Remote calibration of an implantable patient sensor

• US 9,723,987 B2
• Filed: 09/29/2008
• Issued: 08/08/2017
• Est. Priority Date: 10/24/2007
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Goetz, Steven M.
• Primary Examiner(s): Toatley, Gregory J
• Assistant Examiner(s): DALBO, MICHAEL J
• Application Number:
  US12/738,047
• Publication Number:
  US 20100223020A1
• Time in Patent Office: 3,235 Days
• Field of Search: 702104, 607 6, 607 19
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• 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 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

Techniques for remotely calibrating an implanted patient sensor with a remote networking device are described. In some embodiments, the sensor is a component of an implantable medical device (IMD). The remote networking device communicates with the IMD via a network to which the IMD and/or external programmer is connected. The IMD may transmit sensor information to the remote networking device when the IMD detects a problem with the sensor or when the patient indicates that therapy is not correctly selected for different activities. New calibration settings may be remotely generated by directly interrogating the sensor and/or communicating with the patient in order to associate sensor output with patient activities, motions, or postures.

Claims

1. A method comprising:

receiving sensor information from an implantable medical device including an implantable accelerometer sensor at a remote networking device via a network, wherein the sensor information includes an output signal generated by the implantable accelerometer sensor that varies as a function of at least one of activity, motion, or posture of a patient, wherein the medical device is configured to determine the at least one of activity, motion, or posture of the patient using the signal generated by the implantable accelerometer sensor, wherein receipt of the output signal generated by the implantable accelerometer sensor indicates that a possible miscalibration has been identified;

presenting at least a portion of the received sensor information to a user via a user interface in response to receiving the sensor information;

subsequently receiving user input initiating calibration of the implantable accelerometer sensor; and

in response to the user input, calibrating the implantable accelerometer sensor via the remote networking device based on the output signal.

2. The method of claim 1, wherein calibrating the implantable accelerometer sensor comprises:

generating a new calibration setting for the implantable accelerometer sensor; and

transmitting the new calibration setting to at least one of the medical device or an external programmer for the medical device via the network.

3. The method of claim 1, wherein calibrating the implantable accelerometer sensor comprises:

determining that the implantable accelerometer sensor is inverted based on the output signal; and

inverting current calibration settings for the implantable accelerometer sensor based on the determination.

4. The method of claim 1, wherein calibrating the implantable accelerometer sensor comprises:

instructing the patient to assume a desired activity, motion, or posture; and

associating a value of the output signal generated by the implantable accelerometer sensor when the patient has assumed the desired activity, motion, or posture with the desired activity, motion, or posture.

5. The method of claim 1, wherein calibrating the implantable accelerometer sensor comprises:

instructing the patient to assume a predetermined posture;

receiving a value of the output signal generated by the implantable accelerometer sensor when the patient has assumed the predetermined posture;

comparing the received value to a previous value of the output signal when the patient previously assumed the predetermined posture; and

determining a calibration setting based on the comparison.

6. The method of claim 1, wherein calibrating the implantable accelerometer sensor comprises modifying at least one of a sensitivity, a length of hysteresis, or a degree of hysteresis of the implantable accelerometer sensor.

7. The method of claim 1, wherein calibrating the implantable accelerometer sensor comprises receiving new calibration settings at the remote networking device from a clinician.

8. The method of claim 1, further comprising determining the at least one of activity, motion, or posture of the patient based on the output signal generated by the implantable accelerometer sensor.

9. The method of claim 8, further comprising controlling the delivery of therapy to the patient from the medical device based on the determined at least one of activity, motion, or posture of the patient.

10. The method of claim 1, wherein the medical device is configured to determine the patient occupies at least one of an upright posture, reclining posture, or lying posture using the output signal generated by the implantable accelerometer sensor.

11. A remote networking device comprising:

a communications circuit that receives sensor information from an implantable medical device including an implantable accelerometer sensor via a network, wherein the sensor information includes an output signal generated by the implantable accelerometer sensor that varies as a function of at least one of activity, motion, or posture of a patient, wherein the medical device is configured to determine the at least one of activity, motion, or posture of the patient based on the output signal generated by the implantable accelerometer sensor, and wherein receipt of the output signal generated by the implantable accelerometer sensor indicates that a possible miscalibration has been identified; and

a processor that, in response to receiving the output signal, presents at least a portion of the received sensor information to a user via a user interface in response to receiving the sensor information, subsequently receives user input initiating calibration of the implantable accelerometer sensor, an in response to the user input, calibrates the sensor via the network based on the output signal.

12. The remote networking device of claim 11, wherein:

the processor generates a new calibration setting for the implantable accelerometer sensor; and

the communications circuit transmits the new calibration setting to at least one of the medical device or an external programmer for the medical device via the network.

13. The remote networking device of claim 11, wherein the processor determines that the implantable accelerometer sensor is inverted based on the signal, and inverts a current calibration setting for the implantable accelerometer sensor based on the determination.

14. The remote networking device of claim 11, wherein the processor calibrates the implantable accelerometer sensor by associating a value of the output signal generated by the implantable accelerometer sensor when the patient assumes an activity, motion, or posture with the activity, motion, or posture.

15. The remote networking device of claim 11, wherein:

the communications circuit receives a value of the output signal generated by the implantable accelerometer sensor with the patient in a predetermined posture; and

the processor compares the received value to a previous value of the output signal when the patient was previously in the predetermined posture, and determines a calibration setting based on the comparison.

16. The remote networking device of claim 11, wherein the processor modifies at least one of a sensitivity, a length of hysteresis, or a degree of hysteresis of the implantable accelerometer sensor to calibrate the sensor.

17. The remote networking device of claim 11, wherein:

the processor receives new calibration settings from a clinician; and

the communications circuit transmits the new calibration setting to at least one of the implantable medical device or an external programmer for the implantable medical device via the network.

18. The remote networking device of claim 11, wherein the medical device is configured to control the delivery of therapy to the patient from the medical device based on the determined at least one of activity, motion, or posture of the patient.

19. The remote networking device of claim 11, wherein the medical device is configured to determine the patient occupies at least one of an upright posture, reclining posture, or lying posture using the output signal generated by the implantable accelerometer sensor.

20. A method comprising:

identifying possible miscalibration of an implantable accelerometer sensor of a medical device based on at least one of an output signal generated by the implantable accelerometer sensor or received patient input, wherein the output signal generated by the implantable accelerometer sensor varies as a function of at least one of activity, motion, or posture of a patient, wherein the medical device is configured to determine the at least one of activity, motion, or posture of the patient based on the output signal generated by the implantable accelerometer sensor;

transmitting sensor information from the implantable medical device to a remote networking device via a network in response to the identification, wherein the sensor information includes the output signal generated by the implantable accelerometer sensor, wherein transmission of the output signal generated by the implantable accelerometer sensor to the remote networking device indicates that the possible miscalibration has been identified; and

receiving a calibration setting for the implantable accelerometer sensor from the remote networking device via the network in response to the sensor information.

21. The method of claim 20, wherein identifying possible miscalibration of the implantable accelerometer sensor comprises identifying inappropriate therapy delivered to the patient based on the output signal.

22. The method of claim 20, wherein identifying possible miscalibration of the implantable accelerometer sensor comprises identifying an unexpected value of the output signal.

23. The method of claim 20, further comprising:

applying the calibration setting to adjust a value of the output signal generated by the implantable accelerometer sensor; and

at least one of controlling delivery of therapy to the patient or monitoring the patient based on the adjusted value.

24. The method of claim 20, further comprising determining the at least one of activity, motion, or posture of the patient based on the output signal generated by the implantable accelerometer sensor.

25. The method of claim 24, further comprising controlling the delivery of therapy to the patient from the medical device based on the determined at least one of activity, motion, or posture of the patient.

26. The method of claim 20, wherein the medical device is configured to determine the patient occupies at least one of an upright posture, reclining posture, or lying posture using the output signal generated by the implantable accelerometer sensor.

27. A device comprising:

a communications circuit; and

a processor that identifies possible miscalibration of an implantable accelerometer sensor of a medical device based on at least one of an output signal generated by the implantable accelerometer sensor or received patient input, wherein the output signal generated by the implantable accelerometer sensor varies as a function of at least one of activity, motion, or posture of a patient, wherein the medical device is configured to determine the at least one of activity, motion, or posture of the patient based on the output signal generated by the implantable accelerometer sensor, transmits sensor information from the implantable medical device to a remote networking device via the communications circuit and a network in response to the identification, wherein the sensor information includes the output signal generated by the implantable accelerometer sensor, wherein transmission of the output signal generated by the implantable accelerometer sensor to the remote networking device indicates that the possible miscalibration has been identified, and receives a calibration setting for the implantable accelerometer sensor from the remote networking device via the communications circuit and the network in response to the sensor information.

28. The device of claim 27, wherein the processor identifies inappropriate therapy delivered to the patient based on the output signal, and transmits the output signal in response to the identification.

29. The device of claim 27, wherein the processor identifies an unexpected value of the output signal, and transmits the output signal in response to the identification.

30. The device of claim 27, wherein the processor applies the calibration setting to adjust a value of the output signal generated by the implantable accelerometer sensor, and at least one of controls delivery of therapy to the patient or monitors the patient based on the adjusted value.

31. The device of claim 27, wherein the device comprises one of an implantable medical device that comprises the implantable accelerometer sensor or an external programmer for the medical device.

32. The device of claim 27, wherein the medical device is configured to control the delivery of therapy to the patient from the medical device based on the determined at least one of activity, motion, or posture of the patient.

33. The device of claim 27, wherein the medical device is configured to determine the patient occupies at least one of an upright posture, reclining posture, or lying posture using the output signal generated by the implantable accelerometer sensor.

34. A system comprising:

a local device that identifies possible miscalibration of an implantable accelerometer sensor of a medical device based on at least one of an output signal generated by the implantable accelerometer sensor or received patient input, wherein the output signal generated by the implantable accelerometer sensor varies as a function of at least one of activity, motion, or posture of a patient, wherein the medical device is configured to determine the at least one of activity, motion, or posture of the patient based on the output signal generated by the implantable accelerometer sensor, transmits sensor information including the output signal generated by the implantable accelerometer sensor from the implantable medical device to a remote networking device via a network in response to the identification, and receives a calibration setting for the implantable accelerometer sensor in response to the output signal; and

the remote networking device that communicates with the local device via the network, wherein the remote networking device receives the output signal from the local device via the network, wherein receipt of the output signal generated by the implantable accelerometer sensor indicates that the possible miscalibration has been identified, presents at least a portion of the received sensor information to a user via a user interface in response to receiving the sensor information, subsequently receives user input initiating calibration of the implantable accelerometer sensor, and calibrates the implantable accelerometer sensor via the remote networking device based on the output signal.

35. The system of claim 34, wherein the local device comprises one of the medical device that comprises the sensor or an external programmer for the medical device.

36. The system of claim 34, further comprising the medical device configured to determine the at least one of the activity, motion, or posture of the based on the output signal generated by the implantable accelerometer sensor.

37. The system of claim 36, wherein the medical device is configured to control the delivery of therapy to the patient based on the determined at least one of activity, motion, or posture of the patient.

38. The system of claim 34, wherein the medical device is configured to determine the patient occupies at least one of an upright posture, reclining posture, or lying posture using the output signal generated by the implantable accelerometer sensor.