ADAPTIVE EVENT STORAGE IN IMPLANTABLE DEVICE

• US 20160243370A1
• Filed: 05/02/2016
• Published: 08/25/2016
• 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
• Granted Patent: US 9,662,504 B2
• Time in Patent Office: Days
• 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 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• 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

1-20. -20. (canceled)

21. A system, comprising:

a physiological data monitor, configured to monitor one or more physiological data parameters;

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

detect an episode predictor condition using a first physiological data parameter monitored by the physiological data monitor, wherein the episode predictor condition is predictive of a possible future pathological episode;

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

determine that the episode predictor condition is associated with the present pathological episode.

22. The system of claim 21, wherein detecting the episode predictor condition includes detecting that the first physiological data parameter exceeds an episode predictor condition threshold but stays below an episode beginning condition threshold.

23. The system of claim 22, where detecting the episode beginning condition includes detecting that the second physiological data parameter exceeds the episode beginning condition threshold.

24. The system of claim 21, further including:

a static memory buffer configured to store a time segment of a third physiological data parameter monitored by the physiological data monitor when triggered by the detection of the episode predictor condition;

a rolling memory buffer used to continually store a fixed segment of a fourth physiological data parameter monitored by the physiological data monitor; and

a memory configured to store data retained in the static memory buffer and the rolling memory buffer, when triggered by the detection of the episode beginning condition by the processor, for later use by the processor or for output to an external device.

25. The system of claim 24, wherein, in response determining that the episode predictor condition is associated with the present pathological episode, the processor is configured to associate the data retained in the static memory buffer with the data retained in the rolling memory buffer.

26. The system of claim 21, wherein the episode beginning condition is different form the episode predictor condition.

27. The system of claim 21, wherein the physiological data monitor is configured to monitor one or more sensors, including:

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.

28. The system of claim 27, wherein one or more of the sensors are internal sensors.

29. The system of claim 27, wherein one or more of the sensors are external sensors.

30. The system of claim 21, wherein determining that the episode predictor condition is associated with the present pathological episode includes determining that the episode predictor condition occurred within a specified time period of the present pathological episode.

31. The system of claim 21, wherein determining that the episode predictor condition is associated with the present pathological episode includes determining that the episode predictor condition substantially persisted for a specified time period until the episode beginning condition was detected.

32. The system of claim 31, wherein determining that the episode predictor condition substantially persisted includes detecting a period of time, between the initial detection of the episode predictor condition and the detection of the episode beginning condition, during which the episode predictor condition is absent.

33. A system, comprising:

a physiological data monitor, configured to monitor one or more physiological data parameters;

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

detect an episode predictor condition using a first physiological data parameter monitored by the physiological data monitor, wherein the episode predictor condition is predictive of a possible future pathological episode;

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

determine that the episode predictor condition is associated with the present pathological episode, wherein detecting the episode predictor condition includes detecting that the first physiological data parameter exceeds an episode predictor condition threshold but stays below an episode beginning condition threshold.

34. The system of claim 33, wherein the pathological episode is an arrhythmic episode.

35. The system of claim 33, wherein the physiological data monitor is configured to monitor one or more of an internal sensor and an external sensor.

36. The system of claim 33, further including:

a static memory buffer configured to store a time segment of a third physiological data parameter monitored by the physiological data monitor when triggered by the detection of the episode predictor condition;

a rolling memory buffer used to continually store a fixed segment of a fourth physiological data parameter monitored by the physiological data monitor; and

a memory configured to store data retained in the static memory buffer and the rolling memory buffer, when triggered by the detection of the episode beginning condition by the processor, for later use by the processor or for output to an external device.

37. A method, comprising:

monitoring first physiological data using a physiological monitor;

using the monitored first physiological data, detecting an episode predictor condition predictive of a possible future pathological episode;

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

monitoring third physiological data using the physiological monitor;

using the monitored third 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 fourth physiological data associated with the detecting of the episode beginning condition; and

determining that the episode predictor condition is associated with the present pathological episode.

38. The method of claim 37, wherein, in response to determining that the episode predictor condition is associated with the present pathological episode, storing the collected second physiological data in association with the fourth physiological data.

39. The method of claim 37, wherein the physiological monitor monitors one or more sensors, wherein one or more of the sensors are external sensors.

40. The method of claim 37, wherein determining that the episode predictor condition is associated with the present pathological episode including determining that the episode predictor condition occurred within a specified time period of the present pathological episode.