System and method for graphically configuring leads

• US 7,783,364 B2
• Filed: 05/17/2007
• Issued: 08/24/2010
• Est. Priority Date: 12/15/2000
• Status: Active Grant

• 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): Layno; Carl H
• Assistant Examiner(s): MALAMUD, DEBORAH LESLIE
• Application Number:
  US11/749,890
• Publication Number:
  US 20070213797A1
• Time in Patent Office: 1,195 Days
• Field of Search: 607/18, 607 25- 27, 607/116, 607/119, 607/122, 600393-394, 600/399, 600/423, 600/424, 600/508, 600/509, 600/515, 600522-523, 600527-528, 128/920, 128/922, 128/923
• US Class Current: 607/119
• 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, including a representative image of a proposed electrical signal to be applied by the medical device between the at least one electrode of the medical device and at least one other electrode before the medical device applies the electrical signal between the at least one electrode and the at least one other electrode. In one embodiment, the graphical display graphically represents the lead(s), the electrode(s), a pulse polarity, and a vector.

Claims

1. A system for providing a graphical display of 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 system comprising:

means for receiving information about the lead configuration and the programmable electrical configuration, wherein receiving information includes receiving both a present setting and a proposed changed setting for the programmable electrical configuration;

means for 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 for the proposed changed setting, 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;

means for receiving user verification that the proposed changed setting is acceptable; and

means for accepting the proposed changed setting as the present setting for the programmable electrical configuration.

2. The system of claim 1, wherein the means for graphically representing the programmable electrical configuration includes means for representing a lead position and an electrode position in the representative image of the programmable electrical configuration for the at least one electrode.

3. The system of claim 1, 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.

4. The system of claim 1, 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.

5. The system of claim 1, 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.

6. The system of claim 1, 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.

7. The system of claim 1, wherein the means for graphically representing the lead configuration and the programmable electrical configuration as a representative image includes means for graphically representing a heart and graphically representing the lead configuration with respect to the heart.

8. The system of claim 1, wherein the means for graphically representing the lead configuration and the programmable electrical configuration as a representative image includes means for graphically representing a can of the implantable medical device and graphically representing the lead configuration with the can.

9. The system of claim 1, wherein the means for graphically representing the lead configuration and the programmable electrical configuration as a representative image includes means for using a color scheme to represent the lead configuration and the programmable electrical configuration.

10. A method for providing a graphical display of 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 method comprising:

receiving information about the lead configuration and the programmable electrical configuration, wherein receiving information includes receiving both a present setting and a proposed changed setting for the programmable electrical configuration;

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 for the proposed changed setting, wherein graphically representing the programmable electrical configuration includes graphically displaying a lead representation, an electrode representation, and a vector in the representative image;

receiving user verification that the proposed changed setting is acceptable; and

accepting the proposed changed setting as the present setting for the programmable electrical configuration.

11. The method of claim 10, wherein graphically representing the programmable electrical configuration includes graphically displaying a pulse polarity in the representative image.

12. The method of claim 10, wherein the vector comprises a pace vector in the representative image.

13. The method of claim 10, wherein the vector comprises a sense vector in the representative image.

14. The method of claim 10, wherein the vector comprises a defibrillation vector in the representative image.

15. The method of claim 10, wherein graphically representing the lead configuration and the programmable electrical configuration includes graphically representing a heart and graphically representing the lead configuration with respect to the heart.

16. The method of claim 10, wherein graphically representing the lead configuration and the programmable electrical configuration includes graphically representing a can of the implantable medical device and graphically representing the lad configuration with the can.

17. The method of claim 10, wherein graphically representing the lead configuration and the programmable electrical configuration includes using a color scheme to represent the lead configuration and the programmable electrical configuration.