Defibrillator with implantable medical device detection

• US 8,548,584 B2
• Filed: 10/27/2008
• Issued: 10/01/2013
• Est. Priority Date: 12/22/2005
• Status: Active Grant

• Current Assignee: Physio-Control Incorporated (Stryker Corporation)
• Original Assignee: Physio-Control Incorporated (Stryker Corporation)
• Inventors: Jorgenson, David J.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Patel, Natasha
• Application Number:
  US12/258,872
• Publication Number:
  US 20090054940A1
• Time in Patent Office: 1,800 Days
• Field of Search: 607/4, 607/5, 607/10, 607/32, 607/60
• US Class Current: 607/4
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36142 for improving safety
• 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: A61N 1/3904 External heart defibrillators [EHD]
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3993 User interfaces for automatic external defibrillators
• CPC Class Codes: G09B 23/28 for medicine
• CPC Class Codes: G09B 23/288 for artificial respiration or heart massage

Abstract

In general, the invention is directed to techniques for using an external defibrillator to detect a presence of an implantable medical device (IMD) implanted within a patient, and providing therapy to the patient through communication between the external defibrillator and the IMD. An external defibrillator provides prompts to a user of the external defibrillator to determine the presence of an IMD implanted within the patient. For example, the external defibrillator may prompt the user to visually inspect the patient'"'"'s chest for signs that an IMD was implanted, such as a scar or raised portion of skin near the patient'"'"'s clavicles. As another example, the external defibrillator may prompt the user to place a detection device on the patient'"'"'s chest. The detection device may be coupled to the external defibrillator, and may employ a magnet to initiate telemetry by the IMD to detect the presence of the IMD.

Claims

1. An external defibrillator for defibrillating a patient, the external defibrillator comprising:

a defibrillation therapy generator for use with electrodes that can be attached to skin of the patient; and

a user interface that presents one or more prompts to a user of the external defibrillator to detect presence of an implantable medical device (IMD) in the patient by requesting that the user examine an area of the body of the patient for evidence of presence of an IMD in the patient.

2. The external defibrillator of claim 1, wherein the user interface presents:

a first prompt requesting that the user examine a chest of the patient for a scar near clavicles of the patient;

a second prompt requesting that the user examine the chest of the patient for a raised portion of skin near the clavicles of the patient;

a third prompt requesting that the user place a detection device on the chest of the patient near the clavicles of the patient; and

a fourth prompt requesting that the user place the electrodes on the patient'"'"'s chest based on the location of the IMD.

3. The external defibrillator of claim 1, wherein the prompts include at least one of audible prompts or visual prompts, the external defibrillator including a device to present at least one of the audible prompts or visual prompts.

4. The external defibrillator of claim 1, wherein the user interface provides a medium for user input indicating that the user has detected presence of the IMD.

5. The external defibrillator of claim 1, further comprising a detection device that detects presence of the IMD, wherein the detection device is configured to trigger initiation of telemetry by the IMD and detect the presence of the IMD based on reception of one or more telemetry signals from the IMD.

6. The external defibrillator of claim 5, further comprising a processor that receives information from the IMD via the telemetry signals, wherein the processor controls the therapy generator to deliver therapy to the patient based on the received information.

7. The external defibrillator of claim 6, wherein the received information includes electrogram information, electrocardiogram information, and IMD event information.

8. A method comprising generating one or more prompts to a user of an external defibrillator to detect presence of an implantable medical device (IMD) in a patient.

9. The method of claim 8, further comprising presenting a prompt requesting that9 the user examine an area of the body of the patient for evidence of presence of the IMD in the patient.

10. The method of claim 8, further comprising generating:

a first prompt requesting that the user examine a chest of the patient for a scar near clavicles of the patient;

a second prompt requesting that the user examine the chest of the patient for a raised portion of skin near the clavicles of the patient;

a third prompt requesting that the user place a detection device of the external defibrillator on the chest of the patient near the clavicles of the patient; and

a fourth prompt requesting that the user place electrodes of the external defibrillator on the patient'"'"'s chest based on the location of the IMD.

11. The method of claim 8, wherein generating one or more prompts includes generating at least one of audible prompts or visual prompts.

12. The method of claim 8, wherein detecting presence of an IMD in the patient comprises triggering initiation of telemetry by the IMD and detecting the presence of the IMD based on reception of one or more telemetry signals from the IMD.

13. The method of claim 12, further comprising:

receiving information from the IMD via the telemetry signals; and

delivering therapy to the patient based on the received information.

14. The method of claim 13, wherein the received information includes electrogram information, electrocardiogram information, and IMD event infonnation.

15. An external defibrillator for defibrillating a patient, the external defibrillator comprising:

a defibrillation therapy generator for use with electrodes that can be attached to skin of the patient;

a user interface configured to provide prompts to a user;

a detection interface for receiving data regarding an implantable medical device (IMD) in the patient; and

a processor connected to the user interface and detection interface, the processor configured to generate user prompts on the user interface to request that the user examine an area of the body of the patient for evidence of presence of an IMD in the patient.

16. The external defibrillator of claim 15, in which the processor is further configured to end the user prompts on the user interface when the processor receives data from the detection interface indicating the presence of an IMD in the patient.