Vector configuration detection and corrective response systems and methods

• US 8,185,203 B2
• Filed: 12/11/2008
• Issued: 05/22/2012
• Est. Priority Date: 12/14/2007
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Gilkerson, James O., Perschbacher, David L., Kalgren, James, Peterson, Les N., Lanz, Mitchell
• Primary Examiner(s): GETZOW, SCOTT M
• Application Number:
  US12/333,165
• Publication Number:
  US 20090157137A1
• Time in Patent Office: 1,258 Days
• Field of Search: 607/30, 607/59, 607/60, 607/28, 607/29, 607/9, 607/27
• US Class Current: 607/27
• 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 1/3686 configured for selecting the electrode configuration on a lead A61N1/3688 takes precedence
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing, the implantable medical device configured to compare the programmed electrode pairs with the valid electrode pair listing and to execute a corrective action procedure if one or more of the programmed electrode pairs are not included within the valid electrode pair listing. Other embodiments are also included herein.

Claims

1. A medical system comprising:

an external communication device configured to interrogate a pulse generator, the pulse generator coupled to one or more stimulation leads;

an external programmer device communicatively coupled to the external communication device; and

a user interface communicatively coupled to the external programmer device, the user interface configured to display information to a user;

the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to display a notification through the user interface if the user attempts to program a pacing, sensing, or shocking vector that requires a pair of electrodes that is not found on the listing of valid electrode pairs, the notification including information regarding an alternative pacing, sensing, or shocking vector that may be substituted for the pacing, sensing, or shocking vector attempted by the user.

2. The medical system of claim 1, the external programmer device configured to automatically select an alternative vector if the user attempts to program a pacing, sensing, or shocking vector that requires a pair of electrodes that is not included within the listing of valid electrode pairs.

3. The medical system of claim 1, the external programmer device configured to send a command through the external communication device to the pulse generator to regenerate the listing of valid electrode pairs.

4. The medical system of claim 1, the external communication device comprising an interrogation wand.

5. The medical system of claim 1, the external programmer device and the user interface comprising a programmer/recorder/monitor device.

6. A medical system comprising:

an implantable pulse generator coupled to one or more stimulation leads;

an external communication device configured to interrogate the implantable pulse generator;

an external programmer device communicatively coupled to the external communication device; and

a user interface communicatively coupled to the external programmer device, the user interface configured to display information to a user;

the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to display a notification through the user interface if the user attempts to program a pacing, sensing, or shocking vector that requires a pair of electrodes that is not found on the listing of valid electrode pairs, the notification including at least one possible substitution from the listing of valid electrode pairs.

7. The medical system of claim 6, the external programmer device configured to make unselectable those programming options that require the use of a pair of electrodes not included within the listing of valid electrode pairs.

8. A medical system comprising:

an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing by delivering a series of sub-threshold pulses of current, measuring impedance, and determining if the measured impedance falls within a predefined range of impedance values;

the implantable medical device comprising a telemetry circuit configured to receive programming instructions from an external device, the programming instructions including one or more programmed electrode pairs to be used for sensing, pacing, and/or shocking;

the implantable medical device configured to compare the programmed electrode pairs with the valid electrode pair listing and to execute a corrective action procedure if one or more of the programmed electrode pairs are not included within the valid electrode pair listing, the corrective action procedure comprising substituting one or more electrode pairs from the valid electrode pair listing in place of one or more of the programmed electrode pairs.

9. The medical system of claim 8, the corrective action procedure comprising generating a fault warning.

10. The medical system of claim 8, wherein the valid electrode pair listing is grouped by chambers of the heart, wherein each of the one or more electrode pairs from the valid electrode pair listing to be substituted is selected by picking an electrode pair from the valid electrode pair listing corresponding to the same chamber of the heart as the programmed electrode pair being substituted out.

11. The medical system of claim 8, the corrective action procedure comprising sending a notification to the external device, the notification including the valid electrode pair listing.

12. The medical system of claim 8, the corrective action procedure comprising sending an instruction to the external device to cause the external device to prevent a system user from programming vectors requiring an electrode that is not included within the valid electrode pair listing.