System and method for detection enhancement programming

• US 9,037,232 B2
• Filed: 08/11/2014
• Issued: 05/19/2015
• 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:
  US14/456,531
• Publication Number:
  US 20140350619A1
• Time in Patent Office: 281 Days
• Field of Search: 607/30, 607/31, 607/59
• US Class Current: 607/4
• 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 cardiac shock therapy system, comprising:

means for 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;

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

means for 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;

means for receiving the selection of the clinical rhythm;

means for identifying one or more detection enhancements associated with the selected 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;

means for determining detection enhancement parameters associated with the identified one or more detection enhancements; and

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

2. The system of claim 1, wherein the means for determining parameters comprises means for determining whether to receive a modification to the parameters.

3. The system of claim 1, wherein the means for displaying and the means for receiving comprise a user interface means.

4. The system of claim 3, wherein the user interface means comprises means allowing for changing a number of the arrhythmia zones in the plurality of predetermined arrhythmia zones.

5. The system of claim 3, wherein the means for displaying the plurality of predetermined arrhythmia zones further comprises means for allowing for changing of the rate threshold value for the one of the plurality of predetermined arrhythmia zones.

6. The system of claim 1, wherein the means for determining the detection enhancement parameters also comprises a further user interface means including:

means for displaying a detection parameter summary associated with the one of the plurality of predetermined arrhythmia zones and allowing for modifications of the detection parameters associated with that one of the plurality of predetermined arrhythmia zones; and

means for displaying a therapy parameter summary associated with the one of the plurality of predetermined arrhythmia zones and allowing for modifications of the therapy parameters associated with that one of the plurality of predetermined arrhythmia zones.

7. The system of claim 1,

wherein the means for displaying the one or more predetermined clinical rhythms for selection comprises means for displaying one or more predetermined clinical rhythms of the 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.

8. The system of claim 7, further comprising means for storing detection enhancement parameter values, and wherein the means for determining detection enhancement parameters associated with the identified one or more detection enhancements comprises means for setting the detection enhancement parameters to values identified from the stored detection enhancement parameter values.

9. The system of claim 7, further comprising means for delivering shocks including ventricular shocks, and wherein the means for programming the detection enhancement parameters into the device to perform the identified one or more detection enhancements 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.

10. The system of claim 9, wherein the means for identifying the one or more detection enhancements associated with the selected clinical rhythm from the plurality of predetermined detection enhancements comprises means for selecting a detection enhancement including delivering one of the shocks if a ventricular rate is greater than an atrial rate.

11. The system of claim 9, wherein the means for identifying the one or more detection enhancements associated with the selected clinical rhythm from the plurality of predetermined detection enhancements comprises means for selecting a detection enhancement including inhibiting a delivery of one of the shocks if the atrial rhythm is fast.

12. The system of claim 9, wherein the means for identifying the one or more detection enhancements associated with the selected clinical rhythm from the plurality of predetermined detection enhancements comprises means for selecting a detection enhancement including inhibiting a delivery of one of the shocks if the ventricular rate is unstable.

13. The system of claim 9, wherein the means for identifying the one or more detection enhancements associated with the selected clinical rhythm from the plurality of predetermined detection enhancements comprises means for selecting a detection enhancement including inhibiting a delivery of one of the shocks if a heart rate increases gradually.

14. The system of claim 9, wherein the means for identifying the one or more detection enhancements associated with the selected clinical rhythm from the plurality of predetermined detection enhancements comprises means for selecting a detection enhancement including delivering one of the shocks if an analysis of the ventricular rhythm is determined to be unstable.

15. The system of claim 9, wherein the means for identifying the one or more detection enhancements associated with the selected clinical rhythm from the plurality of predetermined detection enhancements comprises means for selecting a detection enhancement including delivering one of the shocks if a high heart rate continues throughout a programmed time period.

16. The system of claim 7, further comprising means for displaying a detection summary for each arrhythmia zone of the plurality of predetermined arrhythmia zones.

17. The system of claim 7, further comprising means for 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 system of claim 7, further comprising means for receiving from a user a change of an amount of the arrhythmia zones in the plurality of predetermined arrhythmia zones.

19. The system of claim 18, further comprising means for receiving from the user a change to a value for the rate threshold identifying each arrhythmia zone of the plurality of arrhythmia zones.