REMOTE PACE DETECTION IN AN IMPLANTABLE MEDICAL DEVICE
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Abstract
A system embodiment for stimulating a neural target comprises a neural stimulator, a pace detector, and a controller. The neural stimulator is electrically connected to at least one electrode, and is configured to deliver a neural stimulation signal through the at least one electrode to stimulate the neural target. The pace detector is configured to use at least one electrode to sense cardiac activity and distinguish paced cardiac activity in the sensed cardiac activity from non-paced cardiac activity in the sensed cardiac activity. The controller is configured to control a programmed neural stimulation therapy using the neural stimulator and using detected paced cardiac activity as an input for the neural stimulation therapy.
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Citations
21 Claims
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1. (canceled)
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2. A method for operating an implanted neural stimulation device having a neural stimulator lead and remote sensing electrodes for sensing cardiac activity from a position remote from a heart, the method comprising:
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implementing a neural stimulation therapy stored in the implanted neural stimulation device including delivering the neural stimulation therapy through the neural stimulator lead, wherein the neural stimulation therapy includes a programmed duty cycle, the programmed duty cycle including a stimulation ON portion followed by a stimulation OFF portion; and monitoring cardiac activity, including remotely detecting cardiac activity using the remote sensing electrodes to detect heart rate during implementation of the neural stimulation therapy. - View Dependent Claims (3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. An implantable neural stimulation device, comprising:
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a neural stimulator lead; remote sensing electrodes for sensing cardiac activity from a position remote from a heart; a neural stimulator configured to deliver a neural stimulation therapy through the neural stimulator lead; and a controller configured to; implement the neural stimulation therapy to deliver the neural stimulation therapy through the neural stimulation lead, the neural stimulation therapy being stored in the implantable neural stimulation device, wherein the neural stimulation therapy includes a programmed duty cycle, the programmed duty cycle including a stimulation ON portion followed by a stimulation OFF portion; and monitor cardiac activity, including remotely detect cardiac activity using the remote sensing electrodes to detect heart rate during implementation of the neural stimulation therapy. - View Dependent Claims (17, 18, 19, 20)
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21. An implantable medical device, comprising:
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an accelerometer; a neural stimulator configured to deliver neural stimulation to a neural target; and a controller configured to use the accelerometer to sense a physiological parameter, and deliver a programmed neural stimulation therapy using the neural stimulator and using the sensed physiological parameter as an input to the programmed neural stimulation therapy, wherein the physiological parameter is selected from the group of physiological parameters consisting of;
a heart sound parameter and a respiration parameter.
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Specification