A wearable cardioverter defibrillator (WCD) system is configured to selectively provide cooling and/or heating to a component of the WCD system. In some embodiments, a Peltier device is used to provide the cooling to wearer of the WCD at or near where the WCDs defibrillation electrodes are positioned proximate or contacting the patient's body.

Implantable cardioverter device (ICD) systems capable of delivering a multi-vector defibrillation shock, and methods for use therewith, are described herein. Such an ICD system can include a defibrillation charge capacitor, a charge circuit, first, second, and third electrodes, switches, a controller, and first, second and third filters. The defibrillation charge capacitor is coupled between a first voltage rail and a second voltage rail. The first filter is coupled between the first and second electrodes, and the second filter is coupled between the second and third electrodes, so that the first and second filters can shunt EMI signals. The third filter is coupled between the first and third electrodes and configured to provide for electrical symmetry when the first, second, and third electrodes are used to deliver a multi-vector defibrillation shock. Such filters, which can be implemented using capacitors, can be used to make the ICD system MRI compatible.

A wearable cardioverter defibrillator (WCD) system is configured to selectively provide cooling and/or heating to a component of the WCD system. In some embodiments, a Peltier device is used to provide the cooling to wearer of the WCD at or near where the WCDs defibrillation electrodes are positioned proximate or contacting the patient's body.

An electrode test system of a defibrillator including electrodes in a face-to-face test arrangement forming a capacitor, an impedance measurement signal generator connected to the electrodes and configured to send an ac signal to the electrodes, an impedance measurement signal processor connected to the electrodes which is placeable in an electrode test state and configured to receive an electrode test ac signal from the electrodes and process the electrode test ac signal to obtain a processed electrode test ac signal, a defibrillator processor connected to the impedance measurement signal generator and the impedance measurement signal processor configured to place the impedance measurement signal processor in the electrode test state and to receive the processed electrode test ac signal, analyze the processed electrode test ac signal to obtain an electrode test impedance signal and analyze the electrode test impedance signal to determine a pass condition or a fail condition of the electrodes.

A system for medical equipment servicing includes a computing device for medical equipment management configured to communicatively couple to a plurality of remotely located portable medical devices and one or more automated external defibrillators (AEDs), each AED including defibrillation electrodes, a battery, a processor, a memory comprising a set of configurations, and associated circuitry, and a communication interface coupled to the processor and configured to communicatively couple to the computing device via a wireless or cellular network, establish a cellular or WiFi connection with the computing device, and receive at least one configuration update from the computing device via the cellular or WiFi connection, the processor being configured to download and install the at least one configuration update.

Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.

An automated external defibrillator (AED) and AED Monitoring system made up of an AED, the AED having a self-diagnostic subroutine and performing said subroutine at regular intervals, the AED having at least an audio indicator that indicates the results of the self-diagnostic when the diagnosis is that the AED is in need of maintenance and a remote AED monitoring system, the AED monitoring system having an electromagnetic coil, microphone, battery, microprocessor, and wireless communication device, wherein the microprocessor selectively powers up the AED monitoring system prior to the AED's self-diagnostic subroutine and utilizes the electromagnetic coil and microphone to monitor for the AED's audio indicator that the AED is in need of maintenance, and the microprocessor transmitting a wireless signal through the wireless communication device indicating whether the AED is in need of maintenance; the microprocessor selectively powering down the AED monitoring system after transmitting the wireless signal.

A system including an ambulatory medical treatment device is provided. The ambulatory medical treatment device includes a memory, a treatment component configured to treat a patient, at least one processor coupled to the memory and the treatment component, a user interface component, and a system interface component. The user interface component is configured to receive an update session request and to generate the update session identifier responsive to receiving the request. The system interface component is configured to receive an encoded request including an identifier of an update session and device update information, to decode the encoded request to generate a decoded request including the device update information and the identifier of the update session, to validate the decoded request by determining that the update session identifier matches the identifier of the update session, and to apply the device update information to the ambulatory medical treatment device.

A wearable therapeutic device to facilitate care of a subject is provided. The wearable therapeutic device can include a garment having a sensing electrode. The garment includes at least one of an inductive element and a capacitive element, and a controller identifies an inductance of the inductive element or a capacitance of the capacitive element, and determines a confidence level of information received from the sensing electrode based on the inductance or the capacitance. The wearable therapeutic device also includes an alarm module coupled with the controller and configured to provide a notification to a subject based on the confidence level.

A medical apparatus provides resuscitative therapy to a patient. The apparatus includes an electrocardiogram (ECG) input, a defibrillation output configured to provide an electrical defibrillation shock treatment, and an applicator body configured to provide active compression decompression therapy to the patient's chest. The applicator body includes a rescuer end configured for hands of the rescuer to press and pull on the applicator body, a coupling surface configured to adhere to the patient's chest to provide active compression decompression therapy, a capacitor, and processor(s) configured to receive and analyze the ECG signal of the patient, determine whether the patient is in need of defibrillation, and administer the defibrillation shock treatment to the patient.