Abstract: A medical device constructed according to the invention includes electrodes (12a, 12b), a measuring unit (24) for measuring a patient-dependent electrical parameter (e.g., impedance) of the patient, an electrotherapy generator (26) for delivering electrotherapy to the patient, and a processing unit (20) for controlling the delivery of electrotherapy to the patient. Electrotherapy is preferably delivered to the patient based on the measured patient-dependent electrical parameter and a predetermined response of a reference patient to a nominal electrotherapy. The actual electrotherapy delivered to the patient is controlled so that the electrotherapy has a probability of success for the patient that is equivalent to the probability of success of the nominal electrotherapy for the reference patient. A consistent shock efficacy across different patients is achieved.

Abstract: A defibrillator method and apparatus use a measurement of the time that it takes for an electrical parameter related to the defibrillation pulse discharge to reach an intermediate parameter threshold to determine the duration of the pulse. In one embodiment, the defibrillator measures the elapsed time that it takes for an electrical parameter to reach a predetermined intermediate parameter threshold. The defibrillator determines a period of time for extending the duration of the pulse based on the measured elapsed time. In other embodiments, the intermediate parameter threshold may vary during the pulse discharge and/or multiple intermediate parameter thresholds may be used. The measurement of elapsed time may also be used to determine other conditions for truncating the defibrillation pulse, such as voltage, current, energy, charge, or time. The defibrillator thus provides a defibrillation pulse whose duration is dynamically determined from a time measurement made during the delivery of the pulse.

Abstract: An apparatus and method are disclosed for preparing electrically conductive traces on a circuit board using an additive technology. The traces are directly written in a serial process with each trace being able to be individually insulated. The apparatus includes an extrusion element for extruding a first material and a stage. The stage is for holding the extrusion element and the circuit board in relative proximity and for producing relative motion between the extrusion element and the circuit board in order to extrude the first material onto the surface of the circuit board along preselected paths to produce the electrically conductive traces. According to the method of invention, a first polymerizable material is extruded onto a circuit substrate support along preselected paths to form traces, and the first polymerizable material is polymerized, the first polymerizable material being conductive after polymerization.

Abstract: A medical electrode and skin preparation device is adapted to be secured to the skin and is designed to prepare the skin by penetration of the epidermal layer of the skin in contact with the electrical conductor of the electrode after the electrode is secured in place on the skin. The electrode includes abrading member associated with electrical conductor capable of transmitting biopotential events for recording, with the electrical conductor retained by a collar and adhesive-coated pad securing the electrode to the skin of the patient. The abrading member in contact with the skin is movable relative to the skin of the patient and collar by an applicator gun to penetrate the epidermal layer of skin after the electrode is placed on the skin. Uniform skin preparation achieved by the electrode and applicator gun minimizes motion artifacts arising from skin potential variations.