Patent application number | Description | Published |
20090076336 | Medical Device Automatic Start-up Upon Contact to Patient Tissue - Methods and devices for monitoring and/or treating patients comprise a switch to automatically start-up the device when the device contacts tissue. By automatically starting up the device, the device may be installed without the clinician and/or user turning on the device, such that the device can be easy to use. In many embodiments, the device comprises startup circuitry with very low current and/or power consumption, for example less than 100 pA. The startup circuitry can detect tissue contact and turn on circuitry that is used to monitor or treat the patient. | 03-19-2009 |
20090076342 | Adherent Multi-Sensor Device with Empathic Monitoring - A system and methods are provided for physiological monitoring and prediction. The system includes a detecting system and a remote monitoring system. The detecting system includes, (i) an adherent device with a plurality of sensors that provide an indication of at least one physiological event of a patient, the adherent device being coupled to the patient's thorax and (ii) a wireless communication device coupled to the plurality of sensors and configured to transfer patient data directly or indirectly from the plurality of sensors to a remote monitoring system. The remote monitoring system is coupled to the wireless communication device. Logic resources may be provided at the remote monitoring system to determine the physiological event of the patient. | 03-19-2009 |
20090076343 | Energy Management for Adherent Patient Monitor - A heart failure patient management system includes a detecting system. The detecting system includes an adherent device configured to be coupled to a patient. The adherent device includes a plurality of sensors to monitor physiological parameters of the patient to determine heart failure status. At least one ID may be coupled to the adherent device that is addressable and unique to each adherent device. A wireless communication device is coupled to the plurality of sensors and configured to transfer patient data directly or indirectly from the plurality of sensors to a remote monitoring system. The remote monitoring system is coupled to the wireless communication device. An energy management device may be coupled to the plurality of sensors | 03-19-2009 |
20090076344 | Multi-Sensor Patient Monitor to Detect Impending Cardiac Decompensation - Systems and methods of detecting an impending cardiac decompensation of a patient measure at least two of an electrocardiogram signal of the patient, a hydration signal of the patient, a respiration signal of the patient or an activity signal of the patient. The at least two of the electrocardiogram signal, the hydration signal, the respiration signal or the activity signal are combined with an algorithm to detect the impending cardiac decompensation. | 03-19-2009 |
20090076345 | Adherent Device with Multiple Physiological Sensors - An adherent device to monitor a patient comprises an adhesive patch to adhere to a skin of the patient. At least four electrodes are connected to the patch and capable of electrically coupling to the patient. Impedance circuitry is coupled to the at least four electrodes to measure a hydration signal of the patient. Electrocardiogram circuitry is coupled to at least two of the at least four electrodes to measure an electrocardiogram signal of the patient. An accelerometer can be mechanically coupled to the adhesive patch to generate a signal in response to at least one of an activity or a position of the patient. | 03-19-2009 |
20090076346 | Tracking and Security for Adherent Patient Monitor - A heart failure patient management system includes a detecting system. The detecting system includes an adherent device configured to be coupled to a patient. The adherent device includes a plurality of sensors to monitor physiological parameters of the patient to determine heart failure status. At least one ID may be coupled to the adherent device that is addressable and unique to each adherent device. A wireless communication device is coupled to the plurality of sensors and configured to transfer patient data directly or indirectly from the plurality of sensors to a remote monitoring system. The remote monitoring system is coupled to the wireless communication device. An energy management device may be coupled to the plurality of sensors | 03-19-2009 |
20090076363 | Adherent Device with Multiple Physiological Sensors - An adherent device to monitor a patient for an extended period comprises a breathable tape. The breathable tape comprises a porous material with an adhesive coating to adhere the breathable tape to a skin of the patient. At least one electrode is affixed to the breathable tape and capable of electrically coupling to a skin of the patient. A printed circuit board is connected to the breathable tape to support the printed circuit board with the breathable tape when the tape is adhered to the patient. Electronic components electrically are connected to the printed circuit board and coupled to the at least one electrode to measure physiologic signals of the patient. A breathable cover and/or an electronics housing is disposed over the circuit board and electronic components and connected to at least one of the electronics components, the printed circuit board or the breathable tape. | 03-19-2009 |
20090076397 | Adherent Emergency Patient Monitor - An adherent device comprises an adhesive patch to adhere to a skin of the patient. At least two electrodes are connected to the patch and capable of electrically coupling to the patient. Electrocardiogram circuitry can be coupled to at the least two electrodes to measure an electrocardiogram signal of the patient. An accelerometer can be mechanically coupled to the adhesive patch to generate an accelerometer signal in response to at least one of an activity or a position of the patient. A processor comprising a tangible medium can be configured to communicate with the electrocardiogram circuitry and the accelerometer to generate an alarm signal in response to the electrocardiogram signal and the accelerometer signal. | 03-19-2009 |
20090143836 | Method and apparatus of acoustic communication for implantable medical device - An implantable medical device includes an acoustic transducer for intra-body communication with another medical device via an acoustic couple. The acoustic transducer includes one or more piezoelectric transducers. In one embodiment, an implantable medical device housing contains a cardiac rhythm management (CRM) device and an acoustic communication circuit. The acoustic transducer is electrically connected to the acoustic communication circuit to function as an acoustic coupler and physically fastened to a wall of the implantable housing, directly or via a supporting structure. | 06-04-2009 |
20090264792 | Method and Apparatus to Measure Bioelectric Impedance of Patient Tissue - A device to measure tissue impedance comprises drive circuitry coupled to calibration circuitry, such that a calibration signal from the calibration circuitry corresponds to the current delivered through the tissue. Measurement circuitry can be coupled to measurement electrodes and the calibration circuitry, such that the tissue impedance can be determined in response to the measured calibration signal from the calibration circuitry and the measured tissue impedance signal from the measurement electrodes. Processor circuitry comprising a tangible medium can be configured to determine a complex tissue impedance in response to the calibration signal and the tissue impedance signal. The processor can be configured to select a frequency for the drive current, and the amount of drive current at increased frequencies may exceed a safety threshold for the drive current at lower frequencies. | 10-22-2009 |
20100056881 | Method and Apparatus For Acute Cardiac Monitoring - A device for monitoring a patient from the back of the patient comprises a support configured to adhere to the back of the patient, at least two electrodes supported with the support, circuitry coupled to the at least two electrodes to measure a signal from the at least two electrodes, and circuitry to transmit the signal wirelessly. The support and the at least two electrodes may be placed on at least one of a lower back or between shoulder blades of the patient, which can help to reduce pressure on the patient when the device is worn for an extended period, for example 1 week. Placement of the adherent device in at least one of these locations can improve patient comfort, for example by decreasing pressure to the skin of the patient from the device when the patient lies supine. The device may also provide lumbar support, for example when placed on the lumbar of the patient. | 03-04-2010 |
20100106224 | IMPLANTABLE MEDICAL DEVICE WITH TWO OR MORE TELEMETRY SYSTEMS - An implantable medical device comprises a near field telemetry module, a far field telemetry module, and a processor in electrical communication with the near field telemetry module and the far field telemetry module. The processor is configured to establish, in relation to a communication signal received by the near field telemetry module, a time period during which communication via the far field telemetry module is available, authenticate a far field communication session using the far field telemetry module, and communicate using the far field telemetry module upon authentication of the communication session. | 04-29-2010 |
20100114233 | METHODS AND APPARATUSES FOR IMPLANTABLE MEDICAL DEVICE TELEMETRY POWER MANAGEMENT - A method comprises connecting at least one portion of a far-field radio-frequency (RF) first telemetry circuit in an implantable medical device to an energy source through a power connection module, detecting information included in a first predetermined wireless signal, changing a conductivity state of the power connection module when the information in the first predetermined wireless signal is detected to couple power to the at least one portion of the first telemetry circuit, detecting a second predetermined wireless signal, and changing a conductivity state of the power connection module to decouple power to the at least one portion of the first telemetry circuit when the second predetermined wireless signal is detected and the first telemetry circuit enters an idle state. | 05-06-2010 |
20100152816 | TELEMETRY DUTY CYCLE MANAGEMENT SYSTEM FOR AN IMPLANTABLE MEDICAL DEVICE - An implantable medical device comprising a far field RF transmitter and receiver, a controller circuit communicatively coupled to the RF transmitter and receiver, and a wakeup timer circuit integral to, or communicatively coupled to, the controller. The controller is configured to initiate power up of the RF transmitter and receiver during a wakeup interval defined by the wakeup timer circuit, detect a digital key received from a second device during the wakeup interval, transmit a response using the RF transmitter when the digital key is received, and receive a communication from the second device and resynchronize the wake-up timer according to a time of the communication. | 06-17-2010 |
20100328062 | Repeater Providing Data Exchange with a Medical Device for Remote Patient Care and Method Thereof - A repeater providing data exchange with a medical device for remote patient care and method thereof are provided. The repeater includes a transmission device configured to send the data over a wireless medium to a data repository and a processing device configured to detect conditions in respect of an associated communication medium that could affect data exchange, where the processing device is configured to send the data based at least in part on the conditions. The processing device is further configured to analyze the data from the medical device to detect a problem with the medical device. | 12-30-2010 |
20110015701 | METHOD AND APPARATUS FOR ESTABLISHING CONTEXT AMONG EVENTS AND OPTIMIZING IMPLANTED MEDICAL DEVICE PERFORMANCE - An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician. | 01-20-2011 |
20110066211 | IMPLANTABLE MEDICAL DEVICE WITH TWO OR MORE TELEMETRY SYSTEMS - An implantable medical device comprises a near field telemetry module to wirelessly receive first information into the IMD, a far field telemetry module to wirelessly receive second information into the IMD, and a processor in electrical communication with the near field telemetry module and the far field telemetry module. The processor is configured to establish, in relation to a communication signal received by the near field telemetry module, a time period during which communication via the far field telemetry module is available, and operate the IMD according to the received second information upon receiving third information via the near field telemetry link. | 03-17-2011 |
20110071591 | Obstructive Sleep Apnea Treatment Devices, Systems and Methods - Devices, systems and methods for nerve stimulation for OSA therapy. | 03-24-2011 |
20110144470 | BODY ADHERENT PATCH WITH ELECTRONICS FOR PHYSIOLOGIC MONITORING - In one configuration, an adherent device to adhere to a skin of a subject includes a stretchable base layer having an upper side and a lower side and an adhesive coating on the lower side to adhere the base layer to the skin of the subject. The base layer has at least two openings extending therethrough, each of the at least two openings having a size. The adherent device also includes a stretchable covering layer positioned above and adhered to the base layer with an adhesive to define at least two pockets. The adherent device also includes at least two gels, each gel having a size larger than the size of openings to retain the gel substantially within the pocket, and a circuit carrier supported with the stretchable base layer to measure at least one physiologic signal of the subject. Other configurations and methods are also claimed. | 06-16-2011 |
20110152966 | Obstructive Sleep Apnea Treatment Devices, Systems and Methods - Devices, systems and methods for nerve stimulation for OSA therapy. | 06-23-2011 |
20110196445 | OBSTRUCTIVE SLEEP APNEA TREATMENT DEVICES, SYSTEMS AND METHODS - Devices, systems and methods for nerve stimulation for OSA therapy. | 08-11-2011 |
20120010532 | Obstructive Sleep Apnea Treatment Devices, Systems and Methods - Devices, systems and methods for nerve stimulation for OSA therapy. | 01-12-2012 |
20120010681 | Obstructive Sleep Apnea Treatment Devices, Systems and Methods - Devices, systems and methods for nerve stimulation for OSA therapy. | 01-12-2012 |
20120022609 | Obstructive Sleep Apnea Treatment Devices, Systems and Methods - Devices, systems and methods for nerve stimulation for OSA therapy. | 01-26-2012 |
20120022626 | Obstructive Sleep Apnea Treatment Devices, Systems and Methods - Devices, systems and methods for nerve stimulation for OSA therapy. | 01-26-2012 |
20120089199 | Obstructive Sleep Apnea Treatment Devices, Systems and Methods - Devices, systems and methods for nerve stimulation for OSA therapy. | 04-12-2012 |
20120108917 | PATIENT MONITORING SYSTEMS AND METHODS - An adherent patient device is configured to adhere to the skin of the patient and measure electrocardiogram data, impedance data, accelerometer data, blood oxygen data and temperature data. The adherent device can communicate wirelessly with gateways and a local processor system, such that the patient can wander about the hospital and update the monitoring station with the patient data when the patient is ambulatory. The local processor system can be configured to customize alerts for the patient, for example to notify automatically a specialist in response to a special condition of the patient. The adherent device may comprise a unique adherent device identifier such that the customized alert can be sent based on the unique device identifier. Each of the gateways can be carried and may comprise a unique gateway identifier, such that the unique device identifier and the unique gateway identifier can be used to locate the ambulatory patient. | 05-03-2012 |
20120108920 | ADHERENT DEVICE WITH MULTIPLE PHYSIOLOGICAL SENSORS - An adherent device to monitor a patient for an extended period comprises a breathable tape. The breathable tape comprises a porous material with an adhesive coating to adhere the breathable tape to a skin of the patient. At least one electrode is affixed to the breathable tape and capable of electrically coupling to a skin of the patient. A printed circuit board is connected to the breathable tape to support the printed circuit board with the breathable tape when the tape is adhered to the patient. Electronic components electrically are connected to the printed circuit board and coupled to the at least one electrode to measure physiologic signals of the patient. A breathable cover and/or an electronics housing is disposed over the circuit board and electronic components and connected to at least one of the electronics components, the printed circuit board or the breathable tape. | 05-03-2012 |
20120139720 | REPEATER PROVIDING DATA EXCHANGE WITH A MEDICAL DEVICE FOR REMOTE PATIENT CARE AND METHOD THEREOF - A repeater providing data exchange with a medical device for remote patient care and method thereof are provided. The repeater includes a transmission device configured to send the data over a wireless medium to a data repository and a processing device configured to detect conditions in respect of an associated communication medium that could affect data exchange, where the processing device is configured to send the data based at least in part on the conditions. The processing device is further configured to analyze the data from the medical device to detect a problem with the medical device. | 06-07-2012 |
20120209342 | METHOD AND APPARATUS OF ACOUSTIC COMMUNICATION FOR IMPLANTABLE MEDICAL DEVICE - An implantable medical device includes an acoustic transducer for intra-body communication with another medical device via an acoustic couple. The acoustic transducer includes one or more piezoelectric transducers. In one embodiment, an implantable medical device housing contains a cardiac rhythm management (CRM) device and an acoustic communication circuit. The acoustic transducer is electrically connected to the acoustic communication circuit to function as an acoustic coupler and physically fastened to a wall of the implantable housing, directly or via a supporting structure. | 08-16-2012 |
20120296177 | SYSTEMS AND METHODS FOR DERIVING RELATIVE PHYSIOLOGIC MEASUREMENTS - One embodiment of the present invention relates to a system for deriving physiologic measurement values that are relative to ambient conditions. In one embodiment, the system comprises an implantable medical device (“IMD”), an external computing device, and a backend computing system. The IMD determines a physiologic parameter value within a patient's body, and communicates the physiologic parameter value outside the patient's body, for example, to the external computing device. Further, the external computing device receives the physiologic parameter from the IMD and communicates it to the backend computing system. The backend computing system receives the physiologic parameter value and obtains an ambient condition value outside the body. The backend computing system then calculates a relative physiologic parameter value from the ambient condition value and the physiologic parameter value, and in some embodiments, stores the relative physiologic parameter value in a storage location, such as a memory or database. | 11-22-2012 |
20120323289 | METHOD AND APPARATUS FOR ESTABLISHING CONTEXT AMONG EVENTS AND OPTIMIZING IMPLANTED MEDICAL DEVICE PERFORMANCE - An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician. | 12-20-2012 |
20130085347 | ADHERENT DEVICE WITH MULTIPLE PHYSIOLOGICAL SENSORS - An adherent device to monitor a patient comprises an adhesive patch to adhere to a skin of the patient. At least four electrodes are connected to the patch and capable of electrically coupling to the patient. Impedance circuitry is coupled to the at least four electrodes to measure a hydration signal of the patient. Electrocardiogram circuitry is coupled to at least two of the at least four electrodes to measure an electrocardiogram signal of the patient. An accelerometer can be mechanically coupled to the adhesive patch to generate a signal in response to at least one of an activity or a position of the patient. | 04-04-2013 |
20130237864 | STEERABLE GUIDE WIRE WITH PRESSURE SENSOR AND METHODS OF USE - A high performance guide wire with a pressure sensor for measuring blood pressure, may utilize a single electrical lead connected to the guide wire. An integrated circuit, powered by the single electrical connection on the guide wire, may interface with the pressure sensor, and may convert pressure information to an encoded signal. The encoded signal may be detectable in the electrical circuit, and can be used to display a pressure waveform as detected by the pressure sensor. For example, when utilized for percutaneous coronary interventions, such a guide wire can provide high quality blood pressure measurements (e.g., for fractional flow reserve), while also possessing excellent steerability and handling characteristics for navigating tortuous anatomy. | 09-12-2013 |
20130253285 | ADHERENT DEVICE WITH MULTIPLE PHYSIOLOGICAL SENSORS - An adherent device to monitor a patient for an extended period comprises a breathable tape. The breathable tape comprises a porous material with an adhesive coating to adhere the breathable tape to a skin of the patient. At least one electrode is affixed to the breathable tape and capable of electrically coupling to a skin of the patient. A printed circuit board is connected to the breathable tape to support the printed circuit board with the breathable tape when the tape is adhered to the patient. Electronic components electrically are connected to the printed circuit board and coupled to the at least one electrode to measure physiologic signals of the patient. A breathable cover and/or an electronics housing is disposed over the circuit board and electronic components and connected to at least one of the electronics components, the printed circuit board or the breathable tape. | 09-26-2013 |
20130271279 | SYSTEM AND METHOD PROVIDING DATA EXCHANGE WITH A MEDICAL DEVICE FOR REMOTE PATIENT CARE - A system for relaying data to a repository from a medical device is disclosed. A receiver is configured to receive data from a medical device, where the data can be an indication of a problem with the medical device. A memory is configured to maintain the data once it has been received. A transmission device is configured to send the data to a data repository over a communication medium. A detector is configured to detect conditions of the communication medium that could affect data exchange and send the data based at least in part on the conditions. A processor is configured to send at least a portion of the data based at least in part on a degree of urgency. | 10-17-2013 |
20140012154 | METHOD AND APPARATUS TO MEASURE BIOELECTRIC IMPEDANCE OF PATIENT TISSUE - A device to measure tissue impedance comprises drive circuitry coupled to calibration circuitry, such that a calibration signal from the calibration circuitry corresponds to the current delivered through the tissue. Measurement circuitry can be coupled to measurement electrodes and the calibration circuitry, such that the tissue impedance can be determined in response to the measured calibration signal from the calibration circuitry and the measured tissue impedance signal from the measurement electrodes. Processor circuitry comprising a tangible medium can be configured to determine a complex tissue impedance in response to the calibration signal and the tissue impedance signal. The processor can be configured to select a frequency for the drive current, and the amount of drive current at increased frequencies may exceed a safety threshold for the drive current at lower frequencies. | 01-09-2014 |
20140012341 | METHODS AND APPARATUSES FOR IMPLANTABLE MEDICAL DEVICE TELEMETRY POWER MANAGEMENT - A method comprises connecting at least one portion of a far-field radio-frequency (RF) first telemetry circuit in an implantable medical device to an energy source through a power connection module, detecting information included in a first predetermined wireless signal, changing a conductivity state of the power connection module when the information in the first predetermined wireless signal is detected to couple power to the at least one portion of the first telemetry circuit, detecting a second predetermined wireless signal, and changing a conductivity state of the power connection module to decouple power to the at least one portion of the first telemetry circuit when the second predetermined wireless signal is detected and the first telemetry circuit enters an idle state. | 01-09-2014 |
20140330091 | HEART FAILURE DECOMPENSATION PREDICTION BASED ON CARDIAC RHYTHM - Systems and methods of detecting an impending cardiac decompensation of a patient measure an electrocardiogram signal of the patient. An incidence of cardiac arrhythmias is determined from the electrocardiogram signal. A risk of impending decompensation is determined in response to the incidence of cardiac arrhythmias. In many embodiments, the impending decompensation can be detected early enough to avoid, or at least delay, the impending decompensation, such that patient trauma and/or expensive ICU care can be avoided. Although embodiments make specific reference to monitoring electrocardiogram and other physiological signals with an adherent patch, the system methods and devices are applicable to many applications in which physiological monitoring is used, for example wireless physiological monitoring with implanted sensors for extended periods. | 11-06-2014 |
20140330136 | ADHERENT DEVICE WITH MULTIPLE PHYSIOLOGICAL SENSORS - An adherent device to monitor a patient comprises an adhesive patch to adhere to a skin of the patient, and at least four electrodes connected to the patch and capable of electrically coupling to the patient. The adherent device further includes impedance circuitry coupled to the at least four electrodes to measure a hydration signal of the patient and electrocardiogram circuitry coupled to at least two of the at least four electrodes to measure an electrocardiogram signal of the patient. | 11-06-2014 |
20150015417 | PATIENT MONITORING SYSTEMS AND METHODS - An adherent patient device is configured to adhere to the skin of the patient and measure electrocardiogram data, impedance data, accelerometer data, blood oxygen data and temperature data. The adherent device can communicate wirelessly with gateways and a local processor system, such that the patient can wander about the hospital and update the monitoring station with the patient data when the patient is ambulatory. The local processor system can be configured to customize alerts for the patient, for example to notify automatically a specialist in response to a special condition of the patient. The adherent device may comprise a unique adherent device identifier such that the customized alert can be sent based on the unique device identifier. Each of the gateways can be carried and may comprise a unique gateway identifier, such that the unique device identifier and the unique gateway identifier can be used to locate the ambulatory patient. | 01-15-2015 |
20150025404 | METHODOLOGY FOR AUTOMATED SIGNAL MORPHOLOGY ANALYSIS IN IMPLANTABLE ELECTROTHERAPY AND DIAGNOSTIC SYSTEMS - Systems and related methods for analyzing data sensed from a device implanted in a patient, such as a cardiac pacing system. The system detects and evaluates electric signals within the patient that share a common event marker. By using algorithms and graphical presentation of the collected signals having common event markers, deviations in signals over time can be identified and evaluated in consideration of taking further action related to the patient and the implanted device. The system can also be used in conjunction with an advanced patient management system that includes a programmer or repeater capable of gathering information from the implanted device and transmitting the data to a host via a communications network for evaluation at a remote location. | 01-22-2015 |
20150073251 | MEDICAL DEVICE WITH AUTOMATIC START-UP UPON CONTACT TO PATIENT TISSUE - Methods and devices for monitoring and/or treating patients comprise a switch to automatically start-up the device when the device contacts tissue. By automatically starting up the device, the device may be installed without the clinician and/or user turning on the device, such that the device can be easy to use. In many embodiments, the device comprises startup circuitry with very low current and/or power consumption, for example less than 100 pA. The startup circuitry can detect tissue contact and turn on circuitry that is used to monitor or treat the patient. | 03-12-2015 |
20150073252 | METHOD AND APPARATUS TO MEASURE BIOELECTRIC IMPEDANCE OF PATIENT TISSUE - A device to measure tissue impedance comprises drive circuitry coupled to calibration circuitry, such that a calibration signal from the calibration circuitry corresponds to the current delivered through the tissue. Measurement circuitry can be coupled to measurement electrodes and the calibration circuitry, such that the tissue impedance can be determined in response to the measured calibration signal from the calibration circuitry and the measured tissue impedance signal from the measurement electrodes. Processor circuitry comprising a tangible medium can be configured to determine a complex tissue impedance in response to the calibration signal and the tissue impedance signal. The processor can be configured to select a frequency for the drive current, and the amount of drive current at increased frequencies may exceed a safety threshold for the drive current at lower frequencies. | 03-12-2015 |