Implantable medical device diagnostic data acquisition and storage

• US 7,756,573 B2
• Filed: 09/05/2006
• Issued: 07/13/2010
• Est. Priority Date: 09/05/2006
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Shen, Zhe, Bange, Joseph E., Koshiol, Allan T.
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): Porter, Jr.; Gary A
• Application Number:
  US11/470,201
• Publication Number:
  US 20080058651A1
• Time in Patent Office: 1,407 Days
• Field of Search: 600/509, 600/515, 600/517, 600/527, 600/523, 607/20, 607/27, 607/30, 607/32, 607/59
• US Class Current: 600/523
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/335 using integrated circuit memory devices
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/3706 Pacemaker parameters stimulation threshold A61N1/371

Abstract

A method carried out by a therapeutic implantable medical device includes detecting a plurality of physiologic episodes of interest, recording a single set of diagnostic data indicative of physiologic activity, determining that the single set of diagnostic data corresponds in time with at least two physiologic episodes, and associating the single set of diagnostic data with the least two of the plurality of physiologic episodes. As such, requests for diagnostic data associated with any of the at least two of the plurality of physiologic episodes are satisfied with diagnostic data from the single set of recorded diagnostic data.

Claims

1. A method carried out by a therapeutic implantable medical device (IMD), the method comprising:

detecting a plurality of physiologic episodes of interest;

recording a single set of diagnostic data indicative of physiologic activity;

determining that the single set of diagnostic data corresponds in time with at least two physiologic episodes;

associating the single set of diagnostic data with the at least two of the plurality of physiologic episodes, whereby requests for diagnostic data associated with any of the at least two of the plurality of physiologic episodes are satisfied with diagnostic data from the single set of recorded diagnostic data;

prioritizing the plurality of physiologic episodes based on episode types associated with the physiologic episodes;

specifying a minimum number associated with each episode type, wherein the minimum number indicates a minimum number of sets of diagnostic data to be recorded for the associated episode type;

specifying a maximum number associated with each episode type, wherein the maximum number indicates a maximum number of sets of diagnostic data to be recorded for the associated episode type; and

deleting the recorded single set of diagnostic data only if a later recorded set of diagnostic data is associated with a detected physiologic episode having an episode type of a higher priority, and deletion of the single set of diagnostic data would not result in fewer sets of diagnostic data than the minimum number specified for the episode type associated with the single set of diagnostic data.

2. The method as recited in claim 1, further comprising:

receiving a request for diagnostic data from an external device related to one of the at least two physiologic episodes;

in response to receiving the request for diagnostic data related to one of the at least two physiologic episodes, returning the single set of diagnostic data to the external device;

receiving a request for diagnostic data related to another one of the at least two physiologic episodes from the external device; and

in response to receiving the request for diagnostic data related to another one of the at least two physiologic episodes, returning the single set of diagnostic data to the external device.

3. The method as recited in claim 1, further comprising:

associating a therapy delivery attempt with one of the at least two of the plurality of physiologic episodes, wherein the therapy delivery attempt occurs at a time after the associated physiologic episode;

recording another set of diagnostic data at the time of the therapy delivery attempt;

associating the another set of diagnostic data with the associated physiologic episode.

4. The method as recited in claim 1, wherein the recorded set of diagnostic data comprises one of electrogram data, marker data, processed waveform data, or other physiologic sensor data.

5. The method as recited in claim 4, further comprising compressing the single set of diagnostic data using differential pulse code modulation (DPCM) and Huffman encoding.

6. The method as recited in claim 1, wherein recording the single set of diagnostic data comprises copying diagnostic data from a circular buffer into another part of memory.

7. The method as recited in claim 1, wherein the recording step comprises:

in response to detecting a first physiologic episode, recording diagnostic data that is received during a first time span ending at a first specified end time;

in response to detecting a second physiologic episode during the first time span, specifying a second end time; and

recording diagnostic data that is received during a second time span ending at the second specified end time to form the single set of diagnostic data associated with both the first physiologic episode and the second physiologic episode.

8. The method as recited in claim 7, and further comprising:

delivering therapy during the first time span or the second time span;

in response to delivering therapy, specifying a third end time; and

recording diagnostic data that is received during a third time span ending at the third specified end time, wherein the diagnostic data received during the third time span is included in the single set of diagnostic data.

9. The method as recited in claim 8, further comprising associating the delivering of therapy with one of the first physiologic episode or the second physiologic episode.

10. The method as recited in claim 9, further comprising transmitting data descriptive of the delivering of therapy in response to receiving a request for diagnostic data related to the physiologic episode that is associated with the delivering of therapy.

11. The method as recited in claim 7, further comprising associating the first physiologic episode with the single set of diagnostic data by determining that the first physiologic episode occurred at a time included in the first time span.

12. The method as recited in claim 7, the prioritizing step comprises prioritizing the first physiologic episode and the second physiologic episode based on a first episode type and a second episode type, respectively.

13. The method as recited in claim 12, and further comprising:

detecting a third physiologic episode of a third episode type having a higher priority than the first physiologic episode;

in response to detecting the third physiologic episode, recording diagnostic data to form another set of diagnostic data;

determining whether more than a specified minimum number of sets of diagnostic data associated with episodes of the first episode type exist in memory; and

deleting the single set of diagnostic data associated with the first physiologic episode if more than the specified minimum number of sets of diagnostic data associated with episodes of the first episode type exist in memory.

14. The method as recited in claim 12, and further comprising:

detecting a third physiologic episode of a third episode type; and

recording diagnostic data to form another set of diagnostic data associated with the third physiologic episode if the maximum number of sets of diagnostic data associated with the third episode type do not exist in memory.

15. The method as recited in claim 7, wherein the IMD is operable to deliver therapy, and wherein the method further comprises:

generating a physiologic episode data structure associated with, and descriptive of, the first physiologic episode;

detecting one or more attempts to deliver therapy in response to detecting the first physiologic episode;

for each of the one or more attempts to deliver therapy, generating a therapy delivery attempt data structure associated with, and descriptive of, the therapy delivery attempt; and

associating all of the therapy delivery attempt data structures with the physiologic episode data structure.

16. The method as recited in claim 15, wherein associating all of the therapy delivery attempt data structures with the physiologic episode data structure comprises generating a linked list of the therapy delivery attempt data structures.