# US 11,298,552 B2 · Implantable medical device and method for managing advertising and scanning schedules

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- Number: US 11,298,552 B2
- Document ID: US11298552B2
- Status: Granted
- Kind: B2
- Application number: 16/502,774
- Filed: 2019-07-03
- Published: 2019-10-24
- Granted: 2022-04-12
- Earliest claimed: 2016-07-21
- Assignees: Pacesetter, Inc.
- Applicants: Pacesetter, Inc.
- Inventors: Yongjian Wu; Samir Shah; Heidi Hellman; Reza Shahandeh; Tejpal Singh; Youjing Huang; Chao-Wen Young
- Web page: https://patentgrep.com/patent/US11298552B2

## CPC

- A61N 1/37252: {Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data}
- A61B 5/0031: {Implanted circuitry}
- A61B 5/0215: by means inserted into the body
- A61B 5/076: {Permanent implantation}
- A61B 5/4836: {Diagnosis combined with treatment in closed-loop systems or methods (A61B5/0036 takes precedence)}
- A61B 7/023: {for introduction into the body, e.g. into the oesophagus (oesophageal ECG probes A61B5/285)}
- A61N 1/3605: {Implantable neurostimulators for stimulating central or peripheral nerve system}
- A61N 1/362: Heart stimulators (heart defibrillators A61N1/39)
- A61N 1/37223: {Circuits for electromagnetic coupling}
- A61N 1/3956: {Implantable devices for applying electric shocks to the heart, e.g. for cardioversion}
- G16H 40/63: for local operation
- H04W 8/005: {Discovery of network devices, e.g. terminals}
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- H04W: WIRELESS COMMUNICATION NETWORKS (broadcast communication H04H; communication systems using wireless links for non-selective communication, e.g. wireless extensions H04M1/72)

## Abstract

Methods and devices for managing establishment of a communications link between an external instrument (EI) and an implantable medical device (IMD) are provided. The methods and devices comprise storing, in memory in at least one of the IMD or the EI an advertising schedule defining a pattern for advertisement notices. The advertisement notices are distributed un-evenly and separated by unequal advertisement intervals. The method transmits, from a transmitter in at least one of the IMD or the EI the advertisement notices. The advertisement notices are distributed as defined by the advertising schedule. The method establishes a communication session between the IMD and the EI.

## Claims

### Claim 1

A method for use with an implantable medical device (IMD) that is configured to communicate with an external instrument (EI) using a wireless communication protocol, the method comprising:
transmitting an advertisement notice in accordance with a first advertising schedule during an advertising state;
scanning one or more channels for a connection request following the transmitting of the advertisement notice;
determining whether a valid connection request was received by the IMD from the external instrument (EI) within a specified interval following the transmitting of the advertising notice;
repeating the transmitting and the scanning for one or more additional instances of the advertising state, in response to determining that a valid connection request was not received by the IMD, from the EI, during the advertising state;
determining a number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeds a predetermined threshold; and
changing from transmitting the advertising notice in accordance with the first advertising schedule to transmitting the advertising notice in accordance with a second advertising schedule in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold;
wherein the same wireless communication protocol is used when transmitting the advertising notice in accordance with the first advertising schedule and when transmitting the advertising notice in accordance with the second advertising schedule.

### Claim 2 (depends on 1)

The method of claim 1, wherein:
the advertising schedule includes a first advertisement interval between first and second advertisement notices and a second advertisement interval between the second advertisement notice and a third advertisement notice;
the first and second advertisement intervals differ in length from one another; and
the changing from transmitting the advertising notice in accordance with the first advertising schedule to transmitting the advertising notice in accordance with the second advertising schedule, in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold, comprises changing the respective length of one or both of the first and second advertisement intervals.

### Claim 3 (depends on 1)

The method of claim 1, wherein:
the advertising schedule includes a first advertisement interval between first and second advertisement notices and a second advertisement interval between the second advertisement notice and a third advertisement notice;
the first and second advertisement intervals differ in length from one another; and
the changing from transmitting the advertising notice in accordance with the first advertising schedule to transmitting the advertising notice in accordance with the second advertising schedule, in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold, comprises adding a third advertising interval that follows the first and second advertisement intervals and differs in length from both of the first and second advertisement intervals.

### Claim 4 (depends on 1)

The method of claim 1, wherein:
the changing from transmitting the advertising notice in accordance with the first advertising schedule to transmitting the advertising notice in accordance with the second advertising schedule, in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold, comprises switching between predetermined advertising schedules.

### Claim 5 (depends on 1)

The method of claim 1, further comprising:
establishing a communication link between the IMD and the EI, in response to determining that a valid connection request was received by the IMD from the EI.

### Claim 6 (depends on 1)

The method of claim 1, wherein the transmitting the advertising notice in accordance with the first advertising schedule and the transmitting the advertising notice in accordance with the second advertising schedule are performed within a same frequency range specified by the same wireless communication protocol.

### Claim 7

An implantable medical device (IMD) that is configured to communicate with an external instrument (EI) using a wireless communication protocol, comprising:
a memory that stores a plurality of advertising schedules that each defines a respective plurality of advertising intervals, at least some of which are unequal, wherein the stored advertising schedules are for use in transmitting advertising notices in accordance with a pattern that distributes at least some of the advertisement notices un-evenly by being separated by unequal ones of the advertisement intervals;
a processor configured to access the advertising schedules stored in the memory;
a transmitter configured to selectively transmit the advertisement notices under control of the processor;
a receiver configured to scan one or more channels for a connection request following transmission of one of the advertisement notices by the transmitter;
the processor also configured to
cause transmitting of the advertisement notices by the transmitter in accordance with a first one of the advertising schedules during an advertising state;
determine whether a valid connection request was received by the IMD from the external instrument (EI) within a specified interval following a said advertising notice being transmitted;
determine whether a number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeds a predetermined threshold; and
change from the first one of the advertising schedules to a second one of the advertising schedules in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold;
wherein the same wireless communication protocol is used when transmitting the advertising notice in accordance with the first and second ones of the advertising schedules.

### Claim 8 (depends on 7)

The IMD of claim 7, wherein:
the first one of the advertising schedules includes a first advertisement interval between first and second advertisement notices and a second advertisement interval between the second advertisement notice and a third advertisement notice;
the first and second advertisement intervals differ from one another; and
the processor is configured to change from the first one of the advertising schedules to the second one of the advertising schedules by changing one or both of the first and second advertisement intervals, in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold.

### Claim 9 (depends on 7)

The IMD of claim 7, wherein:
the first one of the advertising schedules includes a first advertisement interval between first and second advertisement notices and a second advertisement interval between the second advertisement notice and a third advertisement notice;
the first and second advertisement intervals differ from one another; and
the processor is configured to change the first one of the advertising schedules to the second one of the advertising schedules by adding a third advertising interval that differs from the first and second advertisement intervals, in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold.

### Claim 10 (depends on 7)

The IMD of claim 7, wherein:
the processor is configured to change from the first one of the advertising schedules to the second one of the advertising schedules by switching between predetermined advertising schedules stored in the memory, in response to the number of the advertising states, which have occurred without a successful connection having been established between the IMD and the EI, exceeding the predetermined threshold.

### Claim 11 (depends on 7)

The IMD of claim 7, wherein the processor is further configured to establish a communication link between the IMD and the EI, in response to determining that a valid connection request was received by the IMD from the EI.

### Claim 12 (depends on 7)

The IMD of claim 7, wherein the IMD is configured to transmit the advertising notice in accordance with the first advertising schedule and to transmit the advertising notice in accordance with the second advertising schedule within a same frequency range specified by the same wireless communication protocol.