System and method for detection enhancement programming

• US 6,522,925 B1
• Filed: 05/13/2000
• Issued: 02/18/2003
• Est. Priority Date: 05/13/2000
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Stubbs, Scott, Gilkerson, James O., Lang, Douglas J., Conley, Vickie L.
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/569,928
• Time in Patent Office: 1,011 Days
• Field of Search: 607/30, 607/32, 600/523
• US Class Current: 607/30
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A system and method of enabling detection enhancements selected from a plurality of detection enhancements. In a system having a plurality of clinical rhythms, including a first clinical rhythm, where each of the detection enhancements is associated with the clinical rhythms, the first clinical rhythm is selected. The first clinical rhythm is associated with first and second detection enhancements. When the first clinical rhythm is selected, parameters of the first and second detection enhancements are set automatically. A determination is made as to whether changes are to be made to the parameters. If so, one or more of the parameters are modified under user control.

Claims

1. A medical device programmer, comprising:

a programming screen;

a button on the display screen, where the button is adapted to enable or disable a rate smoothing algorithm in an implantable pulse generator; and

a communication circuit adapted to send a signal under the control of the button to enable or disable rate smoothing in the implantable pulse generator.

2. The medical device programmer of claim 1, where the button displays “

enable rate smoothing”

when rate smoothing is disabled.

3. The medical device programmer of claim 1, where the button displays “

disable rate smoothing”

when rate smoothing is enabled.

4. The medical device programmer of claim 1, including a pointing device adapted to switch the button position to enable and disable the rate smoothing algorithm.

5. The medical device programmer of claim 1, where the programming screen displays one or more toolbox buttons, where each toolbox button has a topic and the toolbox buttons are adapted to cause the programming screen to display features related to the topic of the toolbox button.

6. The medical device programmer of claim 5, where the features are adapted to allow interaction with the implantable pulse generator as well as a review of data in a memory of the implantable pulse generator.

7. The medical device programmer of claim 1, including a first control logic, wherein the first control logic displays clinical rhythms and selects one or more to the clinical rhythms under user control, wherein each clinical rhythm is associated with one or more detection enhancements;

second control logic, wherein the second control logic receives the selected clinical rhythm, stored parameters related to the associated detection enhancements, determines if the user wishes to modify the parameters, and, if the user wishes to modify the parameters, storing the modified parameters; and

third control logic adapted to connect through the communication circuit to the implantable pulse generator, wherein the third control logic is adapted to program the implantable pulse generator to perform the associated detection enhancements as a function of the stored parameters.

8. The medical device programmer of claim 1, where the programming screen displays detection enhancements, where the detection enhancements are enabled and modified through the programming screen.

9. A medical device programmer, comprising:

a programming screen;

a button on the display screen, where the button is adapted to enable or disable a rate control algorithm in an implantable pulse generator; and

a communication circuit adapted to enable or disable rate control in the implantable pulse generator under the control of the button.

10. The medical device programmer of claim 9, where the button adapted to enable or disable the rate control function, enables or disables rate smoothing;

atrial tachycardia response; and

atrial flutter responses.

11. The medical device programmer of claim 9, where the button displays “

enable rate control”

when rate control is disabled.

12. The medical device programmer of claim 9, where the button displays “

disable rate control”

when rate control is enabled.

13. The medical device programmer of claim 9, including a pointing device adapted to switch the button position to enable and disable the rate control algorithm.

14. The medical device programmer of claim 9, where the programming screen displays one or more toolbox buttons, where each toolbox button has a topic and the toolbox buttons are adapted to cause the programming screen to display features related to the topic of the toolbox button.

15. The medical device programmer of claim 14, where the features are adapted to allow interaction with the implantable pulse generator as well as a review of data in a memory of the implantable pulse generator.

16. The medical device programmer of claim 9, including a first control logic, wherein the first control logic displays clinical rhythms and selects one or more to the clinical rhythms under user control, wherein each clinical rhythm is associated with one or more detection enhancements;

second control logic, wherein the second control logic receives the selected clinical rhythm, stored parameters related to the associated detection enhancements, determines if the user wishes to modify the parameters, and, if the user wishes to modify the parameters, storing the modified parameters; and

third control logic adapted to connect through the communication circuit to the implantable pulse generator, wherein the third control logic is adapted to program the implantable pulse generator to perform the associated detection enhancements as a function of the stored parameters.

17. The medical device programmer of claim 9, where the programming screen displays detection enhancements, where the detection enhancements are enabled and modified through the programming screen.

18. A method, comprising:

displaying a button on a display screen of a medical device programmer;

enabling a rate smoothing operation in an implantable pulse generator with the button; and

disabling the rate smoothing operation in the implantable pulse generator with the button.

19. The method of claim 18, including toggling the button to enable or disable the rate smoothing operation.

20. A method, comprising:

displaying a button on a display screen of a medical device programmer;

enabling a rate control operation in an implantable pulse generator with the button, where enabling the rate control operation includes;

setting atrial tachy response (ATR) parameters to a 4 entry count, a 4 exit count, 8 duration, 70 fall-back rate and a DDIR mode;

setting atrial flutter response (AFR) parameters to 170 beats per minute; and

setting a rate threshold parameter to 170 beats per minute; and

disabling the rate control operation in the implantable pulse generator with the button.

21. The method of claim 20, including setting the atrial flutter response to the same value as the rate threshold parameter.