USRE42934E1 - World wide patient location and data telemetry system for implantable medical devices - Google Patents

World wide patient location and data telemetry system for implantable medical devices Download PDF

Info

Publication number
USRE42934E1
USRE42934E1 US11541521 US54152106A USRE42934E US RE42934 E1 USRE42934 E1 US RE42934E1 US 11541521 US11541521 US 11541521 US 54152106 A US54152106 A US 54152106A US RE42934 E USRE42934 E US RE42934E
Authority
US
Grant status
Grant
Patent type
Prior art keywords
patient
device
medical
data
system
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
US11541521
Inventor
David L. Thompson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
REMOTE BIOMEDICAL TECH LLC
Original Assignee
Medtronic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Grant date

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031Implanted circuitry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1112Global tracking of patients, e.g. by using GPS
    • GPHYSICS
    • G06COMPUTING; CALCULATING; COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F19/00Digital computing or data processing equipment or methods, specially adapted for specific applications
    • GPHYSICS
    • G06COMPUTING; CALCULATING; COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F19/00Digital computing or data processing equipment or methods, specially adapted for specific applications
    • G06F19/30Medical informatics, i.e. computer-based analysis or dissemination of patient or disease data
    • G06F19/34Computer-assisted medical diagnosis or treatment, e.g. computerised prescription or delivery of medication or diets, computerised local control of medical devices, medical expert systems or telemedicine
    • G06F19/3418Telemedicine, e.g. remote diagnosis, remote control of instruments or remote monitoring of patient carried devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/07Home care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0295Operational features adapted for recording user messages or annotations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/686Permanently implanted devices, e.g. pacemakers, other stimulators, biochips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37252Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37282Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data characterised by communication with experts in remote locations using a network

Abstract

A system for communicating with a medical device implanted in an ambulatory patient and for locating the patient in order to selectively monitor device function, alter device operating parameters and modes and provide emergency assistance to and communications with a patient. The implanted device includes a telemetry transceiver for communicating data and operating instructions between the implanted device and an external patient communications control device that is either worn by or located in proximity to the patient within the implanted device tranceiving range. The control device preferably includes a communication link with a remote medical support network, a global positioning satellite receiver for receiving positioning data identifying the global position of the control device, and a patient activated link for permitting patient initiated personal communication with the medical support network. A system controller in the control device controls data and voice communications for selectively transmitting patient initiated personal communications and global positioning data to the medical support network, for initiating telemetry out of data and operating commands from the implanted device and transmission of the same to the medical support network, and for receiving and initiating re-programming of the implanted device operating modes and parameters in response to instructions received from the medical support network. The communications link between the medical support network and the patient communications control device may comprise a world wide satellite network, hard-wired telephone network, a cellular telephone network or other personal communications system. Methods and apparatae are also described that enhance the ability of the medical system to find patients and to get reports on patient and medical device status, and even update medical device programming using such facilities, and others described in detail within.

Description

This application is a CIP continuation-in-part of 09/045,275, filed Mar. 20, 1998, now abandoned U.S. Pat. No. 6,292,698, and which is a CON continuation of 08/494,218, filed Jun. 23, 1995, now U.S. Pat. No. 5,752,976.

FIELD OF THE INVENTION

The present invention relates to communication systems for communicating with an implanted medical device or device system, and more particularly, such a communication system that may function on a world wide basis at any time to communicate patient location, device monitoring data, device re-programming data and to allow for effective response to emergency conditions.

The following references were cited in commonly assigned, U.S. Pat. No. 5,683,432 for ADAPTIVE, PERFORMANCE-OPTIMIZING COMMUNICATION SYSTEM FOR COMMUNICATING WITH AN IMPLANTABLE DEVICE by S. Goedeke et al. to indicate the prior state of the art in such matters. In particular, in reed switch use U.S. Pat. No. 3,311,111 to Bowers, U.S. Pat. No, 3,518,997 to Sessions, U.S. Pat. No. 3,623,486 to Berkovits, U.S. Pat. No, 3,631,860 to Lopin, U.S. Pat. No. , 3,738,369 to Adams et al., U.S. Pat. No. 3,805,796 to Terry, Jr., U.S. Pat. No. 4,066,086 to Alferness et al.; informational type U.S. Pat. No. 4,374,382 to Markowitz, U.S. Pat. No, 4,601,291 to Boute et al.; and system U.S. Pat. No. 4,539,992 to Calfee et al., U.S. Pat. No. 4,550,732 to Batty Jr., et al., U.S. Pat. No, 4,571,589 to Slocum et al., U.S. Pat. No. 4,676,248 to Berntson, U.S. Pat. No. 5,127,404 to Wyborny et al., U.S. Pat. No. No. 4,211,235 to Keller, Jr. et al., U.S. patents to Hartlaub et al., U.S. Pat. No. 4,250,884, U.S. Pat. No. 4,273,132, U.S. Pat. No. 4,273,133, U.S. Pat. No. 4,233,985, U.S. Pat. No. 4,253,466, U.S. Pat. No. 4,401,120, U.S. Pat. No. 4,208,008, U.S. Pat. No. 4,236,524, U.S. Pat. No. 4,223,679 to Schulman et al., U.S. Pat. No. 4,542,532 to McQuilkin, and U.S. Pat. No. 4,531,523 to Anderson.

BACKGROUND OF THE INVENTION

Over the years, many implantable devices have been developed to monitor medical conditions and deliver therapy to a patient. Such devices included electrical stimulation devices for stimulating body organs and tissue to evoke a response for enhancing a body function or to control pain, and drug delivery devices for releasing a drug bolus at a selected site. Other more passive implantable and wearable medical devices have been developed for monitoring a patient's condition.

We will refer to devices that are implantable as IMD's or simply MD's to indicate that they may be implantable or wearable. We will occasionally also refer to the device having GPS and transmitter for keeping in touch with the medical network or satellites as a belt worn device or simply a belt device, although it is understood that the requirement for the device is proximity to the patient with the medical device, (the IMD or MD), meaning it can be worn as a pendent, on the neck, wrist, ankle, or the like.

Chronically implanted cardiovascular devices for monitoring cardiovascular conditions and providing therapies for treating cardiac arrhythmias have vastly improved patients quality of life as well as reduced mortality in patients susceptible to sudden death due to intractable, life threatening tachyarrhythmias. As implanted device technology has grown more sophisticated with capabilities to discover, monitor and affect more patient conditions (including otherwise life threatening conditions) patients have enjoyed freedom from hospital or home confinement or bed rest. However, the improved mobility brings with it the need to maintain communications with the patient and the implanted device.

Early in the development of cardiac pacemakers, patient follow-up to monitor pacemaker operation was facilitated by telephonic transmissions of skin surface ECGs in real time to a physician's office employing such systems as the MEDTRONIC® TeleTrace® ECG transmitter. Over time, various patient worn, ambulatory ECG and device monitors have been developed for providing ECG data for remote analysis of cardiac arrhythmias. Also, the remotely programmable modes of operation of implantable medical devices increased, and programming methods improved.

In current arrhythmia control devices, (e.g. cardiac pacemakers, and pacemaker-cardioverter-defibrillators) a relatively wide range of device operating modes and parameters are remotely programmable to condition the device to diagnose one or more cardiac arrhythmia and deliver an appropriate therapy. In cardiac pacemakers, the pacing rate in one or both heart chambers is governed by algorithms that process the underlying cardiac rhythm as well as physiologic conditions, e.g. patient activity level and other measured variables, to arrive at a suitable pacing rate. The pacemaker operating modes and the algorithm for calculation of the appropriate pacing rate are programmed or reprogrammed into internal memory by accessing the implanted pacemaker's telemetry transceiver with an external programmer. Even the diagnosis of a tachyrhythmia requiring delivery of a treatment therapy and the therapies to be delivered may now be governed by operating modes and algorithm parameters that can be programmed into and changed using such a programmer.

Such implanted devices can also process the patient's electrogram and any measured physiological conditions employed in the diagnosis and store the data, for subsequent telemetry out on interrogation by the external programmer. The telemetered out data is analyzed and may be employed to establish or refine the operating modes and parameters by a doctor to adjust the therapies the device can deliver. In general, the manner of communicating between the transceivers of the external programmer and the implanted device during programming and interrogating is referred to as telemetry.

Initially, when programming techniques were first devised, the paramount concern addressed related to patient safety. Safeguards addressed the concern that the patient could be put at risk of inadvertent mis-programming of the implanted device, e.g. by stray electromagnetic fields. For this reason, and in order to avoid high current consumption that would shorten the implanted device battery life, telemetry operating range was extremely limited. In systems continuing to the present time, telemetry has required application of a magnetic field at the patient's skin over the implanted device to close a reed switch while RF programming or interrogating commands are generated to be received by the implanted device transceiver. The programming or interrogating commands are decoded and stored in memory or used to trigger telemetry out of stored data and operating modes and parameters by the implanted device transceiver.

As stated at the outset, one of the rationales and attributes of implanted medical devices of the type described, is that the patient is allowed to be ambulatory while his medical condition is monitored and/or treated by the implanted medical device. As a further safety precaution, “programmers” (devices capable of programming all the operating modes or functions of the implanted device and for initiating interrogation through the telemetry system) are generally not provided to the patients. Patients are periodically examined and device interrogation is conducted by the physician using the external “programmer” during follow-up visits to the physicians office or clinic. This limits the frequency of monitoring and may require certain patients to remain close to the physician's office, and/or limit their life style options (i.e., remain in or near their home).

Emergency conditions (device failure, physiologic variable changes resulting in inappropriate therapy, transient conditions/problems) may require additional monitoring or follow-up.

The short range of conventional device telemetry is itself viewed as unduly limiting of a patient's mobility. In the medical monitoring field, longer range, continuously accessible telemetry has been sought and systems for doing so have been proposed. In U.S. Pat. No. 5,113,869 for example, an implanted ambulatory ECG patient monitor is described that is provided with longer range telemetry communication with a variety of external accessory devices to telemeter out alarm signals and ECG data and to receive programming signals. The high frequency RF signals are encoded, including the implanted device serial number, to ensure that the communication is realized only with the proper implanted device and that it is not mis-programmed.

Telemetry communication with other implanted devices, particularly drug infusion pumps or pacemaker-cardioverter-defibrillator devices, to initiate or control their operation is also disclosed. Communication between the implanted AECG monitor and an external defibrillator is also suggested through low current pulses transmitted from the defibrillator paddles through the body link in order to condition the implanted AECG monitor to provide telemetry signals to the external defibrillator.

One of the external devices disclosed in the 869 patent is a wrist worn, personal communicator alarm for responding to a telemetered out signal and emitting a warning to the patient when the implanted AECG monitor has detected an arrhythmia. The patient is thereby advised to take medications or contact the physician or to initiate external cardioversion. The personal communicator alarm also includes a transceiver and may also be used to control certain functions of the implanted AECG monitor. A further, belt worn “full disclosure recorder” is disclosed with high capacity memory for receiving and storing data telemetered out of the implanted AECG monitor when its memory capacity is exhausted.

A remote, external programmer and analyzer as well as a remote telephonic communicator are also described that may be used in addition to or alternately to the personal communicator alarm and/or the full disclosure recorder. The programmer and analyzer may operate at a distance to the implanted AECG monitor to perform programming and interrogation functions. Apparently, the implanted AECG may automatically transmit a beacon signal to the programmer and analyzer to initiate an interrogation function to transmit data to the programmer and analyzer on detection of an arrhythmia or a malfunction of the implanted AECG monitor detected in a self-diagnostic test. Or by setting a timer in the personal communicator alarm, the implanted AECG monitor may be automatically interrogated at preset times of day to telemeter out accumulated data to the telephonic communicator or the full disclosure recorder. The remote telephonic communicator may be part of the external programmer and analyzer and is automatically triggered by the alarm or data transmission from the implanted AECG monitor to establish a telephonic communication link and transmit the accumulated data or alarm and associated data to a previously designated clinic or physician's office through a modem.

The combination of external devices provided to a given patient is at the discretion of the physician. It is preferred that at least the patient be provided with the external programmer and analyzer including a communications link.

A similar programmer/interrogator for an implanted pacemaker-cardioverter-defibrillator device is disclosed in U.S. Pat. No. 5,336,245, wherein the data accumulated in the limited capacity memory implanted device is telemetered out to a larger capacity, external data recorder. The accumulated data is also forwarded to a clinic employing an auto-dialer and FAX modem resident in a personal computer-based, programmer/interrogator.

In each of these disclosed systems, presumably, the patient is able to communicate with the physician's office or clinic contemporaneously with the transmission of data by modem. In all such telemetry systems for programming an operating mode or parameter or interrogating accumulated patient data or device operating modes and parameters, the patient is located within a short range, typically within sight, of the remote devices, particularly the remote programmer. If the patient is out of range of the programmer and an attached telephone system, the security of the patient is diminished. Consequently, at risk patients are advised to remain close by to the programmer and telephone for their safety.

The performance over time of implanted medical devices in the implant population is informally monitored by the periodic patient follow-ups employing the telemetry system conducted by the physician and the reporting of device malfunctions from the physician to the device manufacturer. Moreover, operating algorithm improvements developed over time to counter adverse device performance reports or to simply improve device function are provided to physicians to employ in re-programming the implanted devices at the next patient follow-up.

Although significant advances have been made in allowing patient's who are dependent on implanted medical devices to be ambulatory and still allow for monitoring of the device operation or the patient's underlying condition, a need remains to expand patient security while allowing the ambulatory patient to range widely. Telemetry systems in current use require prepositioning of the telemetry head over the implanted medical device, although the telemetry systems described above may offer the possibility of telemetry at a distance of several meters. In any case, such telemetry systems cannot communicate patient device information (uplink telemetry) or accept re-programming (downlink telemetry) when the patient is in remote or unknown locations vis-a-vis the physician of medical support network. In certain patient conditions, the inability to communicate with the medical implant can significantly increase patient mortality or cause serious irreversible physical damage.

SUMMARY OF THE INVENTION

It is therefore an object of the present invention to provide a patient data communication system for world wide patient location and data and re-programming telemetry with a medical device implanted in the patient.

It is a further object of the present invention to address the above described problems by providing such a communication system allowing the device and/or patient to communicate with support personnel at any time and from any place.

It is a still further object of the invention to allow the medical device and patient to be accurately and automatically located enabling prompt medical assistance if necessary.

These and other objects of the invention are realized in a first aspect of the invention in a system for communicating patient device information to and from a medical device implanted in an ambulatory patient and with a remote medical support network comprising: an implanted device telemetry transceiver within the implanted medical device for communicating data and operating instructions to and from the medical device in a coded communication, the implanted device telemetry transceiver having a transceiving range extending outside the patient's body a predetermined distance sufficient to receive and transmit coded telemetry communications at a distance from the patient's body; and an external patient communications control device adapted to be located in relation to the patient within the device transceiving range having a system controller for facilitating communications, an implant wireless interface including a control device telemetry transceiver for receiving and transmitting coded communications between the system controller and the implant device telemetry transceiver, a global positioning system coupled to said system controller for providing positioning data identifying the global position of the patient to the system controller; communications means for communicating with the remote medical support network; and communications network interface means coupled to the system controller and the communications means for selectively enabling the communications means for transmitting the positioning data to the medical support network and for selectively receiving commands from the medical support network.

Preferably the system further comprises an external patient communications device adapted to be located in relation to the patient within the device transceiving range for providing patient voice and data communications with the system controller, so that patient voice communications may be effected through the communications interface means and the communications means with the remote medical support network.

Furthermore, the communications interface means may effect two-way communication of voice and/or data between the remote medical support network and the patient communications device and implanted device telemetry transceiver by inclusion of cards for accessing one or all of the communications means including a cellular telephone network and a satellite-based telecommunication network, a hard-wired telephone communications system and/or a hard-wired interface for computer based system for local area and for modem-based e-mail communications systems. The cards are preferably interchangeable to fit the application needed by the particular patient.

The communications interface means preferably include two-way voice communications between the patient and the medical support network and two-way data communications for selectively receiving interrogation or programming commands from the medical support network to interrogate or program the operation of the device operation and to interrogate patient location.

The present invention allows the residential, hospital or ambulatory monitoring of at-risk patients and their implanted medical devices at any time and anywhere in the world. The medical support staff at a remote medical support center may initiate and read telemetry from the implanted medical device and reprogram its operation while the patient is at very remote or even unknown locations anywhere. Two-way voice communications with the patient and data/programming communications with the implanted medical device may be initiated by the patient or the medical support staff. The location of the patient and the implanted medical device may be determined and communicated to the medical support network in an emergency. Emergency response teams can be dispatched to the determined patient location with the necessary information to prepare for treatment and provide support after arrival on the scene.

Enhancements available due to technological improvement are included to provide additional benefits to what was available in U.S. Pat. No. 5,752,976 from which these stem.

These improvements include enhancements to the ability to locate the user of the inventive device by dynamic relative location (also called dynamic relative navigation), time slicing of patient device signals to the provider network to improve the normal, non-emergency communications features, clock updating in the patient devices using high accuracy clock signals available from the satellite systems used in GPS which can enhance the fine granularity of available time slicing of patient device communications signals, the use of Enhanced 911 (called E-911, which will permit triangulation on the cell phone callers location through the E-9 11 system) or other emergency telephone systems (including current 911 systems), dead reckoning , improved GPS systems like DGPS, reporting changed location if a larger than some predetermined distance is traversed by the patient device, cell phone triangulation and emergency location, all to supplement contact location information, and the transmission of raw data to be position calculated at remote or emergency vehicle locations.

BRIEF DESCRIPTION OF THE DRAWINGS

These and other objects, advantages and features of the present invention will be more readily understood from the following detailed description of the preferred embodiments thereof, when considered in conjunction with the drawings, in which like reference numerals indicate identical structures throughout the several views, and wherein:

FIG. 1 is block level diagram of a first variation of the system of the invention for a patient having free ranging mobility including an implantable medical device, a patient communications control device and a medical support network optionally employing wireless satellite telecommunication and a global positioning satellite receiver;

FIG. 2 is a schematic illustration of the system of FIG. 1 in relation to a patient;

FIG. 3 is block level diagram of a second variation of the system of the invention for a patient having limited mobility including an implantable medical device, a patient communications control device and a medical support network employing conventional wired telecommunication;

FIG. 4 is a schematic illustration of the system of FIG. 3 in a line powered monitor for use in a patient's hospital room;

FIG. 5 is a schematic illustration of the system of FIG. 3 employing a patient-worn, communications link and a line powered monitor for use in a patient's home; and

FIG. 6 is a block diagram of an exemplary implanted medical device with which the invention may be practiced.

FIG. 7 is a schematic diagram of the main component communicating parts for preferred embodiments of this invention.

FIG. 8 is also a schematic diagram of the main component communicating parts for preferred embodiments of this invention, as adapted to help in quick location of patients.

FIG. 9 is a block circuit diagram of components useful for maintaining a relative to last GPS address location, in accord with a function of this invention.

FIG. 10 is a flow chart of steps for coordinating time slice reporting of device status in accord with a feature of this invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The Global Communications and Monitoring System (GCMS) of the present invention provides a means for exchanging information with and exercising control over one or more medical devices implanted within the body of a patient employing the patient communications control device. The GCMS in its most comprehensive form of FIGS. 1 and 2 is intended to function no matter how geographically remote the patient may be relative to the monitoring site or medical support network. In this form, the GCMS provides an alarm to notify the medical support network should device or patient problems arise, determines patient location via the Geopositioning Satellite System (GSS), and allows verbal communication between the patient and monitoring personnel via a cellular telephone system link (if available at the patient location) or a satellite based telecommunications link if the patient is outside the range of a cellular link or subscribes only to the satellite-based link.

Improvements in technology are now available since the filing of the parent applications hereto that allow for enhancement of the features first described. Also, some additional problems and opportunities have been identified and addressed in this application. The improvement in GPS accuracy provided by DGPS systems and the development of cell phone location techniques have provided new opportunities to enhance patient location. The fact that behind some barriers, like trees, buildings, and so forth block some GPS signals has provided the inventor to improve the original disclosure. Likewise, some new thinking about how to improve the ability to find patients, including dead reckoning intelligence being added to the patient devices and use of time slice updates to the medical provider system have increased the usefulness of the invention.

The system is not intended to be limited to such remote use by a free ranging patient and is intended to also be used when the patient is less mobile. In the sub-system or second variation illustrated in FIGS. 3-5, the patient communication control device is intended to be coupled to a telephone or other communications system for a patient with more limited mobility. For example, the standard telecommunications system may be accessed either through a hard-wired link or by a cordless telephone with a telephone receiver in the room attached to a phone jack. In this case, the cellular or satellite-based telecommunications interface capabilities are not necessary, and the GSS capability may be superfluous. Preferably, the GCMS of FIG. 1 includes all of these capabilities embodied in a patient communications control device that is small and light enough to be attached to the patient when the patient is mobile or to be used by the patient as a free standing unit at the patient's residence or hospital room. Alternatively, as shown in FIGS. 3-5 the GCMS can be re-configured in part as a stand alone, line powered, room monitor and the remaining part can be implemented as a patient-worn, battery powered, communications link with a transceiver capable of two-way communication between the patient, the implanted medical device and the line powered monitor.

FIGS. 1 and 3 are intended to show the alternate components of both of the variations of the GCMS, although the alternate components may be included in the same GCMS. The patient 10 has one or more implanted medical devices 12, 14, which in the latter case may communicate with one another is known as, for example, using the body medium in a manner described in commonly assigned U.S. Pat. No. 4,987,897 to Funke. The medical device 12 (and associated device 14, if present) may be, for example, an arrhythmia control device, e.g. a cardiac pacemaker or a pacemaker-cardioverter-defibrillator. A relatively wide range of device operating modes and parameters are remotely programmable to condition such a device 12 to diagnose one or more conditions such as cardiac arrhythmias and/or deliver electrical or other stimulus appropriate for therapy. The implanted medical device 12 may alternatively be a drug administration device, cardiomyoplasty device, neural stimulator or any other implantable device with electronic control functions that can be programmed and/or have memory for storing patient and device operating data.

At least one implanted medical device 12 possesses a transceiver of the type known in the art for providing two-way communication with an external programmer. The encoded communication may be by the RF transmission system such as is described in the above-referenced '869 patent or by using spread spectrum telemetry techniques described in U.S. Pat. No. 5,381,798 to Burrows or by the system disclosed in the above-referenced U.S. Pat. No. 5,683,432 or any of the known substitutes. The telemetry technique employed and the transceiver of the implanted medical device 12 have enough range to communicate between the transceiver in the implant wireless interface 22 in the remote patient communications control device 20 and the implant (12 . . . 14). The system disclosed in the above-referenced U.S. Pat. No. 5,683,432 may be employed to increase the accuracy and efficiency of the uplink and downlink telemetry.

FIG. 6, depicts an implantable pulse generator (IPG) circuit 300 and atrial and ventricular lead system 112, 114 having programmable modes and parameters and a telemetry transceiver of a DDDR type known in the pacing art as an example of an implanted medical device 12. While described in some detail, this device 12 provides only one example of the kind of implantable device that may be employed with this invention.

The IPG circuit 300 of FIG. 6 is divided generally into a microcomputer circuit 302 and a pacing circuit 320. The pacing circuit 320 includes the output amplifier circuit 340 and the sense amplifiers 360. The output circuit 340 and sense amplifier circuit 360 may contain pulse generators and sense amplifiers corresponding to any of those presently employed in commercially marketed cardiac pacemakers for atrial and ventricular pacing and sensing. The bipolar leads 112 and 114 are illustrated schematically with their associated electrode sets 116 and 118, respectively, as coupled directly to the input/output circuit 320. However, in the actual implanted device they would, of course, be coupled by means of removable electrical connectors inserted in a connector block.

Sensed atrial depolarizations or P-waves that are confirmed by the atrial sense amplifier (ASE) in response to an A-sense are communicated to the digital controller/timer circuit 330 on ASE line 352. Similarly, ventricular depolarizations or R-waves that are confirmed by the ventricular sense amplifier in response to a V-sense are communicated to the digital controller/timer circuit 330 on VSE line 354.

In order to trigger generation of a ventricular pacing or VPE pulse, digital controller/timer circuit 330 generates a trigger signal on V-trig line 342. Similarly, in order to trigger an atrial pacing or APE pulse, digital controller/timer circuit 330 generates a trigger pulse on A-trig line 344.

Crystal oscillator circuit 338 provides basic timing clock for the pacing circuit 320, while battery 318 provides power. Power-on-reset circuit 336 responds to initial connection of the circuit to the battery for defining an initial operating condition and may reset the operative state of the device in response to a low battery condition. Reference mode circuit 326 generates stable voltage and current references for the analog circuits within the pacing circuit 320. Analog to digital converter (ADC) and multiplexor circuit 328 digitizes analog signals. When required, the controller circuit will cause transceiver circuit 332 to provide real time telemetry of cardiac signals from sense amplifiers 360. Of course, these circuits 326, 328, 336, and 338 may employ any circuitry similar to those presently used in current marketed implantable cardiac pacemakers.

Data transmission to and from the external programmer of the patient communications control device of the preferred embodiment of the invention is accomplished by means of the telemetry antenna 334 and an associated RF transmitter and receiver 332, which serves both to demodulate received downlink telemetry and to transmit uplink telemetry. Uplink telemetry capabilities will typically include the ability to transmit stored digital information, e.g. operating modes and parameters, EGM histograms, and other events, as well as real time EGMs of atrial and/or ventricular electrical activity and Marker Channel pulses indicating the occurrence of sensed and paced depolarization in the atrium and ventricle, as is well known in the pacing art. The IPG transceiver system disclosed in the above-referenced U.S. Pat. No. 5,638,432 may be employed to provide the uplink and downlink telemetry from and to the implanted medical device in the practice of the present invention.

Control of timing and other functions within the pacing circuit 320 is provided by digital controller/timer circuit 330 which includes a set of timers and associated logic circuits connected with the microcomputer 302. Microcomputer 302 controls the operational functions of digital controller/timer 324, specifying which timing intervals are employed, and controlling the duration of the various timing intervals, via data and control bus 306. Microcomputer 302 contains a microprocessor 304 and associated system clock 308 and on-processor RAM and ROM chips 310 and 312, respectively. In addition, microcomputer circuit 302 includes a separate RAM/ROM chip 314 to provide additional memory capacity. Microprocessor 304 is interrupt driven, operating in a reduced power consumption mode normally, and awakened in response to defined interrupt events, which may include the A-trig, V-trig, ASE and VSE signals. The specific values of the intervals defined are controlled by the microcomputer circuit 302 by means of data and control bus 306 from programmed-in parameter values and operating modes.

If the IPG is programmed to a rate responsive mode, the patient's activity level is monitored periodically, and the sensor derived V-A escape interval is adjusted proportionally. A timed interrupt, e.g., every two seconds, may be provided in order to allow the microprocessor 304 to analyze the output of the activity circuit (PAS) 322 and update the basic V-A escape interval employed in the pacing cycle. The microprocessor 304 may also define variable A-V intervals and variable ARPs and VRPs which vary with the V-A escape interval established in response to patient activity.

Digital controller/timer circuit 330 thus defines the basic pacing or escape interval over a pacing cycle which corresponds to a successive A-V interval and V-A interval. As a further variation, digital controller/timer circuit 330 defines the A-V delay intervals as a SAV that commence following a sensed ASE and a PAV that commences following a delivered APE, respectively.

Digital controller/timer circuit 330 also starts and times out intervals for controlling operation of the atrial and ventricular sense amplifiers in sense amplifier circuit 360 and the atrial and ventricular amplifiers in output amplifier circuit 340. Typically, digital controller/timer circuit 330 defines an atrial blanking interval following delivery of an APE pulse, during which atrial sensing is disabled, as well as ventricular blanking intervals following atrial and ventricular pacing pulse delivery, during which ventricular sensing is disabled. Digital controller/timer circuit 330 also defines an atrial refractory period (ARP) during which atrial sensing is disabled or the ASE is ignored for the purpose of resetting the V-A escape interval. The ARP extends from the beginning of the SAV or PAV interval following either an ASE or an A-trig and until a predetermined time following sensing of a ventricular depolarization or triggering the delivery of a VPE pulse as a post-ventricular atrial refractory period (PVARP). A ventricular refractory period (VRP) may also be timed out after a VSE or V-trig. The durations of the ARP, PVARP and VRP may also be selected as a programmable parameter stored in the microcomputer 302. Digital controller/timer circuit 330 also controls sensitivity settings of the sense amplifiers 360 by means of sensitivity control 350.

The illustrated IPG block diagram of FIG. 6 is merely exemplary of one form of an implanted medical device 12 having a telemetry transceiver. The telemetry transceiver 332 is capable of receiving interrogation commands for uplink telemetry of accumulated data, e.g. stored histograms of intracardiac electrograms (IEGM) or other electrogram (EGM) data maintained in RAM 310 or RAM/ROM unit 314, or of real-time data, e.g. the raw EGM of the patient's heart. In addition, it is capable of receiving permanent reprogramming commands or certain temporary programming commands for changing operating modes or parameters of the IPG 300 to counter a condition diagnosed by the medical support network. In this manner, the selective initiation of the operation of the therapeutic treatment (pacing for device 12) and monitoring can be effected through operating commands received by said implanted device telemetry transceiver 322. Furthermore, the operating algorithms governing the various pacing modes or parameters of those operating algorithms may be re-checked and altered through downlink interrogation and re-programming. In addition, the normal, periodic follow-up of the IPG 300 operation can be remotely initiated and conducted using the uplink and downlink telemetry between the transceiver 332 and the implant wireless interface under the control of the system controller as described below. The present invention can therefore readily be practiced using the basic hardware of existing microprocessor-controlled, dual chamber pacemakers, pacemaker-cardioverter-defibrillators and other medical devices, with a transceiver capable of uplink and downlink telemetry at a distance of up to several meters between the telemetry antenna 334 and the external telemetry antenna of the patient communications control device 20 or 20′ of the variations of the present invention.

Returning to FIGS. 1 and 3, the patient communications control device 20, 20′ therefore includes the implant wireless interface 22 that operates as a two-way telemetry transceiver for communicating with the telemetry transceiver of the implanted medical device 12 or devices 12, 14 and is controlled in those operations by a microcomputer-based system controller 24, preferably a 486XX microprocessor with RAM and ROM, e.g. the Cardio 486 available from SMOS SYSTEMS located in San Jose, Calif. maybe employed as the controller 24. The system controller 24 contains a system clock for maintaining an accurate time base which in one embodiment may be recalibrated periodically via accurate clocks in the GPS satellites 62. The microcomputer-based system controller 24 is coupled to the patient link 26 and the voice and data communications network interface 28 via voice and data buses 36 and 38. A patient link 26 provides a microphone and speaker through which the patient 10 can use for voice communication through the system controller 24 and the voice and data communications network interface 28 with the remote medical support network 50. Communication between the system controller 24 and the communications interface 28 is via data and voice buses 44 and 46. The system controller 24 may be part of a standard or modified cellular telephone or other personal communication device and may simply recognize specific telemetered signals from the implanted device if desired.

At the medical support network 50, a base station is provided to be in the communication link with the monitor 30 or the patient-worn communications device 40. The base station is preferably a microprocessor-based system that includes the software and hardware needed for voice communication with the patients to locate the patient and to interrogate and program the implanted medical devices using the communications interface links incorporated into the GCMS. Alternatively, a system can employ a device similar to the base station as a mobile unit in an emergency vehicle like an ambulance or helicopter as illustrated in FIG. 7, vehicles 105 and 105a. This mobile unit being tasked to find the exact location of a patient in an alarm condition and to rapidly administer medical aid and provide transportation to the most appropriate medical center. Patient voice communications through the patient link 26 include both actual patient voice and/or manually actuated signaling which may convey an emergency situation. For example, a patient may initiate communications through link 26 by depressing a button and/or speaking into the microphone/speaker. The patient voice is converted to an audio signal, digitized, encoded and transmitted either by voice bus 36 or by a transceiver in the case where the patient link 26 is physically separated from the system controller 24, as described below. The patient activated emergency signal is likewise encoded and transmitted by data bus 38 or its equivalent transceiver encoded RF signal to the system controller 24.

Patient link 26 is a custom designed circuit that preferably has a microphone and speaker, associated drivers, a visual indicator (i.e. light or LCD display), and a patient activator. In the embodiment where the patient link 26 is physically part of the patient communications control device 20, the patient link also includes interface circuitry to buses 36 and 38 as shown in FIG. 1. Alternatively, the patient link 26 can be combined with the implant wireless interface as a combined PCMCIA (or other communications) card and a single data bus may be shared between the two circuits. In a further embodiment having a physically separated and separately powered patient communications control device 26, the voice and data buses 36 and 38 can be replaced by short-range wireless LAN PCMCIA cards at each end of the link. An infrared wireless LAN PCMCIA adapter with an integrated transceiver, Model No. 87G9743, is currently available from IBM, Inc., Somers, N.Y. An RF wireless LAN PCMCIA adapter with an integrated transceiver, Model No. 80G0900 is also available from IBM, Inc., Somers, N.Y. Other similar devices may be used.

Much improved location finder systems are available from Trimble Navigation and Leica as described below, and these could of course be used to effectuate the improved location of and contacting of the patient system. For most situations basing the receiver on the DGPS in the AgGPS 132 from Trimbal would be sufficient, but including the signal interference capabilities of the 400 rsi and Dsi devices may prove advantageous. By incorporating or using these or even the Leica systems now available to determine location to a claimed 1 cm accuracy, sending the location information from the patient to the emergency locator vehicle could aid in locating a patient more quickly by indicating the direction and distance to that location in the emergency vehicle's base/mobile station display(one example illustrated in FIG. 8. (Citations for Trimbal and Leica are near the end of this application).

Continuing specifically with the first variation of FIGS. 1 and 2, these figures depict the components of the more comprehensive GCMS of the present invention for allowing greater patient mobility, a wider range of communications network interface links and the capability of locating the patient anywhere in the world. In the GCMS of FIG. 1, all components of patient communications control device 20 are incorporated into the patient-worn communications device 40 which may be worn, for example, on a patient's belt or carried in a pocket, or worn on a wrist. Alternatively, as described above, the patient link 26 may be separated into a wrist-worn device having a separate transceiver for convenience of use in voice communication. In any event, the emerging Personal Communications System (PCS) technology may be employed in the miniaturization of the system components.

In accordance with one aspect of the invention, the system controller 24 is coupled to a GPS receiver 60 via bus 58 for receiving patient positioning data from an earth satellite 62. The GPS receiver 60 may use current systems such as the Mobile GPS™ (PCMCIA GPS Sensor) provided by Trimble Navigation, Inc. of Sunnyvale, California or Retki GPS Land Navigation System provided by Liikkura Systems International, Inc. of Cameron Park, Calif., or other similar systems. The GPS receiver 60 may be actuated by a command received through the system controller 24 from the medical support network, in the case of an emergency response. In the case of a non-emergency, periodic follow-up, the GPS receiver 60 may be enabled once an hour or once a day or any other chosen interval to verify patient location. The determined location may be transmitted to the medical support network and/or stored in RAM in the system controller 24. To maintain patient location information in the absence of GPS signals (such as inside metal buildings), a three-axis accelerometer 72 or other position/motion determining device can be incorporated into the system. By knowing original position (from the last valid GPS point), time (from the internal clock) and acceleration (motion), patient position can be calculated from the three axis coordinates realized from each accelerometer output calculated in each case from:
x(t)=x(0)+v(0)t+∫∫a(t)dt
where x(0) is the initial position stored in memory for each axis, t is time, a is acceleration and v is velocity.

In the free ranging embodiment of FIGS. 1 and 2, two communication network interface links with the medical support network 50 are included, although the communication interface links of the second variation of FIGS. 3-5 may be included for optional home use. One non-hard-wired communication interface link is effected through the soon to be deployed, worldwide satellite communications system, called “Iridium”, by Motorola, Inc. of Schaumburg, Ill. This is a PCMCIA card 64 which may be built from common components by one skilled in the art. Another (second) communications link can be effected by the ARDIS (Advanced Radio Data Information Service) pocket radio communications network via PCMCIA link card 66, a Mobidem modem available from Ericsson, Inc. of Raleigh, N.C. Both of the radio links operate as modems with voice and data simultaneously transmitted via adding the CT8020 (DSP Group of Santa Clara, Calif.) to a standard data modem such as a 28.8 Keepintouch™ Express modem from AT & T Corp. of Largo, Fla.

Either or both PCMCIA cards 64 and 66 may be provided and they are coupled with the voice and communications network 28 via buses 68 and 70, respectively. When both are provided, access to the communications satellite link 80 is automatically obtained when a link to a cellular transceiver 82 is not possible.

It should be noted that “Iridium” manages cellular location of each subscriber in the network at all times. The subscriber unit, which in this invention would be incorporated into the device 20 (or communicatively connected to it) identifies itself and its location on a periodic basis to the system manager. In any system chosen it is expected that the control and communications device will have to report in to a management system regarding its location on a periodic or at least on a changed location basis or both. The implanted device need not be concerned about this activity and need not use any of its battery power to accomplish it since only the external device 20 (in the preferred embodiments) needs to be involved in such location communication. Only by knowing the patient location can the medical system 50 communicate to the implanted device at any time it wants or needs to. Accordingly, if emergency communications are expected short intervals between reporting in are recommended.

By checking in, the patient's external communications device would act like a cellular phone, answering incoming medical system messages broadcast into the cell in which it is located.

For patient convenience, a personal communicating device may incorporate the controller/communicator that communicates between implanted device(s) and the external world. In this way it could look like and operate as a personal communicator or cellular phone and reduce patient psychological discomfort. It should also be recognized that if the cellular telephone system manages all communication functions between the outside-the-patient-system and the medical community system, the implanted device need only be able to communicate with the cellular communications product.

FIG. 2 illustrates the free ranging patient 10 located remotely from the medical support network 50 and from any hard-wired communications link. The patient communications control device 20 is implemented in the belt-worn portable unit 40, although the patient link 26 may be worn separately on the patient's wrist (not shown). Alternatively, the patient communications control device 20 including the patient link 26 may be packaged into a portable telephone configuration and carried in a pocket. In any embodiment, the patient location may be determined by communications with the GPS 62. The voice and data communications link with the medical support network 50 may be effected by a cellular phone link including transceiver 82. Alternatively, the voice and data communications link may be effected using the communications satellite link 80.

The patient communications control device 20 of FIGS. 1 and 2 is powered by a battery power supply 74 that preferably is rechargeable, or alternatively by commonly available batteries of any type. The system controller 24 includes a power control system for powering down the microprocessor and the associated components of the patient communications control device 20 except on receipt of an interrupt in a manner well known in the art.

Power consumption can be significantly reduced by powering up the communication and satellite circuitry periodically for a short period of time to re-acquire a GPS location and/or look for requests for data or status from the medical support network 50. This system power consumption reduction can greatly enhance battery lifetime requiring less frequent battery replacement or recharging, in the case of a rechargeable battery configuration. As an alternate to using a management system to maintain a patient location data based on patient's device periodic check-in each GCMS system for each patient could have a specific time slot (for example, 30 seconds) non-overlapping with other GCMS systems to power up, acquire location coordinates from the GPS system and be alert for a call from the medical support network 50. Periodically (for example, once per day), the medical support network 50 would reset/recalibrate the system clock in system controller 24 from the atomic clock in the GPS satellite system. This would ensure that no specific GCMS system clock would drift out of range of its allotted time slot and be unavailable for reception or drift into an adjacent time slot. Other time dividing schemes used in other arts may also be employed to maximize battery life for any system.

Time slicing the power up communications can increase the number of available time slots in a local system if the time slices are small and accurately maintained. To do this, the patient's system would simply update it's internal clock with reference to the atomic clock signal broadcast via the satellite to maintain accurate timekeeping for itself.

Turning to the second variation of the invention illustrated in FIGS. 3-5, it should be noted that the system of FIG. 1 may also be used in the home or in the hospital using the cellular communications link card 66. However, the modified patient communications control device 20′ of FIG. 3 is preferably implemented with the voice and data communications network interface 28 having the capability of directly linking with a hard-wired phone line 32 or other communication services, which may include a hospital installed network, e.g. a personal computer interface to a local area network. In either case, the modified patient communications control device 20′ may be implemented in a number of portable or stationary monitor 30 forms.

In the embodiment illustrated in FIG. 4, all of the FIG. 3 components of the modified patient communications control device 20′ are located in the monitor 30. The patient link 26 and the implant wireless interface 22 are hard-wired by voice and data buses 36, 38 and 42 to the system controller 24. In the embodiment of FIG. 5, the patient link 26 and the implant wireless interface 22 are located in the patient-worn communications device 12. The remaining components of the modified patient communications control device 20′ are located in monitor 30, and suitable RF telemetry transceiver links are substituted for the buses 36, 38 and 42. In either embodiment, the power supply 74 of the monitor 30 may be line powered. The modified patient communications control device 20′ within monitor 30 may also be coupled to a wall jack for hard-wired communications through the phone line 32 or other communications service 34 with a medical support network 50 located remotely or within the hospital.

As described above, implantable devices such as 12 . . . 14 include telemetry transceivers with range suitable for communicating over a short range to the implant wireless interface 22 of the modified patient communications control device 20′ within stand alone monitor 30. This remote link offers advantages over patient-worn electrodes or programming heads required in the standard skin contact telemetry and monitoring used at present. Skin contact is difficult to maintain, as the adhesive for the electrodes or heads fails in time, skin irritation is often a problem and inadvertent removal of electrodes is also prevalent. Moreover, the EGM and other body condition monitoring capabilities of advanced implanted medical devices can be taken advantage of to substitute for in-hospital monitoring, e.g. Holter monitoring of the patient's electrogram. The electrogram and/or other sensor derived data, e.g. pressure, temperature, blood gases or the like, stored by the implanted device can be transmitted out continuously or on periodic automatic telemetry command and sent by the communications link to the remote or hospital medical support network 50.

In either environment of FIG. 4 or 5, the patient 10 may communicate with the medical support staff at the medical support network 50 through the voice channel provided in the patient link 26. The patient communications control device 20 or 20′ in either embodiment can retrieve all implanted device stored patient and device operating data on receipt of a command from the medical support network 50, process and temporarily store such data, and transmit it back to the support network 50 for analysis. Moreover, implanted devices 12 . . . 14 may be reprogrammed from the medical support network 50 to alter device operating modes and parameters employing the modified patient communications control device 20′ as a programmer. Finally, the modified patient communications control device 20′ can transmit an alarm to the medical support network should there be problems with the patient or implanted devices 12, 14. For example, the implanted devices 12, 14 may signal a low battery condition or a low drug supply in the case of an implanted drug dispenser or other problems found in self-diagnostic routines periodically conducted within the implanted devices 12 . . . 14.

The variations and embodiments of the GCMS of the present invention provides comprehensive monitoring of implanted medical devices independent of the geographic mobility of the patient using the devices, obviating the need for the patient to return to a designated follow-up monitoring site or clinic. Moreover, it allows determination of the patient's geographic location via the GSS 62 while providing simultaneous two-way communication with devices and the patient when desired. In addition to emergency response and routine patient management, the GCMS facilitates medical device clinical studies, providing data collection at one central site from all study patients without requiring their active involvement or clinic visits. This is especially useful for conducting government-mandated post-market surveillance studies. Should there be need to upgrade or change the behavior of implanted devices the global system allows a central monitoring site to revise all involved implants anywhere in the world by transmitting new programming instructions to every device (assuming appropriate governmental authorities and the patients' physicians have agreed to the need for such changes). The patient need not be directly involved in this updating and need not be aware of the actual process.

A continuous and automatic medical monitoring service could be implemented to shorten response time for emergency medical situations or device events signifying patient difficulty. For example, a patient having an implanted cardioverter/defibrillator may be subjected to multiple defibrillation shocks, due to an underlying arrhythmia that cannot be converted by the shocks. To achieve this in the first variation of FIGS. 1 and 2, the implanted medical device 12 or 14 would initiate an emergency transmission to the patient communications control device 20 which would contain, but not be limited to, all or some of the following: patient name and mailing address, patient's current location, patient's current medical condition requiring assistance, ongoing “real time physiological variables”, patient medical support team information, and current status (patient and device) and data stored within the implanted medical device. The patient communications control device 20 would obtain the GSS signal and transmit all the information to the medical support network 50. The patient may also transmit voice information if conscious of the event. A similar response to an emergency situation can be initiated and completed in the GCMS of the second variation using the modified patient communications control device 20′. And, as mentioned before, the time slice can be very small for each patient in a local provider network if the system checks its time clock against the atomic clock time signals available from the satellite.

Moreover, patient follow-up and periodic monitoring (i.e. monthly, quarterly, etc.) of the medical implant's stored data and status could be done automatically and be completely transparent to the patient. The medical support team would even have the capability of changing the implanted device settings or programming with complete transparency to the patient (or alternatively, voice or warning signals may be used to identify impending programming).

Interactions with the implanted device and patient may be totally transparent to the patient, e.g., routine location checks to determine if the patient is in proximity sufficiently with the patient communications device to interrogate the implanted device or for follow-up data collection from the implanted device's monitoring memory or reprogramming of operations of the device effected at night while the patient sleeps. Or the patient may be included in the process, even to the extent that voice communications from the staff at the support network to instruct or reassure the patient are received in the patient communications control device.

The following chart details the communications pathways and the data that can travel over them are detailed in the following chart.

Medical Device(MD) Data to a. Serial No. or other unique ID data
Belt Device b. Patient Condition
c. Device status data
d. Device Sensor data
e. Coordinating data
Belt Device to Medical a. Commands to MD(change a program
Device(MD) parameter/value/sequence, interrogate,
request a program or data, etc.)
b. Coordinating data (ex. outside
pressure)
Network Data to Belt Device a. Commands to Belt Device or MD
b. Coordinating data(ex. DGPS)
Belt Device to Network a. Belt Device data (which includes all
data from the MD and Belt Device
generated data including Dynamic
Relative Reference, and GPS and DGPS
as required or requested.)
NOTES:
Wake-ups, acknowledgments, protocol, error correcting, and handshaking all as designed for each component to component communication. It should be noted that Network includes for example any number of nodes in a telephone system that are part of the health care provider network, or any specific one of such nodes.

Using these communications features we can enhance the functionality available to the medical community for using these devices, while at the same time providing enhanced location of patients in emergency situations.

In particular, we use the enhancements of the GPS system called DGPS to more accurately identify the patient location. We also use on-board automatic dead reckoning facilities in the belt worn or in the IMD itself to provide update control and location information relative to a last DGPS or GPS location. We also can provide interaction with cellular telephony systems that can now be used to provide location information as well.

To reduce the amount of information processing that has to be done in the belt worn or IMD, we can take advantage of the nature of the GPS data itself. This data can be represented as follows. The table illustrates a variable length data transmission from the patient communications control device 20 (or 20′) to the remote medical support network 50, for example.

DATA TABLE:
Byte Label Description
0 Sync flag A hex value to identify the start to receiver
(usually FF)
1-2 Length of Data integer indication of number of bytes to
follow
3-6 Patient ID code Unsigned long integer value
7-8 GPS FOM Figure Of Merit, calculated by GPS
(integer value, depends on number of
satellites in view)
9-10 GPS GDOP Geometric Dilution of Precision calculated
by GPS (integer value, includes the time
correction data based on the satellite
broadcast atomic clock data)
11-18 GPS Latitude IEEE double precision format
19-26 GPS Longitude IEEE double precision format
27-n ECG/physiologic number of bits dependent on digitization
signal/device status, rate and what data is being sent
etc.
n + 1 LRC Longitudinal Redundancy Check data and
ECC data to correct errors in transmission.

When using the system to locate patients, the Contact Patient software module contains two identical arrays that form the binary data packets. While one packet is collecting real time data from the ADC 328 of implantable device 300 and the result of a GPS calculation, the other is communicating to the base station. Once every second the packets change function (commonly called double buffering). Real time displayed data is delayed by one second. The actual data transmission time depends on the amount of data, which is set by the digitization rate and the baud rate achieved over the wireless link between devices. Typically the table full of data would be transferred in a third of a second.

Alternatively, to save power in the patient worn belt and IMD devices, the use of the GPS Latitude and Longitude calculations need not be made. These could be calculated in a computer in a rescue vehicle (FIG. 7 ) or in the hospital, or somewhere else in the system, from raw GPS satellite data and thereby saving power for the small devices. Simply turning off the main GPS receiver activities will save power too, as was demonstrated in U.S. Pat. No. 5,592,173, incorporated herein by reference. In this patent as well, a dead reckoning system is also suggested as being useful in the powered down mode.

Referring now to FIG. 7, in which a system 100 in accord with one aspect of this invention is shown, a tower 101 base station, broadcasts its correction data from its known location to the devices located in a clinic/hospital 103, a moving rescue vehicle 105 and the patient system 104. There currently are at least two DGPS systems commercially available, one form Trimble Navigation Limited, Sunnyvale Calif. and Hampshire England, and another from Leica Navigation and Positioning of Torrence California and Leica Inc., Norcross Ga. Both these companies provide base stations for broadcasting and receivers for receiving and correlating GPS and DGPS data that could be useful for the system components shown in FIG. 7, but other similar systems could be used as well. A description of the features providing for DGPS location in the Trimble system are mentioned in the U.S. Pat. Nos. 5,777,580, 5,745,868, 5,731,768, and 5,680,140, all of which are herein incorporated by this reference.

The satellite 102 could be any of the GPS satellites, and the hospital or clinic 103 could be any medical facility. The personal system of the patient 104, may be worn for example on a belt or pendant or by other means kept near his body, as preferably two parts, the medical device MD (104a) and the belt worn device consisting of the programmer type communicating module PMD 104b for communicating with the medical device 104a, the telecom unit 104d for communicating with local telephony systems through wireless cell phone type technologies, and the DGPS or GPS unit 104c, which receives the satellite data and data from fixed base stations like station 101.

Referring now to FIG. 8, the belt worn device 104 receives satellite data A, broadcast from a set of satellites 102a-n (only one is pictured). It also receives broadcast correction data signals A′ from a base station 101. The finding system in device 106 receives this same data. When alerted to be looking for the location of the patient worn device 104, device 106 will also be looking for information broadcast by device 104 in signal B. Generally this data will include information received from the satellites 102a-n that are in range of the belt worn device 104 in a packet 107a and the correction data received from the DGPS base station 101 in packet 107b. From this data the exact location of device 104, can be computed. By computing this location data itself, device 106 can then compute its own location and produce a vector to the device 104 for display (like display 106a) to the user of device 106. It is believed that the most effective display would be a directional arrow with a numeric display of distance units to the device as illustrated, but any combination of numeric, alpha, and illustrative displays as well as audible signaling including speech (for example, the device could say 20 yards to your left for use by a fire fighter in a smoky building) may be used if desired. There is also no reason not to incorporate a telephone receiver for direct communications with the patient in both the devices 104 and 106 if desired.

The data in the interchange between the mobile finding device 106 and the patient belt worn device 104 can be in many forms, but preferably we would use a data format like in the DATA TABLE, above.

Improvements in the flexibility of how to access a patient in distress or for location of any other person using a device such as 140 in FIG. 8 can be had using alternate systems already in use.

For example, in the United States, there is a new FCC proposed rule for broadband personal communications services carriers to comply with section 103 of the Communications Assistance for Law Enforcement Act, so many competing systems for location of cell phones will be available to supplement the finding features of this invention. It is believed that nearly all cell phone systems will be able to locate their users within 15 meters under this initiative. While this initiative is related to law enforcement activities primarily, it's use for medical emergencies should not be proscribed. There is also an initiative to have emergency calls to the Emergency 911 (E911) system from cell phones activate location information for the emergency response services to be more effective. Finally, if the medical device (104a of FIG. 7) notes that its wearer has an emergency condition, it could activate a call by a communication to the PMD corn unit 104b to call the 911 or other emergency service (using unit 104d) through the wireless telephone system. An initial location data stream would preferably automatically be sent with the initial call when the call was made, using this new initiative system. This information receiving function could be incorporated into emergency telephone receiving equipment or if the emergency services don't provide it, a voice transmission of the nature of the emergency and perhaps some indication of location could be given by the telecom unit 104d from a bank of recorded message parts to emergency response personnel. If special equipment is incorporated in the emergency telephone communications system, emergency codes could be sent along with the location data or just sent by itself. Also, code data regarding the patient condition, like blood pressure, temperature, battery fault in an implanted device or any other relevant information regarding the patient condition, environment or device status can be reported with the emergency coding.

Time slice updating of the status of a device like that of 104 in FIG. 8, implants 12, 14 etc. and 20 of FIGS. 1, or 12 and 30 of FIG. 2, can be effectively provided to many thousands of patients in a geographic region with little difficulty provided there is accurate keeping of time by all units in a given system.

FIG. 9 illustrates the main internal components needed for keeping track of the patient location if the GPS system is temporarily unavailable, and for using a dead reckoning system to complement the GPS or DGPS systems in any other ways. There should be a real time clock 901, a microprocessor unit 903 and some memory circuits 902 connected by circuit lines or a bus 904 to the position tracking monitoring circuitry 905. This tracking and monitoring circuitry should also be associated with a gyroscope like device, a minimized inertial navigation system, a multi-axis accelerometer system, or some other mechanism useful to track the movement of the patient in three dimensional space. A number of different systems have been worked out that would be satisfactory for this purpose, and any of these could be chosen. The inertial navigation systems used in modern aircraft provide other examples. Alternatively, the pedal impacts based system described in U.S. Pat. No. 5,583,776, hereby incorporated by reference may be used. This will allow for patient location when out of the range of GPS systems and also for rapid restart upon re-entering the GPS or DGPS fields instead of a 10 minute “cold start” which would otherwise be required.

An additional feature this inertial navigation system can provide is to initiate a transmission to the provider system in the event the patient moves greater than a set distance, say 100 yards. The supplementation of a dead reckoning system beyond the DGPS or GPS provides for a second source for checking whether the patient has moved so the device should function through a GPS outage. Such a system could keep track of Alzheimer's patients with minimal supervision, for example.

Because of its current level of accuracy, wherever we can we would prefer to rely on the data from the modern DGPS systems for dynamic relative navigation. Examples of systems currently taught include those described in U.S. Pat. No. 5,689,431, and U.S. Pat. No. 5,680,140, and U.S. Pat. No. 5,583,517, all incorporated herein by this reference. Triangulation techniques of U.S. Pat. No. 5,784,339, and spread spectrum techniques of U.S. Pat. No. 5,583,517, both also incorporated by reference, may also be used if desired.

FIG. 10 illustrates the method by which the system of FIG. 9 may be called upon to work. In step A, the real time clock is running, until at step B it is recognized that the real time clock is at the next time value of interest, that is the next day, hour or minute whenever the system needs to check on its location relative to the last good GPS or DGPS fixation reading. Alternatively, whenever the patient system is supposed to report in to the local medical provider system a real time clock setting can be associated with this step B. In any event, in step C, the processing capability of the system needs to be engaged to do whatever is required.

Step D has the system checking the high accuracy clock for comparison to the running real time clock in the patient local device or devices, such as the system 104 of FIG. 7, for example. If the time is accurate, then the device can simply process as normal, otherwise it needs to update the real time clock(s) it maintains so as to be able to communicate in its proper time slice within the local provider system.

In Step E, the system on the patient needs to check to see if the time from the properly updated real time clock is appropriate for it to send data, and if so, to activate the part of the system that communicates the data to the medical provider system. Otherwise if the time is not right, it can go back to Step A, and let the processor power stay off until the next value of interest is seen from the real time clock. (A description of power cycling to save battery life is found in U.S. Patent No. 5,592,173, incorporated by this reference, and a description of use of this in a vehicle location GPS system is in U.S. Pat. No. 5,777,580, also incorporated by this reference).

For communication between an implanted device and an externally worn patient device, common telemetry techniques presently used by any pacemaker manufacturer may be employed, as well as less evident techniques such as is described in the Funke Body Bus of U.S. Pat. No. 4,987,897, or his acoustic bus, in U.S. Pat. No. 5,113,859, both incorporated herein by this reference.

Variations and modifications to the present invention may be possible given the above disclosure. Although the present invention is described in conjunction with a microprocessor-based architecture, it will be understood that it could be implemented in other technology such as digital logic-based, custom integrated circuit (IC) architecture, if desired.

While there has been shown what are considered to be the preferred embodiments of the invention, it will be manifest that many changes and modifications may be made therein without departing from the essential spirit of the invention. It is intended, therefore, in the following claims to cover all such changes and modifications as may fall within the true scope of the invention.

Claims (70)

1. A patient monitoring system comprising:
a transceiver unit to be located in immediate proximity to a patient's body for communicating with a device implanted in the patient's body and with a telephone system outside the patient's body,
the transceiver unit comprising,
a GPS location system for receiving satellite transmitted information from a set of earth orbiting satellites,
an IMD receiving telemetry circuit means for receiving telemetry from said implanted device,
a memory circuit for storing data relating to data received from said implanted device and from said earth orbital satellite,
telecommunications module for communication through wireless telephonic channels to said telephone system,
real time clock circuit producing an output signal for a real time clock,
transmission initiation processor for generating an automatic transmission over said telecommunications module through said wireless telephonic channels containing information related through said implantable device to said transceiver unit, said automatic transmission to occur at a set of periodically occurring fixed times, and
real time clock circuit update processor for interpreting received satellite transmitted information and providing an update for the real time clock circuit based on said satellite transmitted information so that said transmission initiation processor can operate within an extremely accurately clocked time slice.
2. A patient monitoring and emergency location system comprising;
a patient monitoring system as set forth in claim 1 and further comprising;
circuit means for producing a representation of said received satellite information relating the location of said transceiver unit for presentation to said telecommunications module so that said telecommunications module can transmit said representation of said location information to location receiving means in an emergency response system connected to said telephone system.
3. A patient monitoring and emergency location system as set forth in claim 2 said transceiver unit further comprising;
DGPS receiver means for receiving DGPS signals from a base station, and wherein said circuit means for producing a representation of said received location information for presentation to said telecommunications module is configured to also provide DGPS information to said telecommunications module.
4. A patient monitoring and emergency location system as set forth in claim 2 said transceiver unit further comprising;
dead reckoning circuit means for determining the relative location of said transceiver unit over time to any location at a fixed time during which an acceptable fixed location of said transceiver unit is known, and wherein said circuit means for producing a representation of said received location information for presentation to said telecommunications module is configured to also provide a representation of said dead reckoning information to said telecommunications module.
5. A patient monitoring and emergency location system as set forth in claim 2, said transceiver unit further comprising;
a distance traveled interpretive processor for receiving an output from said dead reckoning circuit and determining a distance traveled therefrom,
a trigger circuit for triggering the initiation of transmission to said telephone system by said telecommunications module when the distance traveled interpretive processor determines a distance traveled is greater than a predetermined trigger distance value.
6. A patient monitoring and emergency location system as set forth in claim 2 further comprising a processor adapted for transmitting emergency information from said transceiver unit to an emergency E911 system.
7. Emergency response system for receiving location information from a transceiver unit in proximity to a patient with an implantable medical device in communication with said transceiver unit, said emergency response system comprising;
at least one mobile unit operational on an emergency basis for receiving location information from said transceiver unit and having a GPS system and a computer system therein, such that said mobile unit GPS system produces data related to a present location of said mobile unit and makes said data related to said present location of said mobile unit available to said computer system and said mobile unit computer system comprises processor means for processing said received location information from said transceiver unit and said data related to the present location of said mobile unit to produce an indication of the relative position of said transceiver unit to said mobile unit, and
a base station for receiving through a telephone system a current location representation from said transceiver unit along with status information related to an implantable device implanted within a patient associated with said transceiver unit.
8. Method for operation of a transceiver unit for wearing on a person having location means and means for communicating with an implant and with a telephone network comprising:
providing a telemetric communications pathway between an implanted medical device(IMD) and a patient word device(PWD) to facilitate the transfer from the IMD to the PWD of data relating to any of the following information types: a. Ser. No. or other unique ID data, b. Patient Condition, c. Device status data, d. Device Sensor data, and/or e. coordinating data,
providing a telemetric communications pathway between an IMD and a PWD to facilitate the transfer from the PWD to the IMD of data relating to any of the following information types: a. Commands and /or b. Coordinating data,
providing a telemetric communications pathway between a node on a telephone network and said PWD and between a satellite GPS system and said PWD so as to facilitate the transfer of any of the following information types from said node and/or said satellite GPS system to said PWD: a. Command data and/or coordinating data, and
providing a telemetric communications pathway between a node on a telephone network and said PWD so as to facilitate the transfer of any of the following information types from said PWD to said node: PWD device data including any data received by the PWD from the IMD and/or any sensor data that may be developed and stored by the PWD and/or PWD status data and/or Dynamic Relative Reference data from a dead reckoning system associated with said PWD, and GPS and DGPS which may be stored by the PWD.
9. A method as set forth in claim 8 and further comprising
determining when said tranceiving unit has traveled a predetermined distance and
upon said determination of having traveled said predetermined distance, initiating a telephonic contact to a node on said telephone network.
10. A method as set forth in claim 8 and further comprising:
awaiting a determination of an emergency condition having occurred,
then initiating a telephonic contact to at least one node on said telephone network when as emergency condition has arisen.
11. A method as set forth in claim 10 and further comprising:
sending coded data regarding-the nature of the emergency to said at least one node.
12. A method as set forth in claim 10 and further comprising:
sending location data regarding the location of the PWD to said at least one node.
13. A method as set forth in claim 8 and further comprising:
awaiting a determination of an emergency condition having occurred,
then initiating a telephonic contact to an emergency system including a system of the two systems, standard emergency system and/or to an E-911 system, on said telephone network when as emergency condition has arisen.
14. A method as set forth in claim 3 and further comprising:
sending coded data regarding nature of the emergency to said emergency system.
15. A method as set forth in claim 13 and further comprising:
sending location data regarding the location of the PWD to said emergency system.
16. A method as set forth in claim 8 and further comprising
providing a real time clock system and a clock updating system for correcting the value of real time clock information based on satellite signals to said transceiver unit,
automatically using the corrected real time clock values to trigger an automatic turn on a communication between said PWD and a node in a narrow time slice, and
reporting to said node by said PWD some or all data facilitated for transfer on that communications pathway.
17. A method as set forth in claim 16 further comprising,
receiving command data from said node by said PWD during an additional narrow time slice.
18. A method as set forth in claim 17 further comprising,
transmitting a representation of said command data to said IMD from said PWD.
19. A method as set forth in claim 18 further comprising;
receiving said representation of said command data in said IMD,
programming the IMD based on said representation of said command data.
20. A method of monitoring a patient having a transceiver associated therewith and an implanted medical device in communication with said transceiver comprising;
monitoring GPS and DGPS location data by said transceiver,
interpreting said location data by said transceiver and
if said location data interpreted by said transceiver indicates the patient transceiver is outside a predetermined area,
initiating a telephone call by said transceiver to a telephone node on a telephone network, indicating the present location of said transceiver.
21. A method of monitoring a patient having a transceiver associated therewith and an implanted medical device in communication with said transceiver comprising;
receiving a command via a medical support network communicatively coupled to said transceiver;
monitoring said implanted medical device in accordance with said command, including monitoring the implanted medical device for an alarm condition associated with either a lack of signal over a predetermined period of time or for an alarm signal generated by said implanted medical device; and
if either said alarm signal is received or if said lack of signal exists over said predetermined period of time,
automatically initiating an emergency telephone call by said transceiver to a node on a telephone network indicating an said alarm condition to said node.
22. A method of operating an emergency patient location system comprising,
providing said system with patients having implanted medical devices and transceiver units for monitoring communications from said implanted medical devices,
providing said transceiver units with means to receive GPS data and to store said GPS data,
providing said transceiver units with telecommunications equipment,
awaiting the development of emergency conditions to be reported by said transceiver units to said system across telephonic communications pathways,
dispatching emergency mobile units having receiver means tuned to receive signals from said transceiver unit reporting said emergency condition,
reporting from said transceiver unit location information,
receiving said location information in said emergency mobile unit and
employing said location information by said emergency mobile unit to locate the patient having the reported emergency.
23. Method as set forth in claim 22 further comprising continuously transmitting a signal by said transceiver unit after reporting said emergency condition and wherein said employing step includes triangulation on a signal transmitted by said transceiver unit after said transceiver unit initially reports said emergency condition.
24. Method as set forth in claim 22 wherein said location information transmitted by said transceiver unit includes DGPS information.
25. Method as set forth in claim 22 wherein said location information transmitted by said transceiver unit includes dead reckoning information.
26. A system for communicating with a medical clinic implanted in an ambulatory patient and for locating the patient to selectively monitor the functions of the medical clinic and provide assistance to and communications with the patient, the system comprising:
an implanted device telemetry transceiver within the implanted medical clinic for communicating data and operating instructions to and from the medical device, the implanted medical device telemetry transceiver having a transceiving range extending outside the patient's body, a distance sufficient to receive and transmit such telemetered communication;
a communications network interface means coupled to a system controller and a communications means for selectively enabling to transmit positioning data to a medical support network and for selectively receiving commands from the medical support network wherein an implantable wireless interface including a real time clock and a system for updating said real time clock based on accurate time clock information in signals received from a global positioning system is integrated therewith;
dead reckoning circuit means for determining the relative location of said transceiver over time to any location at a fixed time during which an acceptable fixed location of said transceiver is known, and wherein a circuit means for producing a representation of received location information for presentation to a telecommunications module is configured to also provide a representation of said dead reckoning information to said telecommunications module; and
a distance traveled interpretive processor for receiving an output from said dead reckoning circuit and determining a distance traveled therefrom;
a trigger circuit for triggering the initiation of transmission to a telephone system by said telecommunications module including said communications means when the distance traveled interpretive processor determines a distance traveled is greater than a predetermined trigger distance value.
27. The method of claim 21, further including programming said implanted medical device in accordance with said command.
28. The method of claim 27, wherein programming said implanted medical device includes altering an operating mode of said implanted medical device.
29. The method of claim 28, wherein altering an operating mode includes altering a pacing mode of said implanted medical device.
30. The method of claim 27, wherein programming said implanted medical device includes altering a parameter of said implanted medical device.
31. The method of claim 21, wherein said command is an encoded command.
32. The method of claim 21, further including:
generating, via said implanted medical device, patient data; and
transmitting said patient data to said medical support network in accordance with said command.
33. The method of claim 32, wherein transmitting said patient data is performed periodically in accordance with said command.
34. The method of claim 21, further including configuring said transceiver in accordance with said command, wherein said command specifies whether said transceiver is to initiate said emergency telephone call in response to said alarm condition.
35. The method of claim 21, further including specifying said predetermined period of time within said command.
36. The method of claim 21, further including specifying said alarm signal within said command.
37. The method of claim 21, wherein monitoring said implanted medical device further comprises the step of displaying information to the patient.
38. The method of claim 37, wherein monitoring said implanted medical device further comprises receiving information from the patient via a patient activator.
39. The method of claim 21, wherein monitoring said implanted medical device further comprises monitoring said implanted medical device via a monitor worn by the patient.
40. The method of claim 39, wherein monitoring said implanted medical device further comprises monitoring said implanted medical device via the monitor worn by the patient in one of a wrist-worn, belt worn or pocket carried monitor device.
41. The method of claim 21, wherein monitoring said implanted medical device further comprises monitoring said implanted medical device via a monitor positioned within communication range of the implanted medical device.
42. The method of claim 41, wherein monitoring said implanted medical device further comprises monitoring said implanted medical device via the monitor positioned within communication range of the implanted medical device near where the patient sleeps.
43. The method of claim 21, further comprising transmitting patient data to a medical network.
44. The method of claim 21, further comprising transmitting stored ECG histograms of patient data to a medical network.
45. The method of claim 44, further comprising transmitting marker channel information to the medical network.
46. The method of claim 21, further comprising transmitting real-time ECG data of the patient to a medical network.
47. The method of claim 21, further comprising transmitting measured physical parameters of the patient to a medical network.
48. The method of claim 21, wherein automatically initiating an emergency telephone call by said transceiver comprises initiating the emergency telephone call over a hard-wired phone line coupled to a telephone network.
49. The method of claim 21, wherein automatically initiating an emergency telephone call by said transceiver comprises the step of initiating the emergency telephone call over a cellular telephone network.
50. The method of claim 21, wherein automatically initiating an emergency telephone call by said transceiver comprises the step of initiating the emergency telephone call over a cordless telephone network.
51. The method of claim 21, further comprising sending an email message to a medical network.
52. The method of claim 21, further comprising recharging a battery within a monitoring device that monitors the implanted medical device.
53. The method of claim 21, further comprising monitoring the implanted medical device responsive to a command initiated by a patient.
54. The method of claim 21, wherein the command causes at least one of a clock or timer to be at least one of adjusted or reprogrammed.
55. A method of monitoring a patient having a transceiver associated therewith and an implanted medical device in communication with the transceiver comprising:
receiving a command via a medical support network communicatively coupled to the transceiver;
monitoring the implanted medical device in accordance with the command, including monitoring the implanted medical device for an alarm condition associated with either a lack of signal over a predetermined period of time or an alarm signal generated by the implanted medical device; and
if either the alarm signal is received or if the lack of signal exists over the predetermined period of time,
automatically initiating an emergency telephone call by the transceiver to a node on a telephone network indicating the alarm condition to the node and transmitting patient data to a medical network.
56. The method of claim 55, wherein transmitting patient data to the medical network includes transmitting stored ECG histograms of patient data to the medical network.
57. The method of claim 55, wherein transmitting patient data to the medical network includes transmitting marker channel information to the medical network.
58. The method of claim 55, wherein transmitting patient data to the medical network includes transmitting real-time ECG data of the patient to the medical network.
59. The method of claim 55, wherein transmitting patient data to the medical network includes transmitting measured physical parameters of the patient to the medical network.
60. The method of claim 55, wherein automatically initiating the emergency telephone call by the transceiver comprises initiating the emergency telephone call over a hard-wired phone line coupled to the telephone network.
61. The method of claim 55, wherein automatically initiating the emergency telephone call by the transceiver comprises initiating the emergency telephone call over a cellular telephone network.
62. The method of claim 55, wherein transmitting the patient data is performed periodically in accordance with the command.
63. A method of monitoring a patient having a transceiver associated therewith and an implanted medical device in communication with the transceiver comprising:
receiving a command via a medical support network communicatively coupled to the transceiver;
monitoring said implanted medical device in accordance with the command or responsive to a patient activated command, including monitoring the implanted medical device for an alarm condition associated with either a lack of signal over a predetermined period of time or an alarm signal generated by the implanted medical device; and
if either the alarm signal is received or if said lack of signal exists over the predetermined period of time,
automatically initiating an emergency telephone call by said transceiver to a node on a telephone network indicating the alarm condition to said node and transmitting patient data to a medical network.
64. The method of claim 63, wherein transmitting patient data to the medical network includes transmitting stored ECG histograms of patient data to the medical network.
65. The method of claim 63, wherein transmitting patient data to the medical network includes transmitting marker channel information to the medical network.
66. The method of claim 63, wherein transmitting patient data to the medical network includes transmitting real-time ECG data of the patient to the medical network.
67. The method of claim 63, wherein transmitting patient data to the medical network includes transmitting measured physical parameters of the patient to the medical network.
68. The method of claim 63, wherein automatically initiating the emergency telephone call by the transceiver comprises initiating the emergency telephone call over a hard-wired phone line in coupled to the telephone network.
69. The method of claim 63, wherein automatically initiating the emergency telephone call by the transceiver comprises initiating the emergency telephone call over a cellular telephone network.
70. The method of claim 63, wherein transmitting the patient data is performed periodically in accordance with the command.
US11541521 1995-06-23 2006-09-29 World wide patient location and data telemetry system for implantable medical devices Expired - Lifetime USRE42934E1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US08494218 US5752976A (en) 1995-06-23 1995-06-23 World wide patient location and data telemetry system for implantable medical devices
US09045275 US6292698B1 (en) 1995-06-23 1998-03-20 World wide patient location and data telemetry system for implantable medical devices
US09198623 US6083248A (en) 1995-06-23 1998-11-24 World wide patient location and data telemetry system for implantable medical devices
US11541521 USRE42934E1 (en) 1995-06-23 2006-09-29 World wide patient location and data telemetry system for implantable medical devices

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11541521 USRE42934E1 (en) 1995-06-23 2006-09-29 World wide patient location and data telemetry system for implantable medical devices

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09198623 Reissue US6083248A (en) 1995-06-23 1998-11-24 World wide patient location and data telemetry system for implantable medical devices

Publications (1)

Publication Number Publication Date
USRE42934E1 true USRE42934E1 (en) 2011-11-15

Family

ID=22734123

Family Applications (2)

Application Number Title Priority Date Filing Date
US09198623 Expired - Lifetime US6083248A (en) 1995-06-23 1998-11-24 World wide patient location and data telemetry system for implantable medical devices
US11541521 Expired - Lifetime USRE42934E1 (en) 1995-06-23 2006-09-29 World wide patient location and data telemetry system for implantable medical devices

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US09198623 Expired - Lifetime US6083248A (en) 1995-06-23 1998-11-24 World wide patient location and data telemetry system for implantable medical devices

Country Status (3)

Country Link
US (2) US6083248A (en)
EP (1) EP1133255A1 (en)
WO (1) WO2000030529A9 (en)

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8694600B2 (en) 2011-03-01 2014-04-08 Covidien Lp Remote monitoring systems for monitoring medical devices via wireless communication networks
US8798527B2 (en) 2011-01-14 2014-08-05 Covidien Lp Wireless relay module for remote monitoring systems
US8811888B2 (en) 2011-01-14 2014-08-19 Covidien Lp Wireless relay module for monitoring network status
US8818260B2 (en) 2011-01-14 2014-08-26 Covidien, LP Wireless relay module for remote monitoring systems
US8855550B2 (en) 2011-01-14 2014-10-07 Covidien Lp Wireless relay module having emergency call functionality
US8897198B2 (en) 2011-01-14 2014-11-25 Covidien Lp Medical device wireless network architectures
US8903308B2 (en) 2011-01-14 2014-12-02 Covidien Lp System and method for patient identification in a remote monitoring system
US9020419B2 (en) 2011-01-14 2015-04-28 Covidien, LP Wireless relay module for remote monitoring systems having power and medical device proximity monitoring functionality
USD746441S1 (en) 2013-09-13 2015-12-29 Covidien Lp Pump
US9307914B2 (en) 2011-04-15 2016-04-12 Infobionic, Inc Remote data monitoring and collection system with multi-tiered analysis
US9495511B2 (en) 2011-03-01 2016-11-15 Covidien Lp Remote monitoring systems and methods for medical devices
US9596989B2 (en) 2009-03-12 2017-03-21 Raytheon Company Networked symbiotic edge user infrastructure
US9699816B2 (en) 2012-09-13 2017-07-04 Covidien Lp Docking station for an enteral feeding pump
USD794805S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device with a button
USD794806S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device
USD794807S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device with a display
US9968274B2 (en) 2016-04-29 2018-05-15 Infobionic, Inc. Systems and methods for processing ECG data

Families Citing this family (369)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7904187B2 (en) 1999-02-01 2011-03-08 Hoffberg Steven M Internet appliance system and method
US8352400B2 (en) 1991-12-23 2013-01-08 Hoffberg Steven M Adaptive pattern recognition based controller apparatus and method and human-factored interface therefore
DE4329898A1 (en) 1993-09-04 1995-04-06 Marcus Dr Besson Wireless medical diagnostic and monitoring equipment
US20040113794A1 (en) * 1994-10-27 2004-06-17 Dan Schlager Self-locating personal alarm system equipped parachute
DE19707681C1 (en) * 1997-02-26 1998-05-07 Raimund Prof Dr Med Erbel Mobile telephone for recording ECG signals
US5959529A (en) * 1997-03-07 1999-09-28 Kail, Iv; Karl A. Reprogrammable remote sensor monitoring system
US6354299B1 (en) 1997-10-27 2002-03-12 Neuropace, Inc. Implantable device for patient communication
US6239724B1 (en) * 1997-12-30 2001-05-29 Remon Medical Technologies, Ltd. System and method for telemetrically providing intrabody spatial position
US7542878B2 (en) * 1998-03-03 2009-06-02 Card Guard Scientific Survival Ltd. Personal health monitor and a method for health monitoring
US7222054B2 (en) 1998-03-03 2007-05-22 Card Guard Scientific Survival Ltd. Personal ambulatory wireless health monitor
US7996187B2 (en) 2005-02-16 2011-08-09 Card Guard Scientific Survival Ltd. Method and system for health monitoring
US7299159B2 (en) 1998-03-03 2007-11-20 Reuven Nanikashvili Health monitor system and method for health monitoring
US8265907B2 (en) * 1999-03-03 2012-09-11 Card Guard Scientific Survival Ltd. System and a method for physiological monitoring
US7769620B1 (en) 1998-09-01 2010-08-03 Dennis Fernandez Adaptive direct transaction for networked client group
US6528856B1 (en) * 1998-12-15 2003-03-04 Intel Corporation High dielectric constant metal oxide gate dielectrics
US6741863B1 (en) * 1998-12-18 2004-05-25 Lucent Technologies Inc. Method and apparatus for locating a wireless mobile unit
US6358202B1 (en) * 1999-01-25 2002-03-19 Sun Microsystems, Inc. Network for implanted computer devices
US6366871B1 (en) * 1999-03-03 2002-04-02 Card Guard Scientific Survival Ltd. Personal ambulatory cellular health monitor for mobile patient
US6450953B1 (en) * 1999-04-15 2002-09-17 Nexan Limited Portable signal transfer unit
CA2314513A1 (en) * 1999-07-26 2001-01-26 Gust H. Bardy System and method for providing normalized voice feedback from an individual patient in an automated collection and analysis patient care system
US7429243B2 (en) * 1999-06-03 2008-09-30 Cardiac Intelligence Corporation System and method for transacting an automated patient communications session
US7134996B2 (en) 1999-06-03 2006-11-14 Cardiac Intelligence Corporation System and method for collection and analysis of patient information for automated remote patient care
US6607485B2 (en) 1999-06-03 2003-08-19 Cardiac Intelligence Corporation Computer readable storage medium containing code for automated collection and analysis of patient information retrieved from an implantable medical device for remote patient care
US6312378B1 (en) 1999-06-03 2001-11-06 Cardiac Intelligence Corporation System and method for automated collection and analysis of patient information retrieved from an implantable medical device for remote patient care
US6270457B1 (en) * 1999-06-03 2001-08-07 Cardiac Intelligence Corp. System and method for automated collection and analysis of regularly retrieved patient information for remote patient care
DE19930250A1 (en) * 1999-06-25 2001-02-15 Biotronik Mess & Therapieg Device for monitoring of data, in particular of an electro-medical implant
DE19930240A1 (en) * 1999-06-25 2000-12-28 Biotronik Mess & Therapieg A method for data retrieval for implant follow-up
DE19930241A1 (en) * 1999-06-25 2000-12-28 Biotronik Mess & Therapieg Method for data transmission in the implant monitoring
US6287252B1 (en) * 1999-06-30 2001-09-11 Monitrak Patient monitor
US7181505B2 (en) * 1999-07-07 2007-02-20 Medtronic, Inc. System and method for remote programming of an implantable medical device
US20020052539A1 (en) * 1999-07-07 2002-05-02 Markus Haller System and method for emergency communication between an implantable medical device and a remote computer system or health care provider
US6804558B2 (en) 1999-07-07 2004-10-12 Medtronic, Inc. System and method of communicating between an implantable medical device and a remote computer system or health care provider
US7149773B2 (en) * 1999-07-07 2006-12-12 Medtronic, Inc. System and method of automated invoicing for communications between an implantable medical device and a remote computer system or health care provider
CA2314517A1 (en) * 1999-07-26 2001-01-26 Gust H. Bardy System and method for determining a reference baseline of individual patient status for use in an automated collection and analysis patient care system
US6221011B1 (en) 1999-07-26 2001-04-24 Cardiac Intelligence Corporation System and method for determining a reference baseline of individual patient status for use in an automated collection and analysis patient care system
US6687547B2 (en) 1999-09-14 2004-02-03 Medtronic, Inc. Method and apparatus for communicating with an implantable medical device with DTMF tones
US6533733B1 (en) * 1999-09-24 2003-03-18 Ut-Battelle, Llc Implantable device for in-vivo intracranial and cerebrospinal fluid pressure monitoring
US6681003B2 (en) * 1999-10-05 2004-01-20 Lifecor, Inc. Data collection and system management for patient-worn medical devices
US20030095648A1 (en) * 1999-10-05 2003-05-22 Lifecor, Inc. Fault-tolerant remote reprogramming for a patient-worn medical device
DE10053118A1 (en) 1999-10-29 2001-05-31 Medtronic Inc Apparatus and method for self-identification from a distance of components in the medical device systems
US6736759B1 (en) * 1999-11-09 2004-05-18 Paragon Solutions, Llc Exercise monitoring system and methods
US6386882B1 (en) * 1999-11-10 2002-05-14 Medtronic, Inc. Remote delivery of software-based training for implantable medical device systems
US6411840B1 (en) * 1999-11-16 2002-06-25 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for diagnosing and monitoring the outcomes of atrial fibrillation
US6336903B1 (en) 1999-11-16 2002-01-08 Cardiac Intelligence Corp. Automated collection and analysis patient care system and method for diagnosing and monitoring congestive heart failure and outcomes thereof
US6440066B1 (en) * 1999-11-16 2002-08-27 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for ordering and prioritizing multiple health disorders to identify an index disorder
US6368284B1 (en) 1999-11-16 2002-04-09 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for diagnosing and monitoring myocardial ischemia and outcomes thereof
US6398728B1 (en) * 1999-11-16 2002-06-04 Cardiac Intelligence Corporation Automated collection and analysis patient care system and method for diagnosing and monitoring respiratory insufficiency and outcomes thereof
US8369937B2 (en) 1999-11-16 2013-02-05 Cardiac Pacemakers, Inc. System and method for prioritizing medical conditions
US7645258B2 (en) 1999-12-01 2010-01-12 B. Braun Medical, Inc. Patient medication IV delivery pump with wireless communication to a hospital information management system
US20050240246A1 (en) * 1999-12-24 2005-10-27 Medtronic, Inc. Large-scale processing loop for implantable medical devices
US20020026223A1 (en) * 1999-12-24 2002-02-28 Riff Kenneth M. Method and a system for using implanted medical device data for accessing therapies
US6356841B1 (en) 1999-12-29 2002-03-12 Bellsouth Intellectual Property Corporation G.P.S. management system
EP1251906A1 (en) * 2000-01-18 2002-10-30 Medtronic, Inc. System and method of communicating between an implantable medical device and a remote computer system or health care provider
US6873268B2 (en) 2000-01-21 2005-03-29 Medtronic Minimed, Inc. Microprocessor controlled ambulatory medical apparatus with hand held communication device
US20020103505A1 (en) * 2001-02-01 2002-08-01 Medtronic, Inc. Custom manufacturing of implantable medical devices
US6650944B2 (en) 2000-02-23 2003-11-18 Medtronic, Inc. Follow-up monitoring method and system for implantable medical devices
US9182238B2 (en) 2002-04-24 2015-11-10 Ipventure, Inc. Method and apparatus for intelligent acquisition of position information
US7212829B1 (en) 2000-02-28 2007-05-01 Chung Lau Method and system for providing shipment tracking and notifications
US9049571B2 (en) 2002-04-24 2015-06-02 Ipventure, Inc. Method and system for enhanced messaging
US7366522B2 (en) * 2000-02-28 2008-04-29 Thomas C Douglass Method and system for location tracking
US7831301B2 (en) 2001-03-16 2010-11-09 Medtronic, Inc. Heart failure monitor quicklook summary for patient management systems
CA2403256A1 (en) * 2000-03-17 2001-09-27 Medtronic, Inc. Heart failure monitor quick look summary for patient management systems
US6574511B2 (en) * 2000-04-21 2003-06-03 Medtronic, Inc. Passive data collection system from a fleet of medical instruments and implantable devices
US6292687B1 (en) 2000-05-25 2001-09-18 Lowell Dewitt James Medical emergency response and locating system
WO2001093179A3 (en) * 2000-05-26 2002-06-27 Jeffrey S Albrecht Medical management system
JP2001344352A (en) * 2000-05-31 2001-12-14 Toshiba Corp Life assisting device, life assisting method and advertisement information providing method
WO2001097909A3 (en) 2000-06-14 2002-04-11 Medtronic Inc Deep computing applications in medical device systems
US7197357B2 (en) * 2001-07-17 2007-03-27 Life Sync Corporation Wireless ECG system
US7933642B2 (en) 2001-07-17 2011-04-26 Rud Istvan Wireless ECG system
WO2002007816A1 (en) * 2000-07-24 2002-01-31 Lifecor, Inc. Data collection and system management for patient-worn medical devices
EP1316010A4 (en) * 2000-08-09 2004-11-24 Clinical Care Systems Inc Method and system for a distributed analytical and diagnostic software over the intranet and internet environment
CA2420236A1 (en) * 2000-08-22 2002-02-28 Medtronic, Inc. Medical device systems implemented network system for remote patient management
EP1329080A2 (en) * 2000-10-16 2003-07-23 Nortel Networks Limited Sending an emergency indication over a packet-based network
US6738671B2 (en) 2000-10-26 2004-05-18 Medtronic, Inc. Externally worn transceiver for use with an implantable medical device
US20040030365A1 (en) * 2001-11-30 2004-02-12 Leo Rubin Medical device to restore functions of a fibrillating heart by cardiac therapies remotely directed by a physician via two-way communication
EP1339456A2 (en) * 2000-12-06 2003-09-03 Resuscitek, Inc. A medical device to restore functions of a fibrillating heart by cardiac therapies remotely directed by a physician via two-way communication
US20040073276A1 (en) * 2000-12-22 2004-04-15 Eric Samuelsson Programming system for medical devices, a server for such a system and a method for managing the system
US6584352B2 (en) * 2000-12-27 2003-06-24 Medtronic, Inc. Leadless fully automatic pacemaker follow-up
US7054782B2 (en) 2000-12-29 2006-05-30 Medtronic, Inc. Non-conformance monitoring and control techniques for an implantable medical device
WO2002053223A3 (en) * 2000-12-29 2003-10-23 Medtronic Inc Non-conformance monitoring and control techniques for an implantable medical device
WO2002056235B1 (en) * 2000-12-29 2003-11-27 Medtronic Inc Patient scheduling techniques for an implantable medical device
US7412395B2 (en) * 2000-12-29 2008-08-12 Ge Medical Systems Information Technologies, Inc. Automated scheduling of emergency procedure based on identification of high-risk patient
US6799149B2 (en) 2000-12-29 2004-09-28 Medtronic, Inc. Therapy management techniques for an implantable medical device
US6584356B2 (en) * 2001-01-05 2003-06-24 Medtronic, Inc. Downloadable software support in a pacemaker
US6691074B1 (en) 2001-02-08 2004-02-10 Netmore Ltd. System for three dimensional positioning and tracking
US6749566B2 (en) 2001-02-14 2004-06-15 Draeger Medical Systems, Inc. Patient monitoring area network
US7412396B1 (en) 2001-02-15 2008-08-12 Haq Mohamed M Virtual clinic for medical practice
WO2002067449A8 (en) 2001-02-20 2004-11-11 Michael D Ellis Modular personal network systems and methods
US7248927B2 (en) * 2001-02-27 2007-07-24 St. Jude Medical Ab Implantable heart stimulator with electrodes for an infection control current
US7324949B2 (en) * 2001-03-26 2008-01-29 Medtronic, Inc. Implantable medical device management system
EP1383575A4 (en) * 2001-03-28 2010-01-20 Televital Inc System and method for real-time monitoring, assessment, analysis, retrieval, and storage of physiological data over a wide area network
US6665385B2 (en) 2001-04-23 2003-12-16 Cardionet, Inc. Medical monitoring system having multipath communications capability
US6694177B2 (en) 2001-04-23 2004-02-17 Cardionet, Inc. Control of data transmission between a remote monitoring unit and a central unit
JP2005512608A (en) * 2001-04-23 2005-05-12 カーディオネット インコーポレーテッド Correlation of the sensor signals and subjective information in a patient monitoring
US6801137B2 (en) 2001-04-23 2004-10-05 Cardionet, Inc. Bidirectional communication between a sensor unit and a monitor unit in patient monitoring
US20050119580A1 (en) * 2001-04-23 2005-06-02 Eveland Doug C. Controlling access to a medical monitoring system
US6664893B1 (en) * 2001-04-23 2003-12-16 Cardionet, Inc. Method for controlling access to medical monitoring device service
EP1256312A1 (en) * 2001-05-07 2002-11-13 Trion AG System for patient surveillance and location
US7529537B2 (en) * 2001-05-14 2009-05-05 International Business Machines Corporation System and method for providing personal and emergency service hailing in wireless network
US7103578B2 (en) * 2001-05-25 2006-09-05 Roche Diagnostics Operations, Inc. Remote medical device access
JP4336062B2 (en) * 2001-05-30 2009-09-30 パイオニア株式会社 Information and communications equipment and information communication method
US6783492B2 (en) * 2001-06-26 2004-08-31 Steven Dominguez System and method for monitoring body functions
US20010044732A1 (en) * 2001-06-26 2001-11-22 Maus Christopher T. Mobile data management system
US7044911B2 (en) 2001-06-29 2006-05-16 Philometron, Inc. Gateway platform for biological monitoring and delivery of therapeutic compounds
US6648823B2 (en) 2001-07-31 2003-11-18 Medtronic, Inc. Method and system of follow-up support for a medical device
US20030036746A1 (en) 2001-08-16 2003-02-20 Avi Penner Devices for intrabody delivery of molecules and systems and methods utilizing same
US7069552B2 (en) * 2001-08-30 2006-06-27 St. Jude Medical Ab Method for providing software to an implantable medical device system
US6947795B2 (en) 2001-10-01 2005-09-20 Transoma Medical, Inc. Frame length modulation and pulse position modulation for telemetry of analog and digital data
US6693530B1 (en) * 2001-10-16 2004-02-17 At&T Corp. Home security administration platform
US7225029B2 (en) 2001-10-26 2007-05-29 Pacesetter, Inc. Implantable cardiac therapy device with dual chamber can to isolate high-frequency circuitry
US6728576B2 (en) 2001-10-31 2004-04-27 Medtronic, Inc. Non-contact EKG
US6766200B2 (en) 2001-11-01 2004-07-20 Pacesetter, Inc. Magnetic coupling antennas for implantable medical devices
US6763269B2 (en) 2001-11-02 2004-07-13 Pacesetter, Inc. Frequency agile telemetry system for implantable medical device
US6842645B2 (en) 2001-11-09 2005-01-11 Pacesetter, Inc. Presentation architecture for network supporting implantable cardiac therapy device
US7729776B2 (en) 2001-12-19 2010-06-01 Cardiac Pacemakers, Inc. Implantable medical device with two or more telemetry systems
US6993393B2 (en) 2001-12-19 2006-01-31 Cardiac Pacemakers, Inc. Telemetry duty cycle management system for an implantable medical device
US20060031421A1 (en) * 2001-12-31 2006-02-09 Toshio Hayakawa Local community wireless network system utilizing multimedia receiver system
US7060030B2 (en) * 2002-01-08 2006-06-13 Cardiac Pacemakers, Inc. Two-hop telemetry interface for medical device
US6985771B2 (en) * 2002-01-22 2006-01-10 Angel Medical Systems, Inc. Rapid response system for the detection and treatment of cardiac events
US7091879B2 (en) * 2002-02-05 2006-08-15 Invivo Corporation System and method for using multiple medical monitors
US6985773B2 (en) * 2002-02-07 2006-01-10 Cardiac Pacemakers, Inc. Methods and apparatuses for implantable medical device telemetry power management
US7225030B2 (en) 2002-02-28 2007-05-29 St. Jude Medical Ab Management of implantable devices
JP2005519686A (en) * 2002-03-12 2005-07-07 イーアールエー センター ピーティーワイ リミテッド Medical diagnosis and multi-function mobile phone for rehabilitation.
US6957107B2 (en) * 2002-03-13 2005-10-18 Cardionet, Inc. Method and apparatus for monitoring and communicating with an implanted medical device
US6975941B1 (en) 2002-04-24 2005-12-13 Chung Lau Method and apparatus for intelligent acquisition of position information
US7905832B1 (en) 2002-04-24 2011-03-15 Ipventure, Inc. Method and system for personalized medical monitoring and notifications therefor
US7321774B1 (en) 2002-04-24 2008-01-22 Ipventure, Inc. Inexpensive position sensing device
US7218938B1 (en) 2002-04-24 2007-05-15 Chung Lau Methods and apparatus to analyze and present location information
US20040054760A1 (en) * 2002-05-31 2004-03-18 Ewing Richard E. Deployable telemedicine system
US6801855B1 (en) * 2002-06-28 2004-10-05 Garmin Ltd. Systems and methods with integrated GPS and dead reckoning capabilities
US7234064B2 (en) * 2002-08-16 2007-06-19 Hx Technologies, Inc. Methods and systems for managing patient authorizations relating to digital medical data
US7523505B2 (en) * 2002-08-16 2009-04-21 Hx Technologies, Inc. Methods and systems for managing distributed digital medical data
WO2004017164A3 (en) * 2002-08-16 2004-12-02 Hx Technologies Inc Methods and systems for managing distributed digital medical data and access thereto
US8010423B2 (en) * 2002-08-29 2011-08-30 International Business Machines Corporation Anticipatory mobile system service brokering and resource planning from multiple providers
US7102508B2 (en) * 2002-09-09 2006-09-05 Persephone, Inc. Method and apparatus for locating and tracking persons
US20040059205A1 (en) 2002-09-20 2004-03-25 Sven-Erik Carlson Configuration for monitoring the state of health of a person
US6946671B2 (en) * 2002-09-26 2005-09-20 Honeywell Federal Manufacturing & Technologies, Llc System and method for identifying, reporting, and evaluating presence of substance
US7126104B2 (en) * 2002-09-26 2006-10-24 Honeywell Federal Manufacturing & Technologies, Llc System and method for identifying, reporting, and evaluating presence of substance
US7209790B2 (en) * 2002-09-30 2007-04-24 Medtronic, Inc. Multi-mode programmer for medical device communication
US20040064166A1 (en) * 2002-09-30 2004-04-01 Thompson David L. Multi-mode programmer for medical device communication
US7194298B2 (en) * 2002-10-02 2007-03-20 Medicale Intelligence Inc. Method and apparatus for trend detection in an electrocardiogram monitoring signal
US8594798B2 (en) * 2002-10-15 2013-11-26 Medtronic, Inc. Multi-modal operation of a medical device system
US8579786B2 (en) * 2002-10-15 2013-11-12 Medtronic, Inc. Screening techniques for management of a nervous system disorder
US20040138518A1 (en) * 2002-10-15 2004-07-15 Medtronic, Inc. Medical device system with relaying module for treatment of nervous system disorders
US20040153436A1 (en) * 2002-10-15 2004-08-05 Pope Cameron A. Automated information management system and methods
WO2004034880A3 (en) * 2002-10-15 2004-07-22 Medtronic Inc Timed delay for redelivery of treatment therapy for a medical device system
US7149572B2 (en) 2002-10-15 2006-12-12 Medtronic, Inc. Phase shifting of neurological signals in a medical device system
EP1562674A4 (en) * 2002-10-15 2008-10-08 Medtronic Inc Control of treatment therapy during start-up and during operation of a medical device system
WO2004034885A3 (en) * 2002-10-15 2004-07-01 Medtronic Inc Signal quality monitoring and control for a medical device system
US8187181B2 (en) * 2002-10-15 2012-05-29 Medtronic, Inc. Scoring of sensed neurological signals for use with a medical device system
US7933646B2 (en) 2002-10-15 2011-04-26 Medtronic, Inc. Clustering of recorded patient neurological activity to determine length of a neurological event
EP1565102A4 (en) * 2002-10-15 2008-05-28 Medtronic Inc Synchronization and calibration of clocks for a medical device and calibrated clock
EP1578487B1 (en) * 2002-10-15 2012-01-25 Medtronic, Inc. Channel-selective blanking for a medical device system
WO2004036377A3 (en) * 2002-10-15 2004-07-29 Naresh C Bhavaraju Configuring and testing treatment therapy parameters for a medical device system
US7050787B2 (en) * 2002-10-30 2006-05-23 Lockheed Martin Corporation Cooperative element location system
US7050786B2 (en) * 2002-10-30 2006-05-23 Lockheed Martin Corporation Method and apparatus for locating a wireless device
DE10251523A1 (en) * 2002-11-04 2004-05-19 Siemens Ag System and method for providing data and services for devices and apparatus employing the provided data and services
US8027843B2 (en) * 2002-11-07 2011-09-27 International Business Machines Corporation On-demand supplemental diagnostic and service resource planning for mobile systems
US7447642B2 (en) * 2002-11-07 2008-11-04 International Business Machines Corporation Location based services revenue sharing and cost offsetting
US7065409B2 (en) * 2002-12-13 2006-06-20 Cardiac Pacemakers, Inc. Device communications of an implantable medical device and an external system
US7009511B2 (en) 2002-12-17 2006-03-07 Cardiac Pacemakers, Inc. Repeater device for communications with an implantable medical device
US7127300B2 (en) * 2002-12-23 2006-10-24 Cardiac Pacemakers, Inc. Method and apparatus for enabling data communication between an implantable medical device and a patient management system
US7395117B2 (en) * 2002-12-23 2008-07-01 Cardiac Pacemakers, Inc. Implantable medical device having long-term wireless capabilities
US20040128161A1 (en) * 2002-12-27 2004-07-01 Mazar Scott T. System and method for ad hoc communications with an implantable medical device
US6978182B2 (en) * 2002-12-27 2005-12-20 Cardiac Pacemakers, Inc. Advanced patient management system including interrogator/transceiver unit
US7289029B2 (en) * 2002-12-31 2007-10-30 Medtronic Physio-Control Corp. Communication between emergency medical device and safety agency
DE10300735A1 (en) * 2003-01-11 2004-07-22 Corscience Gmbh & Co.Kg A method for detecting a fibrillation condition and apparatus for defibrillation
US20040172069A1 (en) * 2003-02-28 2004-09-02 Hakala Douglas T. Recording information for emergency call by defibrillator apparatus
US20040192386A1 (en) * 2003-03-26 2004-09-30 Naveen Aerrabotu Method and apparatus for multiple subscriber identities in a mobile communication device
EP1615543B1 (en) 2003-04-10 2016-03-30 Philips Intellectual Property & Standards GmbH Method and unit for the reliable allocation of network elements to a wireless sensor network
US7187979B2 (en) * 2003-04-25 2007-03-06 Medtronic, Inc. Medical device synchronization
US8460243B2 (en) 2003-06-10 2013-06-11 Abbott Diabetes Care Inc. Glucose measuring module and insulin pump combination
US7742821B1 (en) 2003-06-11 2010-06-22 Boston Scientific Neutomodulation Corporation Remote control for implantable medical device
US7356612B2 (en) * 2003-06-18 2008-04-08 Honeywell International Inc. Method and apparatus for storing and retrieving data related to paths of a multi-path, multi-tier network
US7386612B2 (en) * 2003-06-18 2008-06-10 Honeywell International Inc. Method and apparatus for disambiguating transmit-by-exception telemetry from a multi-path, multi-tier network
US7366988B2 (en) * 2003-06-18 2008-04-29 Honeywell International Inc. Method and apparatus for converting a network description into a computer program for disambiguating transmit-by-exception telemetry from a multi-path, multi-tier network
US7722536B2 (en) 2003-07-15 2010-05-25 Abbott Diabetes Care Inc. Glucose measuring device integrated into a holster for a personal area network device
US20050017866A1 (en) * 2003-07-25 2005-01-27 Woods Martha H. Personal emergency alert alarm
US7440805B2 (en) * 2003-07-30 2008-10-21 Cardiac Pacemakers, Inc. Implantable pulse generator system and method for utilizing communication protocols
US20050060186A1 (en) * 2003-08-28 2005-03-17 Blowers Paul A. Prioritized presentation of medical device events
EP1512430B1 (en) * 2003-09-02 2008-02-13 Biotronik GmbH & Co. KG Device for sleep-apnea treatment
US8117040B1 (en) 2003-09-26 2012-02-14 Honeywell Federal Manufacturing & Technologies, Llc System and method for identifying, reporting, and evaluating presence of substance
US20050131735A1 (en) * 2003-12-15 2005-06-16 Degeorge Michael P. Computerized system and method for identifying and storing time zone information in a healthcare environment
CN1957560A (en) * 2004-02-19 2007-05-02 皇家飞利浦电子股份有限公司 Method and system for wireless medical monitoring and patient monitoring device
US7488290B1 (en) * 2004-02-19 2009-02-10 Cardiac Pacemakers, Inc. System and method for assessing cardiac performance through transcardiac impedance monitoring
US8025624B2 (en) * 2004-02-19 2011-09-27 Cardiac Pacemakers, Inc. System and method for assessing cardiac performance through cardiac vibration monitoring
US20050186938A1 (en) * 2004-02-25 2005-08-25 Fellowship Technologies, Inc. System and apparatus for locating lost persons or animals
US7831828B2 (en) * 2004-03-15 2010-11-09 Cardiac Pacemakers, Inc. System and method for securely authenticating a data exchange session with an implantable medical device
US7475245B1 (en) * 2004-03-15 2009-01-06 Cardiac Pacemakers, Inc. System and method for providing secure exchange of sensitive information with an implantable medical device
EP1732645B1 (en) 2004-04-07 2012-06-13 Cardiac Pacemakers, Inc. Rf wake-up of implantable medical device
EP1591943A3 (en) * 2004-04-30 2008-03-26 BIOTRONIK CRM Patent AG Sending and receiving device
US7801611B2 (en) * 2004-06-03 2010-09-21 Cardiac Pacemakers, Inc. System and method for providing communications between a physically secure programmer and an external device using a cellular network
US7794499B2 (en) 2004-06-08 2010-09-14 Theken Disc, L.L.C. Prosthetic intervertebral spinal disc with integral microprocessor
US7225031B2 (en) * 2004-06-29 2007-05-29 Hitachi Global Storage Technologies Netherlands, B.V. Hard disk drive medical monitor with security encryption
US7201719B2 (en) * 2004-06-29 2007-04-10 Hitachi Global Storage Technologies Netherlands, B.V. Rechargeable hard disk drive medical monitor
US7278967B2 (en) * 2004-06-29 2007-10-09 Hitachi Global Storage Technologies Netherlands, B.V. Hard disk drive medical monitor with mirrored HDDs
US7338445B2 (en) * 2004-06-29 2008-03-04 Hitachi Global Storage Technologies Netherlands, B.V. Hard disk drive medical monitor with shock-proofing
US7201718B2 (en) * 2004-06-29 2007-04-10 Hitachi Global Storage Technologies Netherlands, B.V. Hard disk drive medical monitor with electrical grounding system
US7247136B2 (en) * 2004-06-29 2007-07-24 Hitachi Global Storage Technologies Netherlands, B.V. Hard disk drive medical monitor with alert signaling system
US7214188B2 (en) * 2004-06-29 2007-05-08 Hitachi Global Storage Technologies Netherlands, B.V. Hard disk drive medical monitor with sound-proofing
US7192398B2 (en) * 2004-06-29 2007-03-20 Hitachi Global Storage Technologies Netherlands, B.V. Hard disk drive medical monitor with GPS
US7329226B1 (en) 2004-07-06 2008-02-12 Cardiac Pacemakers, Inc. System and method for assessing pulmonary performance through transthoracic impedance monitoring
US20060025931A1 (en) * 2004-07-30 2006-02-02 Richard Rosen Method and apparatus for real time predictive modeling for chronically ill patients
US7743151B2 (en) * 2004-08-05 2010-06-22 Cardiac Pacemakers, Inc. System and method for providing digital data communications over a wireless intra-body network
US7539541B2 (en) * 2004-08-09 2009-05-26 Cardiac Pacemakers, Inc. Automatic power control for a radio frequency transceiver of an implantable device
US8271093B2 (en) 2004-09-17 2012-09-18 Cardiac Pacemakers, Inc. Systems and methods for deriving relative physiologic measurements using a backend computing system
WO2006037021A3 (en) * 2004-09-24 2007-01-04 Roger Lee Heath Resuscitation and life support system, method and apparatus
US8285378B1 (en) 2004-09-27 2012-10-09 Cardiac Pacemakers, Inc System and method for determining patient-specific implantable medical device programming parameters
US20060074658A1 (en) * 2004-10-01 2006-04-06 Siemens Information And Communication Mobile, Llc Systems and methods for hands-free voice-activated devices
US8150509B2 (en) * 2004-10-21 2012-04-03 Cardiac Pacemakers, Inc. Systems and methods for drug therapy enhancement using expected pharmacodynamic models
US20060089856A1 (en) * 2004-10-21 2006-04-27 Cardiac Pacemakers Integrated pharmaceutical dispensing and patient management monitoring
US7555348B1 (en) 2004-11-19 2009-06-30 Pacesetter, Inc. Remote transtelephonic monitor user interface
US7813808B1 (en) 2004-11-24 2010-10-12 Remon Medical Technologies Ltd Implanted sensor system with optimized operational and sensing parameters
US8209019B2 (en) 2004-12-17 2012-06-26 Medtronic, Inc. System and method for utilizing brain state information to modulate cardiac therapy
US8209009B2 (en) * 2004-12-17 2012-06-26 Medtronic, Inc. System and method for segmenting a cardiac signal based on brain stimulation
US8108038B2 (en) * 2004-12-17 2012-01-31 Medtronic, Inc. System and method for segmenting a cardiac signal based on brain activity
US8108046B2 (en) 2004-12-17 2012-01-31 Medtronic, Inc. System and method for using cardiac events to trigger therapy for treating nervous system disorders
US20070239060A1 (en) * 2004-12-17 2007-10-11 Medtronic, Inc. System and method for regulating cardiac triggered therapy to the brain
US8485979B2 (en) * 2004-12-17 2013-07-16 Medtronic, Inc. System and method for monitoring or treating nervous system disorders
US8214035B2 (en) 2004-12-17 2012-07-03 Medtronic, Inc. System and method for utilizing brain state information to modulate cardiac therapy
US8112148B2 (en) * 2004-12-17 2012-02-07 Medtronic, Inc. System and method for monitoring cardiac signal activity in patients with nervous system disorders
DE602005026054D1 (en) 2004-12-17 2011-03-03 Medtronic Inc System for monitoring or treatment of disorders of the nervous system
US8112153B2 (en) * 2004-12-17 2012-02-07 Medtronic, Inc. System and method for monitoring or treating nervous system disorders
US20060149322A1 (en) * 2004-12-30 2006-07-06 Merry Randy L Medical device tracking system
CN100411579C (en) 2004-12-30 2008-08-20 雪红梅;雪秋黎;雪 扬 Multifunctional long distance monitoring and first aid handling system for health status in multiple transmission paths
US7443303B2 (en) * 2005-01-10 2008-10-28 Hill-Rom Services, Inc. System and method for managing workflow
FR2881838A1 (en) * 2005-02-07 2006-08-11 Naik Barut Remote unit e.g. vehicle, position tracing device, has processor generating signal based on geographical coordinates of portable and embarked subassembly to indicate direction to be followed to user for joining movable remote unit
US7610065B2 (en) * 2005-02-28 2009-10-27 Cardiac Pacemakers, Inc. Method and apparatus for antenna selection in a diversity antenna system for communicating with implantable medical device
US7270633B1 (en) * 2005-04-22 2007-09-18 Cardiac Pacemakers, Inc. Ambulatory repeater for use in automated patient care and method thereof
GB2425601B (en) * 2005-04-26 2008-01-30 Bio Nano Sensium Technologies Sensor configuration
US8730031B2 (en) 2005-04-28 2014-05-20 Proteus Digital Health, Inc. Communication system using an implantable device
CN101287411B (en) 2005-04-28 2013-03-06 普罗秋斯生物医学公司 Pharma-informatics system
US8912908B2 (en) 2005-04-28 2014-12-16 Proteus Digital Health, Inc. Communication system with remote activation
US8802183B2 (en) 2005-04-28 2014-08-12 Proteus Digital Health, Inc. Communication system with enhanced partial power source and method of manufacturing same
US9756874B2 (en) 2011-07-11 2017-09-12 Proteus Digital Health, Inc. Masticable ingestible product and communication system therefor
US9198608B2 (en) 2005-04-28 2015-12-01 Proteus Digital Health, Inc. Communication system incorporated in a container
US8836513B2 (en) 2006-04-28 2014-09-16 Proteus Digital Health, Inc. Communication system incorporated in an ingestible product
US20100063840A1 (en) * 2005-05-03 2010-03-11 Hoyme Kenneth P System and method for managing coordination of collected patient data in an automated patient management system
US8781847B2 (en) * 2005-05-03 2014-07-15 Cardiac Pacemakers, Inc. System and method for managing alert notifications in an automated patient management system
US20060253300A1 (en) * 2005-05-03 2006-11-09 Somberg Benjamin L System and method for managing patient triage in an automated patient management system
US8391990B2 (en) 2005-05-18 2013-03-05 Cardiac Pacemakers, Inc. Modular antitachyarrhythmia therapy system
US7752059B2 (en) * 2005-07-05 2010-07-06 Cardiac Pacemakers, Inc. Optimization of timing for data collection and analysis in advanced patient management system
EP1920418A4 (en) 2005-09-01 2010-12-29 Proteus Biomedical Inc Implantable zero-wire communications system
US7742815B2 (en) 2005-09-09 2010-06-22 Cardiac Pacemakers, Inc. Using implanted sensors for feedback control of implanted medical devices
US20070121797A1 (en) * 2005-11-28 2007-05-31 Lucent Technologies Inc. Automatic establishment of emergency call to PSAP via IP session
US20070180047A1 (en) * 2005-12-12 2007-08-02 Yanting Dong System and method for providing authentication of remotely collected external sensor measures
US20070136098A1 (en) * 2005-12-12 2007-06-14 Smythe Alan H System and method for providing a secure feature set distribution infrastructure for medical device management
FR2894805A1 (en) * 2005-12-19 2007-06-22 Univ Poitiers Integrated system for collecting and electrical stimulation of cellular electrophysiological activities deep organ structures
EP1971945A2 (en) 2006-01-09 2008-09-24 Cardiac Pacemakers, Inc. Remotely programming a patient medical device
US20070168222A1 (en) * 2006-01-19 2007-07-19 Hoyme Kenneth P System and method for providing hierarchical medical device control for automated patient management
WO2007095093A3 (en) 2006-02-09 2008-01-17 Deka Products Lp Pumping fluid delivery systems and methods using force application assembly
US7981034B2 (en) 2006-02-28 2011-07-19 Abbott Diabetes Care Inc. Smart messages and alerts for an infusion delivery and management system
US7996074B2 (en) * 2006-03-17 2011-08-09 Cardiac Pacemakers, Inc. System and method for providing closely-followed cardiac therapy management through automated patient care
US7991380B2 (en) * 2006-03-30 2011-08-02 Briar Tek Ip Global bidirectional locator beacon and emergency communications system
US8326431B2 (en) * 2006-04-28 2012-12-04 Medtronic, Inc. Implantable medical device for the concurrent treatment of a plurality of neurological disorders and method therefore
US8956287B2 (en) 2006-05-02 2015-02-17 Proteus Digital Health, Inc. Patient customized therapeutic regimens
US8805526B2 (en) * 2006-05-03 2014-08-12 Cardiac Pacemakers, Inc. Configurable medical telemetry radio system
US7801612B2 (en) * 2006-06-05 2010-09-21 Cardiac Pacemakers, Inc. System and method for managing locally-initiated medical device interrogation
US9119582B2 (en) 2006-06-30 2015-09-01 Abbott Diabetes Care, Inc. Integrated analyte sensor and infusion device and methods therefor
US7593776B2 (en) * 2006-07-05 2009-09-22 University Of Southern California Flexible communication and control protocol for a wireless sensor and microstimulator network
US7752085B2 (en) * 2006-07-13 2010-07-06 Henry Schein, Inc. Product information management system
US20080021521A1 (en) * 2006-07-18 2008-01-24 Cardiac Pacemakers, Inc. Implantable Medical Device Communication System
US7955268B2 (en) 2006-07-21 2011-06-07 Cardiac Pacemakers, Inc. Multiple sensor deployment
US8932216B2 (en) 2006-08-07 2015-01-13 Abbott Diabetes Care Inc. Method and system for providing data management in integrated analyte monitoring and infusion system
US8206296B2 (en) 2006-08-07 2012-06-26 Abbott Diabetes Care Inc. Method and system for providing integrated analyte monitoring and infusion system therapy management
US9773060B2 (en) * 2006-09-05 2017-09-26 Cardiac Pacemaker, Inc. System and method for providing automatic setup of a remote patient care environment
US8685091B2 (en) * 2006-09-29 2014-04-01 DePuy Synthes Products, LLC System, method, and device for monitoring orthopaedic implant data over a cellular network
JP5916277B2 (en) * 2006-10-25 2016-05-11 プロテウス デジタル ヘルス, インコーポレイテッド Ingestible control activation identifier
US8462678B2 (en) * 2006-11-06 2013-06-11 Cardiac Pacemakers, Inc. System and method for operating a wireless medical device interrogation network
WO2008063626A3 (en) 2006-11-20 2008-07-03 Proteus Biomedical Inc Active signal processing personal health signal receivers
US8858432B2 (en) 2007-02-01 2014-10-14 Proteus Digital Health, Inc. Ingestible event marker systems
CN103066226B (en) * 2007-02-14 2016-09-14 普罗透斯数字保健公司 The body having a high surface area electrode power supply
US8347365B2 (en) 2007-03-29 2013-01-01 Cardiac Pacemakers, Inc. System and method for confirming identity and authority by a patient medical device
US8000788B2 (en) * 2007-04-27 2011-08-16 Medtronic, Inc. Implantable medical device for treating neurological conditions including ECG sensing
US8540632B2 (en) 2007-05-24 2013-09-24 Proteus Digital Health, Inc. Low profile antenna for in body device
US8369944B2 (en) 2007-06-06 2013-02-05 Zoll Medical Corporation Wearable defibrillator with audio input/output
US9597029B2 (en) * 2007-06-19 2017-03-21 Cardiac Pacemakers, Inc. System and method for remotely evaluating patient compliance status
US7834760B2 (en) * 2007-06-20 2010-11-16 Armstrong Keith C System and method for locating an individual
US20080316014A1 (en) * 2007-06-20 2008-12-25 Armstrong Keith C System and a method for locating an individual
US20110215922A1 (en) * 2007-06-20 2011-09-08 Armstrong Keith C System and method for locating an individual
US8641618B2 (en) 2007-06-27 2014-02-04 Abbott Diabetes Care Inc. Method and structure for securing a monitoring device element
US8085151B2 (en) 2007-06-28 2011-12-27 Abbott Diabetes Care Inc. Signal converting cradle for medical condition monitoring and management system
US20090043612A1 (en) * 2007-08-07 2009-02-12 Szela Jr Erwin G Electronic Health Management System
US20090048644A1 (en) * 2007-08-14 2009-02-19 Stahmann Jeffrey E System and method for providing intrabody data security on an active implantable medical device
GB0716051D0 (en) * 2007-08-17 2007-09-26 Lancaster University Position and orientation detector
US8515547B2 (en) 2007-08-31 2013-08-20 Cardiac Pacemakers, Inc. Wireless patient communicator for use in a life critical network
US9848058B2 (en) 2007-08-31 2017-12-19 Cardiac Pacemakers, Inc. Medical data transport over wireless life critical network employing dynamic communication link mapping
WO2009042812A1 (en) 2007-09-25 2009-04-02 Proteus Biomedical, Inc. In-body device with virtual dipole signal amplification
US7991382B1 (en) * 2007-11-08 2011-08-02 Sprint Spectrum L.P. Method for communicating indoor location to an emergency service system
US20090135886A1 (en) * 2007-11-27 2009-05-28 Proteus Biomedical, Inc. Transbody communication systems employing communication channels
US20090150877A1 (en) * 2007-12-07 2009-06-11 Roche Diagnostics Operations, Inc. Data driven communication protocol grammar
US9526830B2 (en) 2007-12-31 2016-12-27 Deka Products Limited Partnership Wearable pump assembly
US7974702B1 (en) 2008-01-10 2011-07-05 Pacesetter, Inc. Communication device, communication system and communication method for an implantable medical device
WO2009091911A1 (en) * 2008-01-15 2009-07-23 Cardiac Pacemakers, Inc. Implantable medical device with antenna
WO2009091910A1 (en) * 2008-01-15 2009-07-23 Cardiac Pacemakers, Inc. Implantable medical device with wireless communications
US8915866B2 (en) * 2008-01-18 2014-12-23 Warsaw Orthopedic, Inc. Implantable sensor and associated methods
US8725260B2 (en) 2008-02-11 2014-05-13 Cardiac Pacemakers, Inc Methods of monitoring hemodynamic status for rhythm discrimination within the heart
WO2009102640A1 (en) 2008-02-12 2009-08-20 Cardiac Pacemakers, Inc. Systems and methods for controlling wireless signal transfers between ultrasound-enabled medical devices
US8185623B2 (en) 2008-02-29 2012-05-22 Physio-Control, Inc. Selectively routing patient data between field devices and treatment center destinations
CA2717862C (en) 2008-03-05 2016-11-22 Proteus Biomedical, Inc. Multi-mode communication ingestible event markers and systems, and methods of using the same
US20090237236A1 (en) * 2008-03-24 2009-09-24 Sami Maassarani Tooth located gps person tracking and location method and apparatus
EP2280640A4 (en) * 2008-04-21 2013-10-09 Carl Frederick Edman Metabolic energy monitoring system
US8103346B2 (en) 2008-05-22 2012-01-24 Cardiac Pacemakers, Inc. Regulatory compliant transmission of medical data employing a patient implantable medical device and a generic network access device
US8594772B2 (en) 2008-06-03 2013-11-26 International Business Machines Corporation Method for monitoring and communicating biomedical electromagnetic fields
JP5654988B2 (en) 2008-07-08 2015-01-14 プロテウス デジタル ヘルス, インコーポレイテッド Ingestible event marker data framework
US20100016746A1 (en) * 2008-07-15 2010-01-21 Hampton David R Personal alerting device for use with diagnostic device
JP5465252B2 (en) 2008-10-10 2014-04-09 カーディアック ペースメイカーズ, インコーポレイテッド System and method for determining the cardiac output using pulmonary artery pressure measurements
WO2010055409A2 (en) * 2008-11-17 2010-05-20 Medicalgorithmics Ltd. Outpatient monitoring systems and methods
WO2010059291A1 (en) 2008-11-19 2010-05-27 Cardiac Pacemakers, Inc. Assessment of pulmonary vascular resistance via pulmonary artery pressure
EP2358270A4 (en) 2008-12-11 2014-08-13 Proteus Digital Health Inc Evaluation of gastrointestinal function using portable electroviscerography systems and methods of using the same
CA2750158A1 (en) 2009-01-06 2010-07-15 Proteus Biomedical, Inc. Ingestion-related biofeedback and personalized medical therapy method and system
US8319631B2 (en) 2009-03-04 2012-11-27 Cardiac Pacemakers, Inc. Modular patient portable communicator for use in life critical network
US8812841B2 (en) 2009-03-04 2014-08-19 Cardiac Pacemakers, Inc. Communications hub for use in life critical network
US20100225490A1 (en) * 2009-03-05 2010-09-09 Leuthardt Eric C Postural information system and method including central determining of subject advisory information based on subject status information and postural influencer status information
US20100227585A1 (en) * 2009-03-05 2010-09-09 Lockheed Martin Corporation Method and apparatus for transmission of emergency information from emergency personnel
US20100225498A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Postural information system and method
US20100228493A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method including direction generation based on collection of subject advisory information
US20100228488A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method
US20100225491A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method
US20100228487A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method
US20100228154A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method including determining response to subject advisory information
US20100228158A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method including device level determining of subject advisory information based on subject status information and postural influencer status information
US20100225474A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method
US9024976B2 (en) * 2009-03-05 2015-05-05 The Invention Science Fund I, Llc Postural information system and method
US20100228492A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of State Of Delaware Postural information system and method including direction generation based on collection of subject advisory information
US20100271200A1 (en) * 2009-03-05 2010-10-28 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method including determining response to subject advisory information
US20100228494A1 (en) * 2009-03-05 2010-09-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Postural information system and method including determining subject advisory information based on prior determined subject advisory information
US20100249541A1 (en) * 2009-03-27 2010-09-30 LifeWatch Corp. Methods and Apparatus for Processing Physiological Data Acquired from an Ambulatory Physiological Monitoring Unit
US20110087450A1 (en) * 2009-04-03 2011-04-14 University Of Michigan Heading Error Removal System for Tracking Devices
US20100256939A1 (en) * 2009-04-03 2010-10-07 The Regents Of The University Of Michigan Heading Error Removal System for Tracking Devices
US8294614B2 (en) * 2009-06-25 2012-10-23 Thomas Ronald Tessier Apparatus for satellite telecommunications
US20120290217A1 (en) * 2009-08-09 2012-11-15 Noam Shoval System and method for tracking recording and analyzing spatial activity of a subject for medical and other applications
US8239169B2 (en) 2009-09-25 2012-08-07 Gregory Timothy L Portable computing device and method for asset management in a logistics system
US8299920B2 (en) 2009-09-25 2012-10-30 Fedex Corporate Services, Inc. Sensor based logistics system
US9633327B2 (en) 2009-09-25 2017-04-25 Fedex Corporate Services, Inc. Sensor zone management
WO2011057024A3 (en) 2009-11-04 2011-08-18 Proteus Biomedical, Inc. System for supply chain management
US9075910B2 (en) * 2010-03-11 2015-07-07 Philometron, Inc. Physiological monitor system for determining medication delivery and outcome
JP6203634B2 (en) * 2010-04-09 2017-09-27 ゾール メディカル コーポレイションZOLL Medical Corporation Ems system and method for a communication interface
US8509882B2 (en) 2010-06-08 2013-08-13 Alivecor, Inc. Heart monitoring system usable with a smartphone or computer
US9351654B2 (en) 2010-06-08 2016-05-31 Alivecor, Inc. Two electrode apparatus and methods for twelve lead ECG
US20160349057A1 (en) * 2010-10-13 2016-12-01 Elbit Systems Ltd. Multiple data sources pedestrian navigation system
US20120157795A1 (en) * 2010-12-15 2012-06-21 Ross Medical Corporation Patient Emergency Response System
WO2012135062A1 (en) 2011-03-25 2012-10-04 Zoll Medical Corporation Selection of optimal channel for rate determination
US8600486B2 (en) 2011-03-25 2013-12-03 Zoll Medical Corporation Method of detecting signal clipping in a wearable ambulatory medical device
US9235683B2 (en) 2011-11-09 2016-01-12 Proteus Digital Health, Inc. Apparatus, system, and method for managing adherence to a regimen
GB2504119B (en) * 2012-07-19 2017-09-27 White Rabbit Ltd Personal safety communication system
US9119971B2 (en) * 2012-07-26 2015-09-01 Zoll Medical Corporation Automated external defibrillator configuration
US9031652B2 (en) 2012-08-27 2015-05-12 Cardiac Pacemakers, Inc. Use case-based services
WO2014035494A1 (en) * 2012-08-27 2014-03-06 Cardiac Pacemakers, Inc. Location-based user to and programming of an implantable medical device
US9254095B2 (en) 2012-11-08 2016-02-09 Alivecor Electrocardiogram signal detection
US20140163349A1 (en) * 2012-12-11 2014-06-12 David Amitai Miniature ECG Data Acquisition Device
WO2014107700A1 (en) 2013-01-07 2014-07-10 Alivecor, Inc. Methods and systems for electrode placement
US9254092B2 (en) 2013-03-15 2016-02-09 Alivecor, Inc. Systems and methods for processing and analyzing medical data
US9092556B2 (en) 2013-03-15 2015-07-28 eagleyemed, Inc. Multi-site data sharing platform
US9021358B2 (en) 2013-03-15 2015-04-28 eagleyemed, Inc. Multi-site video based computer aided diagnostic and analytical platform
CN103246255B (en) * 2013-04-09 2016-06-29 哈尔滨工程大学 Intelligent home system of community watch
WO2015001539A3 (en) * 2013-07-05 2015-04-09 Stellapps Technologies Private Limited Device for cloud based monitoring and control of farm equipment
US9247911B2 (en) 2013-07-10 2016-02-02 Alivecor, Inc. Devices and methods for real-time denoising of electrocardiograms
US9585602B1 (en) 2013-10-07 2017-03-07 Intellirod Spine Inc. Obtaining medical diagnostic measurements
EP3079571A4 (en) 2013-12-12 2017-08-02 Alivecor Inc Methods and systems for arrhythmia tracking and scoring
WO2015106015A1 (en) 2014-01-10 2015-07-16 Cardiac Pacemakers, Inc. Systems and methods for detecting cardiac arrhythmias
WO2016033197A3 (en) 2014-08-28 2016-04-21 Cardiac Pacemakers, Inc. Medical device with triggered blanking period
US20160220831A1 (en) * 2015-01-29 2016-08-04 Hcl Technologies Limited Implantable medical device and a method for optimizing power consumption thereof
EP3253450A1 (en) 2015-02-06 2017-12-13 Cardiac Pacemakers, Inc. Systems and methods for treating cardiac arrhythmias
US9734720B2 (en) 2015-04-01 2017-08-15 Zoll Medical Corporation Response mode verification in vehicle dispatch
US9839363B2 (en) 2015-05-13 2017-12-12 Alivecor, Inc. Discordance monitoring
WO2017031221A1 (en) 2015-08-20 2017-02-23 Cardiac Pacemakers, Inc. Systems and methods for communication between medical devices
US9956414B2 (en) 2015-08-27 2018-05-01 Cardiac Pacemakers, Inc. Temporal configuration of a motion sensor in an implantable medical device
US9968787B2 (en) 2015-08-27 2018-05-15 Cardiac Pacemakers, Inc. Spatial configuration of a motion sensor in an implantable medical device

Citations (60)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3253588A (en) 1962-02-01 1966-05-31 Lear Siegler Inc Bio-instrumentation apparatus
US3518997A (en) 1969-01-17 1970-07-07 Robert W Sessions Electronic heart stimulator
US3623486A (en) 1969-10-01 1971-11-30 American Optical Corp Double rate demand pacemaker
US3631860A (en) 1969-10-27 1972-01-04 American Optical Corp Variable rate pacemaker, counter-controlled, variable rate pacer
FR2126301A1 (en) 1971-02-23 1972-10-06 Esb Inc
US3738369A (en) 1971-04-22 1973-06-12 Gen Electric Body organ stimulator function control switch
US3768014A (en) 1972-01-28 1973-10-23 Gen Electric Cardiac pacemaker rate/interval computer system
US3805796A (en) 1971-05-10 1974-04-23 Cordis Corp Implantable cardiac pacer having adjustable operating parameters
US3885552A (en) 1972-11-16 1975-05-27 Pacemaker Diagnostic Clinic Of Cardiac function monitoring system and method for use in association with cardiac pacer apparatus
US3910257A (en) 1973-04-25 1975-10-07 Nasa Medical subject monitoring systems
US3973320A (en) 1973-09-06 1976-08-10 Giovanni Greco Method for the production of semiconductor devices with an integral heatsink and of related semiconductor equipment
US4066086A (en) 1975-06-05 1978-01-03 Medtronic, Inc. Programmable body stimulator
US4208008A (en) 1978-11-06 1980-06-17 Medtronic, Inc. Pacing generator programming apparatus including error detecting means
US4211235A (en) 1977-08-19 1980-07-08 Biotronik Mess- Und Therapiegerate Gmbh & Co. Programmer for implanted pacer
US4223679A (en) 1979-02-28 1980-09-23 Pacesetter Systems, Inc. Telemetry means for tissue stimulator system
US4233985A (en) 1978-11-06 1980-11-18 Medtronic Inc. Multi-mode programmable digital cardiac pacemaker
US4236524A (en) 1978-11-06 1980-12-02 Medtronic, Inc. Program testing apparatus
US4250884A (en) 1978-11-06 1981-02-17 Medtronic, Inc. Apparatus for and method of programming the minimum energy threshold for pacing pulses to be applied to a patient's heart
US4253466A (en) 1978-11-06 1981-03-03 Medtronic, Inc. Temporary and permanent programmable digital cardiac pacemaker
US4273133A (en) 1978-11-06 1981-06-16 Medtronic, Inc. Programmable digital cardiac pacemaker with means to override effects of reed switch closure
US4273132A (en) 1978-11-06 1981-06-16 Medtronic, Inc. Digital cardiac pacemaker with threshold margin check
US4319241A (en) 1978-11-01 1982-03-09 Medimetric Company Telemetering system for operating room and the like
US4374382A (en) 1981-01-16 1983-02-15 Medtronic, Inc. Marker channel telemetry system for a medical device
US4401120A (en) 1978-11-06 1983-08-30 Medtronic, Inc. Digital cardiac pacemaker with program acceptance indicator
US4440173A (en) 1979-11-08 1984-04-03 Medtronic Programmable body stimulation system
US4531523A (en) 1984-10-04 1985-07-30 Medtronic, Inc. Digital gain control for the reception of telemetry signals from implanted medical devices
US4539992A (en) 1978-12-22 1985-09-10 Intermedics, Inc. Method and apparatus for communicating with implanted body function stimulator
US4550732A (en) 1984-03-23 1985-11-05 Cordis Corporation System and process for enabling a predefined function within an implanted device
US4571589A (en) 1982-11-22 1986-02-18 Cordis Corporation Biomedical implant with high speed, low power two-way telemetry
US4601291A (en) 1983-02-11 1986-07-22 Vitafin N.V. Biomedical system with improved marker channel means and method
US4675656A (en) 1984-03-16 1987-06-23 Narcisse Bernadine O Out-of-range personnel monitor and alarm
US4676248A (en) 1982-04-30 1987-06-30 Medtronic, Inc. Circuit for controlling a receiver in an implanted device
US4827943A (en) 1986-09-23 1989-05-09 Advanced Medical Technologies, Inc. Portable, multi-channel, physiological data monitoring system
FR2624749A1 (en) 1987-12-16 1989-06-23 Dana Dominique Control device for cardiac stimulators
US4889131A (en) 1987-12-03 1989-12-26 American Health Products, Inc. Portable belt monitor of physiological functions and sensors therefor
US4981141A (en) 1989-02-15 1991-01-01 Jacob Segalowitz Wireless electrocardiographic monitoring system
US4987897A (en) * 1989-09-18 1991-01-29 Medtronic, Inc. Body bus medical device communication system
US5036869A (en) 1989-03-30 1991-08-06 Nihon Kohden Corporation Medical wireless telemeter
US5113869A (en) 1990-08-21 1992-05-19 Telectronics Pacing Systems, Inc. Implantable ambulatory electrocardiogram monitor
US5113859A (en) 1988-09-19 1992-05-19 Medtronic, Inc. Acoustic body bus medical device communication system
US5127404A (en) 1990-01-22 1992-07-07 Medtronic, Inc. Telemetry format for implanted medical device
US5321618A (en) 1990-05-29 1994-06-14 Lawrence Gessman Apparatus and method for remotely monitoring implanted cardioverter defibrillators
DE4401443A1 (en) 1993-01-29 1994-08-04 Siemens Elema Ab An implantable medical device and an extracorporeal programming and monitoring unit
US5336245A (en) 1992-05-20 1994-08-09 Angeion Corporation Storage interrogation apparatus for cardiac data
US5381798A (en) 1993-11-02 1995-01-17 Quinton Instrument Company Spread spectrum telemetry of physiological signals
US5416695A (en) * 1993-03-09 1995-05-16 Metriplex, Inc. Method and apparatus for alerting patients and medical personnel of emergency medical situations
US5490073A (en) * 1993-04-05 1996-02-06 Caterpillar Inc. Differential system and method for a satellite based navigation
US5544661A (en) * 1994-01-13 1996-08-13 Charles L. Davis Real time ambulatory patient monitor
US5583517A (en) 1992-08-20 1996-12-10 Nexus 1994 Limited Multi-path resistant frequency-hopped spread spectrum mobile location system
US5592173A (en) 1994-07-18 1997-01-07 Trimble Navigation, Ltd GPS receiver having a low power standby mode
US5593426A (en) 1994-12-07 1997-01-14 Heartstream, Inc. Defibrillator system using multiple external defibrillators and a communications network
US5626630A (en) 1994-10-13 1997-05-06 Ael Industries, Inc. Medical telemetry system using an implanted passive transponder
US5680140A (en) 1994-07-19 1997-10-21 Trimble Navigation Limited Post-processing of inverse differential corrections for SATPS mobile stations
US5689431A (en) 1995-04-18 1997-11-18 Leading Edge Technologies, Inc. Golf course yardage and information system
US5720770A (en) 1995-10-06 1998-02-24 Pacesetter, Inc. Cardiac stimulation system with enhanced communication and control capability
US5731768A (en) 1996-01-31 1998-03-24 Seagate Technology, Inc. Method and apparatus for implementing codes with maximum transition run length
US5745868A (en) 1995-12-26 1998-04-28 Motorola, Inc. Method for rapid recovery from dead reckoning system heading loss
US5777580A (en) 1992-11-18 1998-07-07 Trimble Navigation Limited Vehicle location system
US5784339A (en) 1997-04-16 1998-07-21 Ocean Vision Technology, Inc. Underwater location and communication system
US5874897A (en) 1996-04-10 1999-02-23 Dragerwerk Ag Emergency-reporting system for rescue operations

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3311111A (en) 1964-08-11 1967-03-28 Gen Electric Controllable electric body tissue stimulators
US5835017A (en) * 1993-10-01 1998-11-10 Otax Co., Ltd. Radio searching system
DE4441907A1 (en) * 1993-12-16 1995-06-22 Hewlett Packard Co Patient Emergency Response System
US5752976A (en) * 1995-06-23 1998-05-19 Medtronic, Inc. World wide patient location and data telemetry system for implantable medical devices
US5838237A (en) * 1996-05-22 1998-11-17 Revell; Graeme Charles Personal alarm device
US5825283A (en) * 1996-07-03 1998-10-20 Camhi; Elie System for the security and auditing of persons and property
EP0875875A3 (en) * 1997-04-04 2000-06-28 Riederer Handels AG Method and device for alerting auxiliary or surveillance organs

Patent Citations (63)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3253588A (en) 1962-02-01 1966-05-31 Lear Siegler Inc Bio-instrumentation apparatus
US3518997A (en) 1969-01-17 1970-07-07 Robert W Sessions Electronic heart stimulator
US3623486A (en) 1969-10-01 1971-11-30 American Optical Corp Double rate demand pacemaker
US3631860A (en) 1969-10-27 1972-01-04 American Optical Corp Variable rate pacemaker, counter-controlled, variable rate pacer
US3769965A (en) 1971-02-23 1973-11-06 Esb Inc Monitor apparatus for implanted pulse generator
FR2126301A1 (en) 1971-02-23 1972-10-06 Esb Inc
US3738369A (en) 1971-04-22 1973-06-12 Gen Electric Body organ stimulator function control switch
US3805796A (en) 1971-05-10 1974-04-23 Cordis Corp Implantable cardiac pacer having adjustable operating parameters
US3768014A (en) 1972-01-28 1973-10-23 Gen Electric Cardiac pacemaker rate/interval computer system
US3885552A (en) 1972-11-16 1975-05-27 Pacemaker Diagnostic Clinic Of Cardiac function monitoring system and method for use in association with cardiac pacer apparatus
US3910257A (en) 1973-04-25 1975-10-07 Nasa Medical subject monitoring systems
US3973320A (en) 1973-09-06 1976-08-10 Giovanni Greco Method for the production of semiconductor devices with an integral heatsink and of related semiconductor equipment
US4066086A (en) 1975-06-05 1978-01-03 Medtronic, Inc. Programmable body stimulator
US4066086B1 (en) 1975-06-05 1984-06-05
US4211235A (en) 1977-08-19 1980-07-08 Biotronik Mess- Und Therapiegerate Gmbh & Co. Programmer for implanted pacer
US4319241A (en) 1978-11-01 1982-03-09 Medimetric Company Telemetering system for operating room and the like
US4208008A (en) 1978-11-06 1980-06-17 Medtronic, Inc. Pacing generator programming apparatus including error detecting means
US4236524A (en) 1978-11-06 1980-12-02 Medtronic, Inc. Program testing apparatus
US4250884A (en) 1978-11-06 1981-02-17 Medtronic, Inc. Apparatus for and method of programming the minimum energy threshold for pacing pulses to be applied to a patient's heart
US4253466A (en) 1978-11-06 1981-03-03 Medtronic, Inc. Temporary and permanent programmable digital cardiac pacemaker
US4273133A (en) 1978-11-06 1981-06-16 Medtronic, Inc. Programmable digital cardiac pacemaker with means to override effects of reed switch closure
US4273132A (en) 1978-11-06 1981-06-16 Medtronic, Inc. Digital cardiac pacemaker with threshold margin check
US4233985A (en) 1978-11-06 1980-11-18 Medtronic Inc. Multi-mode programmable digital cardiac pacemaker
US4401120A (en) 1978-11-06 1983-08-30 Medtronic, Inc. Digital cardiac pacemaker with program acceptance indicator
US4539992A (en) 1978-12-22 1985-09-10 Intermedics, Inc. Method and apparatus for communicating with implanted body function stimulator
US4223679A (en) 1979-02-28 1980-09-23 Pacesetter Systems, Inc. Telemetry means for tissue stimulator system
US4440173A (en) 1979-11-08 1984-04-03 Medtronic Programmable body stimulation system
US4374382A (en) 1981-01-16 1983-02-15 Medtronic, Inc. Marker channel telemetry system for a medical device
US4676248A (en) 1982-04-30 1987-06-30 Medtronic, Inc. Circuit for controlling a receiver in an implanted device
US4571589A (en) 1982-11-22 1986-02-18 Cordis Corporation Biomedical implant with high speed, low power two-way telemetry
US4601291A (en) 1983-02-11 1986-07-22 Vitafin N.V. Biomedical system with improved marker channel means and method
US4675656A (en) 1984-03-16 1987-06-23 Narcisse Bernadine O Out-of-range personnel monitor and alarm
US4550732A (en) 1984-03-23 1985-11-05 Cordis Corporation System and process for enabling a predefined function within an implanted device
US4531523A (en) 1984-10-04 1985-07-30 Medtronic, Inc. Digital gain control for the reception of telemetry signals from implanted medical devices
US4827943A (en) 1986-09-23 1989-05-09 Advanced Medical Technologies, Inc. Portable, multi-channel, physiological data monitoring system
US4889131A (en) 1987-12-03 1989-12-26 American Health Products, Inc. Portable belt monitor of physiological functions and sensors therefor
FR2624749A1 (en) 1987-12-16 1989-06-23 Dana Dominique Control device for cardiac stimulators
US5113859A (en) 1988-09-19 1992-05-19 Medtronic, Inc. Acoustic body bus medical device communication system
US4981141A (en) 1989-02-15 1991-01-01 Jacob Segalowitz Wireless electrocardiographic monitoring system
US5036869A (en) 1989-03-30 1991-08-06 Nihon Kohden Corporation Medical wireless telemeter
US4987897A (en) * 1989-09-18 1991-01-29 Medtronic, Inc. Body bus medical device communication system
US5127404A (en) 1990-01-22 1992-07-07 Medtronic, Inc. Telemetry format for implanted medical device
US5321618A (en) 1990-05-29 1994-06-14 Lawrence Gessman Apparatus and method for remotely monitoring implanted cardioverter defibrillators
US5113869A (en) 1990-08-21 1992-05-19 Telectronics Pacing Systems, Inc. Implantable ambulatory electrocardiogram monitor
US5336245A (en) 1992-05-20 1994-08-09 Angeion Corporation Storage interrogation apparatus for cardiac data
US5583517A (en) 1992-08-20 1996-12-10 Nexus 1994 Limited Multi-path resistant frequency-hopped spread spectrum mobile location system
US5777580A (en) 1992-11-18 1998-07-07 Trimble Navigation Limited Vehicle location system
DE4401443A1 (en) 1993-01-29 1994-08-04 Siemens Elema Ab An implantable medical device and an extracorporeal programming and monitoring unit
US5433736A (en) 1993-01-29 1995-07-18 Pacesetter Ab Implantable medical apparatus and extracorporeal programming and control unit therefor
US5416695A (en) * 1993-03-09 1995-05-16 Metriplex, Inc. Method and apparatus for alerting patients and medical personnel of emergency medical situations
US5490073A (en) * 1993-04-05 1996-02-06 Caterpillar Inc. Differential system and method for a satellite based navigation
US5381798A (en) 1993-11-02 1995-01-17 Quinton Instrument Company Spread spectrum telemetry of physiological signals
US5544661A (en) * 1994-01-13 1996-08-13 Charles L. Davis Real time ambulatory patient monitor
US5592173A (en) 1994-07-18 1997-01-07 Trimble Navigation, Ltd GPS receiver having a low power standby mode
US5680140A (en) 1994-07-19 1997-10-21 Trimble Navigation Limited Post-processing of inverse differential corrections for SATPS mobile stations
US5626630A (en) 1994-10-13 1997-05-06 Ael Industries, Inc. Medical telemetry system using an implanted passive transponder
US5593426A (en) 1994-12-07 1997-01-14 Heartstream, Inc. Defibrillator system using multiple external defibrillators and a communications network
US5689431A (en) 1995-04-18 1997-11-18 Leading Edge Technologies, Inc. Golf course yardage and information system
US5720770A (en) 1995-10-06 1998-02-24 Pacesetter, Inc. Cardiac stimulation system with enhanced communication and control capability
US5745868A (en) 1995-12-26 1998-04-28 Motorola, Inc. Method for rapid recovery from dead reckoning system heading loss
US5731768A (en) 1996-01-31 1998-03-24 Seagate Technology, Inc. Method and apparatus for implementing codes with maximum transition run length
US5874897A (en) 1996-04-10 1999-02-23 Dragerwerk Ag Emergency-reporting system for rescue operations
US5784339A (en) 1997-04-16 1998-07-21 Ocean Vision Technology, Inc. Underwater location and communication system

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9596989B2 (en) 2009-03-12 2017-03-21 Raytheon Company Networked symbiotic edge user infrastructure
US8798527B2 (en) 2011-01-14 2014-08-05 Covidien Lp Wireless relay module for remote monitoring systems
US8811888B2 (en) 2011-01-14 2014-08-19 Covidien Lp Wireless relay module for monitoring network status
US8818260B2 (en) 2011-01-14 2014-08-26 Covidien, LP Wireless relay module for remote monitoring systems
US8855550B2 (en) 2011-01-14 2014-10-07 Covidien Lp Wireless relay module having emergency call functionality
US8897198B2 (en) 2011-01-14 2014-11-25 Covidien Lp Medical device wireless network architectures
US9020419B2 (en) 2011-01-14 2015-04-28 Covidien, LP Wireless relay module for remote monitoring systems having power and medical device proximity monitoring functionality
US8903308B2 (en) 2011-01-14 2014-12-02 Covidien Lp System and method for patient identification in a remote monitoring system
US8943168B2 (en) 2011-03-01 2015-01-27 Covidien Lp Remote monitoring systems for monitoring medical devices via wireless communication networks
US8694600B2 (en) 2011-03-01 2014-04-08 Covidien Lp Remote monitoring systems for monitoring medical devices via wireless communication networks
US9495511B2 (en) 2011-03-01 2016-11-15 Covidien Lp Remote monitoring systems and methods for medical devices
US9307914B2 (en) 2011-04-15 2016-04-12 Infobionic, Inc Remote data monitoring and collection system with multi-tiered analysis
US9699816B2 (en) 2012-09-13 2017-07-04 Covidien Lp Docking station for an enteral feeding pump
USD746441S1 (en) 2013-09-13 2015-12-29 Covidien Lp Pump
USD794805S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device with a button
USD794806S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device
USD794807S1 (en) 2016-04-29 2017-08-15 Infobionic, Inc. Health monitoring device with a display
US9968274B2 (en) 2016-04-29 2018-05-15 Infobionic, Inc. Systems and methods for processing ECG data

Also Published As

Publication number Publication date Type
WO2000030529A9 (en) 2002-08-22 application
US6083248A (en) 2000-07-04 grant
WO2000030529A1 (en) 2000-06-02 application
EP1133255A1 (en) 2001-09-19 application

Similar Documents

Publication Publication Date Title
US4146029A (en) Self-powered implanted programmable medication system and method
US7791467B2 (en) Repeater providing data exchange with a medical device for remote patient care and method thereof
US5551953A (en) Electrotransport system with remote telemetry link
US6714811B1 (en) Method and apparatus for monitoring heart rate
US7198603B2 (en) Apparatus and methods using acoustic telemetry for intrabody communications
US6400988B1 (en) Implantable cardiac device having precision RRT indication
US5891044A (en) Detection of abnormal and induction of normal heart rate variability
US7496404B2 (en) Rechargeable spinal cord stimulator system
US6128528A (en) Error code calculations for data stored in an implantable medical device
US6671552B2 (en) System and method for determining remaining battery life for an implantable medical device
US7167755B2 (en) Adaptive software configuration for a medical device
US6482154B1 (en) Long range implantable medical device telemetry system with positive patient identification
US20080275312A1 (en) Cross-Band Communications in an Implantable Device
US6584352B2 (en) Leadless fully automatic pacemaker follow-up
US20070260289A1 (en) System and method for using cardiac events to trigger therapy for treating nervous system disorders
US20070255147A1 (en) Flexible memory management scheme for loop recording in an implantable device
US7161484B2 (en) System for monitoring medical parameters
US20070238939A1 (en) System and method for monitoring or treating nervous system disorders
US6544171B2 (en) System for patient monitoring
US7978062B2 (en) Medical data transport over wireless life critical network
US7991467B2 (en) Remotely enabled pacemaker and implantable subcutaneous cardioverter/defibrillator system
US20030083559A1 (en) Non-contact monitor
US20010049544A1 (en) Passive data collection system from a fleet of medical instruments and implantable devices
US20070055324A1 (en) Multi-mode coordinator for medical device function
US6363282B1 (en) Apparatus and method to automatic remote software updates of medical device systems

Legal Events

Date Code Title Description
FPAY Fee payment

Year of fee payment: 12

AS Assignment

Owner name: REMOTE BIOMEDICAL TECH, LLC, TEXAS

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:SARIF BIOMEDICAL LLC;REEL/FRAME:032198/0940

Effective date: 20140205

Owner name: SARIF BIOMEDICAL LLC, TEXAS

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:REMOTE BIOMEDICAL LLC;REEL/FRAME:032198/0889

Effective date: 20131231

Owner name: TAYONG MEDICAL TECHNOLOGY, LLC, TEXAS

Free format text: NUNC PRO TUNC ASSIGNMENT;ASSIGNOR:MEDTRONIC, INC.;REEL/FRAME:032198/0863

Effective date: 20131121

Owner name: TAYONG MEDICAL, LLC, TEXAS

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:MEDTRONIC, INC.;REEL/FRAME:032198/0768

Effective date: 20130821

Owner name: REMOTE BIOMEDICAL LLC, DELAWARE

Free format text: CHANGE OF NAME;ASSIGNOR:TAYONG MEDICAL TECHNOLOGY, LLC;REEL/FRAME:032250/0718

Effective date: 20131017

Owner name: TAYONG MEDICAL TECHNOLOGY, LLC, DELAWARE

Free format text: CONVERSION TO DELAWARE LLC;ASSIGNOR:TAYONG MEDICAL TECHNOLOGY, LLC;REEL/FRAME:032250/0714

Effective date: 20131015

AS Assignment

Owner name: REMOTE BIOMEDICAL, TECH, LLC, TEXAS

Free format text: CORRECTIVE ASSIGNMENT TO CORRECT THE ADDRESS OF THE ASSIGNEE, REMOTE BIOMEDICAL TECH, LLC LISTED ONTHE ASSIGNMENT COVERSHEET PREVIOUSLY RECORDED ON REEL 032198 FRAME 0940. ASSIGNOR(S) HEREBY CONFIRMS THE ASSIGNMENT OF ALL RIGHT TITLE INTEREST AND THE RIGHT TO SUE AND RECOVER FOR PAST PRESENT AND FUTURE INFRINGEMENTS;ASSIGNOR:SARIF BIOMEDICAL LLC;REEL/FRAME:032335/0502

Effective date: 20140205