Medical device communication

• US 20040133242A1
• Filed: 01/02/2003
• Published: 07/08/2004
• Est. Priority Date: 01/02/2003
• Status: Abandoned Application

• Current Assignee: Medtronic Physio-Control Corp. (Medtronic Plc)
• Original Assignee: Medtronic Physio-Control Corp. (Medtronic Plc)
• Inventors: Chapman, Fred W., Silver, Ward, Moore, Mark P.
• Application Number:
  US10/336,655
• Publication Number:
  US 20040133242A1
• Time in Patent Office: Days
• US Class Current: 607/5
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0028 Body tissue as transmission medium, i.e. transmission systems where the medium is the human body
• CPC Class Codes: A61B 5/276 Protection against electrode failure
• CPC Class Codes: A61B 5/29 for permanent or long-term implantation
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile
• CPC Class Codes: A61N 1/37288 Communication to several implantable medical devices within one patient
• CPC Class Codes: A61N 1/3904 External heart defibrillators [EHD]
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting

Abstract

Techniques are described for communication between medical devices that are used to monitor or treat a patient, such as defibrillators or patient monitors. The devices may engage in one-way or two-way communication, using the electrical conduction of the body of the patient to carry information. When the devices are capable of two-way communication, the first medical device may relay information to the second medical device through the body of the patient. The information relayed may pertain to the condition of the patient or the therapy administered.

Claims

1. A method comprising:

detecting a signal from a medical device via electrodes coupled to a body of a patient; and

transmitting information to the medical device by electrical conduction through the body of the patient.

2. The method of claim 1, wherein the medical device is a defibrillator.

3. The method of claim 1, wherein transmitting information to the medical device comprises transmitting information about therapy provided to the patient.

4. The method of claim 1, wherein transmitting information to the medical device comprises transmitting a command to the medical device to suspend operation.

5. The method of claim 1, wherein transmitting information to the medical device comprises transmitting at least one of a kind of medical device, a manufacturer and a model.

6. The method of claim 1, wherein transmitting information to the medical device comprises modulating an excitation current with a modulating signal and applying the modulated excitation current to the body of the patient.

7. The method of claim 6, wherein modulating an excitation current with a modulating signal comprises modulating at least one of the amplitude, phase and frequency of the excitation current.

8. The method of claim 1, further comprising receiving information from the medical device by electrical conduction through the body of the patient.

9. A medium comprising one or more instructions to cause a processor to:

detect a signal from a medical device via electrodes coupled to a body of a patient; and

transmit information to the medical device by electrical conduction through the body of the patient.

10. The medium of claim 9, wherein the medical device is a defibrillator.

11. The medium of claim 9, wherein the instructions cause the processor to transmit information to the medical device by transmitting information about therapy provided to the patient.

12. The medium of claim 9, wherein the instructions cause the processor to transmit information to the medical device by transmitting a command to the medical device to suspend operation.

13. The medium of claim 9, wherein the instructions cause the processor to transmit information to the medical device by transmitting at least one of a kind of medical device, a manufacturer and a model.

14. The medium of claim 9, wherein the instructions cause the processor to transmit information to the medical device by modulating an excitation current with a modulating signal and applying the modulated excitation current to the body of the patient.

15. The medium of claim 14, wherein the instructions cause the processor to modulate an excitation current with a modulating signal by modulating at least one of the amplitude, phase and frequency of the excitation current.

16. The medium of claim 9, the instructions further causing the processor to receive information from the medical device by electrical conduction through the body of the patient.

17. A method comprising:

establishing communication with a second medical device; and

receiving from the second medical device data collected by a first medical device, the data having been received by the second medical device from the first medical device by electrical conduction through a body of a patient.

18. The method of claim 17, further comprising receiving from the second medical device data collected by the second medical device.

19. The method of claim 18, further comprising merging the data collected by the first medical device and the data collected by the second medical device.

20. The method of claim 17, wherein data collected by the first medical device comprises data pertaining to the condition of the patient monitored by the first medical device.

21. The method of claim 17, wherein data collected by the first medical device comprises data pertaining to the treatment of the patient administered by the first medical device.

22. A medium comprising one or more instructions to cause a processor to:

establish communication with a second medical device; and

receive from the second medical device data collected by a first medical device, the data having been received by the second medical device from the first medical device by electrical conduction through a body of a patient.

23. The medium of claim 22, the instructions further causing the processor to receive from the second medical device data collected by the second medical device.

24. The medium of claim 23, the instructions further causing the processor to merge the data collected by the first medical device and the data collected by the second medical device.

25. The medium of claim 22, wherein data collected by the first medical device comprises data pertaining to the condition of the patient monitored by the first medical device.

26. The medium of claim 22, wherein data collected by the first medical device comprises data pertaining to the treatment of the patient administered by the first medical device.

27. A device comprising:

a signal generator that transmits a data modulated signal; and

at least two electrodes for coupling to the body of a patient and for delivering the data modulated signal to the body of the patient.

28. The device of claim 27, further comprising a programmable filter to filter a received electrical signal conducted through the body of the patient, wherein the controller controls at least one of a center frequency and a bandwidth of the filter.

29. The device of claim 28, further comprising a demodulator to demodulate the filtered received electrical signal.

30. The device of claim 28, further comprising a discriminator to distinguish a signal generated by a second device and a signal generated by the patient.

31. The device of claim 27, wherein the device is a defibrillator.

32. The device of claim 27, wherein the device is a patient monitor.

33. The device of claim 27, further comprising a controller to generate a modulation signal to modulate the modulated signal.

34. A method comprising:

detecting a signal from a medical device via electrodes coupled to a body of a patient; and

selecting a therapy as a function of the signal received from the medical device.

35. The method of claim 34, wherein the signal comprises information about therapy provided to the patient by the medical device.

36. The method of claim 35, wherein the information comprises at least one of an electrocardiogram of the patient, an analysis of the electrocardiogram, information about the number of shocks delivered to the patient, information about the energy delivered in a shock, information about the timing of a plurality of shocks and information about the response of the patient to a shock.

37. The method of claim 34, wherein selecting a therapy comprises selecting an energy level for defibrillation therapy.

38. A medium comprising one or more instructions to cause a processor to:

detect a signal from a medical device via electrodes coupled to a body of a patient; and

select a therapy as a function of the signal received from the medical device.

39. The medium of claim 38, wherein the signal comprises information about therapy provided to the patient by the medical device.

40. The medium of claim 39, wherein the information comprises at least one of an electrocardiogram of the patient, an analysis of the electrocardiogram, information about the number of shocks delivered to the patient, information about the energy delivered in a shock, information about the timing of a plurality of shocks and information about the response of the patient to a shock.

41. The medium of claim 38, wherein the instructions cause the processor to select a therapy by selecting an energy level for defibrillation therapy.