Implantable medical device telemetry control systems and methods of use
First Claim
1. An implantable medical device telemetry apparatus for use with a vehicle, comprising:
- an implantable medical device operable to determine occurrence of at least one medical event, the implantable medical device having a transmitter capable of transmitting at least one event signal representative of the medical event; and
a vehicle control module associated with the vehicle, the vehicle control module also associated with a receiver for receiving the at least one event signal, wherein the vehicle control module is adapted to manipulate at least one vehicle subsystem in response to the at least one event signal.
1 Assignment
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Accused Products
Abstract
Implantable medical device telemetry control systems and methods are used to coordinate medical therapy delivery from an implantable medical device (IMD) to a patient-driver of a vehicle, e.g., automobile. In one embodiment, the control system alerts the patient-driver to stop the vehicle after a medical event is detected by the IMD. Once the vehicle is stopped, the therapy is delivered. In another embodiment, a vehicle control module is provided which actively controls various subsystems of the car in response to a detected medical event. For example, the vehicle control module may control vehicle engine speed or vehicle braking to slow or stop the vehicle or, alternatively, assist the patient-driver in stopping the vehicle, prior to or simultaneously with therapy delivery. In still other embodiments, an emergency communication is automatically transmitted to emergency personnel informing the same of the medical event.
98 Citations
71 Claims
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1. An implantable medical device telemetry apparatus for use with a vehicle, comprising:
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an implantable medical device operable to determine occurrence of at least one medical event, the implantable medical device having a transmitter capable of transmitting at least one event signal representative of the medical event; and
a vehicle control module associated with the vehicle, the vehicle control module also associated with a receiver for receiving the at least one event signal, wherein the vehicle control module is adapted to manipulate at least one vehicle subsystem in response to the at least one event signal. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. An implantable medical device for implantation within a body, the device comprising:
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a housing;
sensor circuitry coupled to the housing and operable to determine the occurrence of a medical event;
therapy delivery circuitry within the housing operable to deliver therapy to the body;
control circuitry within the housing operable to control delivery of therapy by the therapy delivery circuitry; and
a transmitter associated with the housing operable to provide an event signal to a vehicle control module located outside the body when the sensor circuitry determines the occurrence of the medical event;
wherein the control circuitry is adapted to coordinate delivery of the therapy with the vehicle control module upon the occurrence of the medical event. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. A method of delivering therapy to a patient during operation of a vehicle, the method comprising:
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providing an implantable medical device within a body, the implantable medical device having a device transmitter;
providing a vehicle, comprising;
a vehicle control module; and
a telemetry communication module associated with the vehicle control module, the telemetry communication module having a telemetry receiver capable of receiving one or more event signals from the device transmitter and providing the one or more event signals to the vehicle control module;
detecting a medical event with the implantable medical device and generating an event signal in response thereto;
transmitting the event signal from the device transmitter to the telemetry receiver; and
manipulating the status of one or more vehicle subsystems with the vehicle control module in response to the event signal. - View Dependent Claims (21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34)
polling the status of the one or more vehicle subsystems with the vehicle control module and generating a status signal based thereon; and
transmitting the status signal from a transmitter in the telemetry communication module to a receiver in the implantable medical device.
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30. The method of claim 29, further comprising delivering a therapy to the body with the implantable medical device after receipt of the status signal.
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31. The method of claim 29, further comprising delivering a therapy to the body with the implantable medical device before receipt of the status signal.
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32. The method of claim 20, wherein manipulating the status of one or more vehicle subsystems comprises generating a command output with the vehicle control module, the command output operable to slow or stop the vehicle.
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33. The method of claim 32, wherein the command output is used to control an ignition system to slow or stop a vehicle engine.
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34. The method of claim 32, wherein the command output is used to control a brake system to slow or stop the vehicle.
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35. A vehicle control module for use with an implantable medical device, the vehicle control module comprising:
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a telemetry communication module;
is control circuitry coupled to the telemetry communication module, the telemetry communication module adapted to receive one or more event signals from the implantable medical device and provide the one or more event signals to the control circuitry; and
a command output coupled to the control circuitry, wherein the command output is adapted to manipulate one or more vehicle subsystems in response to the one or more event signals. - View Dependent Claims (36, 37, 38, 39, 40, 41)
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42. A vehicle, comprising:
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a prime mover;
two or more ground engaging traction wheels wherein at least one wheel is coupled to the prime mover; and
a vehicle control module, comprising;
a telemetry communication module having a receiver for receiving event signals from an implantable medical device representative of an occurrence of a medical event; and
control circuitry to receive the event signals and provide, in response to the event signals, a command output, wherein the command output is adapted to manipulate one or more vehicle subsystems in response to the event signals. - View Dependent Claims (43, 44, 45, 46, 47)
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48. A method for providing therapy to a patient-driver of a vehicle, the method comprising:
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providing an implantable medical device in the patient-driver, the implantable medical device capable of sensing a medical event and delivering a therapy in response to the medical event, wherein the implantable medical device further comprises a device transmitter for transmitting an event signal representative of the medical event;
providing a vehicle control module coupled to the vehicle for controlling one or more vehicle subsystems, the vehicle control module associated with a telemetry communication module having a telemetry receiver for receiving the event signal from the implantable medical device;
sensing a medical event with the implantable medical device;
generating an event signal with the implantable medical device; and
transmitting the event signal with the device transmitter to the telemetry receiver. - View Dependent Claims (49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71)
generating-a status signal with the vehicle control module, the status signal corresponding to the vehicle status;
transmitting the status signal from a telemetry transmitter of the telemetry control module to a device receiver of the implantable medical device; and
delivering therapy to the patient-driver with the implantable medical device as a function of the status signal.
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54. The method of claim 53, wherein generating the status signal occurs after the vehicle control module determines that the vehicle is stopped.
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55. The method of claim 51, further comprising:
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generating a status signal with the vehicle control module, the status signal corresponding to the second operational state;
transmitting the status signal from a telemetry transmitter to a device receiver of the implantable medical device; and
delivering therapy to the patient-driver with the implantable medical device.
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56. The method of claim 55, wherein generating the status signal occurs after the vehicle control module determines that the vehicle is stopped.
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57. The method of claim 55, wherein delivering therapy to the patient-driver occurs after receipt of the status signal by the device receiver.
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58. The method of claim 55, wherein delivering therapy to the patient-driver occurs before receipt of the status signal by the device receiver.
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59. The method of claim 51, wherein manipulating the vehicle between the first operational state and the second operational state comprises manipulating an ignition system to stop or slow the vehicle.
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60. The method of claim 51, wherein manipulating the vehicle between the first operational state and the second operational state comprises manipulating a brake system to stop or slow the vehicle.
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61. The method of claim 51, wherein manipulating the vehicle between the first operational state and the second operational state comprises activating a warning indicator to alert the patient-driver of the medical event.
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62. The method of claim 51, wherein manipulating the vehicle between the first operational state and the second operational state comprises activating external warning signals on the vehicle.
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63. The method of claim 48, further comprising activating a communication module to notify emergency personnel of the medical event.
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64. The method of claim 63, further comprising generating a location signal of the vehicle and transmitting the location signal via the communication module.
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65. The method of claim 48, wherein the medical event is an atrial fibrillation.
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66. The method of claim 48, wherein the medical event is a ventricular tachycardia.
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67. The method of claim 48, wherein the medical event is a ventricular fibrillation.
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68. The method of claim 66, further comprising sensing a hemodynamic parameter.
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69. The method of claim 68, further comprising delivering cardiac therapy upon detection of the hemodynamic parameter.
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70. The method of claim 68, wherein the hemodynamic parameter is blood pressure.
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71. The method of claim 68, wherein the hemodynamic parameter is intracardial flow.
Specification