Method and system for operating an implantable medical device

• US 6,449,510 B1
• Filed: 04/27/2000
• Issued: 09/10/2002
• Est. Priority Date: 04/27/2000
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Albers, Bert A., Boute, Willem
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/559,049
• Time in Patent Office: 866 Days
• Field of Search: 600/516, 607/9, 607/25
• US Class Current: 607/25
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/368 comprising more than one electrode co-operating with different heart regions A61N1/3622, A61N1/3627 take precedence

Abstract

A method of operating an implantable medical device is provided. A plurality of atrio-ventricular (AV) measurement signals is received. A QT interval is determined. The QT interval is a function of the AV measurement signals. Each of the plurality of AV measurement signals is compared with the QT interval. Finally, if one of the plurality of AV measurement signals is less than the QT interval, a difference between the one of the plurality of AV measurement signals and the QT interval is stored.

Claims

1. A method of operating an implantable medical device, comprising:

receiving a plurality of atrio-ventricular (AV) measurement signals;

determining a QT interval as a function of the AV measurement signals;

comparing each of the plurality of AV measurement signals with the QT interval; and

if one of the plurality of AV measurement signals is less than the QT interval, storing a difference between the one of the plurality of AV measurement signals and the QT interval.

2. The method of claim 1, further comprising reviewing the differences after a predetermined time period.

3. The method of claim 2, further comprising transmitting an alert signal if the differences indicates a predetermined condition.

4. The method of claim 3, wherein the alert signal comprises an audible signal.

5. The method of claim 3, wherein the alert signal comprises a radio signal.

6. The method of claim 3, wherein the predetermined condition comprises an increase in the value of the differences over the predetermined time period.

7. The method of claim 3, further comprising adjusting the synchronization of the implantable medical device after transmitting the alert signal.

8. The method of claim 1, wherein each of the plurality of AV measurement signals is compared to an adjusted QT interval.

9. The method of claim 8, wherein the adjusted QT interval comprises an adjustment to the QT interval based on each of the plurality of AV measurement signals.

10. The method of claim 1, wherein each of the plurality of AV measurement signals comprises the time elapsed between the commencement of a contraction of a ventricle of a mammalian heart and the termination of a relaxation of the ventricle.

11. An implantable medical device, comprising:

a processor;

a memory location operably connected to the processor; and

at least one sensing lead operably connected to the processor;

wherein

a difference between one of a plurality of atrio-ventricular (AV) measurement signals sent by the at least one sensing lead and a QT interval is stored in the memory location for each of the plurality of AV measurement signals received by the processor that is shorter than the QT interval.

12. The implantable medical device of claim 11, wherein the processor further reviews the differences after a predetermined time period.

13. The implantable medical device of claim 12, wherein the processor further transmits an alert signal if the differences indicates a predetermined condition.

14. The implantable medical device of claim 13, wherein the alert signal comprises an audible signal.

15. The implantable medical device of claim 13, wherein the alert signal comprises a radio signal.

16. The implantable medical device of claim 13, wherein the predetermined condition comprises an increase in the value of the differences over the predetermined time period.

17. The implantable medical device of claim 13, wherein the processor further adjusts the synchronization of the implantable medical device after transmitting the alert signal.

18. The implantable medical device of claim 11, wherein each of the plurality of AV measurement signals is compared to an adjusted QT interval.

19. The implantable medical device of claim 18, wherein the adjusted QT interval comprises an adjustment to the QT interval based on each of the plurality of AV measurement signals.

20. The implantable medical device of claim 11, wherein each of the plurality of AV measurement signals comprises the time elapsed between the commencement of a contraction of a ventricle of a mammalian heart and the termination of a relaxation of the ventricle.

21. An implantable medical device system, comprising:

means for receiving a plurality of atrio-ventricular (AV) measurement signals;

means for determining a QT interval as a function of the AV measurement signals;

means for comparing each of the plurality of AV measurement signals with the QT interval; and

means for storing a difference between the one of the plurality of AV measurement signals and the QT interval when one of the plurality of AV measurement signals is less than the QT interval.

22. The implantable medical device system of claim 21, further comprising means for reviewing the differences after a predetermined time period.

23. The implantable medical device system of claim 22, further comprising means for transmitting an alert signal if the differences indicates a predetermined condition.

24. The implantable medical device system of claim 23, wherein the alert signal comprises an audible signal.

25. The implantable medical device system of claim 23, wherein the alert signal comprises a radio signal.

26. The implantable medical device system of claim 23, wherein the predetermined condition comprises an increase in the value of the differences over the predetermined time period.

27. The implantable medical device system of claim 23, further comprising means for adjusting the synchronization of the implantable medical device after transmitting the alert signal.

28. The implantable medical device system of claim 21, wherein each of the plurality of AV measurement signals is compared to an adjusted QT interval.

29. The implantable medical device system of claim 28, wherein the adjusted QT interval comprises an adjustment to the QT interval based on each of the plurality of AV measurement signals.

30. The implantable medical device system of claim 21, wherein each of the plurality of AV measurement signals comprises the time elapsed between the commencement of a contraction of a ventricle of a mammalian heart and the termination of a relaxation of the ventricle.

31. A method of operating an implantable medical device, comprising:

providing a QT interval;

receiving a first atrio-ventricular (AV) measurement signal;

comparing the first AV measurement signal to the QT interval; and

if the first AV measurement signal is less than the QT interval, storing a first difference between the first AV measurement signal and the QT interval.

32. The method of claim 31, further comprising adjusting the QT interval after receiving the first AV measurement signal.

33. The method of claim 32, further comprising receiving a second AV measurement signal.

34. The method of claim 33, further comprising comparing the second AV measurement signal to the adjusted QT interval.

35. The method of claim 34, further comprising storing a second difference between the second AV measurement signal and the QT interval if the second AV measurement signal is less than the QT interval,.

36. The method of claim 35, further comprising reviewing each of the differences after a predetermined time period.

37. The method of claim 36, further comprising transmitting an alert signal if each of the differences indicates a predetermined condition.

38. The method of claim 37, wherein the alert signal comprises an audible signal.

39. The method of claim 37, wherein the alert signal comprises a radio signal.

40. The method of claim 37, wherein the predetermined condition comprises an increase in the value of each of the differences over the predetermined time period.

41. The method of claim 37, further comprising adjusting the synchronization of the implantable medical device after transmitting the alert signal.

42. The method of claim 31, wherein the first AV measurement signal comprises the time elapsed between the commencement of a contraction of a ventricle of a mammalian heart and the termination of a relaxation of the ventricle.