Use of implantable body position and body movement sensors

• US 8,065,001 B1
• Filed: 03/01/2007
• Issued: 11/22/2011
• Est. Priority Date: 03/01/2007
• Status: Expired due to Fees

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Falkenberg, Eric, Nabutovsky, Yelena
• Primary Examiner(s): Patel; Niketa
• Assistant Examiner(s): EL-KAISSI, HIBA CARINE
• Application Number:
  US11/681,047
• Time in Patent Office: 1,727 Days
• Field of Search: 600/17, 607/19
• US Class Current: 607/17
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• 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

Implantable systems, and methods for use therewith, are provided for using an implantable sensor for detecting body position and/or body movement, and using what is learned therefrom to improve accuracy of an implantable sensor that is sensitive to at least one of body position and/or body movement. Also provided are implantable systems, and methods for use therewith, that detect body position and/or body movement in order to monitor a condition and/or detect specific episodes. Other embodiments are also provided.

Claims

1. In an implantable system, a method for improving the use of an implantable sensor that is sensitive to body position and body movement, the method comprising:

(a) using a first implantable sensor to obtain a sensor signal indicative of a parameter of interest used to monitor a first medical disorder of a patient and to obtain feedback for adjusting parameters of an implantable device to treat a second medical disorder of the patient, where the first implantable sensor is sensitive to body position and a body movement;

(b) using a second implantable sensor to detect and determine the identity of a first multidimensional body position and detect a first body movement when the patient is in the first body position and has the first body movement;

(c) using the second implantable sensor to detect and determine the identity of a second multidimensional body position and second body movement when the patient is in the second body position and has the second body movement;

(d) using the sensor signal obtained using the first implantable sensor to obtain feedback for adjusting parameters of an implantable device to treat the second disorder of the patient when the first body position and first body movement are detected and identified; and

(e) using the sensor signal obtained using the first implantable sensor to monitor and not treat the first disorder of the patient when the second body position and second body movement are detected and identified.

2. The method of claim 1 further comprising:

using the second implantable sensor and/or a third implantable sensor to detect at least one of a third body position and third body movement when the patient is in the third body position and/or has the third body movement; and

using the sensor signal obtained using the first implantable sensor to obtain feedback for adjusting parameters of an implantable device to treat the second disorder of the patient when the third body position is identified and/or third body movement is detected, wherein;

using the sensor signal obtained using the first implantable sensor to monitor the first disorder when the patient is in the second body position and has the second body movement comprises selecting a first algorithm based on the second body position and second body movement,

using the sensor signal obtained using the first implantable sensor to monitor the first disorder when the patient is in the third body position and/or has the third body movement comprises selecting a second algorithm based on the at least one of a third body position and third body movement, and

the first algorithm is different from the second algorithm.

3. The method of claim 1 further comprising:

using the second implantable sensor to detect at least one of a third body position and third body movement when the patient is in the third body position and/or has the third body movement; and

in the sensor signal obtained using the first implantable sensor to obtain feedback for adjusting parameters of an implantable device to treat the second disorder of the patient when the third body position is identified and/or third body movement is detected, wherein;

using the sensor signal obtained using the first implantable sensor to monitor the first disorder when the patient is in the second body position and has the second body movement comprises selecting a first threshold for monitoring the first disorder based on the second body position and second body movement, and

using the sensor signal obtained using the first implantable sensor to monitor the first disorder when the patient is in the third body position and/or has the third both movement comprises selecting a second threshold for monitoring the first disorder based on the third body position and third body movement, and

the first threshold is different from the second threshold.

4. The method of claim 1 further comprising:

using the second implantable sensor to detect at least one of a third body position and third body movement when the patient is in the third body position and/or has the third body movement; and

using the sensor signal obtained using the first implantable sensor to obtain feedback for adjusting parameters of an implantable device to treat the second disorder of the patient when the third body position is identified and/or third body movement is detected, wherein;

using the sensor signal obtained using the first implantable sensor to monitor the first disorder when the patient is, in the second body position and has the second body movement comprises selecting a first constant for use in an equation for monitoring the patient'"'"'s first disorder based on the at least one of a second body position and second body movement

using the sensor signal obtained using the first implantable sensor to monitor the first disorder when the patient is in the third body position and/or has the third body movement comprises selecting a second constant for use in an equation for monitoring a patient disorder based on the at least one of a third body position and third body movement, and

the first constant is different from the second constant.

5. The method of claim wherein the identity of the multidimensional body position is one of a supine, not supine, sitting, standing, lying, lying on a right side, lying on a left side, and upright position.

6. An implantable system, comprising:

a first implantable sensor configured to obtain a sensor signal indicative of a parameter of interest that is used for at least one of monitoring at least a first disorder of a patient and feedback for adjusting parameters of an implantable device to treat at least a second, different disorder of the patient, where the first implantable sensor is sensitive to body position and body movement;

a second implantable sensor configured to detect at least one of body position and body movement; and

a processing unit configured to determine, based on the body position and body movement detected by the second implantable sensor, whether to use the sensor signal obtained using the first implantable sensor to monitor and not treat at least the first disorder of the patient or as feedback for adjusting parameters of the implantable device to treat at least the second disorder of the patient.

7. The implantable system of claim 6 further comprising a third implantable sensor configured to detect a body position and body movement wherein the processing unit is further configured to determine, based on the at least one of body position and body movement detected by at least the second implantable sensor, whether to monitor at least a third patient disorder, wherein the third patient disorder is different from the first and second patient disorder.

8. The implantable system of claim 6 wherein the sensor signal obtained by the first implantable sensor comprises oxygen saturation data and the processing unit is further configured to use the oxygen saturation data for monitoring asthmatic episodes when the second implant sensor detects a patient is upright and walking and the processing unit is further configured to use the oxygen saturation data to monitor periods of apnea when the second implant sensor detects the patient is lying down and inactive.

9. The implantable system of claim 6 wherein the processing unit is further configured to determine based on both the body position and body movement detected by the second implantable sensor, whether to use the sensor signal obtained using the first implantable sensor for monitoring at least the first disorder of the patient or for feedback for adjusting parameters of the implantable device to treat at least the second disorder of the patient.

10. The implantable system of claim 9 wherein the sensor signal comprises respiratory data and the processing unit uses the respiratory data for feedback when the second implant sensor detects a patient is upright and walking and the processing unit uses the respiratory data for monitoring for episodes of apnea when the second implant sensor detects the patient is lying down and inactive.

11. The implantable system of claim 6 wherein the processing unit is further configured to use the sensor signal obtained using the first implantable sensor to monitor the first disorder of the patient when the second body position is identified and second body movement is detected, wherein using the sensor signal obtained using the first implantable sensor to monitor the first disorder comprises selecting based on the at least one of body position and body movement detected by the second implantable sensor, a specific algorithm to use to monitor at least the patient'"'"'s first disorder.

12. The implantable system of claim 11 wherein the first implantable sensor is a left atrial pressure (LAP) sensor and the patient'"'"'s first disorder is heart failure.

13. The implantable system of claim 6 wherein the processing unit is further configured to use the sensor signal obtained using the first implantable sensor to monitor the first condition of the patient when the second body position is identified and second body movement is detected, wherein using the sensor signal obtained using the first implantable sensor to monitor the first condition comprises selecting, based on the at least one of body position and body movement detected by at least the second implantable sensor, which threshold to use to monitor at least the patient'"'"'s first disorder.

14. The implantable system of claim 6 wherein the first implantable sensor is a photoplethysmography (PPG) sensor.

15. The implantable system of claim 6 wherein the first implantable sensor is an impedance sensor.

16. The implantable system of claim 6 wherein the first implantable sensor is an oxygen saturation sensor.

17. The implantable system of claim 6 wherein the first implantable sensor is a glucose sensor.

18. In an implantable system, a method for monitoring a condition of a patient, the method comprising:

(a) using at least one implantable sensor to detect time-correlated data of how often a patient sleeps on his or her right side, by detecting at least one of body position and body movement over an extended period of time;

(b) storing the time-correlated data indicative of how often patient sleeps on his or her right time detected over the extended period of time, by producing a histogram indicative of the at least one of body position and body movement and

(c) determining a status of cardiac disease of the patient based on the stored data.

19. The implantable system of claim 18, wherein the method further comprises using a second implantable sensor to detect a parameter of interest over an extended period of time.

20. The system of claim 19, wherein the data indicative of at least one of body position or body movement is stored only when the parameter of interest goes outside of a specific range.

21. The system of claim 20, wherein the parameter of interest is left atrial pressure (LAP).