Methods and devices for detection of context when addressing a medical condition of a patient

• US 8,676,336 B2
• Filed: 07/22/2011
• Issued: 03/18/2014
• Est. Priority Date: 10/11/2002
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Hatlestad, John D.
• Primary Examiner(s): Bertram, Eric D.
• Application Number:
  US13/188,956
• Publication Number:
  US 20110275961A1
• Time in Patent Office: 970 Days
• Field of Search: 607/60
• US Class Current: 607/60
• CPC Class Codes: A61B 2560/0242 adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

Methods and devices detect context related to a patient when monitoring a physiological condition of the patient and/or when applying one or more modes of therapy. The context may be a patient context such as posture or an environmental context such as ambient conditions. The context may be used in various ways in relation to the physiological measurement, such as to control when the physiological measurements are made, to appropriately flag physiological measurements, to be recorded in association with the physiological measurements, and/or to correct the physiological measurements based on a reference context. A device such as a beacon transmitter is used in detecting the context and a measurement device such as an implantable cardiovascular device is used to capture the physiological measurements.

Claims

1. A system for monitoring physiological conditions of an ambulatory patient capable of moving among a plurality of environmental locations external to the patient based on a detection of at least one posture associated with the patient, the system comprising:

a detector, including a first device positioned in one of the plurality of environmental locations and a second device attached to the ambulatory patient, the first and second devices configured to cooperate to detect the patient being within a specified range of the first device and to determine the at least one posture associated with the patient in response to the patient being within the specified range of the first device;

a physiological sensor that is responsive to a physiological condition of the patient; and

a processing device configured to automatically measure from the physiological sensor at least one physiological condition of the patient in response to the detection of the at least one posture.

2. The system of claim 1 further comprising a transmitter that outputs a signal encoded with the measurements made by the processing device from the physiological sensor.

3. The system of claim 1, wherein the processing device is configured to flag the measurements taken in response to the detection of the at least one posture.

4. The system of claim 1, wherein the physiological sensor comprises a pulse rate sensor.

5. The system of claim 1, wherein the processing device is configured to record measurements of the physiological condition in response to the detection of a predefined patient posture.

6. The system of claim 1, wherein the processing device is configured to store the measurements of the physiological condition in association with the at least one detected posture.

7. The system of claim 1, wherein the processing device is configured to correct the measurements of the at least one physiological condition by application of a correction factor associated with the detected at least one posture.

8. The system of claim 1, wherein the detector comprises at least one transmitter external to the patient and a receiver responsive to the transmitter.

9. The system of claim 8, wherein the receiver is implantable.

10. The system of claim 1, wherein the detector comprises a transmitter external to the patient and a transponder responsive to the transmitter.

11. The system of claim 1, wherein the detector comprises multiple transmitters external to the patient and a receiver responsive to the transmitters, wherein the transmitters transmit data regarding multiple contexts.

12. A system for monitoring physiological conditions of an ambulatory patient capable of moving among a plurality of environmental locations external to the patient, the system comprising:

a detector including a first device positioned in one of the plurality of environmental locations and a second device attached to the ambulatory patient, the first and second devices configured to cooperate to detect the patient being within a specified range of the first device and to determine at least one posture associated with the patient in response to the patient being within the specified range of the first device;

a physiological sensor that is responsive to a physiological condition of the patient; and

a processing device that is configured, in response to the detection of the at least one posture, to;

automatically perform measurements from the physiological sensor of at least one physiological condition of the patient;

flag the measurements; and

record the measurements.

13. The system of claim 12, wherein the processing device is configured to store the measurements in response to the detection of a predefined patient posture.

14. The system of claim 12, wherein the physiological sensor comprises a pulse rate sensor.

15. The system of claim 12, wherein the processing device is configured to correct the measurements of the at least one physiological condition by application of a correction factor associated with the detected at least one posture.

16. A system for monitoring physiological conditions of an ambulatory patient capable of moving among a plurality of environmental locations external to the patient, the system comprising:

a detector, including a first device positioned in one of the plurality of environmental locations and a second device attached to the ambulatory patient, the first and second devices configured to cooperate to detect the patient being within a specified range of the first device and to determine at least one posture associated with the patient in response to the patient being within the specified range of the first device;

a physiological sensor that is responsive to a physiological condition of the patient;

a processing device configured to automatically perform measurements from the physiological sensor of at least one physiological condition of the patient in response to the detection of the at least one posture;

a transmitter configured to output the measurements of the at least one physiological condition; and

a receiver that is responsive to the transmitter.

17. The system of claim 16, wherein the transmitter is external to the patient.

18. The system of claim 16, wherein the transmitter is configured to output a signal encoded with the measurements made by the processing device from the physiological sensor.

19. The system of claim 16, wherein the transmitter is configured to transmit data regarding multiple contexts.

20. The system of claim 16, wherein the transmitter is configured to transmit data regarding at least on of a patient context or an environmental context.