A wearable medical monitoring device includes a plurality of ECG electrodes configured to receive an ECG signal when the wearable medical monitoring device is worn by a patient, and a monitor coupled to the plurality of ECG electrodes. The monitor is configured to detect an impending cardiac event based on the received ECG signal of the patient. The device includes at least one processor configured to execute a plurality of instructions to implement an update manager configured to receive a software update corresponding to the at least one software module for the monitor, determine an event estimation of risk score for a predetermined period of time, cause an installation of the update when the event estimation of risk score indicates a low likelihood of an impending cardiac event, and cause a delay in the installation when the event estimation of risk score indicates a high likelihood of impending cardiac event.

A medical device is configured to deliver therapeutic electrical stimulation pulses by generating frequency modulated electrical stimulation pulse signals. The medical device includes a pulse signal source and a modulator. The pulse signal source generates an electrical stimulation pulse signal having a pulse width. The modulator may include a high frequency modulator configured to modulate a frequency of the pulse signal from a starting frequency down to a minimum frequency during the pulse width. The modulator may include a low frequency bias generator to modulate the offset of the pulse signal between a minimum offset and a maximum offset in other examples.

Technologies and implementations for a wearable healthcare system, which may be worn by a person. The wearable healthcare systems may include one or more motion sensors. A motion analysis modules may be included in the wearable healthcare system, which may be configured to determine physical activities and intensity of the physical activities of the person.

An intracardiac defibrillation catheter system includes a defibrillation catheter, a power supply device, and an electrocardiograph, in which an arithmetic processing unit of the power supply device sequentially senses an event estimated to be an R wave from an electrocardiogram input from the electrocardiograph, calculates a heart rate each time sensing is performed, and, when, after an event (V.sub.n) is sensed and after an application execution switch is input, an event (V.sub.n+m) is sensed, performs arithmetic processing so that a DC voltage is applied in synchronization with the event (V.sub.n+m) only in a case where the event (V.sub.n+m) is sensed after a lapse of a refractory period whose length corresponds to 50% of a reciprocal of a heart rate (A.sub.n) at a sensing time point of the event (V.sub.n), to control a DC power supply unit. The defibrillation catheter system can reliably avoid performing defibrillation in synchronization with a T wave without being affected by the level of the heart rate of a patient.

An intracardiac defibrillation catheter system includes a defibrillation catheter, a power supply device, and an electrocardiograph, in which an arithmetic processing unit of the power supply device sequentially senses an event estimated to be an R wave from an electrocardiogram input from the electrocardiograph, calculates a heart rate each time sensing is performed, and, when, after an event (V.sub.n) is sensed and after an application execution switch is input, an event (V.sub.n+m) is sensed, performs arithmetic processing so that a DC voltage is applied in synchronization with the event (V.sub.n+m) only in a case where the event (V.sub.n+m) is sensed after a lapse of a refractory period whose length corresponds to 50% of a reciprocal of a heart rate (A.sub.n) at a sensing time point of the event (V.sub.n), to control a DC power supply unit. The defibrillation catheter system can reliably avoid performing defibrillation in synchronization with a T wave without being affected by the level of the heart rate of a patient.

An electrode plate (100) and a wearable defibrillation device are disclosed. The electrode plate (100) includes a hermetic shell (110), a capsule (120) and a sealing structure (130). The hermetic shell (110) has an inflation port (111) and an overflow aperture (112). The overflow aperture (112) is disposed in a conductive exposed surface (113) of the hermetic shell (110). The capsule (120) is provided in the hermetic shell (110) and defines a cavity (122) for storage of a conductive paste therein. The cavity (122) defines an inlet orifice (123) and an outlet orifice (124). The overflow aperture (112) is disposed at the outlet orifice (124). A sealing component (132) of the sealing structure (130) is positioned at the overflow aperture (112) and configured to close the overflow aperture (112) and the outlet orifice (124) when the hermetic shell (110) is not inflated. The force applying component (131) of the sealing structure (130) is disposed on the hermetic shell (110) and then is connected to the sealing component (132) after being inserted into the capsule (120) through the inlet orifice (123). The force applying component (131) is configured to pull the sealing component (132) as a result of inflation and expansion of the hermetic shell (110) and thus open the overflow aperture (112) and the outlet orifice (124) and bring them into communication. As a result, the conductive paste is allowed to flow through the outlet orifice (124) and the overflow aperture (112) onto the exposed surface (113). During cardiac defibrillation of the electrode plate (100), the conductive paste can automatically applied to provide a patient with timely protection, and the conductive paste can be released in a reliable and safe manner.

A defibrillator is an apparatus for defibrillation, and includes an oxygen saturation (TOI) measurement unit for acquiring a numerical value related to an oxygen saturation of a patient, an electrocardiogram (ECG) measurement unit for measuring an electrocardiogram of the patient in order to determine whether an electrical shock is required for the patient, and a control unit for starting measurement of the electrocardiogram of the patient in the electrocardiogram measurement unit on the condition that the numerical value acquired in the oxygen saturation measurement unit exceeds a threshold value.

An implantable medical device system is configured to sense cardiac events in response to a cardiac electrical signal crossing a cardiac event sensing threshold. A control circuit is configured to determine a drop time interval based on a heart rate and control a sensing circuit to hold the cardiac event sensing threshold at a threshold value during the drop time interval.

An implantable medical device system receives a cardiac electrical signal produced by a patient's heart and comprising atrial P-waves and delivers a His bundle pacing pulse to the patient's heart via a His pacing electrode vector. The system determines a timing of a sensed atrial P-wave relative to the His bundle pacing pulse and determines a type of capture of the His bundle pacing pulse in response to the determined timing of the atrial P-wave.

A remote alarm for use with a wearable medical device. The remote alarm is configured to receive alarms, voice messages and prompts issued by the wearable medical device and to repeat those alarms, voice messages and prompts in a manner that can more easily be perceived by a patient wearing the wearable medical device or a bystander. The remote alarm can be configured to receive a communication from the wearable medical device, and in response, to identify one or more messages to be provided to the patient or a bystander. The messages may be provided audibly, visually, tactilely or combinations thereof. The remote alarm may further be configured to take certain actions depending upon the content of the communication, such as sending a telephone message to alert emergency personnel to the identity, location and medical condition of the patient, or sending an email.