Wearable cardioverter defibrillator components making aggregate shock/no shock determination from two or more ECG signals
Components of wearable cardiac defibrillator (WCD) systems, software, and methods are provided. A WCD system includes a support structure that a patient can wear and electrodes that can capture at least two of the patient's ECG signals. A component includes an energy storage module that can store an electrical charge, a discharge circuit, and a processor that can make a shock/no shock determination, and cause the discharge circuit to discharge the stored charge, if the determination is to shock. In some embodiments, the processor discards at least one of the ECG signals prior to making the shock/no shock determination. The determination can be made from the remaining one or more ECG signals. In some embodiments, the processor makes an aggregate shock/no shock determination from two or more of the ECG signals.
1. A component of a wearable cardiac defibrillation (WCD) system, the WCD system including a support structure configured to be worn by a patient, sensing electrodes configured to capture at least two ElectroCardioGram (ECG) signals of the patient, and defibrillation electrodes configured to transport electrical charge, the component comprising:
an energy storage module configured to store an electrical charge;
a discharge circuit coupled to the energy storage module; and
a processor configured to:
make a certain aggregate shock/no shock determination from at least two of the ECG signals, in which respective individual shock/no shock recommendations are made from each of the at least two of the ECG signals, the respective individual shock/no shock recommendations having a form of respective certainty values, and the certain aggregate shock/no shock determination is made from a statistic of the respective certainty values, and
cause, if the certain aggregate shock/no shock determination is to shock, the discharge circuit to discharge the stored electrical charge through the defibrillation electrodes so as to defibrillate the patient.
2. The component of claim 1 , in which
at least one of the ECG signals is discarded if it does not meet a reliability criterion, and
the at least two of the ECG signals from which the certain aggregate shock/no shock determination is made do not include the discarded ECG signal.
3. The component of claim 1 , in which
the certain aggregate shock/no shock determination is to shock if any of the respective individual recommendations is to shock.
4. The component of claim 3 , in which
at least a certain one of the at least two ECG signals is analyzed for a detected patient heart rate, and
the respective individual shock/no shock recommendation from the certain ECG signal is to shock if the detected patient heart rate is above a threshold.
5. The component of claim 1 , in which
the certain aggregate shock/no shock determination is to not shock if any of the respective individual recommendations is to not shock.
6. A component of a wearable cardiac defibrillation (WCD) system, the WCD system including a support structure configured to be worn by a patient, sensing electrodes configured to capture at least two ElectroCardioGram (ECG) signals of the patient, and defibrillation electrodes configured to transport electrical charge, the component comprising:
an energy storage module configured to store an electrical charge;
a discharge circuit coupled to the energy storage module; and
a processor configured to:
make a certain aggregate shock/no shock determination from at least two of the ECG signals, in which
respective individual shock/no shock recommendations are made from each of the at least two of the ECG signals, and
at least a certain one of the at least two ECG signals is analyzed for a detected patient heart rate and the respective individual shock/no shock recommendation from the certain ECG signal is to shock if the detected patient heart rate is above a threshold, and
cause, if the certain aggregate shock/no shock determination is to shock, the discharge circuit to discharge the stored electrical charge through the defibrillation electrodes so as to defibrillate the patient.
7. The component of claim 6 , in which
at least one of the ECG signals is discarded if it does not meet a reliability criterion, and
the at least two of the ECG signals from which the certain aggregate shock/no shock determination is made do not include the discarded ECG signal.
8. The component of claim 6 , in which
an amplitude of a certain one of the ECG signals is measured, and
the at least two of the ECG signals from which the certain aggregate shock/no shock determination is made do not include the certain ECG signal, if the measured amplitude of the certain ECG signal does not meet a reliability criterion.
9. The component of claim 6 , in which
the certain aggregate shock/no shock determination is made from the respective individual recommendations.
10. The component of claim 6 , in which
the certain aggregate shock/no shock determination is to not shock if any of the respective individual recommendations is to not shock.
11. The component of claim 6 , in which
the certain aggregate shock/no shock determination is made from a statistic of the respective individual shock/no shock recommendations.
12. The component of claim 6 , in which
the certain aggregate shock/no shock determination is to shock if any of the respective individual recommendations is to shock.