Method and system for aborting cardiac treatments

• US 7,734,345 B2
• Filed: 03/29/2006
• Issued: 06/08/2010
• Est. Priority Date: 03/29/2006
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Cinbis, Can
• Primary Examiner(s): Manuel; George
• Assistant Examiner(s): Narayanaswamy; Shubatra
• Application Number:
  US11/391,949
• Publication Number:
  US 20070239214A1
• Time in Patent Office: 1,532 Days
• Field of Search: 607/5, 607/6, 607/46
• US Class Current: 607/5
• CPC Class Codes: A61N 1/0504 Subcutaneous electrodes
• CPC Class Codes: A61N 1/37258 Alerting the patient

Abstract

One method for aborting cardiac treatments includes detecting an arrhythmia in a heart of a patient with at least one electrode, which is located outside the heart of the patient. An alarm signal is generated after the detection of the arrhythmia to alert a user of an impending cardiac treatment. The cardiac treatment is cancelled if an abort signal is provided by the user within a predetermined amount of time.

Claims

1. A method for providing treatment for a cardiac arrhythmia comprising:

detecting an arrhythmia in a heart of a patient with at least one electrode, the at least one electrode not coupled to the heart of the patient;

detecting a physiological condition of the patient;

generating an alarm signal after said detection of the arrhythmia to alert a user of an impending cardiac treatment;

canceling the cardiac treatment if an abort signal is provided by the user within a predetermined amount of time;

delivering the cardiac treatment before the predetermined amount of time if the physiological condition of the patient exceeds a predetermined threshold; and

delivering the cardiac treatment if an abort signal is not provided by the user within the predetermined amount of time, the treatment delivered via first and second delivering electrodes, wherein the first and second delivering electrodes are configured to be positioned on substantially opposing front and rear sides of the heart of a patient without any electrode being directly connected thereto.

2. The method of claim 1, further comprising delivering the cardiac treatment to the heart after the predetermined amount of time if the abort signal is not received within the predetermined amount of time.

3. The method of claim 2, wherein the cardiac treatment is delivered with the at least one electrode.

4. The method of claim 3, wherein the at least one electrode is located subcutaneously within the patient.

5. The method of claim 4, wherein the at least one electrode includes first and second electrodes positioned on respective first and second substantially opposing sides of the heart of the patient.

6. The method of claim 5, wherein the first electrode is on an implantable cardioverter defibrillator (ICD) implanted subcutaneously in the patient on the first side of the heart and the second electrode is on a delivery lead connected to the ICD.

7. The method of claim 1, wherein said delivery of the cardiac treatment includes applying a voltage across the first and second electrodes to deliver an electrical shock to the heart of the patient.

8. The method of claim 7, wherein the voltage is stored in at least one capacitor within the ICD and further comprising charging the at least one capacitor before the predetermined amount of time.

9. The method of claim 8, wherein the user is the patient and the patient provides the abort signal via a user interface device in operable communication with the ICD.

10. A method for providing treatment for a cardiac arrhythmia comprising:

detecting an arrhythmia in a heart of a patient with an implantable cardioverter defibrillator (ICD) implanted subcutaneously within the patient, the ICD being electrically connected to first and second electrodes positioned outside the heart of the patient;

detecting a physiological condition of the patient;

generating an alarm signal with an alarm signal generator in operable communication with the ICD after said detection of the arrhythmia to alert the patient of an impending cardiac treatment;

canceling the cardiac treatment if an abort signal is received from a user interface device in operable communication with the ICD within a predetermined amount of time;

delivering the cardiac treatment before the predetermined amount of time if the physiological condition of the patient exceeds a predetermined threshold;

delivering the cardiac treatment with the first and second electrodes if the abort signal is not received within the predetermined amount of time; and

charging the at least one capacitor after said detection of the arrhythmia and within the predetermined amount of time;

wherein the first and second electrodes are configured to be positioned on substantially opposing front and rear sides of the heart of a patient and without being coupled thereto.

11. The method of claim 10, wherein said delivery of the cardiac treatment includes applying a voltage across the first and second electrodes to deliver an electrical shock to the heart and the voltage is stored in at least one capacitor within the ICD.

12. The method of claim 11, wherein the first electrode is on the ICD and the second electrode is on a lead connected to the ICD and the first and second electrodes are positioned on respective first and second substantially opposing sides of the heart of the patient.

13. The method of claim 12, wherein the predetermined amount of time is between approximately 10 and 60 seconds.

14. An implantable cardioverter defibrillator (ICD) system comprising:

a housing;

a lead connected to the housing;

first and second electrodes respectively connected to the housing and the lead, wherein the first and second electrodes are configured to be positioned on substantially opposing front and rear sides of the heart of a patient without being directly connected thereto;

an alarm signal generator;

a user interface device; and

a processor within the housing and electrically connected to the first and second electrodes, the alarm signal generator, and the user interface device, the processor configured to;

detect an arrhythmia in a heart of a patient with at least one of the first and second electrodes;

generate an alarm signal with the alarm signal generator after said detection of the arrhythmia to alert the patient of an impending cardiac treatment;

cancel the cardiac treatment if an abort signal is received from the user interface device within a predetermined amount of time; and

deliver the cardiac treatment with at least one of the first and second electrodes if the abort signal is not received from the user interface device within the predetermined amount of time; and

a sensor not connected to the heart and in operable communication with the processor to detect a physiological condition in the heart and wherein the processor is further configured to deliver the cardiac treatment before the predetermined amount of time if the physiological condition of the patient exceeds a predetermined threshold.

15. The system of claim 14, further comprising a power supply and at least one capacitor within the housing and wherein said delivery of the cardiac treatment includes applying a voltage across the first and second electrodes to deliver an electrical shock to the heart of the patient, the voltage is stored in the at least one capacitor, and the processor is further configured to begin charging the at least one capacitor after said detection of the arrhythmia and within the predetermined amount of time.

16. The system of claim 15, further comprising an external controller in operable communication with the processor, at least one of the alarm signal generator and the user interface device being on the external controller.

17. The system of claim 15, wherein at least one of the alarm signal generator and the user interface device are connected to the housing.