Vector configuration detection and corrective response systems and methods

• US 8,494,634 B2
• Filed: 05/21/2012
• Issued: 07/23/2013
• 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:
  US13/476,651
• Publication Number:
  US 20120296385A1
• Time in Patent Office: 428 Days
• Field of Search: 607/9, 607 27- 30, 607/59, 607/60
• US Class Current: 607/30
• 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 and compare the programmed electrode pairs with the valid electrode pair listing. Other embodiments are also included herein.

Claims

1. A medical system comprising:

an external programmer device configured to initiate interrogation of a pulse generator, the pulse generator coupled to one or more stimulation leads; 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, 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 make unselectable those programming options that require the use of a pair of electrodes not included within the listing of valid electrode pairs.

3. The medical system of claim 1, wherein the valid electrode pair listing is grouped by chambers of the heart.

4. The medical system of claim 3, wherein the information regarding an alternative pacing, sensing, or shocking vector that may be substituted for the pacing, sensing, or shocking vector attempted by the user regards an electrode pair from the valid electrode pair listing from the same heart chamber grouping as the attempted pair of electrodes.

5. The medical system of claim 1, the external programmer device configured to omit programming options from the user interface that would require the use of a pair of electrodes not included within the listing of valid electrode pairs.

6. A medical system comprising:

an external programmer device configured to initiate interrogation of a pulse generator, the pulse generator coupled to one or more stimulation leads; 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, 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.

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. The medical system of claim 6, wherein the valid electrode pair listing is grouped by chambers of the heart.

9. The medical system of claim 8, wherein the information regarding an alternative pacing, sensing, or shocking vector that may be substituted for the pacing, sensing, or shocking vector attempted by the user regards an electrode pair from the valid electrode pair listing from the same heart chamber grouping as the attempted pair of electrodes.

10. The medical system of claim 6, the external programmer device configured to omit programming options from the user interface that would require the use of a pair of electrodes not included within the listing of valid electrode pairs.

11. A method for vector configuration detection and corrective response comprising:

initiating interrogation of an implanted pulse generator from an external programmer device;

receiving a listing of valid electrode pairs from the pulse generator;

displaying a notification through a user interface associated with the external programmer device if a system 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.

12. The method of claim 11, further comprising grouping the listing of valid electrode pairs by chamber of the heart.

13. The method of claim 11, further comprising making programming options that require the use of a pair of electrodes not included within the listing of valid electrode pairs unselectable.

14. The method of claim 11, further comprising delivering a fault warning if a system 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.

15. The method of claim 14, further comprising storing the fault warning in system memory.

16. The method of claim 11, further comprising sending a command through the external communication device to the pulse generator to regenerate the listing of valid electrode pairs.