Devices, systems and methods for endocardial pressure measurement

• US 20080064966A1
• Filed: 03/22/2007
• Published: 03/13/2008
• Est. Priority Date: 10/14/1997
• Status: Abandoned Application

• Current Assignee: Data Sciences U K Limited (International Business Machines Corporation)
• Original Assignee: Transoma Medical, Inc.
• Inventors: Brockway, Brian, Taylor, Jeff, Park, Soon, Mosesov, Oleg, Lambert, Scott, Huetteman, Dan, Stofer, Alyse, Quinn, Christopher, Riedesel, Jeremy, Holtz, Michael, Nicoloff, Demetre, Kalm, Michael, Doten, Gregory, Zwiers, Lynn, Mills, Perry, Odden, Karen, Van Hee, Justin, Kuehn, Scott, Lodin, Dave, Lichtscheidl, Gregg
• Application Number:
  US11/728,190
• Publication Number:
  US 20080064966A1
• Time in Patent Office: Days
• US Class Current: 600/486
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61B 5/036 by means introduced into body tracts A61B5/032 and A61B5/035 take precedence
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/29 for permanent or long-term implantation
• CPC Class Codes: A61B 5/6882 Anchoring means
• CPC Class Codes: G08C 19/24 using time shift of pulses
• CPC Class Codes: H04B 14/026 using pulse time characteristics modulation, e.g. width, position, interval
• CPC Class Codes: H04L 25/4902 Pulse width modulation; Pulse position modulation
• CPC Class Codes: H04L 25/493 by transition coding, i.e. the time-position or direction of a transition being encoded before transmission
• CPC Class Codes: H04Q 2209/43 using wireless personal area networks [WPAN], e.g. 802.15, 802.15.1, 802.15.4, Bluetooth or ZigBee
• CPC Class Codes: H04Q 9/00 Arrangements in telecontrol or telemetry systems for selectively calling a substation from a main station, in which substation desired apparatus is selected for applying a control signal thereto or for obtaining measured values therefrom

Abstract

Endocardial pressure measurement devices, systems and methods for the effective treatment of congestive heart failure and its underlying causes, in addition to other clinical applications.

Claims

1-81. -81. (canceled)

82. A system for deriving relative physiologic measurement values, comprising:

an implantable medical device (“

IMD”

) operable to determine an absolute physiologic parameter value within a patient'"'"'s body, and communicate the absolute physiologic parameter value outside the patient'"'"'s body; and

an external monitor operable to;

receive the absolute physiologic parameter from the IMD;

obtain an ambient condition value outside the body that can affect the absolute physiologic parameter value; and

calculate a relative physiologic parameter value from the ambient condition value and the absolute physiologic parameter value;

wherein the external monitor is further operable to communicate the relative physiologic parameter value to the IMD, and wherein the IMD is further operable to receive the relative physiologic parameter value and store it in a memory.

83. The system as recited in claim 82, wherein the absolute physiologic parameter value is marked with a time stamp, and wherein the external monitor selects an ambient condition value that is obtained at a time reasonable close to the time stamp time to calculate the relative physiologic parameter value.

84. The system as recited in claim 82, wherein the IMD is further operable to communicate the relative physiologic parameter value to an external computing device.

85. The system as recited in claim 82, wherein the external monitor is further operable to store the relative physiologic parameter value in a memory.

86. The system as recited in claim 82, wherein the absolute physiologic parameter value comprises a blood pressure value, wherein the ambient condition value comprises an ambient pressure value, and wherein the relative physiologic parameter value comprises the blood pressure value relative to the ambient pressure value.

87. The system as recited in claim 86, wherein the relative physiologic parameter value is calculated by subtracting the ambient pressure value from the blood pressure value.

88. The system as recited in claim 86, wherein the blood pressure value is determined by:

measuring the blood pressure value with a pressure sensor; and

adjusting the measured blood pressure value with a sensor specific adjustment factor to obtain an absolute blood pressure value.

89. The system as recited in claim 86, wherein the blood pressure can be intravascular or intracardiac blood pressure.

90. The system as recited in claim 82, wherein the external monitor is operable to measure the ambient condition value.

91. The system as recited in claim 82, wherein the external monitor is operable to receive the ambient condition value from an ambient condition source.

92. The system as recited in claim 82, wherein the external monitor comprises a wireless communication device carried on or near the patient'"'"'s body.

93. The system as recited in claim 92, wherein the external monitor is a monitor device selected from the group consisting of:

a monitor device adapted to be worn around a patient'"'"'s body part;

a monitor device that can be connected to a belt;

a personal digital assistant (PDA);

a monitor device that can be carried in a pocket or a personal carry bag; and

a customized cell phone or pager.

94. The system as recited in claim 82, wherein the external monitor comprises an external computing device selected from the group consisting of a personal computer, and IMD programmer, an IMD repeater device located in a patient'"'"'s residence, and a backend computing system.

95. The system as recited in claim 82, wherein the IMD and the external monitor are operable to communicate via a wireless communication connection selected from the group consisting of:

a radio frequency communication connection;

an acoustic communication connection;

an electric field communication connection; and

an optical communication connection.

96. The system as recited in claim 82, wherein the IMD is selected from the group consisting of a physiologic parameter sensor, a pacemaker, a defibrillator, a bi-ventricular pacer, a ventricular assist blood pump, a drug delivery pump, and a drug infusion device.

97. The system as recited in claim 82, wherein the IMD is operable to provide therapy to a patient, and wherein the IMD uses the relative physiologic parameter value to determine the proper therapy to provide to the patient.

98. The system as recited in claim 97, wherein the therapy is selected from the group consisting of cardiac pacing therapy, anti-tachycardia therapy, drug delivery therapy, and blood pump therapy.

99. A method for deriving relative physiologic measurement values, comprising:

an implantable medical device (“

IMD”

) determining an absolute physiologic parameter value within a patient'"'"'s body;

communicating the absolute physiologic parameter value to an external monitor outside of the patient'"'"'s body;

the external monitor obtaining an ambient condition value outside the body that can affect the absolute physiologic parameter value;

calculating a relative physiologic parameter value from the ambient condition value and the absolute physiologic parameter value;

communicating the relative physiologic parameter value from the external monitor to the IMD; and

storing the relative physiologic parameter value in a memory in the IM).

100. The method as recited in claim 99, further comprising the steps of:

the IMD marking the absolute physiologic parameter value with a time stamp; and

the external monitor selecting an ambient condition value that is obtained at a time reasonably close to the time stamp time to calculate the relative physiologic parameter value.

101. The method as recited in claim 99, further comprising the step of communicating the relative physiologic parameter value from the ID to an external computing device.

102. The method as recited in claim 99, further comprising the step of the external monitor storing the relative physiologic parameter value in a memory.

103. The method as recited in claim 99, wherein the absolute physiologic parameter value comprises a blood pressure value, wherein the ambient condition value comprises an ambient pressure value, and wherein the relative physiologic parameter value comprises the blood pressure value relative to the ambient pressure.

104. The method as recited in claim 103, wherein the step of calculating a relative physiologic parameter value comprises subtracting the ambient pressure value from the blood pressure value.

105. The method as recited in claim 103, wherein the step of determining the blood pressure value, comprises:

measuring the blood pressure value with a pressure sensor; and

adjusting the blood pressure value with a sensor specific adjustment factor to obtain an absolute blood pressure value.

106. The method as recite din claim 103, wherein the blood pressure can be intravascular or intracardiac blood pressure.

107. The method as recited in claim 99, wherein the step of the external monitor obtaining an ambient condition value comprises the external monitor measuring the ambient condition value.

108. The method as recited in claim 99, wherein the step of the external monitor obtaining an ambient condition value comprises the external monitor receiving the ambient condition value from an ambient condition source.

109. The method as recited in claim 99, wherein the external monitor comprises a wireless communication device carried on or near the patient'"'"'s body.

110. The method as recited in claim 109, wherein the external monitor is a monitor device selected from the group consisting of:

a monitor device adapted to be worn around a patient'"'"'s body part;

a monitor device that can be connected to a belt;

a personal digital assistant (PDA);

a monitor device that can be carried in a pocket or a personal carry bag; and

a customized cell phone or pager.

111. The method as recited in claim 99, wherein the external monitor comprises an external computing device selected from the group consisting of a personal computer, and IMD programmer, an IMD repeater device located in a patient'"'"'s residence, and a backend computing system.

112. The method as recited in claim 99, wherein the steps of communicating the measured absolute physiologic parameter value to an external monitor and communicating the relative physiologic parameter value from the external monitor to the IMD comprise communicating via wireless communication connection selected from the group consisting of:

a radio frequency communication connection;

an acoustic communication connection;

an electric field communication connection; and

an optical communication connection.

113. The method as recited in claim 99, wherein the IMD is selected from the group consisting of a physiologic parameter sensor, a pacemaker, a defibrillator, a bi-ventricular pacer, a ventricular assist blood pump, a drug delivery pump, and a drug infusion device.

114. The method as recited in claim 99, further comprising:

the IMD determining a proper therapy to provide to the patient using the relative physiologic parameter value; and

the IMD providing the proper therapy to the patient.

115. The method as recited in claim 114, wherein the therap is selected from the group consisting of cardiac pacing therapy, anti-tachycardia therapy, drug delivery therapy, and blood pump therapy.

116. A system for deriving relative blood pressure values, comprising:

an implantable medical device (“

IMD”

) operable to determine blood pressure within a patient'"'"'s body, and communicate the blood pressure outside the patient'"'"'s body; and

an external monitor operable to;

receive the blood pressure from the IMD;

obtain an ambient pressure value outside the body; and

calculate a relative blood pressure value from the ambient pressure value and the blood pressure;

wherein the external monitor is further operable to communicate the relative blood pressure value to the IMD, and wherein the IMD is further operable to receive the relative blood pressure and store it in a memory.

117. The system as recited in claim 116, wherein the blood pressure can be intravascular or intracardiac blood pressure.

118. The system as recited in claim 116, wherein the absolute physiologic parameter is marked with a time stamp, and wherein the external monitor selected an ambient condition value that is obtained at a time reasonably close to the time stamp time to calculate the relative physiologic parameter value.

119. The system as recited in claim 116, wherein the IMD is operable to provide therapy to a patient, and wherein the IMD uses the relative blood pressure value to determine the proper therapy to provide to the patient.

120. The system as recited in claim 116, wherein:

the IMD comprises a processor operable to generate patient therapy information based at least in part on the relative blood pressure value; and

the IMD is further operable to communicate the patient therapy information to an external communication device operable to provide the therapy information to the patient or a health care provider.

121-194. -194. (canceled)