User interface system for use with multipolar pacing leads

• US 9,827,427 B2
• Filed: 09/18/2015
• Issued: 11/28/2017
• Est. Priority Date: 08/06/2010
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Saha, Sunipa, Hayes, Kenneth N., Herrmann, Keith L., Kalgren, James R., McCabe, Aaron R., Rockweiler, Holly Elizabeth, Shome, Shibaji, Siejko, Krzysztof Z.
• Primary Examiner(s): FAIRCHILD, MALLIKA DIPAYAN
• Application Number:
  US14/858,769
• Publication Number:
  US 20160008610A1
• Time in Patent Office: 802 Days
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/3686 configured for selecting the electrode configuration on a lead A61N1/3688 takes precedence
• CPC Class Codes: A61N 1/37241 providing test stimulations
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An interactive representation of electrostimulation electrodes or vectors can be provided, such as for configuring combinations of electrostimulation electrodes. In an example, electrodes or test parameters can be presented graphically or in a table. A user interface can be configured to receive user-input designating electrode combinations or vectors for test or for use in programming an implantable or ambulatory medical device. The interface can be used to indicate suggested electrode combinations or vectors in response to a first selection of an electrode. Tests can be performed on electrode combinations and vectors, and the results of the tests can be presented to a user using the interactive representation. In an example, test results can be analyzed by a processor and optionally used to program an implantable or ambulatory medical device.

Claims

1. A method comprising:

providing to a user an interactive representation of a first set of electrostimulation electrodes, the interactive representation including a graphical representation of one or more cardiac electrostimulation leads and positions of the electrostimulation electrodes thereon;

receiving a first selection of an electrostimulation electrode;

providing a visual indication of the first selection using the interactive representation; and

interactively using the first selection, wherein interactively using the first selection comprises performing at least;

displaying, using the interactive representation, device-measured results of an impedance measurement test for an electrostimulation electrode combination or a vector associated with the first selection; and

indicating, using the interactive representation, the first selection by superimposing the first selection over an image of a heart.

2. The method of claim 1, wherein interactively using the first selection comprises providing a second set of electrostimulation electrodes that is available for use with the first selection.

3. The method of claim 2, comprising receiving from the user a second selection of an electrostimulation electrode or vector, selected from among the second set of electrostimulation electrodes or vectors, the second selection performed by the user using the interactive representation.

4. The method of claim 1, wherein the interactively using the first selection comprises at least one of:

providing, in visual correspondence with the first selection, a second set of electrostimulation electrodes or vectors that is available for use with the first selection;

or

displaying information indicative of a parameter test result in visual correspondence with the electrode combination or vector associated with the result.

5. The method of claim 1, wherein the providing to a user an interactive representation of a first set of electrostimulation electrodes includes displaying a pictorial interactive representation of a set of electrostimulation electrodes or vectors, including a user-selectable representation of an electrostimulation electrode or vector.

6. The method of claim 1, wherein the providing to a user an interactive representation of a first set of electrostimulation electrodes includes displaying a tabular interactive representation of a set of electrostimulation electrodes or vectors, including a user-selectable table element representative of an electrostimulation electrode or vector.

7. The method of claim 1, wherein the receiving a first selection of an electrostimulation electrode includes receiving the first selection from a user using the interactive representation.

8. The method of claim 1, comprising:

providing to a user an interactive representation of a set of one or more parameter tests or parameter test characteristics; and

performing interactive user-controllable parameter testing using a selection of a parameter test or parameter test characteristic received from the user.

9. The method of claim 8, wherein the performing interactive user-controllable parameter testing includes adjusting subsequent parameter tests in response to a received parameter test result.

10. The method of claim 8, comprising:

calculating a comparison metric using the test result of the parameter test; and

using the comparison metric, performing at least one of;

displaying the comparison metric;

analyzing the comparison metric;

programming an ambulatory medical device;

or

organizing the displayed information indicative of a parameter test result.

11. The method of claim 1, wherein the receiving the first selection of an electrostimulation electrode includes receiving a selection of an electrostimulation electrode configured for intravascular delivery of electrostimulation energy to multiple locations at or near a left ventricle of a heart.

12. An apparatus, comprising:

a display configured to provide an interactive representation of a set of electrostimulation electrodes or vectors, wherein the interactive representation comprises;

a graphical representation of one or more cardiac electrostimulation leads and positions of the electrostimulation electrodes thereon;

a first input, including an interactive visual indication indicating a first selection of an electrostimulation electrode or vector; and

at least;

an interface configured to receive a selection of one or more tests to perform on the first selection of an electrostimulation electrode or vector; and

an interactive visual indication, displayed using the interactive representation, of a device-measured result of an impedance measurement test for an electrostimulation electrode combination or vector associated with the first selection; and

wherein the interactive representation is further configured to display the first selection of an electrostimulation electrode or vector superimposed over the image of a heart.

13. The apparatus of claim 12, wherein the interactive representation comprises an interactive visual indication, provided using the interactive representation, of a second set of electrostimulation electrodes or vectors that is available for use with the first selection.

14. The apparatus of claim 12, wherein the interactive representation comprises an interactive visual indication, displayed using the interactive representation, of information indicative of a parameter test result for an electrostimulation electrode combination or vector associated with the first selection.

15. The apparatus of claim 12, wherein the interactive representation comprises an interactive user-control, configured to perform, using the interactive representation, interactive user-controllable parameter testing using the first selection.

16. The apparatus of claim 12, wherein the interactive representation comprises an interactive visual indication of a second set of electrostimulation electrodes or vectors that is available for use with the first selection, the second set provided using the interactive representation and in visual correspondence with the first selection.

17. A method comprising:

providing to a user an interactive representation of a first set of cardiac electrostimulation electrodes;

receiving a first selection of a cardiac electrostimulation electrode or electrostimulation vector;

providing a visual indication of the first selection using the interactive representation, wherein providing the visual indication of the first selection includes a color change representative of the selection of the cardiac electrostimulation electrode or electrostimulation vector;

receiving from a user a selection of one or more tests to perform on the first selection of an electrostimulation electrode;

interactively using the first selection including displaying device-measured results of an impedance measurement test for a cardiac electrostimulation electrode combination or an electrostimulation vector associated with the first selection; and

displaying, using the interactive representation, the first selection of the cardiac electrostimulation electrode or electrostimulation vector superimposed over an image of a heart.

18. The apparatus of claim 17, wherein the image of the heart is configured to be rotated in virtual three dimensional space.