SYSTEMS AND METHODS TO DETECT IMPLANTABLE MEDICAL DEVICE CONFIGUARATION CHANGES AFFECTING MRI CONDITIONAL SAFETY

• US 20100106215A1
• Filed: 09/14/2009
• Published: 04/29/2010
• Est. Priority Date: 10/23/2008
• Status: Abandoned Application

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Bobgan, Jean M., Berger, Ronald D., Stubbs, Scott R., Schuster, Diane
• Application Number:
  US12/559,132
• Publication Number:
  US 20100106215A1
• Time in Patent Office: Days
• US Class Current: 607/37
• CPC Class Codes: A61N 1/025 Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents

Abstract

Systems and methods for checking the connection of a lead to an implantable medical device implanted within a patient'"'"'s body are disclosed. An illustrative method includes measuring at least one characteristic associated with the lead connection to the implantable medical device prior to an MRI scan. The method further includes comparing the at least one measured characteristic with a threshold parameter programmed within the implantable medical device. The method further includes setting a flag in the implantable medical device upon the at least one measured characteristic satisfying at least one condition associated with the threshold parameter for a predetermined period of time. The flag indicates a disconnection of the lead from the implantable medical device.

Claims

1. A method for checking the connection of a lead to a implantable medical device implanted within a patient'"'"'s body, the method comprising:

measuring at least one characteristic associated with the lead connection to the implantable medical device prior to an MRI scan;

comparing the at least one measured characteristic with a threshold parameter programmed within the implantable medical device; and

setting a flag in the implantable medical device upon the at least one measured characteristic satisfying at least one condition associated with the threshold parameter for a predetermined period of time, the flag indicating a disconnection of the lead from the implantable medical device.

2. The method of claim 1, further comprising:

detecting the lead connection to the implantable medical device.

3. The method of claim 1, further comprising:

outputting an error signal to a remote device in communication with the implantable medical device, the error signal indicating the disconnection of the lead with the implantable medical device.

4. The method according to claim 1, wherein

said measuring the at least one characteristic further includes measuring a lead impedance parameter of the lead connection to the implantable medical device;

said threshold parameter includes a predetermined lead impedance parameter; and

said at least one condition includes the measured lead impedance parameter exceeding the predetermined lead impedance parameter.

5. The method according to claim 1, wherein

said measuring the at least one characteristic further includes measuring a force parameter between the lead connection and the implantable medical device;

said threshold parameter includes a predetermined force parameter; and

said at least one condition includes the measured force parameter decreasing below the predetermined force parameter.

6. The method according to claim 2, further comprising:

initiating said measuring the at least one characteristic upon detection of the lead connection to the implantable medical device;

discontinuing said measuring the at least one characteristic upon setting said flag; and

initiating detecting the lead connection to the implantable medical device upon discontinuing said measuring the at least one characteristic.

7. The method according to claim 6, wherein said measuring is uninterrupted between said initiating said measuring the at least one characteristic and said discontinuing said measuring the at least one characteristic.

8. The method according to claim 1, further comprising:

checking the flag prior to conducting said MRI on the lead connection; and

examining the lead connection upon determination that the flag is set.

9. The method of claim 1, implemented by a computer readable medium including executable computer instructions.

10. A system for checking the connection of a lead to a implantable medical device implanted within a patient'"'"'s body, the system comprising:

a sensor module configured to measure at least one characteristic associated with the lead connection to the implantable medical device;

a comparing module configured to compare the at least one measured characteristic with a threshold; and

a flag setting module configured to set a flag upon the at least one measured characteristic satisfying at least one condition associated with said threshold for a predetermined period of time, the flag indicating a disconnection of the lead from the implantable medical device.

11. The system according to claim 10, further comprising:

a lead detection module configured to detect the lead connection to the implantable medical device.

12. The system according to claim 10, further comprising:

a communications module configured to output an error signal to a remote device in communication with the implantable medical device, the error signal indicating the disconnection of the lead with the implantable medical device.

13. The system according to claim 10, wherein said sensor module and said comparing module are incorporated in the implantable medical device.

14. The system according to claim 10, wherein

said sensor module is further configured to measure the lead impedance parameter of the lead connection to the implantable medical device,

said threshold includes a predetermined lead impedance parameter, and

said at least one condition includes said measured lead impedance parameter exceeding said predetermined lead impedance parameter.

15. The system according to claim 10, wherein

said measuring module is further configured to measure a force parameter between the lead connection and the implantable medical device;

said threshold includes a predetermined force parameter, and

said at least one condition includes said measured force parameter decreasing below said predetermined force parameter.

16. The system according to claim 11, wherein

said measuring module is further configured to start measuring the at least one characteristic upon said lead detection module detecting the lead connection to the implantable medical device;

said measuring module is further configured to discontinue measuring the at least one characteristic upon said flag setting module setting said flag; and

said lead detection module is further configured to start detecting the lead connection to the implantable medical device upon discontinuing said measuring module from measuring the at least one characteristic.

17. The system according to claim 16, wherein said measuring module is uninterrupted between starting said measuring module to measure the at least one characteristic and discontinuing said measuring from measuring the at least one characteristic.

18. The system according to claim 10, further comprising:

a checking module configure to check said flag prior to conducting an MRI on said lead connection.

19. An implantable medical device implanted within a patient'"'"'s body, the implantable medical device comprising:

a sensor module configured to measure at least one characteristic associated with the connection of a lead to the implantable medical device;

a comparing module configured to compare the at least one measured characteristic with a threshold; and

a flag setting module configured to set a flag upon the at least one measured characteristic satisfying at least one condition associated with said threshold for a predetermined period of time, the flag indicating a disconnection of the lead from the implantable medical device.

20. The implantable medical device according to claim 19, further comprising:

a lead detection module configured to detect the lead connection to the implantable medical device.

21. The implantable medical device according to claim 19, further comprising:

a communications module configured to output an error signal to a remote device in communication with the implantable medical device, the error signal indicating the disconnection of the lead with implantable medical device.

22. The implantable medical device according to claim 19, wherein

said sensor module is further configured to measure a lead impedance parameter of the lead connection to the implantable medical device,

said threshold includes a predetermined lead impedance parameter, and

said at least one condition includes said measured lead impedance parameter exceeding said predetermined lead impedance parameter.

23. The implantable medical device according to claim 19, wherein

said measuring module is further configured to measure a force parameter between the lead connection and the implantable medical device;

said threshold includes a predetermined force parameter, and

said at least one condition includes said measured force parameter decreasing below said predetermined force parameter.

24. The implantable medical device according to claim 20, wherein

said measuring module is further configured to start measuring the at least one characteristic upon said lead detection module detecting the lead connection to the implantable medical device;

said measuring module is further configured to discontinue measuring the at least one characteristic upon said flag setting module setting said flag; and

said lead detection module is further configured to start detecting the lead connection to the implantable medical device upon discontinuing said measuring module from measuring the at least one characteristic.

25. The implantable medical device according to claim 24, wherein said measuring module is uninterrupted between starting said measuring module to measure the at least one characteristic and discontinuing said measuring from measuring the at least one characteristic.