A patient-worn arrhythmia monitoring and treatment device includes a pair of therapy electrodes and at least one pair of sensing electrodes disposed proximate to the skin and configured to continually sense at least one ECG signal of the patient over an extended period of time. The device includes a therapy delivery circuit coupled to the pair of therapy electrodes and configured to deliver one or more therapeutic pulses. A controller coupled to therapy delivery circuit is configured to analyze the at least one ECG signal and detect one or more treatable arrhythmias and cause the therapy delivery circuit to deliver the one or more therapeutic pulses to the patient. At least one of the one or more therapeutic pulses is formed as a biphasic waveform delivering within 15 percent of 360 J of energy to a patient body having a transthoracic impedance from about 20 to about 200 ohms.

An automated wearable belt cardiac defibrillator (BCD) for wearing by a subject, comprising: at least two patches adapted for adhering to the subject each comprising a defibrillation electrode and an ECG sensor; and a BCD controller connected to each of the patches, wherein the patches comprise an adhesive adapted for long-term adhering of the patches to the subject, wherein the adhesive is a biocompatible adhesive, wherein the patches and adhesive are adapted for movement of the subject while the patches are adhered to the subject, wherein the patches are replaceable, wherein the controller is housed in a belt for wearing by the subject, wherein the belt is adapted for being flexible, wherein the adaptation for being flexible comprises a plurality of compartments for housing components of the controller, wherein a method for usage of the BCD comprises: following completion of an operational period, positioning of the patches to alternative locations on the subject wherein each of the alternate locations represents an alternate shock vector.

A wearable cardiac monitoring and treatment device for improved skin interface contact and easy assembly and disassembly includes a garment including an inner surface and an outer surface, ECG sensing electrodes, and at least one stiffener forming a section of the garment in proximity to one or more of the ECG sensing electrodes. The at least one stiffener is configured to resist rotation or pulling away of the one or more of the ECG sensing electrodes from a patient's torso. The device includes therapy electrodes, at least one separate module including a therapy delivery circuit, and a controller. The device includes compartments configured to receive the therapy electrodes and at least one separate module, and retention loops configured to route external wires extending between at least the therapy electrodes and at least one separate module, where the compartments and retention loops are disposed on the outer surface of the garment.

A therapeutic electrode component includes a base plate having a first side and a second side having a conductive surface. A repository having an internal volume to releasably retain a conductive fluid is disposed on the first side of the base plate. A rupturable membrane is disposed between the internal volume of the repository and the conductive surface of the base plate. A coupling is disposed on the base plate that is configured to detachably engage a gas charge, whereby the gas charge is detachable from the coupling without causing destruction of the gas charge, to provide a hermetic seal with an outlet of the gas charge, and to provide fluid communication between the internal volume of the repository and the outlet of gas charge when the gas charge is engaged by the coupling. A retainer is configured to detachably secure the gas charge to the base plate.

This document describes an electrode assembly for use with a defibrillator, the electrode assembly comprising at least one electrode including a first surface that can be affixed to either of a pediatric patient and an adult patient and a second surface, wherein a majority of the second surface includes pictorial instructions related to use of the electrode assembly; and a chest compression sensor attached to the at least one electrode, wherein the at least one electrode is configured to be used on an adult patient when the electrode assembly is in a first orientation, and wherein the at least one electrode is configured to be used on a pediatric patient when the electrode assembly is in a second orientation.

Technologies and implementations related to facilitating grouping of electrocardiogram (ECG) signals of a heart of a person (e.g., patient) wearing a wearable medical device (WMD). The ECG signals may be acquired during various times (e.g., during a normal rhythm of the heart and/or during an event of the rhythm of the heart) including various times of activity of the person (e.g., sleeping, awake, active, inactive, etc.). The ECG signals may be received and analyzed to determine if the ECG signals may be indicative of an event associated with a heart of the person or not.

In embodiments, a pre-analyzing computer receives a data record that is created by a wearable medical system (“WMS”) which may implement a wearable cardioverter defibrillator (“WCD”). The WMS has created such data records from patient data captured when the WMS has detected that the patient was having episodes of potential interest for review by clinicians. Before this review, however, the pre-analyzing computer may parse the contents of a received data record and accordingly give it a score. The score may reflect the clinician's expected preference to review this data record before or after the others. For instance, a low score may be given to data records whose contents are likely not interpretable reliably due to noise or likely of low interest after all. The pre-analyzing computer may then perform a characterizing action with reference to the data record, for facilitating the clinician to find it by its score.

A wearable medical device comprising monitoring circuitry to monitor one or more patient parameters of a patient and defibrillation circuitry to provide one or more defibrillation shocks to the patient responsive to a control signal from the monitoring circuitry. The defibrillation circuitry comprises a defibrillation capacitor to provide energy for the one or more defibrillation shocks. The wearable medical device also comprises a power source to provide power to the monitoring circuitry and the defibrillation circuitry. The power source comprises a low current power source (LCPS) to provide power to the monitoring circuitry, and a high current power source (HCPS) to provide power to the defibrillation circuitry.

In embodiments, a wearable medical system (WMS) for an ambulatory patient, which can be a wearable cardioverter defibrillator (WCD) system, analyzes the patient's ECG signal to generate a detection outcome. The WMS also has an ambulatory user interface that outputs a human-visible indication. A programming device, such as a PC, a tablet, etc., establishes a communication link with the WMS during an in-person session with the patient. The programming device may include a programming screen that reproduces the human-visible indication in real time. An advantage can be that the person programming the WMS need not strain to look also at the ambulatory user interface at the time they are looking at the programming device. Another advantage can be that the patient will recognize that he or she is better protected, and have their confidence in the WMS increased, and therefore better comply with wearing the WMS as required.

Technologies and implementations for a wearable medical device (WMD). The technologies and implementations facilitate improved comfort and usability of WMDs. Additionally, the technologies and implementations include WMDs having wearable cardioverter defibrillator capabilities.