MRI operation modes for implantable medical devices

• US 8,886,317 B2
• Filed: 09/16/2013
• Issued: 11/11/2014
• Est. Priority Date: 12/17/2004
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Cooke, Daniel J., Von Arx, Jeffrey A.
• Primary Examiner(s): Holmes, Rex R
• Application Number:
  US14/027,812
• Publication Number:
  US 20140018870A1
• Time in Patent Office: 421 Days
• Field of Search: 607/9, 607/27, 607/30, 607/31, 607/60, 600/411, 128/31
• US Class Current: 607/31
• CPC Class Codes: A61N 1/02 Details
• CPC Class Codes: A61N 1/36092 Mental training
• CPC Class Codes: A61N 1/3688 configured for switching the pacing mode, e.g. from AAI to DDD
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: A61N 1/3931 Protecting, e.g. back-up systems
• CPC Class Codes: A61N 1/3962 in combination with another heart therapy
• CPC Class Codes: A61N 1/39622 Pacing therapy
• CPC Class Codes: Y10S 128/901 Suppression of noise in electric signal

Abstract

One embodiment of the present invention relates to an implantable medical device (“IMD”) that can be programmed from one operational mode to another operational mode when in the presence of electro-magnetic interference (“EMI”). In accordance with this particular embodiment, the IMD includes a communication interface for receiving communication signals from an external device, such as a command to switch the IMD from a first operation mode to a second operation mode. The IMD further includes a processor in electrical communication with the communication interface, which is operable to switch or reprogram the IMD from the first operation mode to the second operation mode upon receiving a command to do so. In addition, the IMD includes a timer operable to measure a time period from when the processor switches the IMD to the second operation mode. In accordance with this aspect of the invention, the processor is in electrical communication with the timer, and is further operable to switch the IMD from the second operation mode back to the first operation mode when the measured time period reaches a predetermined time period.

Claims

1. An implantable medical device comprising:

a detector configured to sense a MRI electromagnetic field;

communications circuitry configured to receive a command from an external device; and

memory and a processor configured to;

switch operation of the implantable medical device from a non-MRI mode to an MRI mode upon reception of the command by the communications circuitry outside the presence of the MRI electromagnetic field, and

while in the MRI mode, switch operation of the implantable medical device from a first mode of operation to a second mode of operation based on the MRI electromagnetic field being detected, wherein the implantable medical device is prohibited from switching operation from the first mode to the second mode while operating in the non-MRI mode.

2. The device of claim 1, wherein the processor is further configured to:

measure a time period from when operation of the implantable medical device is switched to the second mode; and

switch the implantable medical device from the second mode to the first mode when the measured time period reaches a predetermined time period.

3. The device of claim 2, wherein the predetermined time period is extended if the MRI electromagnetic field is detected at the end of the predetermined time period.

4. The device of claim 1, wherein the implantable medical device is a cardiac pacing device.

5. The device of claim 1, wherein the implantable medical device is an implantable cardioverter defibrillator.

6. The device of claim 1, wherein the first mode comprises delivering a rate-responsive therapy and the second mode comprises delivering a non-rate-responsive therapy.

7. The device of claim 1, wherein the first mode comprises delivering a demand pacing therapy and the second mode comprises delivering a non-demand pacing therapy.

8. The device of claim 1, wherein arrhythmia detection is enabled in the first mode and turned-off in the second mode.

9. The device of claim 1, wherein the processor is configured to detect the cessation of the MRI electromagnetic field via the detector and switch operation of the implantable medical device from the second mode back to the first mode based on the detection of the cessation of the MRI electromagnetic field.

10. The device of claim 1, wherein the processor is configured to switch operation of the implantable medical device from the MRI mode back to the non-MRI mode based on reception of a second command by the communications circuitry.

11. The device of claim 1, wherein the processor is configured to detect the MRI electromagnetic field based on the strength of the MRI electromagnetic field exceeding a predetermined field strength threshold.

12. A method of operating an implantable medical device comprising:

receiving a command from an external device;

switching, upon receiving the command, operation of the implantable medical device from a non-MRI mode to an MRI mode prior to a MRI scan while outside the presence of an MRI electromagnetic field, and

detecting the MRI electromagnetic field of the MRI scan with a detector of the implantable medical device while the implantable medical device operates in the MRI mode; and

switching operation of the implantable medical device from a first mode of operation to a second mode of operation based on the MRI electromagnetic field being detected, wherein the implantable medical device is prohibited from switching operation from the first mode to the second mode while operating in the non-MRI mode.

13. The method of claim 12, further comprising:

measuring a time period from when operation of the implantable medical device is switched to the second mode; and

switching the implantable medical device from the second mode to the first mode when the measured time period reaches a predetermined time period.

14. The method of claim 13, wherein the predetermined time period is extended if the MRI electromagnetic field is detected at the end of the predetermined time period.

15. The method of claim 12, wherein the implantable medical device is one or both of a cardioverter defibrillator and a cardiac pacing device.

16. The method of claim 12, wherein the first mode comprises delivering a rate-responsive therapy and the second mode comprises delivering a non-rate-responsive therapy.

17. The method of claim 12, wherein the first mode comprises delivering a demand pacing therapy and the second mode comprises delivering a non-demand pacing therapy.

18. The method of claim 12, wherein arrhythmia detection is enabled in the first mode and turned off in the second mode.

19. The method of claim 12, further comprising:

detecting the cessation of the MRI electromagnetic field with the detector; and

switching operation of the implantable medical device from the second mode back to the first mode based on the detection of the cessation of the MRI electromagnetic field.

20. The method of claim 12, wherein the MRI electromagnetic field is detected based on the strength of the MRI electromagnetic field exceeding a predetermined field strength threshold.