Systems and methods for interacting with an implantable medical device

• US 8,140,160 B2
• Filed: 05/16/2006
• Issued: 03/20/2012
• Est. Priority Date: 01/29/2002
• Status: Active Grant

• Current Assignee: Neuropace Inc.
• Original Assignee: Neuropace Inc.
• Inventors: Pless, Benjamin D., Fischell, David R., Gibb, Barbara, Guzzo, Lisa, Upton, Adrian R. M.
• Primary Examiner(s): GETZOW, SCOTT M
• Application Number:
  US11/436,190
• Publication Number:
  US 20060212092A1
• Time in Patent Office: 2,135 Days
• Field of Search: 607 30- 33, 607/45, 607/59, 607/27
• US Class Current: 607/31
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/293 Invasive
• CPC Class Codes: A61B 5/375 using biofeedback
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61N 1/36064 Epilepsy
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
• CPC Class Codes: A61N 1/37258 Alerting the patient
• CPC Class Codes: A61N 1/37282 characterised by communication with experts in remote locations using a network
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

An interactive implantable medical device system includes an implantable medical device and a network-enabled external device capable of bi-directional communication and interaction with the implantable medical device. The external device is programmed to interact with other similarly-enabled devices. The system facilitates improved patient care by eliminating unnecessary geographic limitations on implantable medical device interrogation and programming, and by allowing patients, physicians, and other users to access medical records, history, and information and to receive status and care-related alerts and messages anywhere there is access to a communications network.

Claims

1. A method for using an interactive medical device system to monitor and treat a patient, the interactive implantable device system including a first external interactive computing device and at least one second external interactive computing device, the first external interactive computing device and the at least one second external interactive computing device configured to be in operable communication with each other over a communications network, the first external interactive computing device being configured to receive a patient command from a patient, the method comprising:

initiating, in the first external interactive computing device, one or more actions associated with a patient command received by the first external interactive computing device;

determining, in the first external interactive computing device, which of, if any, the one or more actions initiated by the first external interactive computing device can be performed by the first external interactive computing device based on first allowability rules related to the one or more actions and the patient command;

performing, in the first external interactive computing device, the determined one or more actions that can be performed by the first external interactive computing device, if any;

communicating to the at least one second external interactive computing device which actions, if any, the first external interactive computing device cannot perform; and

determining, in the at least one second external interactive computing device, which of, if any, the one or more actions initiated in and determined by the first external interactive computing device cannot be performed by the first external interactive computing device can be performed by the first external interactive computing device based on the first allowability rules, can be performed by the at least one second external interactive computing device, and are not to be performed by the first external interactive computing device and the at least one second external interactive computing device based on second allowability rules related to the one or more actions and the patient command.

2. The method of claim 1 wherein the first external interactive computing device is provided with at least one patient-actuated device, and each actuation of the at least one patient-actuated device corresponds to a patient command.

3. The method of claim 1 wherein the one or more actions that can be performed include storing a record of data in the first external interactive computing device, storing a record of data in one or more of the at least one second external interactive computing devices, causing an alert to be transmitted to the patient from the first external interactive computing device, or causing an alert to be transmitted to one or more of the at least one second external interactive computing devices.

4. The method of claim 1 wherein the one or more actions that can be initiated include a data upload, a software download, a seizure log entry, a note entry, a message transmission, query a data base, or carrying out a calculation in the first external interactive computing device or the at least one second external interactive computing devices.

5. The method of claim 1 wherein the interactive medical device system further includes an implantable medical device implanted in the patient and configured to process sensed signals corresponding to physiological activity of the patient, wherein the one or more actions further include storing a record of data in the implantable medical device, causing the implantable medical device to switch from a first mode of operation to a second mode of operation, causing an alert to be transmitted to the patient from the implantable medical device, or causing an alert to be transmitted to the patient from an accessory associated with the implantable medical device.

6. The method of claim 1 wherein the interactive medical device system further includes an implantable medical device implanted in the patient and configured to process sensed signals corresponding to physiological activity of the patient, wherein the one or more actions that can be initiated include a data upload from the implantable medical device, a software download to the implantable medical device, real-time EEG monitoring by the implantable medical device, or carrying out a calculation in the implantable medical device.

7. The method of claim 1 wherein the interactive medical device system further includes an implantable medical device implanted in the patient and configured to process sensed signals corresponding to physiological activity of the patient, wherein the first external interactive computing device is provided with at least one patient-actuated device, each actuation of the at least one patient-actuated device corresponds to a patient command, and at least one patient command is a seizure log command and the action initiated is the action of annotating signals sensed by the implantable medical device to correlate the signals with the patient'"'"'s perception that the patient is having a seizure.

8. The method of claim 1 wherein the interactive medical device system further includes an implantable medical device implanted in the patient and configured to process sensed signals corresponding to EEG activity of the patient and to analyze the sensed signals to identify neurological activity indicative of a seizure, an onset of a seizure, or a precursor to a seizure, wherein at least one patient command is a seizure log command and the action initiated is the action of annotating signals sensed by the implantable medical device to correlate the signals with the patient'"'"'s perception that the patient is having a seizure.

9. The method of claim 1 wherein the one or more actions performed include the actions of:

providing an audio or visual alert to the patient, providing instructions to the patient, or requesting the input of further commands from the patient.

10. The method of claim 1 wherein the first external interactive computing device further is configured to receive data entry from the patient and to initiate one or more actions associated with the patient data entry and wherein the one or more actions performed include the actions of receiving data entry from the patient corresponding to a quality of life survey and transmitting the data entry to one or more of the at least one second external interactive computing devices.

11. An interactive medical device system comprising:

a first external interactive computing device configured to receive a patient command from a patient; and

at least one second external interactive computing device, the first external interactive computing device and the at least one second external interactive computing device configured to be in operable communication with each other over a communications network;

the first external interactive computing device configured to;

initiate, in the first external interactive computing device, one or more actions associated with a patient command received by the first external interactive computing device;

determine, in the first external interactive computing device, which of, if any, the one or more actions initiated by the first external interactive computing device can be performed by the first external interactive computing device based on first allowability rules related to the one or more actions and the patient command;

perform, in the first external interactive computing device, the determined one or more actions that can be performed by the first external interactive computing device, if any; and

communicate to the at least one second external interactive computing device which actions, if any, the first external interactive computing device cannot perform; and

the at least one second external interactive computing device configured to determine, in the at least one second external interactive computing device, which of, if any, the one or more actions initiated in and determined by the first external interactive computing device cannot be performed by the first external interactive computing device based on the first allowability rules, can be performed by the first external interactive computing device, can be performed by the at least one second external interactive computing device, and are not to be performed by the first external interactive computing device and the at least one second external interactive computing device based on second allowability rules related to the one or more actions and the patient command.

12. The interactive medical device system of claim 11 wherein the first external interactive computing device includes at least one patient-actuated device, and each actuation of the at least one patient-actuated device corresponds to a patient command.

13. The interactive medical device system of claim 11 wherein the one or more actions that can be performed include storing a record of data in the first external interactive computing device, storing a record of data in one or more of the at least one second external interactive computing devices, causing an alert to be transmitted to the patient from the first external interactive computing device, or causing an alert to be transmitted to one or more of the at least one second external interactive computing devices.

14. The interactive medical device system of claim 11 wherein the one or more actions that can be initiated include a data upload, a software download, a seizure log entry, a note entry, a message transmission, query a data base, or carrying out a calculation in the first external interactive computing device or a second external interactive computing device.

15. The interactive medical device system of claim 11 further comprising an implantable medical device implanted in the patient and configured to process sensed signals corresponding to physiological activity of the patient, wherein the one or more actions further include storing a record of data in the implantable medical device, causing the implantable medical device to switch from a first mode of operation to a second mode of operation, causing an alert to be transmitted to the patient from the implantable medical device, or causing an alert to be transmitted to the patient from an accessory associated with the implantable medical device.

16. The interactive medical device system of claim 11 further comprising an implantable medical device implanted in the patient and configured to process sensed signals corresponding to physiological activity of the patient, wherein the one or more actions that can be initiated include a data upload from the implantable medical device, a software download to the implantable medical device, real-time EEG monitoring by the implantable medical device, or carrying out a calculation in the implantable medical device.

17. The interactive medical device system of claim 11 further comprising an implantable medical device implanted in the patient and configured to process sensed signals corresponding to physiological activity of the patient, wherein the first external interactive computing device is provided with at least one patient-actuated device, each actuation of the at least one patient-actuated device corresponds to a patient command, and at least one patient command is a seizure log command and the action initiated is the action of annotating signals sensed by the implantable medical device to correlate the signals with the patient'"'"'s perception that the patient is having a seizure.

18. The interactive medical device system of claim 11 further comprising an implantable medical device implanted in the patient and configured to process sensed signals corresponding to EEG activity of the patient and to analyze the sensed signals to identify neurological activity indicative of a seizure, an onset of a seizure, or a precursor to a seizure, wherein at least one patient command is a seizure log command and the action initiated is the action of annotating signals sensed by the implantable medical device to correlate the signals with the patient'"'"'s perception that the patient is having a seizure.

19. The interactive medical device system of claim 11 wherein the one or more actions performed include the actions of:

providing an audio or visual alert to the patient, providing instructions to the patient, or requesting the input of further commands from the patient.

20. The interactive medical device system of claim 11 wherein the first external interactive computing device further is configured to receive data entry from the patient and to initiate one or more actions associated with the patient data entry and wherein the one or more actions performed include the actions of receiving data entry from the patient corresponding to a quality of life survey and transmitting the data entry to one or more of the at least one second external interactive computing devices.