CN108969888A

CN108969888A - Use the wearable cardioverter-defibrillators system of safety label upload configuration data

Info

Publication number: CN108969888A
Application number: CN201710409214.8A
Authority: CN
Inventors: E·L·施耐德; E·M·罗恩; D·贝拉米
Original assignee: West Ai Feng Holding Co
Current assignee: West Affum Holdings Corp
Priority date: 2017-06-02
Filing date: 2017-06-02
Publication date: 2018-12-11
Anticipated expiration: 2037-06-02
Also published as: CN108969888B

Abstract

A kind of wearable cardioverter-defibrillators (WCD) system, it is configured as wirelessly exchanging data with the access equipment for being different from the WCD system, the access equipment includes near-field communication (NFC) reader, peripheral processor and access wireless communication module (AWCM).

Description

Use the wearable cardioverter-defibrillators system of safety label upload configuration data

Technical field

The present invention relates to a kind of cardioverter-defibrillators (WCD) system, especially a kind of wearable Cardioversion defibrillation Device (WCD) system.

Background technique

When people suffer from certain form of cardiac arrhythmia, result may be to flow to the blood of body parts to subtract It is few.Some arrhythmia cordis possibly even lead to sudden cardiac arrest (SCA).SCA can lead to death very fast, such as at 10 minutes It is interior, unless carrying out temporary treatment.

Some have increased SCA risk.The people of high risk include have a heart disease breaking-out or previously SCA breaking-out trouble Person.Often suggest that these people receive Implantable Cardioverter Defibrillator (ICD).ICD is continuously monitored by operation implantation chest The electrocardiogram (ECG) of patient.If detecting certain form of cardiac arrhythmia, ICD is transmitted by heart and is shocked by electricity.

After thinking to have increased SCA risk, and before receiving ICD, these people are given wearable sometimes Formula cardioverter-defibrillators (WCD) system.(earlier version of this system is referred to as wearable defibrillator system.) WCD system generally includes harness of the patient by dress, vest or other clothes.WCD system include defibrillator and be couple to harness, The electrode of vest or other clothes.When patient dresses WCD system, then external electrode can carry out good with the skin of patient Electrical contact, and therefore can assist in the ECG of patient.If detecting the cardiac arrhythmia that can be shocked by electricity, defibrillator is logical The body of patient is crossed, and electric shock appropriate is therefore transmitted by heart.

WCD system can carry out electronic communication with other equipment.However, challenge may be from being not intended to or even malice Communication, such as when WCD system is programmed.

Summary of the invention

This specification gives wearable cardioverter-defibrillators (WCD) system, the storage medium for storing program and side The example of method, using can help to overcome problem of the prior art and limitation.

In embodiment, wearable cardioverter-defibrillators (WCD) system includes processor, memory, wireless communication How module (DWCM) and storage wirelessly access the NFC label of the information of DWCM about access equipment.Access equipment, Such as defibrillator configurator with NFC reader, can read WCD system NFC label (if it have it is enough license this Sample is done).After a read, access equipment will know how wirelessly to address DWCM, therefore the configuration installed or updated from operation Data, software upgrading or request memory downloading.The use of NFC label needs extremely close to which prevent the WCD systems to mistake System unintentionally programs and malicious attack WCD system.

Other advantages include not needing to be manually entered connection data, and do not need physical cables in all embodiments. Physical cables are used to need the wired connection of physical connection defibrillator configurator.This is endangered due to the tripping of physical limit and appearance Danger limits configuration work process.Further, since safe and easy-to-use, being manually entered connection data, there is also disadvantages.It is manually entered There are security risks for address and password, because address and password need to be human readable format, this may be with other people Inadequately share.In addition, the workflow of hand input-data is pretty troublesome and easy error.

Therefore, the present invention is intended to provide a kind of improved wearable cardioverter-defibrillators (WCD) system.According to this hair Bright one embodiment, wearable cardioverter-defibrillators (WCD) system are configured as and the visit different from the WCD system Ask that equipment wirelessly exchanges data, the access equipment includes that near-field communication (NFC) reader, peripheral processor and access are wireless Communication module (AWCM), the WCD system include: the support construction for being configured as being dressed by patient；Power supply；It is configured as from institute Power source charges are stated to store the energy storage module of charge；Discharge circuit is couple to the energy storage module, the electric discharge Circuit is can control to dress the support construction in the patient and so that the charge of the storage is discharged by the patient together；It removes Quiver device memory, is configured as storage program；Defibrillator processor；NFC label has tag ram, access data storage In the tag ram, the NFC label is configured as receiving wireless interrogated wave from the NFC reader, the NFC mark Label are configured to wirelessly send back scattering wave in response to the received inquiry wave reader, and the back scattering wave is compiled The code access data, wherein the NFC reader of the access equipment can receive the back scattering wave, the access equipment Peripheral processor can generate verify data from the access data of the coding, and the AWCM can send the verifying number According to and configuration data；And the defibrillator wireless communication module (DWCM) with defibrillator processor cooperation, the DWCM quilt It is configured to wirelessly receive verify data and configuration data that the AWCM is sent, in which: the defibrillator processor is configured To have generated the received verify data in the defibrillation from the access data of the coding of the back scattering in response to determining The received configuration data is stored in device memory；And therefore the defibrillator processor becomes to be configured as according to The configuration data of storage runs the program of the storage so as to some decision for generating electric shock or not shocking by electricity, and puts described in control Circuit, so that some decision in response to electric shock makes the charge discharge.

According to one embodiment of the present of invention, the access equipment is arranged in outer casing body；And

When the NFC label receives the wireless interrogated wave from the NFC reader and wirelessly sends the back scattering When wave, distance of the periphery shell apart from the NFC label at most 10 ".

According to one embodiment of the present of invention, the verify data includes the hash for accessing data or accessing data.

According to one embodiment of the present of invention, the verify data includes the network address of the DWCM.

According to one embodiment of the present of invention, the access data of the coding of the back scattering are encrypted.

According to one embodiment of the present of invention, the tag ram is configured to storage tag pin；And The NFC label is configured to the access data of coding described in not back scattering, unless the inquiry wave is also to the mark Label password is encoded.

According to one embodiment of the present of invention, the WCD system assigned sequence number: and the tag pin is The sequence number is related with the sequence number.

According to one embodiment of the present of invention, the DWCM assigned network address；And the DWCM in response to The inquiry signal of the AWCM does not send the network address.

According to one embodiment of the present of invention, the defibrillator memory is deposited in reception the taking a step forward for verify data Store up previous configuration data；And the defibrillator processor is configured as running the journey according to the configuration data of the storage Sequence so as to some decision for generating electric shock or not shocking by electricity, and controls the discharge circuit, so that some in response to electric shock is determined So that the charge is discharged surely.

According to one embodiment of the present of invention, the received configuration data is only when super after emitting the back scattering wave When the period expire before can be stored in the defibrillator memory when being received by DWCM.

According to one embodiment of the present of invention, the NFC label is configured to receive and read from another NFC Another wireless interrogated wave of device, to decode the label data of the update from another wireless interrogated wave, and will be described The label data of update is stored in the tag ram to replace the access data.

According to one embodiment of the present of invention, the NFC label is configured to receive from the NFC reader Another wireless interrogated wave, to decode the label data of the update from another wireless interrogated wave, and will it is described more New label data is stored in the tag ram to replace the access data.

According to one embodiment of the present of invention, the DWCM is configured to wirelessly receive from the AWCM's The label data of update；And the defibrillator processor is configured to the label data of the update being stored in institute It states in tag ram to replace the access data.

According to one embodiment of the present of invention, the WCD system further comprises: defibrillator shell, the defibrillator Processor and the NFC label are located in the defibrillator shell；And the serve port in the defibrillator shell, have with The contact node of the defibrillator processor electric coupling, and wherein the defibrillator processor is configured to described Storage is via the label data of the received update of the contact node to replace the access data in tag ram.

According to one embodiment of the present of invention, the defibrillator memory is configured to storage Backup Data；And And the defibrillator processor is configured to store in the tag ram and has been stored in the defibrillator storage Back scattering data in device are to replace the access data.

According to one embodiment of the present of invention, the DWCM be configured to wirelessly receive can be stored in it is described Backup Data in defibrillator memory.

According to one embodiment of the present of invention, the WCD system further comprises: defibrillator shell, the defibrillator Processor and the NFC label are located in the defibrillator shell；And the serve port in the defibrillator shell, have with The contact node of the defibrillator processor electric coupling, and wherein the defibrillator processor is configured to via institute It states contact node and receives the Backup Data that can be stored in the defibrillator memory.

According to one embodiment of the present of invention, a kind of nonvolatile computer-readable storage medium storing one or more programs Matter, when one or more of programs are handled by least one defibrillator of wearable cardioverter-defibrillators (WCD) system When device executes, wearable cardioverter-defibrillators (WCD) system is configured as and the access different from the WCD system Equipment wirelessly exchanges data, and the access equipment includes near-field communication (NFC) reader, peripheral processor and access channel radio Believe module (AWCM), the WCD system includes: the support construction for being configured as being dressed by patient；Power supply；It is configured as from described Power source charges are to store the energy storage module of charge；Discharge circuit is couple to the energy storage module, the electric discharge electricity Road is controllable to make the charge discharge by the patient together in the patient wearing support construction；Defibrillator storage Device is configured as storage program and configuration data；Defibrillator processor；NFC label, has tag ram, and access data are deposited Storage is in the tag ram；And defibrillator radio communication mold group (DWCM), these one or more programs cause to operate, The operation includes: that the defibrillator processor according to the configuration data of the storage runs the program of the storage to generate Electric shock or first decision that do not shock by electricity；The defibrillator processor controls the discharge circuit, thus the in response to electric shock One determines that the charge is made to discharge；Then the NFC label receives the wireless interrogated wave from the NFC reader；It is described NFC label wirelessly sends back scattering wave then in response to the received wireless interrogated wave, and the back scattering wave is deposited to described Access is according to being encoded, wherein the NFC reader of the access equipment can receive the back scattering wave, the access equipment Peripheral processor can generate verify data from the access data of the coding, and the AWCM can send the verifying number According to the configuration data with update；Then the DWCM wirelesslys receive the configuration number of the verify data that the AWCM is sent and update According to；Determine whether to generate the received verify data from the access data of the coding of the back scattering；The defibrillator Processor response has generated the received verify data described from the access data of the coding of the back scattering in determining The configuration data of the received update is stored in defibrillator memory to replace the configuration data；The defibrillator processor Then the program of the storage is run again according to the configuration data of the storage to generate second shocking by electricity or not shocking by electricity It determines；And the defibrillator processor controls the discharge circuit, to determine to make described deposit in response to second of electric shock The charge of storage discharges.

According to one embodiment of the present of invention, the tag ram also stores tag pin；And the NFC label is not The access data of coding described in back scattering, unless the inquiry wave also encodes the tag pin.

According to one embodiment of the present of invention, the WCD system assigned sequence number；And the tag pin is The sequence number is related with the sequence number.

According to one embodiment of the present of invention, the DWCM assigned network address, and the DWCM in response to The inquiry signal of the AWCM does not send the network address.

According to one embodiment of the present of invention, the NFC label is further received from the another of another NFC reader A wireless interrogated wave decodes the label data of the update from another wireless interrogated wave, and by the label of the update Data are stored in the tag ram to replace the access data.

According to one embodiment of the present of invention, the NFC label further receives another from the NFC reader Wireless interrogated wave decodes the label data of the update from another wireless interrogated wave, and by the number of tags of the update The access data are replaced according to being stored in the tag ram.

According to one embodiment of the present of invention, the DWCM further wirelesslys receive the mark of the update from the AWCM Sign data；And the defibrillator processor further by the label data of the update be stored in the tag ram with Instead of the access data.

According to one embodiment of the present of invention, the defibrillator memory further stores Backup Data；And it is described to remove The device processor that quivers further stores the back scattering data being stored in the defibrillator memory in the tag ram To replace the access data.

According to one embodiment of the present of invention, the DWCM, which is further wirelesslyd receive, is stored in the defibrillator memory In Backup Data.

According to one embodiment of the present of invention, a method of it being used for wearable cardioverter-defibrillators (WCD) system, The WCD system is configured as wirelessly exchanging data, the access equipment packet with the access equipment for being different from the WCD system Near-field communication (NFC) reader, peripheral processor and access wireless communication module (AWCM) are included, the WCD system includes: to be matched It is set to the support construction dressed by patient；Power supply；It is configured as storing the energy stores mould of charge from the power source charges Block；Discharge circuit, is couple to the energy storage module, and the discharge circuit is controllable to dress the branch in the patient Support structure is same to make the charge discharge by the patient；Defibrillator memory is configured as storage program and configuration data；It removes Quiver device processor；NFC label, has tag ram, and access data are stored in the tag ram；And defibrillator without Line communication module (DWCM), which comprises

The defibrillator processor runs the program of the storage according to the configuration data of the storage to generate electric shock Or first decision that do not shock by electricity；The defibrillator processor controls the discharge circuit, thus in response to first of electric shock Decision makes the charge discharge；Then the NFC label receives the wireless interrogated wave from the NFC reader；The NFC mark Label wirelessly send back scattering wave then in response to the received wireless interrogated wave, and the back scattering wave is to the access data It is encoded, wherein the NFC reader of the access equipment can receive the back scattering wave, at the periphery of the access equipment Verify data can be generated from the access data of the coding by managing device, and the AWCM can send the verify data and more New configuration data；Then the DWCM wirelesslys receive the configuration data of the verify data that the AWCM is sent and update；Really It is fixed whether to have generated the received verify data from the access data of the coding of the back scattering；The defibrillator processor The received verify data has been generated in the defibrillator from the access data of the coding of the back scattering in response to determining The configuration data of the received update is stored in memory to replace the configuration data；The defibrillator processor and then root Second for running the program of the storage again according to the configuration data of the storage to generate electric shock or not shock by electricity determines；And And the defibrillator processor controls the discharge circuit, thus in response to second charge for determining to make the storage of electric shock Electric discharge.

According to one embodiment of the present of invention, the access equipment is arranged in outer casing body；And work as the NFC label When receiving the wireless interrogated wave from the NFC reader and wirelessly sending the back scattering wave, the periphery shell distance The distance of the NFC label at most 10 ".

According to one embodiment of the present of invention, the WCD system further comprises defibrillator shell, the defibrillator processing Device and the NFC label are located in the defibrillator shell；The WCD system further comprises the clothes in the defibrillator shell Business port, the serve port have the contact node with the defibrillator processor electric coupling；And the defibrillator processing Device is further stored via the label data of the received update of the contact node in the tag ram described in replacement Access data.

According to one embodiment of the present of invention, the WCD system further comprises defibrillator shell, the defibrillator processing Device and the NFC label are located in the defibrillator shell；The WCD system further comprises the clothes in the defibrillator shell Business port, the serve port have the contact node with the defibrillator processor electric coupling；And the defibrillator processing Device further receives the Backup Data being stored in the defibrillator memory via the contact node.

In view of the embodiment for describing and showing in the disclosure, i.e., from this printed instructions and attached drawing, of the invention these It will become apparent with other feature and advantage.In general, the disclosure reflects the preferred embodiment of the present invention.So And notice readers will note that, some aspects of the disclosed embodiments extend beyond the scope of the claims.It is just disclosed Embodiment extend beyond the scope of the claims really for, the disclosed embodiments be considered as supplement background information, And the definition of claimed invention is not constituted.

Detailed description of the invention

Fig. 1 is the figure according to the element of exemplary wearable cardioverter-defibrillators (WCD) system of embodiment manufacture；

Fig. 2 is to show the exemplary components of external defibrillator (such as, to belong to the WCD system of Fig. 1 and including according to embodiment NFC label exemplary components) figure；

Fig. 3 be the wireless communication between external defibrillator and access equipment during external defibrillator (such as Fig. 2 and According to embodiment manufacture external defibrillator) exemplary components and access equipment element figure；

Fig. 4 is the exemplary operations occurred when configuration data to be uploaded to the external defibrillator of Fig. 3 according to the embodiment Figure；

Fig. 5 is the process for the method for the external defibrillator for illustrating Fig. 3 of the embodiment according to the operation for executing Fig. 4 Figure；

Fig. 6 is the exemplary operations occurred when software upgrading to be uploaded to the external defibrillator of Fig. 3 according to the embodiment Figure；

Fig. 7 is the process for the method for the external defibrillator for illustrating Fig. 3 of the embodiment according to the operation for executing Fig. 6 Figure；

Fig. 8 is the figure of the exemplary operations according to the embodiment occurred when downloading the action data of external defibrillator of Fig. 3；

Fig. 9 is the process for the method for the external defibrillator for illustrating Fig. 3 of the embodiment according to the operation for executing Fig. 8 Figure；

Figure 10 is to show NFC label directly to receive and store from believable NFC reader in the embodiment of data of update External defibrillator such as Fig. 3 external defibrillator exemplary components figure；

Figure 11 is to show NFC label directly to receive and store from believable programmer in the embodiment of data of update The figure of the exemplary components of the external defibrillator of external defibrillator such as Fig. 3；

Figure 12 is shown in the embodiment for the data that NFC label can receive and store update via cable service port The figure of the exemplary components of the external defibrillator of external defibrillator such as Fig. 3；With

Figure 13 is to show NFC label to can receive the embodiment for the Backup Data being stored in the memory of external defibrillator In external defibrillator such as Fig. 3 external defibrillator exemplary components figure；

Specific embodiment

As already mentioned, this description is about wearable cardioverter-defibrillators (WCD) system, stores depositing for program Storage media and method.Embodiment is more fully described now.

There is multiple element according to wearable cardioverter-defibrillators (WCD) system of embodiment manufacture.These elements The module that can be used as can interconnect is provided separately, or can combine with other elements etc..

The element of WCD system can be configured as the support construction dressed by patient.Support construction, which can be, to be suitable for wearing Electrode is located in the opposite of heart for example on the left side of trunk by any structure worn, such as harness, vest, half vest- On side, one or more bands are configured to horizontally or possibly vertically be through on shoulder, another clothes etc..Support construction It may be embodied as discrete component or multiple element.For example, support construction can have: the crown member of shoulder is leaned against, for true It protects defibrillation electrode and is in the appropriate location for being used for defibrillation；And base member on buttocks is leaned against, for carrying the big of defibrillator Moiety by weight.Discrete component embodiment can have the band around at least trunk.Other embodiments can be used jointing material or Another way is attached to patient, without any part around body.There can be other examples.

Fig. 1 shows the element of the WCD system according to embodiment manufacture, because it can be dressed by patient 82.Such as suffer from The patient of person 82 can also be referred to as people and/or wearer, because the patient dresses the element of WCD system.

In fig. 1 it is shown that the body relative to patient 82 is simultaneously therefore also relative to the general of his or her heart 85 Support construction 170.Structure 170 can be harness as described above, vest, half vest, one or more bands or clothes etc..Structure 170 may be embodied as discrete component or multiple element etc..Structure 170 can be dressed by patient 82, but not describe its side of wearing Formula, because only generally and in fact going up part conceptually description scheme 170 in Fig. 1.That is, Fig. 1 is only used for figure Show the concept about support construction 170, and is not construed as limited to this.

WCD system according to the embodiment is configured as charge in the form of the electric shock conveyed by one or more pulses Patient body is transported to carry out defibrillation to the patient for wearing it.Fig. 1 shows sample exterior defibrillator 100 and via electrode Lead 105 is couple to the sample defibrillation electrode 104,108 of external defibrillator 100.Defibrillator 100 and defibrillation electrode 104,108 couplings It is connected to support construction 170.Therefore, therefore many elements of defibrillator 100 can be couple to support construction 170.Work as defibrillation electrode 104,108 when carrying out good electrical contact with the body of patient 82, and defibrillator 100 can be applied via electrode 104,108 pass through The of short duration and strong electric pulse 111 of body.Pulse 111 (also referred to as defibrillation shock or treatment shock) is intended to by and restarts the heart Dirty 85, to make great efforts the life of rescue patient 82.Pulse 111 can also include one or more pacemaker impulses, etc..

WCD system according to the embodiment includes near-field communication (NFC) label.NFC label generally includes label antenna, label Processor and tag ram, and operated according to the principle of RFID (radio frequency identification).NFC label can be set in WCD From anywhere in system.Preferred position is proximate to the electronic component that its content may be updated, such as processor, memory Deng.Therefore, in Fig. 1, NFC label 191 is arranged in external defibrillator 100, otherwise referred to as secure NFC label 191.

In fig. 1 it is shown that the access equipment 141 communicated with external defibrillator 100.Access equipment 141 can be defibrillation The programmable device of device 100, peripheral equipment, is configured as receiving and by defibrillator 100 is formed and stored in defibrillation the attachment of WCD system The base station of action data in the memory of device, computer, the general communications set of such as intelligent movable phone, calculating on knee Machine is loaded with the tablet computer suitably applied etc..Access equipment 141 may include at the periphery that can be communicated with NFC label 191 Manage device, access wireless communication module (AWCM) and near-field communication (NFC) reader.Furthermore and according to its structure, access equipment 141 may include the user interface with input and output device, such as keyboard, touch screen, button and other actuators, Mike Wind, loudspeaker etc..

In this example, it should be observed that two communication links are established between access equipment 141 and defibrillator 100 (comlink), i.e. RFID communication link 198 and data link 148.It should further be observed that, in Fig. 1, distance may not be pressed Ratio is drawn；In fact, consider patient 82 size, access equipment 141 can than proposed by attached drawing closer to wait establish Communication link 198,148 defibrillator 100.Furthermore, it is possible to not dress times of support construction 170 or WCD system in patient 82 It establishes when what other elements and uses communication link 198,148.

NFC label 191 can be used for helping to make outside access equipment 141 and defibrillator 100 to match.External defibrillator is benefited In the connection with other equipment, for receiving configuration data and update and downloading data.

For patient safety reason, prevent or avoid peripheral equipment to be possibly connected to the such of the defibrillator of mistake Mistake is extremely important.When these connections are to be wirelessly connected, these risks will enhance.In embodiment, it is marked by using NFC Label mitigate such risk to match the element that will be communicated.In embodiment or version, NFC label 191 can be stored and be removed Quiver device 100 connection and secure data.Access equipment 141 reads the connection and secure data is used as knowing how to be connected to The key of specific defibrillator 100.Because NFC technique requires label and reader in very close range, user can Peripheral equipment is being connected to reasonably determine correct defibrillator.

The defibrillator of the prior art is typically based on the ECG signal of patient to decide whether defibrillation.However, external defibrillator 100 can start defibrillation (or stopping defibrillation) based on various inputs, and ECG is only one of them.

It will thus be appreciated that signal is obtained from patient 82, such as comprising the physiological signal of physiological data.Although patient can Be considered be also WCD system " user ", but this is not necessary condition.That is, for example, wearable Cardioversion removes The user of device (WCD) of quivering may include clinician, such as doctor, nurse, emergency medical technical staff (EMT) or other similar The individual (or group of individuals) of position.The specific context of these and other relational languages in these descriptions should be interpreted accordingly.

WCD system can optionally include external monitoring devices 180.Device 180 is referred to as " outside " device, because it can To be provided as self-contained unit, such as not in the shell of defibrillator 100.Device 180 can be configured as sensing or monitoring extremely A few local parameter.Local parameter can be the parameter of the parameter of patient 82 or the parameter of WCD system or environment, such as herein Later by description in shelves.Device 180 may include one or more sensors or sensor, be configured as sense from it one One or more physiology inputs are presented in a or multiple patient parameters.

Optionally, device 180 is physically coupled to support construction 170.In addition, device 180 can be tied with support is couple to The other elements of structure 170 are coupled in communication.Such communication can be realized by communication module, if those skilled in the art are according to this Description will be considered to applicable.

Fig. 2 is the figure for showing the element of the external defibrillator 200 according to embodiment manufacture.These elements can be for example including In the external defibrillator 100 of Fig. 1.Element shown in Fig. 2 can be set in shell 201, be referred to as shell 201.

External defibrillator 200 is intended for dressing its patient, such as the patient 82 of Fig. 1.Defibrillator 200 can be with Including the user interface 270 for user 282.User 282 can be patient 82, also referred to as wearer 82.Or user 282 can To be the local deliverer at scene, such as the onlooker or trained of help may be provided.Alternatively, user 282 can be with It is the remotely trained nursing staff with WCD system communication.

User interface 270 can be made into any amount.User interface 270 may include the output for communicating with user Equipment can be vision, the sense of hearing or tactile.For example, output equipment can be lamp or screen, with display sensing, inspection The content surveyed and/or measured, and visual feedback is provided for their recovery trial etc. to deliverer 282.It is another defeated Equipment can be loudspeaker out, can be configured as and issues voice prompting etc..Sound, image, vibration and user 282 can be with Anything of perception can also be referred to as the instruction of human-perceivable.User interface 270 can also include for connecing from user Receive the input equipment of input.Such input equipment can also comprise various controls, such as button, keyboard, touch screen, Mike Wind etc..Input equipment can be cancellation switch, sometimes referred to as " living person (live-man) " switch.In some embodiments, Switch is cancelled in actuating can prevent that electric shock will be conveyed.

Defibrillator 200 may include internal monitoring device 281.Device 281 is referred to as " inside " device, because it is incorporated into In shell 201.Monitoring device 281 can sense or monitor patient parameter, such as physiological parameter, system parameter and/or ring Border parameter, all these parameters are properly termed as patient data.In other words, internal monitoring device 281 can be supervised with the external of Fig. 1 Survey 180 complementation of device or alternatively form.Distributing which system parameter will monitor by which monitoring device can basis Design considers to complete.Device 281 may include one or more sensors, be configured as the one or more trouble sensed from it One or more physiology inputs are presented in person's parameter.Certainly, device 281 is arranged on the port ECG 219 and top.

Physiological parameter include, for example, but not limited to, can contribute to by wearable defibrillation system detect patient be No these physiological parameters for needing to shock by electricity optionally add their medical history and/or event history.The example packet of such parameter Include the ECG of patient, blood oxygen level, blood flow, blood pressure, hemoperfusion, the reflectivity of light transmissive pulsatile change or perfused tissue Matter, heart sound, cardiac wall motion, breathing and pulse.Therefore, monitoring device may include being configured to obtain patient physiological signals One or more sensors.The example of this sensor includes detecting the electrode of ECG data, perfusion sensor, pulse blood oxygen Meter, the doppler equipment for detecting blood flow, the cuff for detecting blood pressure, optical sensor, the color for detecting tissue The detecter for light of variation and possible source, motion sensor, the device for being able to detect heart wall motion, sound sensor, tool There are device, the SpO2 sensor etc. of microphone.It should be appreciated that such sensor can help to detect the pulse of patient, therefore It is referred to as pulse detection sensor, pulse sensor and pulse frequency sensor.At least in the U.S. of Physio-Control Patent No.8 also teaches pulse detection in 135,462, which is incorporated herein by reference in their entirety.In addition, art technology Personnel may be implemented to execute the other modes of pulse detection.In this case, sensor includes sensor appropriate, and raw Reason input is measurement of the sensor to the patient parameter.For example, the sensor appropriate for heart sound may include microphone etc..

In some embodiments, local parameter is the trend that can be detected in the physiological parameter of patient 282 monitored. Trend can be detected by comparing the parameter value of different time.The trend detected can especially help Cardiac rehabilitation programs Parameter includes: a) cardiac function (such as ejection fraction, output, cardiac output etc.)；B) heart rate during resting or move becomes It is anisotropic；C) move and the measurement of movable vigor during Heart rate distribution, such as the distribution from accelerometer signal and come from Adapt to rate pacemaker technology；D) heart rate trend；E) it is perfused, such as from SpO2 or CO2；F) respiratory function, respiratory rate etc.； G) it moves, activity level；Etc..Once detecting trend, so that it may it is stored and/or is reported by communication link, it may be adjoint Warning.From this report, the doctor for monitoring the progress of patient 282 will be appreciated by not being the situation for improving or deteriorating.

It in terms of patient's states parameter includes the record of patient 282, such as moves, posture, whether they say recently is exchanged words, and is added On be also possible to them and say what, etc., optionally add the history of parameter.Alternatively, one in these monitoring devices can wrap Include position sensor, such as global positioning system (GPS) position sensor.Such sensor can detecte position, in addition speed Degree can be detected as position and change with time rate.Many motion detector outputs indicate the movement of detectors and therefore refer to Show the motor message of the movement of patient body.Patient's states parameter can be remarkably contributing to reduce whether SCA occurs really It determines.

It may include motion detector according to the WCD system that embodiment manufactures.In embodiment, motion detector can be It is realized in monitoring device 180 or monitoring device 281.Such motion detector can be configured as detection motion event.As Response, motion detector can be presented or be generated from the motion event detected can be by follow up device or the received movement of function Detection input.Define motion event with can be convenient, such as movement is from the variation of base linc motion or rest etc..Such movement inspection Survey device can by it is as known in the art it is many in a manner of be made, such as by using accelerometer.In this case, Huan Zhecan Number is movement, and sensor includes motion detector, and physiology input is motion measurement.

The system parameter of WCD system may include system identification, battery status, system date and time, from the report surveyed, The data record of input, breaking-out and the record intervened etc..

Environmental parameter may include environment temperature and pressure.Humidity sensor can provide whether may rain about it Information.The patient position of presumption is also considered environmental parameter.If monitoring device 180 or 281 includes as described above GPS location sensor can then speculate patient position.

Defibrillator 200 generally includes the socket in defibrillation port 210, such as shell 201.Defibrillation port 210 includes electricity section Point 214,218.Defibrillation port 210 can be inserted in the lead (such as lead 105 of Fig. 1) of defibrillation electrode 204,208, so as to respectively It is in electrical contact with node 214,218.On the contrary, defibrillation electrode 204,208 can also be continuously attached to defibrillation port 210.No matter which Kind of mode, defibrillation port 210 can be used for guiding the charge having stored in energy storage module 250 to wearing via electrode Wearer.Charge will be for the electric shock of defibrillation, pace-making etc..

Defibrillator 200 optionally can also have the port ECG 219 in shell 201, for being inserted into sensing electrode 209, Also referred to as ECG electrode and ECG lead.On the contrary, sensing electrode 209 can also be continuously attached to the port ECG 219.Sensing electrode 209 be the biography that can help to sense the type of ECG signal (such as signal of 12 lead signal or the lead from different number) Sensor, especially if they and patient body realize good electrical contact.Sensing electrode 209 can be attached to support construction 170 inside is similar to defibrillation electrode 204,208 for carrying out good electrical contact with patient.

Optionally, WCD system according to the embodiment further comprise can between electrode and patient skin automatic deployment Fluid.Fluid can be conduction, such as by including electrolyte, for realizing that better electricity connects between the electrode and the skin Touching.In electrical aspect, when disposing liquid, the electrical impedance between electrode and skin reduces.In mechanical aspects, fluid can be low The form of viscosity gel, so that it will not flow away after deployment.Fluid can be used for defibrillation electrode 204,208 and sensing electrode Both 209.

Fluid can be initially stored in the fluid storage (being not shown in Fig. 2) that can be coupled to support construction.In addition, WCD system according to the embodiment further comprises fluid deployment mechanism 274.Fluid deployment mechanism 274 may be configured to from depositing Reservoir discharges at least some fluids, and is deployed near one or two patient position, and electrode is configured to be attached to trouble These patient positions with person.In some embodiments, before discharge, in response to receiving activation letter from processor 230 Number AS and activate fluid deployment mechanism 274.

In some embodiments, defibrillator 200 further comprises sensor, which includes measuring circuit 220.If It provides, measuring circuit 220 senses one or more electricity physiological signals of patient from the port ECG 219.Even if defibrillator 200 lacks The port ECG 219, when defibrillation electrode 204,208 is connected to patient, measuring circuit 220 can also pass through node 214,218 instead Obtain physiological signal.In these cases, physiology input reflection ECG measurement.The parameter can be ECG, can be sensed to be electricity Voltage difference between pole 204,208.In addition, parameter can be can the port 204,208 and/or ECG of electrode 219 connection it Between the impedance that senses.Sensing impedance be used especially for detecting these electrodes 204,208 and/or sensing electrode 209 whether with patient Body realizes good electrical contact.When applicable, these patient physiological signals can be sensed.Then measuring circuit 220 can be in Now or the information about them is generated as physiology input, data, other signals etc..It tighter says, is mentioned by measuring circuit 220 The information of confession is from its output, but the information can be referred to as input, because it is connect by follow up device or function as input It receives.

Defibrillator 200 further comprises processor 230, is also known defibrillator processor.Processor 230 can be with Various ways are implemented.Such mode includes, as an example, not a limit, number and/or analog processor, such as micro process Device and digital signal processor (DSP)；Controller, such as microcontroller；The software run in the machine；Programmable circuit, such as Field programmable gate array (FPGA), field programmable analog array (FPAAs), programmable logic device (PLD) are dedicated integrated Circuit (ASIC), one of these or multiple any combination etc..

Processor 230 may include or access is deposited for storing machine readable and the non-volatile of machine-executable instruction Reservoir.The instruction for being referred to as " software " usually passes through execution as disclosed herein or those skilled in the art are in view of institute The method that disclosed embodiment understands provides function.In some embodiments, as convention used herein, the example of software " module " and other similar term can be referred to as.In general, in the case where being introduced as module, provide instruction set to provide or Realize specific function.The embodiment of module and the function of being transmitted is not limited by embodiments described herein.

Processor 230 may be considered that with multiple modules.One such module can be detection module 232.Detection Module 232 may include ventricular fibrillation (VF) detector.The ECG that patient from measuring circuit 220 senses can be used as physiology Input, data or other signals, can be used by VF detector to determine whether patient just undergoes VF.Detection VF be it is useful, because Lead to SCA for VF.Detection module 232 can also include Ventricular Tachycardia (VT) detector etc..

Another such module in processor 230 can be suggestion module 234, generate the suggestion what does.It should It is recommended that can be based on the output of detection module 232.According to embodiment can there are many suggestions of type.In some embodiments, It is recommended that be processor 230 can for example make via suggestion module 234 electric shock/determined without electric shock.It can be by executing storage Shock advisory algorithm come shock by electricity/without electric shock determine.Shock advisory algorithm can from one obtained according to embodiment or Multiple ECG signals and determining whether meet electric shock standard to make electric shock/without electric shock and determine.It can be from the ECG signal of acquisition Rhythm analysis or other aspect make determination.

In some embodiments, when determination is electric shock, to patient's delivered charge.Delivered charge is also referred to as discharged.Electric shock It can be used for defibrillation, pace-making etc..

Processor 230 may include the add-on module for other function, such as other modules 236.In addition, if practical On provide internal monitoring device 281, then it can partly be operated by processor 230 Deng.

Defibrillator 200 optionally further comprises memory 238, is referred to as defibrillator memory 238.Memory 238 can work together with processor 230, such as described above.Memory 238 can be practiced in a variety of ways.It is such Mode includes, as an example, not a limit, volatile memory, nonvolatile memory (NVM), read-only memory (ROM), with Machine accesses memory (RAM), magnetic disk storage medium, optical storage medium, smart card, flash memory device, these any combination etc.. Therefore, memory 238 is non-transitory storage medium.If provided, memory 238 may include for processor 230 Program, processor 230 can read and execute these programs.More specifically, program may include the instruction set of code form, Processor 230 can execute these instruction set at the time of reading.Execution is realized by the physical manipulation of physical quantity, and can be led Cause function, operation, process, movement and/or the method to be executed, and/or processor that other equipment or element or block are executed These functions, operation, process, movement and/or method.Program can intrinsic demand for processor 230 and operate, and also It may include the agreement and mode that can be maked decision by suggestion module 234.In addition, memory 238 can store user 282 If the prompt of (user is local deliverer).In addition, memory 238 can store data.Data may include patient's number According to, system data and environmental data, such as learnt by internal monitoring device 281 and external monitoring devices 180.Data can be with It is stored in front of being transferred out defibrillator 200 in memory 238, or is stored in storage after being received by defibrillator 200 In device.

In embodiment, defibrillator 200 can also include NFC label 291.Label 291 can be similar to label 191, and And more detailed embodiment being described later in this document.

Defibrillator 200 can also include power supply 240.In order to make defibrillator 200 have portability, power supply 240 is generally included Battery.Such battery is generally implemented as rechargeable or non-rechargeable battery pack.Sometimes, using chargeable and not The combination of rechargeable battery pack.The other embodiments of power supply 240 may include that the available AC electric power of AC power covers, energy is deposited Storage container etc..In some embodiments, power supply 240 is controlled by processor 230.It may include that element appropriate fills to provide Electricity or replacement power supply 240.

Defibrillator 200 further comprises energy storage module 250, can therefore be couple to the support construction of WCD system. Module 250 is can temporarily to store the place of some electric energy in the form of a charge when preparing electric discharge to apply electric shock.Implementing In example, module 250 can be charged to the suitable energy controlled by processor 230 from power supply 240.In typical embodiment In, module 250 includes capacitor 252, can be single capacitor or capacitor system etc..In some embodiments, energy Memory module 250 includes the device of performance high power density, such as supercapacitor.As described above, capacitor 252 can be with electricity The form storage energy of lotus, for being conveyed to patient.

Defibrillator 200 further comprises discharge circuit 255. when determining is electric shock, and processor 230 can be configured as control Discharge circuit 255 processed is to discharge the charge being stored in energy storage module 250 by patient.When such control, circuit 255 It can permit the energy being stored in module 250 and be released to node 214,218, and be also released to defibrillation electrode therefrom 204,208, to make electric shock be passed to patient.Circuit 255 may include one or more switches 257.Switch 257 can be with It is made in many ways, passes through H bridge etc..Circuit 255 can also be controlled by user interface 270.

Defibrillator 200 can optionally include communication module 290, which is also referred to as defibrillator wireless communication module (DWCM)290.DWCM 290, which can be configured as, establishes one or more wireless communication links with other equipment, and such as access is set Standby 141, may belong to remote assistance center the entities such as emergency medical services (EMS).Module 290 can also include day Line, the part of processor and those skilled in the art think other necessary subcomponents.In this way, data and life can be transmitted It enables, such as patient data, event information, the treatment of trial, CPR performance, system data, environmental data etc..It is furthermore possible to also provide Communication module is for the wire communication with other assemblies, peripheral equipment etc..

Defibrillator 200 can optionally include other elements.

Fig. 1 is returned to, is one or more elements of WCD system shown in patient 82 has customized in embodiment.It is this fixed System may include many aspects.For example, support construction 170 can be installed to the body of patient 82.It, can be with for another example Measure the baseline physiological parameter of patient 82, such as the heart rate of patient 82 during the break, when walking, motion detection when walking Device output etc..This baseline physiological parameter can be used for customizing WCD system, to keep its diagnosis more acurrate, because of patient body It is mutually different.Certainly, such parameter can be for example stored in by access equipment 141 etc. in the memory of WCD system.

Programming interface can be made according to embodiment, receive the baseline physiological parameter measured in this way.Such programming connects Mouth can automatically enter baseline physiological parameter and other data in WCD system.

External defibrillator 300 during Fig. 3 is the wireless communication between external defibrillator 300 and access equipment 341 is (all Such as Fig. 2 and according to embodiment manufacture external defibrillator) exemplary components and access equipment 341 (access of such as Fig. 1 is set It is standby) element figure.

External defibrillator 300 includes defibrillator shell 301, wherein including element as shown in this example.Defibrillator 300 because This includes defibrillator processor 330, defibrillator memory 338, defibrillator wireless communication module (DWCM) 390 and NFC label 391, it is all these to can be made as previously to defibrillator processor 230, defibrillator memory 238, communication module 290 and NFC As described in label 291.NFC label 391 can have tag ram 392, and storage access is and optional according to 393 Ground also stores tag pin 394.Accessing data 393 may need for accessing DWCM390.

Defibrillator memory 338, which can be configured as, stores at least one program 332 and configuration data 333.At defibrillator Reason device 330 can be configured as according to the configuration data 333 of storage run program 332, so as to generate electric shock or do not shock by electricity certainly It is fixed.The decision can be generated for example from suggestion module 234 plus other inputs.During this period of time, it can make multiple such It determines, such as the first decision, second decision etc..

Defibrillator processor 330 can be additionally configured to the electric discharge electricity that WCD system is controlled in response to generated decision Road, so that charge be made to discharge.Certainly, if the configuration data updated has stored in defibrillator memory 338 to replace matching Set data 333, then defibrillator processor 330 can run program 332 according to the configuration data of the update stored in this way, rather than For generating subsequent decision.Alternatively, if the program updated has stored in defibrillator memory 338 to replace journey Sequence 332, then defibrillator processor 330 can be run according to configuration data 333 or according to the configuration data of the update of any storage The program of update, to generate subsequent decision.

Defibrillator memory 338 can be configured as further storage action data 334.Action data 334 can pass through The operation of WCD system generates, and the historical data including patient, operation and event, notice etc..

Access equipment 341 can be the defibrillator configurator for the type that clinician uses.Access equipment 341 can be used for Software upgrading is such as provided, provides the configuration data etc. of update for the configuration setting of specific WCD, particular patient.Access equipment 341 include peripheral shell 306, wherein including element as shown in the figure.Access equipment 341 includes at least NFC reader 342, outer Enclose processor 340 and access wireless communication module (AWCM) 343.It also can have user interface etc..

External defibrillator 300, which can be configured as, wirelessly exchanges data with access equipment 341.Switched wireless can be in energy Enough as being carried out on the RFID communication link 398 and data link 348 of communication link 198,148.Communication link 398,348 It can be characterized as carrying out on interface 302 in the sky.

For RFID communication link 398, NFC reader 342, which can be configured as, sends wireless interrogated wave 344.NFC label It is worked by using RFID principle, for example, NFC label 391 can wirelessly utilize the energy from NFC reader 342.NFC Label 391, which can be configured as, receives the inquiry wave 344 from NFC reader 342, and in response to received inquiry wave 344 Wirelessly send back scattering wave 395.Due to having used NFC technique, so these exchanges carried out by RFID communication link 398 It will not be in remote upper progress, so that the WCD system for being better protected from mistake is programmed.In fact, when NFC label 391 receives When the wireless interrogated wave 344 from NFC reader 342 and wirelessly transmission back scattering wave 395, peripheral 306 distance NFC of shell Label 391 is very short.Peripheral shell 306 has 307 with a distance from defibrillator shell 301.If, it is preferable that in defibrillator shell NFC labels 391 are set in 301, then distance 307 is short, can be at most 10 ", and in practice about 1 " or smaller.

Back scattering wave 395 can encode access data 393, and be connect by the NFC reader of access equipment 341 342 It receives.In some embodiments, it is assumed that therefore access equipment 341 acquires access data 393, use can be generated in peripheral processor 340 In the verify data of addressing DWCM 390.More specifically, according to operation 345, receiving volume as shown in peripheral processor 340 The access data 393 of code.According to subsequent operation 349, verify data is generated from the access data 393 of received coding.Therefore, Verify data can be generated from by 391 back scattering of NFC label and by the access data 393 of the received coding of NFC reader 342. The verify data may include accessing data 393, the hash for accessing data 393 etc..It may include DWCM network address, For addressing the key etc. of DWCM 390.If verify data is identical with access data, data are accessed sending It does not need temporarily at least to carry out the operation 349 in addition to locally storage access accordingly before.

When accessing data by back scattering, can take various measures to protection access data 393.Firstly, since the NFC Label uses RFID type technology with low-power, therefore threatening may be only from the monitor of very short distance, and this is The factor that can control.Second, the access data of the coding of back scattering can be encrypted.Third, NFC label 391 can be with It is only readable by password.For example, tag ram 392 can be further configured to store tag pin 394；In addition to this, NFC is marked Label 391 can be configured to the access data 393 of not back scattering coding, unless inquiring the also code tag password 394 of wave 344.At this In the embodiment of sample, WCD system can assigned sequence number, and tag pin 394 can be the sequence number, Huo Zheyu The sequence number is related.In which case it is possible to use sequence number ensures specific access equipment (for example, defibrillator configurator) With the license being connect with specific defibrillator.This can be accomplished by the following way: the security website that sequence number is supplied to, In this security website, user has been certified and authorized give security key appropriate is used for and WCD system communication Equipment license.Therefore, NFC label is by storage only about the unique data of the defibrillator in the particular patient.It has given The unique defibrillator configurator for giving secure data necessary in particular patient specific defibrillator can be allowed to connect.This Construct another layer of safety for preventing rogue's defibrillator configurator to be capable of malicious attack defibrillator 300.

The advantages of embodiment is that DWCM 390 does not need for its key or network address to be transmitted to any inquiry peripheral equipment. Particularly, DWCM 390 can be assigned network address, and in response to the inquiry signal of AWCM 343 without sending the network Address.In fact, DWCM 390 can be able to maintain silence, unless be correctly addressed, otherwise will not broadcast its exist, address or other Any content.Other equipment may not even be aware that neighbouring DWCM 390 have be wirelessly connected, until NFC label be successfully read for Only.

In embodiment, AWCM 343 can suitably be sought by sending the verify data that it is generated in operation 349 Location defibrillator 300 and its DWCM 390.This is likely to occur in data link 348.AWCM can be in wave 346 further Send the configuration data updated, the more new procedures of such as software upgrading or software patch, or the memory requests of downloading.

DWCM 390 can cooperate with defibrillator processor 330.DWCM 390 can receive AWCM transmission wave 346 and Verify data therewith.If it is determined that received verify data is generated from the access data 393 of the coding of back scattering, Then defibrillator processor 330 can correspondingly react.For example, defibrillator processor 330 can be further configured to make The transmission of DWCM 390 is obtained for establishing the response wave 399 with confirmation of data link 348.

Data link 348 can be established in many ways and using multiple wireless protocols.In such example Agreement is WiFi.NFC label 391 can store IP address, SSID and password.The data will be used to that safe WiFi network to be arranged. Either one may result in WiFi network from network disconnection and goes offline, in this case it is necessary to NFC label is read again, to prevent Access equipment 341 does not store the data.Data in NFC label can also be encrypted with symmetrically or non-symmetrically key, with prevention Attempt the malicious user of reading information.

Another such exemplary protocols is bluetooth.NFC label 391 may include MAC Address and security key.The information For 341 use of access equipment so as to defibrillator 300 match or connect.In some embodiments, when two equipment become not When pairing or disconnection, two equipment are all without storing the data about pairing to allow to repair.It needs to read again NFC label 391 so as to new device pairing or connection.Data in NFC label 391 can also be added with symmetrically or non-symmetrically key again It is close, to take precautions against the malicious user for attempting to read information.

In some embodiments, if the configuration data of 346 pairs of wave updates encodes, defibrillator processor 330 can The configuration data of the received update of storage institute is configured in defibrillator memory 338 with replacement configuration data 333. This can be initial received configuration data, can be used for updating.When initially receiving configuration data, may not store Configuration data, or store standard configuration data.In this case, defibrillator processor 330 is configured as in defibrillator The received configuration data of the institute of storage in memory, and therefore defibrillator processor becomes to be configured as the configuration number according to storage According to operation program, so as to some decision for generating electric shock or not shocking by electricity, and discharge circuit is controlled, thus certain in response to electric shock A decision makes charge discharge.When the received configuration data of institute is to update, it means that defibrillator memory 338 also stores previous A configuration data, and defibrillator processor 330 is configured as running program 332 according to the previous configuration data of storage, with Just previous decision is generated to shock by electricity or not shock by electricity.Defibrillator processor 330 is further configured to control discharge circuit, thus Previous decision in response to electric shock makes charge discharge.

In some embodiments, if the program of 346 pairs of wave updates encodes, defibrillator processor 330 can be into one Step is configured as the received more new procedures of the institute of the storage in defibrillator memory 338 to replace program 332.This can be for most First received program, it can also be used to the update installed.Such WCD system carrys out upload software using secure NFC label.

In some embodiments, if the request that wave 346 downloads memory encodes, defibrillator processor 330 It can be further configured to be encoded action data 334 in replying wave 399.Such WCD system uses secure NFC label To allow the request of data from memory.

Example will now be described.The equipment and/or system mentioned in this document executes function, process and/or method.These function Energy, process and/or method can be implemented by including one or more equipment of logic circuit.Such equipment can be alternative Ground is known as computer etc..It can be independent equipment or computer, such as general purpose computer or attached with one or more Add a part of the equipment of function.Logic circuit may include processor and non-transitory computer-readable storage media, such as The memory of type described in other places in this document.In general, preferably program is implemented and is described as various for the sake of only for convenience The different software module or feature of interconnection.These individually and are also commonly referred to as software together with data.In some cases, Software and combination of hardware at referred to as firmware mixing.

In addition, methods described below and algorithm.These methods and algorithm may not inherently with any specific logical device Or other equipment are associated.On the contrary, the program that they are advantageously used by computing machine is implemented, such as general purpose computer, dedicated Computer, microprocessor, processor, processor described in other places, etc. in such as this document.

The detailed description includes the flow chart of the procedure operation at least one computer-readable medium, display image, calculates Method and symbol indicate.Both this program and method are described using a set of flow chart is achieved that economy.Therefore, although flow chart Method is described in block diagram form, but they also describe program simultaneously.Method will now be described.

In some embodiments, configuration data is uploaded and is stored in WCD system for using.Presently in connection with Fig. 3,4 The example for describing this upload with 5.

Fig. 4 is the figure of the exemplary operations occurred when configuration data to be uploaded to the external defibrillator 300 of Fig. 3.Upload can It, can be as previously for carrying out described in access equipment 341 to be carried out from access equipment 441.For example, access equipment 441 can be configured as the previously described operation 345,349 of execution.It, which can also establish to be similar to by air interface 302, leads to Believe the communication link 498,448 of link 398,348.

Fig. 5 shows according to the embodiment for describing the flow chart 500 of method.According to operation 510, defibrillator processor Program can be run according to the configuration data of storage, first to generate electric shock or not shock by electricity determines.In the subsequent time, Operation 510 carries out, and can produce second decision, etc..Sometimes, such decision can be characterized as previous, for example, if It is made by previous configuration data, etc..

According to another operation 520, determine that the decision of operation 510 is.If it is determined that being electric shock, then according to another Operation 530, discharge circuit can be controlled by defibrillator processor to make charge discharge as described above.Then executing may return to Operation 510.

If decision not shock by electricity in operation 520, according to another operation 540, determine whether NFC label 391 receives To the wireless interrogated wave from NFC reader.NFC reader can be NFC reader 342.If it is not, then executing can return Return to operation 510.

The case where in Fig. 4 it can be seen that being actually received wireless interrogated wave 444.As previously mentioned, in some embodiments, Inquiry wave 444 can the tag pin 394 further to NFC label 391 encode.In fact, the mark that inquiry wave 444 encodes Label password (whether what) will be checked with the tag pin 394 in the tag ram 392 for being stored in NFC label 391 To examine validity.The dotted line of this 394 to 394 of the inspection to validity with question mark is conceptually shown.

Back to Fig. 5, if wireless interrogated wave has been received really in operation 540,550 are operated according to another, NFC label Wireless transceiver back scattering wave can be passed through.Back scattering wave can to the access data being stored in tag ram into Row coding.If NFC label needs password, which be may be configured to only when having sent effective tag pin Just occur.

Fig. 4 shows the back scattering wave 495 of access data 393 of the code storage in tag ram 392.Later, may be used To execute operation 345,349 by access equipment 441, and the wave 446 similar to wave 346 can be sent.As described above, wave 446 can encode verify data 496 and the configuration data 439 updated.

Back to Fig. 5, operation 345,349 is illustrated only to indicate they are after operation 550 with what sequence execution.This A little operations 345,349 are shown in dotted line, are a part of flow chart 500 to indicate them not.

After operation 550, according to another operation 560, the verify data and update sent by AWCM can be determined Whether configuration data has been wirelesslyd receive by DWCM.Otherwise, executing can return to operation 510.

In some embodiments, DWCM will only wait the configuration data of verify data and update within the limited time, with Increase safety.For example, timeout period can be started after operation 550 sends back scattering wave.Timeout period can be very It is short, such as 1 second.In such embodiments, received configuration data before timeout period expires by DWCM only when being received It can be stored in defibrillator memory.

If it is, may determine whether raw from the access data of the coding of back scattering according to another operation 570 At received verify data.The operation can service external defibrillator 300 to authenticate access equipment 441.It is (this to recognize in Fig. 4 Card behaviour's zone of action question mark is conceptually shown slave verify data 496 to the dotted line of access data 393).As previously mentioned, In some embodiments, verify data is identical as access data.In Fig. 5, in operation 570, if answer be it is no, execution can be with Back to operation 510.

If operation 570, answer be it is yes, then according to another operation 580, defibrillator processor response in determination from The access data of the coding of back scattering have generated the received verify data of institute and have been received certainly in response to sending and receiving Update program the fact the configuration data of received update is stored in defibrillator memory.Such storage can generation For the previous configuration data being stored therein.(configuration data 439 that Fig. 4 also shows the update of wave 446 is stored in memory To replace previous configuration data 338 in 338.) execute can then return to operation 510, with carry out second decision etc..

In some embodiments, one or more programs are uploaded and is stored in WCD system for using.Presently in connection with Fig. 3,6 and 7 describe the example of this upload.

Fig. 6 is the figure of the exemplary operations occurred when program to be uploaded to the external defibrillator 300 of Fig. 3.Uploading can be from Access equipment 641 carries out, can be as previously for carrying out described in access equipment 341.For example, access equipment 641 It can be configured as and execute previously described operation 345,349.It can also be established by air interface 302 and be similar to communication chain The communication link 698,648 on road 398,348.

Fig. 7 shows according to the embodiment for describing the flow chart 700 of method.According to operation 710, defibrillator processor Program can be run according to the configuration data of storage, first to generate electric shock or not shock by electricity determines.In the subsequent time, Operation 710 carries out, and can produce second decision, etc..Sometimes, such decision can be characterized as previous, for example, if It is made by previous program, etc..

According to another operation 720, determine that the decision of operation 710 is.If it is determined that being electric shock, then according to another Operation 730, discharge circuit can be controlled by defibrillator processor to make charge discharge as described above.Then executing may return to Operation 710.

If decision not shock by electricity in operation 720, according to another operation 740, determine whether NFC label 391 receives To the wireless interrogated wave from NFC reader.Otherwise, executing can return to operation 710.

The case where in Fig. 6 it can be seen that being actually received wireless interrogated wave 644.As previously mentioned, in some embodiments, Inquiry wave 644 can the tag pin 394 further to NFC label 391 encode.In fact, the mark that inquiry wave 644 encodes Label password (whether what) will be checked with the tag pin 394 in the tag ram 392 for being stored in NFC label 391 To examine validity.The dotted line of this 394 to 394 of the inspection to validity with question mark is conceptually shown.

Back to Fig. 7, if wireless interrogated wave has been received really in operation 740,750 are operated according to another, NFC label Wireless transceiver back scattering wave can be passed through.Back scattering wave can to the access data being stored in tag ram into Row coding.If NFC label needs password, which be may be configured to only when having sent effective tag pin Just occur.

Fig. 6 shows the back scattering wave 695 of access data 393 of the code storage in tag ram 392.Later, may be used To execute operation 345,349 by access equipment 641, and the wave 646 similar to wave 346 can be sent.As described above, wave 646 can encode verify data 696 and the program 637 updated.

Back to Fig. 7, operation 345,349 is illustrated only to indicate they are after operation 750 with what sequence execution.This A little operations 345,349 are shown in dotted line, are a part of flow chart 700 to indicate them not.

After operation 750, according to another operation 760, the verify data and update sent by AWCM can be determined Whether program has been wirelesslyd receive by DWCM.Otherwise, executing can return to operation 710.As operation 550, for operation 750, DWCM can only wait within the limited time verify data and new procedures to increase safety.In such embodiments, Received program can be only stored in defibrillator memory when being received before timeout period expires by DWCM.

If operate 750 answers be it is yes, according to another operate 770, may determine whether from back scattering The access data of coding generate received verify data.The operation can service external defibrillator 300 to authenticate access equipment 641.(in Fig. 6, this authentication operation with question mark slave verify data 696 to the dotted line of access data 393 in concept On show).As previously mentioned, in some embodiments, verify data is identical as access data.In Fig. 7, in operation 770, such as Fruit answer be it is no, then execute can return to operation 710.

If operation 770, answer be it is yes, then according to another operation 780, defibrillator processor response in determination from The access data of the coding of back scattering have generated the received verify data of institute and have been received certainly in response to sending and receiving Update program the fact received more new procedures are stored in defibrillator memory.Such storage can replace storage Previous program there.(before the program 637 that Fig. 6 also shows the update of wave 646 is stored in memory 338 with replacement One program 332.) execute can then return to operation 710, with carry out second decision etc..

In some embodiments, action data is downloaded and stored in WCD system for examining.Such action data It may include: decision of shock by electricity/not shocking by electricity；For running the input of program, such as configuration data；It can be by one in sensor The value of the physiological parameter of the patient of sensing；It is already allocated to the identifier of patient；WCD system state data, such as the energy of power supply Amount level etc..In short, these data may correspond to monitor and treat the history of patient.This is described presently in connection with Fig. 3,8 and 9 The example of kind downloading.

Fig. 8 is the figure of the exemplary operations occurred when downloading action data from the external defibrillator 300 of Fig. 3.Downloading can be with It is carried out from access equipment 841, it can be as previously for carrying out described in access equipment 341.For example, access equipment 841 can be configured as the previously described operation 345,349 of execution.It, which can also establish to be similar to by air interface 302, leads to Believe the communication link 898,848 of link 398,348.

Fig. 9 shows according to the embodiment for describing the flow chart 900 of method.According to operation 910, defibrillator processor Program can be run according to the configuration data of storage, first to generate electric shock or not shock by electricity determines.In the subsequent time, Operation 910 carries out, and can produce second decision, etc..

According to another operation 915, action data be can store in defibrillator memory, and action data is related to first and determines Fixed and at least one of the input for running program.

According to another operation 920, determine that the decision of operation 910 is.If it is determined that being electric shock, then according to another Operation 930, discharge circuit can be controlled by defibrillator processor to make charge discharge as described above.Then executing may return to Operation 910.

If decision not shock by electricity in operation 920, according to another operation 940, determine whether NFC label 391 receives To the wireless interrogated wave from NFC reader.Otherwise, executing can return to operation 910.

In fig. 8 it can be seen that the case where being actually received wireless interrogated wave 844.As previously mentioned, in some embodiments, Inquiry wave 844 can the tag pin 394 further to NFC label 391 encode.In fact, the mark that inquiry wave 844 encodes Label password (whether what) will be checked with the tag pin 394 in the tag ram 392 for being stored in NFC label 391 To examine validity.The dotted line of this 394 to 394 of the inspection to validity with question mark is conceptually shown.

Back to Fig. 9, if wireless interrogated wave has been received really in operation 940,950 are operated according to another, NFC label Wireless transceiver back scattering wave can be passed through.Back scattering wave can to the access data being stored in tag ram into Row coding.If NFC label needs password, which be may be configured to only when having sent effective tag pin Just occur.

Fig. 8 shows the back scattering wave 895 of access data 393 of the code storage in tag ram 392.Later, may be used To execute operation 345,349 by access equipment 841, and the wave 846 similar to wave 346 can be sent.As described above, wave 846 can encode the request of verify data 896 and action data 334.

Back to Fig. 9, operation 345,349 is illustrated only to indicate they are after operation 950 with what sequence execution.This A little operations 345,349 are shown in dotted line, are a part of flow chart 900 to indicate them not.

After operation 950, according to another operation 960, can determine is by the AWCM verify data sent and request It is no to be wirelesslyd receive by DWCM.Otherwise, executing can return to operation 910.As operation 550, for operation 950, DWCM It can only wait within the limited time verify data and new procedures to increase safety.In such embodiments, request only when It can be received when being received before timeout period expires by DWCM.

If operate 950 answers be it is yes, according to another operate 970, may determine whether from back scattering The access data of coding generate received verify data.The operation can service external defibrillator 300 to authenticate access equipment 841.(in fig. 8, this authentication operation with question mark slave verify data 896 to the dotted line of access data 393 in concept On show).As previously mentioned, in some embodiments, verify data is identical as access data.In Fig. 9, in operation 970, if Answer be it is no, then execute may return to operation 910.

If operate 970 answers be it is yes, according to another operate 999, DWCM can be in response to the request and sound Received verify data wirelessly sending action data 334 should be generated from the access data of the coding of back scattering in determining At least partially.(Fig. 8 also shows the response wave 899 similar with wave 399, encoding act data 334.) then, execution can be with Back to operation 910, second decision etc. is carried out.

The tag ram 392 of NFC label 391 can program in different ways.This way of example will now be described.

Figure 10 is the exemplary components of external defibrillator 1000 (such as Fig. 2 and the external defibrillator manufactured according to embodiment) Figure.Figure 10 also show can be used for by establish RFID communication link 1098 come to NFC label 1091 be programmed can The NFC reader 1042 of letter.

External defibrillator 1000 includes defibrillator shell 1001, wherein including element as shown in this example.Defibrillator Therefore 1000 include defibrillator processor 1030, defibrillator memory 1038,1090 He of defibrillator wireless communication module (DWCM) NFC label 1091, it is all these to can be made as described in the similar component previously for Fig. 3.Similarly, NFC label 1091 can have tag ram 1092, and storage access optionally also stores tag pin 1094 according to 1093.It can Data 1093 can be needed to access for accessing DWCM 1090.In addition, defibrillator memory 1038 can be configured as storage at least One program 1032 and configuration data 1033 and action data 1034.

In some embodiments, NFC reader 1042 is the NFC reader of access equipment 1041, be can be to access As described in equipment 341.In this application, access equipment 1041 is used as programming device.However, in other embodiments, NFC reader 1042 is only another NFC reader, is only used for becoming NFC label 1091, and and access equipment 1041 is unrelated.For example, NFC reader 1042 can be autonomous device, this is why the access shown in dotted line in Figure 10 Equipment 1041.

In such embodiments, NFC reader 1042 can send to the label data of update coding other are wireless Inquire wave.It should be appreciated that the label data of the update can even is that the initial mark being intended to be stored in tag ram 1092 Sign data.In such embodiments, NFC label 1091, which can be configured as, receives another wireless interrogated wave, is come with decoding It is stored in tag ram 1092 from the label data of the update of other wireless interrogated waves, and by the label data of update.It should The label data of update may include can be stored in order to replace it is existing access data and/or tag pin access data and/ Or tag pin.

Figure 11 is the exemplary components of external defibrillator 1100 (such as Fig. 2 and the external defibrillator manufactured according to embodiment) Figure.Figure 11 also shows the believable programming device 1104 that can be used for programming to NFC label 1191.

External defibrillator 1100 includes defibrillator shell 1101, wherein including element as shown in this example.Defibrillator Therefore 1100 include defibrillator processor 1130, defibrillator memory 1138,1190 He of defibrillator wireless communication module (DWCM) NFC label 1191, it is all these to can be made as described in the similar component previously for Fig. 3.Similarly, NFC label 1191 can have tag ram 1192, and storage access optionally also stores tag pin 1194 according to 1193.It deposits Access may be needed according to 1193 for accessing DWCM 1190.In addition, defibrillator memory 1138 can be configured as storage at least One program 1132 and configuration data 1133.

In some embodiments, programming device 1104 is to as described in access equipment 341.Programming device 1104 can be with It, can be as AWCM 343 including AWCM 1143.In this way, programming device 1104 can establish data with NFC label 1191 Communication link 1148.Programming device 1104 can also optionally include NFC reader, and in this way can be with NFC label 1191 Establish optional RFID communication link 1198.

In such embodiments, AWCM 1143 can send the label data wirelessly updated.The label data of the update It can even is that the initial labels data for being intended to be stored in tag ram 1192.In such embodiments, 1190 DWCM It can be additionally configured to the label data that transmitted update is wirelesslyd receive from AWCM.The label data of the update may include The access data and/or label that existing access data and/or tag pin are replaced in tag ram 1192 can be stored in Password.More specifically, defibrillator processor 1130 can be additionally configured to the label data of received update being stored in label In memory 1192.In some embodiments, it can be shown with two arrows 1181,1182 in Figure 11 and be grasped for the update The path of the label data of the update of work.

Figure 12 is the exemplary components of external defibrillator 1200 (such as Fig. 2 and the external defibrillator manufactured according to embodiment) Figure.External defibrillator 1200 includes defibrillator shell 1201, wherein including element as shown in this example.Defibrillator 1200 because This includes defibrillator processor 1230, defibrillator memory 1238, defibrillator wireless communication module (DWCM) 1290 and NFC label 1291, it is all these to can be made as described in the similar component previously for Fig. 3.Similarly, NFC label 1291 can have There is tag ram 1292, storage access optionally also stores tag pin 1294 according to 1293.It may need to access Data 1293 are for accessing DWCM 1290.In addition, defibrillator memory 1238, which can be configured as, stores at least one program 1232 and configuration data 1233.

External defibrillator 1200 further comprises the serve port 1270 in defibrillator shell 1201.Serve port 1270 has There is the contact node 1272 with 1230 electric coupling of defibrillator processor.For example, serve port 1270 can be for USB plug Port, for port of serial or parallel cable etc..Contact node 1272 can be one of metal contact of this port.

In such embodiments, the label data updated can be received via contact person's node 1272.The mark of the update Label data may include that can be stored in the access that existing access data and/or tag pin are replaced in tag ram 1292 Data and/or tag pin.More specifically, defibrillator processor 1230 can be additionally configured to connect via contact node 1272 The label data of the update of receipts is stored in tag ram 1292.In some embodiments, two arrows can be used in Figure 12 First 1281,1282 show the path of the label data of the update for update operation.This will prevent malicious user wirelessly NFC label is reconfigured, to attempt the purpose that equipment is used for themselves.

In some embodiments, only allow by the wired connection of serve port 1272 rather than shown in such as Figure 10 It is wirelessly connected to change the data being stored in tag ram 1392.

In some embodiments, it may be desirable to which external defibrillator stops using key (symmetrically or non-symmetrically).In such case Under, equipment will update its NFC label to use the data of new key encryption.New key can be wireless from believable source Ground wiredly receives, or storage is used as backup in a device, as shown in next example.

In some embodiments, NFC label can be programmed by the data backed up in defibrillator memory.This can be directed to Initial program, the case where can also being damaged for tag memory.An example will now be described.

Figure 13 is the exemplary components of external defibrillator 1300 (such as Fig. 2 and the external defibrillator manufactured according to embodiment) Figure.External defibrillator 1300 includes defibrillator shell 1301, wherein including element as shown in this example.Defibrillator 1300 because This includes defibrillator processor 1330, defibrillator memory 1338, defibrillator wireless communication module (DWCM) 1390 and NFC label 1391, it is all these to can be made as described in the similar component previously for Fig. 3.Similarly, NFC label 1391 can have There is tag ram 1392, storage access optionally also stores tag pin 1394 according to 1393.It may need to access Data 1393 are for accessing DWCM 1390.In addition, defibrillator memory 1338, which can be configured as, stores at least one program 1332, configuration data 1333 and the Backup Data 1335 for backing up NFC label 1391.

In such embodiments, defibrillator processor 1330 can be additionally configured to store in tag ram 1392 The Backup Data 1335 being stored in defibrillator memory 1338.In some embodiments, two arrows can be used in Figure 13 First 1381,1382 show the path of the label data of the update for update operation.This Backup Data 1335 may include The access data and/or label that existing access data and/or tag pin are replaced in tag ram 1392 can be stored in Password.

For such embodiment, Backup Data 1335 can become to be stored in defibrillator memory 1338 in many ways In.In these many embodiments, Backup Data 1335 is therefore by defibrillator processor 1330 via using internal connect Arrow 1379 is stored in advance in defibrillator memory 1338.And for these embodiments, defibrillator processor 1330 can be with Backup Data 1335 is received in many ways.

For the first example, DWCM 1390 can be further configured to wirelessly receive Backup Data, such as Figure 11 institute Show, and defibrillator processor 1330 can receive Backup Data in the path according to shown in similar to arrow 1181 therefrom 1335.Therefrom, Backup Data 1335 will be stored in defibrillator memory 1338 via arrow 1379.

For the second example, external defibrillator 1300 can have the serve port similar to Figure 12 in its shell 1301 1270 serve port (not shown) has the contact node similar to contact node 1272.In second example, defibrillation Device processor 1330 can be further configured to standby via contact node reception according to path shown in arrow 1182 is similar to Part data 1335.Therefrom, Backup Data 1335 will be stored in defibrillator memory 1338 via arrow 1379.

In the above-mentioned methods, the affirmative step that each operation can execute as progress, or causing to be recorded as can The thing of generation.It carries out in this way or causes to can be through whole system or equipment or be only one or more Component.It will be recognized that these methods and operation can be practiced in a variety of ways, including using above-mentioned system, equipment and reality Apply mode.In addition, operation order is not limited to shown, and according to different embodiments, different sequences is also feasible. This example alternately to sort may include be overlapped, interlock, interrupt, reordering, increasing, preparing, supplementing, synchronizing, it is reversed or Other different sequences, unless context is otherwise indicated.In addition, in some embodiments it is possible to adding new operation, Huo Zheke To modify or delete individual operation.The operation of addition, which can be, for example describes not homologous ray, unit or method from main The operation being previously mentioned.

Those skilled in the art will implement the present invention according to this specification as a whole.Including details with It provides and understands thoroughly.In other cases, well known aspect is not described, so as not to can unnecessarily obscure this description.In addition, Be not to any reference of any prior art in this specification and be not construed as recognizing or any type of hint in this way The prior art form the part of the common knowledge in any country or any field.

The description includes one or more examples, but the fact that be not intended to limit how to implement the present invention.In fact, this Example, example, version or the embodiment of invention can be according to described or there are also different modes, and herein in connection with other The technology of present or future is implemented.Other such embodiments include the combination and sub-portfolio of features described herein, packet It includes for example, being equal to embodiment below: being provided or with being different from the sequence of described embodiment using feature；From a reality Example is applied to extract single feature and this feature is inserted into another embodiment；One or more features are removed from embodiment；Or from The feature that embodiment removal feature and addition are extracted from another embodiment, while providing and being incorporated in such combination and sub-portfolio Feature.

Herein, phrase " being configured to " and/or " being configured to " indicate substantially with the member before these phrases The relevant construction of the physical characteristic of part or feature and/or one or more virtual conditions of configuration, and therefore far beyond only Desired use is only described.Any such elements or features can realize in many ways, to those skilled in the art, It will be apparent upon reading this disclosure, beyond any example shown in this document.

Any and all parents, the grandfather no matter referred in the application data form (" ADS ") of this document or present patent application Mother, the patent application of great grand-parent etc. is incorporated herein by reference as initially disclosed, including what is made in those applications Any priority claim and any material being incorporated by reference into, as long as this theme is not inconsistent with this paper.

In the present specification, single project, aspect, element or mistake can be consistently indicated using single appended drawing reference Journey.In addition, can carry out further making great efforts to use similar but different appended drawing reference in the drafting of this specification Indicate identical or at least similar or related project, aspect, other versions or embodiment of element or process.What is do not required In the case of, such further effort is unwanted, but be still it is unnecessary, to accelerate the understanding of reader.Even if It makes in the document, for by this specification all versions in the cards or embodiment, such further effort can It can not be completely the same.Therefore, description is in the project of definition, aspect, and element or process rather than when its reference number are controlled System.Any similitude in appended drawing reference can be used for inferring the similitude in text, rather than for obscure text or other In addition aspect that context indicates.

Elsewhere can be referred to as " 3330.2 " the disclosure be intended to be illustrative rather than appended right is wanted The limitation for the range asked.It is considered as novel and non-obvious element, feature and step that the claims herein, which defines, Rapid or operation certain combinations and sub-portfolio.It can be in the literature or pertinent literature in referring now to combination as other and son Other claims of combination.These claims are intended within its scope include the true spirit in subject matter described herein With all changes and modification in range.Term as used herein, including in the claims, it is generally intended as " open " Term.For example, term " includes " should be construed as " including but not limited to ", term " having " should be interpreted " at least having " Deng.It unless otherwise stated, the number is minimum value, but is not maximum if optional network specific digit belongs to claims state Value.For example, it means that it can have one or more be somebody's turn to do when claim records "one" element or "an" project Element or project.

In view of the embodiment for describing and showing in the disclosure, invention claimed may be better understood.So And notice readers will note that, some aspects of the disclosed embodiments extend beyond the scope of the claims of this document. In the case where the scope of the claims for having exceeded this document really in these areas, these aspects will be considered as supplementing background letter Breath constitutes the definition of the present invention itself rather than just the purpose for this document to more fully understand.However, these Aspect can be for the definition of another relevant file composition present invention itself.

Claims

1. a kind of wearable cardioverter-defibrillators (WCD) system is configured as setting with the access for being different from the WCD system Standby wirelessly to exchange data, the access equipment includes near-field communication (NFC) reader, peripheral processor and access wireless communication Module (AWCM), the WCD system include:

It is configured as the support construction dressed by patient；

Power supply；

It is configured as storing the energy storage module of charge from the power source charges；

Discharge circuit, is couple to the energy storage module, and the discharge circuit is controllable with described in the patient wearing Support construction is same to make the charge of the storage discharge by the patient；

Defibrillator memory is configured as storage program；

Defibrillator processor；

NFC label has tag ram, and access data are stored in the tag ram, and the NFC label is configured as Wireless interrogated wave is received from the NFC reader, the NFC label is configured in response to the received inquiry wave Reader wirelessly sends back scattering wave, and the back scattering wave encodes the access data, wherein the NFC of the access equipment is read Take device that can receive the back scattering wave, the peripheral processor of the access equipment can be generated from the access data of the coding Verify data, and the AWCM can send the verify data and configuration data；And

With the defibrillator wireless communication module (DWCM) of defibrillator processor cooperation, the DWCM is configured as wirelessly connecing Receive verify data and configuration data that the AWCM is sent, in which:

The defibrillator processor, which is configured to respond to determine, has generated institute from the access data of the coding of the back scattering It states received verify data and stores the received configuration data in the defibrillator memory；And

Therefore the defibrillator processor becomes to be configured as the program that the storage is run according to the configuration data of the storage So as to some decision for generating electric shock or not shocking by electricity, and the discharge circuit is controlled, thus in response to some decision of electric shock The charge is set to discharge.

2. WCD system according to claim 1, in which:

The access equipment is arranged in outer casing body；And

When the NFC label receives the wireless interrogated wave from the NFC reader and wirelessly sends the back scattering wave, Distance of the periphery shell apart from the NFC label at most 10 ".

3. WCD system according to claim 1, wherein the verify data includes accessing data or accessing dissipating for data Column.

4. WCD system according to claim 1, wherein the verify data includes the network address of the DWCM.

5. WCD system according to claim 1, wherein the access data of the coding of the back scattering are encrypted.

6. WCD system according to claim 1, in which:

The tag ram is configured to storage tag pin；And

The NFC label is configured to the access data of coding described in not back scattering, unless the inquiry wave is also to institute Tag pin is stated to be encoded.

7. WCD system according to claim 6, in which:

The WCD system assigned sequence number；And

The tag pin is the sequence number or related with the sequence number.

8. WCD system according to claim 1, in which:

The DWCM assigned network address；And

The DWCM does not send the network address in response to the inquiry signal of the AWCM.

9. WCD system according to claim 1, in which:

The defibrillator memory stores previous configuration data in reception the taking a step forward for verify data；And

The defibrillator processor be configured as according to the configuration data of the storage run described program, so as to generate electric shock or Some decision that do not shock by electricity, and the discharge circuit is controlled, so that some decision in response to electric shock makes the charge discharge.

10. WCD system according to claim 1, wherein the received configuration data is only when in the transmitting back scattering Timeout period after wave can be stored in the defibrillator memory when being received before expiring by DWCM.

11. WCD system according to claim 1, wherein the NFC label is configured to receive from another Another wireless interrogated wave of NFC reader, to decode the label data of the update from another wireless interrogated wave, and The label data of the update is stored in the tag ram to replace the access data.

12. WCD system according to claim 1, wherein the NFC label is configured to receive from described Another wireless interrogated wave of NFC reader, to decode the label data of the update from another wireless interrogated wave, and The label data of the update is stored in the tag ram to replace the access data.

13. WCD system according to claim 1, in which:

The DWCM is configured to wirelessly receive the label data of the update from the AWCM；And

The defibrillator processor is configured to for the label data of the update being stored in the tag ram To replace the access data.

14. WCD system according to claim 1, further comprises:

Defibrillator shell, the defibrillator processor and the NFC label are located in the defibrillator shell；And

Serve port in the defibrillator shell has the contact node with the defibrillator processor electric coupling, and its Described in defibrillator processor be configured in the tag ram store it is received via the contact node The label data of update is to replace the access data.

15. WCD system according to claim 1, in which:

The defibrillator memory is configured to storage Backup Data；And

The defibrillator processor, which is configured to store in the tag ram, to be stored in the defibrillator and has deposited Back scattering data in reservoir are to replace the access data.

16. WCD system according to claim 15, wherein the DWCM, which is configured to wirelessly receive, to be deposited Store up the Backup Data in the defibrillator memory.

17. WCD system according to claim 15, further comprises:

Serve port in the defibrillator shell has the contact node with the defibrillator processor electric coupling, and its Described in defibrillator processor be configured to receive via the contact node and can be stored in defibrillator storage Backup Data in device.

18. a kind of nonvolatile computer readable storage medium for storing one or more programs, when one or more of programs When being executed by least one defibrillator processor of wearable cardioverter-defibrillators (WCD) system, the wearable heart Rule turns multiple defibrillator (WCD) system and is configured as wirelessly exchanging data with the access equipment for being different from the WCD system, described Access equipment includes near-field communication (NFC) reader, peripheral processor and access wireless communication module (AWCM), the WCD system System includes:

It is configured as the support construction dressed by patient；

Power supply；

Discharge circuit, is couple to the energy storage module, and the discharge circuit is controllable with described in the patient wearing Support construction is same to make the charge discharge by the patient；

Defibrillator memory is configured as storage program and configuration data；

Defibrillator processor；

NFC label, has tag ram, and access data are stored in the tag ram；And

Defibrillator radio communication mold group (DWCM), these one or more programs cause to operate, and the operation includes:

The defibrillator processor according to the configuration data of the storage runs the program of the storage to generate electric shock or not First decision of electric shock；

The defibrillator processor controls the discharge circuit, so that first decision in response to electric shock puts the charge Electricity；

Then the NFC label receives the wireless interrogated wave from the NFC reader；

The NFC label wirelessly sends back scattering wave, the back scattering wave then in response to the received wireless interrogated wave The access data are encoded, wherein the NFC reader of the access equipment can receive the back scattering wave, the visit Ask that the peripheral processor of equipment can generate verify data from the access data of the coding, and the AWCM can send institute State the configuration data of verify data and update；

Then the DWCM wirelesslys receive the configuration data of the verify data that the AWCM is sent and update；

Determine whether to generate the received verify data from the access data of the coding of the back scattering；

The defibrillator processor response is described received from the generation of the access data of the coding of the back scattering in determining Verify data stores the configuration data of the received update in the defibrillator memory to replace the configuration data；

Then the defibrillator processor runs the program of the storage again according to the configuration data of the storage to generate Electric shock or second decision that do not shock by electricity；And

The defibrillator processor controls the discharge circuit, thus in response to second electricity for determining to make the storage of electric shock Lotus electric discharge.

19. medium according to claim 18, wherein the verify data includes the hash for accessing data or accessing data.

20. medium according to claim 18, wherein the verify data includes the network address of the DWCM.

21. medium according to claim 18, wherein the access data of the coding of the back scattering are encrypted.

22. medium according to claim 18, in which:

The tag ram also stores tag pin；And

The access data of coding described in the NFC label not back scattering, unless the inquiry wave also carries out the tag pin Coding.

23. medium according to claim 22, in which:

The WCD system assigned sequence number；And

The tag pin is the sequence number or related with the sequence number.

24. medium according to claim 18, in which:

The DWCM assigned network address, and

25. medium according to claim 18, wherein the received configuration data is only when in the transmitting back scattering wave Timeout period afterwards can be stored in the defibrillator memory when being received before expiring by DWCM.

26. medium according to claim 18, wherein the NFC label is further received from another NFC reader Another wireless interrogated wave, decode the label data of the update from another wireless interrogated wave, and by the update Label data be stored in the tag ram with replace the access data.

27. medium according to claim 18, wherein the NFC label is further received from the NFC reader Another wireless interrogated wave decodes the label data of the update from another wireless interrogated wave, and by the update Label data is stored in the tag ram to replace the access data.

28. medium according to claim 18, in which:

The DWCM further wirelesslys receive the label data of the update from the AWCM；And

The label data of the update is further stored in the tag ram to replace institute by the defibrillator processor State access data.

29. medium according to claim 18, in which:

The defibrillator memory further stores Backup Data；And

The defibrillator processor, which further stores in the tag ram, to be stored in the defibrillator memory Back scattering data are to replace the access data.

30. medium according to claim 29, wherein the DWCM, which is further wirelesslyd receive, is stored in the defibrillator Backup Data in memory.

31. one kind be used for wearable cardioverter-defibrillators (WCD) system method, the WCD system be configured as with not The access equipment for being same as the WCD system wirelessly exchanges data, the access equipment include near-field communication (NFC) reader, Peripheral processor and access wireless communication module (AWCM), the WCD system include: the support knot for being configured as being dressed by patient Structure；Power supply；It is configured as storing the energy storage module of charge from the power source charges；Discharge circuit is couple to described Energy storage module, the discharge circuit are controllable pass through the charge together in the patient wearing support construction Patient's electric discharge；Defibrillator memory is configured as storage program and configuration data；Defibrillator processor；NFC label, tool There is tag ram, access data are stored in the tag ram；And defibrillator wireless communication module (DWCM), it is described Method includes:

32. according to the method for claim 31, in which:

The access equipment is arranged in outer casing body；And

33. according to the method for claim 31, wherein the verify data includes the hash for accessing data or accessing data.

34. according to the method for claim 31, wherein the verify data includes the network address of the DWCM.

35. according to the method for claim 31, wherein the access data of the coding of the back scattering are encrypted.

36. according to the method for claim 31, in which:

The tag ram also stores tag pin；And

37. according to the method for claim 36, in which:

The WCD system assigned sequence number；And

The tag pin is the sequence number or related with the sequence number.

38. according to the method for claim 31, in which:

The DWCM assigned network address；And

39. according to the method for claim 31, wherein the received configuration data is only when in the transmitting back scattering wave Timeout period afterwards can be stored in the defibrillator memory when being received before expiring by DWCM.

40. according to the method for claim 31, wherein the NFC label is further received from another NFC reader Another wireless interrogated wave, decode the label data of the update from another wireless interrogated wave, and by the update Label data be stored in the tag ram with replace the access data.

41. according to the method for claim 31, wherein the NFC label is further received from the NFC reader Another wireless interrogated wave decodes the label data of the update from another wireless interrogated wave, and by the update Label data is stored in the tag ram to replace the access data.

42. according to the method for claim 31, in which:

43. according to the method for claim 31, in which:

The WCD system further comprises defibrillator shell, and the defibrillator processor and the NFC label are located at the defibrillation In device shell；

The WCD system further comprises the serve port in the defibrillator shell, and the serve port has to be removed with described Quiver the contact node of device processor electric coupling；And

The defibrillator processor further stores in the tag ram via the received update of the contact node Label data is to replace the access data.

44. according to the method for claim 31, in which:

The defibrillator memory further stores Backup Data；And

45. according to the method for claim 44, wherein the DWCM, which is further wirelesslyd receive, is stored in the defibrillator Backup Data in memory.

46. according to the method for claim 44, in which:

The defibrillator processor further receives the backup being stored in the defibrillator memory via the contact node Data.