Remote detection of physiological parameter using an implantable medical device
First Claim
1. A method for operating an implanted neural stimulation device where the implanted neural stimulator includes both a neural stimulator lead and sensing electrodes that are implanted and where the sensing electrodes of the implanted neural stimulation device are used for sensing cardiac activity when the sensing electrodes are in a position remote from a heart, the method comprising:
- implementing a neural stimulation therapy stored in the implanted neural stimulation device including delivering the neural stimulation therapy through the neural stimulator lead, wherein the neural stimulation therapy includes a programmed intermittent neural stimulation with a programmed duty cycle for cycling between programmed stimulation ON time periods and programmed stimulation OFF time periods, each of the programmed stimulation ON time periods including a programmed train of pulses followed by the stimulation OFF time period; and
monitoring cardiac activity, including remotely detecting cardiac activity using the sensing electrodes when the sensing electrodes are in the position remote from the heart to detect heart rate during implementation of the neural stimulation therapy.
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Abstract
A system embodiment for stimulating a neural target comprises a neural stimulator, a pace detector, and a controller. The neural stimulator is electrically connected to at least one electrode, and is configured to deliver a neural stimulation signal through the at least one electrode to stimulate the neural target. The pace detector is configured to use at least one electrode to sense cardiac activity and distinguish paced cardiac activity in the sensed cardiac activity from non-paced cardiac activity in the sensed cardiac activity. The controller is configured to control a programmed neural stimulation therapy using the neural stimulator and using detected paced cardiac activity as an input for the neural stimulation therapy.
87 Citations
20 Claims
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1. A method for operating an implanted neural stimulation device where the implanted neural stimulator includes both a neural stimulator lead and sensing electrodes that are implanted and where the sensing electrodes of the implanted neural stimulation device are used for sensing cardiac activity when the sensing electrodes are in a position remote from a heart, the method comprising:
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implementing a neural stimulation therapy stored in the implanted neural stimulation device including delivering the neural stimulation therapy through the neural stimulator lead, wherein the neural stimulation therapy includes a programmed intermittent neural stimulation with a programmed duty cycle for cycling between programmed stimulation ON time periods and programmed stimulation OFF time periods, each of the programmed stimulation ON time periods including a programmed train of pulses followed by the stimulation OFF time period; and monitoring cardiac activity, including remotely detecting cardiac activity using the sensing electrodes when the sensing electrodes are in the position remote from the heart to detect heart rate during implementation of the neural stimulation therapy. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. An implantable neural stimulation device, comprising:
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a neural stimulator lead; sensing electrodes for sensing cardiac activity when the sensing electrodes are in a position remote from a heart; a neural stimulator configured to deliver a neural stimulation therapy through the neural stimulator lead; and a controller, wherein as part of the implantable neural stimulation device the lead, the sensing electrodes, the neural stimulator and the controller are implantable, the controller configured to; implement the neural stimulation therapy to deliver the neural stimulation therapy through the neural stimulation lead, the neural stimulation therapy being stored in the implantable neural stimulation device, wherein the neural stimulation therapy includes a programmed intermittent stimulation with a programmed duty cycle for cycling between stimulation ON time periods and stimulation OFF time periods, each of the programmed stimulation ON time periods including a programmed train of pules followed by the stimulation OFF time period; and monitor cardiac activity, including remotely detect cardiac activity using the sensing electrodes when the sensing electrodes are in the position remote from the heart to detect heart rate during implementation of the neural stimulation therapy. - View Dependent Claims (16, 17, 18, 19)
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20. An implantable medical device, comprising:
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an accelerometer; a neural stimulator configured to deliver neural stimulation to a neural target; and a controller, wherein as part of the implantable medical device the accelerometer, the neural stimulator and the controller are implantable, the controller configured to use the accelerometer to sense a physiological parameter, and deliver a programmed neural stimulation therapy using the neural stimulator and using the sensed physiological parameter as an input to the programmed neural stimulation therapy, wherein the physiological parameter is a respiration parameter and the controller is configured to use the respiration parameter to detect apnea, or a respiration rate, or an estimated flow.
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Specification