Advanced patient management with environmental data

• US 7,983,745 B2
• Filed: 01/08/2009
• Issued: 07/19/2011
• Est. Priority Date: 12/18/2002
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stahmann, Jeffrey E., Hatlestad, John D., Zhu, Qingsheng
• Primary Examiner(s): Getzow; Scott M
• Application Number:
  US12/350,875
• Publication Number:
  US 20090124917A1
• Time in Patent Office: 922 Days
• Field of Search: 600508-523, 600/529, 607 4- 28
• US Class Current: 600/513
• CPC Class Codes: A61B 2560/0247 for compensation or correction of the measured physiological value
• CPC Class Codes: A61B 2560/0252 using ambient temperature
• CPC Class Codes: A61B 2560/0257 using atmospheric pressure
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/0537 Measuring body composition by impedance, e.g. tissue hydration or fat content
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/091 Measuring volume of inspired or expired gases, e.g. to determine lung capacity
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R
• 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 1/37282 characterised by communication with experts in remote locations using a network
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Systems, devices and methods for using environmental data to manage health care are disclosed. One aspect is an advanced patient management system. In various embodiments, the system includes at least one implantable medical device (IMD) to acquire at least one IMD parameter indicative of patient wellness, means to acquire at least one environmental parameter from at least one external source, and means to correlate the at least one parameter indicative of patient wellness and the at least one environmental parameter to assist with patient health care decisions. Other aspects and embodiments are provided herein.

Claims

1. A system for monitoring respiration in a heart failure patient, comprising:

an implantable medical device (IMD), including a respiration sensor to acquire a respiration parameter for the heart failure patient; and

at least one external device, including an environmental parameter input for acquiring an environmental parameter that is capable of affecting the respiration parameter,

wherein the IMD and the at least one external device are configured to wirelessly communicate with each other, and are configured to cooperate to provide an indication of whether a change in the respiration parameter is attributable to a change in the environmental parameter.

2. The system of claim 1, wherein the environmental parameter includes altitude.

3. The system of claim 1, wherein the environmental parameter includes temperature.

4. The system of claim 1, wherein the environmental parameter includes air quality.

5. The system of claim 1, wherein the environmental parameter includes pollen count.

6. The system of claim 1, wherein the environmental parameter includes humidity.

7. The system of claim 1, wherein the environmental parameter includes environmental pressure.

8. The system of claim 1, further comprising a display configured to display a trend of the respiration and environmental parameters to provide the indication of whether a change in the respiration parameter is attributable to a change in the environmental parameter.

9. The system of claim 1, wherein the IMD or the at least one external device is configured to calculate a correlation between the respiration and environmental parameters to provide the indication of whether a change in the respiration parameter is attributable to a change in the environmental parameter.

10. The system of claim 1, wherein the IMD is configured to provide a therapy, and the IMD and the at least one external device are configured to cooperate to change the therapy in response to the indication of whether changes in the respiration parameter are attributable to changes in the environmental parameter.

11. The system of claim 1, wherein the IMD and the at least one external device are configured to cooperate to factor in the environmental parameter in determining a value for the respiration parameter, or in displaying the respiration parameter, or in delivering an IMD therapy.

12. A system for monitoring respiration in a heart failure patient, comprising:

means to provide an indicator of heart failure status for the patient, wherein the means to provide the indicator including means to sense a respiration parameter using an implantable medical device and track respiration parameter values over the time period;

means to acquire an environmental parameter over the time period; and

means to provide an indication of whether a change in the respiration parameter values is attributable to a change in the environmental parameter.

13. The system of claim 12, wherein:

the means to sense a respiration parameter includes means to sense a respiration rate, respiratory tidal volume, or respiratory rhythm; and

the means to provide an indication includes means to provide an indication of whether changes in the respiration rate, respiratory tidal volume, or the respiratory rhythm are attributable to changes in the environmental parameter.

14. The system of claim 12, wherein:

the means to acquire an environmental parameter includes means to acquire altitude; and

the means to provide an indication includes means to provide an indication of whether a change in the respiration rhythm is attributable to a change in altitude.

15. The system of claim 12, wherein:

the means to acquire an environmental parameter includes means to acquire temperature; and

the means to provide an indication includes means to provide an indication of whether a change in the respiration rhythm is attributable to a change in temperature.

16. The system of claim 12, wherein:

the means to acquire an environmental parameter includes means to acquire air quality; and

the means to provide an indication includes means to provide an indication of whether a change in the respiration rhythm is attributable to a change in air quality.

17. The system of claim 12, wherein:

the means to acquire an environmental parameter includes means to acquire pollen counts; and

the means to provide an indication includes means to provide an indication of whether a change in the respiration rhythm is attributable to a change in pollen count.

18. The system of claim 12, wherein:

the means to acquire an environmental parameter includes means to acquire humidity; and

the means to provide an indication includes means to provide an indication of whether a change in the respiration rhythm is attributable to a change in humidity.

19. The system of claim 12, wherein:

the means to acquire an environmental parameter includes means to acquire environmental pressure; and

the means provide an indication includes means to provide an indication of whether a change in the respiration rhythm is attributable to a change in environmental pressure.

20. The system of claim 12, wherein the means to acquire an environmental parameter includes means to acquire the environmental parameter from a database, wherein the database stores environmental parameter values over the time period.

21. The system of claim 12, further including an external sensor, wherein the means to acquire an environmental parameter includes means to acquire the environmental parameter from the external sensor.

22. The system of claim 12, wherein the means to provide an indication of whether a change in the respiration parameter is attributable to a change in the environmental parameter includes means to calculate a correlation for the respiration parameter and the environmental parameter.

23. The system of claim 12, further comprising a display, wherein the means to provide an indication of whether changes in the respiration parameter is attributable to changes in the environmental parameter includes means to display values for the respiration parameter and the environmental parameter to promote visual correlation.

24. A method to monitor respiration in a heart failure patient, comprising:

providing an indicator of heart failure status of the patient, wherein providing the indicator of heart failure status includes using an implantable medical device (IMD) to sense a respiration parameter over a time period;

acquiring an environmental parameter over the time period, wherein the environmental parameter is capable of affecting the respiration parameter; and

determining if a change in the respiration parameter is attributable to a change in the environmental parameter.

25. The method of claim 24, wherein the respiration parameter includes a respiration rate, respiratory tidal volume, or a respiratory rhythm.

26. The method of claim 25, wherein the environmental parameter includes at least one environmental parameter selected from the group of environmental parameters consisting of:

altitude, temperature, air quality, pollen counts, humidity, and environmental pressure.

27. The method of claim 24, wherein acquiring an environmental parameter includes:

acquiring the environmental parameter from a database, wherein the database stores environmental parameter values over the time period;

or

acquiring the environmental parameter from an external sensor.

28. The method of claim 24, wherein determining if a change in the respiration parameter is attributable to a change in the environmental parameter includes calculating a correlation for the respiration parameter and the environmental parameter.

29. The method of claim 24, wherein determining if a change in the respiration parameter is attributable to a change in the environmental parameter includes displaying a trend between the respiration parameter and the environmental parameter on the display.