Method and apparatus for automatic configuration of implantable medical devices

• US 9,744,364 B2
• Filed: 04/09/2014
• Issued: 08/29/2017
• Est. Priority Date: 09/25/2013
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Gordon, Charles R, Krause, Paul G, Neitzell, Grant Alan, Sarkar, Shantanu, Wyszynski, Ryan
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US14/248,939
• Publication Number:
  US 20150088216A1
• Time in Patent Office: 1,238 Days
• Field of Search: 607 9, 607 14
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61N 1/3624 occurring in the atrium, i.e. atrial tachycardia
• CPC Class Codes: A61N 1/3704 Circuits specially adapted therefor, e.g. for sensitivity control
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades

Abstract

A system including a programmable implantable monitoring device and a programmer for programming the device and a method of use thereof. The programmer may be configured to transmit programming commands responsive to entry of a reason for monitoring to the implantable device including a prioritization of an arrhythmia storage criterion. The implantable may be configured to thereafter store and/or transmit records of the arrhythmia according to the prioritization. The programmer may be configured to transmit the patient'"'"'s age to the implantable device and the implantable may be configured to thereafter apply arrhythmia detection criteria based upon the patient'"'"'s age.

Claims

1. A method of programming an implantable cardiac monitoring device, comprising:

in a programmer, detecting entry of a patient'"'"'s age;

thereafter transmitting programming commands from the programmer to the implantable cardiac monitoring device including an arrhythmia criterion selected as a function of the patient'"'"'s age;

in the programmer, detecting entry of a reason for monitoring;

thereafter transmitting programming commands from the programmer to the implantable cardiac monitoring device including a prioritization of an arrhythmia storage criterion, the cardiac monitoring device having first and second sense electrodes on a housing of the device, wherein the implantable cardiac monitoring device is a leadless implantable cardiac device; and

responsive to receipt of the programming commands, employing the implantable device to detect the arrhythmia according to the criterion and employing the implantable cardiac device to store records of the arrhythmia according to the prioritization.

2. A method according to claim 1 wherein the arrhythmia comprises a ventricular tachyarrhythmia.

3. A method according to claim 1 wherein the criterion is a rate or interval based criterion.

4. A method according to claim 3, wherein the criterion is set based upon a subtraction of the patient'"'"'s age from a preset rate.

14. A method according to claim 1 wherein the reason for monitoring includes one of syncope, palpitations, seizures, ventricular tachycardia, suspected AF, AF ablation, AF management or cryptogenic stroke.

15. A method according to claim 1 wherein the arrhythmia comprises atrial fibrillation.

16. A method according to claim 1 wherein the prioritization is based upon duration of the arrhythmia.

5. A system comprising:

a programmable implantable cardiac monitoring device having first and second sense electrodes on a housing of the device, a programmer, responsive to entry of a patient'"'"'s age, the programmer configured to thereafter transmit a programming commands from the programmer to the implantable device including an arrhythmia detection criterion and responsive to entry of a reason for monitoring, the programmer configured to thereafter transmit programming commands from the programmer to the implantable device including a prioritization of an arrhythmia storage criterion; and

wherein the implantable device is configured to, responsive to receipt of the programming commands, thereafter detect the arrhythmia according to the criterion and transmit records of the arrhythmia according to the prioritization, wherein the implantable cardiac monitoring device is a leadless implantable cardiac monitoring device.

6. A system according to claim 5 wherein the reason for monitoring includes one of syncope, palpitations, seizures, ventricular tachycardia, suspected AF, AF ablation, AF management or cryptogenic stroke.

7. A system according to claim 5 wherein the arrhythmia comprises atrial fibrillation.

8. A system according to claim 5 wherein the prioritization is based upon duration of the arrhythmia.

9. A system comprising:

a programmable implantable cardiac monitoring device having first and second sense electrodes on a housing of the device, a programmer, responsive to entry of a patient'"'"'s age, the programmer configured to thereafter transmit a programming commands from the programmer to the implantable device including an arrhythmia detection criterion and responsive to entry of a reason for monitoring, the programmer configured to thereafter transmit programming commands from the programmer to the implantable device including a prioritization of an arrhythmia storage criterion; and

wherein the implantable device is configured to, responsive to receipt of the programming commands, thereafter detect the arrhythmia according to the criterion and store records of the arrhythmia according to the prioritization, wherein implantable cardiac monitoring device is a leadless implantable cardiac monitoring device.

10. A system according to claim 9 wherein the arrhythmia comprises a ventricular tachyarrhythmia.

11. A system according to claim 9 wherein the criterion is a rate or interval based criterion.

12. A system according to claim 11, wherein the criterion is set based upon a subtraction of the patient'"'"'s age from a preset rate.

13. A system according to claim 12, wherein the implantable device is configured to, responsive to passage of time, update the patient'"'"'s age and the detection criterion thereafter detect the arrhythmia according to the updated criterion.

17. A system according to claim 9 wherein the reason for monitoring includes one of syncope, palpitations, seizures, ventricular tachycardia, suspected AF, AF ablation, AF management or cryptogenic stroke.

18. A system according to claim 9 wherein the arrhythmia comprises atrial fibrillation.

19. A system according to claim 9 wherein the prioritization is based upon duration of the arrhythmia.