Automatic disablement of an exposure mode of an implantable medical device

• US 8,805,496 B2
• Filed: 01/30/2009
• Issued: 08/12/2014
• Est. Priority Date: 01/30/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Ellingson, Michael L.
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US12/362,780
• Publication Number:
  US 20100198310A1
• Time in Patent Office: 2,020 Days
• Field of Search: 607/9, 607 27- 28, 607 4- 5, 607/6, 600/411, 600/509
• US Class Current: 607/6
• CPC Class Codes: A61N 1/3688 configured for switching the pacing mode, e.g. from AAI to DDD
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents

Abstract

Techniques may automatically disable an exposure mode that was enabled for operation in the presence of a disruptive energy field. For example, an implantable medical device (IMD) automatically disables the exposure operating mode when (i) the amount of time that has elapsed since enabling the IMD exceeds a threshold amount of time and (ii) a disruptive energy field is detected before the amount of time exceeds the threshold amount of time and the disruptive energy field is not currently detected. When either of these conditions is not met, the IMD continues to operate in accordance with the exposure operating mode.

Claims

1. A method comprising:

configuring an implantable medical device from a first operating mode to a second operating mode that is less susceptible to undesirable operation in a disruptive energy field than the first operating mode;

setting a timing mechanism to track an amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode;

monitoring for presence of the disruptive energy field;

automatically configuring the implantable medical device from the second operating mode to the first operating mode when (i) the amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode exceeds a threshold amount of time and (ii) the disruptive energy field was detected before the amount of time exceeds the threshold amount of time and the disruptive energy field is not currently detected; and

continuing to operate the implantable medical device in accordance with the second operating mode when condition (i) is met and no disruptive energy field is detected between when the implantable medical device is configured from the first operating mode to the second operating mode and when condition (i) is met.

2. The method of claim 1, further comprising continuing to operate the implantable medical device in accordance with the second operating mode when the disruptive energy field is currently detected.

3. The method of claim 1, wherein the threshold amount of time is a first threshold amount of time, the method further comprising:

tracking an amount of time since the disruptive energy field was last detected;

continuing to operate the implantable medical device in accordance with the second operating mode even when conditions (i) and (ii) are met when the amount of time since the disruptive energy field was last detected is less than a second threshold amount of time; and

configuring the implantable medical device from the second operating mode to the first operating mode when the amount of time since the disruptive energy field was last detected is greater than or equal to the second threshold amount of time.

4. The method of claim 1, further comprising resetting the timing mechanism when no disruptive energy field is detected before the amount of time that has elapsed since configuring the implantable medical device to the second operating mode exceeds the threshold amount of time.

5. The method of claim 1, wherein configuring the implantable medical device from the first operating mode to the second operating mode comprises configuring the implantable medical device in response to one of receiving a communication from a programming device or detecting the disruptive energy field.

6. The method of claim 1, further comprising:

switching from the second operating mode to the first operating mode when the implantable medical device has been operating in the second operating mode for more than a second threshold time period; and

providing an alarm to indicate the switching from the second operating mode to the first operating mode.

7. The method of claim 1, further comprising providing an alert to indicate that the implantable medical device has been operating in the exposure mode for longer than a threshold period of time.

8. The method of claim 1, wherein the second operating mode comprises one of the implantable medical device providing no stimulation or sensing, the implantable medical device providing stimulation but no sensing, or the implantable medical device providing sensing but no stimulation.

9. The method of claim 1, wherein the disruptive energy field comprises one of a magnetic field, an electric field and an electromagnetic field.

10. An implantable medical device comprising:

means for configuring the implantable medical device from a first operating mode to a second operating mode that is less susceptible to undesirable operation in a disruptive energy field than the first operating mode;

means for tracking an amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode; and

means for monitoring for presence of the disruptive energy field;

wherein the configuring means automatically configures the implantable medical device from the second operating mode to the first operating mode when (i) the amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode exceeds a threshold amount of time and (ii) the disruptive energy field was detected before the amount of time exceeds the threshold amount of time and the disruptive energy field is not currently detected, and

wherein the device continues to operate in accordance with the second operating mode when condition (i) is met and no disruptive energy field is detected between when the implantable medical device is configured from the first operating mode to the second operating mode and when condition (i) is met.

11. The device of claim 10, wherein the device continues to operate in accordance with the second operating mode when the disruptive energy field is currently detected.

12. The device of claim 10, wherein the threshold amount of time is a first threshold amount of time, the device further comprising means for tracking an amount of time since the disruptive energy field was last detected, wherein

the device continues to operate in accordance with the second operating mode even when conditions (i) and (ii) are met when the amount of time since the disruptive energy field was last detected is less than a second threshold amount of time;

and

the configuring means configures the device from the second operating mode to the first operating mode when the amount of time since the disruptive energy field was last detected is greater than or equal to the second threshold amount of time.

13. The device of claim 10, further comprising means for resetting the timing mechanism when no disruptive energy field is detected before the amount of time that has elapsed since configuring the implantable medical device to the second operating mode exceeds the threshold amount of time.

14. The device of claim 10, wherein the configuring means configured the device from the first operating mode to the second operating mode in response to one of receiving a communication from a programming device or detecting the disruptive energy field.

15. The device of claim 10, further comprising:

means for switching from the second operating mode to the first operating mode when the implantable medical device has been operating in the second operating mode for more than a second threshold time period; and

means for providing an alarm to indicate the switching from the second operating mode to the first operating mode.

16. The device of claim 10, further comprising means for providing an alert to indicate that the implantable medical device has been operating in the exposure mode for longer than a threshold period of time.

17. The device of claim 10, wherein the second operating mode comprises one of the implantable medical device providing no stimulation or sensing, the implantable medical device providing stimulation but no sensing, or the implantable medical device providing sensing but no stimulation.

18. The device of claim 10, wherein the disruptive energy field comprises one of a magnetic field, an electric field and an electromagnetic field.

19. An implantable medical device comprising:

a processor programmed to configure the implantable medical device from a first operating mode to a second operating mode that is less susceptible to undesirable operation in a disruptive energy field than the first operating mode;

a timing mechanism to track an amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode; and

a disruptive field detector to monitor for presence of the disruptive energy field;

wherein the processor is programmed to automatically configure the implantable medical device from the second operating mode to the first operating mode when (i) the amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode exceeds a threshold amount of time and (ii) the disruptive energy field was detected before the amount of time exceeds the threshold amount of time and the disruptive energy field is not currently detected, and

wherein the processor is programmed to continue to operate the implantable medical device in accordance with the second operating mode when condition (i) is met and no disruptive energy field is detected between when the implantable medical device is configured from the first operating mode to the second operating mode and when condition (i) is met.

20. The device of claim 19, wherein the processor is programmed to continue to operate the implantable medical device in accordance with the second operating mode when the disruptive energy field is currently detected.

21. The device of claim 19, wherein the threshold amount of time is a first threshold amount of time, the device further comprising a second timing mechanism to track an amount of time since the disruptive energy field was last detected, wherein:

the processor is programmed to continue to operate the implantable medical device in accordance with the second operating mode even when conditions (i) and (ii) are met when the amount of time since the disruptive energy field was last detected is less than a second threshold amount of time; and

the processor is programmed to configure the implantable medical device from the second operating mode to the first operating mode when the amount of time since the disruptive energy field was last detected is greater than or equal to the second threshold amount of time.

22. The device of claim 19, wherein the processor is programmed to reset the timing mechanism when no disruptive energy field is detected before the amount of time that has elapsed since configuring the implantable medical device to the second operating mode exceeds the threshold amount of time.

23. The device of claim 19, wherein the processor is programmed to configure the implantable medical device from the first operating mode to the second operating mode in response to one of receiving a communication from a programming device or detecting the disruptive energy field.

24. The device of claim 19, wherein the processor is programmed to switch from the second operating mode to the first operating mode when the implantable medical device has been operating in the second operating mode for more than a second threshold time period, the device further comprising:

an alarm module to provide an alert indicating the switching from the second operating mode to the first operating mode.

25. The device of claim 19, further comprising an alarm module to provide an alert to indicate that the implantable medical device has been operating in the exposure mode for longer than a threshold period of time.

26. The device of claim 19, wherein the second operating mode comprises one of the implantable medical device providing no stimulation or sensing, the implantable medical device providing stimulation but no sensing, or the implantable medical device providing sensing but no stimulation.

27. The device of claim 19, wherein the disruptive energy field comprises one of a magnetic field, an electric field and an electromagnetic field.

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

configure the implantable medical device from a first operating mode to a second operating mode that is less susceptible to undesirable operation in a disruptive energy field than the first operating mode;

set a timing mechanism to track an amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode;

monitor for presence of the disruptive energy field;

automatically configure the implantable medical device from the second operating mode to the first operating mode when (i) the amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode exceeds a threshold amount of time, wherein the threshold amount of time is not equal to zero and (ii) the disruptive energy field was detected before the amount of time exceeds the threshold amount of time and the disruptive energy field is not currently detected; and

continue to operate the implantable medical device in accordance with the second operating mode when condition (i) is met and no disruptive energy field is detected between when the implantable medical device is configured from the first operating mode to the second operating mode and when condition (i) is met.

29. The non-transitory computer-readable medium of claim 28, wherein the threshold amount of time is a first threshold amount of time, the non-transitory computer-readable medium further comprising instructions that, when executed, cause the implantable medical device to:

track an amount of time since the disruptive energy field was last detected;

continue to operate the implantable medical device in accordance with the second operating mode even when conditions (i) and (ii) are met when the amount of time since the disruptive energy field was last detected is less than a second threshold amount of time; and

configure the implantable medical device from the second operating mode to the first operating mode when the amount of time since the disruptive energy field was last detected is greater than or equal to the second threshold amount of time.

30. An implantable medical device comprising:

a processor programmed to configure the implantable medical device from a first operating mode to a second operating mode that is less susceptible to undesirable operation in a disruptive energy field than the first operating mode;

a first timing mechanism to track an amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode;

a disruptive field detector to monitor for presence of the disruptive energy field;

a second timing mechanism to track an amount of time since the disruptive energy field was last detected, wherein;

the processor is programmed to automatically configure the implantable medical device from the second operating mode to the first operating mode when (i) the amount of time that has elapsed since configuring the implantable medical device from the first operating mode to the second operating mode exceeds a threshold amount of time and (ii) the disruptive energy field was detected before the amount of time exceeds the threshold amount of time and the disruptive energy field is not currently detected,

the processor is further programmed to continue to operate the implantable medical device in accordance with the second operating mode even when conditions (i) and (ii) are met when the amount of time tracked by the second timing mechanism is less than a second threshold amount of time.

31. The device of claim 30, wherein the processor is further programmed to configure the implantable medical device from the second operating mode to the first operating mode when the amount of time since the disruptive energy field was last detected is greater than or equal to the second threshold amount of time.