IMPLANTABLE DEVICE WITH BIAS FOR MRI

• US 20110160803A1
• Filed: 12/22/2010
• Published: 06/30/2011
• Est. Priority Date: 12/31/2009
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Bocek, Thomas M., Bocek, Joseph M., Linder, William J., Lyden, Michael J., Stessman, Nicholas J.
• Granted Patent: US 8,755,886 B2
• Time in Patent Office: Days
• US Class Current: 607/62
• 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

An ambulatory or implantable device, such as a pacer, defibrillator, or other cardiac rhythm management device, can tolerate magnetic resonance imaging (MRI) or other noise without turning on an integrated circuit diode by selectively providing a bias voltage that can overcome an expected induced voltage resulting from the MRI or other noise.

Claims

1. An apparatus comprising:

an implantable medical device, comprising;

an electrical energy delivery circuit, comprising;

an integrated circuit including a diode having first and second terminals, wherein a first terminal of the diode is electrically coupled to a first reference voltage; and

energy output circuitry referenced to a second reference voltage that is set at a specified value that is configured to avoid turn-on of the diode during at least one of;

a magnetic resonance imaging (MRI) scanning, of a subject in which the implantable medical device is implanted, in an MRI scanner;

an electrocautery of the subject;

or

a radiofrequency (RF) ablation of the subject.

2. The apparatus of claim 1, in which the energy output circuitry is referenced to a second reference voltage that is set at a specified value that avoids turn-on of the diode during at least a magnetic resonance imaging (MRI) scanning, of a subject in which the implantable medical device is implanted, in an MRI scanner.

3. The apparatus of claim 1, wherein the energy output circuitry is referenced to the first reference voltage during a first mode of operation of the implantable medical device and referenced to a second reference voltage during a second mode of operation, and comprising:

a controller circuit, configured to selectively connect the energy output circuitry to the first reference voltage during the first mode of operation, and to the second reference voltage during the second mode of operation, wherein the second mode of operation is configured to inhibit turn-on of the diode in the presence of noise interference.

4. The apparatus of claim 3, wherein the energy output circuitry comprises a recharge switch that is closed during a recharge pulse delivered in response to completion of delivery of an electrostimulation pulse, wherein the recharge switch is referenced to the first reference voltage during a first mode of operation of the implantable medical device and referenced to a second reference voltage during a second mode of operation.

5. The apparatus of claim 4, wherein the energy output circuitry comprises an electrostimulation supply capacitor, wherein the electrostimulation supply capacitor is referenced to the first reference voltage during a first mode of operation of the implantable medical device and referenced to a second reference voltage during a second mode of operation.

6. The apparatus of claim 5, wherein the energy output circuitry comprises a coupling capacitor, wherein the coupling capacitor is referenced to the first reference voltage during a first mode of operation of the implantable medical device and referenced to a second reference voltage during a second mode of operation.

7. The apparatus of claim 6, comprising:

an electrostimulation switch, configured to deliver energy from the electrostimulation supply capacitor during the electrostimulation pulse, and wherein the recharge switch is configured to alter charge on the coupling capacitor during the recharge pulse.

8. The apparatus of claim 7, wherein the electrostimulation switch and the recharge switch are located on the integrated circuit with the diode.

9. The apparatus of claim 1, wherein the second reference voltage is set at a specified value that avoids turn-on of the diode during a magnetic resonance imaging (MRI) scanning in an MRI scanner of at least 1.5 Tesla.

10. The apparatus of claim 9, wherein the first reference voltage is set to a more negative voltage than the second reference voltage.

11. The apparatus of claim 10, wherein the first reference voltage is set to a negative battery terminal voltage.

12. The apparatus of claim 10, wherein the second reference voltage is set to a negative battery terminal voltage.

13. An apparatus comprising:

an implantable medical device, comprising;

an electrical energy delivery circuit, comprising;

an integrated circuit including a diode having first and second terminals, wherein a first terminal of the diode is electrically coupled to a first reference voltage; and

energy output circuitry referenced to the first reference voltage during a first mode of operation of the implantable medical device and referenced to a second reference voltage during a second mode of operation, wherein the second reference voltage is set at a specified value that avoids turn-on of the diode during a magnetic resonance imaging (MRI) scanning in an MRI scanner, and wherein the energy output circuitry comprises;

an electrostimulation supply capacitor, configured to store an electrostimulation voltage to be delivered to a subject;

an electrostimulation switch, configured to selectively conduct current from the electrostimulation supply capacitor to be provided to the subject, wherein the electrostimulation switch is located on the integrated circuit with the diode;

a coupling capacitor, configured to be located in the electrostimulation current path during an electrostimulation pulse, and configured to be discharged during a recharge pulse; and

a recharge switch, configured to selectively discharge the coupling capacitor during the recharge pulse, wherein the recharge switch is located on the integrated circuit with the diode; and

a controller circuit, configured to selectively connect the energy output circuitry to the first reference voltage during the first mode of operation, and to the second reference voltage during the second mode of operation, wherein the second mode of operation is configured to provide increased noise-immunity to the implantable medical device by inhibiting turn-on of the diode in the presence of noise interference.

14. The apparatus of claim 13, wherein the controller circuit is configured to selectively connect the recharge switch to the second reference voltage during the second mode of operation.

15. The apparatus of claim 14, wherein the controller circuit is configured to additionally connect the electrostimulation supply capacitor to the second reference voltage during the second mode of operation.

16. A method comprising:

providing an implantable medical device comprising a first mode, configured for operation in an environment that does not include magnetic resonance imaging (MRI) scanning, electrocautery, or radiofrequency (RF) ablation of a subject in which the implantable medical device is implanted, and comprising a second mode configured for operation in an environment that does include at least one of resonance imaging (MRI) scanning, electrocautery, or radiofrequency (RF) ablation of a subject in which the implantable medical device is implanted; and

referencing energy output circuitry of the implantable medical device to a first reference voltage during the first mode and to a second reference voltage during the second mode.

17. The method of claim 16, wherein the referencing comprises referencing the energy output circuitry to a second reference voltage that is set to avoid turn-on of an integrated circuit diode in the implantable medical device during at least one of:

a magnetic resonance imaging (MRI) scanning, of a subject in which the implantable medical device is implanted, in an MRI scanner;

an electrocautery of the subject;

or

a radiofrequency (RF) ablation of the subject.

18. The method of claim 17, wherein the referencing comprises referencing the energy output circuitry to a second reference voltage that is set to avoid turn-on of an integrated circuit diode in the implantable medical device during a magnetic resonance imaging (MRI) scanning, of a subject in which the implantable medical device is implanted, in an MRI scanner.

19. The method of claim 18, wherein the referencing comprises referencing an electrostimulation recharge switch to the first reference voltage during the first mode and to the second reference voltage during the second mode.

20. The method of claim 19, wherein the referencing comprises referencing an electrostimulation supply capacitor to the first reference voltage during the first mode and to the second reference voltage during the second mode.