Method and apparatus for determining longevity

• US 9,656,088 B2
• Filed: 11/25/2015
• Issued: 05/23/2017
• Est. Priority Date: 11/26/2014
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Schilling, Eric A, Flo, Daniel S
• Primary Examiner(s): Manuel, George
• Application Number:
  US14/952,196
• Publication Number:
  US 20160151631A1
• Time in Patent Office: 545 Days
• CPC Class Codes: A61N 1/3708 for power depletion
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

A method and apparatus for determining estimated remaining longevity for an implantable stimulator. A programmer processor is employed to acquire from the implantable stimulator a signal comprising data associated with the power source in the implantable stimulator and a date in which the stimulator was implanted. The programmer processor and the data are used to determine whether a pre-recommended replacement time threshold (pre-RRT) has been attained for replacing the implantable stimulator. The programmer processor is used to select an equation in which to calculate a recommended replacement time (RRT), the equation is selected in response to determining a time period that extends from the date in which the stimulator was implanted until a date in which the pre-RRT is attained.

Claims

1. A method of determining estimated remaining longevity for an implantable stimulator having a power source, comprising:

using a programmer processor to acquire from the implantable stimulator a signal comprising data associated with the power source in the implantable stimulator and a date in which the stimulator was implanted;

using the programmer processor and the data to determine whether a pre-recommended replacement time threshold (pre-RRT) has been attained for replacing the implantable stimulator;

using the programmer processor to select an equation in which to calculate a recommended replacement time (RRT), the equation is selected in response to determining a time period that extends from the date in which the stimulator was implanted until a date in which the pre-RRT is attained; and

using the programmer processor to generate a notification to a user as to the RRT.

2. The method of claim 1 wherein the notification is displayed on a graphical user interface of the programmer, the notification includes a date as to the remaining longevity.

3. The method of claim 1 wherein the data comprises one of voltage data and current data.

4. The method according to claim 1 wherein the equation for RRT=pre-RRT+90 days if the time period is less than 5 years from the implant date.

5. The method according to claim 1 wherein the equation for RRT=pre-RRT+180 days if the time period is in the range of about 5 to about 7 years from the implant date.

6. The method according to claim 1 wherein the equation for RRT=pre-RRT+360 days if the time period is greater than 7 years from the implant date.

7. The method according to claim 1 wherein the implantable stimulator changes a mode of operation in response to current drain.

8. An apparatus for determining estimated remaining longevity for an implantable stimulator having a power source, comprising:

means for employing the implantable stimulator to send a signal to a programmer processor, the signal comprising data associated with the power source in the implantable stimulator and a date in which the stimulator was implanted;

means for using the programmer processor and the data to determine whether a pre-recommended replacement time threshold (pre-RRT) has been attained for replacing the implantable stimulator;

means for using the programmer processor to select an equation in which to calculate a recommended replacement time (RRT), the equation is selected in response to determining a time period that extends from the date in which the stimulator was implanted until a date in which the pre-RRT is attained; and

means for using the programmer processor to generate a notification to a user as to the RRT.

9. The apparatus according to claim 8 further comprising:

means for displaying on a graphical user interface a date as to the remaining longevity.

10. The apparatus according to claim 8 wherein the equation for RRT=pre-RRT+90 days if the time period is less than 5 years from the implant date.

11. The apparatus according to claim 8 wherein the equation for RRT=pre-RRT+180 days if the time period is in the range of about 5 to about 7 years from the implant date.

12. The apparatus according to claim 8 wherein the equation for RRT=pre-RRT+360 days if the time period is greater than 7 years from the implant date.

13. The apparatus of claim 8 wherein the implantable stimulator comprises a cardiac resynchronization therapy pacemaker.

14. An apparatus for determining estimated remaining longevity for a cardiac resynchronization therapy pacemaker comprising a power source, comprising:

means for employing the pacemaker to signal a programmer, the signal comprising current drain data associated with the power source;

means for employing the programmer to compare the current drain data to a current threshold; and

means for employing the programmer to select a recommended replacement time of the pacemaker by using the current drain data, the current data associated with recommended replacement time.

15. The apparatus according to claim 14 further comprising:

means for displaying on a graphical user interface a date as to the remaining longevity.

16. A method according to claim 14 wherein the first current threshold is greater than about 20 microamperes.

17. A method according to claim 14 wherein the second current threshold is between about 15 microamperes and about 20 microamperes.

18. A method according to claim 14 wherein the third current threshold is less than about 15 microamperes.

19. A method of determining estimated remaining longevity for an implantable cardiac resynchronization therapy pacemaker having a power source, comprising:

employing the pacemaker to signal a programmer, the programmer having a processor;

employing the programmer processor to acquire current drain data from the signal;

employing the programmer processor to set the recommended replacement time (RRT) a pre-specified time period in response to the current drain data compared to a set of current data thresholds.

20. The method according to claim 19 further comprising:

displaying on a graphical user interface a date as to the remaining longevity.

21. A method according to claim 20 wherein the pre-specified time period is one of first, second and third time periods comprising 90 days, 210 days, and 360 days, respectively.

22. A method according to of claim 21 wherein the determined the first, second and third time periods are based upon a set of current data thresholds, the set of current data thresholds comprising a first current threshold, a second current threshold, and a third current threshold.

23. A method according to claim 19 wherein the device usage parameters that results in total current drain data comprise pacing pulse amplitude, pacing pulse duration percentage of pacing, pacing pulse width, pacing impedance, pacing rate, time in atrial tachycardia/atrial fribrillation (AT/AF), and EGM pre-storage.

24. A method according to claim 19 wherein the determination of remaining device longevity comprises a second defined time period in response to device current drain falling within a defined second current threshold.

25. A method according to claim 19 wherein the determination of remaining device longevity is performed initially in response to device current drain falling below a defined third current threshold.

26. A non-transitory programming medium comprising instructions for determining estimated remaining longevity for an implantable stimulator, comprising:

instructions for using a programmer processor to acquire from the implantable stimulator a signal comprising data associated with the power source in the implantable stimulator and a date in which the stimulator was implanted;

instructions for using the programmer processor and the data to determine whether a pre-recommended replacement time threshold (pre-RRT) has been attained for replacing the implantable stimulator;

instructions for using the programmer processor to select an equation in which to calculate a recommended replacement time (RRT), the equation is selected in response to determining a time period that extends from the date in which the stimulator was implanted until a date in which the pre-RRT is attained; and

instructions for using the programmer processor to generate a notification to a user as to the RRT.

27. An apparatus for determining estimated remaining longevity for an implantable stimulator having a power source and processor, comprising:

means for employing the processor to acquire data associated with the power source in the implantable stimulator and a date in which the stimulator was implanted;

means for using the processor and the voltage data to determine whether a pre-recommended replacement time threshold (pre-RRT) has been attained for replacing the implantable stimulator;

means for using the processor to select an equation in which to calculate a recommended replacement time (RRT), the equation is selected in response to determining a time period that extends from the date in which the stimulator was implanted until a date in which the pre-RRT is attained; and

means for using the processor to generate a notification to a user as to the RRT.