Extracorporeal test device for an implantable medical device

• US 5,792,207 A
• Filed: 12/18/1996
• Issued: 08/11/1998
• Est. Priority Date: 12/18/1995
• Status: Expired due to Term

• Current Assignee: Biotronik Mess-Und Therapiegeraete GmbH & Company Ingenieurbuero Berlin (Biotronik SE & Company KG)
• Original Assignee: Biotronix Mess-Und Therapiegeraete GmbH & Company
• Inventors: Dietrich, Michael
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US08/774,856
• Time in Patent Office: 601 Days
• Field of Search: 128/697, 128/899, 607/27, 607/32, 607/59, 607/60, 607/30, 600/510
• US Class Current: 607/32
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting

Abstract

An extracorporeal apparatus is provided for use with an implantable medical device and has a telemetry unit for receiving a telemetry signal transmitted from the implantable device. The extracorporeal apparatus further includes a transmission member disposed downstream of the telemetry receiver for compensating for the signal influence contained in the telemetry signal and effected by a first transmission member in the implantable device for the purpose of interference-free reproduction of a measuring signal received by way of the implantable device in the body, and/or for simulating the signal influence effected by a second transmission member in the implantable device for the purpose of external modelling of the dependency of the device behavior on the measuring signal.

Claims

1. A combination of an extracorporeal apparatus and an implantable electromedical device, wherein:

the implantable electromedical device includes;

an intracorporeal signal receiver, a processing channel for receiving and processing a measuring signal received by the intracorporeal signal receiver and for influencing the function of the implantable electromedical device, the processing channel including at least one of first and second signal-influencing transmission members, the implantable electromedical device further including a first telemetry unit for transmitting a telemetry signal derived from the measuring signal to the extracorporeal apparatus, the first telemetry unit having an input connected to at least one of an output of the first transmission member and an input of the second transmission member;

the extracorporeal apparatus includes;

a second telemetry unit for receiving the telemetry signal emitted by the implantable electromedical device, a third transmission member disposed downstream of the second telemetry unit for at least one of;

(a) compensating for signal influences contained in the telemetry signal effected by the first transmission member for making available a further measuring signal outside of the body that is essentially uninfluenced by the first transmission member and (b) simulating a signal influence of the measuring signal caused by the second transmission member for extracorporeally simulating an output signal of the second transmission member for external modelling of the behavior of the implantable device as a function of the measuring signal; and

the third transmission member has a transmission behavior which is inverse with respect to a transmission behavior of the first transmission member to compensate for the signal influence caused by the first transmission member.

2. The combination as defined claim 1, wherein the third transmission member is programmable for setting the transmission behavior of the third transmission member.

3. The combination according to claim 1, wherein the second transmission member includes a plurality of filter elements which have settable cutoff frequencies and the third transmission member comprises a digital filter having a filtering characteristic including filter coefficients that can be set for changing the filter coefficients.

4. The combination as defined in claim 3, wherein the digital filter of the extracorporeal apparatus has a plurality of control inputs and the extracorporeal apparatus further includes a control device having a plurality of outputs connected to the control inputs of the digital filter for setting the filter coefficients of the digital filter.

5. The combination as defined in claim 1, wherein the electromedical device comprises a pacemaker and the second telemetry unit has a transmitting operation for transmitting control commands to the pacemaker to program the pacemaker.

6. The combination as defined in claim 4, wherein the second transmission member is remotely controllable and the implantable electromedical device further includes a first detector device coupled to an output of the second transmission member for detection of the measuring signal;

and the extra-corporeal apparatus further includes a second detector device disposed at least indirectly downstream of the third transmission member for extracorporeal detection of the intracorporeally received measuring signal, the second detector device having a detection behavior that is essentially the same as a detection behavior of the first detector device, the transmission behavior of the digital filter being changeable to adapt a detection capability of the second detector device; and

the second transmission member in the implantable device is remotely controlled corresponding to the setting of the third transmission member.

7. The combination as defined in claim 1, wherein the intracorporeal signal receiver comprises an intracardial electrode for receiving an intracardial cardiac signal, wherein the measuring signal comprises the intracardial cardiac signal, wherein the implantable electromedical device further comprises a body sensor for receiving a non-cardial body signal, and wherein the non-cardial body signal is coupled by the first telemetry unit to the second telemetry unit.

8. A combination of an extracorporeal apparatus and an implantable electromedical device, wherein:

the implantable electromedical device includes;

an intracorporeal signal receiver, a processing channel for receiving and processing a measuring signal received by the intracorporeal signal receiver and for influencing the function of the implantable electromedical device, the processing channel including at least one of first and second signal-influencing transmission members, the implantable electromedical device further including a first telemetry unit for transmitting a telemetry signal derived from the measuring signal to the extracorporeal apparatus, the first telemetry unit having an input connected to at least one of an output of the first transmission member and an input of the second transmission member;

the extracorporeal apparatus includes;

a second telemetry unit for receiving the telemetry signal emitted by the implantable electromedical device, a third transmission member disposed downstream of the second telemetry unit for at least one of;

(a) compensating for signal influences contained in the telemetry signal effected by the first transmission member for making available a further measuring signal outside of the body that is essentially uninfluenced by the first transmission member and (b) simulating a signal influence of the measuring signal caused by the second transmission member for extracorporeally simulating an output signal of the second transmission member for external modelling of the behavior of the implantable device as a function of the measuring signal; and

the second transmission member includes a plurality of filter elements which have settable cutoff frequencies and the third transmission member comprises a digital filter having a filtering characteristic including filter coefficients that can be set for changing the filter coefficients.

9. The combination as defined in claim 8, wherein the transmission behavior of the third transmission member essentially corresponds to a transmission behavior of the second transmission member to simulate the signal influence effected by the second transmission member.

10. The combination as defined claim 8, wherein the third transmission member is programmable for setting the transmission behavior of the third transmission member.

11. The combination as defined in claim 8, wherein the digital filter of the extracorporeal apparatus has a plurality of control inputs and the extracorporeal apparatus further includes a control device having a plurality of outputs connected to the control inputs of the digital filter for setting the filter coefficients of the digital filter.

12. The combination as defined in claim 8, wherein the implantable electromedical device comprises a pacemaker and the second telemetry unit has a transmitting operation for transmitting control commands to the pacemaker to program the pacemaker.

13. The combination as defined in claim 11, wherein the second transmission member is remotely controllable and the implantable electromedical device further includes a first detector device coupled to an output of the second transmission member for detection of the measuring signal;

and the extracorporeal apparatus further includes a second detector device disposed at least indirectly downstream of the third transmission member for extracorporeal detection of the intracorporeally received measuring signal, the second detector device having a detection behavior that is essentially the same as a detection behavior of the first detector device, the transmission behavior of the third transmission member being changeable to adapt a detection capability of the second detector device; and

the second transmission member in the implantable device is remotely controlled corresponding to the setting of the third transmission member.

14. The combination as defined in claim 8, wherein the intracorporeal signal receiver comprises an intracardial electrode for receiving an intracardial cardiac signal, wherein the measuring signal comprises the intracardial cardiac signal, wherein the implantable electromedical device further comprises a body sensor for receiving a non-cardial body signal, and wherein the non-cardial body signal is coupled by the first telemetry unit to the second telemetry unit.