User interface system for use with multipolar pacing leads

• US 9,138,585 B2
• Filed: 08/04/2011
• Issued: 09/22/2015
• Est. Priority Date: 08/06/2010
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Saha, Sunipa, Hayes, Kenneth N., Herrmann, Keith L., Kalgren, James, McCabe, Aaron R., Rockweiler, Holly, Shome, Shibaji, Siejko, Krzysztof Z.
• Primary Examiner(s): Kahelin, Michael
• Assistant Examiner(s): FAIRCHILD, MALLIKA DIPAYAN
• Application Number:
  US13/198,499
• Publication Number:
  US 20120035685A1
• Time in Patent Office: 1,510 Days
• Field of Search: 607/45, 607/46, 607/59
• US Class Current: 1/1
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/3686 configured for selecting the electrode configuration on a lead A61N1/3688 takes precedence
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An interactive representation of electrostimulation electrodes or vectors can be provided, such as for configuring combinations of electrostimulation electrodes. In an example, electrodes or test parameters can be presented graphically or in a table. A user interface can be configured to receive user-input designating electrode combinations or vectors for test or for use in programming an implantable or ambulatory medical device. The interface can be used to indicate suggested electrode combinations or vectors in response to a first selection of an electrode. Tests can be performed on electrode combinations and vectors, and the results of the tests can be presented to a user using the interactive representation. In an example, test results can be analyzed by a processor and optionally used to program an implantable or ambulatory medical device.

Claims

1. A method for configuring a medical device for use with a multipolar electrode system, the method comprising:

providing to a user an interactive representation of a first set of cardiac electrostimulation vectors, the interactive representation including display portions corresponding to at least first and second electrostimulation vectors that are available for user-selection for use in an electrostimulation parameter test, wherein each of the at least first and second electrostimulation vectors represents a different electric field between at least two electrodes in the multipolar electrode system;

receiving a first selection of the first electrostimulation vector from among the first set of cardiac elecuostimulation vectors, wherein the first electrostimulation vector represents a first electric field between at least first and second electrodes;

providing a visual indication of the first selection of the first electrostimulation vector using the display portion of the interactive representation corresponding to the selected first electrostimulation vector; and

interactively using the first selection of the first electrostimulation vector, wherein interactively using the first selection comprises displaying, using the interactive representation, an electrostimulation configuration score for the first electrostimulation vector, the electrostimulation configuration score based on multiple device-measured electrostimulation parameter test results associated with the first electrostimulation vector, and the electrostimulation configuration score indicative of a relative electrostimulation vector preference, the interactively using the first selection further including displaying the electrostimulation configuration score in the same display portion of the interactive representation corresponding to the first elecuostimulation vector and in visual correspondence with the displayed first electrostimulation vector.

2. The method of claim 1, wherein interactively using the first selection comprises providing a different second set of electrostimulation electrodes or vectors that is selected based on the first selection so as to be available to form an electrostimulation vector in combination with the selected first electrostimulation vector.

3. The method of claim 2, comprising receiving from the user a second selection of an electrostimulation electrode or vector, selected from among the different second set of electrostimulation electrodes or vectors, the second selection performed by the user using the interactive representation.

4. The method of claim 3, comprising programming an ambulatory medical device using the first selection and the second selection.

5. The method of claim 1, wherein the interactively using the first selection comprises providing, in visual correspondence with the first selection, a second set of electrostimulation electrodes or vectors that is available for use in combination with the first selection to provide a pacing or sensing vector.

6. The method of claim 1, wherein the providing to the user the interactive representation of the first set of cardiac electrostimulation vectors includes displaying a pictorial interactive representation of a set of electrostimulation electrodes or vectors, including a user-selectable representation of an electrostimulation vector.

7. The method of claim 1, wherein the providing to the user the interactive representation of the first set of cardiac electrostimulation vectors includes displaying a tabular interactive representation of a set of electrostimulation electrodes or vectors, including a user-selectable table element representative of an electrostimulation electrode or vector.

8. The method of claim 1, wherein the receiving the first selection of the electrostimulation vector includes receiving the first selection from a user using the interactive representation.

9. The method of claim 1, comprising:

providing to a user an interactive representation of a set of one or more available electrostimulation parameter tests or electrostimulation parameter test characteristics; and

performing interactive user-controllable electrostimulation parameter testing for use in providing the electrostimulation configuration score, including using a selection of an electrostimulation parameter test or an electrostimulation parameter test characteristic received from the user.

10. The method of claim 9, wherein the performing interactive user-controllable electrostimulation parameter testing includes adjusting subsequent electrostimulation parameter tests in response to a received electrostimulation parameter test result.

11. The method of claim 1, wherein the receiving the first selection of the electrostimulation vector includes receiving a selection of an electrostimulation vector configured for intravascular delivery of electrostimulation energy to multiple locations at or near the left ventricle of the heart.

12. The method of claim 1, comprising:

calculating a comparison metric using the test result of the electrostimulation parameter test; and

using the comparison metric, performing at least one of;

displaying the comparison metric;

analyzing the comparison metric;

programming an ambulatory medical device;

or

organizing the displayed information indicative of an electrostimulation parameter test result.

13. The method of claim 1, wherein the displaying the electrostimulation configuration score includes displaying a cardiac capture threshold test result in the same display portion of the interactive representation corresponding to the first electrostimulation vector and in visual correspondence with the displayed first electrostimulation vector.

14. The method of claim 1, wherein the displaying the electrostimulation configuration score includes displaying a phrenic nerve stimulation threshold test result in the same display portion of the interactive representation corresponding to the first electrostimulation vector and in visual correspondence with the displayed first electrostimulation vector.

15. The method of claim 1, wherein the displaying the electrostimulation configuration score includes displaying an impedance measurement test result in the same display portion of the interactive representation corresponding to the first electrostimulation vector and in visual correspondence with the displayed first electrostimulation vector.

16. An apparatus, comprising:

a display configured to provide an interactive representation of a first set of cardiac electrostimulation electrodes and cardiac electrostimulation vectors that are available for user-selection, wherein the vectors represent different electric fields between respective groups of electrodes, and wherein the interactive representation comprises;

a first input, including an interactive visual indication indicating a first selection of a first cardiac electrostimulation electrode or a first cardiac electrostimulation vector from among the first set of cardiac electrostimulation electrodes and cardiac electrostimulation vectors; and

an interactive visual indication, provided using the interactive representation, indicating multiple cardiac electrostimulation electrodes or cardiac electrostimulation vectors from the first set that are available to form respective cardiac pace/sense vectors in combination with the selected first cardiac electrostimulation electrode or first cardiac electrostimulation vector.

17. The apparatus of claim 16, wherein the interactive representation comprises an interactive user-control, configured to perform, using the interactive representation, interactive user-controllable electrostimulation parameter testing using (1) the multiple cardiac electrostimulation electrodes or cardiac electrostimulation vectors from the first set that are available to form the respective cardiac pace/sense vectors and (2)the first selection.

18. The apparatus of claim 16, wherein the interactive representation comprises, in pictorial and visual correspondence with the first selection, an interactive visual indication of the multiple cardiac electrostimulation electrodes or cardiac electrostimulation vectors from the first set that are available for user-selection for use in pacing or sensing.

19. The apparatus of claim 16, wherein the interactive visual indication, provided using the interactive representation, includes respective pacing or sensing parameter information about each of the cardiac pace/sense vectors, the respective pacing or sensing parameter information displayed in visual correspondence with the respective cardiac pace/sense vectors.

20. A method, comprising:

providing to a user an interactive representation of a first set of cardiac electrostimulation electrodes, the interactive representation including display portions corresponding to at least first and second electrostimulation electrodes that are available for user-selection for use in an electrostimulation parameter test;

receiving from the user a first selection of a first electrostimulation electrode, the first selection performed by the user using the interactive representation;

providing a visual indication of the first selection of the first electrostimulation electrode using the interactive representation;

performing user-controllable electrostimulation parameter testing using the first electrostimulation electrode from the first selection in combination with respective other electrostimulation electrodes from the first set of cardiac electrostimulation electrodes; and

displaying, using the interactive representation, information indicative of a device-measured result of the electrostimulation parameter testing, including displaying the information indicative of the device-measured result in the same display portion of the interactive representation corresponding to the first electrostimulation electrode and in visual correspondence with the displayed first electrostimulation electrode.