Medtronic, Inc.

Transoma Medical, Inc.

Data Sciences International, Inc.

Reid K Bornhoft

Nathan Andrew Torgerson

David A Dinsmoor

David P Olson

Venkat R Gaddam

Brian P Brockway

Kevin J Kelly

Garrett R Sipple

Gregg Lichtscheidl

Brock Lindstedt

Matt Kunz

Mandla Thokozani Shongwe

Scott A Hareland

Todd V Smith

Andrew L Schmeling

Kristin N Hageman

Perry Alton Mills

Hank Bink

Leroy L Perz

Prabhakar A Tamirisa

Christopher M Arnett

Kevin M Johnson

David Simons

Rebecca A Miron

Christopher Edwards

Nikita Tandon

Devices, systems, and techniques for calibrating posture state definitions are described. In one example, a system includes a memory configured to store a plurality of posture state definitions defining a plurality of posture states. The system may also include processing circuitry configured to receive a request to update the plurality of posture state definitions, responsive to receiving the request, and obtain sensor data for one posture state of the plurality of posture states, wherein the sensor data generated while a patient is in the one posture state. The processing circuitry may also determine a difference between the sensor data and a posture state definition of the posture state definitions corresponding to the one posture state, update, based on the difference, the plurality of posture state definitions, and store the updated plurality of posture state definitions in the memory.

Posture state definition calibration

Far field telemetry communications are conducted during recharge sessions between an external device and an implantable medical device. The two devices may not have been previously paired together for far field telemetry and may have been paired with other devices for far field telemetry during previous recharge sessions and/or programming sessions. Embodiments provide for temporary bonding of the two devices for far field telemetry during the recharge session. The implantable medical device of the recharge session may maintain a programming bond with an external device other than the external device conducting the recharge session. Safeguards against establishment of inadvertent programming sessions between the external device that has conducted a recharge session and implantable medical devices that may or may not be bonded to that external device are provided.

Far field telemetry communication with a medical device during a recharge session where a prior pairing with the medical device may not exist

Devices, systems, and techniques for controlling charging power transmitted to an implantable medical device during a recharging process based on patient activity are disclosed. Various example techniques include a method comprising receiving, by processing circuitry, an activity signal generated by an implantable medical device and indicative of an activity level of a patient during charging of a rechargeable power source of the implantable medical device implanted in the patient, determining, by the processing circuitry and based on the activity signal, a patient status for the patient during charging of the rechargeable power source, and controlling, by the processing circuitry and based on the patient status, charging of the rechargeable power source of the implantable medical device.

Medical device recharging based on patient activity

A medical device with closed-loop responsive stimulation may include techniques to mitigate the impact on the therapy output of noise coupled into the medical device. A medical device according to this disclosure may determine the presence of noise and alter the closed loop policy to provide the necessary therapy to the patient and avoid prolonged under stimulation caused by the noise. The medical device may continue therapy, while testing for noise. When the device determines the noise level no longer affects the output therapy, the device may return the closed loop policy to a no-noise mode of operation. The medical device may also include techniques to mitigate the impact of manual adjustment while the medical device is subject to noise or is responding to changes in the patient's physiological signals.

Closed-loop therapy stimulation response to patient adjustment

Devices, systems, and techniques for controlling charging power based on a cumulative thermal dose to a patient are disclosed. Implantable medical devices may include a rechargeable power source that can be transcutaneously charged. An external charging device may calculate an estimated cumulative thermal dose delivered to the patient during charging over a predetermined period of time. Based on the estimated cumulative thermal dose, the external charging device may select a power level for subsequent charging of the rechargeable power source. In one example, the charging device may select a high power level when the cumulative thermal dose has not exceeded a thermal dose threshold and select a low power level when the cumulative thermal dose has exceeded the thermal dose threshold.

Managing recharge power for implantable medical devices

Devices, systems, and techniques for estimating energy transfer to tissue of a patient during battery charging for an implantable medical device are disclosed. Implantable medical devices may include a rechargeable power source that can be transcutaneously charged. An external charging device may calculate an estimated energy transfer to tissue of the patient that may include a resistive heat loss from the rechargeable power source and/or electromagnetic energy transfer directly to tissue. Based on the estimated energy transfer, the external charging device may select a power level for charging of the rechargeable power source. In one example, the charging device may select a high power level when the estimated energy transfer has not exceeded an energy transfer threshold and select a low power level when the estimated energy transfer has exceeded the energy transfer threshold.

This disclosure describes techniques for a method of charging a battery. In an example, the method includes charging the battery during a first charging session until a first charging termination parameter value is reached. The method also includes determining, for a second charging session, a second charging termination parameter value based on a duration of the first charging session, wherein the second charging termination parameter value is different than the first charging termination parameter value. The method also includes charging the battery during the second charging session until the second charging termination parameter value is reached.

Battery charging termination parameter based on previous charging session duration

This disclosure describes techniques for a method of charging a battery. In an example, the method includes determining a capacity of the battery, and determining a state of charge of the battery. The method also includes charging the battery with a charging current, wherein the charging current is based on the capacity of the battery and the state of charge of the battery, and wherein charging the battery comprises reducing the charging current in response to the state of charge of the battery changing with respect to the capacity of the battery.

Battery charging top-off

Devices, systems, and techniques for selecting a period for charging an implantable rechargeable power source are disclosed. Implantable medical devices may include a rechargeable power source that can be transcutaneously charged. A system may control a charging module to begin charging the rechargeable power source of the implantable medical device with a high power level. The system may then determine an estimated heat loss based on power initially delivered to the rechargeable power source when beginning the charging. Based on this estimated heat loss during the initial period of recharging, the system may select a boost period that includes a duration of time that the rechargeable power source is charged with the high power level.

Adaptive rate recharging system

A system and method involve transceiving successive first and second synchronization signals defining endpoints of a frame. A digital signal is transceived by a modulating time interval between portions of the first and second synchronization signals. A first data pulse is transceived during the frame. A relative position in the frame of the first data pulse represents a first analog signal.

Assessing noise on a communication channel

A system includes a transceiver circuit to transceive at least a first analog signal and a digital signal. The system also includes a controller circuit, coupled to the transceiver circuit, to deliver at least one control signal thereto, the controller circuit including executable instructions defining a data frame for communication of the first analog signal and the digital signal, endpoints of the data frame defined by portions of successive first and second synchronization signals and defining a corresponding frame interval, the data frame including a first data band for transceiving a first data pulse therein. A relative position in time of the first data pulse represents the first analog signal, and a modulation of the frame interval represents the digital signal. The system further includes an analog signal interface circuit, coupled to the transceiver circuit, to provide at least the first analog signal representative of acquired data.

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Lino Lakes, MN, United States of America

Reid K Bornhoft