A system includes harvester circuitry configured to charge a battery for a medical device using a displacement of a harvester mass, one or more accelerometers configured to detect a motion associated with the harvester mass, and processing circuitry. The processing circuitry is configured to determine, with the one or more accelerometers, motion information for the implanted medical device during a time range that occurs when the harvester circuitry charges the battery using the displacement of the harvester mass. The processing circuitry are further configured to determine a harvester output generated by the harvester circuitry during the time range and output an indication of a potential failure of the harvester mechanism based on the motion information and the harvester output.

A system and method for preliminarily identifying a medical condition in a monitored patient. A predetermined set of patient physiological parameters that are indicative of the presence of a medical condition is monitored. If all of the patient physiological parameters meet a predetermined criteria, a notification is activated that is indicative of the presence of the medical condition. Optionally, users are provided with guidance concerning additional patient physiological parameters to be checked to confirm the presence of the medical condition.

Provided is a WCD system, including a collection module, a master control module and a defibrillation module; the collection module collects a signal, and has human body motion detection and vibration prompting functions; the master control module has a VF/VT analysis algorithm to analyze the collected signal, and can control a power supply of the defibrillation module; the defibrillation module has the VF/VT analysis algorithm and a defibrillation control function. Through the independent defibrillation module and the independent collection module, the reliability of the system can be improved.

Provided is a WCD system, including a collection module, a master control module and a defibrillation module; the collection module collects a signal, and has human body motion detection and vibration prompting functions; the master control module has a VF/VT analysis algorithm to analyze the collected signal, and can control a power supply of the defibrillation module; the defibrillation module has the VF/VT analysis algorithm and a defibrillation control function. Through the independent defibrillation module and the independent collection module, the reliability of the system can be improved.

The present specification discloses systems and methods of patient monitoring in which multiple sensors are used to detect physiological parameters and the data from those sensors are correlated to determine if an alarm should, or should not, be issued, thereby resulting in more precise alarms and fewer false alarms. Electrocardiogram readings can be combined with invasive blood pressure, non-invasive blood pressure, and/or pulse oximetry measurements to provide a more accurate picture of pulse activity and patient respiration. In addition, the monitoring system can also use an accelerometer or heart valve auscultation to further improve accuracy.

The present specification discloses systems and methods of patient monitoring in which multiple sensors are used to detect physiological parameters and the data from those sensors are correlated to determine if an alarm should, or should not, be issued, thereby resulting in more precise alarms and fewer false alarms. Electrocardiogram readings can be combined with invasive blood pressure, non-invasive blood pressure, and/or pulse oximetry measurements to provide a more accurate picture of pulse activity and patient respiration. In addition, the monitoring system can also use an accelerometer or heart valve auscultation to further improve accuracy.

In an example, an apparatus is described that includes an implantable housing, a heart signal sensing circuit configured to sense intrinsic electrical heart signals, a ventricular tachyarrhythmia (VT) detector circuit, operatively coupled to the heart signal sensing circuit, the detector circuit operable to detect a VT based on the sensed heart signals, a processor configured to control delivery of an anti-tachyarrhythmia pacing (ATP) therapy based on the detected VT, and an energy delivery circuit configured to deliver the ATP therapy in response to the detected VT, wherein the apparatus does not include a shock circuit capable of delivering a therapeutically-effective cardioverting or defibrillating shock.

In an example, an apparatus is described that includes an implantable housing, a heart signal sensing circuit configured to sense intrinsic electrical heart signals, a ventricular tachyarrhythmia (VT) detector circuit, operatively coupled to the heart signal sensing circuit, the detector circuit operable to detect a VT based on the sensed heart signals, a processor configured to control delivery of an anti-tachyarrhythmia pacing (ATP) therapy based on the detected VT, and an energy delivery circuit configured to deliver the ATP therapy in response to the detected VT, wherein the apparatus does not include a shock circuit capable of delivering a therapeutically-effective cardioverting or defibrillating shock.

An ambulatory medical device including a plurality of sensing electrodes and one or more processors operably coupled to the plurality of sensing electrodes is provided. Each sensing electrodes is configured to be coupled eternally to a patient and to detect one or more ECG signals. The one or more processors are configured to receive at least one electrode-specific digital signal for each of the plurality of sensing electrodes, determine a noise component for each of the electrode-specific digital signals, analyze each of the noise components for each of the plurality of sensing electrodes, generate electrode matching information for each sensing electrode of the plurality of sensing electrodes based upon analysis of each of the noise components, determine one or more sensing electrode pairs based upon the electrode matching information, and monitor each of the one or more sensing electrode pairs for ECG activity of the patient.

Computer implemented methods and systems are provided that comprise, under control of one or more processors of a medical device, where the one or more processors are configured with specific executable instructions. The methods and systems obtain motion data indicative of at least one of a posture or a respiration cycle; obtain cardiac activity (CA) signals for a series of beats; identify whether a characteristic of interest (COI) from at least a first segment of the CA signals exceeds a COI limit; analyze the motion data to determine whether at least one of the posture or respiration cycle at least in part caused the COI to exceed the COI limit. Based on the analyzing operation, the methods and systems automatically adjust a CA sensing parameter utilized by the medical device to detect R-waves in subsequent CA signals; and detect an arrhythmia based on a presence or absence of one or more of the R-waves in at least a second segment of the CA signals.