MRI compatible implantable medical devices and methods

• US 9,849,292 B2
• Filed: 05/12/2016
• Issued: 12/26/2017
• Est. Priority Date: 03/09/2007
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Wedan, Steve R., Bobgan, Jean M., Lloyd, Thomas W.
• Primary Examiner(s): Bertram, Eric D.
• Application Number:
  US15/153,189
• Publication Number:
  US 20160256695A1
• Time in Patent Office: 593 Days
• CPC Class Codes: A61N 1/086 Magnetic resonance imaging [MRI] compatible leads
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: G01R 29/0814 Field measurements related to measuring influence on or from apparatus, components or humans EMC, EMI and similar testing in general G01R31/001, e.g. in ESD, EMI, EMC, EMP testing, measuring radiation leakage; detecting presence of micro- or radiowave emitters; dosimetry; testing shielding; measurements related to lightning
• CPC Class Codes: G01R 33/285 Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR
• CPC Class Codes: G01R 33/286 involving passive visualization of interventional instruments, i.e. making the instrument visible as part of the normal MR process

Abstract

An implantable medical device configured to be compatible with the environment inside an MRI machine. The implantable medical device includes a housing constructed of an electrically conductive material and pulse generation circuitry within the housing for generating electrical voltage pulses. The implantable medical device further includes a first conductor that is configured to transmit the electrical voltage pulses from the pulse generation circuitry to a patient'"'"'s cardiac tissue and a second conductor that is configured to provide an electrically conductive path from the patient'"'"'s cardiac tissue back to the pulse generation circuitry. The implantable medical device further includes a selectively interruptible electrically conductive path connecting the pulse generation circuitry with the housing.

Claims

1. An implantable medical device comprising:

a housing comprising an electrically conductive material;

pulse generation circuitry disposed within the housing for generating electrical voltage pulses;

a protection diode located in series with and between the housing and the pulse generation circuitry;

a resistor located in series with the protection diode between the housing and the pulse generation circuitry; and

a first switch located in series with the protection diode and the resistor, the switch configured to selectively isolate the housing from the pulse generation circuitry.

2. The implantable medical device of claim 1, wherein resistor is located between the diode and the pulse generation circuitry.

3. The implantable medical device of claim 1, wherein the resistor has a resistance of 10,000 to 30,000 ohms.

4. The implantable medical device of claim 1, wherein the resistor has a resistance of 1,000 to 300,000 ohms.

5. The implantable medical device of claim 1, comprising a magnetic field sensor.

6. The implantable medical device of claim 5, comprising control circuitry configured to open the switch in response to an indication from the magnetic field sensor indicative of a magnetic field characteristic of magnetic resonance imaging.

7. The implantable medical device of claim 5, wherein the magnetic field sensor comprises a magnetometer.

8. The implantable medical device of claim 5, wherein the magnetic field sensor comprises a Hall-effect sensor.

9. The implantable medical device of claim 5, wherein the magnetic field sensor comprises a reed switch.

10. The implantable medical device of claim 5, wherein the magnetic field sensor comprises the resistor and information indicative of the magnetic field includes a voltage across the resistor established by a magnetic-field-induced current.

11. The implantable medical device of claim 1, comprising control circuitry configured to open the switch in response to detecting an electrical current that is characteristic of magnetic resonance imaging.

12. The implantable medical device of claim 1, comprising:

a receiver configured to receive a signal transmitted from outside a body of the patient; and

control circuitry configured to open the switch in response to the signal.

13. The implantable medical device of claim 1, comprising a second switch configured to selectively establish a bipolar lead configuration mode or a unipolar lead configuration mode for the pulse generation circuitry depending the second switch state.

14. The implantable medical device of claim 1, wherein the protection diode is included as a portion of an integrated circuit.

15. A method for operating an implantable medical device (IMD), the method comprising:

providing, for the IMD, a housing comprising an electrically conductive material;

providing, for the IMD, pulse generation circuitry disposed within the housing for generating electrical voltage pulses;

providing, for the IMD, a protection diode located in series with and between the housing and the pulse generation circuitry;

providing, for the IMD, a resistor located in series with the protection diode between the housing the pulse generation circuitry;

providing, for the IMD, a first switch located in series with the protection diode and the resistor, the switch configured to selectively isolate the housing from the pulse generation circuitry; and

limiting, for the IMD, a magnetic-resonance-imaging-induced current through the protection diode using the resistor.

16. The method of claim 15, comprising isolating, via the IMD, the housing from the pulse generation circuitry using a switch located in series with the protection diode and the resistor.

17. The method of claim 15, comprising opening, via the IMD, the switch in response to detecting an electrical current that is characteristic of magnetic resonance imaging.

18. The method of claim 15, comprising opening, via the IMD, the switch in response to receiving a signal transmitted from outside a body of the patient.

19. The method of claim 15, comprising providing a second switch for the IMD and selectively establishing a bipolar lead configuration mode or a unipolar lead configuration mode for the pulse generation circuitry depending the second switch state.

20. An implantable medical device comprising:

a housing comprising an electrically conductive material;

pulse generation circuitry disposed within the housing for generating electrical voltage pulses;

a protection diode located in series with and between the housing and the pulse generation circuitry;

a resistor located in series with the protection diode between the housing the pulse generation circuitry, the resistor located between the diode and the pulse generation circuitry; and

a first switch located in series with the protection diode and the resistor, the switch configured to selectively isolate the housing from the pulse generation circuitry;

wherein the pulse generation circuitry is otherwise electrically isolated from the housing.