GUI for an Implantable Restriction Device and a Data Logger

• US 20080250340A1
• Filed: 02/28/2008
• Published: 10/09/2008
• Est. Priority Date: 04/06/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Krumanaker, David T., Ortiz, Mark S., Dlugos, Daniel F., Plescia, David N., Marcotte, Amy L., Yates, David C., Byrum, Randal T., Doll, Kevin R., Jensen, Dustin R., Brockmeier, Peter, Berger, Matthew A., Gayoso, Gaspar M.
• Granted Patent: US 8,870,742 B2
• Time in Patent Office: Days
• US Class Current: 715/771
• CPC Class Codes: A61B 17/12009 Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
• CPC Class Codes: A61B 17/1355 Automated control means therefor
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 2560/0252 using ambient temperature
• CPC Class Codes: A61B 2560/0257 using atmospheric pressure
• CPC Class Codes: A61B 2560/0261 using hydrostatic pressure
• CPC Class Codes: A61B 2560/045 with a separable interface unit, e.g. for communication
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 5/03 Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs A61B5/205 takes precedence
• 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 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/4205 Evaluating swallowing
• CPC Class Codes: A61F 2250/0002 : for data transfer
• CPC Class Codes: A61F 5/0003 : Apparatus for the treatment of obesity; Anti-eating devices surgical instruments or methods for treatment of obesity, devices specially adapted therefor A61B17/00; hollow or tubular parts of organs A61F2/04
• CPC Class Codes: A61F 5/0056 : using injection ports
• CPC Class Codes: A61M 39/0208 : Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276
• CPC Class Codes: G16H 40/67 : for remote operation

Abstract

An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes.

Claims

1. A display for a physiological monitoring device, comprising:

a simulated graphic of a disposition of a region enclosed by an implantable restriction device, the simulated graphic indicating a size of the disposition through the region;

wherein the indicated size is based at least in part on a parameter sensed by the implantable restriction device and communicated to the physiological monitoring device.

2. The display of claim 1, wherein the simulated graphic includes at least one of:

an icon;

a plurality of concentric rings; and

a three-dimensional image.

3. The display of claim 1, wherein simulated graphic includes at least one of:

an image of a cross-section of a stoma;

an image of the implantable restriction device disposed around an anatomical lumen; and

an image of a bolus.

4. The display of claim 1, wherein the simulated graphic includes one or more isobars displayed on the graphic representation of the enclosed region, the isobars representing sensed parameter values so that that a perimeter of the disposition in the region is indicative of the sensed parameter.

5. The display of claim 4, wherein the one or more isobars are effective to change color to signal a condition related to the sensed parameter values.

6. The display of claim 1, wherein the implantable restriction device comprises an adjustable gastric band.

7. The display of claim 1, wherein the simulated graphic comprises a video image for showing a change in the size of the opening in accordance with at least one of pressure, pulse count, pulse width, pulse duration, and pulse frequency sensed by the implantable restriction device over a time period.

8. The display of claim 1, wherein the simulated graphic is based on an image obtained from the body of a patient in which the implantable restriction device is implanted.

9. The display of claim 1, further comprising any of:

(A) a textual indicator of a sensed parameter

(B) sensed parameter data shown on any of a graph, a dial indicator or an indicator adapted to change color, and

(C) an indication of a restricted state of the implantable restriction device.

10. The display of claim 1, wherein the parameter comprises pressure.

11. A display for a physiological monitoring device, comprising:

a graph comprising a parameter axis and a pulse count axis for relating a parameter sensed by an implantable restriction device with a pulse count, the pulse count representing a sequence number of a pulse of the sensed parameter within a sequence of pulses in a swallowing event; and

a plurality of discrete indicators disposed on the graph at an intersection of parameter and pulse count, wherein each discrete indicator represents a predetermined parameter amplitude and the plurality of discrete indicators thereby represents a total parameter amplitude measured for each pulse in a sequence of pulses.

12. The display of claim 11, wherein the implantable restriction device comprises an adjustable gastric band.

13. The display of claim 11, wherein the parameter comprises pressure.

14. The display of claim 11, wherein the display further comprises a time stamp associated with at least one pulse in the sequence of pulses.

15. A user interface for a physiological monitoring device, comprising:

a pressure screen displaying a sensed pressure, the sensed pressure being sensed by an implantable restriction device and communicated to the physiological monitoring device; and

any of;

(A) a pulse count display indicating a number of pulses in sensed pressure that occur during a swallowing event; and

(B) a pressure display having an indicator for sensed pressure, the indicator falling within one of a plurality of pressure ranges that each correspond to a condition of the implantable restriction device.

16. The user interface of claim 15, wherein the pressure display comprises any of:

a graph displaying pressure over time, wherein the sensed pressure is represented by a plotted curve;

a linear meter comprising a plurality of discrete indicators, wherein in each discrete indicator corresponds to a predetermined sensed pressure;

an indicator adapted to change color indicate a condition;

a circular pressure meter; and

a textual indicator.

17. The user interface of claim 15, wherein the pressure ranges correspond to conditions for a fluid-filled implantable restriction device that include “

overfilled,”

“

optimal” and

“

under-filled.”

18. The user-interface of claim 15, wherein the implantable restriction device comprises an adjustable gastric band.

19. The user-interface of claim 15, wherein any of the graph, the linear meter, the circular pressure meter, and the textual indicator is configured to signal a visual warning or alarm condition.

20. The user-interface of claim 15, further comprising an audible alarm configured to activate if any of the graph, the linear meter, the circular pressure meter, and the textual indicator indicates a value beyond a threshold value.

21. A method, comprising:

obtaining a physiological monitoring device having a display which includes a simulated graphic of a disposition of a region enclosed by an implantable restriction device, the simulated graphic indicating a size of the disposition through the region wherein the indicated size is based at least in part on a parameter sensed by the implantable restriction device and communicated to the physiological monitoring device; and

,

repurposing the physiological monitoring device or the display for performing physiological monitoring of a user.