Abstract: An ambulatory medical device capable of delivering therapy to a patient is provided. The ambulatory medical device comprises at least one controller operatively connected to at least one sensor configured to detect a health disorder of the patient, at least one treatment element configured to deliver therapy to the patient, and at least one response mechanism configured to be actuated by the patient, the at least one response mechanism having one of a first state and a second state. The at least one controller being configured to delay delivery of the therapy to patient for a first predetermined period of time responsive to detection of the health disorder and the at least one response mechanism having the first state, and to deliver the therapy to the patient in response to continued detection of the health disorder, the at least one response mechanism remaining in the first state.

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 wearable medical device for detecting and treating life-threatening arrhythmias includes a wearable vest portion, sensing electrodes, therapy pads, at least one motion sensor, and a cardiac monitor. The cardiac monitor is configured to detect whether the patient is experiencing a treatable arrhythmia using an ECG signal and in response, determine a confidence level for the detected treatable arrhythmia using outputs from the at least one motion sensor. Determining the confidence level includes detecting patient motion prior to the detection of the treatable arrhythmia. Determining the confidence level further includes increasing the confidence level in response to determining that the patient is motionless coinciding with the detection of the treatable arrhythmia, or decreasing the confidence level in response to determining the patient motion after the detection of the treatable arrhythmia. The cardiac monitor is configured to determine whether to deliver a treatment shock based on the confidence level.

Abstract: An ambulatory medical device includes two or more response mechanisms; a memory storing an active operation mode parameter identifying an active operation mode from a plurality of operation modes; a controller connected with the two or more response mechanisms; and a therapy manager component executable by the controller and configured to identify the active operation mode, detect a physiological parameter indicative of a health disorder of the patient, request that the patient change the state of one of the two or more response mechanisms in response to detection of the physiological parameter, monitor the state of each of the two or more response mechanisms within a first predetermined period, and delay therapy to the patient in response to detection of a first change in the state of one of the two or more response mechanisms within the predetermined period and identification of a first mode as the active operation mode.

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 module for managing communication among instrumentation and control devices associated with a system, and a method for using the module, enable interconnection of various devices across multiple network buses, and filtering of messages travelling between devices on disparate buses. Buses may be established wirelessly in addition to via wired connections. Additional devices may connect to a pluggable terminal interface integrated with the module. The terminal interface may connect to a configurable variety of interconnecting circuits appropriate for various types of terminal devices. An associated user interface may enable a user to configure various parameters pertaining to connected devices, including alerts to be issued when certain parameters exceed thresholds, and actions to be taken upon issuance of such alerts.

Abstract: A module for managing communication among instrumentation and control devices associated with a system, and a method for using the module, enable interconnection of various devices across multiple network buses, and filtering of messages travelling between devices on disparate buses. Buses may be established wirelessly in addition to via wired connections. Additional devices may connect to a pluggable terminal interface integrated with the module. The terminal interface may connect to a configurable variety of interconnecting circuits appropriate for various types of terminal devices. An associated user interface may enable a user to configure various parameters pertaining to connected devices, including alerts to be issued when certain parameters exceed thresholds, and actions to be taken upon issuance of such alerts.

Abstract: A module for managing communication among instrumentation and control devices associated with a system, and a method for using the module, enable interconnection of various devices across multiple network buses, and filtering of messages travelling between devices on disparate buses. Buses may be established wirelessly in addition to via wired connections. Additional devices may connect to a pluggable terminal interface integrated with the module. The terminal interface may connect to a configurable variety of interconnecting circuits appropriate for various types of terminal devices. An associated user interface may enable a user to configure various parameters pertaining to connected devices, including alerts to be issued when certain parameters exceed thresholds, and actions to be taken upon issuance of such alerts.

Abstract: A wearable medical device for detecting and treating life-threatening arrhythmias includes a wearable vest portion, sensing electrodes, therapy pads, at least one motion sensor, and a cardiac monitor. The cardiac monitor is configured to detect whether the patient is experiencing a treatable arrhythmia using an ECG signal and in response, determine a confidence level for the detected treatable arrhythmia using outputs from the at least one motion sensor. Determining the confidence level includes detecting patient motion prior to the detection of the treatable arrhythmia. Determining the confidence level further includes increasing the confidence level in response to determining that the patient is motionless coinciding with the detection of the treatable arrhythmia, or decreasing the confidence level in response to determining the patient motion after the detection of the treatable arrhythmia. The cardiac monitor is configured to determine whether to deliver a treatment shock based on the confidence level.

Abstract: A wearable medical treatment device for monitoring a patient's ECG and treating a cardiac condition is disclosed. The device includes a patient vest portion having cardiac sensing electrodes to obtain an ECG signal of a patient, therapy electrodes for external placement proximate to skin of the patient for delivering electrotherapy to treat the cardiac condition, and, a monitor coupled to the cardiac sensing electrodes and the therapy electrodes via at least one cable. The monitor includes a system computer disposed in the monitor. The system computer is configured to receive the ECG signals of the patient and to execute at least one arrhythmia detection algorithm to determine whether the patient is experiencing a cardiac condition in need of treatment, and a mechanical shock detector disposed on the monitor and configured to detect at least one of a force or acceleration indicative of a mechanical shock to the monitor.

Abstract: A medical device is disclosed that includes one or more treatment electrodes, one or more sensors, and one or more controllers connected to the one or more treatment electrodes and one or more sensors. The medical device also includes one or more response mechanisms connected to the one or more controllers. The one or more controllers are configured to receive input from the one or more response mechanism and are also configured to determine whether a patient wearing the medical device actuated the one or more response mechanisms based, at least in part, on the input received from the one or more response mechanisms. In some disclosed embodiments, the medical device is a wearable defibrillator.

Abstract: A method of determining responsiveness of a patient wearing a wearable defibrillator configured to deliver therapy to the patient includes sensing an electrocardiogram signal of the patient wearing the wearable defibrillator via a plurality of ECG sensing electrodes, and determining whether a defibrillation treatment should be provided to the patient via at least one treatment electrode. The method includes causing a user interface to provide a patient prompt from the wearable defibrillator responsive to determining that the defibrillation treatment should be provided to the patient. The method includes receiving a first signal indicative of a first patient response within a time interval, receiving a second signal indicative of a second patient response within the time interval, and withholding the defibrillation treatment to the patient via the at least one treatment electrode in response to receiving both the first signal and the second signal within the time interval.

Abstract: A wearable defibrillator for monitoring treatable arrhythmias in a patient in the presence of background noise includes a plurality of sensing electrodes configured to generate ECG data, one or more therapy pads, one or more audio devices, and one or more processors. The one or more audio devices include a microphone configured to detect background noise and a speaker. The one or more processors are configured to determine, from at least the ECG data, whether the patient is experiencing a treatable arrhythmia; cause, via the speaker, an audible alarm in response to determining that the patient is experiencing the treatable arrhythmia; delay a delivery of treatment to the patient in response to determining that at least the predetermined level of background noise exists; and during the delay, perform at least one of obtaining additional data or running an additional test to verify that the patient is experiencing the treatable arrhythmia.

Abstract: A wearable defibrillator includes garment configured to be worn by a patient, treatment electrodes configured to apply 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 a lack of motion of the 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, cause administration of the electric current to be delayed or cancelled if the response input is received and motion of the patient is detected, and cause administration of the electric current to be delivered if no response input from the patient is received and a lack of motion is detected.

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 defibrillator includes a plurality of ECG electrodes configured to be removably attached to a patient and sense ECG information of the patient, and at least one therapy pad configured to deliver electrical therapy to the patient. The wearable defibrillator includes at least one audio device including a microphone configured to receive an audio input and an audio output device configured to provide an audio output. At least one processor of the wearable defibrillator is operatively connected to the plurality of ECG electrodes, the at least one therapy pad, a memory, and the at least one audio device. The at least one processor is configured to in a set up phase, receive by the microphone and store in the memory, the audio input comprising a voice recording, and cause the audio output device to provide the audio output by to playing back the voice recording to the patient.

Abstract: A wearable defibrillator includes garment configured to be worn by a patient, treatment electrodes configured to apply 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 a lack of motion of the 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, cause administration of the electric current to be delayed or cancelled if the response input is received and motion of the patient is detected, and cause administration of the electric current to be delivered if no response input from the patient is received and a lack of motion is detected.

Abstract: An ambulatory medical device includes two or more response mechanisms; a memory storing an active operation mode parameter identifying an active operation mode from a plurality of operation modes; a controller connected with the two or more response mechanisms; and a therapy manager component executable by the controller and configured to identify the active operation mode, detect a physiological parameter indicative of a health disorder of the patient, request that the patient change the state of one of the two or more response mechanisms in response to detection of the physiological parameter, monitor the state of each of the two or more response mechanisms within a first predetermined period, and delay therapy to the patient in response to detection of a first change in the state of one of the two or more response mechanisms within the predetermined period and identification of a first mode as the active operation mode.

Abstract: An ambulatory medical device capable of delivering therapy to a patient includes at least one response mechanism having a state capable of being activated by one response button; a controller operatively connected with the at least one response mechanism, the controller including at least one processor coupled with a memory; and a therapy manager component executable by the controller and configured to detect a physiological parameter having a value indicative of a health disorder of the patient, notify the patient of impending therapy delivery in response to the detection of the physiological parameter, monitor the state of each at least one response mechanism within at least one predetermined time period, and delay therapy delivery to the patient in response to detection of a change in the state in a single response mechanism of the at least one response mechanism within the at least one predetermined time period.

Abstract: A wearable defibrillator includes garment configured to be worn by a patient, treatment electrodes configured to apply 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 a lack of motion of the 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, cause administration of the electric current to be delayed or cancelled if the response input is received and motion of the patient is detected, and cause administration of the electric current to be delivered if no response input from the patient is received and a lack of motion is detected.