Authentication of shock therapy deferral

• US 10,589,113 B2
• Filed: 11/15/2018
• Issued: 03/17/2020
• Est. Priority Date: 05/03/2016
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stahmann, Jeffrey E., Goldman, Dan C.
• Primary Examiner(s): Fairchild, Mallika D
• Application Number:
  US16/192,473
• Publication Number:
  US 20190083803A1
• Time in Patent Office: 488 Days
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37258 Alerting the patient
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock
• CPC Class Codes: A61N 1/3993 User interfaces for automatic external defibrillators

Abstract

The current technology relates to a shock deferral unit that is portable by an ambulatory patient. The shock deferral unit has a bi-directional communication device configured to receive a notification of an impending shock from a defibrillator and configured to send an instruction to defer the impending shock to the defibrillator. An authentication interface is configured to receive authentication data from a user. A user instruction interface is configured to receive the instruction to defer the impending shock from the user. An authentication device is configured to authenticate the user based on the authentication data and instruct the bi-directional communication device to send the instruction to defer a shock upon authentication and receipt of the instruction to defer the shock.

Claims

1. A shock deferral unit comprising:

a bi-directional communication device configured to receive a notification of an impending shock from a defibrillator and configured to send an instruction to defer the impending shock to the defibrillator;

an authentication interface configured to receive authentication data from a user;

a user instruction interface configured to receive the instruction to defer the impending shock from the user; and

an authentication device configured to authenticate the user based on the authentication data and instruct the bi-directional communication device to send the instruction to defer, for a deferral time, the impending shock upon authentication and receipt of the instruction to defer the shock, wherein the shock deferral unit is portable by an ambulatory patient;

wherein the authentication device is configured to calculate the remaining deferral time, wherein the remaining deferral time is a difference between the deferral time and a time elapsed since receiving an instruction from the user to defer the impending shock therapy;

wherein the authentication interface is configured to display the remaining deferral time.

2. The shock deferral unit of claim 1, wherein the bi-directional communication device is a radio.

3. The shock deferral unit of claim 1, further comprising a user interface configured to display the notification of the impending shock.

4. The shock deferral unit of claim 3, wherein the bi-directional communication device is configured to relay one or more physiological measurements sensed by the defibrillator to the user interface.

5. The shock deferral unit of claim 1, wherein the shock deferral unit is wearable by, manually holdable by, or pocketable by a patient.

6. The shock deferral unit of claim 1, wherein the authentication interface receives from the user textual, verbal, haptic, or biometric data authentication data.

7. A shock deferral system comprising:

a defibrillator configured to sense patient physiological measures, communicate a notification of impending shock, and deliver shock therapy; and

a bi-directional communication device configured to receive a notification of impending shock from the defibrillator and configured to send an instruction to defer the impending shock to the defibrillator;

an authentication interface configured to receive authentication data from a user;

a user instruction interface configured to receive the instruction to defer the impending shock from the user; and

an authentication device configured to receive the authentication data from the authentication interface, and authenticate the user based on the authentication data;

wherein the defibrillator is configured to defer, for a deferral time, the impending shock upon authentication by the authentication device and receipt of the instruction to defer the shock, wherein the authentication interface and the user instruction interface are portable by an ambulatory patient;

wherein the authentication device is configured to calculate the remaining deferral time, wherein the remaining deferral time is a difference between the deferral time and a time elapsed since receiving an instruction from the user to defer the impending shock therapy;

wherein the authentication interface is configured to display the remaining deferral time.

8. The shock deferral system of claim 7, wherein the defibrillator comprises the authentication device.

9. The shock deferral system of claim 7, wherein the authentication interface is configured to receive authentication data from a user and the user instruction interface is configured to send the instruction to defer shock within a 60-second time period.

10. The shock deferral system of claim 7, wherein the authentication device is configured to authenticate the user each time the shock deferral unit receives a notification of impending shock from the defibrillator.

11. The shock deferral system of claim 7, wherein the bi-directional communication device is configured to relay one or more physiological measurements sensed by the defibrillator to a user interface.

12. A method comprising:

relaying a notification of impending shock therapy from a defibrillator to a user interface, wherein the user interface is portable by an ambulatory patient;

receiving authentication data from a user through an authentication interface in response to relaying the notification;

authenticating the user with the received authentication data;

receiving an instruction from the user to defer the impending shock therapy through a user input device;

sending the received instruction to the defibrillator to defer, for a deferral time, the impending shock therapy upon authentication; and

after sending the received instruction to the defibrillator to defer, communicating a remaining deferral time, wherein the remaining deferral time is a difference between the deferral time and a time elapsed since receiving an instruction from the user to defer the impending shock therapy.

13. The method of claim 12 wherein the user interface is wearable by, manually holdable by, or pocketable by a patient.

14. The method of claim 12, wherein receiving authentication data from a user occurs within 60 seconds of relaying the notification of impending shock.

15. The method of claim 12, wherein the authentication interface is a biometric sensor, a microphone, or a manual user data entry device.

16. The method of claim 12 further comprising relaying a notification of at least one of:

physiological measurements sensed by the defibrillator and shock deferral status to the user interface.

17. The method of claim 12 wherein the instruction from the user is received through at least one of:

a watch, a pendant, a bracelet, eyeglasses, headphones, a mobile phone, a pen, a card, a box, and an adhesive accessory.

18. The method of claim 12 wherein sending the received instruction to the defibrillator is through radio frequency.

19. The method of claim 12 further comprising entering a training mode comprising soliciting a user for authentication data absent a notification of impending shock therapy.

20. The method of claim 19 wherein the user interface is wearable by, manually holdable by, or pocketable by a patient.