A system to deliver therapeutic energy to a patient, the system including a storage capacitor configured to store and release the therapeutic energy, a boost converter circuit coupled to the storage capacitor, and a current flow control circuit coupled to the boost converter circuit and including a plurality of control circuits configured to control a current output from the current flow control circuit in a therapeutic biphasic voltage waveform upon release of the therapeutic energy from the storage capacitor, wherein the therapeutic biphasic voltage waveform includes a ramped increase in voltage from approximately zero volts to a desired therapeutic voltage level over a time interval greater than 1 millisecond and less than a time associated with a phase switch.

In embodiments, an external defibrillator has an electrical circuit with a special output stage for the high-voltage defibrillation pulse. The output stage includes switches that can turn on for delivering the pulse, and off during all other times. The output stage also includes a diverting resistance to divert electrical current that could leak into the patient while a capacitor is being charged. An optional detector may notify if a component is malfunctioning. An advantage can be that an external defibrillator may be created according to embodiments that uses, in its output stage, semiconductor switches instead of relays. As semiconductor switches weigh less and occupy less volume than relays, an external defibrillator according to embodiments may have less weight and volume. Especially in wearable defibrillator applications, less weight means less effort to carry and less volume means easier concealment under clothing.

The present invention relates to a device, and software and methodology associated with a portable Automated External Defibrillator (“AED”). The portable AED works with a mobile device and software, and includes two or more cardiac pads, a battery pack, and specialized capacitor. When connected to a patient in cardiac arrest, the AED contacts Emergency Medical Services, and records patient information to be transmitted for evaluation by medical providers. The AED is able to analyze cardiac rhythms, suggests administering one or more shocks to the patient in appropriate cardiac arrhythmia, and guides a user on proper CPR technique, if enabled. The AED software can alert other personnel via a mobile device app.

Electrotherapy waveform and pulse generation and delivery systems, methods and devices are described, such as for generation and delivery of defibrillation or pacing electrotherapeutic waveforms to patients, using open or closed loop current control. An example system includes a power supply, a therapeutic current control network and a controller. A therapeutic current control network may include at least one current control switch and a resonant tank. During delivery of an electrotherapeutic waveform to a patient with optional closed loop current control, the controller may compare a signal associated with a determined or estimated current provided to the patient with a signal associated with a reference waveform. Based at least in part on the comparison, the controller may adjust operation of the at least one current control switch of the therapeutic current control network in adjusting delivery of the electrotherapeutic waveform to the patient to correspond with the reference waveform. The system may utilize one or more of soft switching, wide bandgap materials and a bidirectional power supply.

The invention relates to a device for assisting a first aider with a cardiopulmonary resuscitation of a person suffering cardiac arrest, comprising a transport housing (1), in which a sensor apparatus (4) and two adhesive electrodes (2), which are or can be connected to the sensor apparatus (4), can be stowed. The sensor apparatus (4) allows data to be acquired while the first-aid measures for resuscitation are performed. The sensor apparatus (4) comprises an adhesive (5) for attachment to the chest of the patient (3). The chest compressions, i.e. depth of compression and compression frequency, can be detected by means of a motion sensor. An interface for data transfer allows wireless communication with a mobile terminal (6). Furthermore, the sensor apparatus (4) contains a high-voltage store so that, after connection to the adhesive electrodes (2), a single defibrillation shock can be delivered.

The present disclosure relates generally to a defibrillator assembly comprising a defibrillator having a first operating mode for delivering a high energy output to a patient and a second operating mode for monitoring the patient, a first battery unit operably coupled to the defibrillator, and a second battery unit operably coupled to the defibrillator. One of the first battery unit and the second battery unit provides power to the defibrillator during the second operating mode. Both the first battery unit and the second battery unit provide power to the defibrillator during the first operating mode.

A medical device that includes a power source, a therapy delivery interface, therapy electrodes, electrocardiogram (ECG) sensing electrodes to sense ECG signal of a heart of a patient, a sensor interface to receive and digitize the ECG signal, and a processor. The processor is configured to analyze the ECG signal to determine a cardiac rhythm and a transform value representing a magnitude of a frequency component of the cardiac rhythm, analyze the cardiac rhythm and the transform value to detect a shockable cardiac arrhythmia by classifying the cardiac rhythm as a noise rhythm or a shockable cardiac arrhythmia rhythm based on the transform value, and causing the processor to detect the cardiac arrhythmia if classifying the cardiac rhythm as a shockable cardiac arrhythmia rhythm, initiate a treatment alarm sequence, adjust the shock delivery parameter for a defibrillation shock, and provide the defibrillation shock via the therapy electrodes.

Improved devices, circuits and methods of operation in implantable stimulus systems. An implantable defibrillator may comprise an H-bridge output circuit having low and high sides, with a current controlling circuit coupled to the high side of the H-bridge output circuit and a current monitoring circuit coupled to the low side of the H-bridge output circuit. A bootstrap design or a DC isolating circuit or circuit element may be used in the current controlling circuit.

A capacitor for powering an implantable medical device is described. The capacitor includes a casing having contoured surfaces to more closely conform to body contours. This means that the anode housed in the casing must also have a contoured shape substantially matching that of the casing. Accordingly, the anode is comprised of a pressed pellet having a surrounding peripheral edge extending to spaced-apart first and second major face walls. An anode lead wire comprises an embedded portion extending into the anode pellet. First and second channel-shaped recesses aligned with each other extend into the anode pellet from the first and second major face walls to intersect with the embedded lead wire portion. The first and second channel-shaped recesses also extend to opposed locations at the surrounding peripheral edge of the anode pellet. The anode pellet is bent at the aligned first and second channel-shaped recesses to provide a right anode pellet portion electrically connected to a left anode pellet portion by the embedded lead wire portion. The thusly contoured anode pellet has an anatomical shape that matches that of the contoured casing to provide an implantable capacitor that is volumetrically efficient.

Implantable medical device including a pulsed-voltage generator and one or more implantable electrical leads. In one example, the implantable medical device supports the defibrillator and ablation modalities characterized by different respective sets of waveform parameters, such as the pulse amplitude and width. In some examples, the implantable medical device also supports a pacing modality. The electrodes used for the different modalities are variously selected from a plurality of electrodes located in distal portions of the implantable electrical leads and on the exterior surface of the implantable device box. An electronic controller of the implantable medical device is wirelessly programmable to appropriately control, e.g., in a patient-specific manner, operations of the pulsed-voltage generator and transitions between different modalities. Various examples of the disclosed implantable medical device can beneficially be used to provide to a cardiac patient a greater variety of treatment options without having to replace the implantable medical device.