Automatic selection of parameters of an exposure mode of an implantable medical device

• US 9,174,058 B2
• Filed: 09/29/2009
• Issued: 11/03/2015
• Est. Priority Date: 09/29/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Ellingson, Michael L., Yoon, Hyun J.
• Primary Examiner(s): Alter, Alyssa M
• Application Number:
  US12/569,101
• Publication Number:
  US 20110077706A1
• Time in Patent Office: 2,226 Days
• Field of Search: 607/17, 607/27, 607/28, 607/59
• US Class Current: 1/1
• 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 1/37254 Pacemaker or defibrillator security, e.g. to prevent or inhibit programming alterations by hackers or unauthorised individuals

Abstract

An implantable medical device (IMD) automatically determines at least a portion of the parameters and, in some instances all of the parameters, of an exposure operating mode based on stored information regarding sensed physiological events or therapy provided over a predetermined period of time. The IMD may configure itself to operate in accordance with the automatically determined parameters of the exposure operating mode in response to detecting a disruptive energy field. Alternatively, the IMD may provide the automatically determined parameters of the exposure operating mode to a physician as suggested or recommended parameters for the exposure operating mode. In other instances, the automatically determined parameters may be compared to parameters received manually via telemetry and, if differences exist or occur, a physician or patient may be notified and/or the manual parameters may be overridden by the automatically determined parameters.

Claims

1. An implantable medical device comprising:

a memory; and

a processor that automatically determines one or more parameters of an exposure operating mode based on information stored in the memory related to sensed physiological events or therapy provided over a predetermined period of time and switches operation of the implantable medical device from parameters of a current operating mode to the one or more automatically determined parameters of the exposure operating mode,

wherein the information stored in the memory includes operating modes of a predetermined period of time, and the processor automatically determines one or more parameters of an exposure operating mode by analyzing pacing therapies provided during the predetermined period of time and selecting an operating mode to be used during the exposure mode based on the analysis.

2. The device of claim 1, wherein the processor periodically determines the one or more parameters of the exposure operating mode based on the information stored in the memory.

3. The device of claim 1, further comprising an antenna via which signals are transmitted from and received by the implantable medical device, wherein

the antenna receives a signal via telemetry that includes one or more parameters for the exposure operating mode, and

the processor compares the parameters received via telemetry to the automatically determined parameters and overrides the received parameters that are different than the automatically determined parameters with the automatically determined parameters.

4. The device of claim 1, further comprising an antenna via which signals are transmitted from and received by the implantable medical device, wherein

the antenna receives a signal via telemetry that includes one or more parameters for the exposure operating mode, and

the processor compares the parameters received via telemetry to the automatically determined parameters and an alarm module generates an alert when at least one of the received parameters is different than the automatically determined parameters.

5. The device of claim 1, further comprising an antenna via which the processor transmits a signal that includes the one or more automatically determined parameters to an external device for presentation to a user.

6. The device of claim 1, wherein the processor selects a sense-only mode when the implantable medical device has provided less than a threshold amount of pacing therapy within the predetermined period of time and selects a pacing mode when the implantable medical device has provided a threshold amount of pacing therapy within the predetermined period of time.

7. The device of claim 1, wherein the predetermined period of time is less than approximately four hours.

8. The device of claim 1, wherein the processor stores the automatically determined parameters of the exposure operating mode in the memory.

9. The device of claim 1, further comprising a disruptive field detector configured to detect presence of one or more energy fields generated by a magnetic resonance imaging (MRI) device, wherein the processor switches operation of the implantable medical device from parameters of the current operating mode to the one or more automatically determined parameters of the exposure operating mode in response to detecting of the presence of the one or more energy fields generated by the MRI device.

10. The device of claim 9, wherein the disruptive field detector may be a magnetic field detector.

11. The device of claim 1, wherein the exposure operating mode is less susceptible to undesirable operation in the presence of a disruptive energy field of a magnetic resonance imaging device than the normal operating mode.

12. An implantable medical device comprising:

a memory; and

a processor that automatically determines one or more parameters of an exposure operating mode based on information stored in the memory related to sensed physiological events or therapy provided over a predetermined period of time and switches operation of the implantable medical device from parameters of a current operating mode to the one or more automatically determined parameters of the exposure operating mode,

wherein the information stored in the memory includes pacing amplitudes of pacing therapies delivered during a predetermined period of time, and the processor automatically determines one or more parameters of an exposure operating mode by analyzing pacing amplitudes of the pacing therapies delivered during the predetermined period of time and selecting an amplitude for pacing pulses to be delivered during the exposure operating mode based on the analysis.

13. An implantable medical device comprising:

a memory; and

a processor that automatically determines one or more parameters of an exposure operating mode based on information stored in the memory related to sensed physiological events or therapy provided over a predetermined period of time and switches operation of the implantable medical device from parameters of a current operating mode to the one or more automatically determined parameters of the exposure operating mode,

wherein the information stored in the memory includes pacing widths of pacing pulses delivered during a predetermined period of time, and the processor automatically determines one or more parameters of an exposure operating mode by analyzing pacing widths of the pacing pulses delivered during the predetermined period of time and selecting a width for pacing pulses to be delivered during the exposure operating mode based on the analysis.

14. An implantable medical device comprising:

a memory; and

a processor that automatically determines one or more parameters of an exposure operating mode based on information stored in the memory related to sensed physiological events or therapy provided over a predetermined period of time and switches operation of the implantable medical device from parameters of a current operating mode to the one or more automatically determined parameters of the exposure operating mode,

wherein the information stored in the memory includes heart rates during a predetermined period of time, and the processor automatically determines one or more parameters of an exposure operating mode by analyzing the heart rates during the predetermined period of time and selecting a pacing rate of pacing pulses to be delivered during the exposure operating mode based on the analysis.

15. An implantable medical device comprising:

means for automatically determining one or more parameters of an exposure operating mode based on stored information related to sensed physiological events or therapy provided over a predetermined period of time;

means for storing the automatically determined parameters of the exposure operating mode; and

means for switching operation of the implantable medical device from parameters of a current operating mode to the one or more automatically determined parameters of the exposure operating mode,

wherein the stored information includes heart rates during a predetermined period of time, and the means for automatically determining one or more parameters of an exposure operating mode analyzes the heart rates during the predetermined period of time and selects a pacing rate of pacing pulses to be delivered during the exposure operating mode based on the analysis.

16. The device of claim 15, further comprising:

means for receiving one or more parameters for the exposure operating mode via telemetry;

means for comparing the parameters received via telemetry to the automatically determined parameters; and

means for overriding the received parameters that are different than the automatically determined parameters with the automatically determined parameters.

17. The device of claim 15, further comprising:

means for receiving one or more parameters for the exposure operating mode via telemetry;

means for comparing the parameters received via telemetry to the automatically determined parameters; and

means for generating an alert when at least one of the received parameters is different than the automatically determined parameters.

18. The device of claim 15, further comprising means for transmitting the one or more automatically determined parameters to an external device for presentation to a user.