Heuristic management of physiological data

• US 9,427,165 B2
• Filed: 03/01/2013
• Issued: 08/30/2016
• Est. Priority Date: 03/02/2012
• Status: Active Grant

• Current Assignee: Medtronic Monitoring, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Monitoring, Inc. (Medtronic Plc)
• Inventors: Finlay, Brion, Williams, Scott, Fogoros, Richard, Landrum, Brett, Chavan, Abhi
• Primary Examiner(s): PATTON, AMANDA K
• Application Number:
  US13/782,853
• Publication Number:
  US 20130274584A1
• Time in Patent Office: 1,278 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/259 using conductive adhesive means, e.g. gels
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/4875 Hydration status, fluid retention of the body

Abstract

Systems and methods for management of physiological data, for example data obtained from monitoring an electrocardiogram signal of a patient. In one example use, digital data is obtained and episodes of arrhythmias are detected. Snapshots of the digitized ECG signal may be stored for later physician review. One or more techniques may be used to avoid recording of redundant data, while ensuring that at least a minimum number of episodes of each detected arrhythmia can be stored. The system may automatically tailor its data collection to the cardiac characteristics of a particular patient. In one technique, memory is allocated to include for each detectable arrhythmia a memory segment designated to receive ECG snapshots representing only the respective arrhythmia. A shared memory pool may receive additional snapshots of as the designated memory segments fill.

Claims

1. A method of collecting physiological data, the method comprising:

allocating in a memory a plurality of reserved blocks, each block designated for receiving data related to a respective one of a plurality of cardiac rhythm types;

obtaining digital data representing an electrocardiogram of a patient;

detecting from the digital data a first episode of a particular one of the plurality of cardiac rhythm types in the patient, wherein the particular cardiac rhythm type is a first cardiac rhythm type;

storing, in the reserved block designated for receiving data related to the detected particular cardiac rhythm type, a data snapshot of the episode of the particular cardiac rhythm type; and

inhibiting the recording of further episodes of the first cardiac rhythm type based on the occurrence of an episode of a second cardiac rhythm type.

2. The method of claim 1, wherein the episode is a first episode, the method further comprising:

assigning a respective refractory period to each of at least some of the plurality of rhythm types;

detecting from the digital data a second episode of the particular cardiac rhythm type; and

storing a data snapshot of the second episode of the particular cardiac rhythm type only if the respective refractory period of the particular cardiac rhythm type has elapsed since storing the data snapshot of the first episode.

3. The method of claim 2, further comprising:

assigning a respective maximum recording rate to each of at least some of the plurality of rhythm types; and

storing a data snapshot of the second episode of the particular cardiac rhythm type only if doing so will not exceed the respective maximum recording rate of the particular cardiac rhythm type.

4. The method of claim 2, wherein the particular cardiac rhythm type is a first rhythm type, the method further comprising:

inhibiting the recording of further episodes of the first cardiac rhythm type based on the occurrence of an episode of a second cardiac rhythm type.

5. The method of claim 1, wherein the episode is a first episode, the method further comprising:

assigning a respective maximum recording rate to each of at least some of the plurality of rhythm types; and

detecting from the digital data a second episode of the particular cardiac rhythm type; and

storing, in the reserved block designated for receiving data related to the particular cardiac rhythm type, a data snapshot of the second occurrence of the particular cardiac rhythm type only if doing so will not exceed the respective maximum recording rate of the particular cardiac rhythm type.

6. The method of claim 1, wherein the episode is a first episode, the method further comprising:

allocating in the memory a shared memory block;

detecting from the digital data a second episode of the particular cardiac rhythm type;

recognizing that the reserved block designated for receiving data related to the particular cardiac rhythm type has been filled; and

storing, in the shared memory block, a data snapshot of the second episode of the particular cardiac rhythm type.

7. The method of claim 1, further comprising:

sensing a non-electrocardiogram physiological parameter of the patient; and

adjusting at least one criterion for storage of electrocardiogram data snapshots based at least in part on the sensed non-electrocardiogram physiological parameter of the patient.

8. The method of claim 7, wherein the non-electrocardiogram physiological parameter of the patient is selected from the group consisting of a bioimpedance of the patient, a hydration level of the patient, a respiration rate of the patient, an activity level of the patient, a posture of the patient, a temperature of the patient, and a reading from an accelerometer attached to the patient.

9. The method of claim 7, wherein adjusting at least one criterion for storage of electrocardiogram data snapshots comprises adjusting a refractory period assigned to one of the plurality of rhythm types.

10. The method of claim 7, wherein adjusting at least one criterion for storage of electrocardiogram data snapshots comprises adjusting a maximum recording rate assigned to one of the plurality of rhythm types.

11. The method of claim 7, wherein adjusting at least one criterion for storage of ECG data snapshots comprises inhibiting the recording of an electrocardiogram data snapshot.

12. The method of claim 7, wherein adjusting at least one criterion for storage of electrocardiogram data snapshots comprises triggering the recording of an electrocardiogram data snapshot.

13. A cardiac monitoring system, comprising:

a processor; and

a memory, the memory comprising a data storage area and also storing instructions that are executable by the processor and configure the system to;

allocate in the memory a plurality of reserved blocks, each block designated for receiving data related to a respective one of a plurality of cardiac rhythm types;

obtain digital data representing an electrocardiogram of a patient;

detect from the digital data a first episode of a particular one of the plurality of cardiac rhythm types in the patient, wherein the particular cardiac rhythm type is a first cardiac rhythm type; and

store, in the reserved block designated for receiving data related to the detected particular cardiac rhythm type, a data snapshot of the episode of the particular cardiac rhythm type, wherein the recording of further episodes of the first cardiac rhythm type are inhibited based on the occurrence of an episode of a second cardiac rhythm type.

14. The cardiac monitoring system of claim 13, further comprising one or more sensors for sensing one or more non-electrocardiogram physiological parameters of the patient, wherein the instructions further configure the system to adjust at least one criterion for storing electrocardiogram data snapshots based at least on part on one or more of the sensed non-electrocardiogram physiological parameters.

15. The cardiac monitoring system of claim 13, further comprising an adherent device configured to be worn on the skin of the patient, wherein the adherent device includes electrodes for measuring the electrocardiogram of the patient.

16. The cardiac monitoring system of claim 15, wherein the processor and memory are disposed in the adherent device.

17. A method of collecting physiological data, the method comprising:

obtaining digital data representing an electrocardiogram of a patient;

detecting from the digital data a first episode of one of the plurality of cardiac rhythm types in the patient;

storing in an electronic memory a data snapshot of the first episode;

detecting from the digital data a second episode of one of the plurality of cardiac rhythm types in the patient; and

making one or more of the following determinations;

whether a respective refractory period has elapsed since the most recent recording of a data snapshot of an episode of the same rhythm type as the second episode, wherein the refractory period begins at an offset of the first episode and must elapse before an onset of the second episode;

whether storing a data snapshot of the second episode would exceed a respective maximum recording rate assigned to the rhythm type of the second episode; and

whether recording of a data snapshot of the second episode is inhibited by the recording of a different data snapshot; and

evaluating whether storing of a data snapshot of the second episode is prohibited by the outcome of any one of the one or more determinations made; and

storing in the electronic memory a data snapshot of the second episode only if such storing is not prohibited by the outcome of any of the one or more determinations made.

18. The method of claim 17, further comprising storing in the electronic memory an indication of the occurrence of each episode, regardless of whether a data snapshot of the episode is stored.

19. The method of claim 17, further comprising:

sensing a non-electrocardiogram physiological parameter of the patient; and

adjusting at least one criterion for storage of electrocardiogram data snapshots based at least in part on the sensed non-electrocardiogram physiological parameter of the patient.