Low power advertisement schedule for implantable medical device and method

• US 10,182,336 B1
• Filed: 12/18/2017
• Issued: 01/15/2019
• Est. Priority Date: 12/18/2017
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Stockton, John, Li, Perry
• Primary Examiner(s): Ayotunde, Ayodeji
• Application Number:
  US15/845,878
• Time in Patent Office: 393 Days
• Field of Search: 455 412
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/14542 for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/6868 Brain
• CPC Class Codes: A61B 5/74 Details of notification to user or communication with user or patient indicating measured values G01D7/00; user input means input or output arrangements for computers G06F3/00
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0541 Cochlear electrodes
• CPC Class Codes: A61N 1/36036 of the outer, middle or inner ear
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
• CPC Class Codes: A61N 1/37264 : Changing the program; Upgrading firmware
• CPC Class Codes: H04W 52/325 : Power control of control or pilot channels
• CPC Class Codes: H04W 52/383 : power control in peer-to-peer links
• CPC Class Codes: H04W 72/02 : Selection of wireless resources by user or terminal
• CPC Class Codes: H04W 76/14 : Direct-mode setup
• CPC Class Codes: H04W 8/005 : Discovery of network devices, e.g. terminals

Abstract

Methods and devices are provided for managing establishment of a communications link between an external instrument (EI) and an implantable medical device (IMD). The method stores, in the IMD, an advertisement schedule that includes first and second power schemes to be utilized with advertisement notices. The first and second power schemes define at least one of i) first and second power levels for transmitting the advertisement notices or ii) first and second receive sensitivities to scan for a connection request. The method manages at least one of a transmit or receive operation of the IMD, utilizing the first and second power schemes in connection with first and second advertisement notices, respectively. The method establishes a communication session between the IMD and the EI.

Claims

1. A method of operating an implantable medical device (IMD) for conducting communications, after implantation within a patient, with a device external to the patient, the method comprising:

operating wireless communication circuitry of the IMD to provide advertising notices according to a wireless communication protocol for establishment of one or more wireless communication sessions between the IMD and the device external to the patient, wherein (1) the operating comprising providing advertising notices according to first and second connection schemes, (2) the first connection scheme provides advertising notices according to a first frequency and the second connection scheme provides advertising notices according to a second frequency, (3) the first frequency is greater than the second frequency to provide lesser connection latency according to the first connection scheme compared to connection latency of the second connection scheme, (4) the operating provides advertising notices according to the first connection scheme at a lower transmit power than advertising notices according to the second connection scheme, and (5) the operating employs the first and second connection schemes for providing advertising notices according to a schedule;

receiving a request from the device external to the patient to establish a communication session with the IMD in response to device external to the patient receiving an advertising notice from the IMD;

establishing a communication session with the device external to the patient to communicate IMD data with the device external to the patient; and

communication IMD data with the device external to the patient.

2. The method of claim 1, wherein the first connection scheme defines a short range advertisement scheme having a first transmit power level configured to communicate with an external device up to 1 meter from the IMD.

3. The method of claim 2, wherein the first transmit power level is no more than −

5 dBm.

4. The method of claim 1, wherein the second connection scheme defines a long range advertisement scheme having a second transmit power level configured to communicate with an external device that is greater than 1 meter away from the IMD.

5. The method of claim 4, wherein the second transmit power level is configured to communicate with an external device that is up to 5 meters away from the IMD.

6. The method of claim 4, wherein the second transmit power level is at least 3 dBm.

7. The method of claim 1, wherein the schedule repeats the first connection scheme N times before repeating the second connection scheme, where N is greater than or equal to 1.

8. The method of claim 1, wherein the first and second connection schemes corresponding to short and long range connection schemes, and wherein the schedule merges the short and long range connection schemes in a ratio LR/SR of no more than 50.0%, where LR corresponds to a number of long range advertisement complexes transmitted during a predetermined period of time and SR corresponds to a number of short range advertisement complexes transmitted during the predetermined period of time.

9. The method of claim 1, further comprising counting a number of unsuccessful advertisement states and based thereon, changing from the first power scheme.

10. The method of claim 1, further comprising determining when a connection request is received from the device external to the patient in connection with one of the advertisement notices.

11. An implantable medical device (IMD) for implant within a patient, comprising:

a battery for powering the IMD;

circuitry for conducting medical operations;

circuitry for conducting wireless communication with a device external to the patient after implant;

memory for storing data and programmable instructions of the IMD;

a processor for controlling operations of the IMD, wherein (1) the processor is configured to operate the wireless communication circuitry of the IMD to provide advertising notices according to a wireless communication protocol for establishment of one or more wireless communication sessions between the IMD and the device external to the patient according to first and second connection schemes, (2) the first connection scheme provides advertising notices according to a first frequency and the second connection scheme provides advertising notices according to a second frequency, (3) the first frequency is greater than the second frequency to provide lesser connection latency according to the first connection scheme compared to connection latency of the second connection scheme, (4) the processor is configured to operate the wireless communication circuitry to provide advertising notices according to the first connection scheme at a lower transmit power than advertising notices according to the second connection scheme, and (5) the processor is configured to employ the first and second connection schemes for advertising notices according to a schedule.

12. The IMD of claim 11, wherein, based on the connection power scheme, the processor is configured to define a short range advertisement scheme having a first transmit power level and a first receive sensitivity configured to communicate with an external device up to 1 meter from the IMD.

13. The IMD of claim 12, wherein the processor is configured to set the first transmit power level of the transmitter to no more than −

5 dBm.

14. The IMD of claim 11, wherein, based on the second connection scheme, the processor is configured to define a long range advertisement scheme having a second transmit power level and a second receive sensitivity configured to communicate with an external device that is great than 1 meter away from the IMD.

15. The IMD of claim 14, wherein the processor is configured to set the second transmit power level and second receive sensitivity to communicate with an external device that is up to 5 meters away from the IMD.

16. The IMD of claim 14, wherein the processor is configured to set the second transmit power level to at least 3 dBm.

17. The IMD of claim 11, wherein, based on the advertisement schedule, the processor is configured to repeat the first connection scheme N times before repeating the second power scheme, where N is greater than 1.

18. The IMD of claim 11, wherein the first and second connection schemes corresponding to short and long range advertisement schemes, and wherein the advertisement schedule merges the short and long range connection schemes in a ratio LR/SR of no more than 50.0%, where LR corresponds to a number of long range advertisement complexes transmitted during a predetermined period of time and SR corresponds to a number of short range advertisement complexes transmitted during the predetermined period of time.

19. The IMD of claim 11, wherein the first connection scheme is adapted to communicate IMD data with the device external to the patient according to an on demand mode of operation and the second connection scheme is adapted to communicate IMD data according to a regular schedule.

20. The IMD of claim 11, wherein the IMD data comprises patient physiological data sensed by the IMD after implant.