Abstract: In some examples, the disclosure describes a medical assembly that includes a stent including a primary electrode, where the stent is configured to expand from a collapsed configuration to an expanded configuration, a secondary electrode, and an energy source configured to deliver an electrical signal between the primary electrode and the secondary electrode through a fluid in contact with the primary electrode to cause the fluid to undergo cavitation to generate a pressure pulse wave within the fluid.

Abstract: An implantable pulse generator comprises a pulse generation device generating an output pulse, the pulse generation device comprising a control unit, shock generation circuitry and output circuitry. The shock generation circuitry comprises a first energy storage device, a second energy storage device and a switching device. The switching device is electrically connected to the first energy storage device, and is configured to connect, in a closed state, the first energy storage device with the second energy storage device, and to disconnect, in an open state, the first energy storage device from the second energy storage device. The shock generation circuitry configured to generate an output pulse by supplying energy to the output circuitry, in the open state, from the first energy storage device via a first connection line and, in the closed state, from the first energy storage device and the second energy storage device via a second connection line.

Abstract: An example method includes generating first filtered data by applying a first filter to physiological parameter data representing the physiological parameter; generating second filtered data by applying a second filter to the physiological parameter data; and determining a first index by analyzing the first filtered data. The example method further includes determining that the first index is greater than a first threshold and lower than a second threshold; and in response to determining that the first index is greater than the first threshold and lower than the second threshold, displaying the second filtered data. Upon expiration of a time period after outputting the second filtered data, the method further includes determining a second index by analyzing the first filtered data; generating a first treatment recommendation by analyzing the second index; and displaying the first treatment recommendation.

Abstract: A circuit is provided. The circuit includes an array of memory cells including a plurality of bit lines and a plurality of word lines, sensing circuits configured to sense a difference between first and second currents on respective bit lines in selected bit lines and to produce outputs for the selected bit lines as a function of the difference, and a global counter configured to continuously provide a count value to each of the sensing circuits in dependence on a clock signal. Each sensing circuit, of the sensing circuits, can produce an output in dependence on (i) the difference between the first and second currents and (ii) a stored count value received from the global counter, the count value being stored in dependence on a value of the difference between the first and second currents.

Abstract: Electrical activity from tissue of a patient is monitored using a plurality of external electrodes to generate a plurality of electrical signals over time. The plurality of electrical signals are filtered using a first filter having a first frequency range to generate a plurality of first filtered signals. The plurality of electrical signals are filtered using a second filter having a second frequency range different than the first frequency range to generate a plurality of second filtered signals. At least one QRS complex is detected based on the plurality of first filtered signals. A QRS peak of the at least one QRS complex is detected based on the plurality of second filtered signals and the detected at least one QRS complex.

Abstract: A circuit comprises a plurality of bit lines, a global counter configured to provide a count value, a global reference source, a plurality of capacitors, a comparator, a storage element, and capacitor selector circuitry. The capacitor selector circuitry is configured to select, in dependence on the count value, one or more capacitors from the plurality of capacitors, and wherein the selection of the one or more capacitors is further in dependence on pre-coded codes receivable from an agent separate from the circuit, the pre-coded codes enabling specifying respective first and second sets of the plurality of capacitors as respective one or more capacitors having respective first and second capacitance values, the pre-coded codes further enabling specifying selection of the first set to be performed at an earlier time than selection of the second set, and the second capacitance value is more than the first capacitance value.

Abstract: The present disclosure relates to a method and a system for determining a pulse wave signal (PWS) of a subject. The method (M100) comprises: a step M101) of providing an electrocardiographic (ECG) signal (S2) of a subject (200); a step (M102) of providing an electrical signal (S3) of the subject (200); a step (M103) of determining a collection of points of interest (S2x) in the ECG signal (S2); a step (M104) of determining a collection of specific points (S3x1, S3x2) using the collection of points of interest (S2x); a step (M105) of determining a cleaned electrical signal (S4) based on the collection of specific points (S3x1, S3x2); a step (M106) of determining a pulse wave signal (PWS) by subtracting the cleaned electrical signal (S4) from the electrical signal (S3).

Abstract: A system for synchronizing application of treatment signals with a cardiac rhythm is provided. The system includes a memory that receives and stores a synchronization signal indicating that a predetermined phase such as R-wave of a cardiac rhythm of a patient has started. A synchronization module analyzes whether the stored synchronization signal is erroneous and if so, prevents a medical treatment device from applying a treatment energy signal such as an IRE pulse to a patient to take into account an irregular heart beat and noise in the synchronization signal in order to maximize safety of the patient.

Abstract: An external defibrillator includes therapy delivery circuitry configured to discharge electrotherapy to a patient, a chest compression sensor configured to acquire motion signals during and after administration of CPR to the patient, an ECG sensor configured to acquire ECG signals from the patient, and a processor coupled to the therapy delivery circuitry, the chest compression sensor, and the ECG sensor. The processor is configured to generate first ECG data from ECG signals acquired during a cycle of CPR, generate second ECG data from ECG signals acquired after the cycle of CPR, identify a plurality of temporally overlapping segments in the first ECG data, determine shock/no-shock guidance based on the plurality of temporally overlapping segments, confirm the shock/no-shock guidance based on the second ECG data, and control the therapy delivery circuitry to discharge the electrotherapy where the shock/no-shock guidance is confirmed to specify electrotherapy.

Abstract: An implantable medical device and computer implemented methods comprise a sensing circuit configured to sense cardiac activity (CA) signals. An accelerometer is configured to be implanted in a patient and obtain accelerometer data along at least one axis. A memory is configured to store program instructions and device parameters associated with each ventricular arrhythmia (VA) therapy in a collection of VA therapies with different levels of intensity. One or more processors execute the program instructions and are configured to analyze the CA signals over one or more cardiac beats, determine a VA episode based on the analysis of the CA signals, determine a posture of the patient based on the accelerometer data in response to the determination of the VA episode, and select a first VA therapy from the collection of VA therapies based on the posture.

Abstract: Guidewires and methods for transmitting electrical stimuli to a heart and for guiding and supporting the delivery of elongate treatment devices within the heart are disclosed. A guidewire can comprise an elongate body, including first and second elongate conductors, and at least first and second electrodes. A distal end portion of the elongate body can include a preformed bias shape, such as a pigtail-shaped region, on which the first and second electrodes can be located. The preformed bias shape can optionally be non-coplanar relative to an intermediate portion of the elongate body. The first and second elongate conductors can be formed of a single structure or two or more electrically connected structures. The conductors can extend from proximal end portions to distal end portions that electrically connect to the first and second electrodes.

Abstract: A data file system includes one or more files about a patient wearing a wearable cardiac defibrillator (WCD) system that has been assigned to them. The one or more files contain at least one patient identifier of the patient, compliance data about a history of the patient's wearing the WCD system, and possibly other data. The data file system can be accessed through a communication network when the patient uses a communication device. When so accessed, some of the contents can be viewed on a screen of the device, for example in the form of a website. In embodiments, the health care provider and friends and family can view such data and even enter inputs, which may create a situation that motivates the patient to comply better.

Abstract: Systems, devices, and techniques that enable medical devices to integrate and interoperate with one another are provided. In some examples, a wearable cardiac defibrillator (WCD) advantageously interoperates with an implanted pacemaker to provide a variety of benefits. For instance, in some examples, the WCD oversees execution of an antitachycardia (ATP) protocol by the implanted pacemaker and intervenes as needed. In other examples, the WCD drives an ATP protocol in which internal pacing pulses are provided by the implanted pacemaker under the control of the WCD. In other examples, the WCD monitors the activity of the implanted pacemaker to identify potential maintenance issues affecting the implanted pacemaker. The WCD and the implanted pacemaker may also interoperate to classify and act upon particular arrhythmia conditions.

Abstract: In one embodiment, a method includes receiving first cardiac signals captured by at least one first sensing electrode in contact with tissue of a first living subject, injecting the received first cardiac signals into a length of wire, which outputs respective noise-added cardiac signals responsively to noise acquired in the wire, training an artificial neural network to remove noise from cardiac signals responsively to the received first cardiac signals and the respective noise-added cardiac signals, receiving second cardiac signals captured by at least one second sensing electrode in contact with tissue of a second living subject, and applying the trained artificial neural network to the second cardiac signals to yield noise-reduced cardiac signals.

Abstract: Sensor elements are provided for determining at least one analyte concentration in a body fluid. The sensor elements are at least partially implantable into a body tissue and have a substrate and at least two electrodes. One electrode is a working electrode having at least one conductive pad applied to the substrate and at least one electrically conductive sensor material is applied to the conductive pad that includes at least one detector substance adapted to perform an electrically detectable electrochemical detection reaction with the analyte. Another electrode is a counter electrode having at least one counter electrode conductive pad applied to the substrate. The sensor elements also include at least one electrically insulating material that surrounds at least the counter electrode on all sides, where a height of the electrically insulating material at least equals a height of the counter electrode conductive pad.

Abstract: A system for providing clinical decision support during a clinical encounter with a patient includes a mobile computing device and a remote computing device communicatively coupled to and remotely located from the mobile computing device, the remote computing device configured to receive clinical data during the clinical encounter from a medical device associated with the patient, provide a first interactive display including the clinical data, enable the mobile computing device to access the clinical data, receive user input based on the clinical data from the mobile computing device, and provide the user input and the clinical data at the first interactive display, where the mobile computing device is configured to access the clinical data, provide the clinical data at a second interactive display, prompt a user for the user input based on the clinical data via the second interactive display, and transmit the user input to the remote computing device.

Abstract: Examples for monitoring impedance of a hydrogel in an electrode. The electrode is applied to a patient to measure impedance through the patient's body. Hydrogel is used to conduct electrical signals between the patient's body and sensing circuitry of the electrode. The impedance of the hydrogel can change over time as the electrode is being worn. When the electrode is applied to a subject, the device measures the impedance of the hydrogel to determine a baseline value. This baseline value can then be used to calculate any necessary impedance corrections over the life of the electrode. Measurements are taken via a separate conductive trace that measures only impedance through the hydrogel and not from the patient's body. This allows for more accurate impedance readings to be taken with the electrode.

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: Technologies and implementations for a wearable healthcare system including a communication management module (CMM). The CMM may be configured to facilitate communication between a remote device and a wearable medical device (WMD), where the remote device may request second data from the WMD based upon first data provided by the CMM, request data periodically, request for on-demand data, stream live data, and/or may be capable of programming the WMD in a secure manner.

Abstract: Disclosed are a power circuit and an automated external defibrillator including the same. The power circuit may include a battery-driven power source, and a transformer comprising a primary winding and N secondary windings, wherein N is an integer greater than or equal to 2, and wherein the primary winding is electrically coupled to the power source. The power circuit may include N charging and discharging branches, wherein the N charging and discharging branches are respectively connected to the N secondary windings and are cascaded in sequence. The power circuit may include a plurality of electrode plates configured to be connected to an external load, wherein electrode plates of the plurality of electrode plates are electrically coupled to one or more output nodes of the N charging and discharging branches.

Abstract: A patient-worn ambulatory cardiac monitoring device for monitoring a patient during a patient activity includes at least one physiological sensor configured to detect signals indicative of cardiac activity, an activity sensor and associated circuitry configured to monitor patient movements, and a vibrational sensor configured to monitor a cardio-vibrational signal of the patient. The at least one physiological sensor can include one of an ECG sensor and a heart rate sensor. At least one processor in communication with the at least one physiological sensor, the activity sensor, and the vibrational sensor, is configured to measure, during the patient activity, at least one time interval between an ECG fiducial point in an ECG signal and a cardio-vibrational fiducial point in the cardio-vibrational signal during a cardiac cycle of the patient's heart.

Abstract: A patient monitoring device (20) employing an ECG monitor (24) and a controller (26). In operation, the ECG monitor (24) monitors a corrupted ECG waveform (30), and the controller (26) classifies the corrupted ECG waveform (30) as one of a non-shockable rhythm or a potentially shockable rhythm. The corrupted ECG waveform (30) is classified by the controller (26) as the non-shockable rhythm responsive to a detection by the controller (26) of a presence of an asystole rhythm within the corrupted ECG waveform (30). Conversely, the corrupted ECG waveform (30) is classified by the controller (26) as the potentially shockable rhythm responsive to a detection by the controller (26) of an absence of the asystole rhythm within the corrupted ECG waveform (30) or an indetermination by the controller (26) as to the presence of the asystole rhythm within the corrupted ECG waveform (30).

Abstract: In an aspect, an apparatus for procedural training is presented. An apparatus includes at least a processor and a memory communicatively connected to at least a processor. A memory contains instructions configuring at least a processor to receive optical data from a sensor comprising a machine vision system in electronic communication with the at least a processor, wherein the machine vision system is configured to identify at least one object within optical data. At least a processor is configured to determine a procedural performance parameter as a function of optical data wherein determining the procedural performance parameter comprises classifying the at least one object within optical data to an optical data category using an optical data classifier. At least a processor is configured to compare a procedural performance parameter to a procedural performance threshold. At least a processor is configured to display procedural training feedback through a display unit as a function of a comparison.

Abstract: A predictive diagnostic system (10) for a distributed population of automated external defibrillator (AED) devices comprises a plurality of AEDs (12) and a remote service provider (RSP) computer (14) configured to receive and transmit information pertaining to periodic AED self-tests. Each AED (121 to 12N) is provided with a controller for testing a readiness of the AED according to a self-test protocol. The RSP computer (i) analyzes self-test result data that includes functional measurement values of the periodic self-tests and which includes data from at least one failed AED (12N-2 to 12N) of the plurality, (ii) identifies an indicator of an impending fault or failure predictive of an impending AED device fault or failure in at least one non-failed AED (124) based on the analyzed data, and (iii) remotely modifies the self-test protocol of a sub-set (124) of the plurality of AEDs, based on the indicator, to pre-empt an occurrence of a self-test failure in the AED devices of the sub-set.

Abstract: The present invention relates an implantable pulse generator comprising an electric circuit, wherein the electric circuit comprises: a primary energy store, at least one secondary energy store, and a control unit, wherein the control unit is configured to activate an electric switch in the electric circuit in such a way that, in a first interval of a first phase of a pulse delivery, the primary energy store is discharged via a therapeutic current path, and to activate an electric switch in the electric circuit in such a way that, in a second interval of the first phase of the pulse delivery, the secondary energy store is discharged via the therapeutic current path, wherein the primary energy store and the at least one secondary energy store are fixedly connected, or connectable, in series, and wherein the implantable pulse generator is designed to deliver a shock having an approximately rectangular pulse waveform.

Abstract: A docking station for a medical device is described. In some examples, the docking station includes a frame and a base plate coupled to the frame. At least a portion of the base plate is coupled to a lower portion of the frame. In some examples, an electronic connector of the docking station is configured to couple to the medical device and to provide power to the medical device when the medical device is docked to the docking station. In some examples, a docking mechanism is coupled to an upper portion of the frame and configured to retain the medical device.

Abstract: Defibrillators, defibrillator architectures, defibrillator interface units and methods of operating defibrillators are described. In one aspect, a modular defibrillator architecture is described. A base unit provides a fully functional defibrillator. The functionality of the base unit can be supplemented by attaching an interface unit to the base unit. The defibrillator interface unit includes a housing, a communications module, a processing unit and a power storage unit. The housing is configured to be mounted on the base defibrillator unit to form at least a part of a unitary portable modular AED system. The communications module facilitates wireless communication between the AED and one or more remote servers. The processing unit includes at least one processor and is configured to receive communications from the base defibrillator unit. The power storage unit powers the interface unit including the communications module and the processing unit.

Abstract: AED pulse generation circuits that provide floating, adjustable, bias voltages for driving a solid-state defibrillation waveform therapy generator circuit are provided. The provided bias voltages allow to reverse polarity of provided electric shock to increase chances of successful defibrillation and survival. In one of the provided configurations, energy stored in the pulse capacitor can be discharged by activating the waveform therapy generator in the high-resistance transconductance region. The circuits can be positioned on a self-contained module potted with an insulating material to reduce unintended interactions with other AED components. Through the use of the disclosed circuits, AED size can be reduced to promote pocketability while simultaneously increasing AED reliability.

Abstract: Status messages are wirelessly broadcast from medical devices (e.g., defibrillators) as advertisements that don't require the establishment of a wireless connection with listeners. The listeners are configured to act on, or forward received status messages as appropriate. The listeners may optionally include supplemental information supplied by the listener device when forwarding a status message to a management server. The listener may optionally analyze received status messages to determine whether an action should be taken based at least in part on status information in the message. Actions performed by the listener may include initiating a connection with the transmitting device to facilitate uploading new information from the defibrillator, updating the defibrillator's firmware, etc. Optionally, some of the advertisements are configured as beacons. The advertisements/beacons may be transmitted using a Bluetooth Low Energy or other suitable protocols.

Abstract: The present invention relates to a lamp with a quick-release battery, which is technically characterized by including a lamp holder, a lamp body, and a battery pack. A battery compartment with an opening at one side and capable of allowing the battery pack to be inserted is arranged in the lamp holder, a sub-buckle is arranged on an end face of the battery pack, a clamping component capable of being clamped and mated with the sub-buckle is arranged on a corresponding side wall of the battery compartment, the clamping component includes a clamping box, a sliding block capable of sliding inside and outside is arranged in the clamping box, and an elastic female buckle capable of extending out or retracting into the clamping box and capable of being clamped and mated with the sub-buckle when retracting into the clamping box is arranged at an outer end of the sliding block.

Abstract: A system to deliver therapeutic energy to a patient, the system including a storage capacitor configured to store and release the therapeutic energy, a boost converter circuit coupled to the storage capacitor, and a current flow control circuit coupled to the boost converter circuit and including a plurality of control circuits configured to control a current output from the current flow control circuit in a therapeutic biphasic voltage waveform upon release of the therapeutic energy from the storage capacitor, wherein the therapeutic biphasic voltage waveform includes a ramped increase in voltage from approximately zero volts to a desired therapeutic voltage level over a time interval greater than 1 millisecond and less than a time associated with a phase switch.

Abstract: In one aspect, an example wearable cardioverter defibrillator (WCD) system implementing the disclosed techniques includes a support structure, the support structure configured to be worn by a subject. The WCD system also includes a consciousness detection module configured to determine whether the subject wearing the support structure is unconscious. The WCD system further includes an interactive bystander module configured to, responsive to a determination that the subject wearing the support structure is unconscious, generate a first voice prompt inquiring as to a presence of a bystander.

Abstract: A pocket size defibrillator case is described. The defibrillator case includes a circuit enclosure having a bottom surface surrounded by four walls forming a cavity to house an energy storage circuit. An electrode enclosure includes a bottom surface surrounded by four walls forming a cavity to house electrode pads and is stacked on top of the circuit enclosure. A cover includes a substantially flat surface positioned over the electrode enclosure and moveable to allow access only to the electrode enclosure.

Abstract: A leadless neurostimulation device having a header unit including at least one primary electrode having a contact surface that defines an external surface of the leadless neurostimulation device, a housing including a secondary electrode positioned on the same side of the leadless neurostimulation device as the at least one primary electrode, and a anchor device including at least one suture point for securing the leadless neurostimulation device to patient tissue or at least one protrusion nub configured to create mechanical resistance that impedes relative movement between wherein the leadless neurostimulation device and the patient tissue when implanted, where the at least one primary electrode and the secondary electrode are configured to transmit an electrical stimulation signal therebetween to provide electrical stimulation therapy to a target nerve of a patient.

Abstract: Systems to confirm authenticity of electrodes and to provide compatibility between a medical device and associated electrodes are described. The systems include an electrode connector that stores an authentication code that is accessible to the medical device when the electrode connector is coupled to the medical device. The medical device uses the authentication code to determine an authenticity of the coupled electrodes. The electrode connector also includes physical features of a housing that allow the electrode connector to couple to different versions (e.g., older and new models) of the type of medical device. This feature allows reverse compatibility of the electrode connector to different versions of medical devices.

Abstract: The present invention relates to a generator (G) for a substantially charge-balanced pulse for application onto at least one electrode pair (101) of a medical device, the generator comprising: a pulse-shaping output stage (POS) for coupling to the at least one electrode pair; an internal pulse generator for applying an internal pulse to the pulse-shaping output stage; wherein the pulse-shaping output stage comprises a transformer (T) and/or a capacitor system (CS) comprising at least one capacitor such that the internal pulse is transformed into a substantially charge-balanced pulse in the at least one electrode pair (I1) when coupled to the pulse-shaping output stage (POS). Further aspects relate to a catheter, a system, a method.

Abstract: A shared resource medical system for monitoring a patient during emergency situations includes a primary medical device including a processor configured to wirelessly receive and transmit data, at least one secondary medical device communicatively coupled to the primary medical device and configured to collect physiological information from a patient, and transmit the physiological information to the primary medical device, and a remote computing device disposed at a location remote from the primary medical device and the at least one secondary medical device, wherein the primary medical device is configured to receive the physiological information from the at least one secondary medical device, and transmit the physiological information to the remote computing device, and wherein the remote computing device is configured to monitor the physiological information collected by the at least one secondary medical device.

Abstract: A method of determining regularity of a bio-signal is provided. The method of determining regularity of a bio-signal according may include acquiring a plurality of pulse waveforms of the bio-signal, acquiring a plurality of slope waveforms corresponding to the plurality of pulse waveforms, binarizing the plurality of slope waveforms, acquiring synchronization information of the plurality of pulse waveforms based on binarizing the plurality of pulse waveforms; acquiring a synchronization rate of a reference interval based on the synchronization information, and determining whether the bio-signal is regular or irregular based on the synchronization rate of the reference interval.

Abstract: A wearable cardioverter defibrillator (WCD) comprises a plurality of electrocardiography (ECG) electrodes. An episode is opened responsive to a string of consecutive segments meeting one or more shock criteria, and a shockable rhythm is confirmed for the episode responsive to a subsequent string of consecutive segments meeting one or more confirmation criteria.

Abstract: Disclosed are a timeline-based navigation feature and a channel selection feature. The timeline-based navigation feature allows the user to visually identify significant events during an episode and quickly navigate the display of data to those significant events. Embodiments of such feature allow a user to quickly see that there is a shock delivered, for example, and click on that part of a timeline navigator to advance the detailed display of data to that point in the episode. The data channel selection feature enables selection of display channel(s) from among a set of available data channels. Embodiments of such feature enable a selection and/or deselection of various channels for display to minimize display of extraneous data and/or to select preferred channels of data for review.

Abstract: An external defibrillator for use in generating a defibrillation waveform is described. The external defibrillator includes a low voltage energy storage module having one or more low voltage ultra-capacitors that store low voltage energy. A pulse transformer converts the low voltage energy to high voltage defibrillation energy and provides the defibrillation energy to a pair of electrodes configured to be applied to a patient. A modulator receives the low voltage energy from the low voltage energy storage module and transfers the low voltage energy to the pulse transformer. The external defibrillator also includes a battery.

Abstract: Techniques and systems for monitoring cardiac arrhythmias and delivering electrical stimulation therapy using a subcutaneous implantable cardioverter defibrillator (SICD) and a leadless pacing device (LPD) are described. For example, the SICD may detect a tachyarrhythmia within a first electrical signal from a heart and determine, based on the tachyarrhythmia, to deliver anti-tachyarrhythmia shock therapy to the patient to treat the detected arrhythmia. The LPD may receive communication from the SICD requesting the LPD deliver anti-tachycardia pacing to the heart and determine, based on a second electrical signal from the heart sensed by the LPD, whether to deliver anti-tachycardia pacing (ATP) to the heart. In this manner, the SICD and LPD may communicate to coordinate ATP and/or cardioversion/defibrillation therapy. In another example, the LPD may be configured to deliver post-shock pacing after detecting delivery of anti-tachyarrhythmia shock therapy.

Abstract: A system and method for measuring, monitoring and mitigating EMI interference in an implanted stimulation lead system associated with an IPG. A Kelvin connection scheme operative with a diagnostic circuit is provided for sensing an interference voltage induced at a Kelvin connect electrode of the lead system, wherein the diagnostic circuit is configured to generate one or more control signals for adjusting in substantially real time a common-mode voltage reference provided to supply a biasing voltage to the IPG circuitry.

Abstract: A control apparatus for an implantable heart pump is provided, which comprises an implantable first control unit, which is electrically connected to the heart pump in a main operating state for controlling operating parameters of the heart pump. The control apparatus also comprises an interface, which is electrically connected to the first control unit and is intended to wirelessly transcutaneously transmit data and/or to wirelessly transcutaneously transmit energy between the first control unit and a further control unit provided for extracorporeal use. The control apparatus also comprises an implantable second control unit, which is electrically connected to the heart pump in an auxiliary operating state for controlling operating parameters of the heart pump, and an implantable switch, which is electrically connected to the first control unit and the second control unit. The switch is set up to change over between the main operating state and the auxiliary operating state.

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 method for determining respiratory rate from an audio respiratory signal comprising capturing the audio respiratory signal generated by a subject using a microphone. The method also comprises segmenting the audio respiratory signal into a plurality of overlapping frames. For each frame of the plurality of overlapping frames, the method comprises extracting a signal envelope, computing an auto-correlation function, computing an FFT spectrum from the auto-correlation function and computing a respiratory rate of the subject using the FFT spectrum.

Abstract: In one embodiment, a method to alert a user of a wearable cardioverter defibrillator (WCD) is described. The method includes detecting a condition requiring attention of the patient and issuing an alert to notify the patient of the condition. The method also includes receiving a first input from the patient to replay the audible portion of the alert and replaying the audible portion of the alert when the first input is received.

Abstract: An implantable device containing a plurality of batteries, the plurality of batteries including at least one first non-rechargeable battery, and at least one second rechargeable battery. A method for providing power for a Cardiac Contractility Modulation Implantable Cardioverter Defibrillator (ICD) device, the method including providing power for cardioversion or defibrillation operation by a first, non-rechargeable battery, and providing power for Cardiac Contractility Modulation operation by a second, rechargeable battery. A method for controlling power for an implantable device having a rechargeable battery, a non-rechargeable battery and a Cardioverter Defibrillator module, the method including measuring electric power level of the rechargeable battery, comparing the rechargeable battery level to a threshold, if the electric power level of the rechargeable battery is less than the threshold, then providing power for the device from the non-rechargeable battery.

Abstract: The present disclosure relates generally to a defibrillator assembly comprising a defibrillator having a first operating mode for delivering a high energy output to a patient and a second operating mode for monitoring the patient, a first battery unit operably coupled to the defibrillator, and a second battery unit operably coupled to the defibrillator. One of the first battery unit and the second battery unit provides power to the defibrillator during the second operating mode. Both the first battery unit and the second battery unit provide power to the defibrillator during the first operating mode.

Abstract: An example medical device system includes therapy delivery circuitry configured to deliver anti-tachycardia pacing (ATP) therapy to a heart of a patient via electrodes communicatively coupled to the therapy delivery circuitry. The ATP therapy includes one or more ATP trains. The medical device system also includes processing circuitry configured determine a first propagation time based on a comparison of features in a local electrogram and a far-field electrogram, such as the time from a fiducial point in the local electrogram and QRS onset in the far-field electrogram. The processing circuitry is also configured to determine, based on the first propagation time, a number of pulses to achieve a second propagation time and control the therapy delivery circuitry to deliver the ATP train of at least the number of pulses.