Wearable cardioverter defibrillator (WCD) system informing patient that it will not shock responsive to just-self-terminated cardiac arrhythmia

• US 10,426,966 B2
• Filed: 08/09/2017
• Issued: 10/01/2019
• 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:
  US15/673,184
• Publication Number:
  US 20170368363A1
• Time in Patent Office: 783 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 a closing human-perceptible indication, after detecting a shockable cardiac arrhythmia, and after further determining that it will not shock. This may succeed in informing the patient that the WCD system will not deliver a shock responsive to the cardiac arrhythmia, which may have just self-terminated. The information may give comfort to the patient who may be conscious, and may recognize that his or her ventricular tachycardia has self-terminated. Moreover, the patient will know that he or she will not be unnecessarily shocked while conscious, and will not even need to press a cancel switch.

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 discharge circuit coupled to the energy storage module, the discharge circuit controllable to discharge the electrical charge so as to cause a shock to be delivered to the patient;

a measurement circuit configured to render physiological inputs from an ElectroCardioGram (ECG) signal of the patient;

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 one of the physiological inputs;

then determine, from a subsequent one of the physiological inputs, whether or not the detected cardiac arrhythmia is validated according to a validation criterion; and

if the detected cardiac arrhythmia is not so validated, then cause a closing human-perceptible indication to be output, the closing human-perceptible indication configured to communicate to the patient that it was decided not to shock responsive to the detected cardiac arrhythmia, and to further control the discharge circuit to not deliver a shock for at least 25 min from when it was determined that the detected cardiac arrhythmia is not so validated;

else if the detected cardiac arrhythmia is so validated, control the discharge circuit to instead deliver a shock within 2.5 min from when it was determined that the detected cardiac arrhythmia is so validated.

2. The WCD system of claim 1, in which

the validation criterion includes that the detected cardiac arrhythmia is determined to be maintained for a validation time from the other one of the physiological inputs.

3. The WCD system of claim 1, in which

the processor is further configured to:

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 is so validated.

4. The WCD system of claim 1, in which

the closing human-perceptible indication includes a voice message.

5. The WCD system of claim 1, in which

the closing human-perceptible indication includes a vibration.

6. The WCD system of claim 1, in which

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

if the detected cardiac arrhythmia is so validated a warning human-perceptible indication is caused to be output that is distinct from the closing human-perceptible indication, and

even if the detected cardiac arrhythmia is so validated, the discharge circuit is controlled to instead not deliver a shock responsive to the detected 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.

7. 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 and controllable to discharge the stored electrical charge so as to cause a shock to be delivered to the patient, a measurement circuit rendering physiological inputs from an ElectroCardioGram (ECG) signal of the patient, a user interface and a processor, these one or more programs result in operations comprising;

detecting a cardiac arrhythmia of the patient from one of the physiological inputs;

then determining, from a subsequent one of the physiological inputs, whether or not the detected cardiac arrhythmia is validated according to a validation criterion, the validation criterion including that the detected cardiac arrhythmia is maintained for a validation time; and

if the detected cardiac arrhythmia is not so validated, then causing a closing human-perceptible indication to be output, the closing human-perceptible indication configured to communicate to the patient that it was decided not to shock responsive to the detected cardiac arrhythmia, and further controlling the discharge circuit to not deliver a shock for at least 25 min from when it was determined that the detected cardiac arrhythmia is not so validated;

else if the detected cardiac arrhythmia is so validated, control the discharge circuit to instead deliver a shock within 7.5 min from when it was determined that the detected cardiac arrhythmia is so validated.

8. The medium of claim 7, in which

if the detected cardiac arrhythmia is so validated, the discharge circuit is controlled to instead deliver a shock within 2.5 min from when it was determined that the detected cardiac arrhythmia is so validated.

9. The medium of claim 7, in which

the validation criterion includes that the detected cardiac arrhythmia is determined to be maintained for a validation time from the other one of the physiological inputs.

10. The medium of claim 7, in which when the one or more programs are executed by the at least one processor, the operations further comprise:

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 is so validated.

11. The medium of claim 7, in which

the closing human-perceptible indication includes a voice message.

12. The medium of claim 7, in which

the closing human-perceptible indication includes a vibration.

13. The medium of claim 7, in which

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

if the detected cardiac arrhythmia is so validated a warning human-perceptible indication is caused to be output that is distinct from the closing human-perceptible indication, and

even if the detected cardiac arrhythmia is so validated, the discharge circuit is controlled to instead not deliver a shock responsive to the detected 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.

14. 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 and controllable to discharge the stored electrical charge so as to cause a shock to be delivered to the patient, a measurement circuit rendering physiological inputs from an ElectroCardioGram (ECG) signal of the patient, a user interface and a processor, the method comprising;

detecting a cardiac arrhythmia of the patient from one of the physiological inputs;

then determining, from a subsequent one of the physiological inputs, whether or not the detected cardiac arrhythmia is validated according to a validation criterion; and

if the detected cardiac arrhythmia is not so validated, then causing a closing human-perceptible indication to be output, the closing human-perceptible indication configured to communicate to the patient that it was decided not to shock responsive to the detected cardiac arrhythmia, and further controlling the discharge circuit to not deliver a shock for at least 25 min from when it was determined that the detected cardiac arrhythmia is not so validated;

else if the detected cardiac arrhythmia is so validated, control the discharge circuit to instead deliver a shock within 2.5 min from when it was determined that the detected cardiac arrhythmia is so validated.

15. The method of claim 14, in which

the validation criterion includes that the detected cardiac arrhythmia is determined to be maintained for a validation time from the other one of the physiological inputs.

16. The method of claim 14, further comprising:

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 is so validated.

17. The method of claim 14, in which

the closing human-perceptible indication includes a voice message.

18. The method of claim 14, in which

the closing human-perceptible indication includes a vibration.

19. The method of claim 14, in which

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

if the detected cardiac arrhythmia is so validated a warning human-perceptible indication is caused to be output that is distinct from the closing human-perceptible indication, and

even if the detected cardiac arrhythmia is so validated, the discharge circuit is controlled to instead not deliver a shock responsive to the detected 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.