Data management system for implantable cardiac device

• US 6,823,210 B2
• Filed: 03/26/2003
• Issued: 11/23/2004
• Est. Priority Date: 08/20/1999
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Doshi, Hiten J., Gilkerson, James O., Conley, Vickie L., Mackey, LeAnne Marie, Eberle, Jason W.
• Primary Examiner(s): Layno, Carl
• Application Number:
  US10/397,460
• Publication Number:
  US 20030187365A1
• Time in Patent Office: 608 Days
• Field of Search: 600/523, 600/509, 600/300, 607/9, 607/59
• US Class Current: 600/523
• CPC Class Codes: A61N 1/3704 Circuits specially adapted therefor, e.g. for sensitivity control

Abstract

A system and method for storing episodic data collected by an implantable medical device. If there are no unallocated storage locations, collected data associated with an episode is stored in locations that are freed from allocations to previous episodes. The least recently allocated of the storage locations allocated to episodes of a lower priority type may be freed first in order to maintain storage of higher priority episodic data. The method and system also allows a specified ratio of stored data allocated to episodes of one priority type to that of another priority type to be maintained.

Claims

1. A data storage system, comprising:

history storage nodes each adapted to be allocated to an episode for referencing a location where data related to the episode is stored, the data collected by an implantable medical device;

a linked list of unallocated history storage nodes; and

a plurality of priority type linked lists of allocated history storage nodes, including;

at least one atrial linked list of history storage nodes allocated to atrial tachyarrhythmia response (ATR) episodes; and

at least one ventricular linked list of history storage nodes allocated to ventricular tachyarrhythmia response (VTR) episodes,

wherein;

a history storage node from the linked list of unallocated history storage nodes is allocated to a new episode if the linked list of unallocated history storage nodes is not empty; and

a history storage node from one of the priority type linked lists of allocated history storage nodes is selected, based on a predetermined relative priority of each of the priority type linked lists of allocated history storage nodes, for being allocated to the new episode if the linked list of unallocated history storage nodes is empty.

2. The system of claim 1, wherein the priority type linked lists of allocated history storage nodes comprise:

the at least one atrial linked list of history storage nodes allocated to ATR episodes;

a high priority ventricular linked list of history storage nodes allocated to VTR high priority episodes; and

a low priority ventricular linked list of history storage nodes allocated to VTR low priority episodes.

3. The system of claim 1, wherein the priority type linked lists of allocated history storage nodes are each programmed to allow a maximum number of the history storage nodes.

4. The system of claim 1, further comprising history management nodes adapted to track a chronological order of stored episodes, the history management nodes each adapted to be allocated to an episode associated with one of the allocated history storage nodes and associated with that allocated history storage node.

5. The system of claim 4, further comprising priority type linked lists of history management nodes including:

at least one atrial linked list of history management nodes allocated to ATR episodes; and

at least one ventricular linked list of history management nodes allocated to ventricular VTR episodes.

6. The system of claim 5, wherein the priority type linked lists of history management nodes comprise:

the at least one atrial linked list of history management nodes allocated to ATR episodes;

a high priority ventricular linked list of history management nodes allocated to VTR high priority episodes; and

a low priority ventricular linked list of history management storage nodes allocated to VTR low priority episodes.

7. The system of claim 5, wherein the history management nodes each have a storage link field pointing to the associated allocated history storage node, to allow formation of the priority type linked lists of allocated history storage nodes by linking associated history management nodes with each allocated history management node having a link field pointing to an adjacent node in one of the priority type linked lists of history management nodes.

8. The system of claim 7, wherein the priority type linked lists of history management nodes are doubly linked lists with each allocated history management node having link fields pointing to adjacent nodes in both directions.

9. The system of claim 8, further comprising an all allocated linked list of history management nodes being a doubly linked list of all allocated history management nodes with each allocated history management node having link fields pointing to adjacent nodes in both directions in the all allocated node list.

10. The system of claim 9, further comprising:

data storage nodes each adapted to be allocated to an episode to which one of the allocated history storage nodes and one of the history management nodes are allocated, the history storage nodes each having a link field pointing to an associated data storage node; and

a plurality of data storage blocks to store episodic data,

wherein the data storage nodes each reference one of the plurality of data storage blocks.

11. The system of claim 10, further comprising a linked list of allocated data storage nodes, wherein each of the allocated data storage nodes has a link field for pointing to an adjacent node in the linked list of allocated data storage nodes.

12. A method for storing data collected by an implantable medical device, the method comprising:

receiving episodes recorded by the implantable medical device, the episodes each including data related to a cardiac arrhythmia;

referencing locations for storing the episodes with history storage nodes each adapted to be allocated to one of the episodes;

maintaining a linked list of unallocated history storage nodes;

maintaining priority type linked lists of allocated history storage nodes including;

at least one atrial linked list of history storage nodes allocated to atrial tachyarrhythmia response (ATR) episodes; and

at least one ventricular linked list of history storage nodes allocated to ventricular tachyarrhythmia response (VTR) episodes;

selecting one history storage node from the linked list of unallocated history storage nodes if the linked list of unallocated history storage nodes is not empty;

selecting one history storage node from one of the priority type linked lists of allocated history storage nodes, based on a predetermined relative priority of each of the priority type linked lists of allocated history storage nodes, if the linked list of unallocated history storage nodes is empty; and

allocating the selected history storage node to a new episode.

13. The method of claim 12, wherein receiving episodes comprises receiving collected data sets each corresponding to a type of cardiac arrhythmia that requires delivery of an electrical therapy.

14. The method of claim 13, wherein receiving episodes comprises receiving data sets each related to a therapy attempt associated with one of the episodes.

15. The method of claim 12, wherein maintaining the priority type linked lists of allocated history storage nodes comprises maintaining:

the at least one atrial linked list of history storage nodes allocated to ATR episodes;

a high priority ventricular linked list of history storage nodes allocated to VTR high priority episodes; and

a low priority ventricular linked list of history storage nodes allocated to VTR low priority episodes.

16. The method of claim 12, further comprising limiting the number of the allocated historical storage nodes in each of the priority type linked lists of allocated history storage nodes to a predetermined maximum number.

17. The method of claim 12, further comprising:

maintaining an array of history management nodes to track a chronological order of stored episodes; and

allocating each of the history management nodes to an episode associated with one of the allocated history storage nodes and associated with that allocated history storage node.

18. The method of claim 17, further comprising maintaining priority type linked lists of history management nodes including:

at least one atrial linked list of history management nodes allocated to ATR episodes; and

at least one ventricular linked list of history management nodes allocated to ventricular VTR episodes.

19. The method of claim 18, wherein maintaining the priority type linked lists of history management nodes comprises maintaining:

the at least one atrial linked list of history management nodes allocated to ATR episodes;

a high priority ventricular linked list of history management nodes allocated to VTR high priority episodes; and

a low priority ventricular linked list of history management storage nodes allocated to VTR low priority episodes.

20. The method of claim 18, further comprising forming priority type linked lists of allocated history storage nodes by linking the associated history management nodes with each allocated history management node having a link field pointing to an adjacent node in one of the priority type linked list of history management nodes, wherein the allocated history management nodes each have a storage link field pointing to the associated history storage node.

21. The method of claim 20, wherein maintaining the priority type linked lists of history management nodes comprises maintaining doubly linked lists with each allocated history management node having link fields pointing to adjacent nodes in both directions.

22. The method of claim 21, further comprising maintaining a doubly linked list of all allocated history management nodes with each allocated history management node having link fields pointing to adjacent nodes in both directions in the linked list of all allocated history management nodes.

23. The method of claim 22, further comprising:

maintaining an array of data storage nodes each adapted to be allocated to an episode to which one of the allocated history storage nodes and one of the history management nodes are allocated, the history storage nodes each having a link field pointing to an associated data storage node; and

maintaining a plurality of data storage blocks to store episodic data,

wherein the data storage nodes each reference one of the plurality of data storage blocks.

24. The method of claim 23, further comprising maintaining a linked list of allocated data storage nodes each having a link field for pointing to an adjacent node in the linked list of allocated data storage nodes.

25. A data storage system for storing data collected by an implantable medical device, the system comprising:

data storage nodes each adapted to be allocated to an episode for referencing a location where data related to the episode is stored;

means for maintaining a linked list of unallocated data storage nodes;

means for allocating a data storage node from the unallocated list to a present episode;

means for maintaining priority type linked lists each corresponding to one type of a plurality of episode priority types, the priority type linked lists each including data storage nodes allocated to episodes of a particular type, the allocated data storage nodes linked in an order that corresponds to when the episodes occurred; and

means for freeing the allocated data storage nodes for allocation to the present episode when the linked list of unallocated data storage nodes is empty by freeing the oldest data storage node from one of the priority type lists.

26. The system of claim 25, wherein the means for freeing the allocated data storage nodes comprises means for freeing data storage nodes from the priority type lists according to a predetermined priority unless a specified maximum number of stored episodes of one particular type would then be exceeded.

27. The system of claim 26, wherein the means for freeing the allocated data storage nodes comprises means for freeing one of the allocated data storage nodes from a lower priority list in preference to a higher priority list.

28. The system of claim 27, further comprising means for allocating a data storage node to a therapy attempt associated with an episode.

29. The system of claim 28, further comprising means for storing data collected prior to onset of the episode in a location referenced by the data storage node allocated to the episode.

30. The system of claim 29, further comprising means for storing data collected before and after the therapy attempt in locations referenced by the data storage node allocated to the attempt.