Gui With Trend Analysis for an Implantable Restriction Device and a Data Logger

• US 20080250341A1
• Filed: 02/28/2008
• Published: 10/09/2008
• Est. Priority Date: 04/06/2006
• Status: Abandoned Application

• 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.
• Application Number:
  US12/039,024
• Publication Number:
  US 20080250341A1
• 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 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1118 Determining activity level
• 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: G06F 3/0481 : based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance
• 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 graph of a sensed parameter over time, the graph including a graphic representation of data representing parameter values sensed by an implantable restriction device and communicated to the physiological monitoring device, and

one or more annotation markers disposed on the graphic representation to indicate a presence of an annotation at a selected time, the one or more annotation markers each associated with a description.

2. The display of claim 1, wherein the associated description comprises at least one of:

text and an image.

3. The display of claim 1, wherein the associated description comprises at least one of:

a description of a medical event, description of a physiological state, description of a symptom, a patient comment, a physician comment.

4. The display of claim 1, wherein the graphic representation is a curve plotting sensed parameter values.

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

6. The display of claim 1, further comprising a list of predefined annotation events from which a user can select the description.

7. The display of claim 1, wherein the sensed parameter comprises at least one of pressure, pulse count, pulse duration, pulse width, and pulse frequency.

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

a plurality of graphic representations of parameter/volume datasets, each parameter/volume dataset corresponding to an implantable restriction device in a patient and comprising one or more associations of (a) a fill volume for the implantable restriction device, with (b) a parameter sensed by the implantable restriction device at the fill volume and communicated to the physiological monitoring device;

wherein one of the plurality of the graphic representations represents a parameter/volume dataset for a current patient and another of the graphic representations represents a parameter/volume dataset for another patient.

9. The display of claim 8, wherein the parameter comprises at least one of pressure, pulse count, pulse amplitude, pulse duration, pulse width, and pulse frequency.

10. The display of claim 8, wherein one of the plurality of the graphic representations represents a parameter/volume dataset for a current patient and the remainder of the plurality of the graphic representations represent pressure/volume datasets for a patient population.

11. The display of claim 8, wherein the graphic representations comprise curves plotted on a graph of fill volume vs. at least one of pressure, pulse count, pulse duration, pulse width, and pulse frequency.

12. The display of claim 8, wherein the graphic representations comprise curves plotted on a graph of pressure vs. fill volume, and wherein one of the plurality of the graphic representations represents a pressure/volume dataset for a current patient and another graphic representation represents an average pressure/volume dataset for a patient population, the average pressure/volume dataset comprising one or more associations of (a) a fill volume, and (b) an average pressure sensed by implantable restriction devices at the fill volume across a patient population.

13. The display of claim 12, further comprising an upper bound trendline and a lower bound trendline that surround the line plotting the average pressure/volume dataset.

14. The display of claim 8, wherein the implantable restriction device comprises an adjustable gastric band.

15. A method for monitoring an implantable restriction device, comprising:

providing a plurality of parameter/volume datasets, each corresponding to an implantable restriction device in a patient and comprising one or more associations of (a) a fill volume for the implantable restriction device, and (b) a parameter sensed by the implantable restriction device at the fill volume and communicated to an external device; and

displaying a graphic representation of a selected parameter/volume dataset corresponding to a selected implantable restriction device along with one or more other graphic representations of one or more other parameter/volume datasets corresponding to one or more other implantable restriction devices.

16. The display of claim 15, wherein the parameter is at least one of pressure, pulse count, pulse duration, pulse width, and pulse frequency.

17. The method of claim 15, wherein displaying comprises graphing the selected parameter/volume dataset and the one or more other parameter/volume datasets on a pressure vs. fill volume graph.

18. The method of claim 15, further comprising calculating an average parameter for each volume across the one or more other parameter/volume datasets to create an average parameter/volume dataset, and displaying a graphic representation of the average parameter/volume dataset.

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

a parameter vs. time graph, the parameter being sensed by an implantable restriction device;

a graphic representation indicating a value related to the parameter sensed by an implantable restriction device during a first time period; and

a graphic representation indicating a value related to the parameter sensed by an implantable restriction device during a second and later time period,

wherein the graphic representation for the first time period overlays at least in part the graphic representation for the second time period.

20. The display of claim 19, wherein the first time period is before a medical action and the second and later time period is after a medical action.

21. The display of claim 20, wherein the medical action is an adjustment of the implantable restriction device.

22. The display of claim 20, wherein the first time period follows a first adjustment of the implantable restriction device and the second and later time period follows a second adjustment of the implantable restriction device.

23. The display of claim 19, wherein the graphic representations for the first time period and for the second and later time period comprise curves plotted on the graph exhibiting one or more parameter pulses,

and wherein the graphic representations for the first time period and second time period are overlaid such that at least one parameter pulse in the graphic representations for the first time period overlaps in time with at least one parameter pulse in the graphic representations for the second time period.

24. The display of claim 19, wherein the implantable restriction device comprises an adjustable gastric band.

25. The display of claim 19, wherein the parameter comprises pressure.

26. A method, comprising:

obtaining a physiological monitoring device having a display which includes a graph of a sensed parameter over time, the graph including a graphic representation of data representing parameter values sensed by an implantable restriction device and communicated to the physiological monitoring device, and one or more annotation markers disposed on the graphic representation to indicate a presence of an annotation at a selected time, the one or more annotation markers each associated with a description; and

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