Wearable cardioverter defibrillator (WCD) system informing patient that it is validating just-detected cardiac arrhythmia

• US 9,757,579 B2
• Filed: 11/14/2015
• Issued: 09/12/2017
• Est. Priority Date: 02/25/2013
• Status: Active Grant

• Current Assignee: West Affum Holdings DAC
• Original Assignee: West Affum Holdings Corp
• Inventors: Foshee, Jr., Phillip D., Finch, David P., Gustavson, Laura M., Korsun, Nikolai, Sullivan, Joseph L., Kavounas, Gregory T.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Piateski, Erin M
• Application Number:
  US14/941,592
• Publication Number:
  US 20160082277A1
• Time in Patent Office: 668 Days
• Field of Search: 607 5
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: A61B 5/6805 Vests
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61N 1/0484 Garment electrodes worn by the patient
• CPC Class Codes: A61N 1/3904 External heart defibrillators [EHD]
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 1/3918 characterised by shock pathway, e.g. by electrode configuration
• CPC Class Codes: A61N 1/3968 Constructional arrangements, e.g. casings A61N1/375 takes precedence
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

In some embodiments, a wearable cardioverter defibrillator (“WCD”) system may output an opening human-perceptible indication, after detecting a shockable cardiac arrhythmia but before validating it. This may succeed in informing the patient that the WCD system is working, and in particular analyzing a just-detected cardiac arrhythmia. The information may give comfort and confidence to the patient who may be conscious, and be experiencing only ventricular tachycardia but not ventricular fibrillation.

Claims

1. A wearable cardioverter defibrillator (“

WCD”

) system, comprising;

a support structure configured to be worn by a patient;

a power source;

an energy storage module configured to receive an electrical charge from the power source, and to store the received electrical charge;

a discharge circuit coupled to the energy storage module, the discharge circuit controllable to discharge the stored electrical charge so as to cause a shock to be delivered to the patient while the support structure is worn by the patient;

a measurement circuit configured to render a physiological input from a patient physiological signal;

a user interface configured to output one or more human-perceptible indications; and

a processor configured to;

detect a cardiac arrhythmia of the patient from the physiological input;

determine whether or not the detected cardiac arrhythmia is validated according to whether or not the detected cardiac arrhythmia meets a validation criterion, the validation criterion including that the detected cardiac arrhythmia is maintained for a threshold validation time;

cause an opening human-perceptible indication to be output responsive to detecting the cardiac arrhythmia, prior to completing the determination of whether or not the detected cardiac arrhythmia has been thus validated according to the validation criterion; and

if the detected cardiac arrhythmia does not become thus validated according to the validation criterion, then control the discharge circuit to not deliver a shock for at least 25 min from when the opening human-perceptible indication was caused to be output;

else

if the detected cardiac arrhythmia does become thus validated according to the validation criterion, then cause a warning human-perceptible indication to be output, the warning human-perceptible indication configured to communicate that a shock will be delivered imminently, the warning human-perceptible indication distinct from the opening human-perceptible indication, and then control the discharge circuit to instead deliver a shock within 3 min from when the warning human-perceptible indication was caused to be output.

2. The WCD system of claim 1, in which

the opening human-perceptible indication includes a voice message.

3. The WCD system of claim 1, in which

the opening human-perceptible indication includes at least one vibration.

4. The WCD system of claim 1, in which

the opening human-perceptible indication is caused to be output for as long as it is being determined whether or not the cardiac arrhythmia is being thus validated according to the validation criterion.

5. The WCD system of claim 1, in which

the user interface is configured to receive a cancel input, and

even if the cardiac arrhythmia does become thus validated according to the validation criterion, the discharge circuit is controlled to instead not deliver a shock responsive to the cardiac arrhythmia, if a cancel input is received by the user interface within a time window after the warning human-perceptible indication is caused to be output.

6. A non-transitory computer-readable storage medium storing one or more programs which, when executed by at least one processor of a wearable cardioverter defibrillator (“

WCD”

) system, the WCD comprising a support structure configured to be worn by a patient, a power source, an energy storage module configured to receive an electrical charge from the power source, and to store the received electrical charge, a discharge circuit coupled to the energy storage module, the discharge circuit controllable to discharge the stored electrical charge so as to cause a shock to be delivered to the patient, a measurement circuit configured to render a physiological input from a patient physiological signal, a user interface and a processor, these one or more programs result in operations comprising;

detecting a cardiac arrhythmia of the patient from the physiological input;

determining whether or not the detected cardiac arrhythmia is validated according to whether or not the detected cardiac arrhythmia meets a validation criterion, the validation criterion including that the detected cardiac arrhythmia is maintained for a threshold validation time;

causing an opening human-perceptible indication to be output responsive to detecting the cardiac arrhythmia, prior to completing the determination of whether or not the detected cardiac arrhythmia has been thus validated according to the validation criterion; and

if the detected cardiac arrhythmia does not become thus validated according to the validation criterion, then controlling the discharge circuit to not deliver a shock for at least 25 min from when the opening human-perceptible indication was caused to be output;

else

if the detected cardiac arrhythmia does become thus validated according to the validation criterion, then causing a warning human-perceptible indication to be output, the warning human-perceptible indication configured to communicate that a shock will be delivered imminently, the warning human-perceptible indication distinct from the opening human-perceptible indication, and then controlling the discharge circuit to instead deliver a shock within 3 min from when the warning human-perceptible indication was caused to be output.

7. The medium of claim 6, in which

the opening human-perceptible indication includes a voice message.

8. The medium of claim 6, in which

the opening human-perceptible indication includes at least one vibration.

9. The medium of claim 6, in which

the opening human-perceptible indication is caused to be output for as long as it is being determined whether or not the cardiac arrhythmia is being thus validated according to the validation criterion.

10. The medium of claim 6, in which

the user interface is configured to receive a cancel input, and

even if the cardiac arrhythmia does become thus validated according to the validation criterion, the discharge circuit is controlled to instead not deliver a shock responsive to the cardiac arrhythmia, if a cancel input is received by the user interface within a time window after the warning human-perceptible indication is caused to be output.

11. A method for a wearable cardioverter defibrillator (“

WCD”

) system, the WCD comprising a support structure configured to be worn by a patient, a power source, an energy storage module configured to receive an electrical charge from the power source, and to store the received electrical charge, a discharge circuit coupled to the energy storage module, the discharge circuit controllable to discharge the stored electrical charge so as to cause a shock to be delivered to the patient, a measurement circuit configured to render a physiological input from a patient physiological signal, a user interface and a processor, the method comprising;

detecting a cardiac arrhythmia of the patient from the physiological input;

determining whether or not the detected cardiac arrhythmia is validated according to whether or not the detected cardiac arrhythmia meets a validation criterion, the validation criterion including that the detected cardiac arrhythmia is maintained for a threshold validation time;

causing an opening human-perceptible indication to be output responsive to detecting the cardiac arrhythmia, prior to completing the determination of whether or not the detected cardiac arrhythmia has been thus validated according to the validation criterion; and

if the detected cardiac arrhythmia does not become thus validated according to the validation criterion, then controlling the discharge circuit to not deliver a shock for at least 25 min from when the opening human-perceptible indication was caused to be output;

else

if the detected cardiac arrhythmia does become thus validated according to the validation criterion, then causing a warning human-perceptible indication to be output, the warning human-perceptible indication configured to communicate that a shock will be delivered imminently, the warning human-perceptible indication distinct from the opening human-perceptible indication, and then controlling the discharge circuit to instead deliver a shock within 3 min from when the warning human-perceptible indication was caused to be output.

12. The method of claim 11, in which

the opening human-perceptible indication includes a voice message.

13. The method of claim 11, in which

the opening human-perceptible indication includes at least one vibration.

14. The method of claim 11, in which

the opening human-perceptible indication is caused to be output for as long as it is being determined whether or not the cardiac arrhythmia is being thus validated according to the validation criterion.

15. The method of claim 11, in which

the user interface is configured to receive a cancel input, and

even if the cardiac arrhythmia does become thus validated according to the validation criterion, the discharge circuit is controlled to instead not deliver a shock responsive to the cardiac arrhythmia, if a cancel input is received by the user interface within a time window after the warning human-perceptible indication is caused to be output.