Intracardiac device and method for storing cardiac test results and associated EGM data

• US 8,583,219 B1
• Filed: 08/01/2012
• Issued: 11/12/2013
• Est. Priority Date: 09/12/2005
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Rhude, Jennifer, Mouchawar, Elia A., Houck, David, Hauck, Gregory, Singh, Tejpal, Prue, Monique
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US13/564,417
• Time in Patent Office: 468 Days
• Field of Search: 607/11, 600509-510
• US Class Current: 600/510
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/335 using integrated circuit memory devices
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371

Abstract

In a possible implementation, a method for cardiac testing is provided which includes measuring test data associated with cardiac events and storing the test data in an intracardiac stimulation device. The method further includes acquiring event electrograms corresponding with the test data and storing the event electrograms corresponding with the test data in the intracardiac stimulation device. In a possible implementation, marker data is stored associating event electrograms with measured test data, which may identify the event electrograms used for measuring the test data and/or identify when adjacent event electrograms are not contiguous. In some implementations, the test data may be measured and stored in an out-of-clinic test, and the test data and the corresponding event electrograms may be later retrieved from the intracardiac stimulation device and presented on a visual display.

Claims

1. An implantable cardiac stimulation device comprising:

a) a memory;

b) a pulse generator configured to generate a pacing pulse; and

c) a processor configured such that the implantable cardiac stimulation device is capable of;

automatically recording in the implantable cardiac stimulation device a measured test result from a cardiac test performed out of clinic;

storing in the memory non-contiguous electrogram data corresponding with cardiac event complexes used to obtain the measured test result;

storing in the memory marker data associated with the non-contiguous electrogram data;

transmitting the non-contiguous electrogram data and marker data to an external device; and

displaying on a visual display at least a portion of the non-contiguous electrogram data and marker data in clinic.

2. The implantable cardiac stimulation device of claim 1, wherein the processor is further configured such that the implantable cardiac stimulation device is capable of storing marker data indicating when adjacent event electrograms are not contiguous.

3. The implantable cardiac stimulation device of claim 1, wherein the test result comprises at least one of:

(a) a capture threshold;

or (b) an amplitude measurement.

4. The implantable cardiac stimulation device of claim 1, wherein the processor is such that the implantable cardiac stimulation device is capable of storing event electrogram data if the event electrogram data corresponds to a peak during a sampling interval.

5. The implantable cardiac stimulation device of claim 1, wherein the processor is further configured such that storing the non-contiguous electrogram data comprises:

storing about one second of an electrogram before a cardiac event used to obtain measured test result; and

storing about one second of an event electrogram after the cardiac event used to obtain the measured test result.