Testing communication during implantation

• US 8,983,619 B2
• Filed: 03/26/2010
• Issued: 03/17/2015
• Est. Priority Date: 12/30/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Cinbis, Can, Markowitz, H. Toby
• Primary Examiner(s): Heller, Tammie K
• Application Number:
  US12/732,403
• Publication Number:
  US 20110160557A1
• Time in Patent Office: 1,817 Days
• Field of Search: 607/30, 607/32, 607/60, 607/61
• US Class Current: 607/60
• CPC Class Codes: A61B 2034/2053 Tracking an applied voltage gradient
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 5/0028 Body tissue as transmission medium, i.e. transmission systems where the medium is the human body
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

A system and method are described for testing communication through a patient during implantation using telemetry coupling electrodes on a delivery catheter. In one example, at least two telemetry coupling electrodes may be placed on or within a delivery catheter to test conductive communication with external body electrodes during implantation. In some instances, the telemetry coupling electrodes of the delivery catheter may approximate the spacing of telemetry electrodes on an IMD. In this manner, testing conductively coupled communication with telemetry coupling electrodes of the catheter may be used to mimic the telemetry electrodes on the IMD and determine a target position and/or orientation of an electrode or electrodes of the IMD for successful conductive communication through the body.

Claims

1. An implantable medical device delivery system comprising:

a catheter configured to be located at least partially within a patient, the catheter comprising;

an elongate catheter body having a proximal end and a distal end, the distal end configured to be located within the patient;

at least two telemetry coupling electrodes located on the distal end of the catheter body; and

a feed line coupled to the at least two telemetry coupling electrodes;

at least one body electrode configured for placement on the patient; and

an external device, located outside of the patient, coupled to the feed line at the proximal end of the catheter and to the body electrode,

wherein the external device is configured to;

generate and receive a telemetry communication signal that is communicated through the patient between the body electrode and the telemetry coupling electrodes;

measure at least one parameter of the telemetry communication signal indicative of a quality of the telemetry communication signal for communication of data;

determine the quality of the telemetry communication signal for communication of data based on the measurement of the at least one parameter; and

report the quality of the telemetry communication signal to a user of the external device.

2. The system of claim 1, wherein the external device is further configured to predict a future telemetry communication signal quality between an implanted medical device and the external device based on the quality of the telemetry communication signal between the body electrode and the telemetry coupling electrodes.

3. The system of claim 1, wherein the at least one body electrode is one of a plurality of body electrodes configured for placement on the patient, each of which is coupled to the external device, the system further comprising:

a localization module that generates position information defining positions of the telemetry coupling electrodes within the patient using a plurality of signals communicated between the plurality of body electrodes and the at least two telemetry coupling electrodes,

wherein the external device is configured to measure the at least one parameter of the telemetry communication signal indicative of the quality of the telemetry communication signal between the plurality of body electrodes and the telemetry coupling electrodes for communication of data at various positions of the telemetry coupling electrodes and to store the position information generated by the localization module and the measurement of the at least one parameter indicative of the quality of the telemetry communication signal at the various positions.

4. The system of claim 3, wherein the localization module generates position information using signals communicated between at least one of:

the plurality of body electrodes and the at least two telemetry coupling electrodes;

the plurality of body electrodes and an implantable electrode coupled to an implantable medical device;

or

a sensor at the distal end of the catheter and the localization module.

5. The system of claim 3, wherein the external device is further configured to predict the quality of the telemetry communication signal through the patient between the external device and an implantable medical device, once implanted, such that telemetry electrodes on the implantable medical device are in substantially the same positions as the telemetry coupling electrodes at the time of the position measurements, as a function of the position information.

6. The system of claim 5, wherein the external device is further configured to recommend a suitable position and associated orientation for permanent implant of the implantable medical device.

7. The system of claim 3, wherein the external device is further configured to recommend one or more body electrode positions for successful communication with an implantable medical device, were the device implanted, such that a plurality of telemetry electrodes on the implantable medical device are in substantially the same positions as the telemetry coupling electrodes.

8. The system of claim 1, wherein the at least one parameter indicative of the quality of the telemetry communication signal for communication of data comprises at least one of a transmission power for detection of the signal, a received signal strength, a received signal to noise ratio, a bit error rate, a data throughput rate, a data dropout rate, or a background noise floor.