Methods and systems for automatically switching electrode configurations

• US 7,020,523 B1
• Filed: 04/16/2002
• Issued: 03/28/2006
• Est. Priority Date: 04/16/2002
• Status: Expired due to Term

• Current Assignee: St Jude Medical Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Lu, Richard, Brown, Corey
• Primary Examiner(s): Pezzuto, Robert E.
• Assistant Examiner(s): Oropeza, Frances P.
• Application Number:
  US10/125,079
• Time in Patent Office: 1,442 Days
• Field of Search: 600/373, 600/374, 600/377, 600/393, 600/508, 600/509, 607/4, 607/5, 607/9, 607/27, 607/28, 607/116, 607/119, 607/722, 607/123
• US Class Current: 607/27
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/368 comprising more than one electrode co-operating with different heart regions A61N1/3622, A61N1/3627 take precedence
• CPC Class Codes: A61N 1/3686 configured for selecting the electrode configuration on a lead A61N1/3688 takes precedence
• CPC Class Codes: A61N 1/3712 Auto-capture, i.e. automatic adjustment of the stimulation threshold
• CPC Class Codes: A61N 1/3714 Atrial capture

Abstract

Various embodiments can permit electrode configurations that are used in implantable devices to be automatically changed. In some embodiments, configurations that are used to ascertain capture (ventricular and/or atrial) can be automatically changed by a stimulation device and then automatically configured for use. Various parameters associated with the electrical configurations can be automatically calibrated so that a stimulation device'"'"'s automatic capture feature can continue to function notwithstanding the fact that an electrode configuration change has taken place.

Claims

1. A method for measuring an evoked response signal to allow automatic capture detection to automatically continue functioning upon an automatic change of a sensing electrode configuration of an implantable stimulation device, the method comprising:

automatically determining whether a current sensing electrode configuration that is being used to measure an evoked response signal to ascertain whether capture has occurred is unable to be used for that purpose;

automatically switching to at least one other different sensing electrode configuration to measure the evoked response signal to ascertain whether capture has occurred;

performing an automatic recalibration procedure with the different sensing electrode configuration; and

automatically using the different sensing electrode configuration to measure evoked response signals to allow the automatic capture detection to continue functioning upon the automatic change of a sensing electrode configuration.

2. The method of claim 1, wherein at least one of the electrode configurations comprises a bipolar configuration.

3. The method of claim 1, wherein at least one of the electrode configurations comprises a unipolar configuration.

4. The method of claim 1, wherein said using comprises using the different electrode configuration to ascertain whether ventricular capture has occurred.

5. The method of claim 1, wherein said using comprises using the different electrode configuration to ascertain whether atrial capture has occurred.

6. A stimulation device configured to implement the method of claim 1.

7. The method of claim 1, wherein said performing a recalibration procedure comprises processing evoked response signals by examining a slope or slew rate of the evoked response signal for a unipolar sensing electrode configuration, and wherein said performing a recalibration procedure comprises processing evoked response signals by examining a paced depolarization integral of the evoked response signals for a bipolar sensing electrode configuration.

8. One or more computer-readable media having computer-readable instructions thereon which, when executed by a programmable stimulation device, cause the stimulation device to:

determine whether a current sensing electrode configuration that is being used to measure an evoked response signal to ascertain whether capture has occurred is unable to be used for that purpose;

automatically switch to at least one other different sensing electrode configuration to measure the evoked response signal to ascertain whether capture has occurred;

automatically perform a recalibration procedure with the different sensing electrode configuration; and

automatically use the different sensing electrode configuration to measure the evoked response signal to allow automatic capture detection to automatically continue functioning upon an automatic change of a sensing electrode configuration.

9. The one or more computer-readable media of claim 8, wherein at least one of the electrode configurations comprises a bipolar configuration.

10. The one or more computer-readable media of claim 8, wherein at least one of the electrode configurations comprises a unipolar configuration.

11. The one or more computer-readable media of claim 8, wherein the instructions cause the stimulation device to use the different electrode configuration to ascertain whether ventricular capture has occurred.

12. The one or more computer-readable media of claim 8, wherein the instructions cause the stimulation device to use the different electrode configuration to ascertain whether atrial capture has occurred.

13. The one or more computer-readable media of claim 8, wherein said causes the stimulation device to automatically perform a calibration procedure comprises processing evoked response signals by examining a slope or slew rate of the evoked response signals for a unipolar sensing electrode configuration, and wherein said causes the stimulation device to automatically perform a recalibration procedure comprises processing evoked response signals by examining a paced depolarization integral of the evoked response signals for a bipolar sensing electrode configuration.

14. A stimulation device comprising:

one or more computer-readable media;

one or more processors; and

instructions resident on the computer-readable media, which, when executed by the one or more processors, cause the one or more processors to;

determine whether a current sensing electrode configuration that is being used to measure an evoked response signal to ascertain whether capture has occurred is unable to be used for that purpose;

automatically switch to at least one other different sensing electrode configuration to measure the evoked response signal to ascertain whether capture has occurred;

automatically perform a recalibration procedure with the different sensing electrode configuration; and

use the different sensing electrode configuration to measure the evoked response signal to allow automatic capture detection to continue functioning upon an automatic change of a sensing electrode configuration.

15. The stimulation device of claim 14, wherein at least one of the electrode configurations comprises a bipolar configuration.

16. The stimulation device of claim 14, wherein at least one of the electrode configurations comprises a unipolar configuration.

17. The stimulation device of claim 14, wherein said instructions cause the one or more processors to use the different electrode configuration to ascertain whether ventricular capture has occurred.

18. The stimulation device of claim 14 wherein said instructions cause the one or more processors to use the different electrode configuration to ascertain whether atrial capture has occurred.

19. The stimulation device of claim 14, wherein said instructions cause the one or more processors to automatically perform a recalibration procedure comprises processing evoked response signals by examining a slope or slew rate of the evoked response signal for a unipolar sensing electrode configuration, and wherein said instructions cause the one or more processors to automatically perform a recalibration procedure comprises processing evoked response signals by examining a paced depolarization integral of the evoked response signals for a bipolar sensing electrode configuration.

20. A method of operating an implantable stimulation device to allow automatic capture detection to continue functioning upon an automatic change of a sensing electrode configuration, the method comprising:

providing, with an implantable stimulation device, a desired functionality that utilizes, at least in part, a first sensing electrode configuration;

automatically stopping, with the implantable stimulation device, the desired functionality;

automatically switching, with the implantable stimulation device, to a second sensing electrode configuration;

automatically calibrating the second sensing electrode configuration; and

automatically restarting, with the implantable stimulation device, the desired functionality utilizing, at least in part, the second sensing electrode configuration to allow automatic capture detection to continue functioning upon a change of a sensing electrode configuration.

21. The method of claim 20, wherein said automatically calibrating the second sensing electrode configuration comprises processing evoked response signals by examining a slope or slew rate of the evoked response signal for a unipolar sensing electrode configuration, and wherein said automatically calibrating the second sensing electrode configuration comprises processing evoked response signals by examining a paced depolarization integral of the evoked response signals for a bipolar sensing electrode configuration.

22. A stimulation device comprising:

means for providing an automatic capture feature;

means for providing a first sensing electrode configuration that can be used to measure an evoked response signal to provide a measurement that is used by the automatic capture feature means; and

means for automatically switching the first sensing electrode configuration to a different sensing electrode configuration;

means for automatically recalibrating one or more parameters associated with the different sensing electrode configuration; and

means for using the different sensing electrode configuration to measure the evoked response signal to allow the automatic capture feature means to continue functioning upon an automatic change of a sensing electrode configuration.