Implantable cardiac disease management device with trigger-stored polysomnogram and phonocardiogram

• US 6,810,287 B2
• Filed: 12/03/2001
• Issued: 10/26/2004
• Est. Priority Date: 12/03/2001
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Hatlestad, John, Stahmann, Jeffrey E., Zhu, Qingsheng
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US10/006,183
• Publication Number:
  US 20030105497A1
• Time in Patent Office: 1,058 Days
• Field of Search: 607/6, 607/17-25, 600/513, 600/528, 600/547
• US Class Current: 607/17
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• 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 1/3684 for stimulating the heart at multiple sites of the ventricle or the atrium

Abstract

Currently, brady, tachy and CRT devices all provide stored electrograms that record ambulatory electrograms with programmable trigger mechanisms. The present invention comprises an implantable device with additional capability that can store polysomnograms and phonocardiograms. The polysomnograms can be obtained from an impendent sensor of the type used in minute ventilation-based rate-adaptive pacemakers. The phonocardiograms are obtained from an accelerometer transducer or other type sensors that can detect heart sound.

Claims

1. An implantable medical device comprising:

a) a microprocessor-based controller;

b) a memory controlled by the microprocessor-based controller;

c) means for sensing variations in transthoracic impedance due to respiratory related activity; and

d) means responsive to detection of a predetermined respiratory pattern for storing data pertaining to the sensed respiratory related activity in the memory.

2. The implantable medical device of claim 1 and further including a telemetry link in the device for transferring out the stored data to an external monitor.

3. The implantable medical device of claim 1 wherein the predetermined respiratory pattern is Cheyne-Stokes respiration.

4. The implantable medical device of claim 1 wherein the predetermined respiratory pattern is apnea.

5. A method of storing polysomnograph data in a memory of an implantable medical device comprising the steps of:

a) implanting in a patient a medical device having a controller with a memory for storing data and at least one sensor for detecting variations in transthoracic impedance relating to respiratory activity and producing an electrical signal proportional to said variations;

b) detecting a predetermined event; and

c) storing polysomnograph data derived from the detected respiratory activity in the memory upon detection of said predetermined event.

6. The method of claim 5 wherein the predetermined event triggering storage of polysomnograph data is detection of a predetermined respiratory pattern.