Remote Programming Adjudication for Ambulatory Medical Devices

Resolve Bottlenecks,
Find Innovative SolutionsGenerate Solutions

Solution Overview

Problem

Ambulatory medical devices often experience suboptimal programming due to outdated or conflicting instructions, leading to inefficient resource consumption and reduced device lifespan.

Innovation Solution

Implementing a system for adjudicating programming instructions before execution, using digital models to simulate and predict outcomes, and requiring two-factor approval for changes to ensure timely and optimal device operation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If programming instructions are sent remotely without adjudication, then programming speed and ease of operation are improved, but device reliability and resource optimization deteriorate due to outdated or conflicting instructions

Engineering Contradiction:

Improveremote programming capabilityVSAvoidprogramming instruction accuracy

Core Design Contradiction:

Ease of operationVSReliability

Solution Approach 1:

The system performs preliminary adjudication of programming instructions before they are implemented in the ambulatory medical device. The adjudication process checks whether a threshold time has elapsed since the instruction was generated, whether previous or subsequent instructions are pending, and whether changes in device or patient status exceed thresholds. This preliminary validation ensures instruction accuracy while maintaining remote programming capability.

Inventive Principle:

Principle #10Preliminary action

Solution Approach 2:

The system establishes feedback loops where the ambulatory medical device communicates device status and patient status information back to the external device. This feedback enables the adjudication process to determine if programming instructions remain valid by comparing current status against instruction criteria, ensuring reliable programming while allowing remote operation.

Inventive Principle:

Principle #23Feedback

2Reliability

If programming instructions are adjudicated before execution, then device reliability and resource optimization are improved, but programming time and process complexity increase

Engineering Contradiction:

Improveprogramming instruction accuracyVSAvoidprogramming instruction processing time

Core Design Contradiction:

ReliabilityVSLoss of time

Solution Approach 1:

The adjudication process performs only the necessary checks to determine instruction validity without requiring complete re-evaluation of all parameters. The system checks specific criteria (threshold time elapsed, pending instructions, status changes) rather than进行全面 verification, reducing processing time while maintaining reliability.

Inventive Principle:

Principle #16Partial or excessive action

Solution Approach 2:

The system uses threshold-based parameter changes to streamline adjudication. Instead of continuous monitoring and comparison, the system checks whether specific parameters (time elapsed, status changes) exceed predefined thresholds. This approach reduces computational complexity and processing time while ensuring instruction accuracy.

Inventive Principle:

Principle #35Parameter changes

3Productivity

If multiple programming instructions are queued without adjudication, then productivity is improved by batch processing, but device reliability deteriorates due to conflicting instructions

Engineering Contradiction:

Improvebatch programming efficiencyVSAvoidinstruction conflict prevention

Core Design Contradiction:

ProductivityVSReliability

Solution Approach 1:

The system performs preliminary adjudication on each programming instruction in the queue before implementation. The adjudication determines whether previous instructions are pending without confirmation, whether threshold time has elapsed, and whether device or patient status changes invalidate subsequent instructions. This ensures conflict-free batch processing while maintaining productivity.

Inventive Principle:

Principle #10Preliminary action

4Ease of operation

If programming instructions are implemented without verification, then ease of operation and speed are improved, but loss of information increases due to outdated patient or device status

Engineering Contradiction:

Improveprogramming implementation speedVSAvoidpatient and device status updates

Core Design Contradiction:

Ease of operationVSLoss of information

Solution Approach 1:

The system uses feedback from the ambulatory medical device regarding current device status and patient status to verify programming instruction validity. The external device receives status information and uses it to determine whether instructions remain accurate, preventing implementation of outdated instructions while maintaining operational efficiency.

Inventive Principle:

Principle #23Feedback

Solution Approach 2:

The system performs preliminary verification of programming instructions against current device and patient status before implementation. This preliminary check ensures that instructions reflect the most recent status information, preventing loss of critical status updates while maintaining fast programming implementation.

Inventive Principle:

Principle #10Preliminary action

Data Source

PatentUS20260069867A1Adjudicating remote programming instructions

Publication Date: 2026.03.12 CARDIAC PACEMAKERS INC

AI summary

Systems and methods are disclosed for adjudicating instructions prior to programming an ambulatory medical device to optimize resources of the ambulatory medical device, including receiving a programming instruction for the ambulatory medical device generated at a first time, implementing adjudication of the programming instruction to optimize resources of the ambulatory medical device, and suspending the received programming instruction or programming the ambulatory medical device based on the adjudication to optimize resources of the ambulatory medical device.