Abstract: A wearable cardiac monitoring and treatment device includes a garment, a plurality of ECG electrodes and a plurality of therapy electrodes supported by the garment. A fastener is configured to secure the garment about a torso of the patient for a prescribed duration. A disengagement sensor provides an indication of disengagement of the fastener prior to expiration of the prescribed duration in which the garment is no longer secured about the torso of the patient. The device includes a therapy delivery circuit coupled to the plurality of therapy electrodes and configured to deliver one or more therapeutic pulses. A controller coupled to therapy delivery circuit is configured to analyze an ECG signal monitored by the plurality of ECG electrodes and, upon detecting one or more treatable arrhythmias, cause the therapy delivery circuit to deliver the one or more therapeutic pulses to the patient.

Abstract: An external medical device is provided. The external medical device includes a memory and circuitry, in communication with the memory, to receive input specifying at least in part at least one prompt relating to a health survey for a patient, the at least one prompt being customized based on the patient; convert the at least one prompt to an audio representation; and perform the health survey by at least delivering to the patient the audio representation.

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 for managing an individualized cardiac rehabilitation plan for an ambulatory cardiac rehabilitation patient includes an externally worn device configured to monitor cardiac activity of the patient and a server in communication with the externally worn device. The server includes a computer-readable medium and at least one server processor configured to receive one or more inputs from a healthcare provider, develop a patient-specific cardiac rehabilitation plan, including a plurality of exercise sessions, based on the one or more inputs, transmit the rehabilitation plan to the externally worn device, receive patient data from the externally worn device, and record one or more status identifiers for each past exercise session based on the received patient data. The at least one server processor is configured to adjust the rehabilitation plan based on the one or more recorded status identifiers and transmit the adjusted rehabilitation plan to the externally worn device.

Abstract: A system for managing and distributing patient reports regarding medical devices to end users includes at least one processor configured to perform instructions to receive, from at least one therapeutic medical device, first physiological information relating to at least one therapeutic medical device patient and receive, from at least one monitoring medical device, second physiological information relating to at least one monitoring medical device patient. The at least one processor is also configured to perform instructions to process the first physiological information and the second physiological information, generate a plurality of patient reports from the processed first physiological information and from the processed second physiological information, receive a selection from an end user via an end user terminal, and provide at least one patient report of the plurality of patient reports to the end user terminal based on the received selection.

Abstract: A non-invasive bodily-attached ambulatory medical monitoring and treatment device with pacing is provided. The noninvasive ambulatory pacing device includes a battery, at least one therapy electrode coupled to the battery, a memory storing information indicative of a patient's cardiac activity, and at least one processor coupled to the memory and the at least one therapy electrode. The at least one processor is configured to identify a cardiac arrhythmia within the information and execute at least one pacing routine to treat the identified cardiac arrhythmia.

Abstract: An external wearable defibrillator for monitoring a patient for cardiac-related events is provided. The defibrillator includes ECG sensors configured to be disposed about a torso of the patient, therapy electrodes, and at least one motion sensor. The ECG sensors, therapy electrodes, and at least one motion sensor are configured to be worn continuously for an extended period of time. The defibrillator includes a wearable medical device controller including at least one processor configured to receive ECG data, receive motion data, identify at least one of ventricular tachycardia or ventricular fibrillation, initiate a treatment protocol including a defibrillation shock, and, using at least one of the ECG data or the motion data, identify a predetermined pattern for syncope. The predetermined pattern includes bradycardia. The at least one processor is further configured to record the predetermined pattern in a memory and perform an intervening action to address the predetermined pattern.

Abstract: A system for managing an individualized cardiac rehabilitation plan is provided. The system includes an externally worn device and a server. The server includes a processor configured to receive input regarding the rehabilitation plan; generate one or more plans specifying an individualized set of rehabilitative exercise sessions for a patient, receive electrocardiogram (ECG) and non-ECG physiological information acquired from the patient compare the ECG and/or non-ECG physiological information to predetermined criteria and dynamically adjust the cardiac rehabilitation plan based on the comparison to create an adjusted cardiac rehabilitation plan.

Abstract: A wearable treatment device for monitoring physical activity and providing therapy to a subject includes a garment, cardiac sensing electrodes configured to detect cardiac information for the subject, at least one activity sensor configured to monitor at least one of motion or position for the subject, treatment electrodes configured to deliver treatment shocks to the subject, and a controller. The controller is configured to guide the subject through a physical activity, measure the subject's performance of the physical activity using the detected cardiac information for the subject and the monitored at least one of motion or position for the subject, monitor the detected cardiac information for the subject to identify whether the subject is experiencing a treatable arrhythmia, and determine a confidence level for an identified treatable arrhythmia using the monitored at least one of motion or position for the subject.

Abstract: A patient management system for generating customized patient reports for users is provided. The system includes communications circuitry configured to receive first physiological data from a plurality of monitoring medical devices and receive second physiological data from a plurality of therapeutic medical devices. The system also includes at least one processor configured to perform instructions configured to cause the at least one processor to receive a selection from an end user regarding a customized report on at least one of the first physiological data from the plurality of monitoring medical devices or the second physiological data from the plurality of therapeutic medical devices, determine at least one information field for the customized report based on an access level of the end user, and compile the customized report including the at least one information field and using the at least one of the first physiological data or the second physiological data.

Abstract: A non-invasive bodily-attached ambulatory medical monitoring and treatment device with pacing is provided. The noninvasive ambulatory pacing device includes a battery, at least one therapy electrode coupled to the battery, a memory storing information indicative of a patient's cardiac activity, and at least one processor coupled to the memory and the at least one therapy electrode. The at least one processor is configured to identify a cardiac arrhythmia within the information and execute at least one pacing routine to treat the identified cardiac arrhythmia.

Abstract: A wearable defibrillator for use in monitoring patient movement and cardiac activity and treating a patient includes a garment configured to be worn by the patient, treatment electrodes configured to apply an electric current to the patient, and an alarm module configured to provide audio, visual, and haptic notifications. The notifications are configured to indicate that an electric current will be administered imminently and prompt the patient to provide a response input. The wearable defibrillator includes a motion sensor configured to detect motion and body position of a patient, and a controller in electrical communication with the alarm module and the motion sensor. The controller is configured to monitor for the response input after the prompt, determine, based on the detected motion and body position, whether the patient is sleeping, and cause a change in one or more characteristics of the prompt on determining that the patient is sleeping.

Abstract: A wearable cardiac monitoring and treatment device includes a garment, a plurality of ECG electrodes, a plurality of therapy electrodes, a therapy delivery circuit, and one or more sensors configured to monitor one or more physiological signals of the patient. The device also includes a controller configured to detect an arrhythmia condition, cause the therapy delivery circuit to deliver one or more therapeutic pulses to the patient on detecting the arrhythmia condition, detect that the garment is no longer worn about the torso of the patient prior to expiration of at least a prescribed duration of wear by detecting a loss of signal for at least a threshold period of time from one or more of the plurality of ECG sensing electrodes and/or one or more of the one or more sensors, and issue a notification that the garment is no longer worn about the torso of the patient.

Abstract: A patient management system for generating customized patient reports for users is provided. The system includes communications circuitry configured to receive first physiological data from a plurality of monitoring medical devices and receive second physiological data from a plurality of therapeutic medical devices. The system also includes at least one processor configured to perform instructions configured to cause the at least one processor to receive a selection from an end user regarding a customized report on at least one of the first physiological data from the plurality of monitoring medical devices or the second physiological data from the plurality of therapeutic medical devices, determine at least one information field for the customized report based on an access level of the end user, and compile the customized report including the at least one information field and using the at least one of the first physiological data or the second physiological data.

Abstract: A patient management system for providing patient queues of patient reports to users includes communications circuitry configured to receive first physiological information from monitoring medical devices being worn by a first plurality of patients and receive second physiological information from therapeutic medical devices being worn by a second plurality of patients. Each of the monitoring medical devices is configured to sense one or more predetermined physiological parameters of its respective patient. Each of the therapeutic medical devices is configured to monitor its respective patient for a predetermined physiological condition and provide a treatment.

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 patient management system for providing patient queues of patient reports to users includes communications circuitry configured to receive first physiological information from monitoring medical devices being worn by a first plurality of patients and receive second physiological information from therapeutic medical devices being worn by a second plurality of patients. Each of the monitoring medical devices is configured to sense one or more predetermined physiological parameters of its respective patient. Each of the therapeutic medical devices is configured to monitor its respective patient for a predetermined physiological condition and provide a treatment.

Abstract: A patient management system is provided herein. The system can include communications circuitry configured to receive first physiological information relating to a first at least one patient from at least one therapeutic medical device and second physiological information relating to a second at least one patient from at least one monitoring medical device. The system also includes a computing device, which can include a user interface. The user interface can be configured to display the first and second physiological information according to a user selection.

Abstract: An external wearable defibrillator for monitoring a patient for cardiac-related events is provided. The defibrillator includes ECG sensors configured to be disposed about a torso of the patient, therapy electrodes, and at least one motion sensor. The ECG sensors, therapy electrodes, and at least one motion sensor are configured to be worn continuously for an extended period of time. The defibrillator includes a wearable medical device controller including at least one processor configured to receive ECG data, receive motion data, identify at least one of ventricular tachycardia or ventricular fibrillation, initiate a treatment protocol including a defibrillation shock, and, using at least one of the ECG data or the motion data, identify a predetermined pattern for syncope. The predetermined pattern includes bradycardia. The at least one processor is further configured to record the predetermined pattern in a memory and perform an intervening action to address the predetermined pattern.

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.