Implantable medical device for treating neurological conditions including ECG sensing
First Claim
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1. A method comprising:
- implanting into a patient a medical device having at least three leadless electrodes located on a housing of the medical device, a brain port, and a cardiac port, the medical device having a processor communicatively coupled to the cardiac port, the brain port, and the at least three leadless electrodes, each of the at least three leadless electrodes adapted for cardiac sensing;
implanting into the patient a brain lead having a proximal end coupled to the brain port and a distal end with at least one electrode, and implanting the distal end in the patient at a location to sense electrical signals from the patient'"'"'s brain;
disabling the cardiac port either before or after implantation of the device;
determining which of the at least three leadless electrodes will be used for cardiac monitoring and which of the at least three leadless electrodes will instead be used for brain signal monitoring;
enabling cardiac monitoring from two of the at least three leadless electrodes based on the determination;
enabling brain signal monitoring from one of the at least three leadless electrodes adapted for cardiac sensing but not enabled for cardiac monitoring based on the determination, the processor including sensing circuitry adapted to receive and process electrical signals received by the distal end of the brain lead and the one of the at least three leadless electrodes enabled for brain signal monitoring;
monitoring for the presence of cardiac events that may require cardiac therapy;
if no cardiac events that may require therapy are identified, maintaining cardiac monitoring using the two leadless electrodes; and
if a cardiac event that may require cardiac therapy is identified, enabling the cardiac port.
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Abstract
An implantable medical device such as an implantable pulse generator that includes EEG sensing for monitoring and treating neurological conditions, and leadless ECG sensing for monitoring cardiac signals. The device includes a connector block with provisions for cardiac leads which may be used/enabled when needed. If significant co-morbid cardiac events are observed in patients via the leadless ECG monitoring, then cardiac leads may be subsequently connected for therapeutic use.
170 Citations
41 Claims
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1. A method comprising:
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implanting into a patient a medical device having at least three leadless electrodes located on a housing of the medical device, a brain port, and a cardiac port, the medical device having a processor communicatively coupled to the cardiac port, the brain port, and the at least three leadless electrodes, each of the at least three leadless electrodes adapted for cardiac sensing; implanting into the patient a brain lead having a proximal end coupled to the brain port and a distal end with at least one electrode, and implanting the distal end in the patient at a location to sense electrical signals from the patient'"'"'s brain; disabling the cardiac port either before or after implantation of the device; determining which of the at least three leadless electrodes will be used for cardiac monitoring and which of the at least three leadless electrodes will instead be used for brain signal monitoring; enabling cardiac monitoring from two of the at least three leadless electrodes based on the determination; enabling brain signal monitoring from one of the at least three leadless electrodes adapted for cardiac sensing but not enabled for cardiac monitoring based on the determination, the processor including sensing circuitry adapted to receive and process electrical signals received by the distal end of the brain lead and the one of the at least three leadless electrodes enabled for brain signal monitoring; monitoring for the presence of cardiac events that may require cardiac therapy; if no cardiac events that may require therapy are identified, maintaining cardiac monitoring using the two leadless electrodes; and if a cardiac event that may require cardiac therapy is identified, enabling the cardiac port. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method comprising:
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implanting into a patient a medical device having a plurality of cardiac sensing electrodes and a brain port, the medical device having a processor communicatively coupled to the cardiac sensing electrodes and the brain port; implanting into the patient a brain lead having a proximal end coupled to the brain port and a distal end with at least one electrode, and implanting the distal end in the patient at a location to sense electrical signals from the patient'"'"'s brain; dividing the plurality of cardiac sensing electrodes for use between cardiac monitoring and brain monitoring; enabling cardiac monitoring from two of the plurality of cardiac sensing electrodes based on the division of the plurality of cardiac sensing electrodes; enabling brain signal monitoring from one of the plurality of cardiac sensing electrodes not enabled for cardiac monitoring based on the division of the plurality of cardiac sensing electrodes, the processor including sensing circuitry adapted to receive and process electrical signals received by the distal end of the brain lead and the one of the plurality of cardiac sensing electrodes enabled for brain signal monitoring; and assessing the cardiac monitoring for the presence of cardiac events that may require cardiac therapy. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26)
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27. An apparatus for leadless acquisition of electrocardiographic data comprising:
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a hermetically sealed implantable device including at least three leadless electrodes located on a housing of the medical device, a brain port, and a cardiac therapy port wherein each of the at least three leadless electrodes are adapted for cardiac sensing; a brain lead having a proximal end coupled to the brain port, the brain lead having a distal end with at least one electrode configured to be implanted in a human at a location to sense electrical signals from the human'"'"'s brain; a therapy module coupled to the cardiac therapy port for providing therapeutic output to the heart; a processor in communication with the at least three leadless electrodes, the brain port, and the cardiac port; and a non-transitory computer readable medium in communication with the processor, the computer readable medium comprising executable instructions for causing the processor to perform the following; enable two of the at least three leadless electrodes for cardiac monitoring based on a post-implantation determination indicating which of the at least three leadless electrodes will be used for cardiac monitoring; enable brain signal monitoring from one of the at least three leadless electrodes adapted for cardiac monitoring but not enabled for cardiac monitoring; receive and process electrical signals received by the distal end of the brain lead and the one leadless electrode enabled for brain signal monitoring; monitor for the presence of cardiac events that may require cardiac therapy, and if no cardiac event that may require cardiac therapy is identified, maintain cardiac monitoring using the two leadless electrodes; and if a cardiac event that may require cardiac therapy is identified, enable the cardiac therapy port so that cardiac leads may subsequently be coupled to the cardiac port. - View Dependent Claims (28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40)
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41. An apparatus for leadless acquisition of electrocardiographic data comprising:
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a hermetically sealed implantable device including at least three leadless electrodes located on a housing of the medical device and a brain port; a brain lead having a proximal end coupled to the brain port, the brain lead having a distal end with at least one electrode configured to be implanted in a human at a location to sense electrical signals from the human'"'"'s brain; a processor in communication with the at least three leadless electrodes and the brain port; and a non-transitory computer readable medium in communication with the processor, the computer readable medium comprising executable instructions for causing the processor to perform the following; enable two of the at least three leadless electrodes for cardiac monitoring based on a post-implantation determination indicating which of the at least three leadless electrodes will be used for cardiac monitoring; enable brain signal monitoring from one of the at least three leadless electrodes adapted for cardiac monitoring but not enabled for cardiac monitoring; receive and process electrical signals received by the distal end of the brain lead and the one leadless electrode enabled for brain signal monitoring; and monitor for the presence of cardiac events that may require cardiac therapy.
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Specification