Sensing vector selection in a cardiac stimulus device with postural assessment

• US 10,016,609 B2
• Filed: 07/26/2017
• Issued: 07/10/2018
• Est. Priority Date: 02/07/2007
• Status: Expired due to Fees

• Current Assignee: Cameron Health Inc (Boston Scientific Corporation)
• Original Assignee: Cameron Health Inc (Boston Scientific Corporation)
• Inventors: Sanghera, Rick, Allavatam, Venugopal
• Primary Examiner(s): Johnson, Nicole F
• Application Number:
  US15/660,489
• Publication Number:
  US 20170333721A1
• Time in Patent Office: 349 Days
• Field of Search: 607 2, 607 38, 607116, 600508, 600522
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/29 for permanent or long-term implantation
• CPC Class Codes: A61B 5/341 Vectorcardiography [VCG]
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• CPC Class Codes: A61N 1/368 comprising more than one electrode co-operating with different heart regions A61N1/3622, A61N1/3627 take precedence
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/3704 Circuits specially adapted therefor, e.g. for sensitivity control
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

Methods, implantable medical devices and systems configured to perform analysis of captured signals from implanted electrodes to identify cardiac arrhythmias. In an illustrative embodiment, signals captured from two or more sensing vectors are analyzed, where the signals are captured with a patient in at least first and second body positions. Analysis is performed to identify primary or default sensing vectors and/or templates for event detection.

Claims

1. A programmer for use with an implantable medical device, the programmer comprising:

a user interface touchscreen; and

communication circuitry for communicating with the implantable medical device;

wherein the programmer is configured to;

receive an input indicating that a patient having the implantable medical device has assumed a first posture state;

after receiving the input indicating that the first posture state has been assumed by the patient, direct, via the communication circuitry, the implantable medical device to capture data corresponding to the first posture state;

receive an indication from the implantable medical device that the data capture corresponding to the first posture state is complete; and

provide an indication on the user interface touchscreen in response to receiving the indication from the implantable medical device that the data capture corresponding to the first posture state is complete.

2. The programmer of claim 1, wherein the programmer is further configured to:

receive an input indicating that the patient has assumed a second posture state;

upon receiving the input indicating that the second posture has been assumed by the patient, direct, via the communication circuitry, the implantable medical device to capture data for the second posture state;

receive an indication from the implantable medical device that data capture is complete for the selected second posture state; and

provide an indication to the user on the user interface touchscreen in response to receiving an indication from the implantable medical device that data capture is complete for the second posture state.

3. The programmer of claim 1, further configured to direct the implantable medical device to store a first sensing parameter related to the first posture state.

4. The programmer of claim 3, wherein the first sensing parameter is related to a sensing vector for use in sensing patient condition information.

5. The programmer of claim 4, wherein the first sensing parameter defines which of a plurality of signal sensing vectors the implantable device is to use for sensing patient condition information.

6. The programmer of claim 1, wherein the implantable medical device comprises an accelerometer and the programmer is configured to also direct the implantable medical device to set a first sensing parameter related to an output of the accelerometer using data captured for at least the first posture state.

7. The programmer of claim 6, wherein the first sensing parameter defines which of several signal sensing vectors available to the implantable medical device to use in response to the accelerometer signal.

8. The programmer of claim 3, further configured to present a plurality of posture states via the user interface touchscreen to enable a user to select from among the plurality of posture states, wherein the plurality of posture states include at least standing and lying down.

9. A medical device system comprising:

an implantable medical device (IMD) comprising IMD communication circuitry for communicating with an external device; and

a programmer for use with the IMD, the programmer comprising a user interface touchscreen, and programmer communication circuitry for communicating with the IMD;

wherein the programmer is configured to;

receive an input indicating that a patient having the IMD has assumed a first posture;

upon receiving the input indicating the first posture has been assumed, direct, via the programmer communication circuitry, the IMD to capture data for the first posture;

receive an indication from the IMD that data capture is complete for the first posture; and

provide an indication on the touchscreen in response to receiving an indication from the IMD that data capture is complete for the first posture.

10. The medical device system of claim 9, wherein the programmer is further configured to:

receive an input indicating that the patient has assumed a second posture;

upon receiving the input indicating that the second posture has been assumed, direct, via the programmer communication circuitry, the IMD to capture data for the second posture;

receive an indication from the IMD that data capture is complete for the second posture; and

provide an indication on the touchscreen in response to receiving an indication from the IMD that data capture is complete for the second posture.

11. The medical device system of claim 9, wherein the programmer is further configured to direct the IMD to store a first sensing parameter related to the first posture.

12. The medical device system of claim 11, wherein the first sensing parameter is related to a sensing vector for use in sensing patient condition information.

13. The medical device system of claim 11, wherein the first sensing parameter defines which of a plurality of signal sensing vectors the IMD is to use for sensing patient condition information.

14. The medical device system of claim 9, wherein the IMD comprises an accelerometer and the programmer is configured to also direct the IMD to set a first sensing parameter related to an output of the accelerometer using data captured for at least the first posture state.

15. The medical device system of claim 14, wherein the first sensing parameter defines which of several signal sensing vectors available to the IMD is to be used in response to the accelerometer signal.

16. The medical device system of claim 10, wherein the programmer is configured to present a plurality of posture states via the user interface touchscreen to enable a user to select from among the plurality of posture states, wherein the plurality of posture states include at least standing and lying down.

17. A method of operation by a programmer for use with an implantable medical device (IMD), the IMD including IMD communications circuitry for communicating with the programmer, the programmer comprising:

a user interface touchscreen; and

programmer communication circuitry for communicating with the IMD,

wherein the method comprises;

receiving an input indicating that a patient having the IMD has assumed a first posture;

upon receiving the input indicating that the first posture has been assumed, directing, via the programmer communication circuitry, the IMD to capture data for the first posture;

receiving an indication from the IMD that data capture is complete for the first posture; and

, in response thereto,

providing an indication that data capture is complete for the first posture.

18. The method of claim 17 further comprising:

receiving an input indicating the patient has assumed a second posture;

upon receiving the input indicating that the second posture has been assumed, directing, via the programmer communication circuitry, the IMD to capture data for the second posture;

receiving an indication from the IMD that data capture is complete for the second posture; and

, in response thereto,

indicating data capture is complete for the second posture.

19. The method of claim 17 further comprising directing the IMD to store a first sensing parameter related to the first posture.

20. The method of claim 17 wherein the IMD comprises an accelerometer, and the method further comprises directing the IMD to set a first sensing parameter related to an output of the accelerometer using data captured for at least the first posture.