Wearable cardiac defibrillator system with impedance measurement circuit to control conductive fluid deployment

Patent metadata

Field	Value
Publication number	US-9700733-B2
Application number	US-201615384101-A
Country	US
Kind code	B2
Filing date	Dec 19, 2016
Priority date	Jan 23, 2013
Publication date	Jul 11, 2017
Grant date	Jul 11, 2017

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.

First claim

What is claimed is:

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;
two electrodes coupled with the support structure and configured to be applied to two respective patient locations of the patient;
a reservoir coupled to the support structure and configured to store a fluid;
a fluid deploying mechanism configured to cause at least some of the fluid to be released from the reservoir and be deployed near at least one of the patient locations, so as to cause an impedance between the two electrodes to be decreased; and
an impedance measurement circuit configured to sense the decreased impedance, and
in which the stored charge is delivered to the patient locations via the electrodes after the sensed impedance meets a discharge condition, and
the fluid releasing mechanism is caused to release some more of the fluid, if the impedance is sensed to be above a second threshold.

2. The system of claim 1 , further comprising:
a processor configured to cause the stored charge to be delivered, when the discharge condition is met.

3. The system of claim 1 , in which
the reservoir includes an exit mechanism that has a directing tube.

4. The system of claim 1 , in which
the fluid deploying mechanism includes a pump configured to pump the fluid out of the reservoir.

5. The system of claim 1 , in which
an ECG measurement is taken via the electrodes.

6. The system of claim 1 , in which
the discharge condition is that the sensed impedance has a value below a first threshold.

7. The system of claim 6 , in which
a determination is made that the charge needs to be delivered, and
the first threshold has a first value if the needed delivery of the charge is appropriate for a first electrical therapy, and
the first threshold has a second value different from the first value if the needed delivery of the charge is appropriate for a second electrical therapy.

8. The system of claim 7 , in which
the first electrical therapy is defibrillation and the second electrical therapy is pacing.

9. 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.

10. 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.

11. The system of claim 1 , further comprising:
a user interface configured to output an alert if the sensed impedance decreases below an alert threshold.

12. The system of claim 1 , further comprising:
a memory, and
in which a time profile of the sensed impedance is stored in the memory.

13. A non-transitory computer-readable storage medium storing one or more programs which, when executed by a defibrillator system including an energy storage module, an impedance measurement circuit, two electrodes configured to be applied to two respective patient locations of a patient, a reservoir containing fluid, and a fluid deploying mechanism, they result in operations comprising:
storing a charge;
causing at least some of the fluid to be released from the reservoir and be deployed near at least one of the patient locations, so as to cause an impedance between the two electrodes to be decreased;
sensing the decreased impedance; and
causing the charge to be delivered to the patient locations via the electrodes after the sensed impedance meets a discharge condition, and
in which the fluid releasing mechanism is caused to release some more of the fluid, if the impedance is sensed to be above a second threshold.

14. The medium of claim 13 , in which executing the one or more programs further results in:
taking an ECG measurement via the electrodes.

15. The medium of claim 13 , in which executing the one or more programs further results in:
the discharge condition is that the sensed impedance has a value below a first threshold.

16. The medium of claim 15 , in which executing the one or more programs further results in:
making a determination that the charge needs to be delivered, and in which
the first threshold has a first value if the needed delivery of the charge is appropriate for a first electrical therapy, and
the first threshold has a second value different from the first value if the needed delivery of the charge is appropriate for a second electrical therapy.

17. The medium of claim 16 , in which
the first electrical therapy is defibrillation and the second electrical therapy is pacing.

18. The medium of claim 13 , in which executing the one or more programs further results in:
the discharge condition is that the sensed impedance has a value that changes less than a threshold in a given amount of time.

19. The medium of claim 13 , in which
the discharge condition is that a timeout threshold has lapsed, since causing at least some of the fluid to be released.

20. The medium of claim 13 , in which executing the one or more programs further results in:
outputting an alert if the sensed impedance decreases below an alert threshold.

21. The medium of claim 13 , in which
a time profile of the sensed impedance is stored in a memory.

22. A method for a defibrillator system including an energy storage module, an impedance measurement circuit, two electrodes configured to be applied to two respective patient locations of a patient, a reservoir containing fluid, and a fluid deploying mechanism, the method comprising:
storing a charge;
causing at least some of the fluid to be released from the reservoir and be deployed near at least one of the patient locations, so as to cause an impedance between the two electrodes to be decreased;
sensing the decreased impedance; and
causing the charge to be delivered to the patient locations via the electrodes after the sensed impedance meets a discharge condition, and
in which the fluid releasing mechanism is caused to release some more of the fluid, if the impedance is sensed to be above a second threshold.

23. The method of claim 22 , further comprising:
taking an ECG measurement via the electrodes.

24. The method of claim 22 , in which
causing the at least some of the fluid to be released and be deployed includes pumping the fluid.

25. The method of claim 22 , in which
the discharge condition is that the sensed impedance has a value below a first threshold.

26. The method of claim 25 , further comprising:
making a determination that the charge needs to be delivered, and in which
the first threshold has a first value if the needed delivery of the charge is appropriate for a first electrical therapy, and
the first threshold has a second value different from the first value if the needed delivery of the charge is appropriate for a second electrical therapy.

27. The method of claim 26 , in which
the first electrical therapy is defibrillation and the second electrical therapy is pacing.

28. The method of claim 22 , further comprising:
the discharge condition is that the sensed impedance has a value that changes less than a threshold in a given amount of time.

29. The method of claim 22 , in which
the discharge condition is that a timeout threshold has lapsed, since causing at least some of the fluid to be released.

Assignees

• West Affum Holdings Corp

Inventors

• Piha Daniel Ralph
• Sullivan Joseph Leo
• Foshee Jr Phillip Dewey
• Finch Daniel Peter
• Banville Isabelle
• Gustavson Laura Marie
• Cowan Kenneth Frederick
• Nova Richard C
• Buchanan Robert Reuben
• Szul Krystyna
• Kavounas Gregory T

Classifications

• A61N1/3625

  External stimulators · CPC title

• A61N1/046

  Specially adapted for shock therapy, e.g. defibrillation · CPC title

• A61N1/0496

  characterised by using specific chemical compositions, e.g. hydrogel compositions, adhesives · CPC title

• A61N1/3987

  characterised by the timing or triggering of the shock · CPC title

• A61N1/3918 Primary

  characterised by shock pathway, e.g. by electrode configuration · CPC title