A system and method for confirming identity and authority by a patient medical device is provided. Master credentials are issued to a requesting device and a receiving device from an authorizing agent. The master credentials include a public key of the authorizing agent and a digital signature of a root certification authority. Device credentials are issued to the requesting device from the authorizing agent. The device credentials include a public key of the requesting device and a digital signature of the authorizing agent. Identification credentials are provided to the receiving device and include the device credentials and a digital signature of the requesting device. The requesting device is authenticated. The digital signature of the authorizing agent in the device credentials is checked using the public key of the authorizing agent in the master credentials of the receiving device. The digital signature of the requesting device in the identification credentials is checked using the public key of the requesting device in the device credentials.

Methods and devices for tying management of an implantable medical device to the activities of a primary care physician are described, including access control, simplified parameter optimization, support for tuning a device in response to the effects of other treatments in parallel, and support for helping a primary physician and a patient work together to tune device configuration to the activity and performance needs of the patient. In some embodiments, a medical device is self-configuring in a device parameter domain, based on inputs provided in a patient performance domain. The self-configuring of the medical device is based, for example, on an automatically applied transformation of inputs derived from patient performance domain observations into changes in the configuration of the medical device which affect technical parameters of its operation.

Techniques for managing stored information in an implantable medical device system using multiple user accounts are described. An implantable medical device system may provide a general user account and a set of authenticable user accounts. In some examples, the general user account does not require a user of a programmer in an implantable medical device system to enter user identity information to manage information stored in the implantable medical device system. The general user account may be permitted to perform a subset of actions available to an authenticable user account. In some examples, an authenticable user account may rollback changes made to the stored information by the general user account. An authenticable user account may also be able to synchronize changes made to the stored information across all or some of the user accounts.

Systems, apparatus, methods and computer-readable storage media facilitating management of operation of an implantable medical device (“IMD”) using a number of communication modes are provided. An IMD is configured to operate in a disabled mode wherein radio frequency (RF) telemetry communication is disabled, or operate in a first advertising mode using the RF telemetry communication. The IMD receives a clinician session request from a clinician device via an induction telemetry protocol while operating in the disabled mode or the first advertising mode, and transitions to operating from the disabled mode or the first advertising mode to operating in a second advertising mode based on receiving the clinician session request. From the second advertising mode, the IMD can establish a clinician telemetry session with the clinician device using the RF telemetry communication and a unique security mechanism facilitated by an identifier for the clinician device included in the clinician session request.

Some computer-assisted methods include: presenting configuration options to a user of the implanted stimulator device, the configuration options comprising stimulation parameters for the implanted stimulator; receiving a user specification of the configuration options in response to the presented configuration options; receiving user feedback when the user specified configuration options are implemented at the implanted stimulator device, the user feedback comprising a quantitative index of pain resulting from implementing the user specified configuration options on the implanted stimulator device; building a user profile for the user based on the user specified configuration options and the user feedback, the user profile including the user specified configuration options as well as the corresponding quantitative index of pain; and selecting at least one configuration option based on the user profile when the configuration options are subsequently presented to the user for a later treatment.

Systems, apparatus, methods and computer-readable storage media facilitating telemetry overuse reduction in an implantable medical device (“IMD”) are provided. In one embodiment, an IMD includes a housing configured to be implanted at least partially within a patient, a memory and circuitry within the housing and a processor that executes executable components stored in the memory. The executable components include: a communication component configured to establish a telemetry connection with an external device to communicate data associated with sensed physiological data or therapy; and an authorization component configured to determine whether the external device is authorized to communicate with the IMD, wherein the communication component is further configured to disable the telemetry connection with the external device and prevent additional communication with the external device for a defined period of time based on a determination that the external device fails to be authorized to communicate with the IMD.

Systems, apparatus, methods and computer-readable storage media that facilitate monitoring the integrity of telemetry connectivity between an implantable device and an external device are provided. In one embodiment, an implantable device includes a monitoring component that monitors advertisement signal information identifying an amount of advertisement signals transmitted to the external device within a defined time period, and telemetry session information identifying an amount of the telemetry sessions that are established between the external device and the implantable device within the defined time period. A connectivity assessment component of the implantable device further determines whether a telemetry connectivity problem exists between the external device and the implantable device based on a degree of miscorrelation between the advertisement signal information and the telemetry session information.

One embodiment provides a system for determination and utilization of cardiac electrical asynchrony data. The system includes an analysis circuitry including a processor and a memory, the analysis circuitry configured to: obtain a plurality of sets of cardiac signals collected in at least two locations of a heart of a patient, the signals comprising at least one of surface electrocardiography signals and pseudo-surface ECG signals; detect one or more QRS complexes for each of the sets based on the cardiac signals for that set; obtain one or more cross-correlation signals, each of the cross-correlation signals being between at least two of the signal sets and being obtained using the detected QRS complexes from the signal sets; and calculate one or more asynchrony indices using one or more of the cross-correlation signals, each of the asynchrony indices being indicative of a level of asynchrony between the at least two locations.

A medical monitoring and communication system for wireless communication between an implantable medical device, a mobile user device, and a remote server includes a sensor device coupled to the implantable medical device. The sensor device is configured to default to a master mode prior to pairing with the mobile user device, listen for a request to connect from the mobile user device, refrain from communicating with the mobile user device responsive to the request to connect from the mobile user device being invalid, and switch to a slave mode to allow cooperative pairing with the mobile user device responsive to the request to connect from the mobile user device being valid. The mobile user device facilitates communication between the sensor device and the remote server when the mobile user device and the sensor device are cooperatively paired.

Aspects of the subject matter described in this disclosure can be implemented in an implant device capable of being configured by an external hospital interrogator device when the external hospital interrogator device is authenticated, and capable of communicating data regarding a patient when paired with an external home interrogator device. The implant device includes RF communications circuitry, one or more sensors configured to measure and/or collect data regarding the patient, and a control system. The control system is configured to receive instructions from the external hospital interrogator device for configuring the implant device when the external hospital interrogator device is authenticated, and receive identification data from the external hospital interrogator device for pairing the implant device with the external home interrogator device.