Abstract: A non-invasive medical device includes a garment; at least one therapy electrode and a plurality of ECG sensing electrodes disposed in the garment; a memory storing ECG information of the patient; a therapy delivery interface; and at least one processor configured to identify, within the ECG information, at least one cardiac arrhythmia condition; determine at least one pacing routine corresponding to the detected cardiac arrhythmia condition; cause the therapy delivery interface to execute the at least one pacing routine by delivering a first pacing pulse; determine, subsequent to the first pacing pulse, that a first interval has passed without detection of an intrinsic heartbeat, and in response, cause the therapy delivery interface to continue executing the at least one pacing routine by delivering a second pacing pulse; and responsive to determining that the intrinsic heartbeat is detected within the first interval, suspend execution of the at least one pacing routine.

Abstract: According to at least one aspect, a wearable cardiac device is provided. The wearable cardiac device includes a garment worn about a torso of a patient, at least one sensing electrode to monitor cardiac activity of the patient, and a controller including a plurality of separate and distinct modules distributed about and/or integrated into the garment. The plurality of separate and distinct modules includes, for example, an operations module coupled to the at least one sensing electrode and configured to detect at least one cardiac condition of the patient and/or a communications module coupled to the operations module to communicate with an external device. In some examples, the wearable cardiac device may be configured as a treatment device and include an energy storage module coupled to at least one therapy electrode and configured to store energy for at least one therapeutic shock to be applied to the patient.

Abstract: According to at least one aspect, a wearable cardiac device is provided. The wearable cardiac device includes a garment worn about a torso of a patient, at least one sensing electrode to monitor cardiac activity of the patient, and a controller including a plurality of separate and distinct modules distributed about and/or integrated into the garment. The plurality of separate and distinct modules includes, for example, an operations module coupled to the at least one sensing electrode and configured to detect at least one cardiac condition of the patient and/or a communications module coupled to the operations module to communicate with an external device. In some examples, the wearable cardiac device may be configured as a treatment device and include an energy storage module coupled to at least one therapy electrode and configured to store energy for at least one therapeutic shock to be applied to the patient.

Abstract: A wearable medical device includes a garment configured to be worn about a torso of a patient, at least two sensors for detecting a characteristic of a CPR therapy, an output device, and a processor. The at least two sensors are positioned at locations at the anterior surface of the patient's chest chosen to identify a characteristic of a center of the patient's chest. The processor is configured for processing information from the at least two sensors and providing, to the output device, information about the CPR therapy. The processing includes determining information about a geometry defined by the at least two sensors.

Abstract: A wearable medical device, comprising: a garment configured to be worn about a torso of a patient; one or more sensors for detecting a characteristic of a cardiopulmonary resuscitation (CPR) therapy; an output device; and a processor configured for processing information from the one or more sensors and providing, to the output device, information about the CPR therapy, wherein at least one of the one or more sensors is movably attached to the garment, the at least one sensor configured to be positioned to the center of the patient's chest prior to initiation of the CPR therapy.

Abstract: An external wearable medical device includes a plurality of electrocardiogram (ECG) sensors, at least one accelerometer configured to be disposed on a patient, and at least one processor operatively coupled plurality of ECG sensors and the at least one accelerometer. The at least one processor is configured to receive an ECG signal from the plurality of ECG sensors, receive patient activity data from the at least one accelerometer, and detect, based on the patient activity data from the at least one accelerometer, data indicative of an impending syncope event. The at least one processor is configured to issue a notification of the impending syncope event, and store in a memory during a first time period data comprising the ECG signal in association with information descriptive of impending syncope event, and transmit to a remote server during a second time period the stored data for analysis at the remote server.

Abstract: A non-invasive medical device includes a garment; at least one therapy electrode and a plurality of ECG sensing electrodes disposed in the garment; a memory storing ECG information of the patient; a therapy delivery interface; and at least one processor configured to identify, within the ECG information, at least one cardiac arrhythmia condition; determine at least one pacing routine corresponding to the detected cardiac arrhythmia condition; cause the therapy delivery interface to execute the at least one pacing routine by delivering a first pacing pulse; determine, subsequent to the first pacing pulse, that a first interval has passed without detection of an intrinsic heartbeat, and in response, cause the therapy delivery interface to continue executing the at least one pacing routine by delivering a second pacing pulse; and responsive to determining that the intrinsic heartbeat is detected within the first interval, suspend execution of the at least one pacing routine.

Abstract: According to some embodiments, a wearable medical device capable of treating a patient presenting with syncope is provided. The wearable medical device includes a memory storing event profile information, a battery, at least one treatment electrode coupled to the battery, at least one processor coupled to the memory and the at least one treatment electrode, and an event manager executed by the at least one processor. The event manager is configured to detect an event associated with syncope; store, in the memory, data descriptive of the event in association with an indication that the data includes data descriptive of a syncopal event; and address the event.

Abstract: An external medical device includes a user interface; at least one therapy electrode configured to be disposed on a patient; and a processor operatively coupled to the at least one therapy electrode, the processor configured to cause a treatment manager to detect a cardiac condition of the patient; receive, via the user interface, discomfort information descriptive of the discomfort experienced by the patient; responsive to determining from the discomfort information that the patient is unconscious, execute at least one pacing routine, the at least one pacing routine being associated with the cardiac condition; and responsive to determining from the discomfort information that the patient is conscious, adjust at least one characteristic of the at least one pacing routine.

Abstract: A non-invasive bodily-attached ambulatory medical monitoring and treatment device with pacing is provided. The device includes at least one therapy electrode; a memory storing information indicative of a patient's cardiac activity; circuitry for implementing a plurality of pacing routines, each pacing routine of the plurality of pacing routines corresponding to at least one cardiac condition of a plurality of cardiac conditions; and at least one processor coupled to the circuitry and configured to identify, within the information, at least one cardiac condition of the plurality of cardiac conditions; and respond to the identified cardiac condition in part by causing execution of at least one pacing routine corresponding to the identified cardiac condition.

Abstract: In at least one example, a medical device is provided. The medical device includes at least one therapy electrode, at least one electrocardiogram (ECG) electrode, at least one acoustic sensor, and at least one processor coupled with the at least one acoustic sensor, the at least one ECG electrode, and the at least one therapy electrode. The at least one processor can receive at least one acoustic signal from the at least one acoustic sensor, receive at least one electrode signal from the ECG electrode, detect at least one unverified cardiopulmonary anomaly using the at least one electrode signal, and verify the at least one unverified cardiopulmonary anomaly with reference to data descriptive of the at least one acoustic signal.

Abstract: A system and method for medical premonitory event estimation includes one or more processors to perform operations comprising: acquiring a first set of physiological information of a subject, and a second set of physiological information of the subject received during a second period of time; calculating first and second risk scores associated with estimating a risk of a potential cardiac arrhythmia event for the subject based on applying the first and second sets of physiological information to one or more machine learning classifier models, providing at least the first and second risk scores associated with the potential cardiac arrhythmia event as a time changing series of risk scores, and classifying the first and second risk scores associated with estimating the risk of the potential cardiac arrhythmia event for the subject based on the one or more thresholds.

Abstract: An external medical device includes at least one therapy electrode configured to be disposed on a patient; and a treatment manager configured to execute a baseline process to determine at least one of a range of values for a discomfort parameter and a patient discomfort threshold value corresponding to the at least one pacing routine, detect a cardiac condition of the patient, execute the at least one pacing routine, the at least one pacing routine being associated with the cardiac condition, monitor the discomfort parameter during execution of the at least one pacing routine, determine whether the discomfort parameter transgresses the at least one of the range of values and the patient discomfort threshold value, and adjust at least one characteristic of the at least one pacing routine upon the discomfort parameter transgressing the at least one of the range of values and the patient discomfort threshold value.

Abstract: In at least one example, a medical device is provided. The medical device includes at least one therapy electrode, at least one acoustic sensor, and at least one processor coupled with the at least one therapy electrode and the at least one acoustic sensor. The at least one processor is configured to deliver at least one pacing pulse via the at least one therapy electrode and to analyze processed acoustic data to determine whether the at least one pacing pulse resulted in capture.

Abstract: In at least one example, a medical device is provided. The medical device includes at least one therapy electrode, at least one electrocardiogram (ECG) electrode, at least one acoustic sensor, and at least one processor coupled with the at least one acoustic sensor, the at least one ECG electrode, and the at least one therapy electrode. The at least one processor can receive at least one acoustic signal from the at least one acoustic sensor, receive at least one electrode signal from the ECG electrode, detect at least one unverified cardiopulmonary anomaly using the at least one electrode signal, and verify the at least one unverified cardiopulmonary anomaly with reference to data descriptive of the at least one acoustic signal.

Abstract: In at least one example, a medical device is provided. The medical device includes at least one therapy electrode, at least one acoustic sensor, and at least one processor coupled with the at least one therapy electrode and the at least one acoustic sensor. The at least one processor is configured to deliver at least one pacing pulse via the at least one therapy electrode and to analyze processed acoustic data to determine whether the at least one pacing pulse resulted in capture.

Abstract: An ambulatory medical device that can communicate with a vehicle is described. An example of the ambulatory medical device includes one or more sensing electrodes configured to sense cardiopulmonary signals of a patient, a network interface, and one or more processors configured to receive signals from one or more vehicle occupancy sensors, detect usage of the ambulatory medical device in a vehicle based on the received signals from the one or more vehicle occupancy sensors, detect at least one of a medical event and a medical premonitory event of the patient based on the sensed cardiopulmonary signals, and provide driving control information to the vehicle, via the network interface, based at least in part on the detected usage of the ambulatory medical device in the vehicle and the detected medical event or medical premonitory event of the patient.

Abstract: A wearable medical treatment system for medical treatment of a patient is described. An example of the system includes sensors configured to be externally positioned on the patient, the sensors including cardiac sensing electrodes configured to provide a signal indicative of the patient's cardiac information, defibrillation electrodes configured to be externally positioned on the patient and to deliver a defibrillation shock, a cuff configured to contract about a patient's limb, and a controller communicatively coupled to the sensors, the defibrillation electrodes, and the cuff.

Abstract: According to some embodiments, a wearable medical device capable of treating a patient presenting with syncope is provided. The wearable medical device includes a memory storing event profile information, a battery, at least one treatment electrode coupled to the battery, at least one processor coupled to the memory and the at least one treatment electrode, and an event manager executed by the at least one processor. The event manager is configured to detect an event associated with syncope; store, in the memory, data descriptive of the event in association with an indication that the data includes data descriptive of a syncopal event; and address the event.

Abstract: According to some embodiments, a wearable medical device capable of treating a patient presenting with syncope is provided. The wearable medical device includes a memory storing event profile information, a battery, at least one treatment electrode coupled to the battery, at least one processor coupled to the memory and the at least one treatment electrode, and an event manager executed by the at least one processor. The event manager is configured to detect an event associated with syncope; store, in the memory, data descriptive of the event in association with an indication that the data includes data descriptive of a syncopal event; and address the event.