Cardiovascular pressure annotations and logbook

• US 8,747,314 B2
• Filed: 07/25/2013
• Issued: 06/10/2014
• Est. Priority Date: 02/12/2007
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stahmann, Jeffrey E., Maile, Keith R.
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US13/950,974
• Publication Number:
  US 20130317374A1
• Time in Patent Office: 320 Days
• Field of Search: 600/301, 600/483, 600485-486
• US Class Current: 600/301
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/02108 from analysis of pulse wave characteristics
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61N 1/36564 controlled by blood pressure
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

A system comprises an external medical device configured to communicate with a first implantable medical device (IMD). The external medical device includes a communication circuit and a display. The communication circuit is configured to receive information associated with cardiovascular pressure from the IMD. The external medical device is configured to annotate a waveform on the display to indicate one or more events associated with cardiovascular pressure.

Claims

1. A system comprising:

an external medical device configured to communicate with a first implantable medical device (IMD), the external medical device including;

a communication circuit configured to receive information from the first IMD associated with cardiovascular pressure; and

a display, wherein the external medical device is configured to annotate a waveform on the display to indicate one or more events associated with cardiovascular pressure.

2. The system of claim 1, wherein the information associated with cardiovascular pressure includes information related to pulmonary arterial (PA) pressure, and wherein the annotation indicates one or more events associated with PA pressure.

3. The system of claim 1, wherein the external medical device is configured to receive sampled signal data representative of cardiovascular pressure, and to display a cardiovascular pressure signal waveform together with at least one cardiovascular pressure marker annotating the displayed cardiovascular pressure waveform to indicate a detected event associated with cardiovascular pressure.

4. The system of claim 1, wherein the external medical device is configured to receive subject posture information from the IMD, and wherein the external medical device is configured to display a cardiovascular pressure signal waveform together with at least one indication of subject posture.

5. The system of claim 1, wherein the external medical device is configured to receive sampled signal data representative of at least one intrinsic heart signal from the first IMD, and to display an intrinsic heart signal waveform together with at least one cardiovascular pressure marker annotating the intrinsic heart signal waveform to indicate a detected event associated with cardiovascular pressure.

6. The system of claim 5, wherein the external medical device is further configured to receive sampled signal data representative of cardiovascular pressure from the first IMD, and to display a cardiovascular pressure signal waveform and the intrinsic heart signal waveform together with at least one cardiovascular pressure marker annotating at least one of the cardiovascular pressure waveform and the intrinsic heart signal waveform to indicate a detected event associated with cardiovascular pressure.

7. The system of claim 1, wherein the external medical device is further configured to:

receive sampled signal data from the first IMD that is representative of at least one second sensor signal produced by a second implantable sensor, wherein the second sensor signal is associated with a physiologic condition of a subject and is different from a cardiovascular pressure sensor; and

display a cardiovascular pressure signal waveform and a second sensor signal waveform together with at least one cardiovascular pressure marker annotating at least one of the cardiovascular pressure signal waveform and the second sensor signal waveform to indicate an event associated with cardiovascular pressure.

8. The system of claim 7, wherein the second implantable sensor includes at least one of:

a subject activity sensor;

a blood gas sensor;

a blood chemical sensor;

a blood flow sensor; and

a respiration sensor.

9. The system of claim 6, wherein the external medical device is communicatively coupled with at least one external sensor, the external sensor configured to produce an external sensor signal associated with a physiologic condition of a subject, and wherein the external medical device is configured to display an external sensor signal waveform together with at least one cardiovascular pressure marker annotating the external sensor signal waveform to indicate a detected event associated with cardiovascular pressure.

10. The system of claim 1, wherein the external medical device is configured to receive information associated with sensed intrinsic heart activity and information associated with cardiovascular pressure from the first IMD, and to display at least one cardiovascular pressure marker indicating a detected event associated with cardiovascular pressure and at least one event marker indicating a detected event associated with sensed intrinsic heart activity.

11. The system of claim 1, further comprising the first IMD, wherein the first IMD is configured to sense cardiovascular pressure.

12. The system of claim 11, further comprising:

at least one second implantable sensor configured to produce a second sensor signal related to a physiologic condition of the subject different from cardiovascular pressure; and

wherein the first IMD includes a memory and is configured to store markers indicating detected events associated with cardiovascular pressure in relation to sensor information obtained from the second implantable sensor.

13. The system of claim 1, further comprising a second IMD, the second IMD including a communication circuit and configured to sense cardiovascular pressure, and

wherein the first IMD is configured to receive information associated with cardiovascular pressure from the second IMD.

14. The system of claim 1, wherein the first IMD is configured to deliver at least one of bradycardia therapy, tachycardia therapy, and cardiac resynchronization therapy.

15. A method comprising:

communicating information associated with cardiovascular pressure from an implantable medical device (IMD) to an external device; and

annotating a displayed waveform on the external device to indicate one or more detected events associated with cardiovascular pressure.

16. The method of claim 15, wherein communicating includes communicating information related to PA pressure and wherein annotating includes annotating to indicates one or more events associated with PA pressure.

17. The method of claim 15, further including displaying a cardiovascular pressure signal waveform together with at least one cardiovascular pressure marker annotating the cardiovascular pressure waveform to indicate a detected event associated with cardiovascular pressure.

18. The method of claim 17, further including displaying a cardiovascular pressure signal waveform together with at least one indication of patient posture.

19. The method of claim 15, further including displaying a second sensor signal together with at least one indication of one or more detected events associated with cardiovascular pressure, wherein the second sensor is related to a physiologic condition of the subject different from cardiovascular pressure.

20. The method of claim 19, wherein the displaying the second sensor signal includes displaying one or more of:

a sensed intrinsic heart signal;

an activity sensor signal;

a blood gas sensor signal;

a blood chemical sensor signal;

a blood flow sensor signal; and

a respiration signal.