System for verifying a pathologic episode using an accelerometer

Patent metadata

Field	Value
Publication number	US-11980472-B2
Application number	US-202117192961-A
Country	US
Kind code	B2
Filing date	Mar 5, 2021
Priority date	May 8, 2020
Publication date	May 14, 2024
Grant date	May 14, 2024

Abstract

A system for verifying a candidate pathologic episode of a patient is provided. The system includes an accelerometer configured to be implanted in the patient, the accelerometer configured to obtain accelerometer data along at least one axis. The system also includes a memory configured to store program instructions and one or more processors. When executing the program instructions, the one or more processors are configured to obtain a biological signal and identify a candidate pathologic episode based on the biological signal, analyze the accelerometer data to identify a physical action experienced by the patient, and verify the candidate pathologic episode based on the physical action.

First claim

What is claimed is:

1. A system for verifying a cardiac related candidate pathologic episode of a patient, the system comprising:
an accelerometer configured to be implanted in the patient, the accelerometer configured to obtain accelerometer data along at least one axis related to the patient;
memory configured to store program instructions;
one or more processors that, when executing the program instructions, are configured to:
obtain a biological signal and identify a cardiac related candidate pathologic episode based on the biological signal;
analyze the accelerometer data to identify a physical action experienced by the patient by comparing the accelerometer data related to the patient obtained before identification of the cardiac related candidate pathologic episode to the accelerometer data related to the patient obtained after the identification of the cardiac related candidate pathologic episode; and
verify the cardiac related candidate pathologic episode based on the physical action.

2. The system of claim 1 , wherein the physical action is activity of the patient or change in position of the patient.

3. The system of claim 1 , wherein the one or more processors are further configured to deny the cardiac related candidate pathologic episode as a false episode when the physical action does not correspond to the cardiac related candidate pathologic episode.

4. The system of claim 1 , wherein the biological signal corresponds to a cardiac activity signal, and the cardiac related candidate pathologic episode is at least one of a heart failure, stroke, syncope, arrythmia, heart attack, brady event, asystole, ventricular fibrillation, ventricular tachycardia, or seizure.

5. The system of claim 1 , further comprising:
a monitoring device configured to be implanted in the patient and in communication with the accelerometer, the monitoring device configured to:
obtain the biological cardiac signal.

6. The system of claim 5 , wherein the one or more processors are further configured to store the cardiac related candidate pathologic episode as an actual episode or a false episode based on the physical action analyzed.

7. The system of claim 5 , wherein the monitoring device is further configured to wireless transmit, to an external device, at least one of the accelerometer data, or an alert signal.

8. The system of claim 1 , wherein responsive to identifying the cardiac related candidate pathologic episode, the one or more processors obtains the accelerometer data related to the patient for an interval associated with the cardiac related candidate pathologic episode of the patient.

9. The system of claim 1 , wherein the biological signal is an accelerometer signal, and the cardiac related candidate pathologic episode identified is a syncopal event.

10. The system of claim 1 , wherein the one or more processors are further configured to:
responsive to identifying the cardiac related candidate pathologic episode, obtain the accelerometer data for an interval associated with the cardiac related candidate pathologic episode; and wherein analyzing the accelerometer data includes analyzing the accelerometer data for the interval associated with the cardiac related candidate pathologic episode to identify the physical action experienced by the patient.

11. The system of claim 1 , wherein the biological signal is obtained to identify the cardiac related candidate pathologic episode is received from an implantable medical device configured to monitor or treat a heart of the patient; and wherein the one or more processors analyze the accelerometer data to identify the physical action experienced by the patient by comparing the accelerometer data related to the patient obtained before identification of the candidate pathologic episode based on the biological signal from the implantable medical device to the accelerometer data related to the patient obtained after the identification of the candidate pathologic episode based on the biological signal from the implantable medical device.

12. A computer implemented method for verifying a cardiac related candidate pathologic episode of a patient, the method comprising:
obtaining a biological signal and identifying the cardiac related candidate pathologic episode based on the biological signal;
obtaining and analyzing accelerometer data related to a patient to identify a physical action experienced by the patient by comparing accelerometer data related to the patient obtained before identification of the cardiac related candidate pathologic episode to the accelerometer data related to the patient obtained after the detection of the cardiac related candidate pathologic episode; and
verifying the cardiac related candidate pathologic episode based on the physical action.

13. The method of claim 12 , further comprising denying the cardiac related candidate pathologic episode as a false episode when the physical action does not correspond to the cardiac related candidate pathologic episode.

14. The method of claim 12 further comprising wireless transmitting, to an external device, at least one of the accelerometer data, or an alert signal.

15. The method of claim 12 , wherein responsive to identifying the cardiac related candidate pathologic episode, obtaining the accelerometer data related to the patient for an interval associated with the cardiac related candidate pathologic episode of the patient.

16. The method of claim 12 , further comprising:
responsive to identifying the cardiac related candidate pathologic episode, obtaining the accelerometer data for an interval associated with the cardiac related candidate pathologic episode; and
wherein analyzing the accelerometer data includes analyzing the accelerometer data for the interval associated with the cardiac related candidate pathologic episode to identify the physical action experienced by the patient.

17. A system for verifying a syncopal event of a patient, the system comprising:
an accelerometer configured to be implanted in the patient, the accelerometer configured to obtain accelerometer data along at least one axis related to the patient;
memory configured to store program instructions;
one or more processors that, when executing the program instructions, are configured to:
identify the syncopal event based on a biological signal;
analyze the accelerometer data responsive to identifying the syncopal event to identify a physical action experienced by the patient by comparing the accelerometer data related to the patient obtained before identification of the syncopal event to the accelerometer data related to the patient obtained after the identification of the syncopal event; and
verify the syncopal event based on the physical action.

Assignees

• Pacesetter Inc

Inventors

• Gill Jong
• Ryu Kyungmoo
• Dawoud Fady

Classifications

• A61B5/363 Primary

  Detecting tachycardia or bradycardia · CPC title

• A61B5/0006

  ECG or EEG signals · CPC title

• A61B5/1117

  Fall detection · CPC title

• A61B5/361

  Detecting fibrillation · CPC title

• A61B5/4836

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