Supraventricular tachy sensing vector

• US 10,350,419 B2
• Filed: 09/14/2016
• Issued: 07/16/2019
• Est. Priority Date: 12/13/2007
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Perschbacher, David L., Gilkerson, James O., Balczewski, Ron A.
• Primary Examiner(s): Levicky, William J
• Application Number:
  US15/265,674
• Publication Number:
  US 20170001020A1
• Time in Patent Office: 1,035 Days
• CPC Class Codes: A61B 5/341 Vectorcardiography [VCG]
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/36592 controlled by the heart rate variability
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

A system includes a pulse generator including a can electrode and a lead couplable to the pulse generator, the lead including a distal coil electrode and a proximal coil electrode, wherein both of the coil electrodes are electrically uncoupled from the can electrode such that a unipolar sensing vector is provided between at least one of the coil electrodes and the can electrode.

Claims

1. A method comprising:

providing a lead and an associated pulse generator, the pulse generator including a can electrode, the lead including a proximal coil electrode which is electrically isolated from the can electrode, and the lead including a distal coil electrode which is electrically isolated from the can electrode;

sensing heart signals using a first unipolar sensing vector between the distal coil electrode and the can electrode and a second unipolar sensing vector between the proximal coil electrode and the can electrode.

2. The method of claim 1, wherein sensing heart signals includes the pulse generator differentiating between SVT signals and VT signals.

3. The method of claim 2, wherein differentiating between SVT signals and VT signals includes using a template of a correlation between shock vector electrograms and RV rate vector electrograms during normal sinus rhythm.

4. The method of claim 3, including detecting an arrhythmia from a heart signal, wherein when the arrhythmia is detected, the template is compared to an on-going rhythm, and when the on-going rhythm matches the existing template, then the pulse generator withholds therapy.

5. The method of claim 1, wherein the lead further includes one or more distal pacing and/or sensing electrodes.

6. The method of claim 1, wherein a third sensing vector is provided between the distal coil electrode and the proximal coil electrode.

7. The method of claim 1, wherein the pulse generator is configured such that a sensed unipolar sensing vector can alternate between the first unipolar sensing vector between the distal coil electrode and the can electrode and the second unipolar sensing vector between the proximal electrode and the can electrode.

8. The method of claim 1, wherein the pulse generator is configured such that a first unipolar sensing vector between the distal coil electrode and the can electrode and a second unipolar sensing vector between the proximal electrode and the can electrode occur simultaneously.