Implantable medical device using internal sensors to determine when to switch operational modes

Patent metadata

Field	Value
Publication number	US-11464985-B2
Application number	US-202016935047-A
Country	US
Kind code	B2
Filing date	Jul 21, 2020
Priority date	May 26, 2020
Publication date	Oct 11, 2022
Grant date	Oct 11, 2022

Abstract

Techniques for switching an implantable medical device (IMD) from a first mode to a second mode in relation to signals obtained from internal sensors are described. The internal sensors may include a temperature sensor and a biosensor. In some examples, processing circuitry of the IMD may make a first preliminary determination that the IMD is implanted based on a first signal from the temperature sensor. In response to the first preliminary determination being that the IMD is implanted, the processing circuitry may make a second preliminary determination that the IMD is implanted based on a second signal from the biosensor. The processing circuitry may switch the IMD from a first mode to a second mode based on both the first preliminary determination and the second preliminary determination being that the IMD is implanted.

First claim

What is claimed is:

1. An implantable medical device (IMD) comprising:
a temperature sensor;
a biosensor, wherein the biosensor is configured to detect heart activity or impedance; and
a processing circuitry operatively coupled to the temperature sensor and the biosensor, wherein the processing circuitry is configured to:
receive a first signal from the temperature sensor;
make a first preliminary determination whether the IMD is implanted based on the first signal;
activate the biosensor by providing power thereto in response to the first preliminary determination being that the IMD is implanted;
receive a second signal from the activated biosensor;
make a second preliminary determination whether the IMD is implanted based on the second signal;
make a final determination that the IMD is implanted based on both the first preliminary determination and the second preliminary determination being that the IMD is implanted; and
switch the IMD from operating in a first power mode to operating in a second power mode based on the final determination.

2. The IMD of claim 1 , wherein the biosensor comprises an impedance sensor or an electrocardiography (ECG) sensor.

3. The IMD of claim 1 , wherein to make a first preliminary determination that the IMD is implanted, the processing circuitry is further configured to:
determine a temperature based on the first signal;
compare the temperature to a temperature criterion; and
determine, based on the temperature satisfying the temperature criterion, that the IMD is implanted.

4. The IMD of claim 1 , wherein to make the second preliminary determination that the IMD is implanted, the processing circuitry is further configured to:
determine an impedance based on the second signal;
compare the impedance to an impedance criterion; and
determine, based on the impedance satisfying the impedance criterion, that the IMD is implanted.

5. The IMD of claim 1 , wherein to make the second preliminary determination that the IMD is implanted, the processing circuitry is further configured to:
determine a heart rate based on the second signal;
compare the heart rate to a heart rate criterion; and
determine, based on the heart rate satisfying the heart rate criterion, the second preliminary determination that the IMD is implanted.

6. The IMD of claim 5 , wherein the heart rate criterion comprises a heart rate range.

7. The IMD of claim 1 , further comprising:
a wireless communication system,
wherein the processing circuitry is configured to activate the wireless communication system in response to switching from operating in the first power mode to operating in the second power mode.

8. The IMD of claim 1 , further comprising:
a wireless communication system,
wherein the processing circuitry is configured to cause the wireless communication system to wirelessly send a message to a computing device in response to switching from operating in the first power mode to operating in the second power mode.

9. The IMD of claim 8 , wherein the message comprises an advertisement for establishing a wireless connection with the computing device.

10. The IMD of claim 9 , wherein the processing circuitry is further configured to cause the wireless communication system to remain dormant while operating in the first power mode, and cause the wireless communication system to broadcast the message using an advertising rate while operating in the second power mode.

11. The IMD of claim 1 , wherein operating in the second power mode comprises higher power consumption than operating in the first power mode.

12. The IMD of claim 1 , further comprising:
a communication system,
wherein the processing circuitry is configured to activate the communication system to receive a wakeup signal from a computing device in response to the first preliminary determination being that the IMD is implanted.

13. A method comprising:
receiving, via a temperature sensor of an implantable medical device (IMD), a first signal;
making a first preliminary determination whether the IMD is implanted based on the first signal;
activating a biosensor of the IMD by providing power thereto in response to the first preliminary determination being that the IMD is implanted, wherein the biosensor is configured to detect heart activity or impedance;
receiving, via the activated biosensor of the IMD, a second signal;
making a second preliminary determination whether the IMD is implanted based on the second signal;
making a final determination that the IMD is implanted based on both the first preliminary determination and the second preliminary determination being that the IMD is implanted; and
switching the IMD from operating in a first power mode to operating in a second power mode based on the final determination.

14. The method of claim 13 , wherein the biosensor comprises an impedance sensor or an electrocardiography (ECG) sensor.

15. The method of claim 13 , wherein making the first preliminary determination that the IMD is implanted comprises:
determining a temperature based on the first signal;
comparing the temperature to a temperature criterion; and
determining, based on the temperature satisfying the temperature criterion, that the IMD is implanted.

16. The method of claim 13 , wherein making the second preliminary determination that the IMD is implanted comprises:
determining an impedance based on the second signal;
comparing the impedance to an impedance criterion; an
determining, based on the impedance satisfying the impedance criterion, that the IMD is implanted.

17. The method of claim 13 , wherein making the second preliminary determination that the IMD is implanted comprises:
determining a heart rate based on the second signal;
comparing the heart rate to a heart rate criterion; and
determining, based on the heartrate satisfying the heart rate criterion, the second preliminary determination that the IMD is implanted.

18. The method of claim 13 , wherein the heart rate criterion comprises a heart rate range.

19. The method of claim 13 , further comprising:
activating a wireless communication system of the IMD in response to switching from operating in the first power mode to operating in the second power mode.

20. The method of claim 13 , further comprising:
causing a wireless communication system of the IMD to wirelessly send a message to a computing device in response to switching from operating in the first mode to operating in the second mode.

21. The method of claim 20 , wherein the message comprises an advertisement for establishing a wireless connection with the computing device.

22. The method of claim 21 , further comprising:
causing the wireless communication system to remain dormant in the first mode, and
causing the wireless communication system to broadcast the message using an advertising rate in the second mode.

23. The method of claim 13 , wherein the second mode comprises higher power consumption than the first mode.

24. The method of claim 13 , further comprising:
activating a communication system to receive a wakeup signal from a computing device in response to the first preliminary determination being that the IMD is implanted.

25. A non-transitory computer readable storage medium comprising programming instructions that, when executed by processing circuitry of an implantable medical device (IMD), cause the processing circuitry to:
receive,

Assignees

• Medtronic Inc

Inventors

• Ecker Robert M
• Hanly Matthew P
• Gordon Charles R
• Pauly Gary J
• Terry Michael B
• Reiland Jerry D
• Yoon Hyun J
• Wyszynski Ryan D
• Thissen Jon E

Classifications

• H04W4/38

  for collecting sensor information · CPC title

• A61B2560/0209

  adapted for power saving · CPC title

• A61N1/3706 Primary

  Pacemaker parameters (stimulation threshold A61N1/371) · CPC title

• A61B5/4848

  Monitoring or testing the effects of treatment, e.g. of medication · CPC title

• A61N1/36521

  the parameter being derived from measurement of an electrical impedance · CPC title