receiving signals from sensors for obtaining indications of an electrocardiogram (ECG) of the patient, one or more sensors for obtaining a transthoracic impedance of the patient, and a patient treatment module executable on one or more processing devices that is configured to generate, from the ECG, transform values that represent magnitudes of two or more frequency components of the ECG, and modify, based on at least one transform value, at least one shock delivery parameter.
Provided is a therapeutic device that includes tubing; at least one pump; and a column or filter capable of removing leukocytes, cytokines, and/or other blood components from the blood of a patient to effectively treat or prevent post-resuscitation syndrome. Methods for treating and/or preventing post-resuscitation syndrome that include the use of such a device, or a filter or column capable of selectively removing inflammatory biomarkers, are also provided.
A system for determining T wave bifurcation that includes three or more ECG leads configured to receive an ECG signal and a first computing device including a processor coupled to a memory, the processor and the memory configured to perform operations including: generating at least two orthogonal ECG vectors based on the ECG signal of a patient, processing the at least two orthogonal ECG vectors to determine a loop trajectory of at least a portion of the ECG signal, identifying a trajectory bifurcation by comparing the loop trajectory to a control loop trajectory for a plurality of cardiac cycles, and determining an indicator of a cardiac event based on the trajectory bifurcation.
A61B 5/02 - Mesure du pouls, du rythme cardiaque, de la pression sanguine ou du débit sanguin; Détermination combinée du pouls, du rythme cardiaque, de la pression sanguine; Evaluation d'un état cardio-vasculaire non prévue ailleurs, p.ex. utilisant la combinaison de techniques prévues dans le présent groupe et des techniques d'électrocardiographie; Sondes cardiaques pour mesurer la pression sanguine
A61B 5/0452 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
G06F 17/00 - TRAITEMENT ÉLECTRIQUE DE DONNÉES NUMÉRIQUES Équipement ou méthodes de traitement de données ou de calcul numérique, spécialement adaptés à des fonctions spécifiques
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