Measuring cardiovascular pressure based on patient state

Patent metadata

Field	Value
Publication number	US-11969233-B2
Application number	US-202016885396-A
Country	US
Kind code	B2
Filing date	May 28, 2020
Priority date	Dec 20, 2016
Publication date	Apr 30, 2024
Grant date	Apr 30, 2024

Abstract

A method for monitoring a cardiovascular pressure in a patient includes measuring, by pressure sensing circuitry of an implantable pressure sensing device, the cardiovascular pressure of the patient. The method further includes transmitting, via wireless communication circuitry of the implantable pressure sensing device, the measured cardiovascular pressure to another device. The method further includes determining, by processing circuitry of the other device, whether a posture of the patient at a time of the measured cardiovascular pressure was a target posture for cardiovascular pressure measurements. The method further includes determining, by the processing circuitry of the other device, whether to store or discard the transmitted cardiovascular pressure based on determining whether the posture was the target posture.

First claim

What is claimed is:

1. A method for monitoring a cardiovascular pressure in a patient, the method comprising:
measuring, by pressure sensing circuitry of a first device implanted in a pulmonary artery of the patient, a first set of cardiovascular pressures of the patient;
transmitting, via wireless communication circuitry of the first device, the measured first set of cardiovascular pressures to a second device;
determining, by the second device, a first set of postures of the patient;
thereafter communicating, by the second device, the determined first set of postures and the measured first set of cardiovascular pressures to a third device;
determining, by the third device whether, at a time of measurement of a given one of the measured first set of cardiovascular pressures, the patient's determined posture was any target posture of a set of multiple target postures, wherein the set of multiple target postures is defined by a location in the pulmonary artery in which the first device is implanted;
determining, by the third device, whether to store or discard the given measured cardiovascular pressure based on whether the posture was any target posture of the set of multiple target postures;
determining, by the third device, whether a threshold number of cardiovascular pressure measurements have been stored;
in response to a determination that the threshold number of cardiovascular pressure measurements have not been stored and the determination that the patient is in any target posture of the set of multiple target postures, setting, by the third device, a timer for a first amount of time, the expiration of which defines a second defined time for measuring a second set of cardiovascular pressures; and
in response to arrival of the second defined time:
measuring, by the first device, the second set of cardiovascular pressures of the patient;
determining, by the second device, a second set of postures of the patient; and
determining, by the third device, whether, at a time of measurement of a given one of the measured second set of cardiovascular pressures, the patient's determined posture was any target posture of the set of multiple target postures.

2. A method according to claim 1 wherein the second device is also implanted in the patient.

3. A method according to claim 2 wherein the third device is located outside the patient's body.

4. A method according to claim 1 wherein the third device is located outside the patient's body.

5. A method according to claim 1 wherein determining the patient's postures comprises measuring an accelerometer signal.

6. A method according to claim 1 wherein the first device is implanted in the patient's left pulmonary artery and the set of multiple target postures comprises a rightside-down posture.

7. A method according to claim 1 wherein the first device is implanted in the patient's right pulmonary artery and the set of multiple target postures comprises a leftside-down posture.

8. A method for monitoring a cardiovascular pressure in a patient, the method comprising:
determining, by a first device, whether a first defined time for a cardiovascular pressure measurement has arrived;
in response to arrival of the first defined time, determining, by the first device, whether the patient is in any target posture of a set of multiple target postures, wherein the set of multiple target postures is defined by a location in a pulmonary artery of a patient's body in which a pressure sensing device is implanted;
in response to a determination that the patient is in any target posture of the set of multiple target postures, triggering by the first device, a measurement of the patient's cardiovascular pressure using the pressure sensing device;
transmitting via wireless communication circuitry of the pressure sensing device, the measured cardiovascular pressure to the first device;
determining, by the first device, whether a threshold number of pressure measurements have been taken;
in response to a determination that the threshold number of pressure measurements have not been taken and the determination that the patient is in any target posture of the set of multiple target postures, setting, by the first device, a timer for a first amount of time, the expiration of which defines a second defined time for cardiovascular pressure measurement; and
in response to arrival of the second defined time, again determining, by the first device, whether the patient is in any target posture of the set of multiple target postures.

9. A method according to claim 8 wherein the first device, in response to a determination that the patient is not in any target posture of the set of multiple target postures, initiates a timer interval, the expiration of which defines a third defined time for cardiovascular pressure measurement and wherein in response to arrival of the third defined time, again determining, by the first device, whether the patient is in any target posture of the set of multiple target postures.

10. A method according to claim 8 , further comprising:
in response to arrival of the first defined time, determining, by the first device, whether the patient's activity level is below a threshold level; and wherein triggering by the measurement of the patient's cardiovascular pressure occurs only when the patient is in any target posture of the set of multiple target postures and the patient's activity is below the threshold level.

11. A method according to claim 8 , further comprising:
in response to arrival of the first defined time, determining, by the first device, whether the patient's heart rate is below a threshold rate; and wherein triggering by the measurement of the patient's cardiovascular pressure occurs only when the patient is in any target posture of the set of multiple target postures and the patient's heart rate is below the threshold rate.

12. A method according to claim 8 wherein determining whether the patient is in any target posture of the set of multiple target postures comprises measuring an accelerometer signal.

13. A method according to claim 8 wherein the implantable pressure sensing device is implanted in the patient's left pulmonary artery and the target set of multiple target postures comprises a rightside-down posture.

14. A method according to claim 8 wherein the implantable pressure sensing device is implanted in the patient's right pulmonary artery and the set of multiple target postures comprises a leftside-down posture.

15. The method according to claim 8 , further comprising:
in response to a determination that the threshold number of pressure measurements have not been taken and a determination that the patient is not in any target posture of the set of multiple target postures, setting, by the first device, the timer for a second amount of time, wherein the second amount of time is shorter than the first amount of time, and wherein the expiration of the second amount of time defines a third defined time for cardiovascular pressure measurement; and
in response to arrival of the third defined time, again determining, by the first device, whether the patient is in any target posture of the set of multiple target postures.

16. A method for monitoring a cardiovascular pressure in a patient using a pressure sensing device implanted in a pulmonary artery of the patient, the method comprising:
determining whether a first defined time for a cardiovascular pressure measurement has arrived;
in response to arrival of the first defined time, determining, whether the patient is in any target posture of a set of multiple targ

Assignees

• Medtronic Inc

Inventors

• Morris Mary M
• Klepfer Ruth N
• Kleckner Karen J
• Lauer Joel R

Classifications

• A61B5/0215 Primary

  by means inserted into the body · CPC title

• A61B5/0024

  for multiple sensor units attached to the patient, e.g. using a body or personal area network · CPC title

• A61B5/0031

  Implanted circuitry · CPC title

• A61B5/4561

  Evaluating static posture, e.g. undesirable back curvature (A61B5/1116 takes precedence) · CPC title

• A61B5/4836

  Diagnosis combined with treatment in closed-loop systems or methods (A61B5/0036 takes precedence) · CPC title