System and method for alerting to unusual/atypical programming changes of a medical device

• US 9,440,085 B2
• Filed: 02/02/2015
• Issued: 09/13/2016
• Est. Priority Date: 03/17/2014
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Thakur, Pramodsingh Hirasingh
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US14/611,922
• Publication Number:
  US 20150258343A1
• Time in Patent Office: 589 Days
• US Class Current: 1/1
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37258 Alerting the patient
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: G16H 40/63 for local operation

Abstract

An apparatus comprises a communication circuit configured to communicate information with an ambulatory medical device, a user interface configured to receive a programmable parameter for the ambulatory medical device from a user, a memory to store a distribution of values for the programmable parameter, wherein the distribution is representative of values of the parameter programmed for a patient population, and a processor circuit configured to compare a received value of the programmable parameter to a distribution of programmed values for the programmable parameter and present results of the comparison to the user via a display of the user interface.

Claims

1. A method of operating a medical device system, the method comprising:

receiving a value of a programmable parameter of an ambulatory cardiac rhythm device from a user;

comparing, by the medical device system, the value of the programmable parameter to a distribution of values for the programmable parameter, wherein the distribution is representative of values of the parameter programmed for a patient population; and

presenting results of the comparison to the user;

wherein the programmable parameter is a mode in which the cardiac rhythm device operates or a lower rate limit for the cardiac rhythm device;

wherein presenting the results of the comparison to the user includes identifying a number of occurrences of the value of the parameter programmed in the patient population.

2. The method of claim 1,

wherein receiving the value of a programmable parameter includes receiving a value of a programmable parameter into a programming device for the ambulatory cardiac rhythm device;

wherein comparing the value of the programmable parameter to a distribution includes comparing the value of the programmable parameter to a distribution of programmed values for the programmable parameter stored in the programming device; and

wherein presenting the result of the comparison includes presenting the results of the comparison to the user using a display of the programming device.

3. The method of claim 2, including recurrently updating the distribution of values for the programmable parameter stored in the programming device.

4. The method of claim 2, wherein presenting the result of the comparison includes presenting an alert according to the result of the comparison to the distribution and changing the value of the programmable parameter upon receiving a confirmation from the user at the programming device.

5. The method of claim 1,

wherein receiving the value of a programmable parameter includes uploading the value of the programmable parameter from the ambulatory cardiac rhythm device to a server;

wherein comparing the value of the programmable parameter to a distribution includes comparing the value of the programmable parameter to a distribution of values for the programmable parameter stored in the server; and

wherein presenting the result of the comparison includes communicating an indication of the result of the comparison to a second device for presentation to the user.

6. The method of claim 5, wherein receiving the value of a programmable parameter includes uploading the value of the programmable parameter using a communicator device located locally to the ambulatory cardiac rhythm device and communicating the value of the programmable parameter to a server located remotely from the ambulatory cardiac rhythm device.

7. The method of claim 1, wherein comparing the value of the programmable parameter to a distribution includes matching a characteristic of a patient for the ambulatory cardiac rhythm device to a distribution for a patient population having a similar characteristic.

8. The method of claim 1, wherein presenting the result of the comparison includes presenting the value of the programmable parameter in context with the distribution of programmed values for the programmable parameter.

9. An apparatus comprising:

a communication circuit configured to communicate information with an ambulatory cardiac rhythm device;

a user interface configured to receive a programmable parameter for the ambulatory cardiac rhythm device from a user;

a memory to store a distribution of values for the programmable parameter, wherein the distribution is representative of values of the parameter programmed for a patient population; and

a processor circuit configured to compare a received value of the programmable parameter to a distribution of programmed values for the programmable parameter and present results of the comparison to the user via a display of the user interface;

wherein the results of the comparison includes identification of a number of occurrences of the value of the parameter programmed in the patient population;

wherein the programmable parameter is a mode in which the cardiac rhythm device operates or a lower rate limit for the cardiac rhythm device.

10. The apparatus of claim 9, wherein the processor circuit is configured to present an alert according to the result of the comparison to the distribution and communicate the received value of the programmable parameter to the ambulatory cardiac rhythm device upon receiving a confirmation of the value via the user interface.

11. The apparatus of claim 10, wherein the processor circuit is configured to recurrently receive a distribution of values for the programmable parameter according to at least one of a model number or model type of the ambulatory cardiac rhythm device.

12. The apparatus of claim 9, wherein the processor circuit is configured to recurrently receive a distribution of values for the programmable parameter and update the stored distribution of values for the programmable parameter.

13. The apparatus of claim 9, wherein the user interface includes a display and wherein the processor circuit is configured to present the received value of the programmable parameter in context with the distribution of programmed values for the programmable parameter.

14. A medical device system comprising a first communicator device including:

a communication circuit configured to communicate information associated with an ambulatory cardiac rhythm device; and

a processor circuit configured to;

determine that a current value of a programmable parameter of the ambulatory cardiac rhythm device is different from a previous value of the programmable parameter;

compare the change in value of the programmable parameter to a distribution of changes in values for the programmable parameter, wherein the distribution is representative of changes in values of the parameter programmed for a patient population; and

present results of the comparison to a user, wherein the results of the comparison includes identifying a number of occurrences of the change in value of the parameter programmed in the patient population;

wherein the programmable parameter is a mode in which the cardiac rhythm device operates or a lower rate limit for the cardiac rhythm device.

15. The system of claim 14, including:

a second communicator device including a communication circuit configured to communicate programmable information with the ambulatory cardiac rhythm device and to communicate programmable information for the ambulatory cardiac rhythm device with the first communicator device,

wherein the first communicator device is configured to communicate information with the ambulatory cardiac rhythm device via the second communicator device,

wherein the communication circuit of the second communicator device is configured for local communication with the ambulatory cardiac rhythm device, and

wherein the communication circuit of the first communicator device is configured for remote communication with the second communicator device.

16. The system of claim 15, wherein the second communicator device includes a home communicator device for the ambulatory cardiac rhythm device and the first communicator device includes a server.

17. The system of claim 14, wherein the communication circuit of the second communicator device is configured to communicate information with an implantable cardiac function management device.

18. The system of claim 14, wherein the first communicator device includes a memory circuit configured to store one or more distributions for the programmed values for the programmable parameter, and wherein the processor circuit is configured to determine a characteristic of a patient for the ambulatory cardiac rhythm device and to compare the value of the programmable parameter to a distribution for a patient population having a similar characteristic.

19. The system of claim 18, wherein the processor circuit is configured to identify a distribution for comparison of the current value of the programmable parameter using at least one of a model type or model number of the ambulatory cardiac rhythm device.

20. The system of claim 14, including a display, wherein the first communicator device is configured to present the value of the programmable parameter in context with the distribution of programmed values for the programmable parameter using the display.