Systems and methods for patient activated capture of transient data by an implantable medical device

• US 9,889,305 B1
• Filed: 08/10/2016
• Issued: 02/13/2018
• Est. Priority Date: 08/10/2016
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Hellman, Heidi, Urbanski, Joanna, Skup, Simon
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US15/233,765
• Publication Number:
  US 20180043173A1
• Time in Patent Office: 552 Days
• Field of Search: None
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61N 1/36514 controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585
• CPC Class Codes: A61N 1/3712 Auto-capture, i.e. automatic adjustment of the stimulation threshold
• 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: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

Systems and methods are provided for managing patient activated capture of transient data by an implantable medical device (IMD). The systems and methods collect transient data using the IMD. The collected transient data is stored in a temporary memory section of the IMD. The IMD receives a patient activated storage request including activation information related to a patient designated trigger point from an external device. The IMD transfers a segment of the transient data from the temporary memory section to a long-term memory, wherein the segment of transferred transient data is based on the trigger point. The activation information includes an elapsed time corresponding to a duration of time between entry of the trigger point and issuance of the patient activated storage request by an external activation device.

Claims

1. A method for managing patient activated capture of transient data by an implantable medical device (IMD), the method comprising:

collecting transient data utilizing an IMD;

storing the transient data in a temporary memory section of the IMD device;

receiving a patient activated (PA) storage request, the PA storage request including activation information related to a duration of time between entry of a patient designated trigger point and a connection event wherein the IMD establishes a communications link to an external activator device;

transferring a segment of the transient data from the temporary memory section to a long-term memory, wherein the segment is based at least in part on the trigger point and the activation information; and

analyzing the transient data to detect a condition experienced by the patient at the patient entered trigger point and modifying therapy delivered to the patient in response to the detected condition.

2. The method of claim 1, wherein the activation information includes an elapsed time corresponding to a duration of time between entry of the trigger point and issuance of the PA storage request by an external activation device.

3. The method of claim 1, wherein the activation information includes a patient condition indicator indicative of a condition experienced by the patient at the patient entered trigger point, the method further comprising storing the patient condition indicator with the segment of transient data.

4. The method of claim 1, further comprising receiving, as the trigger point, an input by a user to an external activator device, the external activator device transmitting the PA storage request based on the input.

5. The method of claim 1, further comprising establishing a communications link between the IMD and an external activator device.

6. The method of claim 1, further comprising providing an application, to run on an external activator device, the application to:

identify a trigger time stamp corresponding to a point in time when the trigger point occurs;

identify a connection time stamp corresponding to a point in time when a communications link is established between the IMD and the external activator device; and

calculating an elapsed time based on the trigger and connection time stamps, the elapsed time representing at least a portion of the activation information.

7. The method of claim 1, wherein the segment of the transient data includes a starting point corresponding to the point in time when the patient entered trigger point occurred.

8. The method of claim 1, further comprising establishing a communications session between the IMD and the external device, the communications session utilizing a wireless protocol having a connection establishment delay.

9. The method of claim 1, wherein the collecting operation collects electrocardiogram (EGM) data as the transient data and the transferring operation includes copying EGM data from the temporary memory section to the long term memory.

10. The method of claim 7, further comprising transmitting the EGM data from the IMD to the external device.

11. An implantable medical device (IMD), comprising:

an input to collect transient data;

temporary memory section to store temporarily the transient data;

a transceiver circuit to receive a patient activated (PA) storage request, the PA storage request including activation information related to a patient designated trigger point and an elapsed time corresponding to a duration of time between entry of the trigger point and a connection event at which the IMD establishes a communications link to an external activator device; and

a processor to transfer a segment of the transient data from the temporary memory section to a long-term memory, wherein the segment is based at least in part on the trigger point and the active information.

12. The device of claim 11, further comprising one or more sensors connected to a sensing circuit to sense cardiac signals as the transient data.

13. The device of claim 11, wherein the transceiver circuit is configured to establish a communications session between the IMD and an external activator device utilizing a wireless protocol having a connection establishment delay.

14. The device of claim 11, wherein the transceiver circuit is configured to transmit the transient data from the IMD to an external activator device.

15. A system, comprising:

an implantable medical device (IMD), comprising;

an input to collect transient data;

temporary memory section to store temporarily the transient data;

a transceiver circuit to receive a patient activated (PA) storage request, the PA storage request including activation information related to a patient designated trigger point and an elapsed time corresponding to a duration of time between entry of the trigger point and a connection event at which the IMD establishes a communications link to an external activator device; and

a processor to transfer a segment of the transient data from the temporary memory section to a long-term memory, wherein the segment is based on the trigger point; and

the external activator device, comprising memory storing program instructions and a processor that, when executing the program instructions, identifies a trigger point in response to a user input and transmits the PA storage request and activation information based on the user input.

16. The system of claim 15, wherein processor of the external activator device further:

identifies a trigger time stamp corresponding to a point in time when the trigger point occurs;

identifies a connection time stamp corresponding to a point in time when a communications link is established between the IMD and the external activator device; and

calculates an elapsed time based on the trigger and connection time stamps, the elapsed time representing at least a portion of the activation information.

17. The system of claim 15, wherein the segment of the transient data includes a starting point corresponding to the point in time when the patient entered trigger point occurred.

18. The system of claim 15, wherein the activation information includes a connection event time stamp represents establishment of a communications link between the IMD and the external activator device.

19. The system of claim 15, wherein the external activator device transmits an indication of patient condition to the IMD with the PA storage request.