CARDIAC INFORMATION AND ACTIVITY INFORMATION ASSOCIATION SYSTEMS, APPARATUS, AND METHODS

• US 20080300641A1
• Filed: 06/01/2007
• Published: 12/04/2008
• Est. Priority Date: 06/01/2007
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Groen, Joanneke G., Van Groeningen, Christianus J.J.E., Brunekreeft, Willie N.
• Application Number:
  US11/756,683
• Publication Number:
  US 20080300641A1
• Time in Patent Office: Days
• US Class Current: 607/6
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• 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 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/222 combined with detection or measurement of physiological parameters, e.g. heart rate
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators

Abstract

Embodiments include cardiac information and activity information association systems, apparatus, and methods. An apparatus embodiment includes a cardiac sensor adapted to generate cardiac information descriptive of cardiac functioning of a patient, an activity sensor adapted to generate activity information indicating physical activity of the patient, a processing element adapted to detect a cardiac anomaly based on the cardiac information, an information association element adapted to generate associated cardiac/activity information during the cardiac anomaly, and a data storage apparatus adapted to store the associated cardiac/activity information. A method embodiment includes generating cardiac information descriptive of cardiac functioning of a patient, detecting a cardiac anomaly based on the cardiac information, generating activity information descriptive of physical activity of the patient during the cardiac anomaly, associating the cardiac information and the activity information, during the cardiac anomaly, to generate associated cardiac/activity information, and storing the associated cardiac/activity information.

Claims

1. A method performed by an implantable cardiac apparatus, the method comprising the steps of:

generating cardiac information descriptive of cardiac functioning of a patient;

detecting a cardiac anomaly based on an analysis of the cardiac information;

generating activity information descriptive of physical activity of the patient during the cardiac anomaly;

associating the cardiac information and the activity information, during the cardiac anomaly, to generate associated cardiac/activity information; and

storing the associated cardiac/activity information.

2. The method of claim 1, further comprising:

storing anomaly information with the associated cardiac/activity information, which correlates the associated cardiac/activity information with the cardiac anomaly.

3. The method of claim 1, further comprising:

determining, based on the activity information, whether the cardiac anomaly is vagal or sympathetic; and

when the cardiac anomaly is sympathetic, generating a patient alert to instruct the patient to reduce a level of the physical activity.

4. The method of claim 1, further comprising:

determining, based on the activity information, whether the cardiac anomaly is vagal or sympathetic; and

storing anomaly information to indicate whether the cardiac anomaly is vagal or sympathetic.

5. The method of claim 1, further comprising:

determining, based on the cardiac information, whether the cardiac anomaly is atrial or ventricular; and

storing anomaly information to indicate whether the cardiac anomaly is atrial or ventricular.

6. The method of claim 1, further comprising:

determining, based on the cardiac information, whether the cardiac anomaly is tachycardia; and

when the cardiac anomaly is tachycardia, storing anomaly information to indicate that the cardiac anomaly is tachycardia.

7. The method of claim 1, further comprising:

determining, based on the cardiac information, whether the cardiac anomaly is a fibrillation; and

when the cardiac anomaly is fibrillation, storing anomaly information to indicate that the cardiac anomaly is fibrillation.

8. The method of claim 1, further comprising:

generating at least one recommended therapy based on the cardiac information and the activity information.

9. The method of claim 1, further comprising:

determining whether a response is warranted; and

when the response is warranted, initiating at least one response selected from a group of response types that includes generating a patient alert, contacting an external notification system, and initiating cardiac stimulus.

10. The method of claim 1, further comprising:

sensing at least one type of activity to generate the activity information, wherein the at least one type of activity sensed is selected from a group of activities that include limb movement, postures such as lying, reclining, sitting, standing, and leaning, posture transitions, gaits such as jumping, walking, running, going up stairs and going down stairs, biking, eating, and drinking.

11. The method of claim 1, further comprising:

outputting the associated cardiac/activity information to an external apparatus.

12. The method of claim 11, further comprising:

receiving a request for the associated cardiac/activity information from the external apparatus, wherein outputting the associated cardiac/activity information is performed in response to receiving the request.

13. An apparatus adapted to be implanted in a patient, the apparatus comprising:

at least one cardiac sensor adapted to generate cardiac information descriptive of cardiac functioning of the patient;

at least one activity sensor adapted to generate activity information indicating physical activity of the patient;

a processing element adapted to receive the cardiac information and to detect a cardiac anomaly based on an analysis of the cardiac information;

an information association element adapted to generate associated cardiac/activity information during the cardiac anomaly; and

at least one data storage apparatus adapted to store the associated cardiac/activity information.

14. The apparatus of claim 13, further comprising:

at least one output device adapted to output the associated cardiac/activity information to an external apparatus.

15. The apparatus of claim 13, further comprising:

at least one cardiac stimulus element adapted to stimulate heart tissue in response to detecting the cardiac anomaly.

16. The apparatus of claim 13, wherein the apparatus is selected from a group of apparatus that includes an implantable pulse generator, an implantable cardiac resynchronization therapy device, an implantable cardioverter defibrillator, and an implantable cardiac diagnostic and monitoring device.

17. The apparatus of claim 13, wherein the at least one cardiac sensor is selected from a group of sensors that includes an electrocardiogram (ECG) sensors, a heart sound sensor, a heart rate sensor, a heart rate variability sensor, and a heart wall motion sensor.

18. The apparatus of claim 13, wherein the at least one activity sensor is selected from a group of sensors that includes a movement sensor, a single axis accelerometer, a multiple-axis accelerometer, a body segment angle sensor, a strain gauge, and a pedometer.

19. A medical diagnostic system comprising:

an implantable cardiac apparatus that includes;

at least one cardiac sensor adapted to generate cardiac information descriptive of cardiac functioning of the patient,

at least one activity sensor adapted to generate activity information indicating physical activity of the patient,

a processing element adapted to receive the cardiac information and to detect a cardiac anomaly based on an analysis of the cardiac information,

an information association element adapted to generate associated cardiac/activity information during the cardiac anomaly,

at least one data storage apparatus adapted to store the associated cardiac/activity information, and

at least one output device adapted to output the associated cardiac/activity information; and

an external apparatus that includes

a receiver adapted to receive the associated cardiac/activity information, and

a display device adapted to display the associated cardiac/activity information.

20. The medical diagnostic system of claim 19, wherein the implantable cardiac apparatus is an apparatus selected from a group of apparatus that includes an implantable pulse generator, an implantable cardiac resynchronization therapy device, an implantable cardioverter defibrillator, and an implantable cardiac diagnostic and monitoring device.