PHYSIOLOGICAL BLOOD PRESSURE WAVEFORM COMPRESSION IN AN ACOUSTIC CHANNEL

• US 20110082376A1
• Filed: 08/11/2010
• Published: 04/07/2011
• Est. Priority Date: 10/05/2009
• Status: Abandoned Application

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Peterson, Jon N., Bange, Joseph E., Huelskamp, Paul J.
• Application Number:
  US12/854,703
• Publication Number:
  US 20110082376A1
• Time in Patent Office: Days
• US Class Current: 600/486
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• 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 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• CPC Class Codes: H04L 1/0057 Block codes H04L1/0061, H04L1/0064 take precedence
• CPC Class Codes: H04L 1/0065 Serial concatenated codes

Abstract

Methods, systems and devices for processing blood pressure measurements are disclosed. An illustrative method includes transmitting a command to an implantable medical device including a blood pressure sensor. The method includes receiving a response from the implantable medical device, the response indicating that the device initiated the sensing of blood pressure measurements. The method includes receiving one or more data packets from the implantable medical device. The one or more data packets can include a base pressure measurement that is representative of a starting point of a blood pressure waveform. The one or more data packets further include a delta value measurement representative of a difference between another blood pressure measurement and the base pressure measurement, or a difference between a current measurement and one or more previous measurements. Additionally, the method includes generating a pressure waveform from the one or more data packets.

Claims

1. A method of processing blood pressure measurements transmitted from an implantable medical device including a blood pressure sensor to a receiving device, the method comprising:

transmitting a command to the implantable medical device, the command prompting the implantable medical device to sense blood pressure measurements;

receiving a response from the implantable medical device, the response indicating that the device initiated the sensing of blood pressure measurements;

receiving one or more data packets from the implantable medical device, the one or more data packets including;

a base pressure measurement representative of a starting point of a blood pressure waveform, and

a measurement representative of a difference between another blood pressure measurement and the base pressure measurement; and

generating a pressure waveform from the one or more packets.

2. The method according to claim 1, wherein the command includes at least a measuring interval indicating a time interval for sampling the blood pressure waveform, a marker interval indicating a time interval for sending a marker, and a sampling rate indicating a time interval between sampling sensed blood pressure measurements of the blood pressure waveform.

3. The method according to claim 1, further comprising:

performing error correction on the one or more received packets using one or more parity bits included in each packet of the received one or more data packets, wherein

the one or more parity bits included in each packet of the received one or more data packets includes at least one row parity bit and at least one column parity bit; and

detecting an error when at least one bit in the one or more received packets does not correspond to the at least one row parity bit and the at least one column parity bit.

4. The method according to claim 1, further comprising:

synchronizing the one or more received packets using a marker included in the one or more received packets, the marker having a unique value non-representative of the blood pressure measurements, wherein

a first packet received after the marker is received is identified as a first portion of the base pressure measurement, and

a second packet received after the first packet is identified as a second portion of the base pressure measurement.

5. The method according to claim 1, further comprising:

reconstructing a blood pressure waveform from the received one or more data packets, wherein, for each data point on the blood pressure waveform, the measurement representative of a difference between the another blood pressure measurement and the base pressure measurement is added to the base pressure measurement.

6. The method according to claim 1, wherein the measurement representative of the difference is encoded using an encoding range including a range of discrete values.

7. The method according to claim 1, wherein the one or more data packets include at least a sync bit, a predetermined number of data bits, a row parity bit, and a column parity bit.

8. An implantable medical device configured to sample a blood pressure waveform, the device comprising:

a response module configured to receive a command from a communicating device, the command including parameters for sampling a blood pressure waveform, the parameters specifying at least a sampling rate and a resolution;

the response module configured to transmit a response packet to the communicating device in response to the command;

a pressure measurement module configured to sense the blood pressure waveform;

an ADC module configured to obtain a blood pressure sample by sampling the blood pressure waveform at the sampling rate;

a resolution conversion module configured to convert the blood pressure sample to the resolution;

a delta module configured to determine a difference measurement between the converted blood pressure sample and a previous blood pressure sample;

an encoding module configured to encode the determined difference measurement using an encoding range including a range of discrete values;

a packet module configured to generate a data packet including the difference measurement; and

the packet module configured to transmit the data packet to the communicating device.

9. The device of claim 8, wherein:

the packet module is further configured to transmit a marker to the device in accordance with a marker interval, the marker interval included in the command, the marker having a unique value non-representative of the blood pressure measurement;

the packet module is further configured to transmit a first packet after transmission of the marker, the first packet including a first portion of a base pressure measurement; and

the packet module is further configured to transmit a second packet after transmission of the first packet, the second packet including a second portion of the base pressure measurement.

10. The device of claim 8, further comprising:

a parity module configured to determine a row parity bit by counting a number of ones included in the data packet; and

the parity module configured to determine a column parity bit of a packet set transmitted prior to the transmission of the data packet,

wherein the packet module is further configured to prepare the data packet by inserting the row parity bit and column parity bit in the data packet.

11. The device of claim 8, wherein the encoding module is further configured to adjust the encoding range using a range of the blood pressure values of the sampled blood pressure waveform.

12. The device of claim 8, wherein:

the encoding module is further configured to determine an overflow result when the difference measurement exceeds a maximum range of the encoded range; and

the packet module is further configured to transmit the overflow result in another data packet.

13. The device of claim 8, wherein the data packet includes at least a sync bit, a number of data bits, a row parity bit, and a column parity bit.

14. A system for sampling a blood pressure waveform, the system comprising:

an external device communicable with an implantable medical device, the external device including;

a command module configured to transmit a command to the implantable medical device, the command including parameters for sampling a blood pressure waveform; and

the implantable medical device including;

a response module configured to transmit a response packet to a second device in response to the command;

a pressure measurement module configured to obtain a blood pressure measurement by sampling the blood pressure waveform at a sampling rate;

a resolution conversion module configured to convert the blood pressure measurement to a resolution;

a delta module configured to determine a difference measurement between the converted sampled blood pressure waveform and a previous sample;

an encoding module configured to encode the determined difference measurement using an encoding range including a range of discrete values; and

a packet module configured to prepare the determined difference measurement as a data packet;

wherein the packet module is configured to transmit the data packet to the external device.

15. The system according to claim 14, wherein:

the packet module is further configured to transmit a marker to the external device in accordance with a marker interval, the marker interval included in the command, the marker having a unique value non-representative of the blood pressure measurement;

the packet module is further configured to transmit a first packet after transmission of the marker, the first packet including a first portion of a base pressure measurement; and

the packet module is further configured to transmit a second packet after transmission of the marker, the second packet including a second portion of the base pressure measurement.

16. The system according to claim 14, wherein the implantable device further comprises:

a parity module configured to determine a row parity bit by counting a number of ones included in the data packet;

the parity module is configured to determine a column parity bit of a packet set transmitted prior to the transmission of the data packet; and

wherein

the packet module is further configured to prepare the data packet by inserting the row parity bit and column parity bit in the data packet.

17. The system according to claim 14, wherein the external device further includes:

an error detection module configured to detect one or more errors in the data packet using at least the row parity bit and the column parity bit; and

an error correction module configured to correct the one or more errors in the data packet.

18. The system according to claim 14, wherein

the encoding module is further configured to adjust the encoding range using a range of the sampled blood pressure waveform.

19. The system according to claim 14, wherein the packet module is further configured to determine an overflow result when the determined difference exceeds a maximum range of the encoded range and transmit the overflow result in another data packet.

20. The system according to claim 14, wherein the external device further includes:

a waveform reconstruction module configured to reconstruct the blood pressure waveform by adding the encoded difference included in the data packet to a base pressure measurement.