Apparatus for data retention in an implantable medical device

• US 10,201,305 B2
• Filed: 11/02/2005
• Issued: 02/12/2019
• Est. Priority Date: 11/02/2004
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Drew, Touby A., Giftakis, Jonathon E., Graves, Nina M., Werder, Jonathan C., Carlson, David L.
• Primary Examiner(s): D ABREU, MICHAEL JOSEPH
• Application Number:
  US11/264,887
• Publication Number:
  US 20060095091A1
• Time in Patent Office: 4,850 Days
• Field of Search: 600508, 600509, 600513, 600523, 607 27, 607 59
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/031 Intracranial pressure
• 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 5/165 Evaluating the state of mind, e.g. depression, anxiety
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/33 specially adapted for cooperation with other devices
• CPC Class Codes: A61B 5/37 Intracranial electroencephalography [IC-EEG], e.g. electrocorticography [ECoG]
• CPC Class Codes: A61B 5/4082 Diagnosing or monitoring movement diseases, e.g. Parkinson, Huntington or Tourette
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61N 1/36132 using patient feedback
• CPC Class Codes: A61N 1/3614 based on impedance measurement
• CPC Class Codes: A61N 1/36521 : the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/36585 : controlled by two or more physical parameters
• CPC Class Codes: A61N 1/3702 : Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• 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 1/37282 : characterised by communication with experts in remote locations using a network
• CPC Class Codes: G06F 16/2272 : Management thereof
• CPC Class Codes: G16H 10/60 : for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 : stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/30 : relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation

Abstract

An apparatus for storing data records associated with a medical monitoring event in a data structure. An implanted device obtains data and stores the data in the data record in a first data structure that is age-based. Before an oldest data record is lost, the oldest data record may be stored in a second data structure that is priority index-based. The priority index may be determined by a severity level and may be further determined by associated factors. The implanted device may organize, off-load, report, and/or display a plurality of data records based on an associated priority index. Additionally, the implanted device may select a subset or composite of physiologic channels from the available physiologic channels based on a selection criterion.

Claims

1. A medical device for monitoring physiologic activity, comprising:

(A) a physiologic monitoring element comprising a physiologic sensor configured to obtain at least one physiologic signal associated with an event and produce physiologic data regarding the event from the physiologic signal;

(B) a memory component configured to store data regarding the event, the memory component comprising;

(i) a first data structure configured to store a plurality of data records, each data record representing information about an associated event including an associated priority index the first data structure comprising a new data pointer configured to point to one of a plurality of data entries, and, after a data record is stored in the one of a plurality of data entries, point to another data entry where the next incoming data record is to be stored in the first data structure; and

(ii) a second data structure, the second data structure distinct from the first data structure; and

(C) a processing component interfacing with the monitoring element and the memory component and configured to;

(i) replace at least a portion of an existing data record in the first data structure with a new data record; and

(ii) store in the second data structure at least the portion of the existing data record that was replaced from the first data structure if the associated priority index of the existing data record exceeds a threshold criterion that is pre-determined relative to creation of the data records so as to be determined independently from a determination of which priority indexes to associate to the data records within the first and second data structures.

2. The medical device of claim 1, further comprising:

(D) a reporting module configured to select selected data records from the first data structure and from the second data structure and to report data associated with the selected data records.

3. The medical device of claim 2, wherein the reporting module is configured to select the selected data records based on the associated priority index of the selected data records.

4. The medical device of claim 1, wherein the second data structure comprises a priority queue.

5. The medical device of claim 4, wherein the priority queue is configured to store at least two data records from the first data structure.

6. The medical device of claim 1, wherein the processing component is configured to store the existing data record in the second data structure only if the priority index of the existing data record is greater than an other priority index of an other data record in the second data structure.

7. The medical device of claim 1, wherein the processing component is configured to determine the associated priority index from an associated severity level of the associated event and to evaluate the severity level to determine the type of therapy, the medical device further comprising a therapy device that provides the type of therapy determined by the processing component.

8. The medical device of claim 1, wherein the monitoring element is configured to receive data from a set of physiologic channels, the device further comprising a channel selection component configured to select a subset of physiologic channels from the set of physiologic channels based on a selection criterion and inserts channel data into the new data record, wherein the channel data corresponds to the subset of physiologic channels.

9. The medical device of claim 1, wherein the event is selected from the group consisting of a cardiac event, a neurological event, a pulmonary event, and a telemetry event.

10. The medical device of claim 1, further comprising:

(D) a receiving module configured to receive an indication from a patient to initiate loop recording.

11. An apparatus for retaining physiologic data, wherein the physiologic data comprises an older data record and a newer data record, the apparatus comprising:

a physiologic monitoring element comprising a physiologic sensor configured to obtain at least one physiologic signal associated with an event and produce the physiologic data regarding the event from the physiologic signal

(A) means for determining an old priority index of the older data record and a newer priority index of the newer data record;

(B) means for replacing at least a portion of the older data record with at least a portion of the newer data record in a first data structure; and

(C) means for retaining at least a portion of the older data record in a second data structure if the old priority index exceeds a threshold criterion that is pre-determined relative to creation of the data records so as to be determined independently from a determination of which priority indexes to associate to the data records within the first and second data structures.

12. The apparatus of claim 11, further comprising (D) a telemetry system providing telemetric communication between (A) and (C), an implantable medical device including (A), and an external device, wherein the external device includes (C).

13. The apparatus of claim 12, wherein the external device is a patch.

14. The apparatus of claim 11, wherein (C) further comprises means for performing the retaining operation only if the older priority index is greater than another priority index of another data record, and for releasing memory space allocated to the other data record.

15. A medical device system for monitoring physiologic activity, comprising:

(A) a monitoring element that obtains physiologic data from a physiologic signal, wherein at least one monitoring element comprises a neurological sensor that obtains the physiologic signal;

(B) a logic component; and

(C) a memory component that is connected to the logic component and that is instructed by the logic component to store the physiologic data, the memory component comprising;

(i) a first data structure configured to store a plurality of data records, each data record representing information about an associated event including an associated priority index, and wherein the logic component is configured to instruct the first data structure to replace a first data record with a second data record, the first data structure comprising a new data pointer configured to point to one of a plurality of data entries, and, after a data record is stored in the one of a plurality of data entries, point to another data entry where the next incoming data record is to be stored in the first data structure; and

(ii) a second data structure configured to retain the first data record from the first data structure when the associated priority index of the first data record exceeds a threshold criterion that is pre-determined relative to creation of the data records so as to be determined independently from a determination of which priority indexes to associate to the data records of the first and second data structures, and wherein the second data structure is distinct from the first data structure.

16. The medical device system of claim 15, wherein the logic component is configured to instruct the second data structure to store the first data record only if the associated priority index of the first data record is greater than an other priority index of an other data record in the second data structure.

17. The medical device system of claim 16, further comprising:

(D) a reporting module configured to select data records from the first data structure and the second data structure and further configured to report data associated with the selected data records.

18. The medical device system of claim 17, wherein the reporting module is configured to select the selected data records based on an associated priority index of the selected data record.

19. The medical device system of claim 15, wherein the first data structure comprises a circular buffer and wherein the second data structure comprises a priority queue.

20. The medical device system of claim 15, wherein the monitoring element is configured to receive data from a set of physiologic channels, the system further comprising a channel selection component configured to select a subset of physiologic channels from the set of physiologic channels based on a selection criterion and configured to insert channel data into a new data record, wherein the channel data corresponds to the subset of physiologic channels.

21. The medical device system of claim 15, wherein the event is selected from the group consisting of a cardiac event, a neurological event, a pulmonary event, and a telemetry event.