Mitigating false messaging in leadless dual-chamber pacing systems and other IMD systems

• US 10,052,491 B1
• Filed: 02/02/2017
• Issued: 08/21/2018
• Est. Priority Date: 02/02/2017
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Chin, Donald
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US15/423,404
• Publication Number:
  US 20180214703A1
• Time in Patent Office: 565 Days
• Field of Search: None
• CPC Class Codes: A61N 1/025 Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
• CPC Class Codes: A61N 1/362 Heart stimulators heart defibrillators A61N1/39
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
• CPC Class Codes: A61N 1/37288 Communication to several implantable medical devices within one patient
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: H04W 56/0035 detecting errors in frequency or phase

Abstract

Implantable medical devices (IMDs), and methods for use therewith, reduce how often an IMD accepts false messages. Such a method can include receiving a message and measuring a message interval indicative of a length of time between when the message was received and when a preceding message was received. The method can also include determining, based on the measured message interval, whether the message was received within the message window, and determining whether to reject the message based on results thereof. The method can also include adjusting a temporal position of the message window based on the measured message interval. The method can further include determining a quality measure indicative of a quality of the message and/or a quality of a channel over which the message was received, and determining whether to reject the message based on the quality measure.

Claims

1. For use by an implantable medical device (IMD), a method for reducing how often the IMD accepts false messages, the method comprising:

receiving a message;

measuring a message interval indicative of a length of time between when the message was received and when a preceding message was received;

determining, based on the measured message interval, whether the message was received within a message window;

determining whether to reject the message based on results of the determining whether the message was received within the message window; and

adjusting a temporal position of the message window based on the measured message interval.

2. The method of claim 1, wherein the determining whether to reject the message based on the results of the determining whether the message was received within the message window comprises:

determining that the message should be rejected if the message was not received within the message window; and

determining that the message should not be rejected if the message was received within the message window.

3. The method of claim 1, wherein the determining whether to reject the message based on the results of the determining whether the message was received within of the message window comprises:

determining that the message should be rejected if the message was not received within the message window and M preceding message(s) were also not received within their respective message window(s), wherein M is a predetermined integer that is ≥

1;

determining that the message should not be rejected if the message was received within the message window; and

determining that the message should not be rejected if the message was not received within the message window but at least one of the M preceding message(s) was received within its respective message window.

4. The method of claim 1, further comprising:

comparing the measured message interval to a window positioning interval indicative of a length of time between when the preceding message was received and a center of the message window; and

wherein the adjusting the temporal position of the message window based on the measured message interval comprises

increasing the window positioning interval if the measured message interval was greater than the window positioning interval; and

decreasing the window positioning interval if the measured message interval was less than the window positioning interval.

5. The method of claim 1, further comprising:

adjusting a temporal width of the message window based on the measured message interval.

6. The method of claim 1, further comprising:

performing error detection and correction on the message;

determining a quality measure indicative of at least one of a quality of the message or a quality of a channel over which the message was received; and

determining whether to reject the message based on the quality measure.

7. The method of claim 6, wherein the determining whether to reject the message based on the quality measure is performed after the determining whether to reject the message based on the results of the determining whether the message was received within of the message window.

8. The method of claim 6, wherein the determining whether to reject the message based on the quality measure is performed before the determining whether to reject the message based on the results of the determining whether the message was received within of the message window.

9. The method of claim 6, wherein the determining a quality measure comprises determining a quality measure indicative of the quality of the message based on results of the error detection and correction.

10. The method of claim 9, wherein:

the determining the quality measure indicative of the quality of the message is based on results of the error detection and correction;

the results of the error detection and correction specify one of at least two different levels of message quality; and

the method further comprises;

mapping the results of the error detection and correction to one of at least two different numbers;

adjusting an average message quality based on the number; and

comparing the average message quality to one or more thresholds; and

the determining whether to reject the message based on the quality measure comprises determining whether to reject the message based on results of the comparing the average message quality to the one or more thresholds.

11. The method of claim 10, wherein the mapping the results of the error detection and correction to one number of at least two different numbers includes:

mapping the results of the error detection and correction to a first number if the results indicated the message was cleanly received without any correcting being needed;

mapping the results of the error detection and correction to a second number that is less than the first number if the results indicated the message was corrected; and

mapping the results of the error detection and correction to a third number that is less than the second number if the results indicated the message was uncorrectable.

12. The method of claim 11, wherein the adjusting the average message quality based on the number is performed using an equation Q=(1−

1/b)*Q+N*(1/b), where Q is the average message quality, N is the number to which the results of the error detection and correction was mapped, and b is a time constant parameter that controls a rate of change.

13. The method of claim 6, wherein the determining a quality measure comprises determining a quality measure indicative of a quality of a channel over which the message was received.

14. An implantable medical device (IMD), comprising:

at least one receiver configured to receive messages;

at least one of a processor or controller configure to

measure a message interval indicative of a length of time between when a message was received and when a preceding message was received;

determine, based on the measured message interval, whether the message was received within a message window;

determine whether to reject the message based on whether the message was received within of the message window; and

adjust a temporal position of the message window based on the measured message interval.

15. The IMD of claim 14, wherein:

the IMD is a leadless pacemaker (LP) configured to be implanted in a ventricle of a patient'"'"'s heart and configured to selectively deliver ventricular pacing pules;

the messages can be received from another LP that is configured to be implanted in an atrium of a patient'"'"'s heart and configured to at least one of sense intrinsic atrial depolarizations or selectively deliver atrial pacing pulses;

the messages can be indicative of when the other LP sensed an intrinsic atrial depolarization or delivered an atrial pacing pulse; and

a said message, if accepted, is used to trigger an atrioventricular interval (AVI) timer of the LP.

16. The IMD of claim 14, wherein the at least one of a processor or controller is/are configure to:

determine that the message should be rejected if the message was not received within the message window; and

determine that the message should not be rejected if the message was received within the message window.

17. The IMD of claim 14, wherein the at least one of a processor or controller is/are configure to:

determine that the message should be rejected if the message was not received within the message window and M preceding message(s) were also not received within their respective message window(s), wherein M is a predetermined integer that is ≥

1;

determine that the message should not be rejected if the message was received within the message window; and

determine that the message should not be rejected if the message was not received within the message window but at least one of the M preceding message(s) was received within its respective message window.

18. The IMD of claim 14, wherein:

the message window includes a first half that extends between a beginning of the message window and a center of the message window, and a second half that extends between the center of the message window and an end of the message window; and

wherein, in order to adjust the temporal position of the message window based on the measured message interval, the at least one of a processor or controller is/are configure to

decrease the temporal position of the message window if the message was received in the first half of the message window; and

increase the temporal position of the message window if the message was received in the second half of the message window.

19. The IMD of claim 14, wherein the at least one of a processor or controller is/are configure to adjust a temporal width of the message window based on the measured message interval.

20. The IMD of claim 14, wherein the at least one of a processor or controller is/are configure to:

perform error detection and correction on the message;

determine a quality measure indicative of at least one of a quality of the message or a quality of a channel over which the message was received; and

determine whether to reject the message based on the quality measure.

21. For use by an implantable medical device (IMD), a method for reducing how often the IMD accepts false messages, the method comprising:

receiving a message;

determine whether the message was received within a message window;

determining that the message should be rejected if the message was not received within the message window;

determining that the message should not be rejected if the message was received within the message window;

adjusting a temporal position of the message window based on when the message was received;

after the temporal position of the message window has been adjusted

receiving a further message;

determining whether the further message was received within the message window;

determining that the further message should be rejected if the further message was not received within the message window; and

determining that the message should not be rejected if the message was received within the message window.

22. For use by an implantable medical device (IMD), a method for reducing how often the IMD accepts false messages, the method comprising:

receiving a message;

determine whether the message was received within a message window;

determining that the message should be rejected if the message was not received within the message window;

determining that the message should not be rejected if the message was received within the message window;

performing error detection and correction on the message;

determining a quality measure indicative of at least one of a quality of the message or a quality of a channel over which the message was received; and

determining whether to reject the message based on the quality measure.