Magnetic field detection using magnetohydrodynamic effect

• US 8,467,882 B2
• Filed: 03/29/2011
• Issued: 06/18/2013
• Est. Priority Date: 03/29/2011
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Ellingson, Michael L., Yoon, Hyun J., Herberg, Ben W.
• Primary Examiner(s): GETZOW, SCOTT M
• Application Number:
  US13/074,162
• Publication Number:
  US 20120253426A1
• Time in Patent Office: 812 Days
• Field of Search: 607 4- 28, 607/63
• US Class Current: 607/63
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents

Abstract

An IMD may transition to an MRI mode automatically in response to detecting one or more conditions indicative of the presence of a strong magnetic field. Large static magnetic fields, such as those produced by an MRI device, may interact with the blood of a patient as it flows through the magnetic field to produce a voltage, a phenomenon referred to as the magnetohydrodynamic (MHD) effect. The voltage produced by the MHD effect is proportional to the strength of the magnetic field. As such, the voltage produced by blood flow in the strong magnetic field of an MRI device may result in a change in a characteristic of an electrogram (EGM). The IMD may detect the change in the characteristic of the EGM caused by the MHD effect and transition to operation in the MRI mode in response to at least the change in the EGM.

Claims

1. A method comprising:

detecting presence of a magnetic field based on the output of a magnetic field sensor;

identifying, in response to detecting the presence of the magnetic field, whether a change in a characteristic of an electrogram (EGM) measured by an implantable medical device indicative of the presence of the magnetic field exists;

determining that the detected magnetic field is a static magnet of a magnetic resonance imaging (MRI) device when the existence of the change in the characteristic of the EGM indicative of the presence of the magnetic field is identified;

determining that the detected magnetic field is a handheld magnet when the existence of the change in a characteristic of the EGM indicative of the presence of the magnetic field is not identified; and

adjusting operation of the implantable medical device based on the determination.

2. The method of claim 1, wherein adjusting operation of the implantable medical device comprises transitioning from a current mode to an MRI mode in response to determining that the detected magnetic field is the static magnet of the MRI device, wherein the MRI mode is different than the current mode.

3. The method of claim 2, wherein adjusting operation of the implantable medical device comprises transitioning from a current mode to a magnet mode in response to determining that the detected magnetic field is the handheld magnet, wherein the magnet mode is different than the MRI mode and the current mode.

4. The method of claim 2, wherein adjusting operation of the implantable medical device from the current mode to an MRI mode comprises:

determining a magnitude of the change in the characteristic of the EGM;

selecting one of a plurality of possible MRI modes based on a magnitude of the change in the characteristic of the EGM; and

transitioning operation of the implantable medical device to the selected MRI mode.

5. The method of claim 1, further comprising:

switching from a first sensing vector to a second sensing vector in response to detecting presence of the magnetic field based on the output of the magnetic field sensor, wherein the second sensing vector better senses the change in the characteristic of the EGM indicative of the presence of the magnetic field than the first sensing vector;

sensing the EGM using the second sensing vector; and

monitoring for the change in the characteristic of the EGM using EGM data sensed using the second sensing vector.

6. The method of claim 5, wherein switching from the first sensing vector to the second sensing vector comprises switching from the first sensing vector to one of a unipolar sensing vector and an SVC coil to RV coil sensing vector in response to detecting presence of the magnetic field based on the output of a magnetic field sensor.

7. The method of claim 1, wherein identifying whether the change in the characteristic of the EGM indicative of the presence of a magnetic field exists comprises identifying whether a change in a T-wave of the EGM exists.

8. The method of claim 7, wherein identifying whether the change in the T-wave exists comprises one of identifying whether a change in an amplitude of the T-wave, a change in a duration of the T-wave, a change in a frequency component of the T-wave, and a change in a morphology of the T-wave exists.

9. The method of claim 1, wherein identifying whether a change in a characteristic of the EGM indicative of the presence of a magnetic field exists comprises identifying whether a change in a T-wave of the EGM in which at least one of the corresponding P-wave, R-wave and QRS complex is substantially unchanged exists.

10. The method of claim 1, wherein identifying whether the change in the characteristic of the EGM exists comprises identifying whether a change in an S-T segment of the EGM exists.

11. The method of claim 10, wherein identifying whether the change in the S-T segment of the EGM exists further comprises identifying whether the change in a duration of the S-T segment, a change in a frequency component of the S-T segment, and a change in a morphology of the S-T segment exists.

12. An implantable medical system comprising:

at least one implantable medical lead that includes at least one electrode; and

an implantable medical device connected to the medical lead, the implantable medical device comprising;

a magnetic field sensor; and

a control module configured to detect presence of a magnetic field based on the output of the magnetic field sensor and, in response to detecting the presence of the magnetic field, monitor an electrogram (EGM) measured by an implantable medical device, identify whether a change in a characteristic of the EGM indicative of the presence of the magnetic field exists, determine that the detected magnetic field is a static magnet of a magnetic resonance imaging (MRI) device when the existence of the change in the characteristic of the EGM indicative of the presence of the magnetic field is identified, determine that the detected magnetic field is a handheld magnet when the existence of the change in a characteristic of the EGM indicative of the presence of the magnetic field is not identified, and adjust operation of the implantable medical device based on the determination.

13. The system of claim 12, wherein the control module transitions operation of the implantable medical device from a current mode to an MRI mode in response to determining that the detected magnetic field is the static magnet of the MRI device, wherein the MRI mode is different than the current mode.

14. The system of claim 13, wherein the control module transitions operation of the implantable medical device from the current mode to a magnet mode in response to determining that the detected magnetic field is the handheld magnet, wherein the magnet mode is different than the MRI mode and the current mode.

15. The system of claim 13, wherein the control module determines a magnitude of the change in the characteristic of the EGM, selects one of a plurality of possible MRI modes based on the magnitude of the change in the characteristic of the EGM and transitions operation of the implantable medical device to the selected MRI mode.

16. The system of claim 12, wherein

the implantable medical lead includes at least two electrodes, and

the control module switches from a first sensing vector to a second sensing vector in response detecting presence of the magnetic field based on the output of a magnetic field sensor, senses the EGM using the second sensing vector, and monitors for the change in the characteristic of the EGM using EGM data sensed using the switched sensing vector, wherein the second sensing vector better senses the change in the characteristic of the EGM indicative of the presence of the magnetic field than the first sensing vector.

17. The system of claim 16, wherein the control module switches from the first sensing vector to one of a unipolar sensing vector and an SVC coil to RV coil sensing vector in response detecting presence of the magnetic field based on the output of a magnetic field sensor.

18. The system of claim 12, wherein the control module identifies whether a change in a T-wave of the EGM indicative of the presence of a magnetic field exists.

19. The system of claim 18, wherein the control unit identifies whether one of a change in an amplitude of the T-wave of the EGM, a change in a duration of the T-wave, a change in a frequency component of the T-wave, and a change in a morphology of the T-wave of the EGM indicative of the presence of a magnetic field exists.

20. The system of claim 12, wherein the control unit identifies whether a change in a T-wave of the EGM that corresponds with one of a P-wave, R-wave and QRS complex that is substantially unchanged exists.

21. The system of claim 12, wherein the control module identifies whether a change in an S-T segment of the EGM indicative of the presence of a magnetic field exists.

22. The system of claim 21, wherein the control module identifies whether a change in at least one of a duration of the S-T segment, a change in a frequency component of the S-T segment, and a change in a morphology of the S-T segment indicative of the presence of a magnetic field exists.

23. A computer-readable medium comprising instructions that, when executed, cause an implantable medical device to:

detect presence of a magnetic field based on the output of a magnetic field sensor;

monitor an electrogram (EGM) measured by an implantable medical device in response to detecting the presence of the magnetic field;

identify whether a change in a characteristic of the EGM indicative of the presence of the magnetic field exists; and

determine that the detected magnetic field is a static magnet of a magnetic resonance imaging (MRI) device when the existence of the change in the characteristic of the EGM indicative of the presence of the magnetic field is identified;

determine that the detected magnetic field is a handheld magnet when the existence of the change in a characteristic of the EGM indicative of the presence of the magnetic field is not identified; and

adjust operation of the implantable medical device based on the determination.

24. An implantable medical system comprising:

at least one implantable medical lead that includes at least two electrodes; and

an implantable medical device connected to the medical lead, the implantable medical device comprising;

a magnetic field sensor; and

a control module configured to detect presence of a magnetic field based on the output of the magnetic field sensor and, in response to detecting the presence of the magnetic field based on the output of the magnetic field sensor, switch from a first sensing vector to a second sensing vector that better senses a change in the characteristic of an electrogram (EGM) indicative of the presence of the magnetic field than the first sensing vector, analyze the EGM sensed using the second sensing vector to determine whether a change in a characteristic of the EGM indicative of the presence of the magnetic field exists, and adjust operation of the implantable medical device based on whether the change in the characteristic of the EGM indicative of the presence of the magnetic field exists.