System and method for detection enhancement programming

• US 8,055,344 B2
• Filed: 04/21/2006
• Issued: 11/08/2011
• Est. Priority Date: 08/20/1999
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Gilkerson, James O., Lang, Douglas J., Conley, Vickie L., Stubbs, Scott
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US11/379,742
• Publication Number:
  US 20060195147A1
• Time in Patent Office: 2,027 Days
• Field of Search: 607/30, 607/31, 607/59
• US Class Current: 607/30
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

A system and method of enabling detection enhancements selected from a plurality of detection enhancements. In a system having a plurality of clinical rhythms, including a first clinical rhythm, where each of the detection enhancements is associated with the clinical rhythms, the first clinical rhythm is selected. The first clinical rhythm is associated with first and second detection enhancements. When the first clinical rhythm is selected, parameters of the first and second detection enhancements are set automatically. A determination is made as to whether changes are to be made to the parameters. If so, one or more of the parameters are modified under user control.

Claims

1. A system for delivering shocks to a heart, the system comprising:

a programmer adapted to communicate with a defibrillator and identify one or more detection enhancements from a plurality of predetermined detection enhancements for each clinical rhythm selected from a plurality of predetermined clinical rhythms, the plurality of predetermined detection enhancements including first detection enhancements for determining whether to inhibit a shock therapy and a second detection enhancement for bypassing a decision of one or more of the first detection enhancements to inhibit the shock therapy in response to a ventricular rate being greater than an atrial rate, the programmer including;

a selection module adapted to display the plurality of predetermined clinical rhythms and to allow a selection of one or more clinical rhythms from the plurality of predetermined clinical rhythms;

a parameter modification module coupled to the selection module, the parameter modification module adapted to store one or more parameters of the one or more detection enhancements associated with the selected one or more clinical rhythms; and

a communication module coupled to the selection module and the parameter modification module, the communication module adapted to program the one or more parameters into a medical device.

2. The system of claim 1, wherein the communication module is adapted to program the parameters into a defibrillator.

3. The system of claim 1, wherein the communication module is adapted to program the parameters into an implantable defibrillator.

4. The system of claim 1, wherein the selection module comprises a display to display the plurality of predetermined clinical rhythms and a user interface to allow the selection of one or more clinical rhythms from the plurality of predetermined clinical rhythms.

5. A system for delivering shocks to a heart, the system comprising:

a programmer adapted to identify one or more detection enhancements from a plurality of predetermined detection enhancements for each clinical rhythm selected from a plurality of predetermined clinical rhythms, the plurality of predetermined detection enhancements including detection enhancements determining whether to inhibit a shock therapy and whether to bypass the inhibition of the shock therapy, the programmer including;

a selection module including a display adapted to display the plurality of predetermined clinical rhythms and a user interface adapted to allow a selection of one or more clinical rhythms from the plurality of predetermined clinical rhythms, the display including;

a zone rate bar presenting a plurality of predetermined arrhythmia zones each associated with one or more detection enhancements of the plurality of predetermined detection enhancements;

a detection parameter summary;

detection buttons each associated with one arrhythmia zone of the plurality of predetermined arrhythmia zones to display the detection parameter summary for that one arrhythmia zone and to access the detection parameters for that one arrhythmia zone;

a therapy parameter summary; and

therapy buttons each associated with one arrhythmia zone of the plurality of predetermined arrhythmia zones to display the therapy parameter summary for that one arrhythmia zone and to access the therapy parameters for that one arrhythmia zone;

a parameter modification module coupled to the selection module, the parameter modification module adapted to store one or more parameters of the one or more detection enhancements associated with the selected one or more clinical rhythms; and

a communication module coupled to the selection module and the parameter modification module, the communication module adapted to program the one or more parameters into a medical device.

6. The system of claim 5, wherein the display comprises number buttons for changing a number of the arrhythmia zones in the plurality of predetermined arrhythmia zones.

7. The system of claim 5, wherein the zone rate bar presenting the plurality of arrhythmia zones comprises a zone rate bar presenting a plurality of tachyarrhythmia zones, and wherein the display further comprises a brady therapy summary to present bradycardia therapy parameters and access to the bradycardia therapy parameters.

8. The system of claim 7, comprising means for determining the parameters.

9. The system of claim 8, further comprising means for determining a shock delivery by performing the one or more detection enhancements identified for the selected one or more clinical rhythms.

10. The system of claim 8, wherein the means for determining the parameters comprises means for determining whether to receive a modification to the parameters.

11. The system of claim 8, wherein the selection module comprises a user interface means for displaying the plurality of predetermined clinical rhythms and receiving a selection of the one or more detection enhancements related to the selection of the one or more clinical rhythms.

12. The system of claim 11, wherein the user interface means comprises means for presenting a plurality of arrhythmia zones each associated with one or more detection enhancements of the plurality of predetermined detection enhancements.

13. The system of claim 12, wherein the user interface means comprises means allowing for changing a number of the arrhythmia zones in the plurality of arrhythmia zones.

14. The system of claim 12, wherein the means for presenting the plurality of arrhythmia zones comprises means for displaying rate threshold values each of which is associated with one of the plurality of arrhythmia zones and for allowing for changing of the rate threshold value for the one of the plurality of arrhythmia zones.

15. The system of claim 11, wherein the means for determining the parameters comprises a further user interface means.

16. The system of claim 15, wherein the further user interface means comprises:

means for displaying a detection parameter summary within the one of the plurality of arrhythmia zones and allowing for modifications of the detection parameters within that one of the plurality of arrhythmia zones; and

means for displaying a therapy parameter summary associated with the one of the plurality of arrhythmia zones and allowing for modifications of the therapy parameters within that one of the plurality of arrhythmia zones.

17. The system of claim 5, wherein the zone rate bar comprises labels each representing one of the plurality of arrhythmia zones.

18. The system of claim 17, wherein the zone rate bar further comprises changeable rate threshold values each associated with one of the plurality of arrhythmia zones.

19. The system of claim 17, wherein the zone rate bar comprises labels representing at least one of atrial tachyarrhythmia, sinus tachycardia, polymorphic ventricular tachyarrhythmia, and ventricular fibrillation.

20. The system of claim 5, wherein the plurality of predetermined detection enhancements comprises a V Rate>

A Rate enhancement for delivering the shock therapy and bypassing an inhibition of the shock therapy decided by another enhancement of the plurality of predetermined detection enhancements in response to a ventricular rate being greater than an atrial rate.

21. A system for delivering shocks to a heart, the system comprising:

a programmer adapted to identify one or more detection enhancements from a plurality of predetermined detection enhancements for each clinical rhythm of a plurality of predetermined clinical rhythms, the programmer including;

a selection module including a display adapted to display the plurality of predetermined clinical rhythms and a user interface adapted to allow a selection of one or more clinical rhythms from the plurality of predetermined clinical rhythms, the display including;

a zone rate bar presenting a plurality of predetermined arrhythmia zones each associated with one or more detection enhancements of the plurality of predetermined detection enhancements;

a detection parameter summary;

detection buttons each associated with one arrhythmia zone of the plurality of predetermined arrhythmia zones to display the detection parameter summary for that one arrhythmia zone and to access the detection parameters for that one arrhythmia zone;

a therapy parameter summary; and

therapy buttons each associated with one arrhythmia zone of the plurality of predetermined arrhythmia zones to display the therapy parameter summary for that one arrhythmia zone and to access the therapy parameters for that one arrhythmia zone;

a parameter modification module coupled to the selection module, the parameter modification module adapted to store one or more parameters of the one or more detection enhancements associated with the selected one or more clinical rhythms; and

a communication module coupled to the selection module and the parameter modification module, the communication module adapted to program the one or more parameters into a medical device.

22. The system of claim 21, wherein the display comprises number buttons for changing a number of the arrhythmia zones in the plurality of predetermined arrhythmia zones.

23. The system of claim 21, wherein the zone rate bar presenting the plurality of arrhythmia zones comprises a zone rate bar presenting a plurality of tachyarrhythmia zones, and wherein the display further comprises a brady therapy summary to present bradycardia therapy parameters and access to the bradycardia therapy parameters.

24. The system of claim 21, wherein the zone rate bar comprises labels each representing one of the plurality of arrhythmia zones.

25. The system of claim 24, wherein the zone rate bar further comprises changeable rate threshold values each associated with one of the plurality of arrhythmia zones.

26. The system of claim 24, wherein the zone rate bar comprises labels representing at least one of atrial tachyarrhythmia, sinus tachycardia, polymorphic ventricular tachyarrhythmia, and ventricular fibrillation.

27. The system of claim 23, comprising means for determining the parameters.

28. The system of claim 27, further comprising means for determining a shock delivery by performing the one or more detection enhancements identified for the selected one or more clinical rhythms.

29. The system of claim 27, wherein the means for determining the parameters comprises means for determining whether to receive a modification to the parameters.

30. The system of claim 27, wherein the selection module comprises a user interface means for displaying the plurality of predetermined clinical rhythms and receiving a selection of the one or more detection enhancements related to the selection of the one or more clinical rhythms.

31. The system of claim 30, wherein the user interface means comprises means for presenting a plurality of arrhythmia zones each associated with one or more detection enhancements of the plurality of predetermined detection enhancements.

32. The system of claim 31, wherein the user interface means comprises means allowing for changing a number of the arrhythmia zones in the plurality of arrhythmia zones.

33. The system of claim 31, wherein the means for presenting the plurality of arrhythmia zones comprises means for displaying rate threshold values each of which is associated with one of the plurality of arrhythmia zones and for allowing for changing of the rate threshold value for the one of the plurality of arrhythmia zones.

34. The system of claim 30, wherein the means for determining the parameters comprises a further user interface means.

35. The system of claim 34, wherein the further user interface means comprises:

means for displaying a detection parameter summary within the one of the plurality of arrhythmia zones and allowing for modifications of the detection parameters within that one of the plurality of arrhythmia zones; and

means for displaying a therapy parameter summary associated with the one of the plurality of arrhythmia zones and allowing for modifications of the therapy parameters within that one of the plurality of arrhythmia zones.