Method and apparatus for adjusting a sensing parameter

• US 8,068,901 B2
• Filed: 05/01/2007
• Issued: 11/29/2011
• Est. Priority Date: 05/01/2007
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Kleckner, Karen J., Krause, Paul G., Ghanem, Raja N., Stadler, Robert W., Zhang, Xusheng
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): SARCIONE, JESSICA LYNN
• Application Number:
  US11/742,625
• Publication Number:
  US 20080275516A1
• Time in Patent Office: 1,673 Days
• Field of Search: 607 25- 27, 600/509, 600515-519, 600/521
• US Class Current: 600/509
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/361 Detecting fibrillation
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61N 1/3704 Circuits specially adapted therefor, e.g. for sensitivity control
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting

Abstract

A method and apparatus of updating a sensing parameter in a medical device that includes sensing cardiac signals, determining intervals in response to the sensed cardiac signals, determining interval patterns associated with the determined intervals, and updating the sensing parameter in response to the determined interval patterns.

Claims

1. An apparatus for adjusting a sensing parameter in a medical device, comprising:

means for sensing cardiac signals;

means for determining intervals in response to the sensed cardiac signals;

means for determining interval patterns associated with the determined intervals, wherein the means for determining interval patterns comprises means for sorting the determined intervals from a smallest interval to a largest interval; and

means for updating the sensing parameter in response to the determined interval patterns, wherein the means for updating the sensing parameter comprises;

means for determining a first mean of a first predetermined number of the sorted determined intervals; and

means for determining a second mean of a second predetermined number of the sorted determined intervals, each interval of the second predetermined number of intervals being greater than intervals of the first predetermined number of the sorted determined intervals.

2. The apparatus of claim 1, wherein the means for updating the sensing parameter further comprises

means for determining a sum of the determined first mean and the determined second mean.

3. The apparatus of claim 1, wherein the means for updating the sensing parameter comprises:

means for determining a spectral width associated with the determined intervals; and

means for determining a sum of the spectral width and a predetermined interval of the determined intervals.

4. The apparatus of claim 1, further comprising means for updating the determined intervals in response to the determined interval patterns, wherein the sensing parameter is updated in response to the updated intervals.

5. The apparatus of claim 1, wherein the cardiac signals are sensed non-transveneously.

6. The apparatus of claim 1, wherein the adjusting of the sensing parameter is in response to oversensing being determined by the apparatus.

7. A method of updating a sensing parameter in a medical device, comprising:

sensing cardiac signals;

determining intervals in response to the sensed cardiac signals;

determining interval patterns associated with the determined intervals, wherein determining interval patterns comprises sorting the determined intervals from a smallest interval to a largest interval; and

updating the sensing parameter in response to the determined interval patterns, wherein updating the sensing parameter comprises;

determining a first mean of a first predetermined number of the sorted determined intervals; and

determining a second mean of a second predetermined number of the sorted determined intervals, each interval of the second predetermined number of intervals being greater than intervals of the first predetermined number of the sorted determined intervals.

8. The method of claim 7, wherein updating the sensing parameter further comprises

determining a sum of the determined first mean and the determined second mean.

9. The method of claim 7, wherein updating the sensing parameter comprises:

determining a spectral width associated with the determined intervals; and

determining a sum of the spectral width and a predetermined interval of the determined intervals.

10. The method of claim 7, further comprising updating the determined intervals in response to the determined interval patterns, wherein the sensing parameter is updated in response to the updated intervals.

11. The method of claim 7, wherein the cardiac signals are sensed non-transveneously.

12. The method of claim 7, wherein the adjusting of the sensing parameter is in response to oversensing being determined.

13. An apparatus for adjusting a sensing parameter in a medical device, comprising:

means for sensing cardiac signals;

means for determining intervals in response to the sensed cardiac signals;

means for determining interval patterns associated with the determined intervals, wherein the means for determining interval patterns comprises means for sorting the determined intervals from a smallest interval to a largest interval; and

means for updating the sensing parameter in response to the determined interval patterns, wherein the means for updating the sensing parameter comprises means for determining a spectral width associated with the determined intervals and means for determining a sum of the spectral width and a predetermined interval of the determined intervals.

14. A method of updating a sensing parameter in a medical device, comprising:

sensing cardiac signals;

determining intervals in response to the sensed cardiac signals;

determining interval patterns associated with the determined intervals, wherein determining interval patterns comprises sorting the determined intervals from a smallest interval to a largest interval; and

updating the sensing parameter in response to the determined interval patterns, wherein updating the sensing parameter comprises determining a spectral width associated with the determined intervals and determining a sum of the spectral width and a predetermined interval of the determined intervals.