Automatic alert control for acute health event

Abstract

An example device of a patient includes an antenna configured to wirelessly receive communication from a medical device; and processing circuitry coupled to the antenna and configured to: determine that the received communication indicates that a patient is experiencing an acute health event; in response to the determination, determine one or more physical states of the patient based on sensed data from one or more sensors; confirm that the patient is not experiencing the acute health event based on the determined one or more physical states; and output information based on the confirmation that the patient is not experiencing the acute health event.

What is claimed is: 
     
         1 . A system comprising:
 a cardiac monitoring device configured to:
 determine that a patient is experiencing a sudden cardiac arrest based on sensing by the cardiac monitoring device of the patient; and 
 transmit a first communication that indicates that the patient is experiencing the sudden cardiac arrest; and 
   one or more devices of the patient that are different than the cardiac monitoring device, the one or more devices comprising processing circuitry configured to:
 determine, based at least in part on the first communication received from the cardiac monitoring device, that the cardiac monitoring device has determined that the patient is experiencing the sudden cardiac arrest; 
 initiate an output to the patient for confirmation whether to request facilitating of delivery of care by one or more care providers or bystanders for medical services to the patient in response to the determination that the cardiac monitoring device has determined that the patient is experiencing the sudden cardiac arrest; 
 subsequent to initiating the output for confirmation whether to request the facilitating of delivery of care, confirm that the patient is not experiencing the sudden cardiac arrest based at least in part on (1) a second communication received from the cardiac monitoring device, wherein the second communication received from the cardiac monitoring device is different than the first communication, and wherein the second communication received from the cardiac monitoring device includes at least one of: (a) information from the cardiac monitoring device indicating that the patient is not experiencing the sudden cardiac arrest, or (b) data sensed by the cardiac monitoring device from which the processing circuitry can confirm that the patient is not experiencing the sudden cardiac arrest, or (2) patient input within a time period after initiating the output; and 
 
 in response to the confirmation, output information to cause a change in the request for facilitating delivery of care to one or more of the same one or more care providers or bystanders. 
   
     
     
         2 . The system of  claim 1 , wherein the output to the patient for confirmation for whether to request facilitating of delivery of care includes an output to the patient for confirmation to not request facilitating of delivery of care. 
     
     
         3 . The system of  claim 1 , wherein the processing circuitry is configured to cause the one or more devices to output information indicating that the patient is not experiencing the sudden cardiac arrest. 
     
     
         4 . The system of  claim 1 , wherein the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest based on the second communication received from the cardiac monitoring device including information from the cardiac monitoring device indicating that the patient is not experiencing the sudden cardiac arrest. 
     
     
         5 . The system of  claim 1 , wherein the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest based on the second communication received from the cardiac monitoring device including data sensed by the cardiac monitoring device from which the processing circuitry can confirm that the patient is not experiencing the sudden cardiac arrest. 
     
     
         6 . The system of  claim 1 , wherein the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest also based on one or more physical states of the patient, and wherein the one or more physical states comprise one or more of:
 an electrocardiogram;   an intracardiac or intrathoracic impedance;   a respiration rate;   a heart sound;   a pulse;   an oxygenation level;   change in blood volume;   a blood pressure;   change in cardiac rhythm;   change in cardiac rate; or   change in cardiac conduction pattern.   
     
     
         7 . The system of  claim 1 , wherein the data sensed by the cardiac monitoring device from which the processing circuitry can confirm that the patient is not experiencing the sudden cardiac arrest comprises data for at least one of a cardiac signal, a neurological signal, and a respiratory signal. 
     
     
         8 . The system of  claim 1 , wherein the processing circuitry is configured to output a request for patient feedback via the one or more devices, and wherein to confirm that the patient is not experiencing the sudden cardiac arrest, the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest also based on reception of the patient feedback responsive to the request for patient feedback within the time period. 
     
     
         9 . The system of  claim 1 , wherein at least one of the one or more devices comprises at least one of a smartphone, a smartwatch, a wearable ring, wearable health sensor, smart clothing, or an Internet of Things (IoT) device. 
     
     
         10 . The system of  claim 1 , wherein the request for facilitating delivery of care comprises a higher-level priority request, and wherein to output the information to cause the change in the request for facilitating delivery of care, the processing circuitry is configured to output instructions to cease the output of the higher-level priority request and output a lower-level priority request, wherein the lower-level priority request requires fewer medical services as compared to the higher-level priority request. 
     
     
         11 . The system of  claim 1 , wherein the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest also based on one or more physical states of the patient, wherein the processing circuitry is configured to determine the one or more physical states of the patient based on sensed data from one or more sensors, wherein the one or more sensors comprise at least one of an accelerometer or inertial measurement unit (IMU) of the one or more devices, wherein the sensed data comprises information indicative of a posture of the patient, and wherein to determine the one or more physical states of the patient based on sensed data from one or more sensors, the processing circuitry is configured to determine whether the patient is in a vertical posture based on the information indicative of the posture of the patient. 
     
     
         12 . The system of  claim 1 , wherein the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest also based on one or more physical states of the patient, wherein the processing circuitry is configured to determine the one or more physical states of the patient based on sensed data from one or more sensors, wherein the one or more sensors comprise at least one of an accelerometer or inertial measurement unit (IMU) of the one or more devices, wherein the sensed data comprises information indicative of a time-series of positioning of the patient, and wherein to determine the one or more physical states of the patient based on sensed data from one or more sensors, the processing circuitry is configured to determine whether the patient fell based on the information indicative of the time-series of the positioning of the patient. 
     
     
         13 . The system of  claim 1 , wherein the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest also based on one or more physical states of the patient, wherein the processing circuitry is configured to determine the one or more physical states of the patient based on sensed data from one or more sensors, wherein the one or more sensors comprises a microphone of the one or more devices, wherein the sensed data comprises information indicative of sound captured with the microphone, and wherein to determine the one or more physical states of the patient based on sensed data from one or more sensors, the processing circuitry is configured to determine whether the patient is in a physical state for providing sound based on the sound captured with the microphone. 
     
     
         14 . The system of  claim 1 , wherein to output the information to cause the change, the processing circuitry is configured to output the information without user intervention. 
     
     
         15 . The system of  claim 1 , further comprising a cloud-based platform, wherein to confirm that the patient is not experiencing the sudden cardiac arrest, the processing circuitry is configured to confirm that the patient is not experiencing the sudden cardiac arrest also based on processing in the cloud-based platform. 
     
     
         16 . The system of  claim 1 , wherein the information to cause the change in the request comprises a message that further includes ceasing the request to facilitate the delivery of care. 
     
     
         17 . A method of operating a system comprising a cardiac monitoring device for sudden cardiac arrest confirmation, the method comprising:
 determining, with the cardiac monitoring device, that a patient is experiencing a sudden cardiac arrest based on sensing by the cardiac monitoring device of the patient; and   transmitting, with the cardiac monitoring device, a first communication that indicates that the patient is experiencing the sudden cardiac arrest; and   determining, with one or more devices of the patient that are different than the cardiac monitoring device, based at least in part on the first communication received from the cardiac monitoring device, that the cardiac monitoring device has determined that the patient is experiencing the sudden cardiac arrest;   initiating, with the one or more devices, an output to the patient for confirmation whether to request facilitating of delivery of care by one or more care providers or bystanders for medical services to the patient in response to the determination that the cardiac monitoring device has determined that the patient is experiencing the sudden cardiac arrest;   subsequent to initiating the output for confirmation whether to request the facilitating of delivery of care, confirming, with the one or more devices, that the patient is not experiencing the sudden cardiac arrest based at least in part on (1) a second communication received from the cardiac monitoring device, wherein the second communication received from the cardiac monitoring device is different than the first communication, and wherein the second communication received from the cardiac monitoring device includes at least one of: (a) information from the cardiac monitoring device indicating that the patient is not experiencing the sudden cardiac arrest, or (b) data sensed by the cardiac monitoring device from which the processing circuitry can confirm that the patient is not experiencing the sudden cardiac arrest, or (2) patient input within a time period after initiating the output; and   in response to the confirmation, outputting, with the one or more devices, information to cause a change in the request for facilitating delivery of care to one or more of the same one or more care providers or bystanders.   
     
     
         18 . The method of  claim 17 , wherein the output to the patient for confirmation for whether to request facilitating of delivery of care includes an output to the patient for confirmation to not request facilitating of delivery of care. 
     
     
         19 . The method of  claim 17 , further comprising outputting, with the one or more devices, information indicating that the patient is not experiencing the sudden cardiac arrest. 
     
     
         20 . One or more non-transitory computer-readable storage mediums storing instructions thereon that when executed cause one or more processors to:
 receive, from a cardiac monitoring device, a first communication that indicates that a patient is experiencing the sudden cardiac arrest based on a determination by the cardiac monitoring device that the patient is experiencing the sudden cardiac arrest based on sensing by the cardiac monitoring device of the patient;   determine based at least in part on the first communication received from the cardiac monitoring device, that the cardiac monitoring device has determined that the patient is experiencing the sudden cardiac arrest;   initiate an output to the patient for confirmation whether to request facilitating of delivery of care by one or more care providers or bystanders for medical services to the patient in response to the determination that the cardiac monitoring device has determined that the patient is experiencing the sudden cardiac arrest;   subsequent to initiating the output for confirmation whether to request the facilitating of delivery of care, confirm that the patient is not experiencing the sudden cardiac arrest based at least in part on (1) a second communication received from the cardiac monitoring device, wherein the second communication received from the cardiac monitoring device is different than the first communication, and wherein the second communication received from the cardiac monitoring device includes at least one of: (a) information from the cardiac monitoring device indicating that the patient is not experiencing the sudden cardiac arrest, or (b) data sensed by the cardiac monitoring device from which the processing circuitry can confirm that the patient is not experiencing the sudden cardiac arrest, or (2) patient input within a time period after initiating the output; and   in response to the confirmation, output information to cause a change in the request for facilitating delivery of care to one or more of the same one or more care providers or bystanders.