Syncing multiple sources of physiological data

Patent metadata

Field	Value
Publication number	US-11083372-B2
Application number	US-201715400995-A
Country	US
Kind code	B2
Filing date	Jan 7, 2017
Priority date	Jan 8, 2016
Publication date	Aug 10, 2021
Grant date	Aug 10, 2021

Abstract

A system includes an implantable medical device configured to sense a sync signal and sense physiological parameters to obtain a physiological signal. In response to sensing the sync signal, the implantable medical device is configured to generate a sync-stamped physiological signal. In certain embodiments, a method includes receiving a first physiological signal coupled with a sync signal; receiving a second physiological signal coupled with the sync signal; and, using the sync signal, synchronizing in time the first and second physiological signals.

First claim

We claim:

1. A method for use with a medical device, the method comprising:
sensing, by at least one channel of the medical device, a sync signal;
sensing, by the at least one channel of the medical device used to sense the sync signal, a first set of physiological parameter measurements; and
in response to sensing the sync signal and the first physiological set of physiological parameter measurements, modifying the sync signal in order to generate a sync-coupled physiological signal, wherein modifying the sync signal to generate a sync-coupled physiological signal comprises at least one of: concatenating the sync signal, modulating the sync signal, or multiplexing the sync signal such that data corresponding to the first set of physiological parameter measurements is included in the sync-coupled physiological signal.

2. The method of claim 1 , further comprising:
receiving, by a sensor recording system, a second physiological signal generated by a sensor external to the medical device;
receiving, by the sensor recording system, the sync signal; and
synchronizing, in time, the first and second physiological sets of physiological measurements.

3. The method of claim 1 , wherein the at least one channel is selected from the group of: an intrathoracic impedance sense channel, a left ventricle lead channel, and an evoked response channel.

4. The method of claim 3 , wherein electrodes direct the sync signal to the medical device.

5. The method of claim 3 , further comprising:
sensing, by an additional medical device external to the medical device, a second set of physiological parameter measurements, and the sync signal; and
synchronizing, in time, the first and second sets of physiological parameter measurements.

6. The method of claim 3 , wherein the sync signal includes a predetermined series of pulses of current.

7. The method of claim 3 , wherein the sync signal includes a series of predetermined vibration pulses.

8. The method of claim 2 , wherein the first physiological signal comprises a first data stream sampled from a first original signal at a first sampling rate, and the second physiological signal comprises a second data stream sampled from a second original signal at a second sampling rate, the first and second sampling rates being different, and the method further comprising:
resampling at least one of the first and second data stream at a third sampling rate, wherein the third sampling rate is selected such that respective pulses of the sync signal span the same number of samples in the first data stream as in the second data stream; and
aligning the first and second data stream by shifting the first data stream with respect to the second data stream until a match in amplitude is obtained between the respective pulses of the sync signals associated with the first and second data streams.

9. A system comprising:
a medical device configured to:
sense, by at least one channel of the medical device, a non-stimulating sync signal, the at least one channel comprising at least one selected from the group of: an intrathoracic impedance sense channel, a left ventricle lead channel, and an evoked response channel;
obtain a physiological signal by at least one channel selected from the group of: the intrathoracic impedance sense channel, the left ventricle lead channel, and the evoked response channel; and
in response to sensing the sync signal and obtaining the physiological signal, modifying the sync signal in order to generate a sync-coupled physiological signal that includes data corresponding to the physiological signal, wherein modifying the sync signal comprises at least one of: concatenating the sync signal, modulating the sync signal, or multiplexing the sync signal.

10. The system of claim 9 , wherein the medical device is further configured to transmit the sync-coupled physiological signal to a device external to the medical device.

11. The system of claim 10 , wherein the sync signal includes a predetermined series of pulses of current.

12. The system of claim 11 , wherein the medical device is an implantable medical device; and wherein the at least one channel is selected from the group of: an impedance sense channel, a left ventricle lead channel, and an evoked response channel.

13. The system of claim 12 , wherein the medical device is configured to receive a second sync-coupled physiological signal and align, in time, both sync-coupled physiological signals.

14. A method for use with a medical device, the method comprising:
sensing, by at least one channel of the medical device, a sync signal, the non-stimulating sync signal comprising a series of pulses that are unique to a patient;
sensing, by the at least one channel of the medical device used to sense the sync signal, a first set of physiological parameter measurements;
in response to sensing the sync signal and first physiological set of physiological parameter measurements, modifying the sync signal to generate a sync-coupled physiological signal that includes data corresponding to the first physiological set of physiological parameter measurements, wherein modifying the sync signal comprises at least one of: concatenating the sync signal, modulating the sync signal, or multiplexing the sync signal;
receiving, by a sensor recording system, a second physiological signal generated by a sensor external to the medical device;
receiving, by the sensor recording system, the sync signal; and
synchronizing, in time, the first and second physiological sets of physiological measurements.

15. The method of claim 14 , wherein modulating the signal comprises at least one of: phase modulation, amplitude modulation, frequency modulation, or phase-key shifting.

16. The method of claim 14 , wherein multiplexing the sync signal comprises at least one of: using time-division multiplexing or frequency-division multiplexing.

17. The method of claim 14 , wherein modifying the sync signal comprises marking the physiological signal with the sync signal.

18. The method of claim 14 , wherein marking the physiological signal with the sync signal comprises inserting bits at certain locations in the physiological signal.

19. The method of claim 14 , wherein the at least one channel is selected from the group of: an intrathoracic impedance sense channel, a left ventricle lead channel, and an evoked response channel.

20. The method of claim 14 , wherein the sync signal includes a predetermined series of pulses of current.

Assignees

• Cardiac Pacemakers Inc

Inventors

• Thakur Pramodsingh H
• Ternes David J
• Maile Keith R
• Shen Zhe
• Ruble Stephen B
• Simms Howard D
• Emerson Paul F

Classifications

• A61N1/37254

  Pacemaker or defibrillator security, e.g. to prevent or inhibit programming alterations by hackers or unauthorised individuals · CPC title

• A61B5/0031 Primary

  Implanted circuitry · CPC title

• A61B5/7289

  Retrospective gating, i.e. associating measured signals or images with a physiological event after the actual measurement or image acquisition, e.g. by simultaneously recording an additional physiological signal during the measurement or image acquisition · CPC title

• A61B5/0022

  Monitoring a patient using a global network, e.g. telephone networks, internet · CPC title

• G16H40/67

  for remote operation · CPC title