Display of temporally aligned heart information from separate implantable medical devices on an extracorporeal display

• US 9,675,811 B2
• Filed: 08/25/2015
• Issued: 06/13/2017
• Est. Priority Date: 08/28/2014
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Maile, Keith R., Kane, Michael J., Huelskamp, Paul, Stahmann, Jeffrey E.
• Primary Examiner(s): Getzow, Scott
• Application Number:
  US14/835,250
• Publication Number:
  US 20160059024A1
• Time in Patent Office: 658 Days
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61N 1/3621 for treating or preventing abnormally high heart rate
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/37235 Aspects of the external programmer
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: A61N 1/37288 Communication to several implantable medical devices within one patient
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

A cardiac rhythm management system includes a first implantable device such as a defibrillator and a second implantable device such as a leadless cardiac pacemaker. A programmer is configured to receive and display heart data emanating from the implantable defibrillator and from the leadless cardiac pacemaker. The heart data emanating from the leadless cardiac pacemaker is displayed in temporal alignment with the heart data emanating from the implantable defibrillator.

Claims

1. A cardiac rhythm management system comprising:

an implantable defibrillator configured to sense cardiac activity of a patient'"'"'s heart and provide shocking therapy if appropriate, the implantable defibrillator configured to output at least a portion of an electrocardiogram detected by the implantable defibrillator;

a leadless cardiac pacemaker configured to sense the cardiac activity of the patient'"'"'s heart and provide pacing therapy if appropriate, the leadless cardiac pacemaker configured to determine a plurality of cardiac markers based on the sensed cardiac activity and output the plurality of cardiac markers;

a non-implanted device configured to receive and display heart data transmitted from the implantable defibrillator and from the leadless cardiac pacemaker, the heart data including at least a portion of an electrocardiogram and a plurality of cardiac markers; and

wherein the heart data transmitted from the leadless cardiac pacemaker and the heart data transmitted from the implantable defibrillator are displayed by the non-implanted device in temporal alignment so that the cardiac markers provided by the leadless cardiac pacemaker may be used to help verify one or more features of the electrocardiogram provided by the implantable defibrillator.

2. The cardiac rhythm management system of claim 1, wherein the heart data transmitted from the implantable defibrillator and/or the heart data transmitted from the leadless cardiac pacemaker is displayed by the non-implanted device in real or near real time.

3. The cardiac rhythm management system of claim 1, wherein the heart data transmitted from the implantable defibrillator is initially stored in the implantable defibrillator and/or the heart data transmitted from the leadless cardiac pacemaker is initially stored in the leadless cardiac pacemaker, and the stored heart data of the leadless cardiac pacemaker and the stored heart data of the implantable defibrillator is transmitted to and then displayed by the non-implanted device at a later time.

4. The cardiac rhythm management system of claim 1, wherein the heart data transmitted from the leadless cardiac pacemaker is communicated to the non-implanted device via the implantable defibrillator.

5. The cardiac rhythm management system of claim 1, wherein the heart data transmitted from the implantable defibrillator includes a number of first time stamps.

6. The cardiac rhythm management system of claim 5, wherein the heart data transmitted from the leadless cardiac pacemaker includes a number of second time stamps.

7. The cardiac rhythm management system of claim 6, wherein the non-implanted device is configured to use the first and second time stamps to temporally align the heart data transmitted from the implantable defibrillator and the heart data transmitted from the leadless cardiac pacemaker.

8. The cardiac rhythm management system of claim 1, wherein the non-implanted device is configured to utilize one or more user-defined time delay parameters to temporally align the heart data transmitted from the implantable defibrillator and the heart data transmitted from the leadless cardiac pacemaker.

9. A cardiac rhythm management system comprising:

a first implantable device configured to sense cardiac activity of a patient'"'"'s heart and output heart data including at least a portion of an electrocardiogram representing electrical cardiac activity detected by the first implantable device;

a second implantable device configured to sense the cardiac activity of the patient'"'"'s heart and output heart data including a plurality of markers that are based on the sensed cardiac activity;

a non-implanted device in communication with the first implantable device and the second implantable device, the non-implanted device configured to receive and display heart data outputted from the first implantable device and heart data outputted from the second implantable device, wherein the heart data outputted from the first implantable device and the heart data outputted from the second implantable device each identifies the occurrence of one or more temporal events; and

wherein the non-implanted device displays the heart data outputted from the second device and the heart data outputted from the first device in temporal alignment so that the plurality of markers provided by the second implantable device provide verification of one or more features of the electrocardiogram provided by the first implantable device.

10. The cardiac rhythm management system of claim 9, wherein the non-implanted device is further configured to display the heart data outputted from the first implantable device and the second implantable device in real or near real time.

11. The cardiac rhythm management system of claim 9, wherein the heart data outputted from the first implantable device and/or the heart data outputted from the second implantable device is initially stored by the first implantable device and/or the second implantable device, and the stored heart data of the first implantable device and/or the stored heart data of the second implantable device is transmitted to and then displayed by the non-implanted device at a later time.

12. The cardiac rhythm management system of claim 9, wherein the heart data outputted from the first implantable device and/or the heart data outputted from the second implantable device includes a plurality of time stamps, and the non-implanted device is configured to use the plurality of time stamps to temporally align the heart data outputted from the first implantable device and the heart data outputted from the second implantable device.

13. The cardiac rhythm management system of claim 9, wherein the non-implanted device is configured to utilize one or more user-defined time delay parameters to temporally align the heart data outputted from the first implantable device and the heart data outputted from the second implantable device.

14. A method of comparing heart rhythm data from a plurality of implantable medical devices, the method comprising:

receiving heart data emanating from a first implantable device that is configured to sense cardiac activity of a patient'"'"'s heart, the heart data emanating from the first implantable device comprising at least a portion of an electrocardiogram;

receiving heart data emanating from a second implantable device that is configured to sense the cardiac activity of the patient'"'"'s heart, the heart data emanating from the second implantable device comprising a plurality of cardiac markers that are based on the sensed cardiac activity, the heart data emanating from the second implantable device is temporally offset from the heart data emanating from the first implantable device;

temporally aligning the heart data emanating from the first implantable device and the heart data emanating from the second implantable device; and

displaying the temporally aligned heart data on a display.

15. The method of claim 14, wherein temporally aligning the heart data emanating from the first implantable device and the heart data emanating from the second implantable device comprises using time stamp data included with either the heart data emanating from the first implantable device, the heart data emanating from the second implantable device, or both.

16. The method of claim 14, wherein temporally aligning the heart data emanating from the first implantable device with the heart data emanating from the second implantable device comprises using a user-defined delay value for heart data emanating from the second implantable device.

17. The method of claim 14, wherein displaying the temporally aligned heart data comprises displaying at least a portion of the electrocardiogram emanating from the first implantable device and one or more of the plurality of cardiac markers emanating from the second implantable device.