System and method for detection enhancement programming

• US 8,855,766 B2
• Filed: 11/01/2011
• Issued: 10/07/2014
• Est. Priority Date: 08/20/1999
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Gilkerson, James O., Conley, Vickie L., Stubbs, Scott R., Lang, Douglas J.
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US13/286,408
• Publication Number:
  US 20120046704A1
• Time in Patent Office: 1,071 Days
• Field of Search: 607/30, 607/31, 607/59
• US Class Current: 607/30
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

A system and method of enabling detection enhancements selected from a plurality of detection enhancements. In a system having a plurality of clinical rhythms, including a first clinical rhythm, where each of the detection enhancements is associated with the clinical rhythms, the first clinical rhythm is selected. The first clinical rhythm is associated with first and second detection enhancements. When the first clinical rhythm is selected, parameters of the first and second detection enhancements are set automatically. A determination is made as to whether changes are to be made to the parameters. If so, one or more of the parameters are modified under user control.

Claims

1. A method for delivering shocks to a heart, the method comprising:

displaying a plurality of predetermined arrhythmia zones, a plurality of rate thresholds, and a plurality of detection buttons, the predetermined arrhythmia zones each identified by a rate threshold of the plurality of rate thresholds, the detection buttons each associated with an arrhythmia zone of the displayed plurality of predetermined arrhythmia zones to allow for access to detection parameters for the associated arrhythmia zone;

receiving selection of a detection button from the displayed plurality of detection buttons;

displaying one or more predetermined clinical rhythms for which rhythm discrimination is available for the arrhythmia zone associated with the selected detection button to allow for selection of a clinical rhythm from the displayed one or more predetermined clinical rhythms;

receiving the selection of the clinical rhythm;

identifying one or more detection enhancements associated with the selection of the clinical rhythm from a plurality of predetermined detection enhancements each being a set of rules for determining when to deliver one or more of the shocks; and

setting detection enhancement parameters associated with the identified one or more detection enhancements; and

programming the detection enhancement parameters into a device to perform the identified one or more detection enhancements.

2. The method of claim 1, further comprising storing detection enhancement parameter values, and wherein setting the detection enhancement parameters comprises setting the detection enhancement parameters to the stored detection enhancement parameter values.

3. The method of claim 1, wherein setting the detection enhancement parameters comprises determining whether to receive a modification to the detection enhancement parameters.

4. The method of claim 3, wherein setting the detection enhancement parameters further comprises receiving the modification to the detection enhancement parameters through a user interface.

5. The method of claim 1, wherein the shocks comprise ventricular shocks, and programming the detection enhancement parameters into the device comprises programming the detection enhancement parameters into a defibrillator to perform at least one of delaying a delivery of one of the shocks, inhibiting a delivery of one of the shocks, bypassing an inhibition of a delivery of one of the shocks, and bypassing another therapy in favor of a delivery of one of the shocks.

6. The method of claim 5, wherein identifying the one or more detection enhancements comprises selecting a detection enhancement including delivering one of the shocks if a ventricular rate is greater than an atrial rate.

7. The method of claim 6, wherein selecting the detection enhancement including delivering one of the shocks if the ventricular rate is greater than the atrial rate comprises selecting a detection enhancement including bypassing the inhibition of the delivery of one of the shocks in response to the ventricular rate being greater than the atrial rate.

8. The method of claim 5, wherein identifying the one or more detection enhancements comprises selecting a detection enhancement including inhibiting a delivery of one of the shocks if the atrial rhythm is fast.

9. The method of claim 5, wherein identifying the one or more detection enhancements comprises selecting a detection enhancement including inhibiting a delivery of one of the shocks if the ventricular rate is unstable.

10. The method of claim 5, wherein identifying the one or more detection enhancements comprises selecting a detection enhancement including inhibiting a delivery of one of the shocks if a heart rate increases gradually.

11. The method of claim 5, wherein identifying the one or more detection enhancements comprises selecting a detection enhancement including delivering one of the shocks if an analysis of the ventricular rhythm is determined to be unstable.

12. The method of claim 5, wherein identifying the one or more detection enhancements comprises selecting a detection enhancement including delivering one of the shocks if a high heart rate continues throughout a programmed time period.

13. The method of claim 1, wherein displaying the one or more predetermined clinical rhythms comprises displaying one or more tachyarrhythmia zones of the plurality of predetermined arrhythmia zones.

14. The method of claim 13, wherein displaying the one or more tachyarrhythmia zones comprises displaying one or more of atrial tachyarrhythmia, sinus tachycardia, polymorphic ventricular tachyarrhythmia, and ventricular fibrillation.

15. The method of claim 1, wherein the plurality of predetermined detection enhancements comprises a first detection enhancement for determining whether to inhibit a shock therapy and a second detection enhancement for bypassing a decision of the first detection enhancement to inhibit the shock therapy in response to a ventricular rate being greater than an atrial rate.

16. The method of claim 1, further comprising displaying a detection summary for each arrhythmia zone of the plurality of predetermined arrhythmia zones.

17. The method of claim 1, further comprising displaying a therapy summary and therapy buttons each associated with an arrhythmia zone of the plurality of predetermined arrhythmia zones to display the therapy summary for that arrhythmia zone and to access the therapy parameters for that arrhythmia zone.

18. The method of claim 1, wherein displaying the plurality of predetermined arrhythmia zones comprises displaying ventricular tachycardia and ventricular fibrillation zones.

19. The method of claim 18, further comprising displaying number buttons allowing for changing a number of the arrhythmia zones in the plurality of predetermined arrhythmia zones.

20. The method of claim 18, further comprising displaying a value for the rate threshold identifying each arrhythmia zone of the plurality of arrhythmia zones to allow change of the value by a user.