System and method for graphically configuring leads

• US 7,236,826 B2
• Filed: 12/15/2000
• Issued: 06/26/2007
• Est. Priority Date: 12/15/2000
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Lindh, Par, Kalgren, James, Wentkowski, Rene H., Lockhart, John
• Primary Examiner(s): PAIK, SANG YEOP
• Application Number:
  US09/738,400
• Publication Number:
  US 20020077669A1
• Time in Patent Office: 2,384 Days
• Field of Search: 607/18, 607/25, 607/26, 607/27, 607/116, 607/122, 600/515, 600/118, 600/522, 600/523, 600/527, 600/528, 600/373, 600/374, 600/423, 600/424
• US Class Current: 607/27
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• 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 1/3684 for stimulating the heart at multiple sites of the ventricle or the atrium
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37264 Changing the program; Upgrading firmware
• CPC Class Codes: A61N 1/39622 Pacing therapy
• CPC Class Codes: A61N 1/3993 User interfaces for automatic external defibrillators
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/922 including image analysis
• CPC Class Codes: Y10S 128/923 by comparison of patient data to other data

Abstract

Systems and methods are provided for graphically configuring leads for a medical device. According to one aspect, the system generally comprises a medical device and a processing device, such as a programmer or computer, adapted to be in communication with the medical device. The medical device has at least one lead with at least one electrode in a configuration that can be changed using the processing device. The processing device provides a graphical display of the configuration. In one embodiment, the graphical display graphically represents, illustrates or displays the lead(s), the electrode(s), a pulse polarity, and a vector. According to another aspect, the method generally comprises receiving information for a medical device having at least one lead with at least one electrode in a configuration, and presenting a graphical representation of the configuration on a display. According to other aspects, a device and a computer-readable medium encoded with a software program for providing a graphical display of a lead configuration for an implantable medical device are also provided herein.

Claims

1. A system, comprising:

an implantable medical device including at least one lead with at least one electrode, the implantable medical device having a programmable electrical configuration for the at least one electrode, the implantable medical device being adapted to apply an electrical signal between the at least one electrode and at least one other electrode of the implantable medical device based on the programmable electrical configuration; and

a processing device adapted to be in communication with the implantable medical device, wherein the processing device provides a graphical display, the graphical display including a representative image of the programmable electrical configuration for the at least one electrode, including a representative image of the electrical signal to be applied between the at least one electrode and the at least one other electrode, wherein the processing device is adapted to provide the graphical display that includes the representative image of the electrical signal between the at least one electrode and the at least one other electrode before the implantable medical device applies the electrical signal between the at least one electrode and the at least one other electrode.

2. The system of claim 1, wherein the representative image includes a representation of an electrode type for each of the at least one electrode.

3. The system of claim 1, wherein the representative image includes a representation of an electrode quantity for each of the at least one lead.

4. The system of claim 1, wherein the representative image includes a representation of a lead position for each of the at least one lead and an electrode position for each of the at least one electrode.

5. The system of claim 1, wherein the medical device is a cardiac stimulus device, and the representative image includes a representation of an arrangement of the at least one lead and the at least one electrode in a heart.

6. The system of claim 1, wherein the representative image includes a representation of a pulse polarity for the programmable electrical configuration.

7. The system of claim 1, wherein the representative image includes a representation of a vector associated with the at least one electrode that is indicative of at least one of a sensing vector and a pulsing vector.

8. The system of claim 1, wherein the representative image includes a representation of a pace vector.

9. The system of claim 1, wherein the representative image includes a representation of a sense vector.

10. The system of claim 1, wherein the representative image includes a representation of a defibrillation vector.

11. The system of claim 1, wherein the representative image includes a color scheme to represent elements of the at least one lead with the at least one electrode, and the programmable electrical configuration.

12. The system of claim 1, wherein the graphical display represents present settings for the programmable electrical configuration, and wherein the present settings are stored in a memory.

13. The system of claim 1, wherein the processing device is adapted to change the programmable electrical configuration, and wherein the graphical display represents present settings and changed settings.

14. The system of claim 1, wherein the processing device includes a screen display for providing the graphical display of the programmable electrical configuration.

15. The system of claim 14, wherein the screen display comprises a monitor.

16. The system of claim 1, wherein the processing device comprises a programmer.

17. The system of claim 1, wherein the processing device comprises a personal computer.

18. A system, comprising:

means for receiving information about an implantable medical device having at least one lead with at least one electrode in a programmable electrical configuration, the implantable medical device being adapted to apply an electrical signal between the at least one electrode and at least one other electrode of the implantable medical device based on the programmable electrical configuration; and

means for graphically representing the programmable electrical configuration as a representative image of the programmable electrical configuration for the at least one electrode, including a representative image of the electrical signal to be applied between the at least one electrode and the at least one other electrode, wherein the means for graphically representing the configuration is adapted to provide the representative image of the electrical signal between the at least one electrode and the at least one other electrode before the implantable medical device applies the electrical signal between the at least one electrode and the at least one other electrode.

19. The system of claim 18, further comprising means for storing present settings for the programmable electrical configuration in a memory, wherein the means for receiving information includes means for retrieving the present settings for the programmable electrical configuration from the memory.

20. The system of claim 18, further comprising means for changing the programmable electrical configuration, wherein the means for graphically representing the programmable electrical configuration includes means for displaying both present settings and changed settings for the programmable electrical configuration.

21. The system of claim 18, wherein the means for graphically representing the programmable electrical configuration includes means for representing an electrode type in the representative image of the programmable electrical configuration for the at least one electrode.

22. The system of claim 18, wherein the means for graphically representing the programmable electrical configuration includes means for representing a lead position and an electrode position type in the representative image of the programmable electrical configuration for the at least one electrode.

23. The system of claim 18, wherein the means for graphically representing the programmable electrical configuration includes means for representing a pulse polarity type in the representative image of the programmable electrical configuration for the at least one electrode.

24. The system of claim 18, wherein the means for graphically representing the programmable electrical configuration includes means for representing a vector type in the representative image of the programmable electrical configuration for the at least one electrode.

25. The system of claim 24, wherein the means for representing the vector comprises means for representing a pace vector type in the representative image of the programmable electrical configuration for the at least one electrode.

26. The system of claim 24, wherein the means for representing the vector comprises means for representing a sense vector type in the representative image of the programmable electrical configuration for the at least one electrode.

27. The system of claim 24, wherein the means for representing the vector comprises means for representing a defibrillation vector type in the representative image of the programmable electrical configuration for the at least one electrode.

28. A device, comprising:

circuit for communicating with an implantable medical device having at least one lead with at least one electrode, wherein the at least one electrode has a programmable electrical configuration, the implantable medical device being adapted to apply an electrical signal between the at least one electrode and at least one other electrode of the implantable medical device based on the programmable electrical configuration; and

a display for graphically representing the programmable electrical configuration of the at least one electrode for the implantable medical device as a representative image, including a representative image of the electrical signal to be applied between the at least one electrode and the at least one other electrode, wherein the circuitry is adapted to provide the display that includes the representative image of the electrical signal between the at least one electrode and the at least one other electrode before the implantable medical device applies the electrical signal between the at least one electrode and the at least one other electrode.

29. The device of claim 28, wherein the representative image includes a lead representation and an electrode representation.

30. The device of claim 28, wherein the lead representation includes a lead position representation.

31. The device of claim 28, wherein the electrode representation includes an electrode type representation.

32. The device of claim 28, wherein the electrode representation includes an electrode position representation.

33. The device of claim 28, wherein the representative image further includes a pulse polarity representation.

34. The device of claim 28, wherein the representative image further includes a vector representation associated with the programmable electrical configuration.

35. The device of claim 34, wherein the vector representation comprises a pace vector representation.

36. The device of claim 34, wherein the vector representation comprises a sense vector representation.

37. The device of claim 34, wherein the vector representation comprises a defibrillation vector representation.

38. The device of claim 28, wherein the display is a monitor.

39. A computer-readable medium encoded with a software program for providing a graphical display of a lead configuration for an implantable medical device having at least one lead with at least one electrode in a programmable electrical configuration, the implantable medical device being adapted to apply an electrical signal between the at least one electrode and at least one other electrode of the implantable medical device based on the programmable electrical configuration, the software program executing the following:

receiving information about the lead configuration and the programmable electrical configuration; and

graphically representing the lead configuration and the programmable electrical configuration as a representative image, including a representative image of the electrical signal to be applied between the at least one electrode and the at least one other electrode, wherein the representative image of the electrical signal between the at least one electrode and the at least one other electrode is graphically represented before the implantable medical device applies the electrical signal between the at least one electrode and the at least one other electrode.

40. The computer-readable medium of claim 39, wherein

receiving information includes receiving both a present setting and a changed setting for the programmable electrical configuration, and

after the step of graphically representing the programmable electrical configuration, the software program further executes:

receiving user verification that the changed setting is acceptable; and

accepting the changed setting.

41. The computer-readable medium of claim 39, wherein graphically representing the programmable electrical configuration includes graphically displaying a lead representation and an electrode representation in the representative image.

42. The computer-readable medium of claim 39, wherein graphically representing the programmable electrical configuration includes graphically displaying a pulse polarity in the representative image.

43. The computer-readable medium of claim 39, wherein graphically representing the programmable electrical configuration includes graphically displaying a vector in the representative image.

44. The computer-readable medium of claim 43, wherein the vector comprises a pace vector in the representative image.

45. The computer-readable medium of claim 43, wherein the vector comprises a sense vector in the representative image.

46. The computer-readable medium of claim 43, wherein the vector comprises a defibrillation vector in the representative image.

47. A method, comprising:

receiving information for an implantable medical device having at least one lead with at least one electrode, the implantable medical device having a programmable electrical configuration for the at least one electrode, the implantable medical device being adapted to apply an electrical signal between the at least one electrode and at least one other electrode of the implantable medical device based on the programmable electrical configuration; and

presenting a graphical representation of the programmable electrical configuration as a representative image, including a representative image of the electrical signal to be applied between the at least one electrode and the at least one other electrode, wherein the graphical representation, including the representative image of the electrical signal between the at least one electrode and the at least one other electrode, is presented before the implantable medical device applies the electrical signal between the at least one electrode and the at least one other electrode.

48. The method of claim 47, wherein receiving information includes retrieving the information from a memory.

49. The method of claim 47, wherein the implantable medical device is a cardiac stimulus device, and wherein presenting a graphical representation of the programmable electrical configuration includes graphically representing an arrangement of the at least one lead in a heart.

50. The method of claim 47, wherein presenting a graphical representation of the programmable electrical configuration includes graphically representing an electrode type in the representative image.

51. The method of claim 47, wherein presenting a graphical representation of the programmable electrical configuration includes graphically representing a pulse polarity in the representative image.

52. The method of claim 47, wherein presenting a graphical representation of the programmable electrical configuration includes graphically representing a vector in the representative image.

53. The method of claim 52, wherein the vector comprises a pace vector.

54. The method of claim 52, wherein the vector comprises a sense vector.

55. The method of claim 52, wherein the vector comprises a defibrillation vector.

56. The method of claim 47, wherein presenting a graphical representation includes presenting the representative image to a screen display.

57. The method of claim 47, wherein the method further comprises programming a change in the programmable electrical configuration, and wherein presenting a graphical representation of the programmable electrical configuration includes presenting both current settings and changed settings for the programmable electrical configuration.