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Medical device with control circuitry to improve communication quality

專利號
US10785720B2
公開日期
2020-09-22
申請人
Pacesetter, Inc.(US CA Sylmar)
發(fā)明人
Perry Li; Lequan Zhang; Xing Pei; Jeffery Crook; Yongjian Wu; Jun Yang; Chao-Wen Young
IPC分類
H04W52/02; H04W4/80; G16H40/40; A61N1/372; H04Q9/00; A61B5/00
技術(shù)領(lǐng)域
imd,session,power,telemetry,in,or,break,count,dbm,level
地域: CA CA Sylmar

摘要

A method for managing power during communication with an implantable medical device, including establishing a communications link, utilizing a power corresponding to a session start power, to initiate a current session between an implantable medical device (IMD) and external device. A telemetry break condition of the communications link is monitored during the current session. The power utilized by the IMD is adjusted between low and high power levels, during the current session based on the telemetry break condition. The number of sessions is counted, including the current session and one or more prior sessions, in which the IMD utilized the higher power level, and a level for the session start power to be utilized to initiate a next session following the current session is adaptively learned based on the counting of the number of sessions.

說明書

REFERENCE TO RELATED APPLICATIONS

The present application is a continuation application of, and claims priority to, U.S. application Ser. No. 16/255,178, Titled “MEDICAL DEVICE WITH CONTROL CIRCUITRY TO IMPROVE COMMUNICATION QUALITY” which was filed on Jan. 23, 2019, the complete subject matter of which is expressly incorporated herein by reference in its entirety.

BACKGROUND

Embodiments of the present disclosure generally relate to medical devices with control circuitry to improve communication quality while minimizing battery consumption.

An implantable medical device (IMD) is a medical device that is configured to be implanted within a patient anatomy and commonly employs one or more electrodes that either receive or deliver voltage, current or other electromagnetic pulses from or to an organ or tissue for diagnostic or therapeutic purposes. In general, IMDs include a battery, electronic circuitry, a pulse generator, a transceiver and/or a microprocessor that is configured to handle communication with an external instrument as well as control patient therapy. The IMD is completely enclosed within the human body. Thus, there is no means of direct interaction with an IMD, other than through wireless communication.

權(quán)利要求

1
What is claimed is:1. A method for managing power during communication with an implantable medical device, the method comprising:establishing a communications link, utilizing a power corresponding to a session start power, to initiate a current session between an implantable medical device (IMD) and external device;monitoring a telemetry break condition of the communications link during the current session;adjusting the power utilized by the IMD, between low and high power levels, during the current session based on the telemetry break condition;counting a number of sessions, including the current session and one or more prior sessions, in which the IMD utilized the higher power level; andadaptively learning a level for the session start power to be utilized to initiate a next session following the current session based on the counting of the number of sessions.2. The method of claim 1, wherein the monitoring the telemetry break condition includes counting at least one of a number of return errors or a number of bad packets received by the IMD.3. The method of claim 1, wherein the adjusting the power comprises changing from the low power level to the high power level during the current session in response to the telemetry break condition indicating an actual or potential telemetry break.4. The method of claim 3, wherein the telemetry break condition indicates the potential telemetry break is based on a measured signal to noise ratio during the session.5. The method of claim 1, further comprising determining an in-session power transition occurs from the low power level to the high power level, and in response thereto, incrementing the count of the number of sessions in which the IMD utilized the high power level.6. The method of claim 5, further comprising determining if the count of the number of sessions in which the IMD utilized the high power level has reached a threshold value; and in response to reaching the threshold value, decreasing the power utilized by the IMD during the next session.7. The method of claim 1, wherein the monitoring the telemetry break condition includes determining no return errors or bad packets were received by the IMD during the session.8. The method of claim 7, responsive to determining no return errors or bad packets are received by the IMD during the session, decrementing the count of the of the number of sessions in which the IMD is utilizing the high power level.9. The method of claim 8, wherein adjusting the power comprises changing from the high power level to the low power level for the next session in response to starting a pre-determine amount of sessions at the high power level.10. The method of claim 1, wherein establishing a communications link, utilizing a power corresponding to a session start power, to initiate a current session between an implantable medical device (IMD) and external device includes broadcasting an advertisement message during an interval and transitioning into a sleep mode when a connection is not established during the interval.11. A system for managing power during communication with an implantable medical device, comprising:one or more processors configured to execute instructions to:establish a communications link, utilizing a power corresponding to a session start power, to initiate a current session between an implantable medical device (IMD) and external device;monitor a telemetry break condition of the communications link during the current session;adjust the power utilized by the IMD, between low and high power levels, during the current session based on the telemetry break condition;count a number of sessions, including the current session and one or more prior sessions, in which the IMD utilized the higher power level; andadaptively learn a level for the session start power to be utilized to initiate a next session following the current session based on the counting of the number of sessions.12. The system of claim 11, wherein the one or more processors are further configured to execute instructions to: monitor the telemetry break condition by counting at least one of a number of return errors or a number of bad packets received by the IMD.13. The system of claim 11, wherein the one or more processors are further configured to execute instructions to: adjust the power by changing from the low power level to the high power level during the current session in response to the telemetry break condition indicating an actual or potential telemetry break.14. The system of claim 13, wherein the telemetry break condition indicates the potential telemetry break is based on a measured signal to noise ratio during the session.15. The system of claim 14, wherein the one or more processors are further configured to execute instructions to: determine an in-session power transition occurs from the low power level to the high power level, and in response thereto, increment the count of the number of sessions in which the IMD utilized the high power level.16. The system of claim 15, wherein the one or more processors are further configured to execute instructions to: determine if the count of the number of sessions in which the IMD utilized the high power level has reached a threshold value; and in response to reaching the threshold value, decrease the power utilized by the IMD during the next session.17. The system of claim 11, wherein the one or more processors are further configured to execute instructions to: monitor the telemetry break condition by determining no return errors or bad packets were received by the IMD during the session.18. The system of claim 17, wherein the one or more processors are further configured to execute instructions to: responsive to determining no return errors or bad packets are received by the IMD during the session, decrement the count of the number of sessions in which the IMD is utilized the high power level.19. The system of claim 18, wherein the one or more processors are configured to execute instructions to: adjust the power comprises changing from the high power level to the low power level for the next session in response to starting a pre-determine amount of sessions at the high power level.20. The system of claim 11, wherein the one or more processors are further configured to execute instructions to: establish a communications link, utilize a power corresponding to a session start power, to initiate a current session between an implantable medical device (IMD) and external device by broadcasting an advertisement message during an interval and transitioning into a sleep mode when a connection is not established during the interval.
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