Abstract: A CPR chest compression machine includes a retention structure that is configured to retain a body of the patient, and a compression mechanism. The compression mechanism is coupled to the retention structure and configured to perform successive compressions to the patient's chest. Various types of chest compressions may be performed on a patient during a single resuscitation event. Some embodiments also include a driver configured to drive the compression mechanism. The compression mechanism may thus perform chest compressions that differ from each other in a number of aspects, for example the depth of the compressions or the height of the active decompressions between the compressions. Some embodiments also include an adjustment mechanism. The adjustment mechanism may shift the compression mechanism with respect to the patient so that the chest compressions are performed at different locations of the patient's chest.

Abstract: A defibrillation system for the administration of a dual sequential defibrillation and/or simultaneous defibrillation therapy. A first defibrillation device is inductively coupled to a second defibrillation device. An energy delivery of the first defibrillation device generating, or causing to be generated, an artifact that is received by the second defibrillation device. The artifact causing a sync mode, or sync mode circuitry, of the second defibrillation device to administer a second energy delivery. The second energy delivery can be delayed relative to the energy delivery by the first defibrillation device.

Abstract: A defibrillation device for administering an electrotherapy, such as a dual-sequential defibrillation (DSD) electrotherapy. The defibrillation device can include a defibrillation therapy module, a physiological parameter module and a control module. The defibrillation therapy module can output one or more energies and the physiological parameter module can receive one or more physiological parameters, including electrocardiogram (ECG) data. The control module can analyze the physiological parameters to determine an indication for the administration of an electrotherapy and can determine a DSD electrotherapy. The DSD electrotherapy can be based at least in part on the physiological parameters, the indication for the administration of an electrotherapy or a review of the ECG data.

Abstract: A cabinet capable of attenuating or blocking wireless signals contains, a medical device, such as an AED, an internal directional antenna mounted to an internal surface of the cabinet, an external omnidirectional antenna mounted to an external surface of the cabinet, and an electrical connection between the internal directional antenna and the external omnidirectional antenna. The internal and external antennas are configured to transmit wireless signals at particular frequencies and to receive wireless signals at the particular frequencies. The internal antenna is a high gain directional antenna, and the external antenna is a lower gain omnidirectional antenna.

Abstract: Medical device, system, method for capturing medical images includes an image capture and processing portion and an interchangeable medical tool portion. The image capture and processing portion is configured to capture and process a photo image, a video stream of images, or a coded image. The interchangeable medical tool portion is configured to connect to the image capture and processing portion. The image capture and processing portion further includes a configuration module configured to detect a connection of the medical tool portion to the image capture and processing portion, determine the type of the interchangeable medical tool portion connected, and adapt the image capture and processing portion to the detected type of the medical tool portion. The medical device may transmit medical images to an external device for interpretation by an expert, providing coaching to the user of the medical device, and for asset management, decision support, and/or other purposes.

Abstract: A computing architecture, system and method are disclosed for use in a medical device for providing decision support to a caregiver. The computing architecture includes a memory, a processor in communication with the memory, and an instance of a primary rules-based service configured to provide instruction events, the instance providing a primary processing thread of instruction events for coaching treatment of a patient. A software manager module includes an artificial intelligence architecture. The artificial intelligence architecture is configured to provide an instance of a conditional rules-based service for providing instruction events. The instance provided by the artificial intelligence architecture provides a processing thread of instruction events for coaching treatment of a patient that is independent of the primary processing thread and is configured to trigger an action on the occurrence of a pre-defined set of input conditions.

Abstract: A portable medical device having improved ECG trace display and reporting. Embodiments implement features to ameliorate artifacts created by virtue of attempting to eliminate compression artifacts due to mechanical compression devices. Other embodiments additionally implement features to seek to detect the occurrence of ROSC while chest compressions are ongoing.

Abstract: An external defibrillator may have a controller to set the defibrillator in a synchronous shock operating mode or an asynchronous shock operating mode, a shock module to cause the defibrillator to deliver shock therapy to a patient according to the present operating mode of the defibrillator, and a heart rhythm detector to detect a heart rhythm of the patient. The defibrillator may also have a mode assessment module to determine whether the present operating mode or selected defibrillation energy of the defibrillator is appropriate based on the detected heart rhythm of the patient.

Abstract: Techniques for routing event data from a field device, such as an external defibrillator, to a selected subset of a plurality of possible destinations are described. The event data may include physiological data of the patient, such as a 12-lead electrocardiogram (ECG). The destinations may be associated with one of a plurality of patient treatment centers, and may include, as examples, computing device, printers, displays, personal digital assistants, or web-accessible accounts. In some examples, a server maintains user-configurable information or rules for at least some of the destinations, and uses the information or rules for determining whether event data received from a field device is routed to the destination. In some examples, the server may also make the routing determination based on an analysis of event data, such as a determination as to whether the event data indicates that the patient is suspected to be experiencing an acute myocardial infarction.

Abstract: An adaptable healthcare module that is coupleable to one or more defibrillator devices is disclosed. The adaptable health care module includes a healthcare coupling to assist with treatment and/or monitoring of a patient. The healthcare coupling can be active while decoupling the adaptable healthcare module from a first defibrillator device and coupling to a second defibrillator device. The coupling of the adaptable healthcare module includes a mechanical engagement, between the adaptable healthcare module and the defibrillator device, to retain the adaptable healthcare module to the defibrillator device.

Abstract: Medical devices, software and methods are provided, for making a decision as to whether to pause patient chest compression treatment in connection with administering electric shock therapy to the patient. The decision is made depending whether signal spikes identified in the ECG data are determined to be QRS complexes, or merely likely impulsive artifact caused by the chest compressions.

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: The defibrillator may include a heart rhythm detector to detect the heart rhythm of a patient, a manual mode controller structured to set the defibrillator in a synchronous shock operating mode or an asynchronous shock operating mode depending on an input from a human operator, a shock module to cause the defibrillator to deliver a shock to the patient according to the operating mode, and an automatic mode controller structured to, after the shock module has delivered the shock to the patient, set the external defibrillator to the synchronous shock operating mode or the asynchronous shock operating mode depending on the detected heart rhythm of the patient and without input from the human operator.

Abstract: An external defibrillator can have a synchronous shock operating mode and an asynchronous shock operating mode and include a controller to set the defibrillator in the synchronous shock operating mode or the asynchronous shock operating mode. The defibrillator can also include a shock module to cause the defibrillator to deliver shock therapy to the patient according to the operating mode of the defibrillator, and a prompt module to transmit a prompt, after delivery of the shock therapy, that includes the operating mode of the defibrillator.

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: A CPR apparatus comprises a chest compression unit and a means for mounting the chest compression unit on a patient. The chest compression unit comprises a plunger disposed in a housing. At its one end extending from the housing the plunger has a compression member. The plunger is driven in a reciprocating manner by a reversible electromotor via a mechanical means for translating rotational motion to linear motion or by a linear induction electromotor. The chest compression unit comprises an electromotor control unit including a microprocessor, a first monitoring means for monitoring the position of the plunger in respect of the housing and a second monitoring means for monitoring the position of the plunger in respect of the mechanical means for translating rotational motion to linear motion or the rotor of the linear induction electromotor. The monitored positions are communicated to the electromotor control unit. Also disclosed is a corresponding CPR method.

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. CPR quality assessment can be improved in real time, and provide feedback for training.

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 patient parameter monitoring pod in embodiments of the teachings may include one or more of the following features: (a) portable housing containing a power supply, (b) a patient parameter module connectable to a patient via lead cables to collect patient data, the patient data including at least one vital sign, (c) a transceiver adapted to wirelessly transmit the patient data to a defibrillator, (d) a data port adapted to supply the patient data via a direct electrical connection to the defibrillator, and (e) a carrying handle extending from the housing proximate a patient lead cable port that permits connection of the lead cables to the pod, the carrying handle positioned to protect the patient lead cable port and the patient lead cables attached to the port from direct impact.