Wearable cardiac defibrillator system controlling conductive fluid deployment

• US 10,507,331 B2
• Filed: 01/09/2018
• Issued: 12/17/2019
• Est. Priority Date: 01/23/2013
• Status: Active Grant

• Current Assignee: West Affum Holdings DAC
• Original Assignee: West Affum Holdings Corp
• Inventors: Piha, Daniel Ralph, Sullivan, Joseph Leo, Foshee, Jr., Phillip Dewey, Finch, Daniel Peter, Banville, Isabelle, Gustavson, Laura Marie, Cowan, Kenneth Frederick, Nova, Richard C., Buchanan, Robert Reuben, Szul, Krystyna, Kavounas, Gregory T.
• Primary Examiner(s): Holmes, Rex R
• Application Number:
  US15/866,327
• Publication Number:
  US 20180147414A1
• Time in Patent Office: 707 Days
• CPC Class Codes: A61N 1/046 Specially adapted for shock therapy, e.g. defibrillation
• CPC Class Codes: A61N 1/0496 characterised by using specific chemical compositions, e.g. hydrogel compositions, adhesives
• CPC Class Codes: A61N 1/3625 External stimulators
• CPC Class Codes: A61N 1/3904 External heart defibrillators [EHD]
• CPC Class Codes: A61N 1/3918 characterised by shock pathway, e.g. by electrode configuration
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

In embodiments, a wearable cardiac defibrillator system includes an energy storage module configured to store a charge. Two electrodes can be configured to be applied to respective locations of a patient. One or more reservoirs can store one or more conductive fluids. Respective fluid deploying mechanisms can be configured to cause the fluids to be released from one or more of the reservoirs, which decreases the impedance at the patient location, and decreases discomfort for the patient. In some embodiments an impedance is sensed between the two electrodes, and the stored charge is delivered when the sensed impedance meets a discharge condition. In some embodiments, different fluids are released for different patient treatments. In some embodiments, fluid release is controlled to be in at least two doses, with an intervening pause.

Claims

1. A wearable defibrillator system, comprising:

a support structure configured to be worn by a patient;

an energy storage module configured to store a charge;

two electrodes coupled with the support structure and configured to be applied to two respective patient locations of the patient;

a reservoir coupled to the support structure and configured to store a fluid;

a fluid deploying mechanism configured to cause at least some of the fluid to be released from the reservoir and be deployed near at least one of the patient locations, so as to cause an impedance between the two electrodes to be decreased; and

an impedance measurement circuit configured to sense the decreased impedance, and

in which the stored charge is delivered to the patient via the electrodes responsive to a timeout threshold lapsing since at least some of the fluid has been caused to be released, or responsive to the sensed impedance meeting a discharge condition prior to the timeout threshold lapsing, the discharge condition being distinct from the timeout threshold lapsing, the stored charge thus being delivered to the patient responsive to the earlier of;

i) the timeout threshold lapsing, and

ii) the sensed impedance meeting the discharge condition prior to the timeout threshold lapsing.

2. The system of claim 1, in which

the discharge condition is that the sensed impedance has a value below a first threshold.

3. The system of claim 1, in which

the discharge condition is that the sensed impedance has a value that changes less than a threshold in a given amount of time.

4. The system of claim 1, in which

the reservoir includes an exit mechanism that has a directing tube.

5. The system of claim 1, in which

the fluid deploying mechanism includes a pump configured to pump the fluid out of the reservoir.

6. The system of claim 1, in which

an ECG measurement is taken via the electrodes.

7. The system of claim 1, further comprising:

a memory, and

in which a time profile of the sensed impedance is stored in the memory.

8. A non-transitory computer-readable storage medium storing one or more programs which, when executed by a defibrillator system including an energy storage module, an impedance measurement circuit, two electrodes configured to be applied to two respective patient locations of a patient, a reservoir containing fluid, and a fluid deploying mechanism, they result in operations comprising:

storing a charge;

causing at least some of the fluid to be released from the reservoir and be deployed near at least one of the patient locations, so as to cause an impedance between the two electrodes to be decreased;

sensing the decreased impedance; and

causing the charge to be delivered to the patient via the electrodes responsive to a timeout threshold lapsing since at least some of the fluid has been caused to be released, or responsive to the sensed impedance meeting a discharge condition prior to the timeout threshold lapsing, the discharge condition being distinct from the timeout threshold lapsing, the stored charge thus being delivered to the patient responsive to the earlier of;

i) the timeout threshold lapsing, and

ii) the sensed impedance meeting the discharge condition prior to the timeout threshold lapsing.

9. The medium of claim 8, in which

the discharge condition is that the sensed impedance has a value below a first threshold.

10. The medium of claim 8, in which

the discharge condition is that the sensed impedance has a value that changes less than a threshold in a given amount of time.

11. The medium of claim 8, in which executing the one or more programs further results in:

taking an ECG measurement via the electrodes.

12. The medium of claim 8, in which executing the one or more programs further results in:

outputting an alert if the sensed impedance decreases below an alert threshold.

13. A method for a defibrillator system including an energy storage module, an impedance measurement circuit, two electrodes configured to be applied to two respective patient locations of a patient, a reservoir containing fluid, and a fluid deploying mechanism, the method comprising:

storing a charge;

causing at least some of the fluid to be released from the reservoir and be deployed near at least one of the patient locations, so as to cause an impedance between the two electrodes to be decreased;

sensing the decreased impedance; and

delivering the charge to the patient via the electrodes responsive to a timeout threshold lapsing since at least some of the fluid has been caused to be released, or responsive to the sensed impedance meeting a discharge condition prior to the timeout threshold lapsing, the discharge condition being distinct from the timeout threshold lapsing, the stored charge thus being delivered to the patient responsive to the earlier of;

i) the timeout threshold lapsing, and

ii) the sensed impedance meeting the discharge condition prior to the timeout threshold lapsing.

14. The method of claim 13, in which

the discharge condition is that the sensed impedance has a value below a first threshold.

15. The method of claim 13, in which

the discharge condition is that the sensed impedance has a value that changes less than a threshold in a given amount of time.

16. The method of claim 13, further comprising:

taking an ECG measurement via the electrodes.

17. The method of claim 13, further comprising:

outputting an alert if the sensed impedance decreases below an alert threshold.

18. The method of claim 13, in which

a time profile of the sensed impedance is stored in a memory.

19. A wearable defibrillator system, comprising:

a support structure configured to be worn by a patient;

an energy storage module configured to store a charge;

two electrodes coupled with the support structure and configured to be applied to two respective patient locations of the patient;

a reservoir coupled to the support structure and configured to store a fluid;

a fluid deploying mechanism configured to cause at least some of the fluid to be released from the reservoir and be deployed near at least one of the patient locations, so as to cause an impedance between the two electrodes to be decreased; and

an impedance measurement circuit configured to sense the decreased impedance, and

in which the stored charge is delivered to the patient via the electrodes responsive to the earlier of;

i) the sensed impedance having a value below a first threshold, and

ii) a timeout threshold lapsing since at least some of the fluid has been caused to be released, even if the sensed impedance has a value above the first threshold.

20. The system of claim 19, in which

an ECG measurement is taken via the electrodes after at least some of the fluid has been thus released.

21. The system of claim 19, further comprising:

a memory, and

in which a plurality of values of the sensed impedance are stored in the memory after at least some of the fluid has been thus released.