Processing and memorizing in a differentiated form acquired data relating to holter functions, in particular in an active implantable medical device

• US 6,778,859 B2
• Filed: 04/05/2002
• Issued: 08/17/2004
• Est. Priority Date: 04/06/2001
• Status: Expired due to Fees

• Current Assignee: Sorin CRM SAS (MicroPort Scientific Corp.)
• Original Assignee: Ela Medical S.A. (LivaNova Plc)
• Inventors: Graindorge, Laurence
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US10/118,624
• Publication Number:
  US 20020173829A1
• Time in Patent Office: 865 Days
• Field of Search: 600/509, 600/510, 600/523, 607/9, 607/27, 607/59
• US Class Current: 607/59
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Abstract

Apparatus and process for processing and memorizing in a differentiated form data relating to data recorded over a long time period, in particular in an active implantable medical device, more particularly, Holter functions. This process includes the steps of:

a) memorizing in a first memory sector (10) a detailed representation of the data, e.g., Holter data (14, 16, 18, 20), over a plurality of short successive time periods (22), in particular one hour intervals, these intervals following one another over a longer but still short or intermediate time period, corresponding in particular to a one day interval;

b) periodically, reading in the first memory sector the detailed representation and processing the data so as to work out over the intermediate time period (24), in particular a one day period, a consolidated representation of the data recorded over the successive shorter intervals constituting the aforementioned short or intermediate period;

c) cumulatively memorizing in a second memory sector (12) the consolidated representation, to give a representation of the data over a series of the intermediate periods (24) following one another over a relatively long time period, in particular a period of several days or several months; and

d) freeing a portion of the first memory sector to allow to memorize therein another detailed representation of new data for the plurality of successive short time periods for the following intermediate period.

Claims

1. A process for processing and memorizing of data to be recorded over a first period of time, in an active implantable medical device such as a pacemaker, a defibrillator, a cardiovertor and/or a multisite device, characterized by the steps of:

a) memorizing in a first memory sector a detailed representation of said data over a first plurality of second time periods, said first plurality of second time periods corresponding to a third time period shorter than said first time period;

b) periodically, reading in the first memory sector the detailed representation of the data and processing said read data to produce a consolidated representation of the data of said first plurality of second time periods for a fourth time period;

c) cumulatively memorizing in a second memory sector (12) the consolidated representations for a second plurality of fourth time periods, said second plurality of fourth time periods corresponding to the first time period; and

d) freeing a portion of the first memory sector to allow the memorizing therein a detailed representation of new data for another first plurality of second time intervals.

2. The process of claim 1 wherein providing the first plurality of second time periods comprises providing a first plurality of one hour periods.

3. The process of claim 1 further comprising providing the third time period as a twenty-four hour day.

4. The process of claim 1 further comprising providing said first time period as a multiple of a number of days.

5. The process of claim 4 further comprising providing the multiple of a number of days as a six month period.

6. The process of claim 1 further comprising providing the fourth period as a multiple of the third period.

7. The process of claim 6 further comprising providing the fourth period to be the same as the third period.

8. The process of claim 7, further comprising performing steps b) to d) at the end of each third period, step b) producing a consolidated representation that is elaborated from the data representation of the penultimate third period, so that the representation detailed over the last third period remains stored.

9. The process of claim 7, wherein the detailed representation of the data further comprises a histogram of values established during each successive second time period for said third time period, and the step b) processing comprises the addition of the values of said histograms.

10. The process of claim 7, wherein the detailed representation of the data comprises values of a parameter measured during each successive second time period for said third period, and the step b) processing comprises calculating an average value of said successive measured values.

11. The process of claim 7, wherein the detailed representation of the data comprises values of a parameter measured during each successive second time period for said third period, and the step b) processing comprises the selection of one of the minimum value and the maximum value from among the successive measured values.

12. The process of claim 7, wherein the detailed representation of the data comprises an indicator of the occurrence of an event during each successive second time period for said third period, and the step b) processing comprises positioning a marker in the event of a presence of at least one of the aforesaid indicators during the third time period.

13. The process of claim 7, wherein the detailed representation of the data includes an indicator of the occurrence of an event during each successive second time period for said third period, and the step b) processing comprises determining a number of occurrences of said indicator during the third time period.

14. The process of claim 7, wherein the detailed representation of the data comprises an indicator of a presence of a state during each successive second time period for said third period, and the step b) processing comprises positioning a marker in the event of a presence of at least one said indicator during the third time period.

15. The process of claim 7, wherein the detailed representation of the data comprises an indicator of a presence of a state during each successive second time period for said third period, and the step b) processing comprises determining the number of occurrences of the said indicator during the third time period.