Abstract: A system for medical data review and playback includes a medical device including sensors configured to collect patient data during a medical event, a display screen, and a communication port configured to access a WAN, a processor configured to receive the patient data, control the display screen to display the patient data during the medical event, communicably couple to a database, and provide the patient data to the database, and a playback interface display configured to access the database, and provide the playback interface configured to permit sequential playback of the patient data and including visual representations of the patient data displayed at the medical device display screen, and a visual timeline representing times during the medical event and including a timeline indicator configured to move the sequential playback of the patient data to a user-selected time during the medical event in response to user input.

Abstract: 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).

Abstract: 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.

Abstract: Systems and methods related to the field of cardiac resuscitation, and in particular to devices for assisting rescuers in performing cardio-pulmonary resuscitation (CPR).

Abstract: A wearable medical device is provided for monitoring the cardiac health of a patient, for example, for indications of cardiac anomalies, where the device includes ECG sensors in electrical contact with the patient’s body, therapy electrodes for providing electrical therapy to the patient’s heart, and a control unit having at least one touch control with force sensor disposed on its housing for contacting with a finger. Signals from the touch control may be analyzed to identify force application below a first force threshold and at or above a second force threshold below the first force threshold, and, responsive to detecting such application of force, user input may be registered. User inputs to the at least one touch control may be used to delay therapy by the therapy electrodes.

Abstract: 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.

Abstract: 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.

Abstract: A medical apparatus provides resuscitative therapy to a patient. The apparatus includes an electrocardiogram (ECG) input, a defibrillation output configured to provide an electrical defibrillation shock treatment, and an applicator body configured to provide active compression decompression therapy to the patient's chest. The applicator body includes a rescuer end configured for hands of the rescuer to press and pull on the applicator body, a coupling surface configured to adhere to the patient's chest to provide active compression decompression therapy, a capacitor, and processor(s) configured to receive and analyze the ECG signal of the patient, determine whether the patient is in need of defibrillation, and administer the defibrillation shock treatment to the patient.

Abstract: A wearable medical device is provided for monitoring a cardiac condition of a patient, where the device is releasably mounted to the patient's chest and includes at least two skin-facing electrodes forming a first one or more ECG leads for ongoing monitoring of heart functioning and at least one touch electrode for intermittently obtaining additional circuit vectors for deriving additional metrics regarding the functioning of the patient's heart. Each touch electrode is configured to form an additional lead/vector that is a larger vector and/or separated by at least 15° from a corresponding first lead/vector formed from the first one or more ECG leads in a vector cardiogram representation of the first one or more ECG leads and the additional lead/vector.

Abstract: A system for tracking and management of emergency medical services (EMS) responses includes one or more servers configured to assign two or more EMS responses of a plurality of EMS responses corresponding to a plurality of incidences to an EMS vehicle, wherein a first EMS response of the two or more EMS responses is an emergency patient transport and another EMS response of the two or more EMS responses is a pre-scheduled patient transport, provide a user interface comprising a map comprising location information for the two or more EMS responses, receive location information updates for the EMS vehicle, update the map and a status of the EMS vehicle at the user interface based on the location information updates, and store a status history for the EMS vehicle.

Abstract: In an illustrative embodiment, a system for providing automation and virtual assistance to medical claims processing includes a predictive analytics platform configured to receive patient information for a medical claim from a claims processing system, cross-reference the patient information with stored data to identify a patient record, apply the patient information to machine learning classifier(s) to estimate a likelihood of match between the patient information and the patient record, provide patient record information to the claims system, receive claims data from the claims system, access, from a data universe, requirements corresponding to a payer corresponding to the medical claim, the requirements having been generated through training machine learning classifier(s) with claims data corresponding to claims denied by the payer, verify the claims data in view of the requirements, and provide an indication of missing claims information and/or invalid claims information to the claims system.

Abstract: Example defibrillator electrode assemblies compression assemblies are described that may be dimensioned and configured for use on a patient despite physical constraints that limit the area or locations on a patient onto which an electrode assembly may be placed. A cardio pulmonary resuscitation (CPR) assembly is also described that protects a patient with a transthoracic incision from further injury during application of CPR compressions proximate to the incision.

Abstract: 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.

Abstract: 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.

Abstract: A medical system according to embodiments of the present invention includes at least one sensor configured to monitor physiological status of a patient and to generate sensor data based on the physiological status, a user interface device, a processor communicably coupled to the user interface device, the processor configured to: present via the user interface device an array of two or more possible input elements, the input elements each comprising a class of patients or a diagnosis and treatment pathway, receive a selected input element based on a user selection among the two or more possible input elements, acquire the sensor data and process the sensor data to generate physiological data, and present via the user interface screen the physiological data according to a template that is customized for the selected input element.

Abstract: 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.

Abstract: A therapy electrode system comprises a garment configured to be worn about a torso of a patient, a therapy electrode disposed in the garment and configured to deliver one or more electrical shocks to a body of the patient, a replaceable gel cartridge disposed on the therapy electrode and configured to release a conductive gel onto the patient's skin at an interface between the therapy electrode and the patient's skin prior to the delivery of the one or more electrical shocks to the body of the patient at the interface between the therapy electrode and the patient's skin, and a fluid pump in fluid communication with the replaceable gel cartridge.

Abstract: An electrode patch for use with an external medical device, the electrode patch comprising: a first surface configured to be attached to a skin of a patient monitored by the external medical device, and an indicating mechanism disposed on the electrode patch and configured to indicate an end of a predetermined lifespan of the electrode patch.

Abstract: A serviceable wearable cardiac treatment device for continuous extended use by an ambulatory patient includes a garment, a device controller, and an ingress-protective housing. The garment is configured to dispose therein a plurality of ECG sensing and therapy electrodes to monitor for and treat a cardiac arrhythmia in the patient. The device controller is configured to be in separable electrical communication with the plurality of ECG sensing and therapy electrodes and includes an impact-resistant energy core, and first and second circuit boards affixed to opposing sides of the impact-resistant energy core. The impact-resistant energy core includes a frame and at least one capacitor permanently bonded to the frame to form a unitary mass. The ingress-protective housing is configured to enable removal of the impact-resistant energy core and the first and second circuit boards during servicing.

Abstract: A wearable therapeutic device to facilitate care of a subject is provided. The wearable therapeutic device can include a garment having a sensing electrode. The garment includes at least one of an inductive element and a capacitive element, and a controller identifies an inductance of the inductive element or a capacitance of the capacitive element, and determines a confidence level of information received from the sensing electrode based on the inductance or the capacitance. The wearable therapeutic device also includes an alarm module coupled with the controller and configured to provide a notification to a subject based on the confidence level.