Method and system for display of cardiac event intervals in a resynchronization pacemaker

• US 20020082509A1
• Filed: 12/26/2000
• Published: 06/27/2002
• Est. Priority Date: 12/26/2000
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stahmann, Jeffrey E., Kalgren, James, Wentkowski, Rene H., Vanderlinde, Scott, Ternes, David
• Granted Patent: US 6,957,100 B2
• Time in Patent Office: Days
• US Class Current: 600/510
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: A61N 1/3684 for stimulating the heart at multiple sites of the ventricle or the atrium
• CPC Class Codes: A61N 1/36842 Multi-site stimulation in the same chamber
• CPC Class Codes: A61N 1/36843 Bi-ventricular stimulation
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

A cardiac rhythm management system that includes a pacemaker configured for biventricular pacing and an external programmer with an associated display for displaying electrogram data and markers representing ventricular events. Associated with each marker are intraventricular intervals designed to relate information to a user in a manner suited for ventricular resynchronization pacing.

Claims

1. A method for displaying electrogram data collected by a pacemaker where one heart chamber is paced through a rate sensing/pacing channel and another site in the same or contralateral chamber is paced through a synchronized sensing/pacing channel with the pacing mode being based upon senses and paces in the rate channel, comprising:

displaying markers representing sensing and pacing events spaced apart in accordance with their time sequence, wherein each marker indicates whether the event is a sense or a pace and in which channel the event occurred;

displaying an interval value with each rate channel marker indicating the time interval between the event represented by the marker and the preceding rate channel event; and

,

displaying an interval value with each synchronized channel marker indicating the time interval between the event represented by the marker and a nearest rate channel event.

2. The method of claim 1 wherein the rate and synchronized channels are right and left ventricular channels.

3. The method of claim 1 wherein the rate and synchronized channels are right and left atrial channels.

4. The method of claim 1 wherein the pacemaker is operated with a plurality of synchronized channels and further comprising displaying markers for each such channel.

5. The method of claim 1 wherein the displayed interval value with each synchronized channel marker indicates the time interval between the event represented by the marker and the nearest preceding rate channel event.

6. The method of claim 1 wherein the displayed interval value with each synchronized channel marker indicates the time interval between the event represented by the marker and the nearest rate channel event which may follow or precede the synchronized channel event as indicated by a negative or positive interval value, respectively.

7. The method of claim 1 wherein the displayed interval value with each synchronized channel marker indicates the absolute value of the time interval between the event represented by the marker and the nearest rate channel event which may precede or follow the synchronized channel event, and the synchronized channel interval is displayed in alignment with the marker representing the later of either the synchronized channel or rate channel event.

8. A method for displaying electrogram data collected by a pacemaker where one heart chamber is paced through a rate sensing/pacing channel and another site in the same or contralateral chamber is paced through a synchronized sensing/pacing channel with the pacing mode being based upon senses and paces in the rate channel, comprising:

displaying markers representing sensing and pacing events spaced in accordance with their time sequence, wherein each marker indicates whether the event is a sense or a pace and in which channel the event occurred;

displaying an interval value with each rate channel marker indicating the time interval between the event represented by the marker and the preceding rate channel event; and

,

displaying an interval value with each synchronized channel marker indicating the time interval between the event represented by the marker and the nearest preceding rate channel sense or synchronized channel pace.

9. The method of claim 8 wherein the rate and synchronized channels are right and left ventricular channels.

10. The method of claim 8 wherein the rate and synchronized channels are right and left atrial channels.

11. The method of claim 8 wherein the pacemaker is operated with a plurality of synchronized channels and further comprising displaying markers for each such channel.

12. The method of claim 8 wherein the displayed interval value with each synchronized channel marker indicates the time interval between the event represented by the marker and the nearest preceding rate channel event.

13. The method of claim 8 wherein the displayed interval value with each synchronized channel sense marker indicates the time interval between the event represented by the marker and the nearest rate channel sense event or synchronized channel pace event which may follow or precede the synchronized channel sense event as indicated by a negative or positive interval value, respectively.

14. The method of claim 8 wherein the displayed interval value with each synchronized channel sense marker indicates the time interval between the event represented by the marker and the nearest rate channel sense event or synchronized channel pace event which may precede or follow the synchronized channel sense event, and the synchronized channel sense interval is displayed with the marker representing the later of either the synchronized channel or rate channel event.

16. The system of claim 15 wherein the displayed interval value with each synchronized channel marker indicates the time interval between the event represented by the marker and the nearest preceding rate channel event.

17. The system of claim 15 wherein the displayed interval value with each synchronized channel marker indicates the time interval between the event represented by the marker and the nearest rate channel event which may follow or precede the synchronized channel event as indicated by a negative or positive interval value, respectively.

18. The system of claim 15 wherein the displayed interval value with each synchronized channel marker indicates the time interval between the event represented by the marker and the nearest rate event which may precede or follow the synchronized channel event, and the synchronized channel event interval is displayed in alignment with the marker representing the later of either the synchronized channel or synchronized channel event.

15. A cardiac rhythm management system, comprising:

a pacemaker having a rate sensing/pacing channel and a synchronized sensing/pacing channel, a controller for controlling the delivery of paces in accordance with a pacing mode based upon rate channel events, and a telemetry interface for transmitting signals representing rate and synchronized channel events;

an external programmer with an associated electronic display or print output, wherein the programmer is configured to receive the signals transmitted by the pacemaker and output markers representing sensing and pacing events on the display spaced in accordance with their time sequence, wherein each marker indicates whether the event is a sense or a pace and in which channel the event occurred; and

,

wherein the external programmer is configured to display an interval value with each rate channel marker indicating the time interval between the event represented by the marker and the preceding rate channel event, and display an interval value with each synchronized channel marker indicating the time interval between the event represented by the marker and a nearest rate channel event.

19. A cardiac rhythm management system, comprising:

a pacemaker having a rate sensing/pacing channel and a synchronized sensing/pacing channel, a controller for controlling the delivery of paces in accordance with a pacing mode based upon rate channel events, and a telemetry interface for transmitting signals representing rate and synchronized channel events;

an external programmer with an associated electronic display or print output, wherein the programmer is configured to receive the signals transmitted by the pacemaker and output markers representing sensing and pacing events on the display spaced in accordance with their time sequence, wherein each marker indicates whether the event is a sense or a pace and in which channel the event occurred; and

,

wherein the external programmer is configured to display an interval value with each rate channel marker indicating the time interval between the event represented by the marker and the preceding rate channel sense, and display an interval value with each synchronized channel marker indicating the time interval between the event represented by the marker and the nearest preceding rate channel sense or synchronized channel pace.