Source: http://www.google.com/patents/US20030171791?dq=4740761
Timestamp: 2016-08-30 01:45:02
Document Index: 540081617

Matched Legal Cases: ['art 15', 'art 15', 'art 15', 'art 15', 'art 15', 'art 15', 'art 15', 'art 15', 'art 15']

Patent US20030171791 - Method and apparatus for establishing context among events and optimizing ... - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign inPatentsAn 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...http://www.google.com/patents/US20030171791?utm_source=gb-gplus-sharePatent US20030171791 - Method and apparatus for establishing context among events and optimizing implanted medical device performanceAdvanced Patent SearchPublication numberUS20030171791 A1Publication typeApplicationApplication numberUS 10/093,353Publication dateSep 11, 2003Filing dateMar 6, 2002Priority dateMar 6, 2002Also published asDE60335626D1, EP1513585A2, EP1513585B1, US7043305, US7805199, US8160716, US8694116, US20060195163, US20110015701, US20120323289, WO2003075744A2, WO2003075744A3Publication number093353, 10093353, US 2003/0171791 A1, US 2003/171791 A1, US 20030171791 A1, US 20030171791A1, US 2003171791 A1, US 2003171791A1, US-A1-20030171791, US-A1-2003171791, US2003/0171791A1, US2003/171791A1, US20030171791 A1, US20030171791A1, US2003171791 A1, US2003171791A1InventorsBruce KenKnight, Eric Lovett, Robert Sweeney, Scott Mazar, Yatheendhar ManickaOriginal AssigneeKenknight Bruce H., Lovett Eric G., Sweeney Robert J., Mazar Scott T., Yatheendhar ManickaExport CitationBiBTeX, EndNote, RefManPatent Citations (64), Referenced by (268), Classifications (15), Legal Events (3) External Links: USPTO, USPTO Assignment, EspacenetMethod and apparatus for establishing context among events and optimizing implanted medical device performance
DETAILED DESCRIPTION [0037] In the following detailed description, reference is made to the accompanying drawings which form a part hereof, and in which is shown by way of illustration specific embodiments in which the invention may be practiced. These embodiments are described in sufficient detail to enable those skilled in the art to practice the invention, and it is to be understood that the embodiments may be combined, or that other embodiments may be utilized and that structural, logical and electrical changes may be made without departing from the spirit and scope of the present invention. The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the present invention is defined by the appended claims and their equivalents. In the drawings, like numerals describe substantially similar components throughout the several views. Like numerals having different letter suffixes represent different instances of substantially similar components. As used herein, the term data includes both data and programming. [0038] In accordance with the present system, FIG. 1A illustrates patient 455 implanted with implantable medical device 25 coupled to heart 15A by leads 20A and 20B. In one embodiment, the combination of leads 20A and 20B and device 25 provides cardiac rhythm management pulsing and also senses one or more physiological parameters of heart 15A. Implantable medical device 25 communicates wirelessly with portable device 35 shown in the left hand of patient 455. Portable device 35 is external to the body of patient 455 and, in the embodiment shown, is coupled to portable communicator 80. In one embodiment, portable communicator 80 includes a PDA. [0039] In one embodiment, implantable medical device 25 provides data including heart rhythm, breathing, activity, and contractility, as illustrated at 450. Other types of data derived from implantable systems are also contemplated, as noted at 450. For example, in one embodiment, a respiration sensor is implanted into patient 455 and communicates with portable device 35. Data received from such implantable systems may be perceived as involuntary, or passive, data since the patient has no control over the process of collecting and transmitting the data from such sources. [0040] In one embodiment, portable communicator 80 includes a touch-sensitive display screen for displaying information to a user or patient 455. Depending on the application executing on portable communicator 80, the display screen may provide prompts, messages, questions, or other data designed to elicit an input from patient 455. For example, in one embodiment, portable communicator 80 may display a screen shot as shown at 400. Screen shot 400, entitled “Non-invasive Data Entry Screen” provides links to questions or prompts as shown in the figure. Data received from such interactive prompts may be perceived as voluntary, or active, data since the cooperation and active input of the patient is part of the data collection process. The user voluntarily provides answers in response to prompts that appear on the screen. At each of 405 through 445, the patient may be linked to one or more questions concerning the general topic appearing in screen shot 400. For example, at 405, the link “Blood Pressure” may lead to one or more questions concerning the patient's blood pressure. At 410, the patient may be prompted for information concerning their body weight. At 415 the patient may be prompted to supply data concerning their sleep patterns (bedtime, sleep time, perceived arousals, perceived sleep quality) or recent life experiences. At 420, the patient may be prompted for data concerning their perceived quality of life (Q of L). At 425, the patient may be prompted to supply information concerning their perceived physical strength. At 430, the patient may be prompted to supply information regarding their mental acuity. In one embodiment, the patient may be presented with a series of short questions and based on the responses received, portable communicator 80 calculates a parameter corresponding to mental acuity. At 435, the patient is prompted for data concerning their dietary intake. At 440, the patient is prompted for data concerning their voiding patterns. At 445, the patient is prompted to supply information concerning drug therapy compliance. [0041] Wellness monitoring system 460 is in communication with portable communicator 80, and thus, portable device 35. Wellness monitoring system 460 provides analysis of voluntary and involuntary data gathered by portable device 35. In one embodiment, wellness monitoring system 460 includes computer and programming that conducts data analysis and identifies trends that may improve patient health and medical care. [0042] [0042]FIG. 1B illustrates a screen shot of questions that may be posed in one embodiment. Questions and prompts appearing on a display coupled to portable device 35 may concern objective or subjective matter. Questions and prompts illustrated in the figure, concern the topics of exercising, prescribed medications, non-prescription drug intake, alcohol consumption and recent sleep patterns, however it will be appreciated that those shown are exemplary only and that other questions or prompts may also be used. In one embodiment, prompts are used in lieu of questions. For example, a prompt concerning exercising may be presented as “Enter the number of minutes and intensity of walking on a treadmill” thus calling for the user to enter numbers and/or levels of intensity on an analog scale. [0043] [0043]FIG. 1C illustrates a screen shot of questions concerning alertness, unusual sensations, chest pain, anxiety, and stress. As noted other questions or subject matter may be presented to the patient. [0044] [0044]FIG. 1D illustrates a screen shot of questions directed to eating a balanced diet, lethargy, insomnia, voiding patterns, and drug and dietary supplement intake. [0045] [0045]FIG. 1E illustrates a screen shot of questions directed to exercise plans, recent alcohol consumption, weight relative to a target body weight, signs of edema and breathing difficulty (such as unexpected shortness of breath). [0046] [0046]FIG. 1F illustrates, in block diagram form, an embodiment of the present system. In the figure, system 10 is shown to include an implantable medical device, here marked IMD 25, which is shown coupled, by lead 20, to heart 15. In one embodiment, IMD 25 includes an implantable cardiac device (ICD), CRM device, pulse generator, or other implanted medical device that provides therapy to a patient or an organ of a patient, or that provides data derived from measurements internal to a patient. In the figure, IMD 25 is further shown coupled to portable device 35 by link 30. In one embodiment, portable device 35 includes a portable communicator. Portable device 35 is further coupled to programmer 45 by link 40. [0047] In one embodiment, lead 20 includes a catheter or other implanted lead having one or more electrodes for the delivery of electrical energy to selected portions of an organ, or tissue, of a patient or for receiving electrical signals indicative of the health of the patient or a selected organ. In one embodiment, lead 20 is coupled to a human or animal heart, however, other organs may also be monitored or treated. In one embodiment, the housing of IMD 25 is electrically conductive and serves as an electrical conductor and operates in conjunction with a signal on a conductor portion of lead 20. [0048] In one embodiment, IMD 25 includes a pacing device (commonly referred to as a pacemaker) a defibrillator, heart failure therapy device, cardiac resynchronization device or other medical device. In one embodiment, IMD 25 also includes circuitry and programming adapted to monitor the condition and performance of the pulse generator or other implanted device. For example, in one embodiment, IMD 25 provides data concerning the remaining battery condition for a power supply coupled to IMD 25. Such data may include information regarding remaining battery capacity or life, battery internal resistance or other measurable parameter. In other embodiments the data includes information regarding the electrical therapy provided by IMD 25. For example, in one embodiment, such data includes the peak voltage level, the rate, or frequency, of therapy, the profile of the delivered shock or other parameters. In various embodiments, IMD 25 is controlled by digital or analog signals and in one embodiment, IMD 25 generates data in digital or analog form. [0049] In one embodiment, IMD 25 includes a program executing on an internal processor that controls the operation of the device. The program instructions reside in a memory accessible to the internal processor. By changing the program, or memory contents, the present system allows the operating program of IMD 25 to be dynamically tailored to a particular patient or condition. In one embodiment, the operating system, or memory contents of IMD 25 can be changed using wireless communication. [0050] In one embodiment, IMD 25 includes a wireless transceiver. The transceiver operates using radio frequency transmissions, electromagnetic transmissions, magnetic coupling, inductive coupling, optical coupling, or other means of communicating without need of a wire connection between IMD 25 and another transceiver. In one embodiment, IMD 25 is coupled to a wireless transceiver by a wired connection. [0051] In one embodiment, IMD 25 performs a data acquisition function. For example, a detector coupled to IMD 25 is adapted to monitor a fluid pressure, such as blood or urine. In one embodiment, the detector is adapted to monitor respiration, stress level, or other measurable biometric parameter. In one embodiment, monitoring includes determining an absolute or relative value for a particular biometric parameter. Internal memory within IMD 25 may be adapted to store a comparison value which may then be compared with a measured value thereby determining the performance of IMD 25 or the health of the patient. [0052] Link 30 is a wireless communication link between IMD 25 and portable device 35. Link 30 allows communication in one or two directions. For example, in one embodiment, data from IMD 25 is communicated to portable device 35 with no data transmitted from portable device 35 to IMD 25. In this manner, portable device 35 functions as a data storage facility for IMD 25. In one embodiment, data stored in portable device 35 can be accessed by a treating physician and used for diagnosis, therapy or other purposes. Programming and controlling the operation of IMD 25 is performed using a programmer adapted to transmit commands, data or code to IMD 25. In one embodiment, portable device 35, or portable communicator 80, executes programming to analyze and process the data received from IMD 25. In one embodiment, communication link 30 may preclude transfer of data from portable device 35 to IMD 25 or to preclude transfer of data from IMD 25 to portable device 35. For example, in one embodiment, portable device 35 executes programming which automatically adjusts the performance or operation of IMD 25 independent of programmer 45 and under certain predetermined conditions, it may be desirable to preclude such automatic adjustments. [0053] In one embodiment, data is communicated from portable device 35 to IMD 25 with no data transmitted from IMD 25 to portable device 35. In this manner, portable device 35 functions as an interface to communicate commands, data or code to IMD 25. [0054] In one embodiment, data is communicated bidirectionally between IMD 25 and portable device 35. In various embodiments, link 30 entails a single bidirectional communication channel or includes multiple unidirectional communication channels which, when viewed as a whole, provide bidirectional communication. In one embodiment, a unidirectional communication channel operates using a particular frequency or communication protocol. For example, link 30 include a wireless radio frequency link compatible with a transmitter and receiver that uses frequency hopping, spread spectrum technology. [0055] In one embodiment, internal memory within IMD 25 provides storage for data related to the CRM therapy provided to heart 15. The data may relate to the electrical, chemical or mechanical operation of the heart. In addition, IMD 25 includes memory for programming, comparison and other functions. In one embodiment, the contents of the memory regulates the operation of IMD 25. [0056] In one embodiment, portable device 35 is coupled to a battery operated portable communicator having a processor, memory, and an output interface to communicate with a user and an input interface to receive user entered data. One suitable example of a portable communicator is that of a PDA. Commercial suppliers of PDAs include Palm, Inc. (Santa Clara, Calif.), Microsoft Corporation (Redmond, Wash.) and Handspring Inc., (Mountain View, Calif.) and others. Such devices typically include a display screen for presenting visual information to a user and a writing surface for entry of data using a stylus. Data may also be entered using a keyboard coupled to the portable communicator or by means of a wired or wireless communication link. Some portable communicator models also include an audio transducer, or sound generator, adapted to produce sounds that are audible by a user. In one embodiment, data from IMD 25 or programmer 45 is displayed on a screen coupled to portable device 35. [0057] In one embodiment, portable device 35 is coupled to a portable telephone (such as a cellular telephone or a cordless telephone), a pager (one way or two way), or a computer (such as a handheld, palm-top, laptop, or notebook computer) or other such battery operated, processor based, portable communication device. [0058] In one embodiment, portable device 35, or portable communicator 80, includes data storage and includes programming and instructions to conduct data processing. In one embodiment, the data storage capacity of portable device 35 or portable communicator 80 augments the data storage capacity of IMD 25, thus enabling a clinician to access a greater amount of contextual information regarding the medical condition of a user. For example, but not by way of limitation, the contextual information may assist in discovering and understanding relationships among different events. [0059] In one embodiment, a wireless receiver is coupled to portable device 35 for purposes of receiving data from IMD 25. The wireless receiver may be internal or external to the housing of portable device 35. In one embodiment, a wireless transmitter is coupled to portable device 35 for purposes of transmitting data to IMD 25. The wireless transmitter may be internal or external to the housing of portable communicator 80. In one embodiment, a wireless transceiver is coupled to portable device 35 for purposes of both transmitting data to, and receiving data from, IMD 25. The wireless transceiver may be internal or external to the housing of portable device 35. In one embodiment, portable device 35 includes a telemetry head that is positioned near IMD 25 to facilitate wireless communications. [0060] In one embodiment, circuitry or programming allows portable device 35 to trigger an alarm under predetermined conditions. For example, portable device 35 may sound an audible alarm or transmit an alarm signal if a biometric parameter exceeds a particular value or is outside a specified range of values. The alarm signal can be received by programmer 45 or a designated physician. [0061] Referring again to FIG. 1F, link 40 is shown to couple portable device 35 with programmer 45. In one embodiment, link 40 includes a wired or wireless link that allows data communication between portable device 35 and programmer 45. In one embodiment, data is exchanged between portable device 35 and programmer 45 by means of a removable storage media. [0062] In one embodiment, programmer 45 includes a processor based apparatus executing programming to communicate with IMD 25, portable device 35, or both. Typically, a clinician or physician will operate programmer 45 to communicate with IMD 25 using portable device 35 as a data interface. In particular, one embodiment provides that data from IMD 25 can be retrieved by accessing the memory of portable device 35. In one embodiment, programmer 45 transmits data to IMD 25 via portable device 35. [0063] [0063]FIG. 2 illustrates, in block diagram form, an embodiment of present system 10A. In the figure, IMD 25A is coupled to programmer 45A by wireless link 30B and to portable device 35A by wireless link 30A. Programmer 45A is further coupled to portable device 35A by link 40A and to network 50 by link 40C. Portable device 35A is further coupled to network 50 by link 40B. Portable device 35A receives data from involuntary data source 58 and exchanges data with user data source 65. Link 30A, link 30B, link 40A, link 40B, link 40C, and link 70 bear arrowheads on each end, and thus, are illustrated as bidirectional communication links. Nevertheless, it will be appreciated that some or all of the bidirectional communication links may be unidirectional. Furthermore, it will be appreciated that not all of the elements appearing in FIG. 2 may be present in one embodiment of system 10A. [0064] To the extent that IMD 25A, portable device 35A, programmer 45A, link 30A, and link 40A are described elsewhere in this document, the following discussion concerns the elements not earlier described. [0065] IMD 25A is coupled to programmer 45A via wireless link 30B. In one embodiment, link 30B include a handheld wand that is placed in the vicinity of IMD 25A to allow communication of data. In the figure, link 30B is shown to include a bidirectional communication channel. [0066] Portable device 35A is coupled to programmer 45A via network 50 by way of link 40B and link 40C. It will be appreciated that network 50 may include the Internet, a private intranet, a wide area network (WAN), a local area network (LAN), or other communication network. In one embodiment, programmer 45A accesses network 50 using an ethernet connection, a dial-up connection, a cable modem connection, a digital subscriber line (DSL) connection, or other wired or wireless network connection. In one embodiment, portable device 35A accesses network 50 using an ethernet connection, a dial-up connection, a cable modem connection, a digital subscriber line (DSL) connection, or other wired or wireless network connection. [0067] Portable device 35A is coupled to a block modeled in the figure as involuntary data source 58. Involuntary data source 58, in one embodiment, includes IMD 25A and ex-IMD data source 55, either of which can provide data to enable system 10A to tailor therapy of IMD 25 in an efficient manner. As described above, IMD 25A may include sensors that provide information, ultimately, to programmer 45A. In addition, in one embodiment, ex-IMD data source 55 may include an externally worn sensor or an implanted device. In one embodiment, an implanted device includes a second implanted medical device adapted to monitor a body organ or function, such as a blood oxygen monitor. Also by way of example, one externally worn sensor include a non-invasive data source such as a temperature monitor, blood pressure monitor or respiration monitor. In one embodiment, ex-IMD data source 55 is non-user worn. For example, in one embodiment, data is provided by an ambient temperature monitor or atmospheric pressure monitor. In one embodiment, a plurality of ex-IMD data sources 55 are provided. Data sources other than those enumerated herein are also contemplated. [0068] Data provided by ex-IMD data source 55 is coupled to portable device 35A by link 60. In one embodiment, link 60 includes a wired coupling and in another embodiment, a wireless coupling. In one embodiment, ex-IMD data source 55 is coupled to, and integrated with, portable device 35A. [0069] The data provided by ex-IMD data source 55 is received by portable device 35A. In various embodiments, processing of the data is conducted by portable device 35A or programmer 45A. In one embodiment, the data is provided in real time, (either continuously or according to a predetermined schedule) or upon a change exceeding a predetermined amount, or upon request or inquiry from programmer 45A or portable device 35A. [0070] Portable device 35A is coupled to a block modeled in the figure as user data source 65, by link 70. In one embodiment, user data source 65 provides data volunteered by the user and is integrated with portable device 35A. User data source 65 includes, in one embodiment, a display screen, an audio generator and an input device. In operation, portable device 35A displays a question or prompt directed to the user and the user is instructed to respond by providing a manual input. For example, in one embodiment, portable device 35A sounds a characteristic tone and display a question concerning the well-being of a user. The user, in response to the prompt, may use a stylus, keyboard, voice response, or other means to indicate a suitable answer to the question presented. The data received from the user prompt is then stored by portable device 35A. In one embodiment, processing of the data received from user data source 65 is done by portable device 35A or by programmer 45A. User data source 65 may generate a prompt according to a predetermined schedule, randomly, or based on data received from portable device 35A, IMD 25 or environmental data source 55. In one embodiment, data is entered by the user on the user's initiative. [0071] In one embodiment, programmer 45A receives data from several data sources and communicated via any of several data communication channels. For example, programmer 45A may receive data from IMD 25A via link 30B or via portable device 35A by way of link 30A and link 40A. In addition, programmer 45A may receive data from IMD 25A via network 50 by way of link 30A, link 40B and link 40C. Data may be acquired using an interrupt driven system or on a query-based system. [0072] In addition, one embodiment provides that data from IMD 25A is communicated to programmer 45A via any of several communication paths. For example, data may be communicated to programmer 45A using link 40A, 40B, 40C, 60 or 70. [0073] [0073]FIG. 3 illustrates a perspective view of an embodiment of the present subject matter. In the figure, portable communicator 80 includes a display screen 80B, a plurality of user operable buttons 80D, and expansion port 80A. Expansion port 80A receives, and electrically couples to, portable device 35B. Stylus 80C may be used to manually enter data using screen 80B. Portable device 35B is wirelessly coupled to implanted device 25 which, in the embodiment shown, is further coupled by electrode 20 to heart 15. [0074] Consider the operation of the embodiment in FIG. 3. Link 30 is illustrated as a bidirectional link and thus, data from device 25 is wirelessly telemetered to portable device 35B. In addition, data, or programming from portable device 35B is wirelessly telemetered to device 25. At various times, portable communicator 80 will generate a prompt calling for a response in the form of a user input. A user may enter data using any of a variety of means. For example, a response may be entered using stylus 80C, buttons 80D, or an external keyboard. In one embodiment, portable communicator 80 responds to voice commands received from a user. A prompt may be visually displayed using screen 80B or audibly generated using an internal sound generator. Manually entered data received from a user, as well as data received from other inputs (some of which were described relative to FIG. 2) is stored using portable communicator 80. The data stored in portable communicator 80 is then available for processing, and to tailor the therapy. Data may be processed by portable communicator 80, portable device 35, or by programmer 45. [0075] In addition to data entry, in one embodiment, stylus 80C, along with screen 80B, and buttons 80D, allow a user to exercise limited control over the operation of implantable medical device 25. In one embodiment, reasonable constraints on the authority to change the operation of device 25 are established and implemented by a clinician using programmer 45. [0076] [0076]FIG. 4 illustrates a perspective view of an embodiment of the present subject matter. In the figure, portable communicator 80 includes wireless communication antenna 80E. Portable communicator 80, in this embodiment, is adapted for wireless Internet access to network 50A using link 40B. In one embodiment, link 40B includes a radio frequency communication link. In this embodiment, portable communicator 80 includes an internally mounted portable device 35. [0077] Programmer 45 accesses Internet 50A via link 40C. In one embodiment, link 40C includes a dial-up modem connection, a cable modem connection, a DSL connection, an ISDN line, or other channel providing access to the Internet. [0078] Using the system of FIG. 4, a user may compile contextual information regarding ICD 25, as well as himself, using portable communicator 80. In one embodiment, a clinician using programmer 45 may remotely access the data stored in portable communicator 80 using link 40C, Internet 50A and link 40B. In this manner, programmer 45 may wirelessly receive the data, process the data, and transmit data and code to change the future operation of device 25. [0079] [0079]FIG. 5 illustrates a perspective view of an embodiment of the present subject matter. In the figure, portable communicator 80 includes portable device 35 and is coupled to IMD 25, heart 15 and electrode 20, by wireless link 30. Portable communicator 80 is further coupled to programmer 45 by link 40A and connector 40D. [0080] Using the system of FIG. 5, a clinician operating programmer 45 is able to exchange data or code with portable communicator 80 using link 40A. Connector 40D is a multi-conductor connector providing access to data of portable communicator 80. Portable device 35 is internal to portable communicator 80. It will be appreciated that link 40A may couple portable communicator 80 to a local area network or other communication network. For example, portable communicator 80 may be connected to a PSTN using link 40A, and thus, programmer 45 may exchange data with portable communicator 80 using a modem coupled to PSTN. [0081] [0081]FIG. 6A illustrates a block diagram of an implanted medical device for one embodiment of the present system. In the figure, IMD 25 is shown to include processor 100, memory 105, update module 110 and transceiver 115. In operation, processor 100 governs the operation of IMD 25 and executes programming stored in memory 105. In addition to the executable program, memory 105 also includes data storage regarding the patient and IMD 25. Update module 110 operates in conjunction with processor 100, memory 105 and transceiver 115 to receive, install, and execute new instructions for execution by processor 100. [0082] [0082]FIG. 6B illustrates a block diagram of a portable device for one embodiment of the present system. In the figure portable device 35 is shown to include long term data storage 120, input/output 125, controller 130, IMD transceiver 135 and communication interface 140. Long term data storage 120 augments the data storage capacity of memory 105 of IMD 25. In one embodiment, storage 120 is of a greater capacity than that of memory 105. In addition, storage 120 may be of a physically larger size, be less expensive than medical grade implantable memory, and more robust. [0083] Input/output 125, IMD transceiver 135 and communication interface 140, in conjunction with controller 130 enables receipt and transmission of data from IMD 25 as well as data from programmer 45. IMD transceiver 135 and transceiver 115 provide a wireless telemetric link between IMD 25 and portable device 35. [0084] Portable device 35 may be coupled to a portable communicator and one or more of long term data 120, input/output 125, controller 130, IMD transceiver 135, or communication interface 140 may be provided by the portable communicator. [0085] [0085]FIG. 7 illustrates in block diagram, an embodiment of the present subject matter. In one embodiment, CRM therapy, for CHF is provided to heart 15 by IMD 25 via lead 20. Data accessible to IMD 25 is wirelessly communicated to portable device 35 via link 30C. Portable device 35 operates as a data storage facility for IMD 25 and in one embodiment, performs data processing. [0086] Programmer 45 receives data from portable device 35 via link 40E. In one embodiment, programmer 45 performs data processing. Updated programming for execution by IMD 25 is determined by programmer 45 and transmitted wirelessly to IMD 25 via link 30D. Updated programming may be based on data received from portable device 35, as well as manual inputs received at programmer 45. IMD 25 includes a transmitter to communicate using link 30C and a receiver to communicate using link 30D. [0087] In the embodiment illustrated in FIG. 7, portable device 35 provides a communication link for data communicated from IMD 25 to programmer 45. It will be understood that other data may also be received, processed and stored by portable device 35 as well as programmer 45. For example, a non-invasive data source may provide data to portable device 35. [0088] [0088]FIG. 8 illustrates in block diagram, an embodiment of the present subject matter. In the figure, CRM therapy is provided to heart 15 by IMD 25 via lead 20. In the embodiment shown, IMD 25 includes a wireless receiver that receives transmissions from portable device 35 via link 30E. In addition, portable device 35 also receives data from non-invasive data source 55A via link 60A. Link 60A may include a wired or wireless link. Data accessible to portable device 35 is communicated to programmer 45 via link 40F. Link 40F may be a wired or wireless link. Portable device 35 operates as a data storage facility for non-invasive data source 55A and in one embodiment, performs data processing. In one embodiment, programmer 45 performs data processing. Updated programming for execution by IMD 25 is determined by programmer 45 and communicated to portable device 35 by link 40F. Updated programming is transmitted wirelessly to IMD 25 via link 30E. Updated programming may be based on data received from portable device 35, as well as manual inputs received at programmer 45. IMD 25 includes a receiver to communicate using link 30E. [0089] In the embodiment illustrated in FIG. 8, portable device 35 provides a communication link for data communicated from programmer 45 to IMD 25. As illustrated, non-invasive data, or other environmental data, may also be received, processed and stored by portable device 35 as well as programmer 45. [0090] [0090]FIG. 9 illustrates in block diagram, an embodiment of the present subject matter. In the figure, CRM therapy is provided to heart 15 by IMD 25 via lead 20. Data source 55B communicates with portable device 35 via link 60B. Portable device 35 operates as a data storage facility for data source 55B and in one embodiment, performs data processing. Programmer 45 receives data from portable device 35 via link 40E. In one embodiment, programmer 45 performs data processing. Data and updated programming for execution by IMD 25 is determined by programmer 45 and transmitted wirelessly to IMD 25 via link 30D. Updated programming may be based on data received from portable device 35, as well as manual inputs received at programmer 45. IMD 25 includes a wireless receiver to communicate using link 30D. [0091] In the embodiment illustrated in FIG. 9, it will be understood that other data may also be received, processed and stored by portable device 35 as well as programmer 45. For example, a non-invasive data source or user entered data may provide data to portable device 35. [0092] [0092]FIG. 10 illustrates a portion of an embodiment of the present subject matter. In the figure, IMD 25 is in wireless communication with portable device 35. Arrow 30C illustrates the direction of data communication from IMD 25 to portable device 35. In one embodiment, data from IMD 25 includes, but is not limited to, operational data concerning the performance of IMD 25, diagnostic data concerning either IMD 25 or the patient, as well as patient medical information. Arrow 30E illustrates the direction of data and program information from portable device 35 to IMD 25. In one embodiment, data and program information from portable device 35 includes, but is not limited to, updated operating code, operational parameters, instructions, and executable code. [0093] [0093]FIG. 11 illustrates, in block diagram form, user input data implemented in one embodiment of the present system. It will be appreciated that more or less than the illustrated data may be implemented in an embodiment. The user input data may be received from a user based on a prompt provided to the user, on an ad hoc basis as determined by the user, or as determined by a processor of the present system. The user may enter data using a menu based system, a graphical user interface (GUI), textual data or numerical data. FIG. 2 illustrates an embodiment of the present system having user data source 65 providing user input data. [0094] At 155, the input data includes a sleep schedule. The sleep schedule may describe the sleep (or wake) times of the user. The user may enter the data into portable device 35. In an embodiment including portable device 35 coupled to portable communicator 80, the data may be entered, for example, using stylus 80C, keys 80D or a keyboard. At 160, the input data includes a user-selected quality of life index. The user may select and specify a suitable response based on subjective or objective criteria. At 165, the input data includes an entry corresponding to the user's physical strength. At 170, the input data includes an entry corresponding to the mental acuity of the user. In this instance, portable communicator 80 may determine a value based on predetermined criteria which may entail analysis of a series of user entered responses. At 175, the input data includes information concerning the recent dietary intake of the user. Data may include caloric content, nutritional content (sodium levels), quantity and type of foods. At 180, the input data may include user provided data concerning voiding patterns or behavior. At 190, the input data may include drug intake or medicine compliance information. At 195, the input data may include alcohol consumption information such as quantity, type and time of intake. At 200, the input data may include transient illness information concerning such matters as time of onset, symptoms, treatment and recovery. At 205, the input data may include miscellaneous predictive input information. For example, the user may enter data to indicate that he will soon be walking or running or otherwise exercising. Other input data may also be provided depending upon the circumstances of the patient. The user input information may be tailored by the treating physician using programmer 45 and portable device 35. For example, the data collection protocol may be tailored to reduce battery consumption by prompting the user for a response at a reduced frequency. [0095] [0095]FIG. 12 illustrates, in block diagram form, a selection of external, or non-invasive, devices 210 that may be implemented in one embodiment of the present system. It will be appreciated that more or less than the illustrated devices may be implemented in an embodiment. External devices 210 provide environmental data that may be received by portable device 35 of the present system. Data may be generated by external devices 210 and provided, in digital form, to portable device 35 by a wired or wireless link. FIG. 2 illustrates an embodiment of the present system having environmental data source 55 including external device data sources. [0096] At 215, the external device includes a blood pressure monitor. Encoded blood pressure information for the patient is provided as a function of time or other measured parameter. At 220, the external device includes an objective measure of the patient's quality of life. In one embodiment, this may entail a sensor adapted to correlate with quality of life. At 225, the external device includes a temperature monitor. Encoded temperature information is provided as a function of time or other measured parameter. The measured temperature may correspond to a body temperature, an ambient temperature, or other temperature. At 230, an external device provides data concerning the sleep time of the patient. The device may include a monitor coupled to a clock or a monitor coupled to another device corresponding to sleep time and sleep phase variation. [0097] [0097]FIG. 13 illustrates, in block diagram form, a selection of implantable devices 235 that may be implemented in one embodiment of the present system. It will be appreciated that more or less than the illustrated devices may be implemented in an embodiment. Implantable devices 235 provide internal data that may be received by portable device 35 of the present system. Such data may be generated and provided, in digital form, to portable device 35 by a wired or wireless link. The implantable devices each provide a signal that is encoded and wirelessly communicated to portable device 35. FIG. 2 illustrates an embodiment of the present system having environmental data source 55 including implantable devices providing data. [0098] At 240, the implantable device includes a heart rhythm monitor. At 245, the implantable device includes a respiration monitor. At 250, the implantable device includes an activity monitor. At 255, the implantable device includes a contractility measurement device. [0099] [0099]FIG. 14 illustrates a method for analysis of trends using one embodiment of the present system. In one embodiment, method 260 is implemented by software or hardware using portable device 35 or other elements of system 10. At 265, data is acquired from various sources. Referring to FIG. 2, data may be acquired from IMD 25, programmer 45, network 50, environmental data source 55 and user data source 65. At 270, the acquired data is processed according to a procedure implemented in software. The procedure entails analysis of the data as a function of time or other measured parameter. At 275, the results of the data analysis are used to select an updated program or specify updated operational parameters for IMD 25. At 280, the updated program or operational parameters are transferred and implemented by IMD 25. [0100] In one embodiment, a security protocol is implemented. The security protocol may assure authorized access for communications between programmer 45 and the portable device 35. In addition, one embodiment provides secure communications between portable device 35 and IMD 25. Authorization may be limited to reading data or reading and editing data. Security may entail a password and username system, encryption, or other biometric authentication system to prevent unauthorized access. [0101] The present system provides data that may be useful in trend analysis, and thus, improve health care for a patient. For example, the present system may allow monitoring of device performance over an extended duration. Long term device performance data may facilitate improved therapy. In addition, the present system may allow cost-effective compilation of patient medical data. Such historical data may prove beneficial in developing treatment protocols for the patient. [0102] Although the invention has been described in conjunction with the foregoing specific embodiments, many alternatives, variations, and modifications will be apparent to those of ordinary skill in the art. Other such alternatives, variations, and modifications are intended to fall within the scope of the following appended claims. Patent CitationsCited PatentFiling datePublication dateApplicantTitleUS4712179 *Feb 5, 1987Dec 8, 1987Cordis CorporationMethod and apparatus for calibrating internal measurements of an implanted cardiac pacerUS4809697 *Oct 14, 1987Mar 7, 1989Siemens-Pacesetter, Inc.Interactive programming and diagnostic system for use with implantable pacemakerUS4825869 *Sep 28, 1987May 2, 1989Telectronics N.V.System for automatically performing a clinical assessment of an implanted pacer based on information that is telemetrically receivedUS4928688 *Jan 23, 1989May 29, 1990Mieczyslaw MirowskiMethod and apparatus for treating hemodynamic disfunctionUS5097831 *Apr 16, 1990Mar 24, 1992Siemens-Pacesetter, Inc.Rate-responsive pacemaker with circuitry for processing multiple sensor inputsUS5113869 *Aug 21, 1990May 19, 1992Telectronics Pacing Systems, Inc.Implantable ambulatory electrocardiogram monitorUS5174289 *Sep 7, 1990Dec 29, 1992Cohen Fred MPacing systems and methods for control of the ventricular activation sequenceUS5226413 *Aug 14, 1990Jul 13, 1993Medtronic, Inc.Rate responsive pacemaker and method for automatically initializing the sameUS5251626 *Jul 22, 1992Oct 12, 1993Telectronics Pacing Systems, Inc.Apparatus and method for the detection and treatment of arrhythmias using a neural networkUS5282838 *Jun 8, 1992Feb 1, 1994Cardiac Pacemakers, Inc.Dual chamber cardiac pacemaker employing hysteresis to maximize the number of normally conducted ventricular beats with an optimum A-V delay for paced ventricular beatsUS5292341 *Mar 2, 1992Mar 8, 1994Siemens Pacesetter, Inc.Method and system for determining and automatically adjusting the sensor parameters of a rate-responsive pacemakerUS5321618 *Apr 27, 1993Jun 14, 1994Lawrence GessmanApparatus and method for remotely monitoring implanted cardioverter defibrillatorsUS5372607 *Jun 23, 1993Dec 13, 1994Medtronic, Inc.Method and apparatus for monitoring pacemaker intervalsUS5421830 *Aug 27, 1993Jun 6, 1995Pacesetter, Inc.Programming system having means for recording and analyzing a patient's cardiac signalUS5540727 *Nov 15, 1994Jul 30, 1996Cardiac Pacemakers, Inc.Method and apparatus to automatically optimize the pacing mode and pacing cycle parameters of a dual chamber pacemakerUS5549654 *Apr 15, 1994Aug 27, 1996Medtronic, Inc.Interactive interpretation of event markers in body-implantable medical deviceUS5594638 *Dec 29, 1993Jan 14, 1997First Opinion CorporationComputerized medical diagnostic system including re-enter function and sensitivity factorsUS5607460 *Mar 15, 1996Mar 4, 1997Angeion CorporationPhysician interface expert system for programming implantable arrythmia treatment devicesUS5630835 *Jul 24, 1995May 20, 1997Cardiac Control Systems, Inc.Method and apparatus for the suppression of far-field interference signals for implantable device data transmission systemsUS5690690 *Sep 12, 1996Nov 25, 1997Pacesetter, Inc.Implantable cardiac stimulation systemUS5716382 *Aug 2, 1995Feb 10, 1998Pacesetter, Inc.Programmer for an implantable cardiac stimulating deviceUS5720771 *Aug 2, 1995Feb 24, 1998Pacesetter, Inc.Method and apparatus for monitoring physiological data from an implantable medical deviceUS5722999 *Aug 2, 1995Mar 3, 1998Pacesetter, Inc.System and method for storing and displaying historical medical data measured by an implantable medical deviceUS5724985 *Aug 2, 1995Mar 10, 1998Pacesetter, Inc.User interface for an implantable medical device using an integrated digitizer display screenUS5759199 *Aug 2, 1995Jun 2, 1998Pacesetter, Inc.System and method for ambulatory monitoring and programming of an implantable medical deviceUS5800473 *Feb 7, 1997Sep 1, 1998Ela Medical S.A.Systems, methods, and apparatus for automatic updating of a programmer for an active implantable medical deviceUS5833623 *May 5, 1997Nov 10, 1998Pacesetter, Inc.System and method for facilitating rapid retrieval and evaluation of diagnostic data stored by an implantable medical deviceUS5860918 *Apr 21, 1997Jan 19, 1999Hewlett-Packard CompanyRepresentation of a review of a patent's physiological parametersUS5891178 *May 13, 1997Apr 6, 1999Pacesetter, Inc.Programmer system and associated methods for rapidly evaluating and programming an implanted cardiac deviceUS6016442 *Mar 25, 1998Jan 18, 2000Cardiac Pacemakers, Inc.System for displaying cardiac arrhythmia dataUS6070101 *Apr 22, 1999May 30, 2000Medtronic, Inc.Multiple channel, sequential, cardiac pacing systemsUS6091990 *Nov 3, 1999Jul 18, 2000Cardiac Pacemakers, Inc.System for grouping and displaying cardiac arrhythmia dataUS6102874 *Jan 19, 2000Aug 15, 2000Medtronic, Inc.Implantable medical device for tracking patient functional statusUS6168563 *Mar 17, 1999Jan 2, 2001Health Hero Network, Inc.Remote health monitoring and maintenance systemUS6190324 *Apr 28, 1999Feb 20, 2001Medtronic, Inc.Implantable medical device for tracking patient cardiac statusUS6240317 *Apr 30, 1999May 29, 2001Medtronic, Inc.Telemetry system for implantable medical devicesUS6275727 *Nov 4, 1999Aug 14, 2001Cardiac Pacemakers, Inc.Implantable cardiac rhythm management device for assessing status of CHF patientsUS6280409 *Sep 28, 1999Aug 28, 2001Medtronic, Inc.Medical for tracking patient functional statusUS6304773 *May 21, 1999Oct 16, 2001Medtronic Physio-Control Manufacturing Corp.Automatic detection and reporting of cardiac asystoleUS6336903 *Nov 16, 1999Jan 8, 2002Cardiac Intelligence Corp.Automated collection and analysis patient care system and method for diagnosing and monitoring congestive heart failure and outcomes thereofUS6351675 *Oct 3, 2000Feb 26, 2002Medtronic, Inc.System and method of programming an implantable medical deviceUS6368284 *Nov 16, 1999Apr 9, 2002Cardiac Intelligence CorporationAutomated collection and analysis patient care system and method for diagnosing and monitoring myocardial ischemia and outcomes thereofUS6383136 *Mar 6, 2000May 7, 2002Charlyn JordanHealth analysis and forecast of abnormal conditionsUS6398728 *Nov 16, 1999Jun 4, 2002Cardiac Intelligence CorporationAutomated collection and analysis patient care system and method for diagnosing and monitoring respiratory insufficiency and outcomes thereofUS6411840 *Nov 16, 1999Jun 25, 2002Cardiac Intelligence CorporationAutomated collection and analysis patient care system and method for diagnosing and monitoring the outcomes of atrial fibrillationUS6411847 *Sep 22, 2000Jun 25, 2002Morton M. MowerApparatus for applying cyclic pacing at an average rate just above the intrinsic heart rateUS6438407 *Mar 20, 2000Aug 20, 2002Medtronic, Inc.Method and apparatus for monitoring physiologic parameters conjunction with a treatmentUS6440066 *Nov 16, 1999Aug 27, 2002Cardiac Intelligence CorporationAutomated collection and analysis patient care system and method for ordering and prioritizing multiple health disorders to identify an index disorderUS6442433 *Oct 26, 1999Aug 27, 2002Medtronic, Inc.Apparatus and method for remote troubleshooting, maintenance and upgrade of implantable device systemsUS6687547 *Mar 19, 2001Feb 3, 2004Medtronic, Inc.Method and apparatus for communicating with an implantable medical device with DTMF tonesUS6804558 *Jan 18, 2001Oct 12, 2004Medtronic, Inc.System and method of communicating between an implantable medical device and a remote computer system or health care providerUS20010007053 *Feb 20, 2001Jul 5, 2001Bardy Gust H.System and method for automated collection and analysis of patient information retreived from an implantable medical device for remote patient careUS20010047125 *Dec 15, 2000Nov 29, 2001Quy Roger J.Method and apparatus for health and disease management combining patient data monitoring with wireless internet connectivityUS20020013613 *Jan 18, 2001Jan 31, 2002Markus HallerSystem and method for remote programming of an implantable medical deviceUS20020016550 *May 7, 2001Feb 7, 2002Cardiac Pacemakers, Inc.Cardiac rhythm management system with arrhythmia prediction and preventionUS20020023654 *Jun 22, 2001Feb 28, 2002Webb James D.Human language translation of patient session information from implantable medical devicesUS20020026103 *Jun 14, 2001Feb 28, 2002Medtronic, Inc.Deep computing applications in medical device systemsUS20020026223 *Dec 18, 2000Feb 28, 2002Riff Kenneth M.Method and a system for using implanted medical device data for accessing therapiesUS20020049482 *Aug 31, 2001Apr 25, 2002Willa FabianLifestyle management systemUS20020052539 *Jan 18, 2001May 2, 2002Markus HallerSystem and method for emergency communication between an implantable medical device and a remote computer system or health care providerUS20020123672 *Oct 26, 2001Sep 5, 2002Christophersom Mark A.Externally worn transceiver for use with an implantable medical deviceUS20030144711 *Jan 29, 2002Jul 31, 2003Neuropace, Inc.Systems and methods for interacting with an implantable medical deviceUS20040117204 *Dec 17, 2002Jun 17, 2004Cardiac Pacemakers, Inc.Repeater device for communications with an implantable medical deviceUSRE38119 *Oct 19, 1995May 20, 2003Mirowski Family Ventures, LLCMethod and apparatus for treating hemodynamic disfunction* Cited by examinerReferenced byCiting PatentFiling datePublication dateApplicantTitleUS6965797Sep 13, 2002Nov 15, 2005Cardiac Pacemakers, Inc.Method and apparatus for assessing and treating myocardial wall stressUS7039462Jun 14, 2002May 2, 2006Cardiac Pacemakers, Inc.Method and apparatus for detecting oscillations in cardiac rhythmUS7167743Mar 16, 2005Jan 23, 2007Medtronic, Inc.Collecting activity information to evaluate therapyUS7209786Jun 10, 2004Apr 24, 2007Cardiac Pacemakers, Inc.Method and apparatus for optimization of cardiac resynchronization therapy using heart soundsUS7257447Apr 20, 2005Aug 14, 2007Cardiac Pacemakers, Inc.Method and apparatus for indication-based programming of cardiac rhythm management devicesUS7289853 *Aug 30, 2004Oct 30, 2007David CampbellHigh frequency wireless pacemakerUS7313440Apr 14, 2005Dec 25, 2007Medtronic, Inc.Collecting posture and activity information to evaluate therapyUS7324850Apr 29, 2004Jan 29, 2008Cardiac Pacemakers, Inc.Method and apparatus for communication between a handheld programmer and an implantable medical deviceUS7330760Apr 15, 2004Feb 12, 2008Medtronic, Inc.Collecting posture information to evaluate therapyUS7366572Apr 15, 2004Apr 29, 2008Medtronic, Inc.Controlling therapy based on sleep qualityUS7378955Jan 3, 2003May 27, 2008Cardiac Pacemakers, Inc.System and method for correlating biometric trends with a related temporal eventUS7395113Apr 15, 2004Jul 1, 2008Medtronic, Inc.Collecting activity information to evaluate therapyUS7447545Mar 16, 2005Nov 4, 2008Medtronic, Inc.Collecting posture information to evaluate therapyUS7491181Apr 15, 2004Feb 17, 2009Medtronic, Inc.Collecting activity and sleep quality information via a medical deviceUS7542803 *Mar 16, 2005Jun 2, 2009Medtronic, Inc.Sensitivity analysis for selecting therapy parameter setsUS7554438Oct 9, 2007Jun 30, 2009Cardiac Pacemakers, Inc.System and method for correlating biometric trends with a related temporal eventUS7590453Apr 30, 2007Sep 15, 2009Medtronic, Inc.Collecting activity information to evaluate incontinence therapyUS7590455Mar 16, 2005Sep 15, 2009Medtronic, Inc.Controlling therapy based on sleep qualityUS7596413 *Jun 8, 2004Sep 29, 2009Cardiac Pacemakers, Inc.Coordinated therapy for disordered breathing including baroreflex modulationUS7697993 *Apr 13, 2010Cardiac Pacemakers, Inc.Method and apparatus for question-based programming of cardiac rhythm management devicesUS7717848Apr 15, 2004May 18, 2010Medtronic, Inc.Collecting sleep quality information via a medical deviceUS7775993Aug 17, 2010Medtronic, Inc.Detecting sleepUS7780606Mar 29, 2006Aug 24, 2010Cardiac Pacemakers, Inc.Hemodynamic stability assessment based on heart soundsUS7792583Sep 7, 2010Medtronic, Inc.Collecting posture information to evaluate therapyUS7805196Sep 28, 2010Medtronic, Inc.Collecting activity information to evaluate therapyUS7805199May 1, 2006Sep 28, 2010Cardiac Pacemakers, Inc.Method and apparatus for establishing context among events and optimizing implanted medical device performanceUS7819909Mar 23, 2006Oct 26, 2010Medtronic, Inc.Therapy programming guidance based on stored programming historyUS7848812Jul 21, 2008Dec 7, 2010Cvrx, Inc.Elective service indicator based on pulse count for implantable deviceUS7853322Dec 14, 2010Medtronic, Inc.Closed-loop therapy adjustmentUS7881798Mar 26, 2007Feb 1, 2011Medtronic Inc.Controlling therapy based on sleep qualityUS7899532Mar 2, 2009Mar 1, 2011Cardiac Pacemakers, Inc.Method and apparatus for minimizing post-infarct ventricular remodelingUS7908013Mar 15, 2011Medtronic, Inc.Collecting activity information to evaluate therapyUS7938781Jun 10, 2010May 10, 2011Cardiac Pacemakers, Inc.Hemodynamic stability assessment based on heart soundsUS7953484Mar 19, 2007May 31, 2011Cardiac Pacemakers, Inc.Method and apparatus for optimization of cardiac resynchronization therapy using heart soundsUS7957797Dec 1, 2006Jun 7, 2011Medtronic, Inc.Closed-loop therapy adjustmentUS7957809Jun 7, 2011Medtronic, Inc.Closed-loop therapy adjustmentUS7959568Jun 14, 2011Cardiac Pacemakers, Inc.Advanced patient management for identifying, displaying and assisting with correlating health-related dataUS7972275Dec 30, 2002Jul 5, 2011Cardiac Pacemakers, Inc.Method and apparatus for monitoring of diastolic hemodynamicsUS7978064Jul 12, 2011Proteus Biomedical, Inc.Communication system with partial power sourceUS7983745Jan 8, 2009Jul 19, 2011Cardiac Pacemakers, Inc.Advanced patient management with environmental dataUS7983759Jul 19, 2011Cardiac Pacemakers, Inc.Advanced patient management for reporting multiple health-related parametersUS8000780Jun 27, 2006Aug 16, 2011Cardiac Pacemakers, Inc.Detection of myocardial ischemia from the time sequence of implanted sensor measurementsUS8016776Apr 28, 2006Sep 13, 2011Medtronic, Inc.Wearable ambulatory data recorderUS8021299Sep 20, 2011Medtronic, Inc.Correlating a non-polysomnographic physiological parameter set with sleep statesUS8032224 *Mar 26, 2007Oct 4, 2011Medtronic, Inc.Sensitivity analysis for selecting therapy parameter setsUS8034000Oct 11, 2011Cardiac Pacemakers, Inc.Ischemia detection using a heart sound sensorUS8036748Nov 13, 2009Oct 11, 2011Proteus Biomedical, Inc.Ingestible therapy activator system and methodUS8043213Dec 18, 2002Oct 25, 2011Cardiac Pacemakers, Inc.Advanced patient management for triaging health-related data using color codesUS8054140Oct 17, 2007Nov 8, 2011Proteus Biomedical, Inc.Low voltage oscillator for medical devicesUS8054178Jun 2, 2009Nov 8, 2011Cardiac Pacemakers, Inc.System and method for correlating biometric trends with a related temporal eventUS8055334Dec 10, 2009Nov 8, 2011Proteus Biomedical, Inc.Evaluation of gastrointestinal function using portable electroviscerography systems and methods of using the sameUS8055348Mar 26, 2007Nov 8, 2011Medtronic, Inc.Detecting sleep to evaluate therapyUS8081165 *Aug 30, 2006Dec 20, 2011Jesterrad, Inc.Multi-functional navigational device and methodUS8108034Nov 28, 2005Jan 31, 2012Cardiac Pacemakers, Inc.Systems and methods for valvular regurgitation detectionUS8114021Dec 15, 2009Feb 14, 2012Proteus Biomedical, Inc.Body-associated receiver and methodUS8115618May 23, 2008Feb 14, 2012Proteus Biomedical, Inc.RFID antenna for in-body deviceUS8121694Sep 25, 2008Feb 21, 2012Medtronic, Inc.Therapy control based on a patient movement stateUS8135473Mar 26, 2007Mar 13, 2012Medtronic, Inc.Collecting posture and activity information to evaluate therapyUS8150521Mar 17, 2008Apr 3, 2012Cvrx, Inc.Methods and devices for controlling battery life in an implantable pulse generatorUS8150531Apr 30, 2009Apr 3, 2012Medtronic, Inc.Associating therapy adjustments with patient posture statesUS8160716Sep 27, 2010Apr 17, 2012Cardiac Pacemakers, Inc.Method and apparatus for establishing context among events and optimizing implanted medical device performanceUS8175720Apr 30, 2009May 8, 2012Medtronic, Inc.Posture-responsive therapy control based on patient inputUS8190253Jul 7, 2009May 29, 2012Medtronic, Inc.Collecting activity information to evaluate incontinence therapyUS8200340Apr 30, 2009Jun 12, 2012Medtronic, Inc.Guided programming for posture-state responsive therapyUS8209028Jun 26, 2012Medtronic, Inc.Objectification of posture state-responsive therapy based on patient therapy adjustmentsUS8219206Jul 10, 2012Medtronic, Inc.Dwell time adjustments for posture state-responsive therapyUS8231555Jul 31, 2012Medtronic, Inc.Therapy system including multiple posture sensorsUS8231556Apr 30, 2009Jul 31, 2012Medtronic, Inc.Obtaining baseline patient informationUS8235918 *Aug 7, 2012Massachusetts Eye & Ear InfirmaryControl and integration of sensory dataUS8249718Aug 21, 2012Medtronic, Inc.Programming posture state-responsive therapy with nominal therapy parametersUS8255053Mar 16, 2010Aug 28, 2012Cardiac Pacemakers, Inc.Method and apparatus for question-based programming of cardiac rhythm management devicesUS8258962Mar 5, 2009Sep 4, 2012Proteus Biomedical, Inc.Multi-mode communication ingestible event markers and systems, and methods of using the sameUS8280517Aug 26, 2009Oct 2, 2012Medtronic, Inc.Automatic validation techniques for validating operation of medical devicesUS8282580Apr 30, 2009Oct 9, 2012Medtronic, Inc.Data rejection for posture state analysisUS8301252Oct 30, 2012Cardiac Pacemakers, Inc.Advanced patient management with composite parameter indicesUS8308661Mar 26, 2007Nov 13, 2012Medtronic, Inc.Collecting activity and sleep quality information via a medical deviceUS8315710Apr 30, 2009Nov 20, 2012Medtronic, Inc.Associating therapy adjustments with patient posture statesUS8323218Apr 30, 2009Dec 4, 2012Medtronic, Inc.Generation of proportional posture information over multiple time intervalsUS8326420Apr 30, 2009Dec 4, 2012Medtronic, Inc.Associating therapy adjustments with posture states using stability timersUS8332038Dec 11, 2012Medtronic, Inc.Detecting sleep to evaluate therapyUS8332041Apr 30, 2009Dec 11, 2012Medtronic, Inc.Patient interaction with posture-responsive therapyUS8335568Aug 20, 2009Dec 18, 2012Medtronic, Inc.Controlling therapy based on sleep qualityUS8337431Jan 9, 2009Dec 25, 2012Medtronic, Inc.Collecting activity and sleep quality information via a medical deviceUS8380314Oct 16, 2007Feb 19, 2013Medtronic, Inc.Patient directed therapy controlUS8386036Feb 26, 2013Cardiac Pacemakers, Inc.Expert system and methodUS8388555Apr 28, 2010Mar 5, 2013Medtronic, Inc.Posture state classification for a medical deviceUS8391989Mar 5, 2013Cardiac Pacemakers, Inc.Advanced patient management for defining, identifying and using predetermined health-related eventsUS8396554Mar 12, 2013Medtronic, Inc.Collecting posture information to evaluate therapyUS8396565Mar 12, 2013Medtronic, Inc.Automatic therapy adjustmentsUS8401666Apr 30, 2009Mar 19, 2013Medtronic, Inc.Modification profiles for posture-responsive therapyUS8417350Sep 14, 2012Apr 9, 2013Cardiac Pacemakers, Inc.Recordable macros for pacemaker follow-upUS8437861Apr 30, 2009May 7, 2013Medtronic, Inc.Posture state redefinition based on posture data and therapy adjustmentsUS8444578Aug 24, 2011May 21, 2013Medtronic, Inc.Wearable ambulatory data recorderUS8447401May 21, 2013Medtronic, Inc.Collecting posture information to evaluate therapyUS8447411Apr 30, 2009May 21, 2013Medtronic, Inc.Patient interaction with posture-responsive therapyUS8504150Mar 23, 2012Aug 6, 2013Medtronic, Inc.Associating therapy adjustments with posture states using a stability timerUS8515549Apr 30, 2009Aug 20, 2013Medtronic, Inc.Associating therapy adjustments with intended patient posture statesUS8515550Apr 30, 2009Aug 20, 2013Medtronic, Inc.Assignment of therapy parameter to multiple posture statesUS8529477 *Aug 6, 2012Sep 10, 2013Massachusetts Eye & Ear InfirmaryControl and integration of sensory dataUS8535222Mar 13, 2007Sep 17, 2013Cardiac Pacemakers, Inc.Sleep detection using an adjustable thresholdUS8540632May 23, 2008Sep 24, 2013Proteus Digital Health, Inc.Low profile antenna for in body deviceUS8540633Aug 13, 2009Sep 24, 2013Proteus Digital Health, Inc.Identifier circuits for generating unique identifiable indicators and techniques for producing sameUS8540664Mar 24, 2010Sep 24, 2013Proteus Digital Health, Inc.Probablistic pharmacokinetic and pharmacodynamic modelingUS8542123Aug 1, 2012Sep 24, 2013Proteus Digital Health, Inc.Multi-mode communication ingestible event markers and systems, and methods of using the sameUS8543215Feb 18, 2013Sep 24, 2013Cardiac Pacemakers, Inc.Advanced patient management for defining, identifying and using predetermined health-related eventsUS8545402Apr 27, 2010Oct 1, 2013Proteus Digital Health, Inc.Highly reliable ingestible event markers and methods for using the sameUS8545436Dec 23, 2011Oct 1, 2013Proteus Digital Health, Inc.Body-associated receiver and methodUS8547248Sep 1, 2006Oct 1, 2013Proteus Digital Health, Inc.Implantable zero-wire communications systemUS8554325Jan 6, 2012Oct 8, 2013Medtronic, Inc.Therapy control based on a patient movement stateUS8558563Aug 23, 2010Oct 15, 2013Proteus Digital Health, Inc.Apparatus and method for measuring biochemical parametersUS8579834Jan 6, 2011Nov 12, 2013Medtronic, Inc.Display of detected patient posture stateUS8583227Sep 23, 2011Nov 12, 2013Proteus Digital Health, Inc.Evaluation of gastrointestinal function using portable electroviscerography systems and methods of using the sameUS8583252Apr 30, 2009Nov 12, 2013Medtronic, Inc.Patient interaction with posture-responsive therapyUS8597186Jan 5, 2010Dec 3, 2013Proteus Digital Health, Inc.Pharmaceutical dosages delivery systemUS8606356Aug 17, 2004Dec 10, 2013Cardiac Pacemakers, Inc.Autonomic arousal detection system and methodUS8612001Feb 24, 2011Dec 17, 2013Cardiac Pacemakers, Inc.Method and apparatus for minimizing post-infarct ventricular remodelingUS8634925 *Nov 30, 2005Jan 21, 2014Medtronic, Inc.Portable programmer for providing patient status informationUS8636669Jan 5, 2011Jan 28, 2014Cardiac Pacemakers, Inc.Method and apparatus for monitoring of diastolic hemodynamicsUS8639318Oct 29, 2012Jan 28, 2014Cardiac Pacemakers, Inc.Advanced patient management with composite parameter indicesUS8644945Apr 30, 2009Feb 4, 2014Medtronic, Inc.Patient interaction with posture-responsive therapyUS8674825Mar 13, 2009Mar 18, 2014Proteus Digital Health, Inc.Pharma-informatics systemUS8688221Feb 21, 2012Apr 1, 2014Medtronic, Inc.Collecting posture and activity information to evaluate therapyUS8688225Apr 30, 2009Apr 1, 2014Medtronic, Inc.Posture state detection using selectable system control parametersUS8694115Jul 20, 2005Apr 8, 2014Medtronic, Inc.Therapy programming guidance based on stored programming historyUS8694116Apr 16, 2012Apr 8, 2014Cardiac Pacemakers, Inc.Method and apparatus for establishing context among events and optimizing implanted medical device performanceUS8708934Apr 30, 2009Apr 29, 2014Medtronic, Inc.Reorientation of patient posture states for posture-responsive therapyUS8718193Nov 19, 2007May 6, 2014Proteus Digital Health, Inc.Active signal processing personal health signal receiversUS8721540Nov 18, 2010May 13, 2014Proteus Digital Health, Inc.Ingestible circuitryUS8725244Oct 31, 2006May 13, 2014Medtronic, Inc.Determination of sleep quality for neurological disordersUS8725268Jul 31, 2007May 13, 2014Cardiac Pacemakers, Inc.Method and apparatus for indication-based programming of cardiac rhythm management devicesUS8730031Jul 11, 2011May 20, 2014Proteus Digital Health, Inc.Communication system using an implantable deviceUS8731656Jun 6, 2011May 20, 2014Medtronic, Inc.Closed-loop therapy adjustmentUS8744587Mar 26, 2007Jun 3, 2014Medtronic, Inc.Collecting gait information for evaluation and control of therapyUS8751011Apr 30, 2009Jun 10, 2014Medtronic, Inc.Defining therapy parameter values for posture statesUS8755897Nov 19, 2007Jun 17, 2014Cardiac Pacemakers, Inc.System and method for remote expert-system medical device programmingUS8755901Apr 30, 2009Jun 17, 2014Medtronic, Inc.Patient assignment of therapy parameter to posture stateUS8758242Mar 12, 2010Jun 24, 2014Medtronic, Inc.Collecting sleep quality information via a medical deviceUS8758260Sep 13, 2011Jun 24, 2014Cardiac Pacemakers, Inc.Ischemia detection using a heart sound sensorUS8758274Apr 28, 2010Jun 24, 2014Medtronic, Inc.Automated adjustment of posture state definitions for a medical deviceUS8784308Dec 2, 2010Jul 22, 2014Proteus Digital Health, Inc.Integrated ingestible event marker system with pharmaceutical productUS8792982May 20, 2013Jul 29, 2014Medtronic, Inc.Collecting posture information to evaluate therapyUS8802183Jul 11, 2011Aug 12, 2014Proteus Digital Health, Inc.Communication system with enhanced partial power source and method of manufacturing sameUS8810409May 6, 2013Aug 19, 2014Proteus Digital Health, Inc.Multi-mode communication ingestible event markers and systems, and methods of using the sameUS8812123 *Oct 17, 2007Aug 19, 2014Intelect Medical, Inc.Patient programmer with input and sensing capabilitiesUS8816847Jun 3, 2011Aug 26, 2014Proteus Digital Health, Inc.Communication system with partial power sourceUS8825153 *Aug 21, 2012Sep 2, 2014Intelect Medical, Inc.Implantable system with inputsUS8836513Jul 11, 2011Sep 16, 2014Proteus Digital Health, Inc.Communication system incorporated in an ingestible productUS8847766Apr 28, 2006Sep 30, 2014Proteus Digital Health, Inc.Pharma-informatics systemUS8858432Feb 1, 2008Oct 14, 2014Proteus Digital Health, Inc.Ingestible event marker systemsUS8868453Nov 4, 2010Oct 21, 2014Proteus Digital Health, Inc.System for supply chain managementUS8886302Apr 30, 2009Nov 11, 2014Medtronic, Inc.Adjustment of posture-responsive therapyUS8903486Dec 13, 2010Dec 2, 2014Medtronic, Inc.Closed-loop therapy adjustmentUS8905948Oct 31, 2012Dec 9, 2014Medtronic, Inc.Generation of proportional posture information over multiple time intervalsUS8912908Jul 11, 2011Dec 16, 2014Proteus Digital Health, Inc.Communication system with remote activationUS8932221Mar 7, 2008Jan 13, 2015Proteus Digital Health, Inc.In-body device having a multi-directional transmitterUS8945005Oct 25, 2007Feb 3, 2015Proteus Digital Health, Inc.Controlled activation ingestible identifierUS8956287May 2, 2007Feb 17, 2015Proteus Digital Health, Inc.Patient customized therapeutic regimensUS8956288Feb 14, 2008Feb 17, 2015Proteus Digital Health, Inc.In-body power source having high surface area electrodeUS8956295Sep 9, 2013Feb 17, 2015Cardiac Pacemakers, Inc.Sleep detection using an adjustable thresholdUS8958885Apr 30, 2009Feb 17, 2015Medtronic, Inc.Posture state classification for a medical deviceUS8961412Sep 25, 2008Feb 24, 2015Proteus Digital Health, Inc.In-body device with virtual dipole signal amplificationUS9014779Jan 28, 2011Apr 21, 2015Proteus Digital Health, Inc.Data gathering systemUS9014819Nov 12, 2013Apr 21, 2015Cardiac Pacemakers, Inc.Autonomic arousal detection system and methodUS9026223Apr 30, 2009May 5, 2015Medtronic, Inc.Therapy system including multiple posture sensorsUS9050471Apr 30, 2009Jun 9, 2015Medtronic, Inc.Posture state display on medical device user interfaceUS9060708Jul 25, 2014Jun 23, 2015Proteus Digital Health, Inc.Multi-mode communication ingestible event markers and systems, and methods of using the sameUS9069380Jul 12, 2011Jun 30, 2015AliphcomMedia device, application, and content management using sensory inputUS9072870Sep 25, 2008Jul 7, 2015Medtronic, Inc.Sleep stage detectionUS9083589Mar 6, 2014Jul 14, 2015Proteus Digital Health, Inc.Active signal processing personal health signal receiversUS9107806Nov 18, 2011Aug 18, 2015Proteus Digital Health, Inc.Ingestible device with pharmaceutical productUS9119554Nov 18, 2010Sep 1, 2015Proteus Digital Health, Inc.Pharma-informatics systemUS9119918May 8, 2013Sep 1, 2015Proteus Digital Health, Inc.Probablistic pharmacokinetic and pharmacodynamic modelingUS9149210Apr 28, 2010Oct 6, 2015Medtronic, Inc.Automated calibration of posture state classification for a medical deviceUS9149423May 10, 2010Oct 6, 2015Proteus Digital Health, Inc.Ingestible event markers comprising an ingestible componentUS9149577Apr 30, 2013Oct 6, 2015Proteus Digital Health, Inc.Body-associated receiver and methodUS9161707Sep 12, 2014Oct 20, 2015Proteus Digital Health, Inc.Communication system incorporated in an ingestible productUS9174055Nov 11, 2013Nov 3, 2015Medtronic, Inc.Display of detected patient posture stateUS9198608Nov 23, 2011Dec 1, 2015Proteus Digital Health, Inc.Communication system incorporated in a containerUS9211411Aug 17, 2011Dec 15, 2015Medtronic, Inc.Therapy for rapid eye movement behavior disorder (RBD)US9235683Nov 9, 2011Jan 12, 2016Proteus Digital Health, Inc.Apparatus, system, and method for managing adherence to a regimenUS9248288Jan 14, 2013Feb 2, 2016Medtronic, Inc.Patient directed therapy controlUS9258035Apr 29, 2015Feb 9, 2016Proteus Digital Health, Inc.Multi-mode communication ingestible event markers and systems, and methods of using the sameUS9268909Oct 15, 2013Feb 23, 2016Proteus Digital Health, Inc.Apparatus, system, and method to adaptively optimize power dissipation and broadcast power in a power source for a communication deviceUS9270025Mar 7, 2008Feb 23, 2016Proteus Digital Health, Inc.In-body device having deployable antennaUS9270503Sep 19, 2014Feb 23, 2016Proteus Digital Health, Inc.Methods, devices and systems for receiving and decoding a signal in the presence of noise using slices and warpingUS9271897Jul 22, 2013Mar 1, 2016Proteus Digital Health, Inc.Techniques for manufacturing ingestible event markers comprising an ingestible componentUS9272091Apr 29, 2015Mar 1, 2016Medtronic, Inc.Posture state display on medical device user interfaceUS9320455Jan 31, 2013Apr 26, 2016Proteus Digital Health, Inc.Highly reliable ingestible event markers and methods for using the sameUS9327070Apr 30, 2009May 3, 2016Medtronic, Inc.Medical device therapy based on posture and timingUS9327129Apr 30, 2009May 3, 2016Medtronic, Inc.Blended posture state classification and therapy deliveryUS9357949Jan 5, 2011Jun 7, 2016Medtronic, Inc.User interface that displays medical therapy and posture dataUS9375566Jul 18, 2011Jun 28, 2016Cardiac Pacemakers, Inc.Device for reporting heart failure statusUS9415010Jan 23, 2013Aug 16, 2016Proteus Digital Health, Inc.Ingestible circuitryUS20030233132 *Jun 14, 2002Dec 18, 2003Pastore Joseph M.Method and apparatus for detecting oscillations in cardiac rhythmUS20040054381 *Sep 13, 2002Mar 18, 2004Pastore Joseph M.Method and apparatus for assessing and treating myocardial wall stressUS20040133080 *Jan 3, 2003Jul 8, 2004Mazar Scott ThomasSystem and method for correlating biometric trends with a related temporal eventUS20040230456 *May 14, 2003Nov 18, 2004Lozier Luke R.System for identifying candidates for ICD implantationUS20040243126 *Apr 26, 2004Dec 2, 2004Stryker SpineMethods for stabilizing bone using spinal fixation devicesUS20050209511 *Apr 15, 2004Sep 22, 2005Heruth Kenneth TCollecting activity and sleep quality information via a medical deviceUS20050209512 *Apr 15, 2004Sep 22, 2005Heruth Kenneth TDetecting sleepUS20050209513 *Apr 15, 2004Sep 22, 2005Heruth Kenneth TCollecting sleep quality information via a medical deviceUS20050209643 *Apr 15, 2004Sep 22, 2005Heruth Kenneth TControlling therapy based on sleep qualityUS20050209644 *Apr 15, 2004Sep 22, 2005Heruth Kenneth TCollecting activity information to evaluate therapyUS20050209645 *Apr 15, 2004Sep 22, 2005Heruth Kenneth TCollecting posture information to evaluate therapyUS20050215947 *Mar 16, 2005Sep 29, 2005Heruth Kenneth TControlling therapy based on sleep qualityUS20050216064 *Mar 16, 2005Sep 29, 2005Heruth Kenneth TSensitivity analysis for selecting therapy parameter setsUS20050222522 *Mar 16, 2005Oct 6, 2005Heruth Kenneth TDetecting sleepUS20050222643 *Mar 16, 2005Oct 6, 2005Heruth Kenneth TCollecting activity information to evaluate therapyUS20050234514 *Mar 16, 2005Oct 20, 2005Heruth Kenneth TCollecting posture information to evaluate therapyUS20050245988 *Apr 14, 2005Nov 3, 2005Medtronic, Inc.Collecting posture and activity information to evaluate therapyUS20050245992 *Apr 29, 2004Nov 3, 2005Persen Kenneth HMethod and apparatus for communication between a handheld programmer and an implantable medical deviceUS20050256550 *May 13, 2004Nov 17, 2005Gilkerson James OMethod and apparatus for question-based programming of cardiac rhythm management devicesUS20050277872 *May 23, 2005Dec 15, 2005Colby John E JrApparatus and method for mobile medical servicesUS20060020292 *Jul 20, 2005Jan 26, 2006Medtronic, Inc.Therapy programming guidance based on stored programming historyUS20060224079 *Mar 31, 2005Oct 5, 2006Washchuk Bohdan OEdema monitoring system and method utilizing an implantable medical deviceUS20060235472 *Mar 23, 2006Oct 19, 2006Medtronic, Inc.Therapy programming guidance based on stored programming historyUS20060241712 *Apr 20, 2005Oct 26, 2006Cardiac Pacemakers, Inc.Method and apparatus for indication-based programming of cardiac rhythm management devicesUS20070015976 *Apr 25, 2006Jan 18, 2007Medtronic, Inc.Correlating a non-polysomnographic physiological parameter set with sleep statesUS20070046649 *Aug 30, 2006Mar 1, 2007Bruce ReinerMulti-functional navigational device and methodUS20070123758 *Oct 31, 2006May 31, 2007Medtronic, Inc.Determination of sleep quality for neurological disordersUS20070123786 *Nov 30, 2005May 31, 2007Grandjean Pierre APortable programmer for providing patient status informationUS20070129622 *Apr 28, 2006Jun 7, 2007Medtronic, Inc.Wearable ambulatory data recorderUS20070129769 *Apr 28, 2006Jun 7, 2007Medtronic, Inc.Wearable ambulatory data recorderUS20070129774 *Apr 28, 2006Jun 7, 2007Medtronic, Inc.Closed-loop therapy adjustmentUS20070150026 *Dec 1, 2006Jun 28, 2007Medtronic, Inc.Closed-loop therapy adjustmentUS20070150029 *Dec 1, 2006Jun 28, 2007Medtronic, Inc.Closed-loop therapy adjustmentUS20070162080 *Mar 19, 2007Jul 12, 2007Cardiac Pacemakers, Inc.Method and apparatus for optimization of cardiac resynchronization therapy using heart soundsUS20070250134 *Mar 26, 2007Oct 25, 2007Medtronic, Inc.Collecting gait information for evaluation and control of therapyUS20070276439 *Mar 26, 2007Nov 29, 2007Medtronic, Inc.Collecting sleep quality information via a medical deviceUS20080021287 *Jun 26, 2006Jan 24, 2008Woellenstein Matthias DSystem and method for adaptively adjusting patient data collection in an automated patient management environmentUS20080021523 *Jul 31, 2007Jan 24, 2008Cardiac Pacemakers, Inc.Method and apparatus for indication-based programming of cardiac rhythm management devicesUS20080027757 *Oct 9, 2007Jan 31, 2008Cardiac Pacemakers, Inc.System and method for correlating biometric trends with a related temporal eventUS20080071150 *Mar 26, 2007Mar 20, 2008Medtronic, Inc.Collecting activity and sleep quality information via a medical deviceUS20080071324 *Mar 26, 2007Mar 20, 2008Medtronic, Inc.Sensitivity analysis for selecting therapy parameter setsUS20080071326 *Mar 26, 2007Mar 20, 2008Medtronic, Inc.Detecting sleep to evaluate therapyUS20080140137 *Dec 11, 2006Jun 12, 2008Massachusetts Eye & Ear InfirmaryControl and Integration of Sensory DataUS20080177355 *Jan 22, 2008Jul 24, 2008Medtronic, Inc.Collecting activity information to evaluate therapyUS20080208292 *Dec 18, 2007Aug 28, 2008Cardiac Pacemakers, Inc.Method and apparatus for communication between a handheld programmer and an implantable medical deviceUS20090082829 *Oct 16, 2007Mar 26, 2009Medtronic, Inc.Patient directed therapy controlUS20090099625 *Jul 21, 2008Apr 16, 2009Tom CrowleyElective service indicator based on pulse count for implantable deviceUS20090099627 *Sep 25, 2008Apr 16, 2009Medtronic, Inc.Therapy control based on a patient movement stateUS20090105554 *Dec 22, 2008Apr 23, 2009Cardiac Pacemakers, Inc.Advanced patient management for identifying, displaying and assisting with correlating health-related dataUS20090105787 *Oct 17, 2007Apr 23, 2009Intelect Medical., Inc.Patient Programmer with Input and Sensing CapabilitiesUS20090118599 *Jan 9, 2009May 7, 2009Medtronic, Inc.Collecting activity and sleep quality information via a medical deviceUS20090192556 *Sep 25, 2008Jul 30, 2009Medtronic, Inc.Sleep stage detectionUS20090210798 *Feb 12, 2009Aug 20, 2009Cardiac Pacemakers, Inc.Media presentation for use with implantable deviceUS20090264789 *Oct 22, 2009Medtronic, Inc.Therapy program selectionUS20090306740 *Aug 20, 2009Dec 10, 2009Medtronic, Inc.Controlling therapy based on sleep qualityUS20100152815 *Feb 22, 2010Jun 17, 2010Medtronic, Inc.Remote Scheduling for Management of an Implantable Medical DeviceUS20100174155 *Jul 8, 2010Medtronic, Inc.Collecting sleep quality information via a medical deviceUS20100174338 *Jul 8, 2010Gilkerson James OMethod and apparatus for question-based programming of cardiac rhythm management devicesUS20100305665 *Dec 2, 2010Medtronic, Inc.Collecting posture information to evaluate therapyUS20110082522 *Dec 13, 2010Apr 7, 2011Medtronic, Inc.Closed-loop therapy adjustmentUS20110112590 *May 12, 2011Medtronic, Inc.Deep brain stimulation for sleep and movement disordersUS20110201898 *Aug 18, 2011Benco David SWireless healthcare smart gridUS20110238130 *Sep 29, 2011Medtronic, Inc.Closed-loop therapy adjustmentUS20110238136 *Sep 29, 2011Medtronic, Inc.Closed-loop therapy adjustmentUS20120316616 *Dec 13, 2012Intelect Medical, Inc.Implantable system with inputsUS20130030330 *Jan 31, 2013The Trustees Of Boston UniversityControl and Integration of Sensory DataUS20130132855 *Dec 23, 2011May 23, 2013Medtronic, Inc.Medical device communication system with communication controller using interface deviceUS20140292520 *Dec 21, 2011Oct 2, 2014Sca Hygiene Products AbMethod and computer program for monitoring use of an aborbent productEP2069006A2 *Aug 27, 2007Jun 17, 2009Medtronic Urinary Solutions, Inc.Systems and methods for clinician control of stimulation systemsEP2069006A4 *Aug 27, 2007May 2, 2012Medtronic Urinary Solutions IncSystems and methods for clinician control of stimulation systemsWO2005110536A1 *Apr 27, 2005Nov 24, 2005Cardiac Pacemakers, Inc.Method and apparatus for communication between a handheld programmer and an implantable medical deviceWO2005115533A2 *May 24, 2005Dec 8, 2005Modular Computing & Communications CorporationApparatus and method for mobile medical servicesWO2005115533A3 *May 24, 2005Feb 22, 2007Modular Computing & Comm CorpApparatus and method for mobile medical servicesWO2006012423A1 *Jul 20, 2005Feb 2, 2006Medtronic, Inc.Therapy programming guidance based on stored programming historyWO2009015081A2 *Jul 21, 2008Jan 29, 2009Cvrx, Inc.Elective service indicator based on pulse count for implantable device* Cited by examinerClassifications U.S. Classification607/60International ClassificationA61N1/36, A61B, A61N1/372, A61N1/365, A61N1/08, A61N1/362Cooperative ClassificationA61N1/3627, A61N1/37211, A61N1/37282, A61N1/36514, A61N1/37235European ClassificationA61N1/365B, A61N1/372D, A61N1/372D4Legal EventsDateCodeEventDescriptionJul 22, 2002ASAssignmentOwner name: CARDIAC PACEMAKERS, INC., MINNESOTAFree format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:KENKNIGHT, BRUCE H.;LOVETT, ERIC G.;SWEENEY, ROBERT J.;AND OTHERS;REEL/FRAME:013115/0253;SIGNING DATES FROM 20020513 TO 20020611Oct 7, 2009FPAYFee paymentYear of fee payment: 4Oct 9, 2013FPAYFee paymentYear of fee payment: 8RotateOriginal ImageGoogle Home - Sitemap - USPTO Bulk Downloads - Privacy Policy - Terms of Service - About Google Patents - Send FeedbackData provided by IFI CLAIMS Patent Services