An example of a system for providing patient care guidance to a caregiver based on ultrasound detection of blood flow includes a defibrillator including an electrode assembly and an output device, a portable computing device communicatively coupled to the defibrillator and including an output device, a Doppler shift waveform evaluation engine disposed at the defibrillator and/or the portable computing device, and a wearable ultrasound blood flow sensor configured to couple to a patient and the defibrillator and/or the portable computing device and to generate data signals representing a Doppler shift waveform. The engine is configured to receive the data signals representing the waveform, generate caregiver instructions according to a cardiac arrest protocol, analyze the waveform based on the received data signals, identify heart-induced blood flow based on the waveform analysis, and generate and provide caregiver instructions according to a non-cardiac arrest protocol based on the identified heart-induced blood flow.

A waterproof modular electrocardiogram (ECG) electrode assembly for use in a wearable cardiac monitoring device comprises a first, main circuit board comprising active ECG processing circuitry encapsulated in a waterproof moldable dielectric polymer, and an ECG electrode mechanically coupled to the waterproof moldable dielectric polymer, the ECG electrode configured to be electrically coupled to a portion of the main circuit board.

A waterproof modular electrocardiogram (ECG) electrode assembly for use in a wearable cardiac monitoring device comprises a first, main circuit board comprising active ECG processing circuitry encapsulated in a waterproof moldable dielectric polymer, and an ECG electrode mechanically coupled to the waterproof moldable dielectric polymer, the ECG electrode configured to be electrically coupled to a portion of the main circuit board.

Systems and methods for cardiac pacing are provided, where a pacing lead is placed at or near the bundle of His. A method for pacing a heart of a patient comprises: introducing a sheath to vasculature of the patient; steering the sheath within a coronary sinus in the heart to lodge a distal end of the sheath to a target location proximal to the bundle of His above a septum separating a left ventricle and a right ventricle of the heart; advancing a pacing lead through a lumen of the sheath to the target location; coupling the pacing lead to cardiac tissue at the target location; removing the sheath; and electrically pacing the bundle of His using the pacing lead.

A medical device is configured to detect an atrial tachyarrhythmia episode. The device senses a cardiac signal, identifies R-waves in the cardiac signal attendant ventricular depolarizations and determines classification factors from the R-waves identified over a predetermined time period. The device classifies the predetermined time period as one of unclassified, atrial tachyarrhythmia and non-atrial tachyarrhythmia by comparing the determined classification factors to classification criteria. A classification criterion is adjusted from a first classification criterion to a second classification criterion after at least one time period being classified as atrial tachyarrhythmia. An atrial tachyarrhythmia episode is detected by the device in response to at least one subsequent time period being classified as atrial tachyarrhythmia based on the adjusted classification criterion.

A remote interface system according to some embodiments includes one or more patient monitoring devices having one or more sensors for patient monitoring, one or more first processors to receive information from the sensors and generate patient data based thereon, a web server, a first communication system, and a first screen to display a representation of at least a first portion of the patient data, and a remote interface device including a second communication system, a second screen, one or more second processors, an application executed by the one or more second processors and configured to detect a presence of the first communication system, establish a communication link between the first and second communication systems, establish a reliable connection channel (e.g. secure websocket connection) with the web server, receive the patient data via the connection, and display at least a second portion of the patient data on the second screen.

An implantable device containing a plurality of batteries, the plurality of batteries including at least one first non-rechargeable battery, and at least one second rechargeable battery. A method for providing power for a Cardiac Contractility Modulation Implantable Cardioverter Defibrillator (ICD) device, the method including providing power for cardioversion or defibrillation operation by a first, non-rechargeable battery, and providing power for Cardiac Contractility Modulation operation by a second, rechargeable battery. A method for controlling power for an implantable device having a rechargeable battery, a non-rechargeable battery and a Cardioverter Defibrillator module, the method including measuring electric power level of the rechargeable battery, comparing the rechargeable battery level to a threshold, if the electric power level of the rechargeable battery is less than the threshold, then providing power for the device from the non-rechargeable battery. Related apparatus and methods are also described.

A system is provided for resuscitative therapy to a patient by delivering active chest compression decompressions. The system may include an ACD device configured to be coupled to the patient's chest and constructed for a rescuer to press and pull on the ACD device to administer active compression decompression therapy. Additionally, the ACD device may include at least one sensor for sensing at least one active compression decompression parameter, processing circuitry configured to process the at least one active compression decompression parameter and provide an output based on the at least one parameter, a first communication circuit configured to transfer data related to the processed output of the at least one parameter, and a second communication circuit capable of being removably coupled to either the electrode assembly or the ACD device.

An external defibrillator system includes one or more compression sensors; one or more physiological sensors; and at least one processor. The at least one processor is configured to: receive and process chest compression signals and physiological signals from the sensors, determine values for chest compression depth and/or chest compression rate based on the received chest compression signals, determine a trend of at least one physiological parameter over a period comprising multiple chest compressions based on the received physiological signals, adjust a target chest compression depth and/or target chest compression rate based on the determined trend of the at least one physiological parameter, compare the determined values for chest compression depth and/or chest compression rate to the adjusted target compression depth and/or the adjusted target compression rate, and provide feedback about the quality of chest compressions performed on the patient.

A system includes a signal generator, configured to pass a generated signal, which has two different generated frequencies, through a circuit including an intrabody electrode. The system further includes a processor, configured to identify, while the generated signal is passed through the circuit, a derived frequency, which is derived from the generated frequencies, on the circuit, and to generate, in response to identifying the derived frequency, an output indicating a flaw in the electrode. Other embodiments are also described.