Abstract: Methods and apparatus are provided for minimizing the inherent time delays within external defibrillators. The methods and apparatuses utilize timing schemes for initiation and completion of charging of an energy storage device of an external defibrillator, measuring one or physical parameters of the patient and conducting a physiology analysis of the patient. The initiation and completion of one or more of these activities are arranged so that the energy storage device is charged to a desired level and available for a defibrillation shock to the patient with minimal delay after activation of the external defibrillator.

Abstract: An external defibrillator includes a therapy delivery circuit, a sensor, and a processor. The therapy delivery circuit is configured to be electrically charged and to deliver electrical therapy to a patient. The sensor is configured to sense a physiological condition of the patient and generate data indicative of a probability that therapy will be delivered to the patient. The processor is configured to analyze data generated by the sensor to determine whether there is a threshold level of the probability that the therapy delivery will be delivered to the patient, if the probability is at least at the threshold level, charge the therapy delivery circuit, and determine whether therapy delivery is advisable based on the physiological condition of the patient after determining whether the probability is at least at the threshold level.

Abstract: A transthoracic defibrillator for external defibrillation comprises at least three electrodes configured to be attached to the thorax of a patient to establish at least two electrical paths across the thoracic cavity and through the heart of the patient. In addition, a defibrillator circuit contained in a defibrillator housing has the capability to deliver a different defibrillation waveform across each of the at least two electrical paths.

Abstract: Devices, systems, software and methods for CPR quality assessment. Patient data is received, derived from a session of administering sets of CPR chest compressions to a patient. The sets can be separated by pauses. In some embodiments, a penalty value can be determined for at least one of the pauses, from at least one control factor unrelated to a constant linear dependence on the pause duration. An Indicative value can be derived from the penalty value. In some embodiments, at least some of the pauses are classified in one or more pause groups, depending on how well they meet one or more classification criteria. The indicative value can be derived for one of the pause groups. The indicative value can be output, and/or an alarm can be emitted if it exceeds a threshold.

Abstract: A mechanical CPR device includes a back plate, a first tower removably attached to the back plate, a second tower removably attached to the back plate, and a beam releasably connected to each of the first tower and the second tower. The first tower can include a first linear motion device. The second tower can include a second linear motion device. Each of the first and second linear motion devices can be configured to move one end of the beam toward and away from the back plate. The first and second linear motion devices can be configured to operate in concert such that, when the back plate is resting on a surface, the beam remains substantially parallel to the surface during movement of the beam toward and away from the back plate.

Abstract: A mechanical CPR device can include a back plate, a first tower, and a second tower. The back plate can have a first side and a second side. The first tower can include a first foot and the second tower can include a second foot. The first and second towers can be configured to securely hold a beam above the back plate. The first side of the back plate can be configured to be held to the first foot of the first tower and the second side of the back plate can be configured to be held to the second foot of the second tower when a distributed weight is placed on the back plate.

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: The present invention relates generally to a support structure for fixating a patient to a treatment unit, and especially to a support structure for fixating the patient to a cardiopulmonary resuscitation unit. An embodiment of the support structure comprises a back plate for positioning behind said patient's back posterior to said patient's heart and a front part for positioning around said patient's chest anterior to said patient's heart. Further, the front part can comprise two legs, each leg having a first end pivotably connected to at least one hinge and a second end removably attachable to said back plate. Said front part can further be devised for comprising a compression/decompression unit arranged to automatically compress or decompress said patient's chest when said front part is attached to said back plate.

Abstract: In embodiments, a wearable cardiac defibrillator system includes an energy storage module configured to store a charge. Two electrodes can be configured to be applied to respective locations of a patient. One or more reservoirs can store one or more conductive fluids. Respective fluid deploying mechanisms can be configured to cause the fluids to be released from one or more of the reservoirs, which decreases the impedance at the patient location, and decreases discomfort for the patient. In some embodiments an impedance is sensed between the two electrodes, and the stored charge is delivered when the sensed impedance meets a discharge condition. In some embodiments, different fluids are released for different patient treatments. In some embodiments, fluid release is controlled to be in at least two doses, with an intervening pause.

Abstract: An electrically non-conductive back plate for supporting the back of a patient in a supine position comprises on its front face facing the back of the patient a pair or more of ECG electrodes capable of maintaining electrically conductive skin contact with the patient's back. The pair of ECG electrodes is disposed at a sharp angle with the mean heart vector, in particular so as to form an angle ? of about 45°±25° with the projection S of the patient's spine on the back plate. Also disclosed is an ECG electrode for mounting in a recess of the back plate and an apparatus for treating cardiac arrest by compression of the sternum comprising the back plate.

Abstract: A modular external defibrillator system in embodiments of the teachings may include one or more of the following features: (a) a base containing a defibrillator module to deliver a defibrillation shock to a patient, (b) a patient parameter monitoring pod connectable to a patient via patient lead cables to collect patient data, the patient data including at least one patient vital sign, (c) a power supply sharing link between the base and the pod, the pod receiving power from the base via the power sharing link, the pod being operable to collect patient data without receiving power from the base, and (d) an external battery charger, the battery charger interrogating the batteries to determine battery information used for battery charging, the battery information including at least one of charging voltage, charging current, and charge time.

Abstract: A single system may provide to a patient: temperature change, remote ischemic conditioning, and sometimes both concurrently. The system may include a patient unit that includes an inflatable bladder, and a duct having a cavity. The patient unit is intended to be applied around a patient's limb. A temperature subsystem can force a flow of a first fluid through the cavity so that the first fluid can exchange heat with the patient's limb. The pressure subsystem may force a fluid into the bladder, to establish pressure against the limb. A controller may control both the temperature subsystem and the pressure subsystem, so as to control the treatment received by the patient.

Abstract: Devices, systems, software and methods for CPR quality assessment. Patient data is received that may be derived from a session of administering sets of CPR chest compressions to a patient. The sets can be separated by pauses. Then a figure of merit (FOM) can be computed from the data in the computation, at least one pause can contribute a penalty to the FOM. The penalty has a value determined from at least one control factor, other than a constant linear dependence on the duration of the pause. This way, pauses can incur penalties to the FOM computation depending on their context, instead of merely their duration. For example, a penalty can escalate non-linearly if its pause becomes unduly long, or if it follows a set of chest compressions that was unduly short. As such, a better CPR quality assessment is achieved.

Abstract: A suction cup on the end of a piston of a mechanical CPR device can be automatically attached to a patient's torso. The mechanical CPR device can extend the piston until a first position at which the suction cup comes into contact with the patient's torso. The piston can be further extended to cause air to be forced out from an area between the suction cup and the patient's torso until a first threshold is reached. The piston can be retracted until the suction cup is at the first position. The piston can be further retracted from the first position until a second threshold is exceeded. The piston can then be extended to a second point at which the second threshold is no longer exceeded.

Abstract: A support structure for fixating a patient to a treatment unit, and especially a support structure for fixating the patient to a cardiopulmonary resuscitation unit. An embodiment of the support structure comprises a back plate for positioning behind the patient's back posterior to the patient's heart and a front part for positioning around the patient's chest anterior to the patient's heart. Further, the front part can comprise two legs, each leg having a first end pivotably connected to at least one hinge and a second end removably attachable to the back plate. The front part can further be devised for comprising a compression/decompression unit arranged to automatically compress or decompress the patient's chest when the front part is attached to the back plate.

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: 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 two or more different physiological signals, such as phonocardiogram (PCG) signals, electrocardiogram (ECG) signals, patient impedance signals, piezoelectric signals, and accelerometer signals for features indicative of the presence of a cardiac pulse. 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: Defibrillators, software and methods are provided, for issued verbal prompts to rescuers. A defibrillator may receive a muting input and, responsive thereto, cause a verbal prompt to not be issued or to be issued less loudly relative another verbal prompt.

Abstract: An electrode for use with an external defibrillator for a patient includes a first combination circuit including a circuit node electrically coupled to an adapter for coupling to the defibrillator. The circuit node is further coupled to a monitoring node defined by a monitoring segment of a first pad of the electrode and to a therapy node defined by a therapy segment of the first pad of the electrode. The therapy segment is electrically insulated from the monitoring segment. The first combination circuit further includes a capacitor coupled between the circuit node and the therapy node. The electrode of this disclosure hence provides additional solutions for reducing ECG artifact during the operation of the electrode.

Abstract: An illustrative method and system for displaying ECG data of a patient includes the steps of: receiving an ECG waveform of a patient, determining at least a first attribute of the ECG waveform, and determining at least one data point from the first attribute of the ECG waveform. The first data point and associated first attribute of the ECG waveform are displayed on a linear scale. In an alternative method, the at least one data point is structured in a database of ECG data according to the Cabrera sequence; the display domain of the display is divided into several recurrent display slots; and a sequential one of the several recurrent display slots is associated with the at least one data point, which is displayed on the linear scale in the order in which the at least one data point appears in the Cabrera structured database of ECG data.