Power management for implantable medical device systems
Techniques for minimizing rate of depletion of a non-rechargeable power source, to extend the operational lifetime of an implantable medical device that includes the non-rechargeable power source, by enforcing operational-mode-specific communication protocols whereby inter-device communication between the implantable medical device and another implantable medical device is such that level of power draw from the non-rechargeable power source by the implantable medical device is less than level of power draw from the rechargeable power source by the another implantable medical device for the implantable medical devices to engage in communication with each other.
1 . A medical device system comprising:
a first implantable medical device comprising a leadless intracardiac pacing device configured to be positioned entirely within a heart chamber of a patient;
a second implantable medical device operable together with the first implantable medical device as a multi-chamber pacing system;
a memory configured to store a set of operational modes including a synchronized mode in which the first implantable medical device and the second implantable medical device operate in synchronization, and a loss of synchronization mode associated with a loss of synchronization communication protocol; and
processing circuitry in communication with the memory, wherein the processing circuitry is configured to:
determine a loss of synchronization between the first implantable medical device and the second implantable medical device;
implement the loss of synchronization communication protocol; and
via implementation of the loss of synchronization communication protocol, re-establish synchronization between the first implantable medical device and the second implantable medical device.
2 . The medical device system of claim 1 , wherein to determine the loss of synchronization between the first implantable medical device and the second implantable medical device, the processing circuitry is configured to:
identify a state change of a set of state changes present in the medical device system; and
determine that the identified state change comprises the loss of synchronization between the first implantable medical device and the second implantable medical device.
3 . The medical device system of claim 2 , wherein the set of state changes comprises the loss of synchronization, detection of a patient arrythmia, and detection of a communication request, wherein each operational mode of the set of operational modes corresponds to a state change of the set of state changes.
4 . The medical device system of claim 1 , wherein to implement the loss of synchronization communication protocol, the processing circuitry is configured to:
control the first implantable medical device and the second implantable medical device to communicate according to a set of communication protocol rules corresponding to the loss of synchronization communication protocol,
wherein the memory is configured to store the set of communication protocol rules.
5 . The medical device system of claim 1 , wherein to implement the loss of synchronization communication protocol, the processing circuitry is configured to:
transition, based on determining the loss of synchronization, the first implantable medical device from operating with the second implantable medical device according to the synchronized mode of the set of operational modes to operating with the second implantable medical device according to a loss of synchronization mode of the set of operational modes.
6 . The medical device system of claim 5 , wherein to transition the first implantable medical device from operating with the second implantable medical device according to the synchronized mode to operating with the second implantable medical device according to the loss of synchronization mode, the processing circuitry is configured to:
decrease a difference between a first power draw rate of the first implantable medical device for a purpose of inter-device communication and a second power draw rate of the second implantable medical device for the purpose of inter-device communication.
7 . The medical device system of claim 5 ,
wherein when the first implantable medical device and the second implantable medical device operate according to the synchronized mode, the first implantable medical device is configured to draw power at a first synchronization power draw rate for a purpose of inter-device communication and the second implantable medical device is configured to draw power at a second synchronization power draw rate for the purpose of inter-device communication,
wherein a synchronization power draw ratio comprises a ratio of the first synchronization power draw rate to the second synchronization power draw rate,
wherein when the first implantable medical device and the second implantable medical device operate according to the loss of synchronization mode, the first implantable medical device is configured to draw power at a first loss of synchronization power draw rate for the purpose of inter-device communication and the second implantable medical device is configured to draw power at a second loss of synchronization power draw rate for the purpose of inter-device communication,
wherein a loss of synchronization power draw ratio comprises a ratio of the first loss of synchronization power draw rate to the second loss of synchronization power draw rate, and
wherein the synchronization power draw ratio is different than the loss of synchronization power draw ratio.
8 . The medical device system of claim 1 , wherein based on re-establishing synchronization between the first implantable medical device and the second implantable medical device, the processing circuitry is configured to implement a synchronized communication protocol associated with the synchronized mode.
9 . The medical device system of claim 1 , wherein the first implantable medical device is configured to be positioned entirely within an atrium of a heart of the patient to deliver electrical stimulation to the atrium, and wherein the second implantable medical device is configured to deliver electrical stimulation to a ventricle of the heart of the patient.
10 . The medical device system of claim 1 , wherein the second implantable medical device comprises an extravascular implantable cardioverter defibrillator (ICD).
11 . The medical device system of claim 1 , wherein the second implantable medical device comprises a second implantable leadless pacing device.
12 . A method comprising:
determining, by processing circuitry in communication with a memory, a loss of synchronization between a first implantable medical device and a second implantable medical device,
wherein the first implantable medical device comprises a leadless intracardiac pacing device configured to be positioned entirely within a heart chamber of a patient,
wherein the second implantable medical device is operable together with the first implantable medical device as a multi-chamber pacing system,
wherein the memory is configured to store a set of operational modes including a synchronized mode in which the first implantable medical device and the second implantable medical device operate in synchronization, and a loss of synchronization mode associated with a loss of synchronization communication protocol;
implementing, by the processing circuitry, the loss of synchronization communication protocol; and
via implementation of the loss of synchronization communication protocol, re-establishing, by the processing circuitry, synchronization between the first implantable medical device and the second implantable medical device.
13 . The method of claim 12 , wherein determining the loss of synchronization between the first implantable medical device and the second implantable medical device comprises:
identifying, by the processing circuitry, a state change of a set of state changes present in the multi-chamber pacing system; and
determining, by the processing circuitry, that the identified state change comprises the loss of synchronization between the first implantable medical device and the second implantable medical device.
14 . The method of claim 13 , wherein the set of state changes comprises the loss of synchronization, detection of a patient arrythmia, and detection of a communication request, wherein each operational mode of the set of operational modes corresponds to a state change of the set of state changes.
15 . The method of claim 12 , wherein implementing the loss of synchronization communication protocol comprises:
controlling, by the processing circuitry, the first implantable medical device and the second implantable medical device to communicate according to a set of communication protocol rules corresponding to the loss of synchronization communication protocol,
wherein the memory is configured to store the set of communication protocol rules.
16 . The method of claim 12 , wherein implementing the loss of synchronization communication protocol comprises:
transitioning, by the processing circuitry based on determining the loss of synchronization, the first implantable medical device from operating with the second implantable medical device according to the synchronized mode of the set of operational modes to operating with the second implantable medical device according to a loss of synchronization mode of the set of operational modes.
17 . The method of claim 16 ,
wherein when the first implantable medical device and the second implantable medical device operate according to the synchronized mode, the first implantable medical device is configured to draw power at a first synchronization power draw rate for a purpose of inter-device communication and the second implantable medical device is configured to draw power at a second synchronization power draw rate for the purpose of inter-device communication,
wherein a synchronization power draw ratio comprises a ratio of the first synchronization power draw rate to the second synchronization power draw rate,
wherein when the first implantable medical device and the second implantable medical device operate according to the loss of synchronization mode, the first implantable medical device is configured to draw power at a first loss of synchronization power draw rate for the purpose of inter-device communication and the second implantable medical device is configured to draw power at a second loss of synchronization power draw rate for the purpose of inter-device communication,
wherein a loss of synchronization power draw ratio comprises a ratio of the first loss of synchronization power draw rate to the second loss of synchronization power draw rate, and
wherein the synchronization power draw ratio is different than the loss of synchronization power draw ratio.
18 . The method of claim 12 , wherein based on re-establishing synchronization between the first implantable medical device and the second implantable medical device, the method further comprises implementing a synchronized communication protocol associated with the synchronized mode.
19 . The method of claim 12 , wherein the first implantable medical device is configured to be positioned entirely within an atrium of a heart of the patient to deliver electrical stimulation to the atrium, and wherein the second implantable medical device is configured to deliver electrical stimulation to a ventricle of the heart of the patient.
20 . A non-transitory computer-readable storage medium comprising program instructions that, when executed by processing circuitry in communication with a memory of a medical device system comprising a first implantable medical device and a second implantable medical device operable together with the first implantable medical device as a multi-chamber pacing system, cause the processing circuitry to:
determine a loss of synchronization between a first implantable medical device and a second implantable medical device,
wherein the first implantable medical device comprises a leadless intracardiac pacing device configured to be positioned entirely within a heart chamber of a patient, and
wherein the memory is configured to store a set of operational modes including a synchronized mode in which the first implantable medical device and the second implantable medical device operate in synchronization, and a loss of synchronization mode associated with a loss of synchronization communication protocol;
implement the loss of synchronization communication protocol; and
via implementation of the loss of synchronization communication protocol, re-establish synchronization between the first implantable medical device and the second implantable medical device.