System and method for graphically configuring leads

• US 7,991,473 B2
• Filed: 07/16/2010
• Issued: 08/02/2011
• 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: Lockhart, John, Lindh, Par, Kalgren, James, Wentkowski, Rene H.
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): MALAMUD, DEBORAH LESLIE
• Application Number:
  US12/838,208
• Publication Number:
  US 20100280566A1
• Time in Patent Office: 382 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: 607/27
• 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, 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 device, comprising:

a graphical display;

one or more processors; and

a machine-readable medium comprising instructions, which when implemented by said one or more processors perform the following operations;

communicating with an implantable medical device (IMD), wherein the IMD has at least one electrode;

providing an image on the graphical display, including providing a representative image of a proposed electrical signal to be applied by the IMD between the at least one electrode of the IMD and at least one other electrode before the IMD applies the electrical signal between the at least one electrode and the at least one other electrode, and further including providing a representation of a vector type in the representative image of the proposed electrical signal for the at least one electrode;

receiving user verification that that the proposed electrical signal is acceptable; and

programming the IMD to deliver the proposed electrical signal.

2. The device of claim 1, wherein providing a representation of a vector type includes providing a representation of a pace vector.

3. The device of claim 1, wherein providing a representation of a vector type includes providing a representation of a sense vector.

4. The device of claim 1, wherein providing a representation of a vector type includes providing a representation of a defibrillation vector.

5. The device of claim 1, wherein the representative image includes a color scheme to represent elements of the at least one electrode, and the proposed electrical signal.

6. The device of claim 1, wherein providing an image on the graphical display further includes providing a representation of a lead position and an electrode position type in the representative image of the proposed electrical signal for the at least one electrode.

7. The device of claim 1, wherein providing an image on the graphical display further includes providing a representation of a pulse polarity type in the representative image of the proposed electrical signal for the at least one electrode.

8. The device of claim 1, wherein providing an image on the graphical display further includes providing a representation of a heart and graphically representing the proposed electrical signal with respect to the heart.

9. The device of claim 1, wherein providing an image on the graphical display further includes providing a representation of a can of the IMD and graphically representing the proposed electrical signal with the can.

10. A device comprising:

a graphical display; and

a processor, wherein the processor is adapted to be in communication with an implantable medical device, the implantable medical device including at least one lead with at least one electrode, and wherein the processor is adapted to provide an image on the graphical display, the image including a representative image of an electrical signal to be applied between the at least one electrode and 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, wherein the representative image of the electrical signal includes a representation of a vector associated with the at least one electrode.

11. The device of claim 10, wherein the representative image of the electrical signal includes a representation of a pulse polarity for the programmable electrical configuration.

12. The device of claim 10, wherein the representation of the vector includes a representation of a pace vector.

13. The device of claim 10, wherein the representation of the vector includes a representation of a sense vector.

14. The device of claim 10, wherein the representation of the vector includes a representation of a defibrillation vector.

15. The device of claim 10, wherein the image includes a color scheme to represent elements of the at least one lead with the at least one electrode, and the electrical signal to be applied between the at least one electrode and at least one other electrode.

16. The device of claim 10, wherein the image further includes a representation of a lead position and an electrode position type in the representative image of the electrical signal to be applied between the at least one electrode and at least one other electrode.

17. The device of claim 10, wherein the image includes a representation of a heart and a graphical representation of the electrical signal with respect to the heart.

18. The device of claim 10, wherein the image includes a representation of a can of the IMD and a graphical representation of the electrical signal with the can.