Detecting implantable medical device orientation change

Patent metadata

Field	Value
Publication number	US-11666282-B2
Application number	US-202016894943-A
Country	US
Kind code	B2
Filing date	Jun 8, 2020
Priority date	Jun 7, 2019
Publication date	Jun 6, 2023
Grant date	Jun 6, 2023

Abstract

Embodiments of the present disclosure relate to detecting implantable medical device orientation changes. In an exemplary embodiment, a medical device having a processor, comprises an acceleration sensor and memory. The acceleration sensor is configured to generate acceleration data that comprises a plurality of acceleration measurements. The memory comprises instructions that when executed by the processor, cause the processor to: obtain the acceleration data from the acceleration sensor; and determine, based on the acceleration data, that the medical device has flipped.

First claim

We claim:

1. A medical device comprising:
a processor;
an acceleration sensor configured to generate acceleration data, the acceleration data comprising a plurality of acceleration measurements; and
a memory having embodied thereon computer-executable instructions that are configured to, when executed by the processor, cause the processor to:
obtain the acceleration data from the acceleration sensor;
determine, based on the acceleration data, that the medical device has changed its orientation with respect to at least one axis by more than 110 degrees; and
apply a correction to a heart sounds algorithm by recalibrating the heart sounds algorithm to account for a flipped orientation of the medical device, wherein the correction is applied in response to determining that the medical device has changed its orientation with respect to the at least one axis by more than 110 degrees.

2. The medical device of claim 1 , wherein the instructions are further configured to cause the processor to generate a notification, in response to determining that the medical device has changed its orientation with respect to the at least one axis by more than 110 degrees.

3. The medical device of claim 2 , wherein the notification comprises one or more recommendations for responding to the changed orientation.

4. The medical device of claim 1 , wherein the instructions are configured to cause the processor to determine that the medical device has changed its orientation with respect to the at least one axis by more than 110 degrees by causing the processor to:
apply a trigonometric function to the acceleration data and identify the changed orientation based on a resultant of the trigonometric function being applied to the acceleration data.

5. The medical device of claim 4 , wherein the trigonometric function comprises a 4-quadrant arctangent function.

6. A processor-implemented method, performed by a processor of a medical device, the method comprising:
obtaining acceleration data from an acceleration sensor of the medical device;
generating a first smoothed set of axis data corresponding to a first axis and a second smoothed set of axis data corresponding to a second axis by applying a moving mean filter to the acceleration data;
determining that the medical device has flipped based on the first smoothed set of axis data; and
applying, in response to determining that the medical device has flipped, a correction to an output of a heart sounds algorithm.

7. The method of claim 6 , wherein the determining that the medical device has flipped comprises:
identifying an intersection between the first smoothed set of axis data and the second smoothed set of axis data; and
determining, based on the identified intersection, that the medical device has flipped.

8. The method of claim 6 , wherein the determining that the medical device has flipped comprises:
identifying a first sign change associated with the first smoothed set of axis data; and
determining, based on the identified first sign change, that the medical device has flipped.

9. The method of claim 8 , further comprising: identifying a second sign change associated with the second smoothed set of axis data; and determining, based on the identified first and second sign changes, that the medical device has flipped.

10. One or more non-transitory computer-readable media having computer-executable instructions embodied thereon, the instructions configured to be executed by a processor, wherein the instructions are configured to cause the processor to:
determine, based on acceleration data, that a medical device has flipped 180 degrees; and
apply, in response to determining that the medical device has flipped, a correction to a heart sounds algorithm.

11. The media of claim 10 , wherein the instructions are configured to cause the processor to determine that the medical device has flipped by causing the processor to:
apply a moving mean filter across the acceleration data to generate a first smoothed set of axis data corresponding to a first axis and a second smoothed set of axis data corresponding to a second axis;
identify an intersection between the first smoothed set of axis data and the second smoothed set of axis data; and
determine, based on the identified intersection, that the medical device has flipped.

12. The media of claim 10 , wherein the instructions are configured to cause the processor to determine that the medical device has flipped by causing the processor to:
apply a moving mean filter across the acceleration data to generate a first smoothed set of axis data corresponding to a first axis of the at least one axis;
identify a first sign change associated with the first smoothed set of axis data; and
determine, based on the identified first sign change, that the medical device has flipped.

13. The media of claim 10 , wherein the heart sounds algorithm is configured to detect a waveform of S2.

14. The media of claim 10 , wherein the instructions are configured to cause the processor to determine that the medical device has flipped by causing the processor to:
apply a trigonometric function to the acceleration data and identify a flip based on a resultant of the trigonometric function being applied to the acceleration data.

15. The media of claim 14 , wherein the trigonometric function comprises a 4-quadrant arctangent function.

16. The media of claim 14 , wherein the trigonometric function comprises computing and comparing an angle between two vectors in a three-dimensional space.

Assignees

• Cardiac Pacemakers Inc

Inventors

• Shute Jonathan Bennett
• Hatlestad John D
• Vanderlinde Scott R

Classifications

• A61B5/021

  Measuring pressure in heart or blood vessels · CPC title

• A61B2560/0242

  adapted to measure environmental factors, e.g. temperature, pollution · CPC title

• A61B5/686 Primary

  Permanently implanted devices, e.g. pacemakers, other stimulators, biochips (A61B5/6861 takes precedence) · CPC title

• A61B5/6869

  Heart · CPC title

• A61B5/7239

  using differentiation including higher order derivatives · CPC title