Wearable multiphasic cardioverter defibrillator system and method

• US 10,279,189 B2
• Filed: 06/12/2014
• Issued: 05/07/2019
• Est. Priority Date: 06/14/2013
• Status: Active Grant

• Current Assignee: CardioThrive, Inc.
• Original Assignee: CardioThrive, Inc.
• Inventors: Raymond, Douglas M., Gray, Peter D., Savage, Walter T., Savage, Shelley J.
• Primary Examiner(s): Holmes, Rex R
• Application Number:
  US14/303,543
• Publication Number:
  US 20140371806A1
• Time in Patent Office: 1,790 Days
• CPC Class Codes: A61N 1/046 Specially adapted for shock therapy, e.g. defibrillation
• CPC Class Codes: A61N 1/0484 Garment electrodes worn by the patient
• CPC Class Codes: A61N 1/3906 characterised by the form of the shockwave
• CPC Class Codes: A61N 1/3968 Constructional arrangements, e.g. casings A61N1/375 takes precedence

Abstract

A wearable, multiphasic cardioverter defibrillator system and method are provided.

Claims

1. A wearable automated external defibrillator, comprising:

two or more defibrillation modules that are wearable on one of a body and a limb of a patient, each defibrillation module having a defibrillation subsystem, the two or more defibrillation modules each having a housing, a power source and an energy reservoir in the housing and a patient interface assembly integrated into the housing of each defibrillation module, a first defibrillation module generating more than one positive pulses of a multiphasic therapeutic pulse and a second defibrillation module generating more than one negative pulses of the multiphasic therapeutic pulse;

the patient interface assembly of each defibrillation module being wearable on one of a body and a limb of a patient;

each patient interface assembly making contact with a piece of skin of the patient; and

wherein the two or more defibrillation modules are capable of delivering the multiphasic therapeutic pulse to the patient through the patient interface assemblies of the two or more defibrillation modules.

2. The defibrillator of claim 1, wherein each defibrillation module is flexible and conformable to a shape of one of the body and the limb of the patient when worn on the one of the body and the limb of the patient.

3. The defibrillator of claim 1, wherein each defibrillation module has a portion of an H-bridge circuit.

4. The defibrillator of claim 3, wherein the two or more defibrillation modules each have a portion of an H-bridge circuit so that the portions of the H-bridge circuit form a complete H-bridge circuit.

5. The defibrillator of claim 3, wherein the two or more defibrillation modules are electrically interconnected to each other.

6. The defibrillator of claim 5, wherein the two or more defibrillation modules are electrically interconnected to each other through an electrical bus.

7. The defibrillator of claim 5, wherein the two or more defibrillation modules are electrically interconnected to each other through a dynamic switching system.

8. The defibrillator of claim 5, wherein the two or more defibrillation modules are electrically interconnected directly to each other.

9. The defibrillator of claim 1, wherein each defibrillation module has an energy level for a predetermined number of therapeutic shocks.

10. The defibrillator of claim 1, wherein each defibrillation module has one of a rechargeable energy source and a replaceable energy source.

11. The defibrillator of claim 1, wherein each defibrillation module has a rechargeable energy source and a replaceable energy source.

12. The defibrillator of claim 1, wherein each defibrillation module has a waterproof housing.

13. The defibrillator of claim 1, wherein each patient interface assembly has an adhesive on or around the patient interface assembly to help keep the patient interface assembly in place while being worn.

14. The defibrillator of claim 1, wherein the therapeutic shock is used to treat one of defibrillation, pacing and cardioversion.

15. The defibrillator of claim 1 further comprising one or more of a sensor, location sensing circuitry, communications circuitry, an additional energy source and data storage.

16. The defibrillator of claim 15 further comprising one or more of an external data storage and a remote processing capability.

17. The defibrillator of claim 1 further comprising one of a harness, a garment and one or more adjustable straps.

18. The defibrillator of claim 1, wherein each defibrillation module further comprises at least one controller, at least one switch, at least one voltage transformer and circuitry in the housing.

22. The defibrillator of claim 1 further comprising a switching circuit that switches between the first defibrillation module and the second defibrillation module to combine the more than one positive pulses and the more than one negative pulses to form the generated multiphasic therapeutic pulse.

19. A defibrillation method, comprising:

providing two or more defibrillation modules that are wearable on one of a body and a limb of a patient wherein each defibrillation module has a housing, a defibrillation subsystem in the housing and at least one patient interface assembly integrated into the housing of each defibrillation module that makes contact with a piece of skin of the patient;

generating, collectively by the two or more defibrillation modules each having a power source and an energy reservoir in the housing, a multiphasic therapeutic pulse, wherein a first defibrillation module generates more than one positive pulses of the multiphasic therapeutic pulse and a second defibrillation module generating more than one negative pulses of the multiphasic therapeutic pulse; and

delivering the multiphasic therapeutic pulse to the patient through the patient interface assemblies of the two or more defibrillation modules.

20. The method of claim 19 further comprising wearing each defibrillation module on the one of the body and the limb of the patient.

21. The method of claim 19 further comprising treating one of defibrillation, pacing and cardioversion using the multiphasic therapeutic shock.

23. The method of claim 19, wherein generating the multiphasic therapeutic pulse further comprises switching between the first defibrillation module and the second defibrillation module to combine the more than one positive pulses and the more than one negative pulses to form the generated multiphasic therapeutic pulse.