Abstract: Embodiments of this disclosure are directed to a wearable cardioverter defibrillator (“WCD”) system design in which a WCD implements an alert prioritization scheme to provide the patient with feedback in an order that is less likely to cause confusion. Different conditions (e.g., device status, equipment condition, or physiologic condition) are prioritized based on an analysis of severity of the condition and timeliness of user action needed. The prioritization scheme defines what alert, if any, is presented to the user by the WCD system as a result of various conditions. Generally stated, an alert for the highest priority condition currently detected is presented to the user and maintained until that condition either changes or becomes surpassed in the prioritization scheme.

Abstract: In embodiments, a Wearable Cardioverter Defibrillator (WCD) system includes a support structure for the patient to wear, and components that the support structure maintains on the patient's body. The components include a defibrillator, associated electrodes, and so on. The defibrillator can operate in a WCD mode while the patient wears the support structure. The defibrillator can further operate in a different, AED mode, during which time the patient need not wear a portion of the support structure, or even the entire support structure. Sometimes the AED mode is a type of a fully automatic AED mode. Other times the AED mode is a type of a semi-automated AED mode, where an attendant is present to administer the shock; at such times, the patient may not even need to have electrodes attached. This way the patient is more comfortable for a longer time.

Abstract: In one embodiment, a method of alerting a user of a WCD is described. The method includes receiving an alert from the WCD on a remote device associated with the user and in communication with the WCD and transcribing the alert into a message for the user. The method also includes personalizing the message for the user and delivering the message to the user via the remote device.

Abstract: Disclosed are embodiments directed to security methods applied to connections between components in a distributed (networked) system including medical and non-medical devices, providing secure authentication, authorization, patient and device data transfer, and patient data association and privacy for components of the system.

Abstract: A wearable medical system (WMS) includes one or more pacing capabilities. The WMS May detect when the patient's heart rhythm starts to deteriorate, but not necessarily in a way that requires Defibrillation. In particular, the WMS may detect bradycardia of one or more types, and then confirm the detection before pacing to treat the detected bradycardia.

Abstract: Embodiments of this disclosure are directed to a wearable cardioverter defibrillator (“WCD”) system design in which a WCD implements an alert prioritization scheme to provide the patient with feedback in an order that is less likely to cause confusion. Different conditions (e.g., device status, equipment condition, or physiologic condition) are prioritized based on an analysis of severity of the condition and timeliness of user action needed. The prioritization scheme defines what alert, if any, is presented to the user by the WCD system as a result of various conditions. Generally stated, an alert for the highest priority condition currently detected is presented to the user and maintained until that condition either changes or becomes surpassed in the prioritization scheme.

Abstract: A wearable cardioverter defibrillator (WCD) comprises a plurality of electrocardiography (ECG) electrodes, a right-leg drive (RLD) electrode, and a plurality of defibrillator electrodes to contact the patient's skin when the WCD is delivering therapy to the patient, a preamplifier coupled to the ECG electrodes and the RLD electrode to obtain ECG data from the patient as one or more ECG vectors, a processor to receive ECG data from the preamplifier and an abort signal from a user interface, an isolation barrier to isolate the preamplifier from the processor, and a high voltage subsystem to provide a defibrillation voltage to the patient through the defibrillator electrodes in response to a shock signal received from the processor. A shock is provided when an abort signal is not received within a predetermined time period of a shock criterion being met. Less than one false alarm occurs every ten patient-days.

Abstract: In one embodiment, a carrying case for a wearable cardioverter defibrillator (WCD) is described. The carrying case includes a container with a front wall, a rear wall, and a gusset coupling the front wall and the rear wall. The carrying case also includes each of the front wall and rear wall including multiple fabric layers. The carrying case also includes two connection points inset from an edge of the rear wall. The carrying case also includes an adjustable strap removably coupled to the connection points, the adjustable strap configured to be worn in various configurations on a body of a patient.

Abstract: A wearable monitoring device system includes a wearable monitoring device (WMD), including a support structure and a plurality of electrodes. A WMD data store includes parameter data that define settings of the WMD, interpreted code that provides access to the parameter data, a web server configured to serve the interpreted code. The WMD includes a WMD processor configured to execute the web server. The system includes a companion device communicatively coupled to the WMD, including a display, a companion communication module configured to communicatively couple the companion device and the WMD, and a companion data store. The companion data store includes a browser configured to render the interpreted code. A companion processor is included, configured to execute the browser.

Abstract: A wearable cardioverter defibrillator (WCD) having a processor configured to receive a signal indicating a position and/or movement of the ambulatory patient while the ambulatory patient is wearing the support structure receive the ECG signal, determine from an ECG signal whether a shock criterion is met, determine a confirmation time period and/or a response time period based on the position and/or movement of the ambulatory patient, determine from the ECG signal whether the shock criterion is met after the confirmation time period has elapsed, cause the user interface to generate the shock alert signal based on the shock criterion determined after the confirmation time period has elapsed, and control the discharge circuit to discharge the stored electrical charge when a predetermined time period has elapsed after the shock alert signal.

Abstract: A wearable cardioverter defibrillator (WCD) having a processor configured to receive a signal indicating a position and/or movement of the ambulatory patient while the ambulatory patient is wearing the support structure receive the ECG signal, determine from an ECG signal whether a shock criterion is met, determine a confirmation time period and/or a response time period based on the position and/or movement of the ambulatory patient, determine from the ECG signal whether the shock criterion is met after the confirmation time period has elapsed, cause the user interface to generate the shock alert signal based on the shock criterion determined after the confirmation time period has elapsed, and control the discharge circuit to discharge the stored electrical charge when a predetermined time period has elapsed after the shock alert signal.

Abstract: Technologies and implementations related to facilitating grouping of electrocardiogram (ECG) signals of a heart of a person (e.g., patient) wearing a wearable medical device (WMD). The ECG signals may be acquired during various times (e.g., during a normal rhythm of the heart and/or during an event of the rhythm of the heart) including various times of activity of the person (e.g., sleeping, awake, active, inactive, etc.). The ECG signals may be received and analyzed to determine if the ECG signals may be indicative of an event associated with a heart of the person or not.

Abstract: A wearable medical device comprising monitoring circuitry to monitor one or more patient parameters of a patient and defibrillation circuitry to provide one or more defibrillation shocks to the patient responsive to a control signal from the monitoring circuitry. The defibrillation circuitry comprises a defibrillation capacitor to provide energy for the one or more defibrillation shocks. The wearable medical device also comprises a power source to provide power to the monitoring circuitry and the defibrillation circuitry. The power source comprises a low current power source (LCPS) to provide power to the monitoring circuitry, and a high current power source (HCPS) to provide power to the defibrillation circuitry.

Abstract: Technologies and implementations for a wearable healthcare system including an information management module (IMM). The IMM may be configured to detect proximity of a healthcare device. The IMM may be configured to determine a type of the detected healthcare device. Once the type of healthcare device is determined, the IMM may be configured to communicate information regarding a medical device, where the communicated information may be adapted to correspond to the determined type of healthcare device.

Abstract: A medical data management system is provided that facilitates expedited review of health data for patient care. The medical data management system includes devices for collecting the health data, associating the health data with health events, optimizing storage of health data, and displaying comprehensive patient data for efficient and rapid review. The system includes a medical monitoring device that uses sensors to acquire health data and logic to specify data blocks of the data that characterize health episodes. Data management device(s) stitch the data blocks according to timelines and store the stitched data blocks as a full episode. The stitched data blocks are rendered for display, as a data presentation with timelines and graphic representations.

Abstract: A Wearable Cardioverter Defibrillator (WCD) system comprises an electrode assembly with a permeable ECG electrode and a moisture barrier. In some embodiments, the moisture barrier is configured to reduce drying out of the permeable ECG electrode to improve performance of the WCD system. In a further enhancement, some embodiments of the electrode assembly also include a pillow structure positioned on a non-skin-contacting surface of the electrode assembly to comfortably reduce movement artifact or noise in the received ECG signal.

Abstract: A wearable medical monitoring system is provided that includes a support structure worn by a patient, which also housing electrodes and sleep sensors for generating health data. The health data includes ECG data, respiration data, and sleep data, which are used to determine cardiac conditions and sleep disorders. Sleep disorder indexes are formulated with various combinations of sleep factors from the health data of the patient, correlating in time with particular periods of sleep by the patient. In comparing the sleep disorder indexes with respective sleep disorder indicators, potential sleep disorders may be discerned by the monitoring system. Sleep information about the sleep disorders and warnings may be transmitted by the monitoring system to health support entities.

Abstract: A Wearable Cardioverter Defibrillator (WCD) system comprises an electrode assembly with a permeable ECG electrode and a moisture barrier. In some embodiments, the moisture barrier is configured to reduce drying out of the permeable ECG electrode to improve performance of the WCD system. In a further enhancement, some embodiments of the electrode assembly also include a pillow structure positioned on a non-skin-contacting surface of the electrode assembly to comfortably reduce movement artifact or noise in the received ECG signal.

Abstract: In one embodiment, a method to differentiate between causes of noise in an electrocardiogram (ECG) signal. The method connecting to at least one sensing electrode and obtaining the ECG signal from the at least one sensing electrode. The method also includes detecting noise on the ECG signal and detecting ancillary conditions. The method also includes associating the noise on the ECG signal with at least one of the ancillary conditions and providing an actionable indication to a patient associated with the noise on the ECG signal.

Abstract: A wearable cardioverter defibrillator (WCD) comprises a support structure to be worn by a patient, an energy storage module to store an electrical charge, a discharge circuit coupled to the energy storage module, a measurement circuit, a user interface that includes a speaker, and a processor.