Wearable cardiac defibrillator system controlling conductive fluid deployment

• US 9,345,898 B2
• Filed: 01/22/2014
• Issued: 05/24/2016
• 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, Phillip Dewey Jr., 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:
  US14/161,269
• Publication Number:
  US 20140207201A1
• Time in Patent Office: 853 Days
• US Class Current: 1/1
• 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;

a processor configured to make a determination as to whether the patient needs one of a first electrical therapy and a second electrical therapy distinct from the first electrical therapy;

two electrodes coupled with the support structure, configured to be applied to the patient at respective patient locations and to deliver the stored charge at the patient locations for administering the needed one of the first electrical therapy and the second electrical therapy, in which at least one of the electrodes includes a conductive pad and a fluid retention structure coupled with the conductive pad;

an impedance measurement circuit configured to sense an impedance between the two electrodes, in which the stored charge is delivered after the sensed impedance meets a discharge condition;

a user interface configured to output an alert if the sensed impedance decreases below an alert threshold;

a first reservoir distinct from the fluid retention structure and coupled to the support structure and configured to store a first fluid;

a first fluid deploying mechanism configured to cause at least some of the first fluid to be released from the first reservoir and be deployed near at least one of the patient locations if the determination is that the first electrical therapy is needed, in which the first fluid, when released, soaks the fluid retention structure by a capillary effect and/or a wicking effect;

a second reservoir distinct from the fluid retention structure and coupled to the support structure and configured to store a second fluid different from the first fluid;

a second fluid deploying mechanism configured to cause at least some of the second fluid to be released from the second reservoir and be deployed near at least one of the patient locations if the determination is that the second electrical therapy is needed.

2. The system of claim 1, in which

the fluid retention structure includes a sponge and/or a piece of cellulose.

3. The system of claim 1, in which

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

4. 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.

5. The system of claim 1, in which

the discharge condition is that a timeout threshold has lapsed, since causing at least some of the fluid to be released.

6. The system of claim 1, further comprising:

a memory, and

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

7. A wearable defibrillator system, comprising:

a support structure configured to be worn by a patient;

an energy storage module configured to store a charge;

a processor configured to make a determination as to whether the patient needs one of a first electrical therapy and a second electrical therapy distinct from the first electrical therapy;

two electrodes coupled with the support structure, configured to be applied to the patient at respective patient locations and to deliver the stored charge at the patient locations for administering the needed one of the first electrical therapy and the second electrical therapy;

an impedance measurement circuit configured to sense an impedance between the two electrodes, in which the stored charge is delivered after the sensed impedance meets a discharge condition;

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

a first fluid deploying mechanism configured to cause at least some of the first fluid to be released from the first reservoir and be deployed near at least one of the patient locations if the determination is that the first electrical therapy is needed;

a second reservoir coupled to the support structure and configured to store a second fluid different from the first fluid; and

a second fluid deploying mechanism configured to cause at least some of the second fluid to be released from the second reservoir and be deployed near at least one of the patient locations if the determination is that the second electrical therapy is needed, and

in which the discharge condition is that a timeout threshold has lapsed, since at least some of the fluid has been caused to be released.

8. The system of claim 7, in which

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

9. The system of claim 7, 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.

10. The system of claim 7, further comprising:

a user interface configured to output an alert if the sensed impedance decreases below an alert threshold.

11. The system of claim 7, further comprising:

a memory, and

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