Abstract: A community based response system for providing lay responders to cardiac arrest emergencies is configured to receive a notification of a cardiac arrest emergency including a location of a cardiac arrest victim, provide an automatic alert to portable devices in a vicinity of the victim, the automatic alert including a selectable control that enables user interoperation with the system, receive an indication from a lay responder, via a respective portable device, that the lay responder will proceed to the location of the victim, and in response to the indication that the lay responder will proceed to the location of the victim, provide at a display screen of the portable device associated with the lay responder a map including the victim's location relative to the lay responder, and a navigational route to guide the lay responder to the victim, and a dispatch text message notification.

Abstract: An apparatus for assisting in providing patient ventilations includes electrodes configured to provide airflow activities signals, chest compression sensors configured to provide chest displacement signals due to chest compressions, a processor and a memory configured to receive the airflow activities and chest displacement signals, identify a presence of chest compressions based on the chest displacement signals, subsequently confirm an absence of chest compressions applied to the patient based on the chest displacement signals, adjust signal processing parameters for the airflow activities signals in response to the confirmed absence of chest compressions, and process the airflow activities signals using the adjusted signal processing parameters to determine feedback for providing the patient ventilations in the absence of chest compressions, and an output device coupled to the processor and the memory and configured to provide the ventilation feedback.

Abstract: A system for managing treatment of a person in need of emergency assistance is provided. The system includes at least one camera configured to be mounted to a person in need of medical assistance. The system also includes an image processing device, which can be configured to receive images captured by the at least one camera and to process the images to generate a representation of a rescue scene surrounding the person. The system further includes an analysis device. The analysis device can be configured to determine a characteristic associated with a resuscitation activity based on analysis of the representation of the rescue scene generated by the image processing device. A computer-implemented method for managing treatment of a person in need of emergency assistance is also provided.

Abstract: System and methods for providing a patient with arrhythmia treatment are described. For example, a system includes an arrhythmia monitoring and treatment assembly configured to be worn on the torso of the patient. The assembly has a housing discreetly extending from a skin surface of the patient. The assembly is configured to provide therapy on detecting one or more arrhythmia conditions of the patient. A first at least one user response button is disposed on the assembly at a first location on the torso concealed under clothing, and a second at least one user response button is configured to be worn on a second location of the patient's body, a location other than the torso that is accessible to the patient. The system suspends an impending therapy upon receiving a user input from either one of the first or second at least one user response buttons.

Abstract: Medical devices can perform a plurality of functions, such as sensing, monitoring, deriving and/or calculating various physiological statuses of a patient (e.g., blood pressure, temperature, respiration rate, etc.). Medical devices can also be used to image part or all of a patient's body, to deliver a treatment, or to manage information related to a patient's care. The present disclosure is directed at one or more devices that perform these functions using a plurality of processing circuits, wherein each processing circuit has a timing circuit with a local clock. These processing circuits can be connected via a network, and each timing circuit can communicate with at least one other timing circuit in order to detect and correct time-differences between their local clocks. In this way, multiple processing circuits can be synchronized with each other to facilitate diagnosis or treatment of a patient's condition, or other aspects of a patient's care.

Abstract: A CPR chest compression system which uses tonometric data as feedback for control of chest compression device.

Abstract: An example of a system for providing patient care guidance to a caregiver based on ultrasound detection of blood flow includes a defibrillator including an electrode assembly and an output device, a portable computing device communicatively coupled to the defibrillator and including an output device, a Doppler shift waveform evaluation engine disposed at the defibrillator and/or the portable computing device, and a wearable ultrasound blood flow sensor configured to couple to a patient and the defibrillator and/or the portable computing device and to generate data signals representing a Doppler shift waveform.

Abstract: An example of a system for review of clinical data includes a medical device configured to receive patient data signals from patient interface devices coupled to the medical device, and an auxiliary device configured to communicatively couple to the medical device via a communication channel and including an output device, a memory, a communication interface, and a processor configured to establish the communication channel, estimate a transmission age for the patient data, receive the patient data from the medical device via the communication channel, determine a patient data age based on at least one of the transmission age and a playback selection age, select a patient data age threshold based on a patient data context, compare the patient data age to the patient data age threshold to determine a patient data age indication, and provide the patient data and the patient data age indication at the output device.

Abstract: A wearable cardiac monitoring and treatment device for improved skin interface contact and easy assembly and disassembly includes a garment including an inner surface and an outer surface, ECG sensing electrodes, and at least one stiffener forming a section of the garment in proximity to one or more of the ECG sensing electrodes. The at least one stiffener is configured to resist rotation or pulling away of the one or more of the ECG sensing electrodes from a patient's torso. The device includes therapy electrodes, at least one separate module including a therapy delivery circuit, and a controller. The device includes compartments configured to receive the therapy electrodes and at least one separate module, and retention loops configured to route external wires extending between at least the therapy electrodes and at least one separate module, where the compartments and retention loops are disposed on the outer surface of the garment.

Abstract: A system is provided for resuscitative therapy to a patient by delivering active chest compression decompressions. The system may include an ACD device configured to be coupled to the patient's chest and constructed for a rescuer to press and pull on the ACD device to administer active compression decompression therapy. Additionally, the ACD device may include at least one sensor for sensing at least one active compression decompression parameter, processing circuitry configured to process the at least one active compression decompression parameter and provide an output based on the at least one parameter, a first communication circuit configured to transfer data related to the processed output of the at least one parameter, and a second communication circuit capable of being removably coupled to either the electrode assembly or the ACD device.

Abstract: This document describes a system for determining positioning of an intubation tube in a patient. The system can include a first acoustic sensor configured to be disposed to listen to one of a lung and a stomach of the patient and to provide a first signal. The system includes a signal processing unit, coupled to the first acoustic sensor, configured to analyze spectral components of the first signal and determine whether a frequency of the spectral components of the first signal are characteristic of sounds induced by ventilation via the intubation tube of airflow to the lung or the stomach of the patient.

Abstract: A portable medical treatment apparatus and interactive application that leads a user through a medically acceptable query flow for treating medical emergencies, including cardiac or pulmonary medical emergencies that can be treated with electrotherapy and other medical emergencies.

Abstract: An external defibrillator system includes one or more compression sensors; one or more physiological sensors; and at least one processor. The at least one processor is configured to: receive and process chest compression signals and physiological signals from the sensors, determine values for chest compression depth and/or chest compression rate based on the received chest compression signals, determine a trend of at least one physiological parameter over a period comprising multiple chest compressions based on the received physiological signals, adjust a target chest compression depth and/or target chest compression rate based on the determined trend of the at least one physiological parameter, compare the determined values for chest compression depth and/or chest compression rate to the adjusted target compression depth and/or the adjusted target compression rate, and provide feedback about the quality of chest compressions performed on the patient.

Abstract: A system for facilitating resuscitation includes: a first electrode assembly having a therapy side and a first motion sensor; a second electrode assembly having a therapy side and a second motion sensor; processing circuitry operatively connected to and programmed to receive and process signals from the first and second motion sensors to estimate at least one of a chest compression depth and rate during administration of chest compressions and to compare the chest compression depth or rate to a desired range; and an output device for providing instructions to a user to administer chest compressions based on the comparison of the estimated chest compression depth or rate to the desired range. One or both of the electrode assemblies may be constructed so that the conductive therapeutic portion is able to maintain substantial conformance to the anatomy of the patient when coupled thereto.

Abstract: A physiological signal monitoring system includes a single set of sensing electrodes to provide conditioned physiological signals to a primary monitoring device and a secondary monitoring device. The monitoring system includes pre-processing circuitry configured to receive a raw physiological signal. The pre-processing circuitry is configured to produce a primary physiological signal and a secondary physiological signal. Each of the primary and secondary physiological signals are conditioned. The primary conditioned physiological signal is directed to a primary monitoring device such as a hospital wearable defibrillator device. The secondary conditioned physiological signal is directed to telemetry modeling circuitry where it is further processed to output one or more telemetry signals. The one or more telemetry signals are output to a secondary monitoring device such as a three lead ECG monitoring device.

Abstract: A system for monitoring performance of a resuscitation activity on a patient by an acute care provider is provided. The system includes: a first wearable sensor configured to sense movement of a first portion of an acute care provider's hand; a second wearable sensor configured to sense movement of a second portion of the acute care provider's hand; and a controller. The controller is configured to: receive and process signals representative of performance of a resuscitation activity from the first sensor and the second sensor; identify from the processed signals information indicative of at least one of a relative distance, a relative orientation, a change in relative distance and a change in relative orientation between the first sensor and the second sensor during performance of the resuscitation activity; and determine at least one resuscitation activity parameter based, at least in part, on the identified information.

Abstract: An ambulatory medical device configured to analyze heart rates in different operating modes includes a plurality of ECG sensing electrodes, a plurality of therapy electrodes and at least one processor configured to in a default operating mode, perform a default heart rate calculation for determining a heart rate of the patient for use in detecting a cardiac arrhythmia condition of the patient. The at least one processor is configured to change a device operating mode from a default mode based on detecting patient activity to an activity operating mode, and in the activity operating mode, perform a different heart rate calculation from the default heart rate calculation for determining the heart rate for use in detecting the cardiac arrhythmia condition of the patient during the activity operating mode. The at least one processor is configured to deliver the treatment in response to detecting the cardiac arrhythmia condition.

Abstract: Systems and methods related to the field of cardiac resuscitation, and in particular to devices for assisting rescuers in performing cardio-pulmonary resuscitation (CPR) are described herein. A method for managing cardiopulmonary resuscitation (CPR) treatment to a person in need of emergency assistance includes monitoring, with an electronic medical device, a parameter that indicates a quality level of a CPR component being provided to the person by a user; determining, with the electronic medical device, that the parameter indicates that the quality level of CPR being provided is inadequate; and providing, to one or more rescuers of the person, an audible, visual, or tactile indication that a different person should perform the CPR component.

Abstract: A patient-worn arrhythmia monitoring and treatment device includes at least two pads configured to affix to skin on a torso of a patient. At least one of a pair of sensing electrodes is disposed on each one of the pads and configured to sense surface ECG activity of the patient. At least one of a pair of therapy electrodes is disposed on each one of the pads and configured to deliver one or more therapeutic pulses to the patient. A controller is in communication with the pairs of sensing and therapy electrodes and is configured to monitor for cardiac arrhythmias based on the sensed surface ECG activity and cause the delivery of the one or more therapeutic pulses. The device includes a removable garment to be worn about the torso to immobilize on the torso the one of the at least two pads to which the controller is coupled.

Abstract: A medical system is provided. The medical system includes a medical device and a mobile computing device. The medical device includes at least one physiologic sensor configured to acquire physiological signals from a patient, at least one processor coupled to the at least one physiologic sensor, and at least one optical code encoded with encrypted data. The mobile computing device includes a camera and one or more processors coupled to the camera and configured to acquire one or more images of the at least one optical code, decode the one or more images of the at least one optical code to generate a copy of the encrypted data, decrypt the copy of the encrypted data to generate decrypted data, and process the decrypted data to establish an operable connection between the mobile computing device and the medical device.