System and method to deliver therapy in presence of another therapy

• US 8,805,494 B2
• Filed: 07/30/2013
• Issued: 08/12/2014
• Est. Priority Date: 05/10/2005
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Libbus, Imad, Kramer, Andrew P., Linder, William J., Stahmann, Jeffrey E.
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US13/954,342
• Publication Number:
  US 20130317561A1
• Time in Patent Office: 378 Days
• Field of Search: None
• US Class Current: 607/4
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components
• CPC Class Codes: A61N 1/36514 controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585
• CPC Class Codes: A61N 1/36564 controlled by blood pressure
• CPC Class Codes: A61N 1/36592 controlled by the heart rate variability
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

Various aspects relate to a method. In various embodiments, a therapy of a first therapy type is delivered, and it is identified whether a therapy of a second therapy type is present to affect the therapy of the first therapy type. Delivery of the therapy is controlled based on the presence of the therapy of the second therapy type. Some embodiments deliver the therapy of the first type using one set of parameters in the presence of a therapy of a second type, and deliver the therapy of the first type using another set of parameters when the therapy of the second type is not present. In various embodiments, one of the therapy types includes a cardiac rhythm management therapy, and the other includes a neural stimulation therapy. Other aspects and embodiments are provided herein.

Claims

1. A system to deliver an electrical therapy to a patient to whom another electrical therapy is also delivered, comprising:

an electrical stimulator to deliver electrical pulses to the patient for the electrical therapy; and

a controller connected to the electrical stimulator and configured to use a set of one or more stimulation parameters to control delivery of the electrical pulses for the electrical therapy before a change in the other electrical therapy, the controller configured to account for and be responsive to the change in the other electrical therapy in delivering the electrical therapy to the patient by using another set of one or more stimulation parameters.

2. The system of claim 1, wherein the controller is configured to receive a communication alerting the controller about delivery of the other electrical therapy to the patient.

3. The system of claim 1, further comprising at least one physiological sensor connected to the controller, wherein the controller is configured to receive feedback from the at least one physiological sensor and use the feedback to control delivery of the electrical pulses for the electrical therapy.

4. The system of claim 1, wherein the controller is configured to account for a change in a presence of the other electrical therapy.

5. The system of claim 1, wherein the controller is configured to account for a change in an intensity of the other electrical therapy.

6. The system of claim 1, wherein the controller is configured to account for both a change in a presence and a change in an intensity of the other electrical therapy.

7. The system of claim 1, wherein the electrical therapy includes a neural stimulation therapy, and the other electrical therapy includes a ventricular defibrillation therapy.

8. The system of claim 1, wherein the electrical therapy includes a neural stimulation therapy, and the other electrical therapy includes an atrial defibrillation therapy.

9. The system of claim 1, wherein the electrical therapy includes a neural stimulation therapy, and the other electrical therapy includes a bradycardia pacing therapy.

10. The system of claim 1, wherein the electrical therapy includes a neural stimulation therapy, and the other electrical therapy includes a tachycardia pacing therapy.

11. The system of claim 1, wherein the electrical therapy includes a neural stimulation therapy, and the other electrical therapy includes a pacing therapy, the pacing therapy having a pacing mode, the pacing mode including an atrial pacing mode or a ventricular pacing mode or a dual chamber pacing mode.

12. The system of claim 1, wherein the other electrical therapy is an intermittent electrical therapy.

13. The system of claim 1, wherein the electrical stimulator and the controller are housed within an implantable housing of an implantable medical device, and wherein the other electrical therapy is delivered to the patient by another device.

14. The system of claim 13, wherein the other device is another implantable medical device.

15. A system to deliver an electrical neural stimulation therapy to a patient to whom another electrical therapy is delivered to myocardia of the patient, comprising:

an electrical stimulator to deliver electrical pulses to the patient for the electrical neural stimulation therapy; and

a controller connected to the electrical stimulator and configured to use a set of one or more stimulation parameters to control delivery of the electrical pulses for the electrical neural stimulation therapy before a change in the other electrical therapy, the controller configured to receive a communication alerting the controller about delivery of the other electrical therapy to the patient, the controller configured to account for and be responsive to the change in the other electrical therapy to the myocardia in delivering the electrical neural stimulation therapy to the patient by using another set of one or more stimulation parameters, at least one of the sets including at least one different stimulation parameter or at least one different parameter value.

16. The system of claim 15, wherein the controller is configured to account for a change in a presence of the other electrical therapy, or is configured to account for a change in an intensity of the other electrical therapy, or is configured to account for both a change in a presence and a change in an intensity of the other electrical therapy.

17. The system of claim 15, wherein the other electrical therapy to the myocardia includes a ventricular defibrillation therapy or an atrial defibrillation therapy, a bradycardia pacing therapy, or a tachycardia pacing therapy.

18. The system of claim 15, wherein the other electrical therapy to the myocardia includes a pacing therapy, the pacing therapy having a pacing mode, the pacing mode including an atrial pacing mode or a ventricular pacing mode or a dual chamber pacing mode.

19. A system to deliver an electrical therapy and another electrical therapy to a patient, comprising:

a first implantable medical device configured to deliver the electrical therapy to the patient;

a second device configured to intermittently deliver the other electrical therapy to the patient;

the first implantable medical device including;

an electrical stimulator to deliver electrical pulses to the patient for the electrical therapy; and

a controller connected to the electrical stimulator and configured to use a set of one or more stimulation parameters to control delivery of the electrical pulses for the electrical therapy before a change in the other electrical therapy, the controller configured to account for and be responsive to the change in the other electrical therapy in delivering the electrical therapy to the patient by using another set of one or more stimulation parameters, at least one of the sets including at least one different stimulation parameter or at least one different parameter value.

20. The system of claim 19, wherein the second device is configured to send an alert concerning delivery of the other electrical therapy, the controller is configured to receive the alert and account for the other therapy in response to the alert.