Adaptive event storage in implantable device

• US 9,339,658 B2
• Filed: 02/05/2014
• Issued: 05/17/2016
• Est. Priority Date: 05/27/2009
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Dong, Yanting, Perschbacher, David L., Stahmann, Jeffrey E., Li, Dan, Mahajan, Deepa
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Morales, Jon Eric C
• Application Number:
  US14/173,111
• Publication Number:
  US 20140155958A1
• Time in Patent Office: 832 Days
• Field of Search: 607/17
• US Class Current: 1/1
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/6846 specially adapted to be brought in contact with an internal body part, i.e. invasive
• CPC Class Codes: A61N 1/025 Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
• CPC Class Codes: A61N 1/3621 for treating or preventing abnormally high heart rate
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/372 Arrangements in connection with the implantation of stimulators
• 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 1/3925 Monitoring; Protecting

Abstract

Monitoring physiological parameter using an implantable physiological monitor in order to detect a condition predictive of a possible future pathological episode and collecting additional physiological data associated with the condition predictive of a possible future pathological episode. Monitoring another physiological parameter in order to detect a condition indicative of the beginning of a present pathological episode and collecting additional pathological data in response to the condition. Determining that the condition predictive of a future episode and the condition indicative of a present episode are associated and, in response thereto, storing all the collected physiological data.

Claims

1. A system, comprising:

an implantable physiological data monitor, configured to monitor one or more physiological data parameters;

a processor, coupled to the implantable physiological data monitor, the processor configured to,

detect an episode beginning condition using a first physiological data parameter monitored by the implantable physiological data monitor, wherein the episode beginning condition is indicative of beginning of a present pathological episode; and

detect an episode ending condition monitored by the implantable physiological data monitor, wherein the episode ending condition is indicative of the ending of the present pathological episode;

a rolling memory buffer configured to continually store a fixed segment of a second physiological data parameter monitored by the implantable physiological data monitor;

a static memory buffer configured to store a time segment of a third physiological data parameter monitored by the implantable physiological data monitor based on a triggering event associated with the detecting of the episode ending condition; and

a memory configured to store data retained in the static memory buffer and associate the data retained in the static memory with the data retained in the rolling memory buffer for later use by the processor or for output to an external device.

2. The system of claim 1, wherein the processor is configured to detect the episode ending condition at least in part by determining that an implantable medical device has delivered a therapy.

3. The system of claim 1, wherein the therapy includes delivery of electrostimulation.

4. The system of claim 1, wherein the triggering event includes a specified delay after a time the episode ending condition is detected.

5. The system of claim 1, wherein detecting the episode ending condition includes using a fourth physiological data parameter monitored by the implantable physiological data monitor.

6. The system of claim 5, wherein the episode ending condition is detected when one or more of the first, second, third, and fourth monitored physiological parameters meet a specified test.

7. The system of claim 5, wherein the first physiological data parameter and the fourth physiological data parameter represent same physiological characteristics, the same physiological characteristics including the same at least one of heart rate, electrogram morphology, blood pressure, blood gas, blood chemistry, respiration rate, atrial versus ventricular heart rate, or heart rate stability.

8. The system of claim 1, wherein at least two of the first, second, and third physiological data parameters represent same physiological characteristics.

9. The system of claim 1, wherein at least two of the first, second, and third physiological data parameters represent different physiological characteristics.

10. The system of claim 1, wherein the implantable physiological data monitor includes one or more of:

an electrocardiogram sensor, a heart rate sensor, a heart sounds sensor, a pressure sensor, a blood gas sensor, an electroneurogram sensor, a posture sensor, a respiratory sensor, or a chemical sensor.

11. A method, comprising:

monitoring first physiological data using an implantable physiological monitor;

using the first physiological data, detecting an episode beginning condition indicative of a beginning of a present pathological episode;

responding to detecting the episode beginning condition by collecting second physiological data associated with the detecting the episode beginning condition;

detecting an episode ending condition indicative of the ending of the present pathological episode;

responding to detecting the episode ending condition by collecting third physiological data associated with the detecting of the episode ending condition, wherein collecting the third physiological data is triggered after a specified delay beyond a time the episode ending condition.

12. The method of claim 11, wherein detecting the episode ending condition includes detecting the episode ending when an implantable cardiac rhythm management device has delivered a therapy.

13. The method of claim 12, wherein the therapy includes delivery of electrostimulation.

14. The method of claim 11, comprising monitoring fourth physiological data using the implantable physiological monitor.

15. The method of claim 14, wherein the episode ending condition is detected when the monitored fourth physiological data meets a test.

16. The method of claim 15, wherein the episode ending condition is detected when one or more of the first, second, third, and fourth monitored physiological data meet a test.

17. The method of claim 14, wherein at least the first and the fourth physiological data represent same physiological characteristics, the same physiological characteristics including the same at least one of heart rate, electrogram morphology, blood pressure, blood gas, blood chemistry, respiration rate, atrial versus ventricular heart rate, or heart rate stability.

18. The method of claim 11, wherein at least two of the first, second, and third physiological data represent the same physiological characteristic.

19. The method of claim 11, wherein at least two of the first, second, and third physiological data represent a different physiological characteristic.