Orientation of patient's position sensor using external field

• US 6,625,493 B2
• Filed: 08/24/2001
• Issued: 09/23/2003
• Est. Priority Date: 08/24/2001
• Status: Expired due to Term

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Sorensen, Chris, Kroll, Mark W., Bornzin, Gene A.
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/939,197
• Publication Number:
  US 20030040778A1
• Time in Patent Office: 760 Days
• Field of Search: 607/1-114
• US Class Current: 607/17
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/36585 controlled by two or more physical parameters

Abstract

An implantable cardiac stimulation device is equipped with an accelerometer-based sensor to sense a patient'"'"'s movement and produce a vertical acceleration component indicative of a patient'"'"'s acceleration in a vertical direction. A vertical velocity component is computed from the vertical acceleration component. The device may be further equipped with a magnetic field sensor to sense the earth'"'"'s magnetic field as a way to obtain a true vertical orientation, against which the accelerometer-based sensor can be calibrated.

Claims

1. A method for operating an implantable stimulation device, comprising:

sensing data using a position sensor;

sensing an orientation using an external field sensor; and

resolving the data according to the vertical orientation to adjust orientation of the position sensor.

2. The method of claim 1, wherein the sensing an orientation comprises sensing a magnetic field using a magnetic field sensor.

3. The method of claim 1, further comprising deriving, from the data, a vertical acceleration parameter indicative of a patient'"'"'s acceleration in a vertical direction.

4. The method of claim 3, further comprising determining, based on the vertical acceleration parameter, whether the patient moves from a supine position to an upright position.

5. The method of claim 4, further comprising applying a prescribed pacing therapy based on the vertical acceleration parameter.

6. The method of claim 4, further comprising invoking an orthostatic compensator to apply a prescribed pacing therapy.

7. The method of claim 3, further comprising computing a vertical velocity parameter from the vertical acceleration parameter and determining, based on the vertical velocity parameter, whether the patient is walking upstairs or downstairs.

8. The method of claim 7, further comprising:

increasing pacing rate if the patient is walking upstairs; and

decreasing pacing if the patient is walking downstairs.

9. The method of claim 7, further comprising:

invoking an orthostatic compensator to apply a prescribed pacing therapy if the patient is walking upstairs; and

invoking a MV response module to control pacing therapy.

10. The method of claim 7, further comprising determining, based on the vertical acceleration parameter, whether the patient moves from a supine position to an upright position.

11. The method of claim 10, further comprising:

increasing pacing rate if the patient is walking upstairs;

applying a MV response therapy if the patient is walking downstairs; and

applying an orthostatic compensation therapy if the patient moves from the supine position to the upright position.

12. One or more computer-readable media having computer-readable instructions thereon which, when executed by a programmable stimulation device, cause the stimulation device to execute the method of claim 1.

13. A method for operating an implantable stimulation device, comprising:

sensing an extemal magnetic field to produce orientation data; and

determining a patient'"'"'s positional status based at least in part on the orientation data.

14. The method of claim 13, further comprising ascertaining whether a user moves from a supine position to an upright position based on the orientation data.

15. The method of claim 13, wherein the external magnetic field is the earth'"'"'s magnetic field.

16. The method of claim 15, wherein the sensing a magnetic field further comprises:

discerning a true vertical direction by ascertaining orientation coordinates based on the earth'"'"'s magnetic field.

17. One or more computer-readable media having computer-readable instructions thereon which, when executed by a programmable stimulation device, cause the stimulation device to execute the method of claim 13.

18. A cardiac stimulation device comprising:

a position sensor to sense a patient'"'"'s position relative to at least one axis;

a magnetic field sensor to sense a magnetic field and produce data indicative of directional orientation;

a processor operably coupled to the position sensor and the magnetic field sensor, the processor being configured to use the directional orientation of the magnetic field sensor to correct orientation of the axis of the position sensor; and

a pacing generator configured to administer cardiac pacing therapy as directed by the processor.

19. The device of claim 18, wherein the at least one axis is a vertical axis.

20. The device of claim 19, wherein the processor computes a vertical acceleration parameter from the data, and wherein the vertical acceleration parameter is indicative of a patient'"'"'s acceleration in a vertical direction.

21. The device of claim 20, wherein the processor applies the vertical acceleration parameter to determine whether the patient moves from a supine position to an upright position.

22. The device of claim 21, wherein the processor computes a vertical velocity parameter from the vertical acceleration parameter, and wherein the processor applies the vertical velocity parameter to determine whether the patient is walking upstairs or downstairs.

23. The device of claim 22, wherein the cardiac pacing therapy comprises:

increasing pacing rate if the patient is walking upstairs;

applying a MV response therapy if the patient is walking downstairs; and

applying an orthostatic compensation therapy if the patient moves from the supine position to the upright position.