Implantable medical device and method for managing advertising and scanning schedules

• US 10,449,372 B2
• Filed: 07/21/2016
• Issued: 10/22/2019
• Est. Priority Date: 07/21/2016
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Wu, Yongjian, Shah, Samir, Hellman, Heidi, Shahandeh, Reza, Singh, Tejpal, Huang, Youjing, Young, Chao-Wen
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Ghand, Jennifer
• Application Number:
  US15/216,505
• Publication Number:
  US 20180021589A1
• Time in Patent Office: 1,188 Days
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 7/023 for introduction into the body, e.g. into the oesophagus oesophageal ECG probes A61B5/285
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/362 Heart stimulators heart defibrillators A61N1/39
• CPC Class Codes: A61N 1/37223 Circuits for electromagnetic coupling
• 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 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: H04W 8/005 Discovery of network devices, e.g. terminals

Abstract

Methods and devices for managing establishment of a communications link between an external instrument (EI) and an implantable medical device (IMD) are provided. The methods and devices comprise storing, in memory in at least one of the IMD or the EI an advertising schedule defining a pattern for advertisement notices. The advertisement notices are distributed un-evenly and separated by unequal advertisement intervals. The method transmits, from a transmitter in at least one of the IMD or the EI the advertisement notices. The advertisement notices are distributed as defined by the advertising schedule. The method establishes a communication session between the IMD and the EI.

Claims

1. An implantable medical device (IMD), comprising:

a memory that stores an advertising schedule that defines a plurality of advertisement intervals, at least some of which are unequal, wherein the stored advertising schedule is for use in transmitting advertisement notices in accordance with a pattern that distributes at least some of the advertisement notices un-evenly by being separated by unequal ones of the advertisement intervals;

an advertisement timer;

a processor configured to access the advertising schedule stored in the memory and configured to set the advertisement timer to one of the plurality of advertisement intervals based on the pattern in the advertising schedule;

a transmitter configured to transmit the advertisement notices based on the pattern in the advertising schedule stored in the memory; and

a receiver configured to scan one or more channels for a connection request following transmission of one of the advertisement notices by the transmitter;

the processor also configured to

determine whether a valid said connection request was received by the receiver, from an external instrument (EI), prior to the advertisement timer timing out;

establish a communication link between the IMD and an EI, in response to determining that a valid said connection request was received by the receiver, from an EI, prior to the advertisement timer timing out; and

set the advertisement timer to another one of the plurality of advertisement intervals based on the pattern in the advertising schedule, in response to determining that a valid said connection request was not received by the receiver, from an EI, prior to the advertisement timer timing out.

2. The IMD of claim 1, wherein the pattern of the advertising schedule includes a first advertisement interval between first and second advertisement notices and a second advertisement interval between the second advertisement notice and a third advertisement notice, wherein the first and second advertisement intervals differ from one another, the transmitter configured to transmit the first, second and third advertisement notices based on the first and second advertisement intervals.

3. The IMD of claim 2, wherein the transmitter is configured to alternate transmission between the first and second advertisement intervals.

4. The IMD of claim 1, wherein the pattern of the advertising schedule includes at least first and second advertisement notices that are spaced apart by an interval that is shorter than a duration of at least one of the first or second advertisement notices.

5. The IMD of claim 1, wherein the processor is further configured to change the advertising schedule by at least one of i) changing one or both of first and second advertisement intervals, or ii) adding a third advertisement interval, in order to update the pattern for the advertisement notices.

6. The IMD of claim 5, wherein in response to a valid said connection request not being received by the receiver, from an EI, prior to the advertisement timer timing out, the transmitter is configured to repeat transmission of the advertisement notices based on the pattern in the advertising schedule, over a scanning state, and the processor is configured to:

determine a duration of the scanning state; and

perform the change when the duration of the scanning state exceeds a predetermined threshold.

7. The IMD of claim 5, wherein the processor is further configured to:

detect a second EI; and

perform the change when the EI changes from a first EI to the second EI.

8. The IMD of claim 1, wherein the processor is further configured to repeat the pattern by repeating transmission of the advertisement notices based on the pattern.

9. The IMD of claim 8, wherein the processor is configured to repeat the pattern until the communication link is established.

10. A method for use with an implantable medical device (IMD), the method comprising:

accessing an advertising schedule that is stored in a memory of the IMD and that defines a plurality of advertisement intervals, at least some of which are unequal, wherein the stored advertising schedule is for use in transmitting advertisement notices in accordance with a pattern that distributes at least some of the advertisement notices un-evenly by being separated by unequal ones of the advertisement intervals;

setting an advertisement timer to one of the plurality of advertisement intervals based on the pattern in the advertising schedule;

transmitting a said advertisement notice based on the pattern in the advertising schedule stored in the memory;

scanning one or more channels for a connection request following the transmitting of the said advertisement notice;

determining whether a valid said connection request was received by the IMD from an external instrument (EI) prior to the advertisement timer timing out;

establishing a communication link between the IMD and an EI, in response to determining that a valid said connection request was received by the IMD, from an EI, prior to the advertisement timer timing out; and

setting the advertisement timer to another one of the plurality of advertisement intervals based on the pattern in the advertising schedule, in response to determining that a valid said connection request was not received by the IMD, from an EI, prior to the advertisement timer timing out.

11. The method of claim 10, wherein the pattern of the advertising schedule includes a first advertisement interval between first and second advertisement notices and a second advertisement interval between the second advertisement notice and a third advertisement notice, wherein the first and second advertisement intervals differ from one another, and wherein the transmitting comprises transmitting the first, second and third advertisement notices based on the first and second advertisement intervals.

12. The method of claim 11, wherein the transmitting is repeated such that there is an alternating between the first and second advertisement intervals.

13. The method of claim 10, wherein the pattern of the advertising schedule includes at least first and second advertisement notices that are spaced apart by an interval that is shorter than a duration of at least one of the first or second advertisement notices.

14. The method of claim 11, further comprising changing the advertising schedule by at least one of i) changing one or both of first and second advertisement intervals, or ii) adding a third advertisement interval, in order to update the pattern for the advertisement notices.

15. The method of claim 14, further comprising:

repeating the transmitting operation, over a scanning state, in response to a valid said connection request not being received, from an EI, prior to the advertisement timer timing out;

determining a duration of the scanning state; and

perform the changing when the duration of the scanning state exceeds a predetermined threshold.

16. The method of claim 14, further comprising:

detecting a change from communicating with a first EI to communicating with a second EI; and

performing the changing the advertising schedule in response to detecting the change from communicating with the first EI to communicating with the second EI.

17. The method of claim 10, further comprising repeating the pattern by repeating the transmitting based on the pattern.

18. The method of claim 17, wherein the repeating the pattern is performed until a said communication link is established.