Method and apparatus for storing signals in an implantable medical device

• US 5,836,889 A
• Filed: 03/03/1997
• Issued: 11/17/1998
• Est. Priority Date: 03/04/1996
• Status: Expired

• Current Assignee: Biotronik Mess und Therapiegeraete GmbH and Co (Biotronik SE & Company KG)
• Original Assignee: Biotronik Mess-Und Therapiegeraete GmbH & Company Ingenieurbuero Berlin (Biotronik SE & Company KG)
• Inventors: Nigam, Indra, Schaldach, Max, Wyborny, Paul
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US08/806,754
• Time in Patent Office: 624 Days
• Field of Search: 607/9, 600/515, 600/517, 600/518, 600/508, 600/509
• US Class Current: 600/509
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37254 Pacemaker or defibrillator security, e.g. to prevent or inhibit programming alterations by hackers or unauthorised individuals

Abstract

A method of storing signals having a course over time in an implantable medical device, and/or transmitting the signals out of the device and out of the patient'"'"'s body, with the course over time being detected in the device, particularly at predetermined time intervals with a constant sampling interval, and a sequence of signal samples being obtained therefrom, of which a partial quantity is stored and/or transmitted as the result of a selection made with a predetermined selection criterion, with the selection criterion being the first derivation of the course over time of the signals according to time, and with the selection being made such that the first derivation of the straight-line connection between an nth and the (n-1)th signal sample is determined and compared to the first derivation of the straight-line connection between the (n-1)th signal sample and the last-stored and/or last-transmitted signal sample, and the nth signal sample is then stored and/or transmitted as the new last signal sample exactly when these first derivations differ by more than a predetermined value.

Claims

1. Method of storing signals having a course over time in an implantable medical device and/or transmitting the signals out of the device and out of a patient'"'"'s body, said method comprising the steps of:

sensing physiological signals of a patient'"'"'s body;

detecting a course over time associated with said sensed physiological signals in the device, said course over time being detected at predetermined time intervals with a constant sampling interval;

obtaining a quantity of signal samples from the detected course over time;

selecting a partial quantity of said obtained signal samples based on predetermined selection criterion wherein the selection criterion is the first derivation of the course over time of the signals according to time and said selecting step includes determining an initial first derivation of the straight-line connection between an nth and the (n-1)th signal sample; and

comparing the initial first derivation to an earlier first derivation of the straight-line connection between (n-1)th signal sample and the last-stored and/or last-transmitted signal sample; and

storing and/or transmitting the nth signal sample as the new last signal when the initial first derivation and the earlier first derivation differ by more than a predetermined value.

2. Method according to claim 1, wherein the storing and/or transmitting step further includes storing or transmitting, for each stored and/or transmitted signal sample, the operational sign, the amplitude value and the duration of the time intervals that have passed since the last storage of a signal sample are stored or transmitted in a single data word.

3. Method according claim 1, further comprising the step of holding the last-transmitted signal sample in intermediate storage in the case of time-near transmission of the signal samples of the partial sequence.

4. Method according to claim 1, wherein the step of obtaining signal samples comprises digitizing amplitude values.

5. Method according to claim 4, wherein the digitizing of smaller amplitude values is effected with a higher resolution than that of larger amplitude values.

6. Method according to claim 1, wherein the physiological signals are cardiac-action signals, and further comprising the step of transmitting an intracardially-recorded EKG, or model or comparison signals representative thereof from outside of the patient'"'"'s body.

7. Apparatus for storing signals having a course over time in an implantable device, said apparatus comprising:

a timer for establishing sampling intervals,

a signal recorder for recording the signal-amplitude value in the sampling intervals,

a processing unit that is connected to the timer and at least indirectly to the signal recorder for processing the recorded signal-amplitude values corresponding to a predetermined algorithm, and for outputting a memory-control signal as a result of the processing,

a counter that is connected to the output of the timer and, by way of a reset input, to the control-signal output of the processing unit for counting the sampling intervals in response to the memory-control signal, and for outputting an interval-counter value that is also supplied to the processing unit,

a memory that can be at least indirectly connected to the output of the signal recorder and the output of the counter for storing signal samples from the counter status, signal operational sign and signal amplitude as data words, and

a memory-control unit that is connected to the control-signal output of the processing unit for producing a connection between the output of the signal recorder and the output of the counter and the memory in response to the memory-control signal, and for effecting storage of the current signal sample, said processing unit having;

a first and a second intermediate-storage unit for intermediate storage of the signal sample that was last stored in the memory, and the second-to-last-recorded signal sample,

an arithmetic stage that is at least indirectly connected to the outputs of the signal recorder and the counter, and the first and second intermediate-storage units, for calculating the first derivations of the straight-line connection between the current and second-to-last signal samples and the straight-line connection between the second-to-last- and the last-stored signal samples,

a subtraction stage that is connected to the arithmetic stage for forming the difference from the first derivations,

a threshold-value memory for storing a difference threshold value, and

a comparator unit that is connected on the input side to the subtraction stage and the threshold-value memory for comparing the difference of the first derivations to the difference threshold value, and for outputting the memory-control signal as a result of the comparison.

8. Apparatus according to claim 7, wherein the memory is configured as a semiconductor direct-access memory, and has a plurality of separately-accessible memory regions for respectively storing a signal-sample partial sequence.

9. Apparatus according to claim 7, wherein the signal recorder has at least one electrode, which has a downstream sensing amplifier, for detecting cardiac-action potentials.

10. Apparatus according to claim 7, wherein the implantable device is an implantable anti-arrhythmia device for treating arrhythmias of the heart, particularly a defibrillator and/or cardiac pacemaker or a medication-dosing device.

11. Apparatus according to claim 7, further comprising a transmitting unit, the transmitting unit being connectable to the memory for transmitting memory contents out of the device, and means are provided for activating the transmitting unit on demand or in predetermined time intervals.

12. Apparatus according to claim 7, further comprising a control- or diagnosis-data calculating unit that is connected on the input side to the memory for the signal-sample partial sequences and, on the output side, selectively to a control- or diagnosis-data memory, and said calculating unit is configured for comparative processing of different stored signal samples for obtaining control signals or diagnostically-relevant data.

13. Apparatus for storing signals having a course over time in an implantable device and/or transmitting the signals out of the device and out of a patient'"'"'s body, said apparatus comprising:

a timer for establishing sampling intervals,

a signal recorder for recording the signal-amplitude value in the sampling intervals,

a processing unit that is connected to the timer and at least indirectly to the signal recorder for processing the recorded signal-amplitude values corresponding to a predetermined algorithm, and for outputting a memory-control signal as a result of the processing,

a counter that is connected to the output of the timer and, by way of a reset input, to the control-signal output of the processing unit for counting the sampling intervals in response to the transmission-control signal, and for outputting an interval-counter value that is also supplied to the processing unit,

a transmitter that can be at least indirectly connected to the output of the signal recorder and the output of the counter for transmitting signal samples from the counter status, signal operational sign and signal amplitude as data words out of the apparatus, and

a transmission-control unit that is connected to the control-signal output of the processing unit for producing a connection between the output of the signal recorder and the output of the counter and the transmitter in response to the transmission-control signal and for effecting a transmission of the current signal sample, said processing unit having;

a first and a second intermediate-storage unit for intermediate storage of the signal sample that was last stored in the memory, and the second-to-last-recorded signal sample,

an arithmetic stage that is at least indirectly connected to the outputs of the signal recorder and the counter, and the first and second intermediate-storage units, for calculating the first derivations of the straight-line connection between the current and second-to-last signal samples and the straight-line connection between the second-to-last- and the last-stored signal samples,

a subtraction stage that is connected to the arithmetic stage for forming the difference from the first derivations,

a threshold-value memory for storing a difference threshold value, and

a comparator unit that is connected on the input side to the subtraction stage and the threshold-value memory for comparing the difference of the first derivations to the difference threshold value and for outputting the memory-control signal as a result of the comparison.

14. Apparatus according to claim 13, wherein the transmitting unit is configured as a telemetry transmitting unit.

15. Implantable anti-arrhythmia device comprising:

a timer for establishing sampling intervals,

a signal recorder for recording the signal-amplitude value in the sampling intervals,

a processing unit that is connected to the timer and at least indirectly to the signal recorder for processing the recorded signal-amplitude values corresponding to a predetermined algorithm, and for outputting a memory-control signal as a result of the processing,

a counter that is connected to the output of the timer and, by way of a reset input, to the control-signal output of the processing unit for counting the sampling intervals in response to the transmission-control signal, and for outputting an interval-counter value that is also supplied to the processing unit,

a transmitter that can be at least indirectly connected to the output of the signal recorder and the output of the counter for transmitting signal samples from the counter status, signal operational sign and signal amplitude as data words out of the apparatus, and

a transmission-control unit that is connected to the control-signal output of the processing unit for producing a connection between the output of the signal recorder and the output of the counter and the transmitter in response to the transmission-control signal and for effecting a transmission of the current signal sample, said processing unit having;

a first and a second intermediate-storage unit for intermediate storage of the signal sample that was last stored in the memory, and the second-to-last-recorded signal sample,

an arithmetic stage that is at least indirectly connected to the outputs of the signal recorder and the counter, and the first and second intermediate-storage units, for calculating the first derivations of the straight-line connection between the current and second-to-last signal samples and the straight-line connection between the second-to-last- and the last-stored signal samples,

a subtraction stage that is connected to the arithmetic stage for forming the difference from the first derivations,

a threshold-value memory for storing a difference threshold value, and

a comparator unit that is connected on the input side to the subtraction stage and the threshold-value memory for comparing the difference of the first derivations to the difference threshold value and for outputting the memory-control signal as a result of the comparison, and

further comprising

an operation control unit that is connected on the input side to the output of the control-data calculating unit and/or the control-data memory, said operation-control unit is configured to control the operation of the anti-arrhythmia device based on the result of the comparative evaluation.