Medical system for seamless therapy adjustment
AssigneeMedtronic, Inc.
InventorsVinod Sharma, Eduardo N. Warman, Shantanu Sarkar, Tommy D. Bennett, Lindsay M. Streeter, Jennifer K. Bravinder
Life of this patent
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Abstract
Methods and systems for seamless adjustment of treatment are disclosed. A determination is made as to whether to intervene with a patient's treatment. Implanted device memory data is acquired over a pre-specified time period. Risk status is determined from the device memory data. Another external device memory data is acquired over a pre-specified time period. A determination is made as to whether to adjust treatment of the patient in response to the risk status, the data acquired from the implanted device memory and the external device memory data.
Claims20
A system for delivering diuretic medication therapy to a patient comprising:
- an implantable medical device comprising:
- at least one electrode configured to sense thoracic impedance;
- a telemetry module configured to communicate with a server;
- and
- a device processor operably coupled to the at least one electrode and the telemetry module and configured to:
- monitor a transthoracic impedance of the patient using the at least one electrode;
- and
- transmit the patient's transthoracic impedance to a server;
- a server comprising a server processor configured to:
- receive the transthoracic impedance from the implantable medical device;
- determine that the patient is suffering from a worsening heart failure (HF) condition based on the received transthoracic impedance;
- initiate an initial round of diuretic medication therapy without contacting a physician in response to the determination that the patient is suffering from the worsening HF condition;
- receive a weight of the patient following after the initiation of the initial round of diuretic medication therapy;
- determine that the patient has not undergone a weight change in excess of a defined weight change threshold after the initiation of the initial round of diuretic medication therapy;
- determine whether the patient has recovered from the worsening HF condition in response to the determination that the patient has not undergone the weight change in excess of the defined weight change threshold after the initiation of the initial round of diuretic medication therapy;
- stop the initial round of diuretic medication therapy without contacting a physician in response to determination that the patient has recovered from the worsening HF condition;
- and
- initiate a second round of diuretic medication therapy without contacting a physician in response to determination that the patient has not recovered from the worsening HF condition.
A method for delivering diuretic medication therapy to a patient comprising:
- monitoring a transthoracic impedance of the patient using at least one implantable electrode;
- determining that the patient is suffering from a worsening heart failure (HF) condition based on the transthoracic impedance;
- initiating an initial round of diuretic medication therapy without contacting a physician in response to the determination that the patient is suffering from the worsening HF condition;
- receiving a weight of the patient following after the initiation of the initial round of diuretic medication therapy;
- determining that the patient has not undergone a weight change in excess of a defined weight change threshold after the initiation of the initial round of diuretic medication therapy;
- determining whether the patient has recovered from the worsening HF condition in response to the determination that the patient has not undergone the weight change in excess of the defined weight change threshold after the initiation of the initial round of diuretic medication therapy;
- stopping the initial round of diuretic medication therapy without contacting a physician in response to determination that the patient has recovered from the worsening HF condition;
- and
- initiating a second round of diuretic medication therapy without contacting a physician in response to determination that the patient has not recovered from the worsening HF condition.
Dependencies are inferred from the claim text.