Energy adaptive communication for medical devices

• US 9,764,148 B2
• Filed: 08/17/2016
• Issued: 09/19/2017
• 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: Stahmann, Jeffrey E., Huelskamp, Paul, Kane, Michael J., Maile, Keith R.
• Primary Examiner(s): WIELAND, ROBERT N
• Application Number:
  US15/239,418
• Publication Number:
  US 20160354613A1
• Time in Patent Office: 398 Days
• CPC Class Codes: A61N 1/371 Capture, i.e. successful stimulation
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37276 characterised by means for reducing power consumption during telemetry
• 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 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

System and methods for energy adaptive communications between medical devices are disclosed. In one example, a medical device includes a communication module configured to deliver a plurality of pulses to tissue of a patient, where each pulse has an amount of energy. A control module operatively coupled to the communication module, may be configured to, for each delivered pulse, determine whether the delivered pulse produces an unwanted stimulation of the patient and to change the amount of energy of the plurality of pulses over time so as to identify an amount of energy that corresponds to an unwanted stimulation threshold for the pulses. The control module may then set a maximum energy value for communication pulses that is below the unwanted stimulation threshold, and may deliver communication pulses below the maximum energy value during communication with another medical device.

Claims

1. A method for setting an energy level for communication pulses of a medical device, the method comprising:

delivering a plurality of pulses to tissue of a patient, where each pulse includes an amount of energy, and for each delivered pulse, determining whether the delivered pulse produces an unwanted stimulation of the patient;

changing the amount of energy of the plurality of pulses over time so as to identify an amount of energy that corresponds to an unwanted stimulation threshold for the pulses;

setting a maximum energy value for communication pulses that is below the unwanted stimulation threshold; and

delivering communication pulses to tissue of the patient at or below the maximum energy value during communication with another device.

2. The method of claim 1, wherein the maximum energy value is set a predetermined safety margin below the unwanted stimulation threshold.

3. The method of claim 1, wherein the unwanted stimulation is a capture of a heart of the patient.

4. The method of claim 3, wherein delivering the plurality of pulses to tissue of the patient comprises delivering a pulse in lieu of a pacing pulse, and delivering a safety pacing pulse if the pulse did not capture the heart.

5. The method of claim 1, wherein the unwanted stimulation is a stimulation of a nerve of the patient.

6. The method of claim 1, wherein the unwanted stimulation is a stimulation of a muscle of the patient.

7. The method of claim 1, wherein the amount of energy of each pulse is defined at least in part by an amplitude, a pulse width, a morphology, and/or a specific vector via which the pulse is delivered.

8. The method of claim 1, further comprising repeating the delivering, changing and setting steps from time to time.

9. The method of claim 1, further comprising repeating the delivering, changing and setting steps in response to a trigger event.

10. The method of claim 9, wherein the trigger event comprises a detected reduction in reliability and/or accuracy of the communication with the other device.

11. A medical device comprising:

a communication module configured to deliver a plurality of communication pulses to tissue of a patient in order to communicate with another device, where each communication pulse comprises an amount of energy;

a control module operatively coupled to the communication module, the control module configured to detect a reduction in reliability and/or accuracy of communication with the other device, and if a reduction in reliability and/or accuracy is detected, the control module is configured to;

identify an amount of energy that corresponds to an unwanted stimulation threshold for the communication pulses;

set a maximum energy value for the communication pulses that is below the unwanted stimulation threshold; and

deliver communication pulses below the maximum energy value during subsequent communication with the other device.

12. The medical device of claim 11, wherein the control module is further configured to detect an unwanted stimulation of the patient by a communication pulse, and if an unwanted stimulation of the patient is detected, the control module is further configured to:

identify an amount of energy that corresponds to an unwanted stimulation threshold for the communication pulses;

set a maximum energy value for communication pulses that is below the unwanted stimulation threshold; and

deliver communication pulses below the maximum energy value during subsequent communication with the other device.

13. The medical device of claim 11, wherein the maximum energy value is set a predetermined safety margin below the unwanted stimulation threshold.

14. The medical device of claim 11, wherein the amount of energy of each communication pulse is defined at least in part by an amplitude, a pulse width, a morphology, and/or a specific vector via which the communication pulse is delivered.

15. The medical device of claim 11, wherein the unwanted stimulation of the patient comprises a capture of a heart of the patient.

16. The medical device of claim 11, wherein the unwanted stimulation of the patient comprises a stimulation of a nerve of the patient.

17. The medical device of claim 11, wherein the unwanted stimulation of the patient comprises a stimulation of a muscle of the patient.

18. A medical device comprising:

a communication module configured to deliver a plurality of communication pulses to tissue of a patient in order to communicate with another device, where each communication pulse comprises an amount of energy;

a control module operatively coupled to the communication module, the control module configured to detect an unwanted stimulation of the patient, and if an unwanted stimulation of the patient is detected, the control module is configured to;

identify an amount of energy that corresponds to an unwanted stimulation threshold for the communication pulses;

set a maximum energy value for communication pulses that is below the unwanted stimulation threshold; and

deliver communication pulses below the maximum energy value during subsequent communication with the other device.

19. The medical device of claim 18, wherein the maximum energy value is set a predetermined safety margin below the unwanted stimulation threshold.

20. The medical device of claim 18, wherein the unwanted stimulation of the patient comprises a capture of a heart of the patient.