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System and method for facilitating rapid retrieval and evaluation of diagnostic data stored by an implantable medical device
| Details |
Inventors: Mann, Brian M.; Florio, Joseph J.; Sholder, Jason A.; Miller, Leslie S.; Snell, Jeffery D.; Valikai, Kenneth; Bevan, Gregory; Fox, J. Kelly; Rahbari, Azita M.; Schwartz, Allan R.;
Assignee: Pacesetter, Inc. (Sylmar, CA)
Primary Examiner: Kamm; William E.
Assistant Examiner: Schaetzle; Kennedy J.
Attorney, Agent or Firm:
An implantable device programmer includes a variety of features for allowing a clinician to perform an automated and customized follow-up examination of a patient having an implanted cardiac implantable device, the implantable device being of the type which captures and stores various types of diagnostic data for subsequent retrieval and evaluation. A custom protocol feature of the programmer allows the clinician pre-specify and then semi-automatically follow an ordered sequence of protocol steps, each protocol step involving the interrogation of the implantable device and the display by the programmer of associated implantable device data (such as a heart rate histogram, or the results of a ventricular capture test). When the clinician initiates a custom protocol, the programmer automatically retrieves all of the diagnostic data records of the protocol in the protocol order. This automatic retrieval is performed in the background, allowing the clinician to begin viewing the initial diagnostic data records of the protocol while the other items are being retrieved. Via a user interface of the programmer, the clinician can rapidly and efficiently sequence through the data display screens associated with the protocol, to thereby view the various diagnostic data records and/or perform the various diagnostic tests of the protocol. |
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DETAILED DESCRIPTION The present invention addresses these and other concerns by providing an implantable device programmer which includes a variety of interrelated features for automating and permitting the customization of the follow-up evaluation process.
These programmer features significantly reduce the amount of time required for the clinician to perform a follow-up session, while allowing the clinician to focus on communicating with the patient (as opposed to interacting with the programmer) during the session.
In the preferred embodiment, the features require no modification to the design of the implantable stimulation device, and can thus be used in the examination of patients with older cardiac implantable devices.
In accordance with one aspect of the invention, the programmer includes a custom protocol feature which allows a clinician to create a custom follow-up protocol to be used during follow-up sessions with patients.
The custom protocol is created by selecting from a list of the available diagnostic and testing display screens corresponding to the implantable device or family of implantable devices, and by specifying a default order in which the display screens are to be displayed during follow-up sessions.
These display screens correspond to specific diagnostic data records (such as a heart rate histogram or a sensor-indicated-rate histogram) and parametric data items (such as a set of sensor parameters) which may be retrieved and displayed during the follow-up session, and to particular diagnostic tests (such as a ventricular capture test or an atrial sense test) which may be performed during the session.
Thus, by selecting a particular set of display screens to be included in the custom protocol, the clinician specifies the data items (i.
e.
diagnostic data records and parametric data items) to be retrieved and viewed, and the diagnostic tests to be performed, during the follow-up session.
(As described below, the programmer allows the clinician to depart from the custom protocol during the follow-up session to view other data items and/or conduct other diagnostic tests
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Communications 
