Cardiac stimulation devices and methods for measuring impedances associated with the heart

• US 7,305,266 B1
• Filed: 06/29/2004
• Issued: 12/04/2007
• Est. Priority Date: 05/14/2001
• Status: Expired due to Term

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Kroll, Mark W.
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US10/881,676
• Time in Patent Office: 1,253 Days
• Field of Search: 600/547, 607/28, 607/8, 607/20, 607/24
• US Class Current: 607/28
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61N 1/0504 Subcutaneous electrodes
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/375 Constructional arrangements, e.g. casings
• CPC Class Codes: A61N 1/37512 Pacemakers
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

An exemplary method includes introducing current between a first pair of electrodes configured for placement internally in a patient, triggering a potential measurement between a second pair of electrodes configured for placement internally in a patient wherein communication of a signal through the patient allows for proper triggering, measuring potential between the second pair of electrodes and, based at least in part on the measuring and the introducing, determining a cardiac condition. Other exemplary methods, devices, systems, etc., are also disclosed.

Claims

1. An implantable system comprising:

a first pair of electrodes configured for placement internally in a patient;

a first implantable device comprising a current source operably associated with the first pair of electrodes and configured to produce a current therebetween;

a second pair of electrodes configured for placement internally in a patient;

a second implantable device comprising a voltage measuring circuit operably associated with the second pair of electrodes and configured to measure a voltage therebetween responsive to the current produced by the current source; and

logic in at least one of the first and second implantable device to determine a cardiac condition based at least in part on the current produced by the current source and the voltage measured by the voltage measuring circuit.

2. The implantable system of claim 1 wherein the first implantable device comprises an implantable cardiac defibrillation device.

3. The implantable system of claim 1 wherein the second implantable device comprises an implantable cardiac pacing device.

4. The implantable system of claim 1 wherein the logic determines at least one cardiac condition selected from a group consisting of chamber volume, cardiac output, and ventricular wall thickness.

5. The implantable system of claim 1 wherein the first pair of electrodes comprises a spacing of about 10 cm or more.

6. The implantable system of claim 1 wherein the second pair of electrodes comprises a case electrode of the second implantable device and a distal electrode positioned in the right ventricle.

7. The implantable system of claim 1 wherein the first implantable device comprises a unitary subcutaneous defibrillation device.

8. The implantable system of claim 1 wherein the second pair of electrodes comprises a right ventricular lead and a left ventricular lead.

9. The implantable system of claim 8 wherein the right ventricular lead allows for measurement of potential corresponding to current introduced by the first implantable device and wherein the left ventricular lead allows for measurement of potential corresponding to current introduced by the first implantable device.

10. The implantable system of claim 1 further comprising a communication link for communication between the first device and the second device.