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公开(公告)号:US11707632B2
公开(公告)日:2023-07-25
申请号:US17157671
申请日:2021-01-25
发明人: Joseph Leo Sullivan , Jaeho Kim
CPC分类号: A61N1/3987 , A61N1/0484 , A61N1/3904 , A61N1/39046 , A61N1/3975 , A61N1/3993 , A61B5/352 , A61B5/7203
摘要: In embodiments a WCD system is worn and/or carried by an ambulatory patient. The WCD system analyzes an ECG signal of the patient, to determine whether or not the patient should be given an electric shock to restart their heart. If so, then the WCD system first gives a preliminary alarm to the patient, asking them to prove they are alive if they are. The WCD system further determines whether the ECG signal contains too much High Amplitude (H-A) noise, which can distort the analysis of the ECG signal. If too much H-A noise is detected for a long time, the WCD system may eventually alert the patient about their activity, so that the ECG noise may be abated. The WCD system may even pause the analysis of the ECG signal, so that there will be no preliminary alarms that could be false until the ECG noise is abated.
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公开(公告)号:US20230084089A1
公开(公告)日:2023-03-16
申请号:US17945966
申请日:2022-09-15
发明人: Jaeho Kim
摘要: Technologies and implementations for a wearable medical device (WMD). The technologies and implementations facilitate improved comfort and usability of WMDs. Additionally, the technologies and implementations include WMDs having wearable cardioverter defibrillator capabilities.
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公开(公告)号:US11344718B2
公开(公告)日:2022-05-31
申请号:US16712208
申请日:2019-12-12
发明人: Jaeho Kim
摘要: Embodiments of a wearable cardioverter defibrillator (WCD) system include a support structure for wearing by an ambulatory patient, a posture detector and at least one processor. When worn, the support structure maintains electrodes on the patient's body, and using the posture detector and the patient's ECG received via the electrodes, the processor determines the patient's posture, formulates posture-based templates of QRS complexes, and the patient's heart rate. The processor can use these determinations to distinguish between VT and SVT and make no-shock, and shock decisions.
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公开(公告)号:US20220105351A1
公开(公告)日:2022-04-07
申请号:US17490296
申请日:2021-09-30
发明人: Jaeho Kim , Gregory T. Kavounas
摘要: A wearable cardioverter defibrillator (WCD) system is adapted for use by an ambulatory patient who already has an implanted pacemaker. If implanted, such a pacemaker may occasionally be emitting, without the knowledge of the WCD system, pacing signals that may be adding pacing artifacts to the ECG signal. The WCD system may use multiple electrodes to sense ECG signals along multiple vectors that have channels. In embodiments, the WCD system identifies a preferred one of its available channels according to how easily the pacing artifacts are detected within its ECG signal. When the patient's parameters indicate that an alert criterion is met, the WCD system may attempt to read the ECG signal from the preferred channel first. This way the WCD system may be able to identify faster the pacing artifacts, and therefore analyze the ECG signal faster, with an opportunity to react faster to the alert criterion being met.
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公开(公告)号:US20220007988A1
公开(公告)日:2022-01-13
申请号:US17487339
申请日:2021-09-28
发明人: Joseph L. Sullivan , Jaeho Kim
摘要: A wearable cardioverter defibrillator (WCD) including a support structure configured to be worn by an ambulatory patient, an energy storage module configured to store an electrical charge, a discharge circuit coupled to the energy storage module, electrodes configured to render an electrocardiogram (ECG) signal of the patient while the patient is wearing the support structure, a user interface configured to output an alarm in response to a noise alarm signal, and a processor. The processor is configured to receive the ECG signal, determine whether noise is present on the ECG signal, determine from the ECG signal whether a shock criterion is met, and cause the user interface to generate the noise alarm signal when the noise is present on the ECG signal and the shock criterion is met and not generate the noise alarm signal when noise is present on the ECG signal and the shock criterion is not met.
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公开(公告)号:US11058884B2
公开(公告)日:2021-07-13
申请号:US16392541
申请日:2019-04-23
发明人: Jaeho Kim , Pamela Breske , Gregory T. Kavounas
IPC分类号: A61N1/39 , A61B5/046 , A61B5/0408 , A61B5/04 , A61B5/25 , A61B5/316 , A61B5/349 , A61B5/361 , A61B5/00 , A61B5/352 , A61B5/363 , A61B5/364 , A61B5/366
摘要: In embodiments, a wearable medical (WM) system includes ECG electrodes, and a support structure that can be worn by an ambulatory patient so as to maintain the ECG electrodes on the patient's body. When thus maintained, the ECG electrodes can be configured to sense an ECG signal of the ambulatory patient. The WM system further includes a memory that stores a reference template, and an output device. The reference template can be made from one or more early portions of the ECG signal of the patient. Then later portions of the ECG signal are sensed and compared against the reference template, to determine if there is a specific problem. If it is so determined, the output device can output an alert.
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公开(公告)号:US20210052180A1
公开(公告)日:2021-02-25
申请号:US16998132
申请日:2020-08-20
发明人: Jaeho Kim
IPC分类号: A61B5/0472 , A61B5/00 , A61B5/046 , A61B5/0456 , A61B5/0408 , A61B5/04
摘要: In one example, a cardiac monitoring system, comprises a processor to receive a segment of an electrocardiogram (ECG) signal of a patient, and a memory to store the segment of the ECG. The processor is configured to identify QRS complexes in the segment of the ECG signal, compare the QRS complexes in the segment to the other QRS complexes in the segment to identify a main template QRS complex, identify the QRS complexes in the segment that are similar to the main template, determine RR intervals between consecutive similar QRS complexes to calculate RR variability in the RR intervals, and detect atrial fibrillation (AF) in the segment when RR variability is greater than a threshold value. Other examples and related methods are also disclosed herein.
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公开(公告)号:US20190209853A1
公开(公告)日:2019-07-11
申请号:US16158174
申请日:2018-10-11
发明人: Jaeho Kim , Joseph L. Sullivan , Robert P. Marx
CPC分类号: A61N1/3987 , A61B5/046 , A61B5/0464 , A61B5/11 , A61B5/4836 , A61B5/6805 , A61B2562/0219 , A61N1/046 , A61N1/0484 , A61N1/39046 , A61N1/3925 , A61N1/3993
摘要: A wearable medical includes a walking detector module with a motion sensor that is configured to detect when the patient is walking or running. In embodiments, a parameter (referred to herein as a “Bouncy” parameter) is determined from Y-axis acceleration measurements. In some embodiments, the Bouncy parameter is a measurement of the AC component of the Y-axis accelerometer signal. This detection can be used by the medical device to determine how and/or whether to provide treatment to the patient wearing the medical device. For example, when used in a WCD, the walking detector can prevent “false alarms” because a walking patient is generally conscious and not in need of a shock.
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公开(公告)号:US20190143133A9
公开(公告)日:2019-05-16
申请号:US15863551
申请日:2018-01-05
发明人: Phillip D. Foshee, JR. , David P. Finch , Pamela Breske , Laura M. Gustavson , Joseph L. Sullivan , Jaeho Kim
摘要: A wearable cardioverter defibrillator (WCD) having a processor configured to receive a signal indicating a position and/or movement of the ambulatory patient while the ambulatory patient is wearing the support structure receive the ECG signal, determine from an ECG signal whether a shock criterion is met, determine a confirmation time period and/or a response time period based on the position and/or movement of the ambulatory patient, determine from the ECG signal whether the shock criterion is met after the confirmation time period has elapsed, cause the user interface to generate the shock alert signal based on the shock criterion determined after the confirmation time period has elapsed, and control the discharge circuit to discharge the stored electrical charge when a predetermined time period has elapsed after the shock alert signal.
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公开(公告)号:US20180185662A1
公开(公告)日:2018-07-05
申请号:US15863551
申请日:2018-01-05
发明人: Phillip D. Foshee, JR. , David P. Finch , Pamela Breske , Laura M. Gustavson , Joseph L. Sullivan , Jaeho Kim
CPC分类号: A61N1/3987 , A61B5/024 , A61B5/02438 , A61B5/0402 , A61B5/046 , A61B5/0816 , A61B5/1116 , A61B5/1117 , A61B5/4809 , A61B5/4812 , A61B5/4836 , A61B5/6823 , A61B5/7203 , A61B5/7275 , A61B5/746 , A61B7/00 , A61N1/3904 , A61N1/3925 , A61N1/3993
摘要: A wearable cardioverter defibrillator (WCD) having a processor configured to receive a signal indicating a position and/or movement of the ambulatory patient while the ambulatory patient is wearing the support structure receive the ECG signal, determine from an ECG signal whether a shock criterion is met, determine a confirmation time period and/or a response time period based on the position and/or movement of the ambulatory patient, determine from the ECG signal whether the shock criterion is met after the confirmation time period has elapsed, cause the user interface to generate the shock alert signal based on the shock criterion determined after the confirmation time period has elapsed, and control the discharge circuit to discharge the stored electrical charge when a predetermined time period has elapsed after the shock alert signal.
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