JP2020137727A - Wearable cardioverter defibrillator (wcd) system having main ui that conveys message in cooperation with peripheral device that amplifies message - Google Patents

Abstract

To provide a wearable cardiac defibrillator (WCD) configured to be worn by an ambulatory patient.SOLUTION: A WCD system 100 includes a main user interface (UI) output device that can output an image, sound or vibration as a main message about a condition of a patient or the WCD system. The patient may further carry a peripheral device 140 that can also output an image, sound or vibration as a peripheral message about the condition. The peripheral message may mirror the main message at least in part, amplify it, and so on. The availability of the peripheral message provides the patient with an opportunity to better perceive the main message, and the flexibility to receive it and react to it discreetly, learn more about the condition, and so on.SELECTED DRAWING: Figure 1

Description

Cross-reference to related applications This application claims priority from US patent application 16 / 283,342 filed on 22 February 2019. The application also claims priority from US Patent Provisional Application No. 62 / 637,296 filed on March 1, 2018.

If a person suffers from any cardiac arrhythmia, it can result in reduced blood flow to various parts of the body. Arrhythmias can even lead to sudden cardiac arrest (Sudden Cardiac Arrest: SCA). If SCA is not treated for the time being, it can lead to death in a very short time, for example, within 10 minutes. Some observers thought that SCA was the same as a heart attack, but it is not.

Some people are at high risk for SCA. Such individuals include patients who have had a heart attack, or previously developed SCA. Such people are often advised to wear an Implantable Cardioverter Defibrillator (ICD). The ICD is surgically implanted in the chest and continuously monitors the patient's electrocardiogram (ECG). When a particular type of cardiac arrhythmia is detected, the ICD gives an electric shock through the heart.

As a further precaution, those who are considered at high risk for SCA may be provided with a Wearable Cardioverter Defibrillator (WCD) system until ICD is implanted. Early versions of such a system were called the Wearable Cardiac Defibrillator system. WCD systems generally include harnesses, vests, belts, or other clothing for the patient to wear. The WCD system also includes electronic components such as defibrillators and electrodes connected to harnesses, vests, or other clothing. When the patient is wearing the WCD system, the electrodes can make good electrical contact with the patient's skin, which can facilitate the perception of the patient's ECG. When a defibrillator-adaptive cardiac arrhythmia is detected in the ECG, the defibrillator gives a moderate electric shock through the patient's body and thus through the heart. This can restart the patient's heart, thereby saving the patient's life.

Not all of the objects discussed in this Background Technology section of this specification are necessarily prior art, and may not be considered prior art just because they are shown in this Background Technology section. Absent. In addition, any reference to any prior art in this description is not a recognition or any form of suggestion that such prior art forms part of common general knowledge in any technology in any country. Should not be interpreted as. In line with these policies, any perceptions of the prior art issues discussed in this Background Technology section, or related to such objects, should not be treated as prior art unless explicitly stated to be prior art. .. Rather, any discussion of any subject in this Background Technology section should be treated as part of the approach we have taken to a particular problem. This approach may itself be inventive.

This description provides examples of WCD systems, components of such systems, storage media capable of storing programs, and methods that, when used, can help overcome the problems and limitations of prior art.

In embodiments, the WCD system is configured to be worn by a walkable patient. The WCD system includes a main user interface (UI) output device capable of outputting images, sounds, or vibrations as a main message regarding the condition of the patient or WCD system. In addition, the patient can carry a peripheral device capable of outputting images, sounds, or vibrations as peripheral messages about the condition as well. Peripheral messages may at least partially reflect or amplify the main message. Peripheral message availability provides patients with the opportunity to better understand the main message and the flexibility to accept it, respond carefully, and learn more about their condition.

These and other features and advantages of the invention described in the claims are more easily described herein in light of the embodiments illustrated and illustrated, i.e., in the description and accompanying drawings herein. You will be able to understand.

FIG. 1 is a diagram of components of an example of a WCD system made according to an embodiment.

FIG. 2 is a diagram showing an example of components of an external defibrillator, such as a defibrillator belonging to the system of FIG. 1, manufactured according to an embodiment.

FIG. 3 is a diagram of an embodiment of a component of the WCD system.

FIG. 4 is a composite diagram including a block diagram of an example of a main device and an example of a peripheral device manufactured and operated according to an embodiment.

FIG. 5 is a diagram of an example of a component according to an embodiment. In the figure, the main UI output device includes a main screen for displaying a main image regarding a state to be conveyed to a patient, and a peripheral UI output device relates to a state. Includes a peripheral screen that displays a peripheral image.

FIG. 6 is a diagram of an example of a main image and an example of a corresponding peripheral image in which the entire main image is repeated according to the embodiment.

FIG. 7 is a diagram of an example of a main image according to an embodiment and an example of a corresponding peripheral image in which features of the main image are repeated to further present text.

FIG. 8 is a diagram of an example of a main image according to an embodiment and an example of a corresponding peripheral image having a plurality of portions that are sequentially visible by a link.

FIG. 9 is an example of a main image according to an embodiment and an example of a corresponding peripheral image displayed on a larger peripheral device such as a tablet.

FIG. 10 shows a flowchart portion for showing a method example according to the embodiment. The flowchart is further annotated with element icons that can be associated with the individual actions of the flowchart portion.

As mentioned above, the present description relates to WCD systems, components of such systems, storage media capable of storing programs, and methods. The embodiment will be described in more detail.

The WCD system according to the embodiment may protect a walkable patient by electrically restarting the heart of the walkable patient when necessary. Such a WCD system may include multiple components. These components can be provided separately as interconnectable modules, or combined with other components.

FIG. 1 shows patient 82. Since the patient wears the components of the WCD system, the patient 82 can also be referred to as a person or wearer. Patient 82 is ambulatory. That is, the patient 82 can walk around while wearing the wearing portion of the WCD system and is not necessarily bedridden. Patient 82 may also be considered to be the "user" of the WCD system, but it does not have to be. For example, the user of the WCD system may be a clinician such as a doctor, nurse, emergency medical technician (EMT), or another individual or group of individuals with similar duties. In some cases, the user may be a person present. The specific context of these and related terms within the scope of this description should be construed as appropriate.

The WCD system according to the embodiment can be configured to stop fibrillation of a patient wearing a designated portion of the WCD system. Defibrillation can be performed by a WCD system that applies an electric charge to the patient's body in the form of an electric shock. The electric shock can be given by one or more pulses.

In particular, FIG. 1 also shows the components of a WCD system made according to an embodiment. One such component is a support structure 170 that can be worn by the walkable patient 82. Thus, the support structure 170 is configured to be worn by the walkable patient 82 for at least hours per day, for at least days, or even months. It will be appreciated that FIG. 1 merely illustrates the support structure 170 in general and, in practice, semi-conceptually. FIG. 1 is provided merely to illustrate the concept of support structure 170 and should not be considered limiting how the support structure 170 is mounted or worn.

The support structure 170 can be implemented by many different means. For example, the support structure 170 may be implemented in the form of a single component or a combination of multiple components. In embodiments, the support structure 170 may include a vest, half vest, clothing and the like. In such embodiments, such items can be worn like clothing. In embodiments, the support structure 170 may include a harness, one or more belts or straps, and the like. In such embodiments, the patient can wear such items around the torso, hips, shoulders, and the like. In embodiments, the support structure 170 may include a container or housing, which can also be made waterproof. In such embodiments, the support structure can be worn by adhesively adhering to the patient's body, for example, as illustrated and described in US Pat. No. 8,024,037. The support structure 170 may be implemented as described with respect to the support structure of US Patent Application No. US2017 / 0056682 incorporated herein by reference. In such embodiments, additional components of the WCD system can be housed within the housing of the support structure rather than mounted outside the support structure, as described, for example, in US2017 / 0056682. Those skilled in the art will naturally understand. There may be other examples.

FIG. 1 shows an example of an external defibrillator 100. As described in more detail herein, some aspects of the external defibrillator 100 include a housing and an energy storage module within the housing. For this reason, the defibrillator 100 may be referred to as the main electronic module in the context of the WCD system. The energy storage module can be configured to store charge. Other components can release at least a portion of the accumulated charge through the patient through the electrodes to provide a defibrillation shock through one or more patients.

FIG. 1 also shows examples of defibrillation electrodes 104, 108 connected to the external defibrillator 100 via an electrode lead wire 105. The defibrillation electrodes 104, 108 can be configured to be worn by the patient 82 in a variety of ways. For example, the defibrillator 100 and the defibrillation electrodes 104, 108 can be directly or indirectly connected to the support structure 170. In other words, the support structure 170 is worn by the walkable patient 82 so that at least one of the defibrillation electrodes 104, 108 remains in contact with the body of the walkable patient 82 while the patient 82 moves around. Can be configured in. In this way, the electrodes can continue to be in contact with the body simply by being pressed against the skin of the patient 82, directly or through clothing or the like. In some embodiments, the electrodes are not necessarily pressed against the skin and are so urged when a condition worthy of intervention by the WCD system is detected. Further, many of the components of the defibrillator 100 can be considered to be directly or indirectly connected to the support structure 170 via at least one of the defibrillator electrodes 104, 108.

When the defibrillator electrodes 104, 108 are in good electrical contact with the body of the patient 82, the defibrillator 100 applies a short, strong electrical pulse 111 through the body through the electrodes 104, 108. be able to. Pulse 111 is also referred to as shock, defibrillation shock, treatment, electrotherapy, therapeutic shock and the like. Pulse 111 is intended to pass through heart 85 and restart to save the life of patient 82. Pulse 111 may further include one or more lower intensity pacing pulses and the like for simply pacing the heart 85 if desired.

Conventional defibrillators generally determine whether to perform a defibrillation based on the patient's ECG signal. However, the external defibrillator 100 may start or refrain from defibrillation based on various inputs that simply use the ECG signal as one of the inputs.

The WCD system according to the embodiment can acquire data from the patient 82. To collect such data, the WCD system may optionally include at least an external monitoring device 180. The device 180 is referred to as an "external" device, for example, because it can be provided as a stand-alone device rather than in the housing of the defibrillator 100. The device 180 may be configured to sense or monitor at least one local parameter. The local parameters may be patient 82 parameters, WCD system parameters, or environmental parameters, as described herein later.

For some of these parameters, device 180 may include one or more sensors or transducers. Each such sensor may be configured to sense the parameters of patient 82 and present inputs according to the sensed parameters. In some embodiments, the input is quantitative, eg, the value of a perceived parameter, and in other embodiments, it is qualitative, eg, information such as whether a threshold has been crossed. is there. These inputs for the patient 82 may also be referred to as physiological inputs or patient inputs. In the embodiment, the sensor is interpreted in a broader sense as including many individual sensors.

Optionally, the device 180 may be physically connected to the support structure 170. Further, the device 180 may be communicably connected to other components connected to the support structure 170. Such communication can be implemented by communication modules as will be deemed applicable by those skilled in the art in light of the present description.

In embodiments, one or more components of the WCD system shown may be customized for patient 82. This customization may include multiple aspects. For example, the support structure 170 can be fitted to the body of the patient 82. As another example, it is possible to measure the reference physiological parameters of the patient 82, such as the heart rate of the patient 82 during rest and walking, the output of the motion detector during walking, and the like. Since each patient's body is different, the WCD system can be customized using measurements of reference physiological parameters as described above to improve the accuracy of the diagnosis of the WCD system. Of course, such parameter values can be stored in the memory of the WCD system or the like. In addition, programming interfaces for entering measurements of such reference physiological parameters can be created according to embodiments. Such a programming interface may automatically input those measurements, along with other data, into the WCD system.

The component of the WCD system of FIG. 1 also includes a communication unit 160. The communication unit 160 may be a device for the patient 82 to exchange information with the WCD system. In particular, the communication unit 160 may have a UI configured to allow the patient 82 to read messages from the WCD system and, in some cases, receive user input.

In some embodiments, the communication unit 160 is integrated with the defibrillator 100. From this, the communication unit 160 and the defibrillator 100 can have the same housing, the same processor, and the like. When the communication unit 160 is provided as a unit separate from the defibrillator 100, the communication unit 160 is connected to the support structure 170 and electrically connected to the defibrillator 100 via a cable. Can be configured as follows. However, the cable may be a permanent cable, USB (Universal Serial Bus), or FireWire connection.

For use, patient 82 may reach into the communication unit 160 by putting his hand in his clothing. In the cable-based embodiment, patient 82 may bring the communication unit 160 to a position where system messages are easy to read. However, the problem with this arrangement is that others looking at the communication unit 160 may be curious or even concerned. According to embodiments, some of the messages in the WCD system are transmitted via the peripheral device 140 with or without duplication with the unit 160. The peripheral device 140 may be configured to be carried to a pedestrian patient 82, for example, by being implemented as a mobile communication device such as a mobile phone or tablet computer.

In an embodiment, there, the patient 82 typically wears and carries the peripheral device 140 almost all day long. Patient 82 may carry the device 140 in a pocket, in a special holder, or even on the wrist. Patient 82 may use device 140 to communicate with the WCD system. Therefore, the patient 82 is also referred to as the user 82. The peripheral device 140 has a peripheral UI output device, which can be implemented in various ways. For example, the peripheral UI output device can include a peripheral speaker configured to output sound, a peripheral vibration device configured to generate vibration, a peripheral screen configured to display an image, and the like. The peripheral screen may be a touch screen. From this, some UI output devices will output the corresponding Human Perceptible Indication (HPI), such as images, lights, sounds, vibrations, etc. The peripheral device 140 may further be configured to allow the patient 82 to input an input, often referred to herein as a wireless input. In the embodiment, a wireless communication link may be established and used to exchange data, voice, and the like.

Peripheral devices such as device 140 may be custom made devices that are part of the WCD system. When made to look substantially like a normal commercial mobile communication device, it helps to protect the privacy of the patient 82 with respect to the fact that the patient 82 is wearing the medical device, and thus the patient 82. It will also help protect dignity. Care should be taken not to use the intellectual property rights of others without permission when making such a custom-made device 140 look like a commercially available mobile communication device.

Alternatively, the peripheral device 140 may be a wireless telephone, a smartphone, a personal digital assistant (PDA), a personal electronic device, a wireless caller, a laptop computer, a tablet, an electronic book reader, or the like. The peripheral device 140 can perform the above-mentioned various functions by storing and executing a software application also called an application (app) created according to the embodiment. In such an embodiment, the peripheral device 140 can communicate with the wireless service provider network (not shown) via a remote comlink (not shown). For the purposes of this specification, "comlink" means a communication link, and "remote comlink" is at least 500 feet (150 m), generally, for example, a mobile phone communication link. It means a wireless comlink established between devices that are farther away from each other, such as. In such cases, use the remote comlink for a variety of other uses that can also be accessed directly via mobile communication devices, such as dialing an emergency number (eg, 911 in the United States). be able to. Furthermore, the position of the patient can be determined by the Global Positioning System (GPS). When the WCD system and the communication device are paired and one knows that it is physically close to the other, GPS information is obtained in that way and the emergency medical service (EMS) is contacted. The communication device may provide a redundant communication path for the data of the WCD system. This redundant communication path may be used as a secondary communication path for remote data monitoring if the primary internal internet path is not available for the WCD system to report. Remote caregivers can also use the remote comlink to provide troubleshooting assistance, motivational feedback, and the like to the patient 82.

Therefore, the peripheral device 140 may be configured to establish a local comlink 171 with the communication module of the WCD system, which may be in the same module as the defibrillator 100. If the peripheral device 140 is actually a radiotelephone or other stand-alone communication device, a local comlink may first be established according to some authentication. The local comlink 171 may be established by the initiative of one or both of the peripheral device 140 and the communication module. For the purposes of this specification, "local comlinks" are up to 50 feet (15 m), generally closer and closer to each other, for example, when patient 82 has device 140. Means a wireless communication link established between devices distant from each other. The local com link 171 may be a wireless link. Data may be exchanged in either one or both directions via the local comlink 171. In the embodiment, the local comlink 171 uses at least one of broadband and shortwave radio transmission techniques. The local comlink 171 may use Bluetooth (Bluetooth) technology, Wi-Fi technology, ZigBee, or other suitable short-range wireless technology.

FIG. 2 is a diagram showing components of an external defibrillator 200 manufactured according to an embodiment. These components may be included, for example, in the external defibrillator 100 of FIG. The components shown in FIG. 2 may be provided in a housing 201, which may also be referred to as a casing 201.

The external defibrillator 200 is intended for patients who wear it, such as the walkable patient 82 of FIG. The defibrillator 200 may further include a UI 280, or such a UI 280 may be part of a communication unit 160. UI280 may be made for user 282.

The user 282 may be a patient 82, also referred to as a wearer 82. Alternatively, the user 282 may be an on-site rescuer, such as a resident or trained person who can reach out for help. Alternatively, the user 282 may be a remote, trained caregiver communicating with the WCD system.

The UI 280 that can be implemented by the communication unit 160 can be produced by various methods. The UI280 may include an output device that may be visual, auditory, or tactile to communicate to the user by outputting images, sounds, or vibrations. Images, sounds, vibrations, and anything that can be perceived by the user 282 can also be called HPI. There are many examples of output devices. For example, the output device may be a light, or a screen displaying what has been sensed, detected, or measured, and may provide the rescuer 282 with visual feedback, such as a resuscitation attempt. Other output devices may be speakers that may be configured to emit voice prompts, beeps, loud alarms, words to warn people present, and so on.

The UI280 may further include an input device for receiving input from the user. Such input devices may include various operating devices such as pushbuttons, keyboards, touch screens, and one or more microphones. The input device may be a cancel switch, sometimes referred to as an "I am alive" switch or a "live man" switch. In some embodiments, the release of the shock can be prevented immediately before the release of the shock by activating the cancel switch.

The defibrillator 200 may include an internal monitoring device 281. The device 281 is referred to as an "internal" device because it is built into the housing 201. The monitoring device 281 can sense or monitor patient parameters such as patient physiological parameters, system parameters, and environmental parameters. All patient parameters can be referred to as patient data. In other words, the internal monitoring device 281 can be complementary or alternative to the external monitoring device 180 of FIG. The assignment of which of the parameters is monitored by the monitoring device 180 or 281 can be made according to the design study. As described elsewhere herein, device 281 may include one or more sensors.

The patient parameters may include the patient's physiological parameters. The patient's physiological parameters are, by way of example, and not limited to, physiological parameters that may be of some help to the WCD system in detecting whether the patient is in need of shock or other intervention or assistance. May include. The patient's physiological parameters may optionally include the patient's medical history, event history, and the like. Examples of such parameters include patient ECG, blood oxygen levels, blood pressure, blood pressure, hemoperfusion, pulsatile changes in light transmission or reflex characteristics of perfused tissue, heart sounds, heart wall movements, breath sounds, and There is a pulse. Therefore, monitoring devices 180, 281 may include one or more sensors configured to acquire the patient's physiological signal. Examples of such sensors or transducers include one or more electrodes for detecting ECG data, perfusion sensors, pulsed oxygenimeters, blood flow detectors (eg Doppler devices), blood pressure sensors (eg blood pressure). Instrument band), optical sensors, perhaps lighting detectors and sensors for detecting tissue color changes, motion sensors, devices capable of detecting heart wall motion, acoustic sensors, devices with microphones, and SpO ₂ Sensors and the like can be mentioned. In view of the present disclosure, it will be understood that such sensors are useful for detecting a patient's pulse and are therefore also referred to as a pulse detection sensor, a pulse sensor, and a pulse rate sensor. In addition, one of ordinary skill in the art may implement other methods of performing pulse detection.

In some embodiments, the local parameter is a detectable trend in the monitored physiological parameters of patient 282. Trends can be detected by comparing parameter values at different time points, both short-term and long-term. Parameters for which the detected trends are particularly useful for cardiac rehabilitation programs include a) cardiac function (eg, ejection fraction, stroke volume, cardiac output, etc.), b) resting or exercising heart rate. Fluctuations, c) heart rate profiles during exercise, and activity measurements, such as from profiles of accelerometer signals or from information from rate-adaptive pacemaker technology, d) heart rate trends, e ) Perfusion from SpO ₂ , CO _2, etc., or other parameters such as the above parameters, f) respiratory function, respiratory rate, etc. g) movement, level of activity, etc. are included. When a trend is detected, it can at least either save or report the trend over a communication link, perhaps with a warning if there is a reason. The physician monitoring the progress of patient 282 will know from the report whether the condition has improved or worsened.

Patient status parameters include recorded aspects of patient 282, such as movement, posture, recent talk, and perhaps what was spoken, and optionally a history of these parameters. Alternatively, one of these monitoring devices may include a position sensor such as a Global Positioning System (GPS) position sensor. Such a sensor can detect the position and can also detect the velocity as the rate of change of the position over time. Many motion detectors output motion signals that represent the movement of the detector, and thus the movement of the patient's body. Patient condition parameters can be very useful in narrowing down the determination of whether SCA is actually occurring.

Therefore, a WCD system made according to an embodiment may include a motion detector. In the embodiment, the motion detector can be mounted in the monitoring device 180 or in the monitoring device 281. Such motion detectors can be made by many means, for example, using accelerometers, as is known in the art. In this example, the motion detector 287 is mounted in the monitoring device 281. The motion detector of the WCD system according to the embodiment may be configured to detect a motion event. Exercise events can be conveniently defined as, for example, a reference movement or a change in movement from rest. In such cases, the perceived patient parameter is exercise.

WCD system system parameters can include system identification, battery status, system date and time, self-test reports, records of input data, records of onset and intervention, and the like. In response to a detected motion event, the motion detector may present or generate a motion detection input from the detected motion event or motion that can be received by a subsequent device or function.

Environmental parameters can include temperature and barometric pressure. In addition, humidity sensors may provide information on whether it is likely to rain. The estimated position of the patient can also be considered as an environmental parameter. If the monitoring device 180 or 281 includes a GPS position sensor as described above and it is estimated that the patient is wearing a WCD system, the patient's position can be estimated.

The defibrillator 200 generally includes a defibrillation port 210. The defibrillation port 210 may be a socket in the housing 201. The defibrillation port 210 includes electrical nodes 214 and 218. The lead wires of the defibrillation electrodes 204 and 208, such as the lead wire 105 of FIG. 1, can be inserted into the defibrillation port 210 so as to make electrical contact with the nodes 214 and 218, respectively. Alternatively, the defibrillation electrodes 204, 208 can be continuously coupled to the defibrillation port 210. In any case, the defibrillation port 210 is used to direct at least a portion of the charge stored in the energy storage module 250, which will be described more adequately herein, to the wearer via the electrodes. Can be done. The charge will be a shock for defibrillation, pacing, etc.

The defibrillator 200 may optionally also have a sensor port 219 in the housing 201, which may also be referred to as an ECG port. The sensor port 219 can be adapted to be plugged into a sensing electrode 209, also called an ECG electrode and an ECG lead. Alternatively, the sensing electrode 209 can be continuously coupled to the sensor port 219. The sensing electrode 209 senses ECG signals, such as signals from 12 leads, or signals from different numbers of leads, especially when in good electrical contact with the patient's body, especially the patient's skin. It is a kind of transducer that can be easily used. The support structure may be configured to be worn by the patient 282 so that the sensing electrode 209 remains in contact with the body of the patient 282, similar to the defibrillation electrodes 204, 208. For example, similar to the defibrillation electrodes 204, 208, the sensing electrode 209 can be mounted inside the support structure 170 for good electrical contact with the patient.

Optionally, the WCD system according to the embodiment also includes a fluid that can be automatically deployed between the electrodes and the patient's skin. The fluid can be made conductive, such as by including an electrolyte, to establish better electrical contact between the electrodes and the skin. Electrically speaking, as the fluid unfolds, the electrical impedance between each electrode and the skin decreases. Mechanically speaking, the fluid may be in the form of a low viscosity gel so that it does not flow away after deployment from a location near the electrode where it was released. The fluid can be used for both defibrillation electrodes 204, 208, and for the sensing electrode 209.

The fluid is initially stored in a fluid storage vessel not shown in FIG. Such fluid storage vessels can be coupled to the support structure. In addition, the WCD system according to the embodiment further includes a fluid deployment mechanism 274. The fluid deployment mechanism 274 may be configured to expel at least a portion of the fluid from the storage vessel and deploy the electrodes 204, 208 near one or both of the patient locations configured to be attached to the patient. In some embodiments, the fluid deployment mechanism 274 is activated prior to discharge in response to the reception of the activation signal AS from the processor 230, which is more fully described herein.

In some embodiments, the defibrillator 200 also includes a measuring circuit 220, wherein one or more modules work with the sensor or transducer. The measurement circuit 220 senses one or more electrical physiological signals of the patient, if provided from sensor port 219. Even if the defibrillator 200 lacks sensor port 219, when the defibrillation electrodes 204, 208 are attached to the patient, the measurement circuit 220 is optionally physiological through nodes 214, 218. The signal can be acquired. In these cases, the input reflects the ECG measurements. The patient parameter may be ECG, which can be perceived as a voltage difference between electrodes 204, 208. In addition, the patient parameter may be impedance, which can be sensed between electrodes 204, 208, and at least one of the paired sensor port 219 couplings. Sensing impedance can be particularly useful in detecting that at least one of these electrodes 204, 208 and sensing electrode 209 is not in good electrical contact with the patient's body. These physiological signals of the patient can be sensed, if available. The measurement circuit 220 can then present or generate information about them as inputs, data, other signals, and so on. From this, the measurement circuit 220 may be configured to present patient input in response to the sensor sensing the patient parameter. In some embodiments, the measuring circuit 220 may be configured to present a patient input, such as a value of the ECG signal in response to the ECG signal sensed by the sensing electrode 209. Strictly speaking, the information presented by the measuring circuit 220 is output from the measuring circuit 220, but this information is received as an input by a subsequent device or function and can be referred to as an input.

The defibrillator 200 also includes a processor 230. Processor 230 can be implemented in various ways. Such methods are, by way of example, and not limited to, digital and analog processors such as microprocessors and digital signal processors (DSPs), controllers such as microprocessors, and software that runs in-machine. , Programmable circuits such as Field Programmable Gate Array (FPGA), Field-Programmable Analog Array (FPAA), Programmable Logic Device (PLD), Integrated Circuits for Specific Applications It includes a circuit (Application-Specific Integrated Circuit: ASIC), and any combination of one or more of them.

Processor 230 may include or have access to a non-temporary storage medium, such as memory 238, which will be described more fully herein. Such memory can have a non-volatile element for storing machine-readable and machine-executable instructions. Such a set of instructions can also be called a program. An instruction, sometimes referred to as "software," is to perform any act, action or method that is generally disclosed herein or that will be understood by one of ordinary skill in the art in light of the disclosed embodiments. Provides functionality by. In some embodiments, and by convention as used herein, software examples may be referred to by "modules" and other similar terms. In general, a module contains a set of instructions to provide or perform a particular function. The modules and functional embodiments provided are not limited to the embodiments described herein.

Processor 230 can be considered to have a plurality of modules. One such module can be the detection module 232. The detection module 232 can include a Ventricular Fibrillation (VF) detector. The perceived patient's ECG from the measurement circuit 220, available as input, data reflecting the value, or other signal value, is determined by the VF detector to determine if the patient is experiencing VF. Can be used. VFs generally lead to SCA, so it is useful to detect VFs. The detection module 232 can further include a VT detector for detecting ventricular tachycardia (VT) and the like.

Another such module in processor 230 may be advice module 234, which produces advice on what to do. The advice may be based on the output of detection module 232. According to embodiments, there can be many types of advice. In some embodiments, the advice is a shock / shock-free decision made by the processor 230, for example, via the advice module 234. A shock / no shock decision can be made by running a stored Shock Advisory Algorithm. The shock advisory algorithm can make a shock / no shock determination from one or more ECG signals captured according to an embodiment to determine if the shock criteria are met. The determination can be made by rhythm analysis of the captured ECG signal or other methods. For example, there may be a shock decision for VF, VT, etc.

In some embodiments, when the decision is to shock, the charge is released to the patient. The release of charge is also known to discharge and shock the patient. As mentioned above, it can be used for defibrillation, pacing, etc.

In perfect condition, a very reliable shock / shock-free decision can be made from the detected fragment of the patient's ECG signal. However, in practice, ECG signals are often destroyed by electrical noise, which makes analysis difficult. Excessive noise causes false detection of cardiac arrhythmia and causes false alarm to the patient. The noisy ECG signal was filed on July 17, 2018 and published as US2019 / 0030351A1, US Patent Applications 16 / 037,990, and July 17, 2018, as US2019 / 0030352A1. It can also be addressed as described in published US Patent Application No. 16 / 038,007. Both are by the same applicant and are incorporated herein by reference.

Processor 230 may include additional modules, such as other modules 236, for other functions. Further, when the internal monitoring device 281 is actually provided, the processor 230 may receive the input or the like.

The defibrillator 200 further includes a memory 238 that can optionally work with the processor 230. The memory 238 can be implemented in various ways. Such methods are, by way of example, and not limited to, volatile memory, nonvolatile memory (NVM), read-only memory (ROM), random access memory (Random Access Memory). : RAM), magnetic disk storage medium, optical storage medium, smart card, flash memory device, any combination thereof and the like. As described above, the memory 238 is a non-temporary storage medium. If memory 238 is provided, memory 238 may include a program for processor 230, which processor 230 may be able to read and execute. More specifically, the program can include a set of instructions in the form of code that the processor 230 can read and execute. Execution is performed by physical manipulation of physical quantities, and brings about functions, actions, processes, actions, actions, or methods to be performed, and the processor causes other devices, components, or blocks to perform such functions or actions. At least one of the processes, actions, actions, and methods may be performed. The program can operate for the specific needs of processor 230 and may also include protocols and methods that can be determined by advisory module 234. In addition, the memory 238 can store a prompt to the user when the user 282 is a rescuer in the field. Further, the memory 238 can store data. The data can include patient data, system data, and environmental data, for example, as learned by the internal monitoring device 281 and the external monitoring device 180. The data may be stored in memory 238 before being transmitted from the defibrillator 200, or may be stored there after being received by the defibrillator 200.

The defibrillator 200 can optionally include a communication module 290. In some embodiments, the communication module 290 is mounted in a separate communication unit 160. The communication module 290 may be configured to establish one or more wired or wireless communication links with other devices of other entities such as remote support centers, emergency services (EMS). Communication links can be used to transfer data and commands. The data may be patient data, event information, tried therapy, cardiopulmonary resuscitation (CPR) performance, system data, environmental data, and the like. For example, the communication module 290 may wirelessly transmit heart rate, respiratory rate, and other vital sign data, for example, to a server accessible via the Internet on a daily basis, as described, for example, in US20140043149. .. This data can be analyzed directly by the patient's doctor, and after being automatically analyzed by an algorithm designed to detect ongoing illness, medical related via text, email, telephone, etc. Can be notified. Module 290 may further include interconnected sub-components as may be deemed necessary by one of ordinary skill in the art, such as antennas, parts of processors, assistive electronics, telephone outlets, network cables and the like.

The defibrillator 200 may further include a power supply 240. To allow the portability of the defibrillator 200, the power supply 240 generally includes a battery. Such batteries are generally implemented as battery packs, which may or may not be rechargeable. Rechargeable and non-rechargeable battery packs may be used in combination. Other embodiments of the power supply 240 may include AC power overrides for locations where alternating current (AC) power is available, energy storage capacitors, and the like. Appropriate components may be included to prepare for charging or replacement of the power supply 240. In some embodiments, the power supply 240 is subject to at least one of control and monitoring by the processor 230.

The defibrillator 200 may further include an energy storage module 250. The energy storage module 250 may be connected to the support structure of the WCD system, for example, directly or via electrodes and their leads. The module 250 can temporarily store some electrical energy in the form of an electric charge as it prepares it for a shocking discharge. In the embodiment, the module 250 can be charged from the power supply 240 to a desired amount of energy under the control of the processor 230. In a typical implementation, module 250 includes a capacitor 252, which can be a single capacitor or a system of capacitors. In some embodiments, the energy storage module 250 includes a device exhibiting high power density, such as an ultracapacitor. As mentioned above, the capacitor 252 stores in the form of an electric charge to give energy to the patient.

As in the decision above, a shocking decision can be made in response to the meeting of the shock criteria. When the decision is to give a shock, the processor 230 receives at least some or all of the charge stored in the module 250 while the support structure is worn on the patient 82 so as to give the shock 111 to the patient 82. Can be configured to discharge through the patient 82.

To cause a discharge, the defibrillator 200 further includes a discharge circuit 255. When the decision is to shock, the processor 230 may be configured to control the discharge circuit 255 to discharge at least some or all of the charge stored in the energy storage module 250 through the patient. A discharge can be performed on nodes 214, 218 and from there on defibrillation electrodes 204, 208 so that the shock is given to the patient. The circuit 255 can include one or more switches 257. The switch 257 can be made by various methods such as an H-bridge. Further, the circuit 255 can be controlled as described above through the processor 230 and the UI 280.

The defibrillator 200 can optionally include other components.

FIG. 3 is a diagram of an embodiment of a component of the WCD system. The support structure 370 includes a vest-like wearable garment. The support structure 370 has a posterior 371 and an anterior 372 that closes in front of the patient's chest.

The WCD system of FIG. 3 further includes an external defibrillator 300. In this example, there is no separate communication unit 160, and the communication function is built into the defibrillator 300. Although no support for the external defibrillator 300 is shown in FIG. 3, it may be carried by the patient in a handbag, on a belt, on a strap over the shoulder, or the like. The defibrillator 300 includes a UI, which in this example includes a screen 380. Since the defibrillator 300 is made as small and lightweight as possible, the screen 380 may be small.

The wiring 305 connects the external defibrillator 300 to the electrodes 304, 308, 309. Among them, the electrodes 304 and 308 are defibrillation electrodes, and the electrode 309 is an ECG sensing electrode.

The support structure 370 is configured to be worn by a walkable patient so that the electrodes 304, 308, 309 remain in contact with the patient's body. In fact, the posterior defibrillation electrode 308 is held in pocket 378. Naturally, the inside of the pocket 378 is made in a loose mesh, so that the electrode 308 can come into contact with the patient's back, especially by using the deployed conductive fluid. Further, in order to sense the ECG signal and impedance of the patient, the sensing electrode 309 is held at a position surrounding the patient's torso.

In the example of FIG. 3, a peripheral device 340 is further provided. In this example, the peripheral device 340 is connected to the defibrillator 300 via a cable 371. In this example, the peripheral UI output device of the peripheral device 340 is the peripheral screen 346.

FIG. 4 is a composite diagram including a block diagram of an example of the main device 400 and an example of the peripheral device 440 manufactured and operated according to the embodiment. The main device 400 is part of a WCD system made according to an embodiment and includes a main housing 401. In some embodiments, the main device 400 is part of an external defibrillator, which is the case, for example, when the energy storage module 250 is inside the main housing 401. In other embodiments, the main device 400 may resemble the communication unit 160 of FIG. 1 and may be provided separately from the housing of the defibrillator unit.

In the example of FIG. 4, the main device 400 includes a main processor 430 and a main memory 438 that stores data 433 and one or more programs 432. Further, the main device 400 includes a main communication module 490 and a main UI output device 480. The device 480 can be located, at least partially, within the main housing 401 and can include a driver 487, which can be a device driver.

In some embodiments, a main processor, such as processor 430, is configured to receive input about the state. The condition may relate to the condition of the walkable patient 82 and one of the conditions of one component of the WCD system, examples of which will be described later herein. The purpose is to inform the patient 82 of the condition. The state input may be received by any one of the sensors described herein, or may be generated internally, such as by one individual process of the processor of the WCD system.

In such an embodiment, a main processor such as processor 430 may be configured to cause a main UI output device such as device 480 to output a main HPI such as main HPI 481 in response to a received input. .. The main HPI can be state-related, as described below in the example. The main UI output device 480 can be implemented in various ways for a suitable main HPI. For example, the device 480 can include a main speaker configured to emit sound, a main vibrating device configured to generate vibration, a main screen configured to display an image, and the like. The main screen may be a touch screen.

In the particular example of FIG. 4, the main processor 430 is configured to transmit the main drive signal 461 to the main UI output device 480 according to arrow 411 in response to the received input. Then, the main UI output device 480 is configured to output the main HPI 481 in response to the reception of the main drive signal 461.

In such an embodiment, the main processor, such as processor 430, may be further configured to cause a main communication module, such as main communication module 490, to transmit an amplified signal in response to a received input. The amplified signal may encode a message about the state.

In a particular example of FIG. 4, the main processor 430 is configured to send a main notification signal 462 to the main communication module 490 according to arrow 412 in response to a received input. Then, the main communication module 490 is configured to transmit the amplification signal 463 in response to the reception of the main notification signal 462.

In some embodiments of FIG. 4, the peripheral device 440 is part of the WCD system of the main device 400. In another embodiment, the peripheral device 440 is a commercially available device that is not activated as part of the WCD system. In such an embodiment, as will be described later herein, the main device 400 amplifies the message output by the main device 400 by loading the appropriate software application into the peripheral device 440. It can be so. Then, in any type of embodiment, the main device 400 can be considered to be in the combination 499 with the peripheral device 440 which is the cooperating partner.

Peripheral device 440 includes peripheral housing 406. The peripheral housing 406 is separate from the main housing 401. Peripheral device 440 further includes a peripheral communication module (PCM) 443. The PCM443 is at least partially located within the peripheral housing 406.

In embodiments, a PCM such as the PCM 443 is configured to receive an amplified signal with an encoded message transmitted by a main communication module such as module 490. In the example of FIG. 4, the communication module 490 transmits the amplified signal 463 through the comlink 471 according to arrow 413. Comlink 471 can be implemented in various ways. As an example, the comlink 471 may be as described for cable 371. As another example, the comlink 471 may be the radio as described for the comlink 171. In such a case, the main UI output device includes an antenna, the PCM includes an antenna, and the amplified signal is transmitted and received wirelessly.

In some embodiments, the peripheral device further includes a peripheral UI output device as described above for the peripheral device 140. In the particular example of FIG. 4, the peripheral device 440 further includes a peripheral UI output device 446. The peripheral UI output device may be configured to output the peripheral HPI in response to the PCM receiving an amplified signal with an encoded message. The peripheral HPI may be information about the state intended as a message to the user. In the specific example of FIG. 4, the peripheral UI output device 446 can output the peripheral HPI 442.

In some embodiments, the peripheral device 440 includes a peripheral processor 444 and a peripheral memory 448 that stores data 453 and one or more programs 452, as in the particular example of FIG. In response to the PCM 443 receiving the amplification signal 463, the processor 444 decodes the message regarding the state encoded in the amplification signal and drives the peripheral UI output device 446 to output the peripheral HPI 442. Can be configured as

In the particular example of FIG. 4, the peripheral UI output device 446 has a driver 447 that can be a device driver. The PCM 443 is further configured to transmit the peripheral notification signal 464 to the peripheral processor 444 according to arrow 414 in response to receiving the amplified signal 463. Then, the peripheral processor 444 may be further configured to transmit the peripheral drive signal 465 to the peripheral UI output device 446 according to the arrow 415 in response to receiving the peripheral notification signal 464. The peripheral UI output device 446 is then configured to output the peripheral HPI 442 in response to receiving the peripheral drive signal 415.

FIG. 4 shows patient 482, which can be identical to patient 82 and wearer 282. Patient 482 has a first option 461 to experience the main HPI 481 for the condition. Further, depending on the embodiment, the patient 482 has a second option 462 to experience the peripheral HPI442 with respect to the condition. As mentioned elsewhere herein, the peripheral HPI 442 can be amplified as compared to the main HPI 481, so it is easier to experience, understand, and even explore.

Of course, it will be understood that the peripheral HPI 442 can output simultaneously or non-simultaneously with the main HPI 481. In practice, the peripheral HPI 442 depends on the peripheral device 440, which has been obtained or accessed.

For various states, the main HPI 481 and the peripheral HPI 442 can be output according to embodiments. An example will be described below.

In some embodiments, the WCD system further includes a sensor. The plurality of sensors have already been described. In such an embodiment, the sensor can be configured to monitor the patient parameter of the walkable patient 82, and the state includes the value of the patient parameter. In other embodiments, the sensor can be configured to monitor the operating parameters of the WCD system, and the state includes the value of the operating parameter, or whether such a value exceeds a threshold. In some embodiments, the WCD system includes a battery and a charge monitor configured to monitor the charge status of the battery. In such an embodiment, the state includes the value of the charged state.

In some embodiments, the WCD system further includes a wearing monitor. The wearing monitor determines if the support structure is worn in a particular way by the walkable patient and in response to the fact that the support structure is actually worn by the walkable patient in a particular way. , Can be configured to output a wear confirmation. In such embodiments, the condition may include the presentation of wear confirmation. An example of a wear monitor is described in US Pat. No. 9,757,576, "RELIABLE READINESS INDICATION FOR A WEARABLE DEFIBRILLATOR," owned by the applicant of the present application. ing.

Further referring to FIG. 4, the main HPI481 relating to the state may be of various types, for example, visual as in the image, auditory as in the sound, or tactile as in the vibration. Similarly, the peripheral HPI442 with respect to the state may be of various types, for example, visual as an image, auditory as a sound, or tactile as a vibration. Peripheral HPI 442 may or may not be of the same type as main HPI 481 to inform patient 482 about a single condition. Of course, both the main HPI 481 and the peripheral HPI 442 may be images. An example will be described below.

FIG. 5 is a diagram of an example of a component according to the embodiment. The main UI output device includes a main screen 580. Screen 580 displays a main image 581 about the condition for patient 582 to reach mental cognition 555. In addition, the peripheral UI output device includes a peripheral screen 546. The peripheral screen 546 displays a peripheral image 542 regarding the state. Peripheral image 542 may repeat, amplify, or supplement main image 581 to further facilitate patient 582 to reach mental recognition 555. Patient 582 waits for the option of looking in the direction 561 towards the main image 581 or looking in the direction 562 towards the peripheral image 542. In some embodiments, the wearer 585 may only need to look in direction 562 in a single position to collect the required information from all communicative components of the WCD system.

An example of such an image will be described below.

FIG. 6 is a diagram of an example of the main image 681 and an example of the corresponding peripheral image 642. The main image 681 shows a check mark 685. Peripheral image 642 includes the entire main image by displaying a check mark 645. As displayed on the peripheral screen, it will be recognized that the checkmark 645 has an area that is at least 24% larger than the checkmark 685 displayed on the main screen for clarity.

Further, the peripheral image 642 includes a second image 646 which is not included in the main image. In this particular example, the second image 646 is an image of the vest 370, thereby strengthening the mental perception 555 that the checkmarks 685, 645 inform that the vest 370 is being worn in a proper manner. Be done.

FIG. 7 is a diagram of an example of the main image 781 and an example of the corresponding peripheral image 742. The main image 781 shows a check mark 785 and an icon 784 regarding the battery charge status. The peripheral image 742 includes a check mark 745, which is merely a feature of the main image 781, and does not repeat the entire main image. Because the icon 784 is not repeated.

Further, the peripheral image 742 includes a text 747 that is not included in the main image 781. In this particular example, the text 747 reinforces the mental perception that the entire WCD system is OK.

It will be appreciated that the peripheral images 642,742 can be easily displayed on a mobile phone sized device. Therefore, the peripheral images 642 and 742 may be larger than the main screen 580, convey more information, be easier to read, and so on.

In some embodiments, more information is presented by peripheral images. In such an embodiment, the peripheral image may have a plurality of parts such as a first part and a second part. In such an embodiment, the peripheral UI output device first displays the first part but not the second part, then does not display the first part and displays the second part, and so on. Includes screens configured in. The display of continuous parts can be performed in various ways. One such method is by short video. Another such method is that the peripheral UI output device includes a touch screen. The touch screen may be configured to display a second portion in response to the touch screen being touched, for example by swiping. Another example will be described below.

FIG. 8 is a diagram of an example of the main image 881 and an example of the corresponding peripheral image 842. Peripheral image 842 has a plurality of portions 842A, 842B, ..., 842C. Image portions 842A, 842B include links 847, 848 pointing to previous or next image portions. The touch screen may be configured to display the next part in response to touching the location of the appropriate link on the touch screen.

In some embodiments, when the peripheral screen 546 is a larger device such as a tablet computer, more information is presented by the peripheral image. An example will be described below.

FIG. 9 is a diagram of an example of the main image 981 and an example of the corresponding peripheral image 942. In this example, it will be recognized that the main image 981 is identical to the main image 781 of FIG. In addition, the peripheral image 942 is displayed on the tablet and contains more information, all in a single image portion.

It is understood that embodiments provide patients 82, 482, 582 with the option of receiving messages from the WCD system via peripheral devices 140, 440 rather than via communication unit 160 or main device 400. Will be done. Using device 140 will be less likely to draw attention in public places that may be seen by others than using communication unit 160. Moreover, using device 140 will be less distracting to the fact that the patient needs to pay attention to the WCD system for those close to the patient 82. This will reduce the hindrance to patient 82's adherence to practical wearing of the WCD system on a daily basis.

A further advantage of the embodiment is that the message from the peripheral device 140 to the patients 82, 482, 582 can be amplified as compared to that from the communication unit 160. Being amplified means that the area to be viewed is larger and contains more information.

In the embodiments, for example, a) the screen of the main UI output device is small for the user, making it difficult to see the contents of the screen, b) the volume of the main UI output device is not sufficient for the user, or c) the user. For the main UI output device, if it does not output sufficient vibration feedback, it will overcome the problem that it is not easy for the user to accurately interpret and perceive the main UI output device of the WCD system. In embodiments, the peripheral HPIs 442, 1042 can vibrate louder, louder, and better.

The embodiment may further solve the problem that the user cannot understand the icon presented on the display of the medical device. In embodiments, the peripheral HPIs 442, 1042 provide additional descriptive information about the state of the device, advisory information about the current state of the device, instructions for the next step in resolving the current state of the medical device, and the like. Contains a lot of information.

The embodiment may further overcome the problem that the main UI output device of the WCD system is overly jarring, for example, too loud. In embodiments, peripheral HPIs 442,1042 can allow the user to silently mode the medical device to respond to a more covert, less noticeable use-aware peripheral HPI. In fact, peripheral devices allow the patient to remain aware of the state of the main device while still keeping the main device in a "hidden" invisible state.

The embodiment may further solve the problem of not being able to accurately interpret or perceive the main HPI because the user is not close to the medical device. For example, a bedridden patient may need to see the display of a device, which is probably a stationary device, but the device is too far away to accurately interpret the display. However, peripheral devices make it easier for patients to handle.

The embodiment allows the person who sets up the main device to see what the patient is seeing without obstructing the patient's view of the main device or preventing the patient from using the main device. By doing so, the medical device setup process can be further improved.

The devices and systems described herein are capable of performing functions, actions, processes, actions, actions and methods. These functions, actions, processes, actions, actions, and methods can be implemented by one or more devices having logic circuits. One such device may be referred to as an alternative, such as a computer. It may be a stand-alone device, or a computer such as a general purpose computer, or part of a device that can have or perform one or more additional functions. The logic circuit may include a processor and a non-temporary computer-readable storage medium of the type as described elsewhere herein, such as memory. Often, it is preferable to implement and describe the program as various interconnected individual software modules or features solely for convenience reasons. These, along with the data, are known as software, both individually and collectively. In some cases, software is combined with hardware to form a mixture called firmware.

Further, the method and algorithm will be described below. These methods and algorithms are not necessarily necessarily associated with any particular logical device or other device. Rather, these methods and algorithms are favorably implemented by programs used by computers such as general purpose computers, dedicated computers, microprocessors, and processors as described elsewhere herein.

The detailed description may include flowcharts, display images, algorithms, and symbolic representations of program operation within at least one computer-readable medium. Economics can be gained by being able to explain both the program and the method using a set of flowcharts. Therefore, although the flowchart describes the method as a block, it is also possible to explain the program at the same time.

The method will be described below.

FIG. 10 shows flowchart parts 1000 and 1040 for explaining the method according to the embodiment. The method of flowchart portion 1000 may be performed by a device of the WCD system, such as the main device 400. The method of flowchart portion 1040 may be performed by a peripheral device such as peripheral device 440. Flowchart parts 1000 and 1040 include operations connected by arrows. In addition, element icons have been added for illustration purposes. For example, depending on whether the peripheral device is part of a WCD system, arrows 1018 may or may not form part of a flowchart that combines parts 1000 and 1040 into a single flowchart. ..

According to operation 1002, input regarding the state may be received by the main processor.

According to the other operation 1005, the main UI output device can output the main HPI 1081. The main HPI 1081 may relate to the state as well as the main HPI 481. The operation 1005 may be executed in response to the input received in the operation 1002.

According to another operation 1008, the main communication module can be made to transmit the amplified signal 1063. The amplified signal 1063 may encode a message about the state, similar to the amplified signal 463.

According to another operation 1041, the amplified signal 1063 with the encoded message transmitted in operation 1008 may be received by the peripheral communication module (PCM).

According to another operation 1047, the peripheral UI output device may output the peripheral HPI 1042 in response to the PCM receiving the amplified signal 1063 with the encoded message in operation 1041. Peripheral HPI 1042, like peripheral HPI442, may relate to a state.

In some embodiments, the peripheral notification signal is transmitted by the PCM to the peripheral processor in response to receiving the amplified signal with the encoded message according to another optional operation 1043. Then, according to another optional operation 1045, the peripheral drive signal is transmitted to the peripheral UI output device by the peripheral processor in response to the peripheral processor receiving the peripheral notification signal with the encoded message. .. In these embodiments, operation 1047 is performed by the peripheral UI output device in response to the peripheral drive signal.

In the methods described above, each action can be performed as a positive act, or an action that performs or brings about what is stated to be possible. Such actions to be performed or brought about can be performed by the entire system, or equipment, or one or more components thereof. It will be appreciated that the methods and operations can be implemented in various ways, for example, using the systems, devices and implementations described above. Further, the order of operations is not limited to those shown, and different orders may be possible for different embodiments. Examples of alternatives to such an order include duplication, alternating, interrupting, reordering, sequential, preliminary, supplemental, simultaneous, reverse, or other variant order, unless otherwise specified in the context. Further, in certain embodiments, new actions may be added, or individual actions may be modified or deleted. The added operation may be, for example, primarily from different systems, devices, devices, or those mentioned while describing the method.

Although the description includes one or more examples, this does not limit the methods in which the invention can be practiced. In fact, examples, cases, versions or embodiments of the present invention can be practiced according to what is described, in a different way, and in combination with other current or future techniques. Other such embodiments include, for example, combinations and sub-combinations of the features described herein, including embodiments equivalent to: One or more embodiments that extract individual features from one embodiment that provide or apply features in a different order than the embodiments described and insert such features into another embodiment. It removes features from one embodiment and adds features extracted from other embodiments, while removing features or providing features incorporated into such combinations and subcombinations.

In general, the disclosure reflects preferred embodiments of the present invention. However, careful readers will find that some aspects of the disclosed embodiments extend beyond the claims. The disclosed embodiments should be considered as supplementary background information in that the disclosed embodiments actually extend beyond the claims, and the definitions of the invention described in the claims. Does not constitute.

With respect to reference codes, a single reference code may be used consistently in this description to represent a single item, aspect, component, or process. In addition, in the development of this description, additional reference codes that are similar but not identical are used to represent the same or at least similar or related items, embodiments, components, or other versions or embodiments of the process. Efforts could be made. No such further effort was required, but if it was, it was done to facilitate reader understanding, albeit not. Even if made herein, such further efforts may not be made completely consistently for all versions or embodiments made possible by this description. Therefore, what the description controls is the definition of an item, aspect, component, or process, not its reference code. Any similarity of the reference codes can be used to infer similarities in the text, but not to confuse aspects if the text or other context does not indicate similarity. ..

Claims (58)

a) The main components of the Wearable Cardioverter Defibrillator (WCD) system configured to be worn by the walkable patient, and b) the periphery configured to be carried by the walkable patient. In combination with the device
The main components are electrodes and
A support structure configured to be worn by the walkable patient to maintain the electrodes on the walkable patient's body.
An energy storage module configured to store charge and discharge at least a portion of the stored charge through the walkable patient via the electrode.
With the main housing
A main user interface (UI) output device located at least partially within the main housing.
With the main communication module
Receiving an input relating to one of the states relating to the walkable patient and the state relating to the main component of the WCD system and responding to the received input to the main UI output device with respect to the state. It is configured to output a Main Human Perceptible Indication (HPI) and, in response to the received input, cause the main communication module to transmit an amplified signal encoding a message relating to the state. , Including the main processor,
The peripheral device is a peripheral housing separate from the main housing,
Peripheral Communication Module (PCM), which is at least partially located within the peripheral housing and configured to receive the transmitted amplified signal with the encoded message.
A combination comprising, and a peripheral UI output device configured to output a peripheral HPI relating to the state in response to the PCM receiving the amplified signal with the encoded message. The combination of claim 1, wherein the energy storage module is located within the main housing. The PCM includes an antenna
The combination according to claim 1, wherein the amplified signal is wirelessly transmitted. The combination according to claim 1, wherein the peripheral device is also a component of the WCD system. The combination according to claim 1, wherein the peripheral device is a general-purpose machine that executes a software application. The peripheral device further decodes the encoded message in response to the reception of the amplified signal by the PCM, drives the peripheral UI output device, and outputs the peripheral HPI. The combination of claim 1, comprising a processor. The combination according to claim 1, wherein the peripheral HPI is output at the same time as the main HPI. The main component further includes a battery and a charging monitor configured to monitor the state of charge of the battery.
The combination according to claim 1, wherein the state includes a value of the charged state. The main component further determines whether the support structure is worn by the walkable patient in a particular way, and the support structure is worn by the walkable patient in the particular way. Includes a wear monitor, configured to output a wear confirmation in response to being determined,
The combination of claim 1, wherein the condition comprises presenting the wearing confirmation. The main HPI contains audio
The main UI output device includes a main speaker configured to emit the sound.
The peripheral HPI contains an image
The combination according to claim 1, wherein the peripheral UI output device includes a peripheral screen configured to display the image. The main HPI contains vibration
The main UI output device includes a main vibrating device configured to generate the vibration.
The peripheral HPI contains an image
The combination according to claim 1, wherein the peripheral UI output device includes a peripheral screen configured to display the image. The peripheral HPI contains audio and
The combination according to claim 1, wherein the peripheral UI output device includes a peripheral speaker configured to emit the sound. The peripheral HPI contains vibration
The combination according to claim 1, wherein the peripheral UI output device includes a peripheral vibration device configured to generate the vibration. The main HPI contains the main image
The main UI output device includes a main screen configured to display the main image.
The peripheral HPI includes a peripheral image
The combination according to claim 1, wherein the peripheral UI output device includes a peripheral screen configured to display the peripheral image. The combination according to claim 14, wherein the peripheral image includes a second image that is not included in the main image. The peripheral image includes the features of the main image.
The combination according to claim 14, wherein the feature of the main image displayed on the peripheral screen has an area at least 24% larger than that displayed on the main screen. The combination according to claim 14, wherein the peripheral image includes text that is not included in the main image. The peripheral image has a first part and a second part.
14. The peripheral UI output device according to claim 14, further comprising a screen configured to initially display the first portion but not the second portion, and then display the second portion. combination. 18. The combination of claim 18, wherein the peripheral UI output device comprises a touch screen configured to display the second portion in response to being touched. The first part contains a link
18. The combination of claim 18, wherein the peripheral UI output device comprises a touch screen configured to display the second portion in response to being touched at the location of the link. a) The main components of a Wearable Cardioverter Defibrillator (WCD) system configured to be worn by a walkable patient, and b) Peripheries configured to be carried by the walkable patient. A non-temporary computer-readable storage medium that stores programs executed by at least the main and peripheral processors in combination with the device.
The WCD system accumulates an electrode, a support structure configured to be worn by the walkable patient to maintain the electrode on the walkable patient's body, and the accumulated charge. An energy storage module configured to discharge at least a portion of the device through the walkable patient through the electrodes, a main housing, and a main user interface (User Interface:) located at least partially within the main housing. A peripheral communication module (UI) output device, a main communication module, a main processor, a peripheral device including a peripheral housing separate from the main housing, and a peripheral communication module (Peripheral Communication Module) located at least partially in the peripheral housing. PCM), the peripheral processor, and a peripheral UI output device.
When the program is executed
The main processor receives input for one of the states relating to the walkable patient and the components relating to the WCD system.
In response to the received input, the main UI output device is made to output a main human perceptible indication (HPI) regarding the state.
In response to the received input, the main communication module is made to transmit an amplified signal in which a message regarding the state is encoded.
Receiving the transmitted amplified signal with the encoded message by the PCM and
A medium that provides an operation comprising outputting a peripheral HPI relating to the state by the peripheral UI output device in response to the PCM receiving the amplified signal with the encoded message. 21. The medium of claim 21, wherein the energy storage module is located within the main housing. The PCM includes an antenna
21. The medium of claim 21, wherein the amplified signal is wirelessly transmitted. The medium according to claim 21, wherein the peripheral device is also a component of the WCD system. The medium according to claim 21, wherein the peripheral device is a general-purpose machine that executes a software application. The medium according to claim 21, wherein the peripheral HPI is output at the same time as the main HPI. The WCD system further includes a battery and a charging monitor.
The charge status of the battery is monitored by the charge monitor.
21. The medium of claim 21, wherein the state includes a value of the charged state. The WCD system further includes a wearing monitor
Whether or not the support structure is worn by the walkable patient in a particular manner is determined by the wear monitor.
A wear confirmation is output in response to the determination that the support structure is being worn by the walkable patient in the particular manner.
21. The medium of claim 21, wherein the condition comprises presenting the wearing confirmation. The main HPI contains audio
The main UI output device includes a main speaker configured to emit the sound.
The peripheral HPI contains an image
The medium according to claim 21, wherein the peripheral UI output device includes a peripheral screen configured to display the image. The main HPI contains vibration
The main UI output device includes a main vibrating device configured to generate the vibration.
The peripheral HPI contains an image
The medium according to claim 21, wherein the peripheral UI output device includes a peripheral screen configured to display the image. The peripheral HPI contains audio and
The medium according to claim 21, wherein the peripheral UI output device includes a peripheral speaker configured to emit the sound. The peripheral HPI contains vibration
21. The medium of claim 21, wherein the peripheral UI output device comprises a peripheral vibration device configured to generate the vibration. The main HPI contains the main image
The main UI output device includes a main screen configured to display the main image.
The peripheral HPI includes a peripheral image
The medium according to claim 21, wherein the peripheral UI output device includes a peripheral screen configured to display the peripheral image. The medium according to claim 33, wherein the peripheral image includes a second image that is not included in the main image. The peripheral image includes the features of the main image.
33. The medium of claim 33, wherein the features of the main image displayed on the peripheral screen have an area at least 24% larger than that displayed on the main screen. 33. The medium of claim 33, wherein the peripheral image comprises text not included in the main image. The peripheral image has a first part and a second part.
33. The medium of claim 33, wherein the peripheral UI output device initially displays the first portion but does not display the second portion, and then includes a screen that displays the second portion. 37. The medium of claim 37, wherein the peripheral UI output device comprises a touch screen configured to display the second portion in response to being touched. The first part contains a link
37. The medium of claim 37, wherein the peripheral UI output device comprises a touch screen configured to display the second portion in response to being touched at the location of the link. a) The main components of the Wearable Cardioverter Defibrillator (WCD) system configured to be worn by the walkable patient, and b) the periphery configured to be carried by the walkable patient. A method for combination with a device,
The WCD system accumulates an electrode, a support structure configured to be worn by the walkable patient to maintain the electrode on the walkable patient's body, and the accumulated charge. An energy storage module configured to discharge at least a portion of the device through the walkable patient through the electrodes, a main housing, and a main user interface (User Interface:) located at least partially within the main housing. UI) Output device, main communication module, main processor, the peripheral device including the peripheral housing separate from the main housing, and a peripheral communication module (PCM) located at least partially in the peripheral housing. ) And peripheral UI output devices, including
The above method
The main processor receives input for one of the states relating to the walkable patient and the components relating to the WCD system.
In response to the received input, the main UI output device is made to output a main human perceptible indication (HPI) regarding the state.
In response to the received input, the main communication module is made to transmit an amplified signal in which a message regarding the state is encoded.
Receiving the transmitted amplified signal with the encoded message by the PCM and
A method comprising outputting a peripheral HPI relating to the state by the peripheral UI output device in response to the PCM receiving the amplified signal with the encoded message. 40. The method of claim 40, wherein the energy storage module is located within the main housing. The PCM includes an antenna
The method of claim 40, wherein the amplified signal is wirelessly transmitted. The method of claim 40, wherein the peripheral device is also a component of the WCD system. The method of claim 40, wherein the peripheral device is a general purpose machine that executes a software application. The method of claim 40, wherein the peripheral HPI is output at the same time as the main HPI. The WCD system further includes a battery and a charging monitor.
The charge status of the battery is monitored by the charge monitor.
40. The method of claim 40, wherein the state includes a value of the charged state. The WCD system further includes a wearing monitor
Whether or not the support structure is worn by the walkable patient in a particular manner is determined by the wear monitor.
A wear confirmation is output in response to the determination that the support structure is being worn by the walkable patient in the particular manner.
40. The method of claim 40, wherein the condition comprises presenting the wearing confirmation. The main HPI contains audio
The main UI output device includes a main speaker configured to emit the sound.
The peripheral HPI contains an image
The method of claim 40, wherein the peripheral UI output device comprises a peripheral screen configured to display the image. The main HPI contains vibration
The main UI output device includes a main vibrating device configured to generate the vibration.
The peripheral HPI contains an image
The method of claim 40, wherein the peripheral UI output device comprises a peripheral screen configured to display the image. The peripheral HPI contains audio and
The method of claim 40, wherein the peripheral UI output device comprises a peripheral speaker configured to emit the sound. The peripheral HPI contains vibration
40. The method of claim 40, wherein the peripheral UI output device comprises a peripheral vibration device configured to generate the vibration. The main HPI contains the main image
The main UI output device includes a main screen configured to display the main image.
The peripheral HPI includes a peripheral image
The method of claim 40, wherein the peripheral UI output device includes a peripheral screen configured to display the peripheral image. 52. The method of claim 52, wherein the peripheral image includes a second image that is not included in the main image. The peripheral image includes the features of the main image.
52. The method of claim 52, wherein the features of the main image displayed on the peripheral screen have an area at least 24% larger than that displayed on the main screen. 52. The method of claim 52, wherein the peripheral image comprises text not included in the main image. The peripheral image has a first part and a second part.
52. The method of claim 52, wherein the peripheral UI output device initially displays the first portion but does not display the second portion, and then includes a screen that displays the second portion. 56. The method of claim 56, wherein the peripheral UI output device comprises a touch screen configured to display the second portion in response to being touched. The first part contains a link
56. The method of claim 56, wherein the peripheral UI output device comprises a touch screen configured to display the second portion in response to being touched at the location of the link.