Implantable stimulation device, programmer, and method for automatically evaluating interaction of the device with a patient's heart
First Claim
1. A programmer for automatically evaluating interaction of an implantable stimulation device and a patient'"'"'s heart, the device comprising adjustable programmable parameters and a transmitter to transmit event markers representing heart stimulation pulses and sensed physiological cardiac events, the programmer comprising:
- a telemetry circuit that transmits programmable parameters to the implantable device and receives the event markers from the implantable device;
a processor that analyzes the event markers received from the implantable device, automatically adjusts the programmable parameters in response to the event markers and in accordance with an automated evaluation procedure, and determines final evaluation results upon completion of the evaluation procedure; and
a display that displays the final evaluation results.
1 Assignment
0 Petitions
Accused Products
Abstract
An implantable cardiac stimulation device, programmer, and method provides for automatically evaluating interaction of the implantable device with the patient'"'"'s heart. The evaluation of the interaction of the device with the patient'"'"'s heart is based upon analysis of a heart activity signal which may include event markers generated by the implantable device representing applied stimulation pulses and sensed physiological cardiac events. The heart activity signal is analyzed by the programmer and/or implanted device and the operation of the implantable device is automatically adjusted in response to the event heart activity signal analysis. The heart activity signal analysis is also used to determine final evaluation results and completion of the evaluation procedure. The programmer then provides recommendations to the physician as to device programming and/or performs these adjustments automatically.
157 Citations
54 Claims
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1. A programmer for automatically evaluating interaction of an implantable stimulation device and a patient'"'"'s heart, the device comprising adjustable programmable parameters and a transmitter to transmit event markers representing heart stimulation pulses and sensed physiological cardiac events, the programmer comprising:
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a telemetry circuit that transmits programmable parameters to the implantable device and receives the event markers from the implantable device;
a processor that analyzes the event markers received from the implantable device, automatically adjusts the programmable parameters in response to the event markers and in accordance with an automated evaluation procedure, and determines final evaluation results upon completion of the evaluation procedure; and
a display that displays the final evaluation results. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. An implantable cardiac stimulation device comprising an evaluator that automatically evaluates interaction of the device with a patient'"'"'s heart, the device comprising:
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a sensing circuit that senses physiological cardiac events;
an output circuit that generates stimulation pluses to the patient'"'"'s heart;
a signal generator that generates event markers representing applied stimulation pulses and sensed physiological cardiac events;
a processor that analyzes the event markers, automatically adjusts the operation of the sensing circuit and the output circuit in response to the event markers and in accordance with an automated evaluation procedure, and determines final evaluation results upon completion of the evaluation procedure;
wherein the final evaluation results include recommended operation of the device and wherein the processor is programmed to determine the recommended operation of the device upon completion of the evaluation procedure; and
a telemetry circuit that transmits the final evaluation results to a non-implanted receiver. - View Dependent Claims (12, 13, 14, 15)
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16. An implantable cardiac stimulation device comprising an evaluator that automatically evaluates interaction of the device with a patient'"'"'s heart, the device comprising:
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a sensing circuit that senses physiological cardiac events;
an output circuit that generates stimulation pluses to the patient'"'"'s heart;
a signal generator that generates event markers representing applied stimulation pulses and sensed physiological cardiac events;
a processor that analyzes the event markers, automatically adjusts the operation of the sensing circuit and the output circuit in response to the event markers and in accordance with an automated evaluation procedure, and determines final evaluation results upon completion of the evaluation procedure;
wherein the automated evaluation procedure is an atrial capture threshold evaluation procedure, wherein the output circuit has a programmable atrial stimulation output, and wherein the processor is programmed to determine a recommended atrial stimulation output upon completion of the atrial capture threshold evaluation procedure; and
a telemetry circuit that transmits the final evaluation results to a non-implanted receiver. - View Dependent Claims (17)
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18. An implantable cardiac stimulation device comprising an evaluator that automatically evaluates interaction of the device with a patient'"'"'s heart, the device comprising:
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a sensing circuit that senses physiological cardiac events;
an output circuit that generates stimulation pluses to the patient'"'"'s heart;
a signal generator that generates event markers representing applied stimulation pulses and sensed physiological cardiac events;
a processor that analyzes.the event markers, automatically adjusts the operation of the sensing circuit and the output circuit in response to the event markers and in accordance with an automated evaluation procedure, and determines final evaluation results upon completion of the evaluation procedure;
wherein the automated evaluation procedure is a retrograde conduction evaluation procedure, wherein the stimulation device has at least one programmable parameter relating to retrograde conduction, and wherein the processor is programmed to determine a recommended state of the at least one programmable parameter relating to retrograde conduction upon completion of the retrograde conduction evaluation procedure; and
a telemetry circuit that transmits the final evaluation results to a non-implanted receiver. - View Dependent Claims (19)
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20. A method evaluating the interaction of an implantable cardiac stimulation device with a patient'"'"'s heart, the method comprising:
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sensing cardiac events of the patients heart;
generating stimulation pulses to the patient'"'"'s heart as a function of the sensed cardiac events;
generating event markers whenever applied stimulation pulses and sensed cardiac events occur;
analyzing the event markers;
automatically adjusting the sensing of cardiac events and the generation of stimulation pulses in response to the event markers and in accordance with an automated evaluation procedure;
determining final evaluation results upon completion of the evaluation procedure;
determining a recommended adjustment of the sensing of cardiac events and/or the generation of stimulation pulses upon completion of the evaluation procedure; and
displaying the final evaluation results. - View Dependent Claims (21, 22, 23, 24)
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25. A method evaluating the interaction of an implantable cardiac stimulation device with a patient'"'"'s heart, the method comprising:
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sensing cardiac events of the patient'"'"'s heart;
generating stimulation pulses to the patient'"'"'s heart as a function of the sensed cardiac events;
generating event markers whenever applied stimulation pulses and sensed cardiac events occur;
analyzing the event markers;
automatically adjusting the sensing of cardiac events and the generation of stimulation pulses in response to the event markers and in accordance with an automated evaluation procedure;
wherein the automated evaluation procedure is an atrial capture threshold evaluation procedure and wherein the method further includes the step of determining a recommended atrial stimulation output upon completion of the atrial capture threshold evaluation procedure;
determining final evaluation results upon completion of the evaluation procedure; and
displaying the final evaluation results. - View Dependent Claims (26)
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27. A method evaluating the interaction of an implantable cardiac stimulation device with a patient'"'"'s heart, the method comprising:
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sensing cardiac events of the patient'"'"'s heart;
generating stimulation pulses to the patient'"'"'s heart as a function of the sensed cardiac events;
generating event markers whenever applied stimulation pulses and sensed cardiac events occur;
analyzing the event markers;
automatically adjusting the sensing of cardiac events and the generation of stimulation pulses in response to the event markers and in accordance with an automated evaluation procedure;
wherein the automated evaluation procedure is a retrograde conduction evaluation procedure, wherein the stimulation device has at least one programmable parameter relating to retrograde conduction, and wherein the method further includes determining a recommended state of the at least one programmable parameter relating to retrograde conduction upon completion of the retrograde conduction evaluation procedure;
determining final evaluation results upon completion of the evaluation procedure; and
displaying the final evaluation results. - View Dependent Claims (28)
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29. A programmer for automatically evaluating interaction of an implantable stimulation device and a patient'"'"'s heart, the device comprising adjustable programmable parameters and means for transmitting event markers representing heart stimulation pulses and sensed cardiac events, the programmer comprising:
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receiving means for receiving the event makers from the implanted device;
analyzing means for analyzing the event markers received from the implantable device;
adjusting means for automatically adjusting the programmable parameters responsive to the analyzing means analyzing the event markers in accordance with an automated evaluation process; and
determining means for determining final evaluation results in accordance with the automated evaluation procedure. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36, 37, 38, 39)
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40. An implantable cardiac stimulation device comprising means for automatically evaluating interaction of the device with a patient'"'"'s heart, the device comprising:
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sensing means for sensing cardiac events;
output circuit means for generating stimulation pluses to the patient'"'"'s heart;
marker generating means for generating event markers representing generated stimulation pulses and sensed cardiac events;
analyzing means for analyzing the event markers;
adjusting means for adjusting the operation of the sensing means and/or the output circuit means responsive to the analyzing means analyzing the event markers in accordance with an automated evaluation procedure; and
determining means for determining final evaluation results in accordance with the automated evaluation procedure;
wherein the final evaluation results include recommended operation of the device and wherein the determining means further determines the recommended operation of the device upon completion of the evaluation procedure. - View Dependent Claims (41, 42, 43, 44, 45)
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46. An implantable cardiac stimulation device comprising means for automatically evaluating interaction of the device with a patient'"'"'s heart, the device comprising:
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sensing means for sensing cardiac events;
output circuit means for generating stimulation pluses to the patient'"'"'s heart;
marker generating means for generating event markers representing generated stimulation pulses and sensed cardiac events;
analyzing means for analyzing the event markers;
adjusting means for adjusting the operation of the sensing means and/or the output circuit means responsive to the analyzing means analyzing the event markers in accordance with an automated evaluation procedure; and
determining means for determining final evaluation results in accordance with the automated evaluation procedure;
wherein the automated evaluation procedure is an atrial capture threshold evaluation procedure, wherein the output circuit means has a programmable atrial stimulation output, and wherein the determining means further determines a recommended atrial stimulation output upon completion of the atrial capture threshold evaluation procedure. - View Dependent Claims (47)
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48. An implantable cardiac stimulation device comprising means for automatically evaluating interaction of the device with a patient'"'"'s heart, the device comprising:
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sensing means for sensing cardiac events;
output circuit means for generating stimulation pluses to the patient'"'"'s heart;
marker generating means for generating event markers representing generated stimulation pulses and sensed cardiac events;
analyzing means for analyzing the event markers;
adjusting means for adjusting the operation of the sensing means and/or the output circuit means responsive to the analyzing means analyzing the event markers in accordance with an automated evaluation procedure; and
determining means for determining final evaluation results in accordance with the automated evaluation procedure;
wherein the automated evaluation procedure is a retrograde conduction evaluation procedure, wherein the stimulation device has at least one programmable parameter relating to retrograde conduction, and wherein the determining means further determines a recommended state of the at least one programmable parameter relating to retrograde conduction upon completion of the retrograde conduction evaluation procedure. - View Dependent Claims (49)
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50. A programmer for automatically evaluating interaction of an implantable stimulation device and a patient'"'"'s heart, the device comprising adjustable programmable parameters and a transmission system that generates and transmits a heart activity signal representing heart stimulation pulses and sensed physiological cardiac events, the programmer comprising:
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a telemetry circuit that transmits programmable parameters to the implantable device and receives the heart activity signal from the implantable device;
a processor that analyzes the heart activity signal received from the implantable device, automatically adjusts the programmable parameters in response to the heart activity signal and in accordance with an automated evaluation procedure, and determines final evaluation results upon completion of the evaluation procedure; and
a display that displays the final evaluation results.
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51. An implantable cardiac stimulation device comprising an evaluator that automatically evaluates interaction of the device with a patient'"'"'s heart, the device comprising:
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a sensing circuit that senses physiological cardiac events;
an output circuit that generates stimulation pulses to the patient'"'"'s heart;
a signal generator that generates a heart activity signal representing applied stimulation pulses and sensed physiological cardiac events;
a processor that analyzes the heart activity signal, automatically adjusts the operation of the sensing circuit and the output circuit in response to the heart activity signal and in accordance with an automated evaluation procedure, and determines the final evaluation results upon completion of the evaluation procedure; and
a telemetry circuit that transmits the final evaluation results to a non-implanted receiver. - View Dependent Claims (52, 53, 54)
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Specification