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 patient-coupled resuscitation device for use with a plurality of medical devices is provided. The resuscitation device includes a portion configured to provide treatment, a connector configured to connect the resuscitation device to one of a first medical device and a second medical device, and a housing including a memory and associated circuitry. The memory and associated circuitry is configured to store a device identifier to identify the resuscitation device; receive medical treatment information from the first medical device, the medical treatment information including at least one of: patient physiological data, patient characteristic data, and rescuer performance data; receive timing information of the medical treatment information from the first medical device; record the medical treatment information and the timing information; and transfer, upon detecting a connection to the second medical device, the medical treatment information and the timing information to the second medical device.

Abstract: A patient monitoring device includes an ECG sensor coupled to a patient, a sensor coupled to the patient and configured to detect bio-vibrational signals, and a 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 parameters to determine a current clinical condition of the patient. The trend analysis includes determining a substantial relationship between changes in the plurality of physiological parameters.

Abstract: A system for clinical decision support for a caregiver during a clinical encounter involving respiratory distress includes a defibrillator-patient monitor including sensors configured to gather patient physiological data, a user interface device, a memory, and a processor communicatively coupled to the defibrillator-patient monitor, the memory, and the user interface device and configured to control the user interface device to display diagnosis and treatment pathways (DTPs) including a respiratory distress DTP, receive a user selection of the respiratory distress DTP, control the user interface device to provide at least a portion of the physiological data in response to the user selection of the respiratory distress DTP, provide a suggested respiratory distress diagnosis at the user interface device based on the physiological data and the user selection of the respiratory distress DTP, and provide a respiratory distress treatment protocol at the user interface device based on the suggested respiratory distr

Abstract: Disclosed is a wearable cardiac therapeutic system including a plurality of therapy electrodes disposed in a garment and a fluid pressure source including a barrel configured to house the conductive gel and an actuation mechanism. A therapy controller is configured to detect an arrhythmic event in a patient based on sensed electrical activity of the patient's heart, initiate an activation signal indicating that the conductive gel is to be released on to the body of the patient, and cause the delivery of one or more electrical therapeutic shocks to the heart of the patient. Gel activator circuitry is configured to receive the activation signal from the therapy controller, and cause the fluid pressure source to expel the conductive gel onto the body of the patient proximate the one or more of the therapy electrodes and prior to the delivery of the one or more electrical shocks to the patient.

Abstract: A wearable cardiac monitoring and treatment device includes a garment, a plurality of ECG electrodes, a plurality of therapy electrodes, a therapy delivery circuit, and one or more sensors configured to monitor one or more physiological signals of the patient. The device also includes a controller configured to detect an arrhythmia condition, cause the therapy delivery circuit to deliver one or more therapeutic pulses to the patient on detecting the arrhythmia condition, detect that the garment is no longer worn about the torso of the patient prior to expiration of at least a prescribed duration of wear by detecting a loss of signal for at least a threshold period of time from one or more of the plurality of ECG sensing electrodes and/or one or more of the one or more sensors, and issue a notification that the garment is no longer worn about the torso of the patient.

Abstract: A spatially sensitive augmented reality system for providing resuscitative feedback in a mixed reality environment to an acute care provider during occurrence of a cardiac event in a patient includes a wearable augmented reality device having at least one three-dimensional sensor, a visual display for viewing by the acute care provider, and at least one processor. The at least one processor is configured to receive and process three-dimensional information of a scene of the cardiac event; produce a three-dimensional representation of a field of view of the acute care provider based on the processed three-dimensional information; identify one or more physical objects associated with the cardiac event in the three-dimensional representation; generate at least one virtual three-dimensional object within the three-dimensional representation; and generate an image of the virtual three-dimensional object within the three-dimensional representation on the visual display.

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) are described herein. The system includes an applicator device configured to provide ACD CPR treatment to a patient's chest according to a plurality of phases at least one sensor configured to be coupled to the patient's chest and to measure at least one parameter related to the ACD CPR treatment and information for determining whether at least one transition point of the ACD CPR treatment has been reached; and one or more processors configured to provide a feedback signal based on a parameter for administering ACD CPR treatment to the patient's chest according to a desired treatment protocol.

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: An external defibrillator system including at least one chest compression sensor configured to obtain motion data indicative of chest compressions administered to the victim, an electrode assembly configured to be applied to the chest of the victim and obtain electrocardiogram (ECG) data, a capacitor configured to provide a defibrillation shock to the victim based on the ECG data, and at least one processor, configured to perform operations for analyzing the motion data and the ECG data to calculate chest compression parameters associated with treatment of chest compressions, determining a CPR treatment metric indicative of an overall CPR treatment, and generating a recommendation to change one or more chest compression parameters.

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: 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 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.

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: Systems for detecting contact between an electrode and a patient's skin using one or more contact detection schemes are provided. An example system can include an electrode assembly comprising at least one electrode configured to be disposed substantially proximate to the patient's skin and configured to at least one of sense an ECG signal of the patient and provide one or more therapeutic pulses to the patient, one or more sensors disposed on the electrode assembly and isolated from the electrode, the sensors configured to measure one or more properties to determine contact between the electrode and the patient's skin, and a controller configured to receive data representing the measured one or more properties and determine, based at least in part on the received data, whether the electrode is in contact with the patient's skin. The sensors can include temperature, impedance, capacitance, optical, and other similar sensors.

Abstract: A patient management system for generating customized patient reports for users is provided. The system includes communications circuitry configured to receive first physiological data from a plurality of monitoring medical devices and receive second physiological data from a plurality of therapeutic medical devices. The system also includes at least one processor configured to perform instructions configured to cause the at least one processor to receive a selection from an end user regarding a customized report on at least one of the first physiological data from the plurality of monitoring medical devices or the second physiological data from the plurality of therapeutic medical devices, determine at least one information field for the customized report based on an access level of the end user, and compile the customized report including the at least one information field and using the at least one of the first physiological data or the second physiological data.

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 is provided for integrating at least one portable computing device with a resuscitative medical device such as a defibrillator. The system may include a carrying case coupled to the resuscitative medical device. The carrying case may include a storage space for the at least one portable computing device and a wireless charging system for charging the at least one portable computing device. The system may be configured to enable secure data transfer between each of the devices, including data communication and data storage. A processor of the resuscitative medical device may be configured to activate the wireless charging system and charge the at least one portable computing device under certain circumstances. The processor may further be configured to prioritize or optimize charging and data transfer between the resuscitative medical device and each of multiple portable computing devices.