System and method for measuring and storing parametric data pertaining to operating characteristics of an implantable medical device

• US 5,507,786 A
• Filed: 04/14/1994
• Issued: 04/16/1996
• Est. Priority Date: 04/14/1994
• Status: Expired due to Term

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Morgan, Wayne A., Mann, Brian M.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/227,838
• Time in Patent Office: 733 Days
• Field of Search: 607/27, 607/28, 607/29, 607/32
• US Class Current: 607/27
• CPC Class Codes: A61N 1/3706 Pacemaker parameters stimulation threshold A61N1/371
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators

Abstract

A system and method for measuring and storing parametric data pertaining to the operating characteristics of an implantable medical device are provided. The parametric data may include the impedance of a lead that is attached to a patient'"'"'s heart, and the internal impedance of a battery used to power the implantable medical device. The parametric data may be measured and stored at predetermined time intervals, as indicated by a clock provided within the implantable medical device. In addition, the parametric data measurements may be synchronized with the occurrence of a cardiac event, such as the application of a stimulation pulse to the patient'"'"'s heart. A plurality of measurements for each type of parametric data may be stored, so that when the parametric data are later retrieved and displayed on an external programmer/analyzer, trends in the data can be readily observed.

Claims

1. An implantable cardiac stimulating device having telemetry means for communicating with an external displaying means, said implantable cardiac stimulating device comprising:

pulse generating means for generating stimulation pulses, said pulse generating means having a plurality of varying parametric data associated therewith;

means for measuring said plurality of varying parametric data;

memory means for storing said plurality of parametric data measurements;

first control means for autonomously triggering said measuring means at predetermined intervals; and

second control means for transferring the plurality of stored parametric data from said memory means to said telemetry means and for triggering said telemetry means to communicate said stored parametric data to said external displaying means.

2. The implantable cardiac stimulating device of claim 1, further comprising:

a battery for supplying a battery voltage and a battery current to said pulse generating means, said battery having an impedance associated therewith, said battery impedance being derived from said battery voltage and battery current, said battery impedance providing an indication of battery longevity;

at least one stimulation lead, coupled to the pulse generating means, through which said stimulation pulses are delivered to cardiac tissue, said stimulation pulses having a stimulation pulse voltage and a stimulation pulse current associated therewith, said stimulation lead having a lead impedance associated therewith which may be derived from said stimulation pulse voltage and stimulation pulse current, said lead impedance providing an indication of lead integrity; and

wherein said means for measuring includes means for measuring direct and derived parametric data, said direct parametric data comprising at least one of said battery voltage, said battery current, said stimulation pulse voltage, and said stimulation pulse current, and said derived parametric data comprising at least one of said battery impedance or lead impedance;

whereby at least said derived parametric data is indicative of said implantable cardiac stimulating device longevity, stability, and efficacy.

3. The implantable cardiac stimulating device of claim 2, further comprising:

computational means for calculating statistical data utilizing said stored parametric data; and

wherein said memory means further includes means for storing said statistical data;

whereby said statistical data is indicative of said implantable cardiac stimulating device longevity, stability, and efficacy.

4. The implantable cardiac stimulating device of claim 1, wherein said means for measuring comprises:

means for detecting a cardiac event; and

means for synchronizing measurement of said varying parametric data to said cardiac event.

5. The implantable cardiac stimulating device of claim 1, wherein said first control means comprises programmable timer means for causing said first control means to trigger said measuring means at said predetermined intervals.

6. An implantable medical device having telemetry circuitry for communicating with an external programmer/analyzer, said implantable medical device comprising:

data measurement circuitry for measuring parametric data pertaining to said implantable medical device after said device has been implanted in body tissue;

memory for storing said parametric data; and

control circuitry coupled to said data measurement circuitry and said memory, said control circuitry having a first, a second and a third control signal as an output, said first control signal being for triggering said data measurement circuitry to measure said parametric data at predetermined intervals, said second control signal being for triggering said memory to store said parametric data measured by said data measurement circuitry, and said third control signal being for triggering said telemetry circuitry to communicate said parametric data stored in said memory to said programmer/analyzer when a request for said stored parametric data is received from said programmer/analyzer via said telemetry circuit.

7. The implantable medical device of claim 6, wherein:

said implantable medical device further comprises a battery for supplying a battery voltage and a battery current; and

said data measurement circuitry comprises input terminals for receiving signals representative of said battery voltage and battery current, wherein said battery voltage and battery current are types of parametric data measured by said data measurement circuitry.

8. The implantable medical device of claim 7, wherein:

said control circuitry includes computing circuitry which receives as inputs said measurements of battery voltage and battery current to compute internal battery impedance values; and

said memory includes means for storing said internal battery impedance values.

9. The implantable medical device of claim 6, wherein:

said implantable medical device further comprises a pulse generator for generating stimulation pulses, said stimulation pulses having a pulse voltage and a pulse current; and

said data measurement circuitry comprises input terminals for receiving signals representative of said pulse voltage and said pulse current, wherein said pulse voltage and pulse current are types of parametric data measured by said data measurement circuitry.

10. The implantable medical device of claim 9, wherein:

said implantable medical device includes an implantable stimulation lead having a lead impedance value;

said stimulation pulses are applied to living tissue via said implantable stimulation lead;

said control circuitry includes computing circuitry which receives as inputs said measurements of pulse voltage and pulse current to compute said lead impedance value; and

said memory includes means for storing said lead impedance value.

11. The implantable medical device of claim 9, wherein said data measurement circuitry comprises timing means for causing said data measurement circuitry to synchronize said parametric data measurements with said stimulation pulses provided by said pulse generator.

12. The implantable medical device of claim 6, wherein:

said control circuitry includes computing circuitry which receives a plurality of said parametric data measurements as inputs and produces as an output statistical calculations on said parametric data measurements; and

said memory includes means for storing results of said statistical calculations.

13. A method of acquiring parametric data pertaining to operating characteristics of an implantable medical device, said implantable medical device having telemetry circuitry for communicating with an external programmer/analyzer, said method comprising the steps of:

autonomously measuring said parametric data at predetermined intervals using data measurement circuitry contained within said implantable medical device;

storing said parametric data in a memory contained within said implantable medical device;

receiving instructions from said programmer/analyzer via said telemetry circuitry to transmit said parametric data to said programmer/analyzer; and

transmitting said parametric data to said programmer/analyzer in response to said received instructions.

14. The method of claim 13, further comprising the steps of:

receiving said parametric data transmitted by said implantable medical device using said programmer/analyzer; and

displaying said diagnostic data on a display of said programmer/analyzer.

15. The method of claim 14, wherein said step of displaying said parametric data comprises the step of displaying said parametric data in the form of an X-Y graph as a function of the times at which said parametric data were measured.

16. The method of claim 13, wherein:

said measuring step comprises measuring signals representative of battery voltage and battery current of a battery contained within said implantable medical device; and

said storing step comprises storing said measurements of battery voltage and battery current in said memory.

17. The method of claim 16, wherein:

said method further comprises the step of computing internal battery impedance values from said measurements of battery voltage and battery current; and

said storing step comprises storing said internal battery impedance values in said memory.

18. The method of claim 13, wherein:

said measuring step comprises measuring signals representative of pulse voltage and pulse current of stimulation pulses provided by a pulse generator contained within said implantable medical device; and

said storing step comprises storing said measurements of pulse voltage and pulse current in said memory.

19. The method of claim 18, wherein:

said method further comprises the step of computing from said measurements of pulse voltage and pulse current, lead impedance values of a lead used to apply said stimulation pulses to living tissue; and

said storing step comprises storing said lead impedance values in said memory.

20. The method of claim 18, further comprising the step of synchronizing said parametric data measurements with said stimulation pulses provided by said pulse generator.

21. The method of claim 13, wherein:

said method further comprises the step of performing statistical calculations on said parametric data measurements; and

said storing step comprises storing results of said statistical calculations in said memory.

22. An implantable cardiac stimulation system, comprising:

pulse generating means for generating stimulation pulses, said pulse generating means having a plurality of parametric data associated therewith, said plurality of parametric data varying over time;

measuring means for automatically measuring said plurality of parametric data at predetermined intervals;

storing means for storing said plurality of parametric data measurements;

external display means for displaying said plurality of parametric data measurements;

telemetry means for communicating said plurality of parametric data measurements to said external displaying means; and

control means for transferring the stored parametric data from said storing means to said telemetry means and for triggering said telemetry means to communicate said stored parametric data to said external displaying means.

23. The implantable cardiac stimulating system of claim 22, further comprising a battery for supplying a battery voltage and a battery current to said pulse generating means, said battery having an impedance associated therewith, wherein said measuring means comprises:

means for measuring direct parametric data, said direct parametric data comprising at least said battery voltage and said battery current; and

means for determining derived parametric data from said direct parametric data, said derived parametric data comprising at least said battery impedance.

24. The implantable cardiac stimulating system of claim 22, further comprising at least one stimulation lead coupled to the pulse generating means and through which said stimulation pulses are delivered to cardiac tissue, said stimulation pulses having a stimulation pulse voltage and a stimulation pulse current associated therewith, said stimulation lead having a lead impedance associated therewith, wherein said measuring means comprises:

means for measuring direct parametric data, said direct parametric data comprising at least said stimulation pulse voltage and said stimulation pulse current; and

means for determining derived parametric data from said direct parametric data, said derived parametric data comprising at least lead impedance.

25. The implantable cardiac stimulating system of claim 22, further comprising:

computing means for calculating statistical data utilizing said stored parametric data;

wherein said memory means further includes means for storing said statistical data; and

wherein said external displaying means includes means for displaying said statistical data.

26. The implantable cardiac stimulating system of claim 22, wherein said external displaying means further comprises:

graphical means for graphically displaying said stored parametric data as a function of time so that trends are displayed.