Tissue conduction communication (TCC) transmission

• US 9,636,511 B2
• Filed: 01/23/2015
• Issued: 05/02/2017
• Est. Priority Date: 01/23/2015
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Carney, James K., Reinke, James D., Cinbis, Can, Kuehn, Kevin P., Ballis, Joseph, Griebel, Mark A.
• Primary Examiner(s): FAIRCHILD, MALLIKA DIPAYAN
• Application Number:
  US14/603,938
• Publication Number:
  US 20160213939A1
• Time in Patent Office: 830 Days
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: A61N 1/39622 Pacing therapy
• CPC Class Codes: A61N 1/3975 Power supply A61N1/378 takes precedence

Abstract

An implantable cardioverter defibrillator (ICD) configured to transmit a tissue conduction communication (TCC) signal includes a TCC transmitter module configured to generate the TCC signal and transmit the TCC signal via a plurality of electrodes. The TCC signal comprises a biphasic signal having an amplitude and a frequency, wherein at least one of the amplitude and the frequency are configured to avoid stimulation of tissue of the patient. The TCC transmitter module comprises protection circuitry coupled between a current source and the plurality of electrodes, wherein the protection circuitry is configured to protect the signal generator from an external anti-tachyarrhythmia shock delivered to the patient.

Claims

1. An implantable cardioverter defibrillator (ICD) configured to transmit a tissue conduction communication (TCC) signal, the ICD comprising:

a housing;

a plurality of electrodes; and

a signal generator within the housing, the signal generator comprising;

a shock module coupled to the plurality of electrodes, wherein the shock module is configured to generate an anti-tachyarrhythmia shock and deliver the anti-tachyarrhythmia shock to a patient via the plurality of electrodes; and

a TCC transmitter module coupled to the plurality of electrodes, wherein the TCC transmitter module is configured to generate the TCC signal and transmit the TCC signal via the plurality of electrodes, wherein the TCC signal comprises a biphasic signal having an amplitude and a frequency, wherein at least one of the amplitude or the frequency is configured to avoid stimulation of tissue of the patient by the TCC signal, and wherein the TCC transmitter module comprises;

a power source configured to deliver current having the amplitude to the plurality of electrodes;

polarity switching circuitry coupled to the power source, wherein the polarity switching circuitry is configured to switch the polarity of the current at the frequency; and

protection circuitry coupled between the power source and the plurality of electrodes, wherein the protection circuitry is configured to protect the TCC transmitter module and other circuitry within the housing of the ICD from an anti-tachyarrhythmia shock delivered to the patient by the shock module or an external device, and a standoff voltage of the protection circuitry is greater than 2000 volts (V).

2. The ICD of claim 1, wherein the frequency is at least 100 kilohertz (kHz).

3. The ICD of claim 1, wherein the frequency is within a range from 150 kilohertz (kHz) to 200 kHz.

4. The ICD of claim 3, wherein the polarity switching circuitry is configured to toggle the frequency between 150 kHz and 200 kHz.

5. The ICD of claim 1, wherein the amplitude is within a range from 5 milliamps (mA) to 40 mA.

6. The ICD of claim 1, wherein the amplitude is within a range from 5 milliamps (mA) 10 mA.

7. The ICD of claim 1, wherein the protection circuitry comprises:

a first capacitor coupled between the power source and a first electrode of the plurality of electrodes; and

a second capacitor coupled between the power source and a second electrode of the plurality of electrodes.

8. The ICD of claim 7, wherein the protection circuitry comprises a first LC circuit that comprises the first capacitor and a first inductor.

9. The ICD of claim 8, wherein the protection circuitry comprises a second LC circuit that comprises the second capacitor and a second inductor.

10. The ICD of claim 8, wherein the frequency of the TCC signal is within a pass-band of the first LC circuit.

11. The ICD of claim 10, wherein the pass-band is within a range from 150 kilohertz (kHz) to 200 kHz.

12. The ICD of claim 1, wherein the housing comprises a first electrode of the plurality of electrodes, and a coil electrode coupled to the ICD by a lead comprises a second electrode of the plurality of electrodes.

13. The ICD of claim 1, further comprising:

an antenna; and

a radio-frequency (RF) telemetry module configured to transmit and receive RF telemetry signals via the antenna,

wherein the RF telemetry module is further configured to modulate the TCC signal, and at least one of the power source or the polarity switching circuitry of the TCC transmitter module generates the TCC signal according to the modulation.

14. The ICD of claim 1, wherein the ICD comprises an extravascular ICD, and the plurality of electrodes are configured for extravascular implantation.

15. An implantable cardioverter defibrillator (ICD) configured to transmit a tissue conduction communication (TCC) signal, the ICD comprising:

a housing;

a plurality of electrodes; and

a signal generator within the housing, the signal generator comprising;

a shock module coupled to the plurality of electrodes, wherein the shock module is configured to generate an anti-tachyarrhythmia shock and deliver the anti-tachyarrhythmia shock to a patient via the plurality of electrodes; and

a TCC transmitter module coupled to the plurality of electrodes, wherein the TCC transmitter module is configured to generate the TCC signal and transmit the TCC signal via the plurality of electrodes, wherein the TCC signal comprises a biphasic signal having an amplitude and a frequency, wherein at least one of the amplitude or the frequency is configured to avoid stimulation of tissue of the patient by the TCC signal, and wherein the TCC transmitter module comprises;

a power source configured to deliver current having the amplitude to the plurality of electrodes;

polarity switching circuitry coupled to the power source, wherein the polarity switching circuitry is configured to switch the polarity of the current at the frequency; and

protection circuitry coupled between the power source and the plurality of electrodes, wherein the protection circuitry is configured to protect the TCC transmitter module and other circuitry within the housing of the ICD from an anti-tachyarrhythmia shock delivered to the patient by the shock module or an external device,

wherein the power source and the protection circuitry comprise at least two common high-voltage switches,

wherein a first high-voltage switch of the at least two common high-voltage switches is coupled to a first electrode of the plurality of electrodes, and a second high-voltage switch of the at least two common high-voltage switches is coupled to a second electrode of the plurality of electrodes, and

wherein cathodes of the first and second high-voltage switches deliver current to the plurality of electrodes.

16. The ICD of claim 15, wherein a standoff voltage of the protection circuitry is greater than 2000 volts (V).

17. An implantable cardioverter defibrillator (ICD) configured to transmit a tissue conduction communication (TCC) signal, the ICD comprising:

a housing,

a plurality of electrodes, and

a signal generator within the housing, the signal generator comprising;

a shock module coupled to the plurality of electrodes, wherein the shock module is configured to generate an anti-tachyarrhythmia shock and deliver the anti-tachyarrhythmia shock to a patient via the plurality of electrodes, and

a TCC transmitter module coupled to the plurality of electrodes, wherein the TCC transmitter module is configured to generate the TCC signal and transmit the TCC signal via the plurality of electrodes, wherein the TCC signal comprises a biphasic signal having an amplitude and a frequency, wherein at least one of the amplitude or the frequency is configured to avoid stimulation of tissue of the patient by the TCC signal, and wherein the TCC transmitter module comprises;

a power source configured to deliver current having the amplitude to the plurality of electrodes,

polarity switching circuitry coupled to the power source, wherein the polarity switching circuitry is configured to switch the polarity of the current at the frequency, wherein the polarity switching circuitry comprises;

a first transistor coupled to a first electrode of the plurality of electrodes; and

a second transistor coupled to a second electrode of the plurality of electrodes, and

wherein on-off states of the first and second transistors are oppositely alternated at the frequency to switch the polarity of the current at the frequency; and

protection circuitry coupled between the power source and the plurality of electrodes, wherein the protection circuitry is configured to protect the TCC transmitter module and other circuitry within the housing of the ICD from an anti-tachyarrhythmia shock delivered to the patient by the shock module or an external device.

18. The ICD of claim 17, wherein the first and second transistors are included in a fibrillation induction module configured to generate a fibrillation induction signal, wherein the fibrillation induction signal is configured to induce fibrillation of a heart of the patient.

19. The ICD of claim 17, wherein a standoff voltage of the protection circuitry is greater than 2000 volts (V).

20. An extravascular implantable cardioverter defibrillator (ICD) configured to transmit a tissue conduction communication (TCC) signal, the extravascular ICD comprising:

a housing configured for extravascular implantation within a patient, wherein the housing comprises a housing electrode; and

a signal generator within the housing, the signal generator comprising;

a shock module coupled to the housing electrode and a coil electrode, wherein the coil electrode is configured for extravascular implantation within the patient and is coupled to the extravascular ICD by an implantable lead, wherein the shock module is configured to generate an anti-tachyarrhythmia shock and deliver the anti-tachyarrhythmia shock to a patient via the housing electrode and the coil electrode; and

a TCC transmitter module coupled to the housing electrode and the coil electrode, wherein the TCC transmitter module is configured to generate the TCC signal and transmit the TCC signal via the housing electrode and the coil electrode, wherein the TCC signal comprises a biphasic signal having an amplitude and a frequency, wherein at least one of the amplitude or the frequency is configured to avoid stimulation of tissue of the patient by the TCC signal, wherein the frequency is at least 100 kHz and the amplitude is within a range from 5 mA to 40 mA, and wherein the TCC transmitter module comprises;

a power source configured to deliver a current having the amplitude to the electrodes;

polarity switching circuitry coupled to the power source, the polarity switching circuitry configured to switch the polarity of the current at the frequency; and

protection circuitry coupled between the power source and the electrodes, wherein the protection circuitry is configured to protect the TCC transmitter module and other circuitry within the housing of the ICD from an anti-tachyarrhythmia shock delivered to the patient by the shock module or an external device, and wherein the protection circuitry comprises;

an LC circuit that comprises a first capacitor coupled between the power source and one of the electrodes and an inductor, wherein the frequency of the TCC signal is within a pass-band of the LC circuit; and

a second capacitor coupled between the power source and the other of the electrodes.