Wearable medical device with temperature managed electrodes

1. A wearable medical device (WMD) comprising:

one or more monitor electrodes, the one or more monitor electrodes configured to receive electrocardiogram (ECG) signals from a patient;

a plurality of therapy electrodes;

a support structure configured to be worn by the patient, the support structure coupled to the one or more monitor electrodes and the plurality of therapy electrodes and configured to arrange the one or more monitor electrodes and the plurality of therapy electrodes proximate a skin of the patient;

a monitoring device, the monitoring device being separate from the support structure, being communicatively coupled with the one or more monitor electrodes and the plurality of therapy electrodes, having an energy storage device and an output circuit, and having circuitry communicatively coupled with the one or more electrodes and the plurality of therapy electrodes, wherein the monitoring device is configured to provide electrical shock therapy to the patient using the energy storage device, the output circuit and the plurality of therapy electrodes;

a Peltier device thermally coupled with at least one of the one or more monitor electrodes and/or one of the plurality of therapy electrodes, the Peltier device configured to cool a portion of the at least one of the one or more monitor electrodes and/or one of the plurality of therapy electrodes; and

a temperature control module configured to cause the Peltier device to cool the portion when the WMD is not providing therapy via the plurality of therapy electrodes and stopped when the WMD is preparing to deliver therapy.

2. The WMD of claim 1 further comprising one or more sensors coupled to the support structure, wherein the one or more sensors are communicatively coupled with the monitor device and configured to monitor a temperature of the portion of the skin of the patient.

3. The WMD of claim 1 , wherein the energy storage device comprises a capacitor, and the output circuit comprises an H-bridge.

4. The WMD of claim 1 , wherein the monitor device further comprises a power source.

5. The WMD of claim 4 , wherein the Peltier device is electrically coupled to the power source and has a first operating mode and a second operating mode, wherein:

in the first operating mode the Peltier device is configured to cool the portion of the at least one of the one or more monitor electrodes and/or one of the plurality of therapy electrodes, and

in the second operating mode the Peltier device is configured to charge the power source.

6. The WMD of claim 5 , wherein the Peltier device comprises the Peltier device configured to enter the first operating mode responsive to receiving an input from the patient.

7. The WMD of claim 1 , wherein the Peltier device is in contact with a thermally conductive portion of the support structure that is proximate to the portion of the at least one of the one or more monitor electrodes and/or one of the plurality of therapy electrodes.

8. The WMD of claim 1 further comprising defibrillation circuitry electrically coupled with the energy storage device and with the output circuitry, wherein the defibrillation circuitry is configured to selectively receive power from the energy storage device and deliver an electric shock to the patient.

9. The WMD of claim 1 , wherein the Peltier device is integrated with the support structure.

10. A wearable cardioverter defibrillator (WCD), comprising:

one or more monitor electrodes, the one or more monitor electrodes configured to receive electrocardiogram (ECG) signals from a patient;

a plurality of therapy electrodes;

a support structure configured to be worn by the patient, the support structure coupled to the one or more monitor electrodes and the plurality of therapy electrodes and configured to arrange the one or more monitor electrodes and the plurality of therapy electrodes proximate a skin of the patient;

an external defibrillator, the external defibrillator being separate from the support structure, the one or more monitor electrodes and the plurality of therapy electrodes, being communicatively coupled with the one or more monitor electrodes and the plurality of therapy electrodes, having an energy storage device and an output circuit, and having circuitry communicatively coupled with the one or more electrodes and the plurality of therapy electrodes, wherein the external defibrillator is configured to provide electrical shock therapy to the patient using the energy storage device, the output circuit, and the plurality of therapy electrodes;

a Peltier device separate from the external defibrillator, the Peltier device being configured to cool a portion of the patient's skin; and

a temperature control module configured to cause the Peltier device to cool the portion when the WCD is not providing electrical shock therapy by directing airflow through channels of the plurality of therapy electrodes used for dispensing gel onto the patient's skin.

11. The WCD of claim 10 further comprising one or more sensors coupled to the support structure, wherein the one or more sensors are communicatively coupled with the monitor device and configured to monitor a temperature of the portion of the skin of the patient.

12. The WCD of claim 10 , wherein the airflow is directed to the channels by tubing thermally coupled to the Peltier device.

13. The WCD of claim 10 , wherein the external defibrillator device further comprises a power source.

14. The WCD of claim 13 , wherein the Peltier device is electrically coupled to the power source and has a first operating mode and a second operating mode, wherein:

in the first operating mode the Peltier device is configured to cool the portion of the at least one of the one or more monitor electrodes and/or one of the plurality of therapy electrodes, and

in the second operating mode the Peltier device is configured to charge the power source.

15. The WCD of claim 14 , wherein the Peltier device comprises the Peltier device configured to enter the first operating mode responsive to receiving an input from the patient.

16. The WCD of claim 10 , wherein the Peltier device is in contact with a thermally conductive portion of the support structure that is proximate to the portion of the at least one of the one or more monitor electrodes and/or one of the plurality of therapy electrodes.

17. The WCD of claim 10 , wherein the Peltier device is integrated with the support structure.

18. A method for configuring a wearable medical device (WMD) that is worn by a patient, the method comprising:

coupling one or more monitor electrodes to a support structure, the one or more monitor electrodes configured to receive electrocardiogram (ECG) signals from a patient;

coupling a plurality of therapy electrodes to the support structure;

coupling one or more sensors to the support structure, wherein the one or more sensors are configured to monitor a temperature of a portion of a skin of the patient;

coupling an energy storage device to the support structure;

electrically coupling an energy storage device to a Peltier device, wherein the Peltier device has a first operating mode that cools the portion of the skin of the patient and a second operating mode that charges the energy storage device;

communicatively coupling the one or more monitor electrodes, the plurality of therapy electrodes, the one or more sensors, the energy storage device, and the Peltier device to a processor; and

programming the processor to execute a procedure, wherein the procedure when executed causes the processor to:

receive the temperature of the portion of the skin of the patient from the one or more sensors,

cause the Peltier device to enter the first operating mode when the temperature exceeds a first threshold to cool the portion of the skin of the patient when the WMD is not providing therapy to the patient via the plurality of therapy electrodes, and

cause the Peltier device to enter the second operating mode when the temperature is less than a second threshold.

19. The method of claim 18 , wherein the procedure further causes the processor to:

receive an input from the patient, and

cause the Peltier device to enter the first operating mode in response to receiving the input from the patient.

20. The method of claim 18 , wherein the Peltier device is in contact with a thermally conductive portion of the support structure that is proximate to at least one of the one or more monitor electrodes and/or one of the plurality of therapy electrodes to cool the portion of the skin of the patient.

21. The method of claim 18 , wherein the procedure further causes the processor to:

stop cooling when the WMD is preparing to deliver therapy; and

cause a charge from the energy storage device to be delivered to the patient based via the plurality of therapy electrodes, at least in part, on an analysis of one or more output signals from at least one of the one or more monitor electrodes.