Abstract: The presence of a cardiac pulse in a patient is determined by evaluating physiological signals in the patient. In one embodiment, a medical device evaluates optical characteristics of light transmitted into a patient to ascertain physiological signals, such as pulsatile changes in general blood volume proximate a light detector module. Using these features, the medical device determines whether a cardiac pulse is present in the patient. The medical device may also be configured to report whether the patient is in a VF, VT, asystole, or PEA condition, in addition to being in a pulseless condition, and prompt different therapies, such as chest compressions, rescue breathing, defibrillation, and PEA-specific electrotherapy, depending on the analysis of the physiological signals. Auto-capture of a cardiac pulse using pacing stimuli is further provided.

Abstract: Embodiments of the present concept are directed to medical devices. For example, a medical device including a display for providing feedback to a rescuer who is performing Cardio Pulmonary Resuscitation (CPR) chest compressions to a patient. The display is structured to graphically indicate an instantaneous value of a measured compression depth of the chest of the patient. The display includes an indicator range that corresponds at least in part to a compression depth range of some of the measured compression depths. An indicator is represented as progressing along the indicator range as the depth changes within the compression depth range to represent a value of the measured compression depth in relation to the indicator range. Depending on the measured compression depth, the indicator progresses at a variable rate relative to a difference in the measured compression depth.

Abstract: In embodiments, an external medical device is intended to care for a patient. If it receives an input that signifies that ventilation artifact is present in a signal of the patient, it transmits a corrective signal responsive to the received input. In further embodiments, a patient signal is received, which is generated from a patient while the patient is or was receiving chest compressions at a frequency Fc, and also receiving ventilations at frequency Fv. At least one filter mechanism may be applied to the patient signal to substantially remove artifacts at a) frequency Fc, b) a higher harmonic of frequency Fc, and c) a third frequency substantially equaling frequency Fc plus or minus frequency Fv, while substantially passing other frequencies between them. As a result, the patient signal can be cleaner, for diagnosing the patient's state more accurately.

Abstract: Embodiments of the present concept are directed to CPR chest compression machines that include a sensor to detect a parameter about a patient, such as an indication of patient recovery, and include a processor that determines whether to cease series of successive compressions on the patient in response to the detected parameter.

Abstract: Techniques for determining whether one or more leads are not adequately connected to a patient, e.g., for ECG monitoring, are described. The techniques involve injection of an integrated signal (which includes a test signal) into one lead, and monitoring the driven lead and the response at the other leads, including the common mode and the difference between the other leads. These “lead-off” detection techniques may be provided by an external defibrillator that provides three-wire ECG monitoring. Techniques for determining a type of a cable coupled to a defibrillator are also described. The cable-type identification may allow a defibrillator to, for example, operate in either a three-wire ECG monitoring mode or a therapy mode, based on whether a three-wire ECG cable or a defibrillation cable is coupled to the defibrillator.

Abstract: A system can include a container that includes a cabinet capable of attenuating or blocking wireless signals, an AED located within the cabinet, an internal patch antenna removably mounted to an internal surface of the cabinet, an external patch antenna removably mounted to an external surface of the cabinet, and an electrical connection between the internal patch antenna and the external patch antenna. The internal and external patch antennas can be configured to transmit wireless signals at a particular frequency and to receive wireless signals at the particular frequency. The system can be configured such that the internal patch antenna is operative to receive a first wireless signal from the AED, a first electrical signal based on the first wireless signal is provided via the electrical connection to the external patch antenna, and a second wireless signal based on the first electrical signal is radiated by the external patch antenna.

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

Abstract: Time after time studies find that often, even when administered by trained professionals, cardiopulmonary resuscitation (CPR) compression rates and depth are inadequate. Too week, shallow or too forceful compressions may contribute to suboptimal patient outcome. Several parameters are crucial for optimal and properly-administered CPR. Crucial parameters include proper hand positioning on the patient's chest, depth of compression of 4-5 cm, and compression rate of 100 compressions per minute. The crucial parameters are often affected by patient parameters, and relative to the patient, rescuer parameters, such as patient thoracic volume; weight; age; gender; and rescuer's, relative to the patient's, parameters, such as weight, height; physical form, etc. Proposed is an automated CPR feedback device with user programmable settings for assisting with real-time feedback and subsequently correcting rescuers patient customized CPR technique.

Abstract: An external medical device can include a housing, an energy storage module within the housing for storing an electrical charge, and a defibrillation port for guiding via electrodes the stored electrical charge to a person. The device can also include a user interface to deliver prompts to a user during a defibrillation session and a language detector in the housing to determine a vicinity language. The prompts can be in a language that is selected based on the determined vicinity language.

Abstract: A system capable of self-adjusting both sound level and spectral content to improve audibility and intelligibility of medical device audible cues. Audible cues are stored as sound files. Ambient noise is detected, and the output of the audible cues is altered based on the ambient noise. Various embodiments include processed sound files that are more robust in noisy environments.

Abstract: An embodiment of the support structure includes a back plate, a central part adapted to recite an automatic compression/decompression unit, and a front part. The front part includes two legs coupled between the central part and the back plate. The support structure is arranged to automatically compress or decompress a patient's chest when the front part is attached to the back plate and when the compression/decompression unit is received in the central part.

Abstract: A replaceable, stand-alone charging apparatus for insertion into a portable electronic device having an energy storage device and a rechargeable battery that supplies energy to the energy storage device is provided. The replaceable, stand-alone charging apparatus has a body and a battery charging device housed substantially with the body and operable to charge the rechargeable battery of the portable electrical device. The replaceable, stand-alone charging apparatus further has an electrical connector adapted for connection with a cooperative electrical connector coupled to the rechargeable battery of the portable electronic device. The electrical connector is in electrical communication with the battery charging device.

Abstract: An external medical device can include a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions from a mechanical chest compression device. The processor can also be configured to select at least one filter mechanism, the mechanical chest compression device having a chest compression frequency f. The processor can be further configured to apply the at least one filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal, wherein the chest compression artifacts correspond to the chest compressions being delivered to the patient by the mechanical chest compression device, and wherein the at least one filter mechanism substantially rejects content in the frequency f plus content in at least one more frequency that is a higher harmonic to the frequency f.

Abstract: Methods to control the delivery of CPR to a patient through a mechanical CPR device are described. The method generally allows for a gradual increase in the frequency of CPR cycles. The gradual increase can be regulated by protocols programmed within the CPR device such as intermittently starting and stopping the delivery of CPR accelerating the delivery of CPR, stepping up the CPR frequency, increasing the force of CPR, and adjusting the ratio of compression and decompression in a CPR cycle. Combinations of each of these forms may also be used to control the delivery of CPR. This manner of gradually accelerating artificial blood flow during the first minutes of mechanical CPR delivery can serve to lessen the potential for ischemia/reperfusion injury in the patient who receives mechanical CPR treatment.

Abstract: A medical device for use with a patient is described. The medical device includes a component for administering a treatment to the patient or receiving data of the patient. The component is configured to operate according to an internal setting. The medical device also includes a user interface through which a user can modify the internal setting, as well as a settings signature generator for generating a settings signature that represents a present state of the internal setting. A gateway is also provided for communicating a version of the settings signature out of the medical device.

Abstract: A system can include a container that includes a cabinet capable of attenuating or blocking wireless signals, an AED located within the cabinet, an internal patch antenna removably mounted to an internal surface of the cabinet, an external patch antenna removably mounted to an external surface of the cabinet, and an electrical connection between the internal patch antenna and the external patch antenna. The internal and external patch antennas can be configured to transmit wireless signals at a particular frequency and to receive wireless signals at the particular frequency. The system can be configured such that the internal patch antenna is operative to receive a first wireless signal from the AED, a first electrical signal based on the first wireless signal is provided via the electrical connection to the external patch antenna, and a second wireless signal based on the first electrical signal is radiated by the external patch antenna.

Abstract: A wearable cardiopulmonary resuscitation assist device or system including: a wearable article to be worn by a cardiopulmonary resuscitation performer or a patient, for assisting administration of cardiopulmonary resuscitation by the performer; at least one sensor for measuring at least one parameter to assist in cardiopulmonary resuscitation; at least one feedback component for conveying feedback information based on the parameter to the performer for assisting the performer in performing cardiopulmonary resuscitation; and a processing unit, the processing unit being configured to receive the at least one parameter from the at least one sensor and to send information based on the parameter to the at least one feedback component. Also a method for training or improving cardiopulmonary resuscitation procedures using the device.

Abstract: A defibrillator is disclosed for communication with a transmitter associated with a location. The defibrillator is configured to generate an electronic signature for determining a position of the defibrillator within the location. The electronic signature includes electronic data correlating the position of the defibrillator to the transmitter. The electronic data may include GPS data. The defibrillator is configured to generate the electronic signature during a first and a second window of time to define a first and a second electronic signature. A differential between the first and the second electronic signatures corresponds to a positional state of the defibrillator, indicating movement within or between two locations. In a disclosed system, the first electronic signature is stored in a database and a server is configured to generate the differential and to communicate the positional state of the defibrillator to a stakeholder. Methods of use are also disclosed.

Abstract: Embodiments of the present concept are directed to medical devices having features that prevent contaminants from infiltrating the housing of the device while providing a mechanism to provide clear auditory sounds to aid a rescuer in providing care to a patient. In one example, a medical device includes a housing having a transmission area associated with an enclosed voice coil. An exterior diaphragm formed integrally with the housing surrounds the transmission area and provides a watertight seal of the transmission area. In addition, the diaphragm is structured to generate a sound that can be heard by the rescuer from the voice coil.

Abstract: Embodiments are directed to a medical device, such as a defibrillator, for use with an accessory capable of collecting a parameter of a patient. The medical device is capable of at least performing a basic functionality, an advanced functionality, and of defibrillating the patient. The medical device includes an energy storage module within a housing for storing an electrical charge that is to be delivered to the patient for the defibrillating. The medical device includes a processor structured to determine whether a data set received from the accessory confirms or not a preset authentication criterion about the accessory. Although when the accessory is coupled to the housing the medical device is capable of the defibrillating and the basic functionality, the medical device is capable of the advanced functionality only when the accessory is coupled to the housing and it is determined that the preset authentication criterion is confirmed. Embodiments also include methods of operation and a programmed solution.