ARRYTHMIA ADJUDICATION AND THERAPY TRAINING SYSTEMS AND METHODS

• US 20100106036A1
• Filed: 10/20/2009
• Published: 04/29/2010
• Est. Priority Date: 10/27/2008
• Status: Abandoned Application

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Mahajan, Deepa, Meyer, Scott A., Sachanandani, Haresh G., Dong, Yanting, Hoyme, Kenneth P.
• Application Number:
  US12/582,460
• Publication Number:
  US 20100106036A1
• Time in Patent Office: Days
• US Class Current: 600/523
• CPC Class Codes: A61B 5/322 Physical templates or devices for measuring ECG waveforms, e.g. electrocardiograph rulers or calipers by template matching A61B5/35
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: G09B 23/28 for medicine
• CPC Class Codes: G09B 7/02 of the type wherein the student is expected to construct an answer to the question which is presented or wherein the machine gives an answer to the question presented by a student
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• 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 40/67 for remote operation
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients

Abstract

A system and method for presenting arrhythmia episode information to a user are described. An episode database has episode data regarding a plurality of different arrhythmia episodes generated from a plurality of data-generating devices. A user interface is configured to display the episode data for one of the arrhythmia episodes and receive characterization data from the user characterizing the displayed episode data. An adjudication database has adjudication conclusions associated with the arrhythmia episodes in the episode database. The system further includes an adjudication processor, configured to process characterization data relative to the adjudication database.

Claims

1. A system for presenting arrhythmia episode information to a user, comprising:

an episode database having episode data regarding a plurality of different arrhythmia episodes generated from a plurality of data-generating devices;

a user interface configured to display at least a particular portion of episode data for one of the arrhythmia episodes from the episode database and receive characterization data from the user characterizing the displayed episode data;

an adjudication database having adjudication conclusions associated with the arrhythmia episodes in the episode database; and

an adjudication processor, configured to process characterization data relative to the adjudication database.

2. The system of claim 1 wherein the displayed episode data includes a device-generated arrhythmia classification.

3. The system of claim 2 wherein the data-generating device is a cardiac rhythm management device that is implanted in a patient, where the displayed episode data includes at least a portion of an intracardiac electrogram and a device category into which the data-generating device associated with the episode data is classified.

4. The system of claim 3 wherein the displayed episode data further includes at least one selected from the group consisting of pace and sense markers on the intracardiac electrogram, device diagnostics, the therapy delivered during the arrhythmia episode and a device-generated arrhythmia classification.

5. The system of claim 4 wherein the device-generated arrhythmia classification is one of the group consisting of nontreated tachy arrhythmia, treated arrhythmia, atrial fibrillation (AF), and supraventricular tachycardia (SVT).

6. The system of claim 1 where the characterization data includes an arrhythmia episode classification.

7. The system of claim 6 wherein the arrhythmia episode classification is selected from the group consisting of:

polymorphic ventricular tachycardia (PVT), ventricular fibrillation (VF), monomorphic ventricular tachycardia (MVT), supraventricular tachycardia (SVT), AV nodal re-entrant tachycardia (AVNRT), atrial fibrillation (AF), atrial flutter (AFL), atrial tachy, sinus tachy (ST), dual tachy, unknown, pacemaker-mediated tachycardia (PMT), oversensing and noise.

8. The system of claim 6 wherein the characterization data includes a designation of which part of the episode data was the basis for the arrhythmia episode classification.

9. The system of claim 6 wherein the characterization data includes a designation of a rationale for the selection of the arrhythmia episode classification.

10. The system of claim 1 where the characterization data includes at least one therapy selection.

11. The system of claim 10 where the at least one therapy selection is chosen from the group of turning detection enhancements on or off, turning morphology-based discrimination on or off, and selecting therapy programming to be shock energy or anti-tachycardia pacing.

12. The system of claim 1 wherein at least a portion of the adjudication conclusions in the adjudication database are determined by an expert.

13. The system of claim 1 further comprising a training database that stores user information and stores a success rate of the user, wherein a success rate is determined based on a percentage of similarity between the characterization data entered by the user and the adjudication conclusions associated with the arrhythmia episode in the adjudication database.

14. The system of claim 1 wherein the user interface is configured to allow the user to select arrhythmia episodes on the basis of the one or more of the following characteristics:

patient demographics, patient identity, device type, lead types, patient disease status, patient medical history, patient medication, a device-generated arrhythmia classification, arrhythmic parameters, level of difficulty and operating mode.

15. The method comprising:

graphically displaying a portion of data selected from arrhythmia episode data related to an arrhythmia episode of a patient, wherein the arrhythmia episode data was generated by a data-generating device;

requesting user input characterizing the episode;

receiving the characterization data from the user;

assessing similarities of characterization data relative to an adjudication decision; and

reporting similarities of user input relative to the adjudication decision.

16. The method of claim 15 wherein step of graphically displaying a portion of data includes displaying a device-generated arrhythmia classification and an electrogram.

17. The method of claim 15 wherein the user input characterizing the event includes an arrhythmia classification.

18. The method of claim 15 wherein the user input characterizing the event includes at least one therapy selection, where the at least one therapy selection is chosen from the group of turning detection enhancements on or off, turning morphology-based discrimination on or off, and selecting therapy programming to be shock energy or anti-tachycardia pacing.

19. The method of claim 15 further comprising:

storing a user identity and the reported similarities in a training database,

storing a success rate of the user, wherein a success rate is determined based on a percentage of similarity between the characterization data entered by the user and the adjudication conclusions associated with the arrhythmia episode in the adjudication database.

20. A method of developing a training database for training users to identify arrhythmias, comprising the steps of:

graphically displaying a portion of data selected from arrhythmia episode data;

requesting user input characterizing the event;

assessing similarities of user input relative to an adjudication decision in an adjudication database;

reporting similarities of user input relative to the adjudication decision; and

if the user is designated as a expert, recording the user input in the adjudication database.