Implantable medical device with temperature measuring and storing capability

• US 8,433,406 B2
• Filed: 11/02/2011
• Issued: 04/30/2013
• Est. Priority Date: 03/30/2001
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Balczewski, Ron A., Von Arx, Jeffrey A., Linder, William J., Amundson, Mark D.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US13/287,751
• Publication Number:
  US 20120046708A1
• Time in Patent Office: 545 Days
• Field of Search: 607/6
• US Class Current: 607/6
• CPC Class Codes: A61B 5/0008 Temperature signals
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61N 1/3655 controlled by body or blood temperature
• CPC Class Codes: G01K 13/20 Clinical contact thermometers for use with humans or animals

Abstract

An implantable medical device such as a cardiac pacemaker or implantable cardioverter/defibrillator with the capability of storing body temperature measurements taken periodically and/or when triggered by particular events.

Claims

1. A method, comprising:

configuring a medical device for implantation into a patient, wherein the medical device includes sensing and therapy circuitry interfaced to a controller contained within an implantable housing;

incorporating a temperature sensor for measuring temperature within the implantable housing, wherein the temperature sensor is interfaced to the controller and wherein the temperature sensor utilizes a proportional-to-absolute-temperature (PTAT) current source to generate a temperature signal;

programming the controller to monitor and store temperatures measured by the temperature sensor; and

,

programming the controller to either flag or not gather temperature measurements during periods when a capacitor used for delivering electrical therapy is being reformed.

2. The method of claim 1 wherein the temperature sensor further comprises:

a PTAT current source;

first and second oscillators;

a counter; and

,

wherein the PTAT current source feeds into the first oscillator in order to generate a clock signal with a frequency proportional to the PTAT current, and the counter compares the first oscillator clock frequency to a stable timebase generated by the second oscillator in order to generate a number that is proportional to temperature.

3. The method of claim 1 further comprising programming the controller to not gather temperature measurements during periods when shock therapy is being delivered.

4. The method of claim 1 further comprising programming the controller to flag temperature measurements taken during periods when shock therapy is being delivered.

5. The method of claim 1 further comprising programming the controller to measure temperature periodically before implantation of the device.

6. The method of claim 1 further comprising programming the controller to calibrate the temperature sensor by adjusting sensor measurements by an amount equal to the difference between an average temperature measurement and a nominal temperature assumed to be maintained by the patient'"'"'s body.

7. The method of claim 1 further comprising programming the controller to associate a temperature measurement with a simultaneously measured heart rate.

8. A medical device, comprising:

an implantable housing;

sensing and therapy circuitry interfaced to a controller contained within the implantable housing, wherein the therapy circuitry includes one or more capacitors for delivering electrical therapy;

a temperature sensor for measuring temperature within the implantable housing, wherein the temperature sensor is interfaced to the controller and wherein the temperature sensor utilizes a proportional-to-absolute-temperature (PTAT) current source to generate a temperature signal;

wherein the controller is programmed to monitor and store temperatures measured by the temperature sensor; and

,

wherein the controller is programmed to either flag or not gather temperature measurements during periods when one or more of the capacitors used for delivering electrical therapy is being reformed.

9. The device of claim 8 wherein the temperature sensor further comprises:

a PTAT current source;

first and second oscillators;

a counter; and

,

wherein the PTAT current source feeds into the first oscillator in order to generate a clock signal with a frequency proportional to the PTAT current, and the counter compares the first oscillator clock frequency to a stable timebase generated by the second oscillator in order to generate a number that is proportional to temperature.

10. The device of claim 8 wherein the controller is programmed to not gather temperature measurements during periods when shock therapy is being delivered.

11. The device of claim 8 wherein the controller is programmed to flag temperature measurements taken during periods when shock therapy is being delivered.

12. The device of claim 8 wherein the controller is programmed to measure temperature periodically before implantation of the device.

13. The device of claim 8 wherein the controller is programmed to calibrate the temperature sensor by adjusting sensor measurements by an amount equal to the difference between an average temperature measurement and a nominal temperature assumed to be maintained by the patient'"'"'s body.

14. The device of claim 8 wherein the controller is programmed to associate a temperature measurement with a simultaneously measured heart rate.