System and method for detection enhancement programming

• US 20060167520A1
• Filed: 03/06/2006
• Published: 07/27/2006
• Est. Priority Date: 05/13/2000
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Gilkerson, James O., Lang, Douglas J., Conley, Vickie L., Stubbs, Scott
• Granted Patent: US 7,606,620 B2
• Time in Patent Office: Days
• US Class Current: 607/30
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A system and method of enabling detection enhancements selected from a plurality of detection enhancements. In a system having a plurality of clinical rhythms, including a first clinical rhythm, where each of the detection enhancements is associated with the clinical rhythms, the first clinical rhythm is selected. The first clinical rhythm is associated with first and second detection enhancements. When the first clinical rhythm is selected, parameters of the first and second detection enhancements are set automatically. A determination is made as to whether changes are to be made to the parameters. If so, one or more of the parameters are modified under user control.

Claims

1. A programmer for communicating to an implantable medical device, the programmer comprising:

a programmer screen including a button adapted to enable or disable a rate control feature of the implantable medical device;

a selection module adapted to display a plurality of predetermined clinical rhythms on the programmer screen and to allow a selection of a clinical rhythm from the plurality of predetermined clinical rhythms, the predetermined clinical rhythms each associated with one or more detection enhancements of a plurality of predetermined detection enhancements; and

a communication module adapted to program the implantable medical device to enable or disable the rate control feature and to program the implantable medical device to enable the one or more detection enhancements associated with the selected clinical rhythm.

2. The programmer of claim 1, wherein the button is adapted to enable or disable a rate smoothing feature.

3. The programmer of claim 1, wherein the button is adapted to enable or disable an atrial tachycardia response feature.

4. The programmer of claim 1, wherein the button is adapted to enable or disable an atrial flutter response feature.

5. The programmer of claim 1, further comprising a parameter modification module adapted to store parameters related to the one or more detection enhancements associated with the selected clinical rhythm, and wherein the programmer screen is adapted to display a detection enhancement window adapted to display and allow adjustment of values of the parameters.

6. The programmer of claim 5, wherein the programming screen comprises one or more toolbox buttons each having a topic and adapted to cause the programming screen to display features related to the topic.

7. The programmer of claim 1, wherein the programmer screen comprises:

a zone rate bar presenting a plurality of predetermined arrhythmia zones each associated with one or more detection enhancements of the plurality of predetermined detection enhancements;

detection buttons each associated with one arrhythmia zone of the plurality of predetermined arrhythmia zones and adapted to allow display of a detection parameter summary for that one arrhythmia zone and access to the detection parameters for that one arrhythmia zone; and

therapy buttons each associated with one arrhythmia zone of the plurality of predetermined arrhythmia zones and adapted to allow display of a therapy parameter summary for that one arrhythmia zone and access to the therapy parameters for that one arrhythmia zone.

8. The programmer of claim 7, wherein the zone rate bar comprises a zone rate bar presenting a plurality of tachyarrhythmia zones, and wherein the programmer screen further comprises a brady therapy summary adapted to present bradycardia therapy parameters and to allow access to the bradycardia therapy parameters.

9. The programmer of claim 8, wherein the zone rate bar comprises labels each representing one tachyarrhythmia zone of the plurality of tachyarrhythmia zones.

10. The programmer of claim 9, wherein the zone rate bar comprises changeable rate threshold values each associated with one tachyarrhythmia zone of the plurality of tachyarrhythmia zones.

11. A method for operating a programmer communicating with an implantable medical device, the method comprising:

displaying a button to allow for enabling of a rate control feature of the implantable medical device;

programming the implantable medical device to enable the rate control feature if the button is pressed when displayed to allow for the enabling of the rate control feature;

displaying a plurality of predetermined clinical rhythms for selection;

receiving a clinical rhythm selected from the displayed plurality of predetermined clinical rhythms;

identifying one or more detection enhancements associated with the selected clinical rhythm;

programming the detection enhancement parameters into the implantable medical device to perform the identified one or more detection enhancements.

12. The method of claim 11, further comprising:

displaying the button to allow for disabling of the rate control feature if the rate control feature is enabled; and

programming the implantable medical device to disable the rate control feature if the button is pressed when displayed to allow for the disabling of the rate control feature.

13. The method of claim 12, wherein the rate control feature comprises a rate smoothing feature.

14. The method of claim 12, wherein the rate control feature comprises an atrial tachycardia response feature.

15. The method of claim 12, wherein the rate control feature comprises an atrial flutter response feature.

16. The method of claim 12, wherein programming the detection enhancement parameters into the implantable medical device to perform the identified one or more detection enhancements comprises:

setting detection enhancement parameters associated with the identified one or more detection enhancements; and

programming the detection enhancement parameters into the implantable medical device to perform the identified one or more detection enhancements.

17. The method of claim 16, wherein setting the detection enhancement parameters comprises setting the detection enhancement parameters to detection enhancement parameter values stored in the programmer.

18. The method of claim 16, wherein setting the detection enhancement parameters comprises determining whether to receive a modification to the detection enhancement parameters through a user interface of the programmer.

19. The method of claim 16, wherein programming the detection enhancement parameters into the implantable medical device comprises programming the detection enhancement parameters into a defibrillator to perform at least one of delaying a delivery of a shock, inhibiting the delivery of the shock, bypassing an inhibition of the delivery of the shock, and bypassing another therapy in favor of the delivery of the shock.

20. The method of claim 16, wherein displaying the plurality of predetermined clinical rhythms comprises displaying one or more of atrial tachyarrhythmia, sinus tachycardia, polymorphic ventricular tachyarrhythmia, and ventricular fibrillation.