Abstract: Defibrillator assemblies and methods to wirelessly transfer energy from an external source to a battery or other rechargeable power source within the defibrillator assembly. The transfer of energy may be through a non-contact interface on a defibrillator cradle or a docking station that mounts the defibrillator. The rate of energy transfer may be equal to the energy drain caused by self-discharge and automated self-testing. Accordingly, since the rate of energy transfer is lower than that required to run the defibrillator system continuously, several wireless methods of energy transfer may be used. In addition, the defibrillator assembly may communicate diagnostic and non-diagnostic data to the external source.

Abstract: Devices, methods, and software implementing those methods for providing communicating external chest compression (ECC) devices and defibrillation (DF) devices, where the ECC and DF devices can be physically separate from each other. Both ECC and DF devices are able to operate autonomously, yet able to communicate with and cooperate with another device when present. Some ECC and DF devices are adapted to be physically and/or electrically coupled to each other. One ECC device includes a backboard, a chest compression member, a communication module, controller, and at least one sensor, electrode lead or electrode. One DF device includes a defibrillator module, a controller, and a communication module that can communicate with the ECC communication module. The communicating ECC and DF devices may deliver ECC, pacing, defibrillation, ventilation, and cooling therapies, and may deliver instructions to human assistants, in a coordinated and cooperative fashion.

Abstract: Techniques for determining whether one or more leads are not adequately connected to a patient, e.g., for ECG monitoring, are described. The techniques involve injection of an integrated signal (which includes a test signal) into one lead, and monitoring the driven lead and the response at the other leads, including the common mode and the difference between the other leads. These “lead-off” detection techniques may be provided by an external defibrillator that provides three-wire ECG monitoring. Techniques for determining a type of a cable coupled to a defibrillator are also described. The cable-type identification may allow a defibrillator to, for example, operate in either a three-wire ECG monitoring mode or a therapy mode, based on whether a three-wire ECG cable or a defibrillation cable is coupled to the defibrillator.

Abstract: An external defibrillator used to treat a patient wirelessly communicates with an implantable medical device (IMD) implanted in the patient. In some embodiments, a telemetry head may be removably coupled to the external defibrillator to facilitate communication with the IMD. The defibrillator may receive information, such as patient, device, physiological, and treatment information, from the IMD. The defibrillator may use some or all of this information during treatment of the patient. For example, the defibrillator may prompt a user, or modify programmed user prompts based on the information. The defibrillator may deliver therapy based on the information. The information may include real-time values of physiological parameters monitored by the IMD, which may be displayed by the external defibrillator. The external defibrillator may control delivery of therapy by the IMD.

Abstract: Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

Abstract: Signal data obtained from a piezoelectric sensor placed on a patient's body is used to detect the presence of a cardiac pulse. The piezoelectric sensor has a transducing element adapted to sense movement due to a cardiac pulse and produce piezoelectric signal data in response thereto. Processing circuitry analyzes the piezoelectric signal data for a feature indicative of a cardiac pulse and determines whether a cardiac pulse is present in the patient based on the feature. In one aspect, the feature may be a temporal feature such as a relative change in energy. In another aspect, the feature may be a spectral feature such as the energy or frequency of a peak in the energy spectrum of the signal. In yet another aspect, the feature may be obtained by comparing the piezoelectric signal data with a previously-identified pattern known to predict the presence of a cardiac pulse. Multiple features may also be obtained from the piezoelectric signal data and classified to determine the presence of a cardiac pulse.

Abstract: Methods and apparatus are provided for a limited use ECG electrode set. The electrode set includes a plurality of limited use electrodes capable of being affixed to a human patient so as to receive patient information from the patient such as ECG data. Cables are also affixed to each electrode, and each cable is capable of transmitting patient information therethrough. A connector is affixed to each cable, and the connector is likewise capable of transmitting patient information. A sealing wedge may be molded around each cable forming a seal therebetween. The electrode set may be disposed at least partially in a packaging interior region, and the packaging may be hermetically sealed. Further the packaging may be sealed around the sealing wedge in forming the hermetic seal. The limited use electrode set may be opened and deployed from its packaging in situations that call for receiving patient data such as ECG information.

Abstract: A method of delivering electrical therapy to a patient by a medical device includes activating the medical device and performing a first analysis of a first set of data signals sensed by the medical device. If the first analysis shows the first set of data signals meets a first criterion, then charging of an energy delivery circuit is commenced circuit upon completion of the first analysis. A second analysis of a second set of data signals from the patient is performed, and if the second analysis determines that the second set of data signals meet a second criterion, the therapy is delivered. The steps of performing the first analysis and performing the second analysis may be begun at substantially the same time. The step of charging may overlap in time with the step of performing a second analysis. The medical device may be an external defibrillator and the therapy may be a defibrillating shock.

Abstract: A device tests a circuit that is a source of alternating current by measuring at least one electrical parameter of the circuit to determine whether the circuit is able to provide adequate energy for defibrillation by an external defibrillator. The device may test the circuit by applying a load to the circuit, and measuring one or more electrical parameters when the load is applied to the circuit. The device may be the external defibrillator itself, or a separate testing device. In some embodiments in which an external defibrillator tests a circuit, the defibrillator modifies a value of at least one therapy delivery parameter for a subsequent delivery of one or more defibrillation pulses based on the measured electrical parameter value measured. By modifying a therapy delivery parameter, the defibrillator may deliver defibrillation pulses at an energy level that is supportable by the circuit.

Abstract: A device capable of providing a user with instructions for administering CPR. This device includes a user input mechanism and a processing unit coupled to the user input mechanism which directs the device to follow one of a first and a second sequence of steps depending on the user's input. In one embodiment, a defibrillator capable of providing a user with instructions for administering defibrillation therapy includes a user input mechanism; a defibrillation therapy delivery circuit; a processing unit coupled to the user input mechanism and the defibrillation therapy delivery circuit which directs the device to follow one of a first and a second sequence of steps depending on the user's input; and an output device coupled to the processing unit for communicating prompts to the user.

Abstract: The invention presents an apparatus and techniques for determining whether a medical electrode, such as a defibrillation electrode coupled to an automated external defibrillator, is in a condition for replacement. The determination can be made as a function of one or more data. In one exemplary embodiment, the determination is a function of one or more measurements of an impedance of a hydrogel bridge in a test module. In another exemplary embodiment, the determination is a function of one or more environmental condition data from one or more environmental sensors.

Abstract: An automated external defibrillator (AED) (10) designed for use by a rescuer with minimal or no training during a medical emergency is provided. The AED implements a user interface program (22) which guides the rescuer through operation of the AED and application of CPR and defibrillation therapy to a patient by displaying a series of visual instructions on a graphic display (14) or other visual output device, and by providing additional aural instructions via a speaker (18) or other aural output device. The rescuer merely needs to press a start button (12) to initiate operation of the AED and begin CPR and defibrillation instruction.

Abstract: A method for the failsafe monitoring of the rotational movement of a shaft comprises a first step of picking up a characteristic pulse train with a number of pulses following one another at successive times, the time interval between the pulses is dependent on the rotational movement. A second step determines a monitoring time period and a third step monitors whether an expected pulse of the pulse train occurs within the monitoring time period. Finally, there is a fourth step of generating a control signal when the expected pulse does not occur within the monitoring time period. The monitoring time period is repeatedly adapted to the time interval of the pulses during monitoring.

Abstract: In general, the invention is directed to techniques for determining appropriate first aid and applying first aid that is appropriate. A first aid system receives patient status information from an input device or a sensor, and presents first aid information as a function of the received patient status information. The first aid system may be incorporated with an external defibrillator. The first aid system may acquire patient status information through an interaction with an operator, in which the first aid system asks the operator to supply patient status information. In one embodiment of the invention, the operator may supply patient status information by touching a diagram representing at least a portion of a human body.

Abstract: Defibrillator assemblies and methods to wirelessly transfer energy from an external source to a battery or other rechargeable power source within the defibrillator assembly. The transfer of energy may be through a non-contact interface on a defibrillator cradle or a docking station that mounts the defibrillator. The rate of energy transfer may be equal to the energy drain caused by self-discharge and automated self-testing. Accordingly, since the rate of energy transfer is lower than that required to run the defibrillator system continuously, several wireless methods of energy transfer may be used. In addition, the defibrillator assembly may communicate diagnostic and non-diagnostic data to the external source.