Method and apparatus for implantable cardiac lead integrity analysis

• US 9,987,485 B2
• Filed: 03/24/2016
• Issued: 06/05/2018
• Est. Priority Date: 12/05/2012
• Status: Active Grant

• Current Assignee: Lambda Nu Technology LLC
• Original Assignee: Lambda Nu Technology LLC
• Inventors: Kroll, Mark W., Swerdlow, Charles D.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Piateski, Erin M
• Application Number:
  US15/080,343
• Publication Number:
  US 20160271390A1
• Time in Patent Office: 803 Days
• Field of Search: 607 36
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0563 specially adapted for defibrillation or cardioversion
• CPC Class Codes: A61N 1/08 Arrangements or circuits for monitoring, protecting, controlling or indicating for external stimulators A61N1/3603; for implantable neurostimulators A61N1/36128; for heart stimulators A61N1/37; for defibrillators A61N1/3925
• CPC Class Codes: A61N 1/3621 for treating or preventing abnormally high heart rate
• CPC Class Codes: A61N 1/37 Monitoring; Protecting
• CPC Class Codes: A61N 1/3931 Protecting, e.g. back-up systems
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: A61N 1/3962 in combination with another heart therapy
• CPC Class Codes: A61N 1/39622 Pacing therapy
• CPC Class Codes: A61N 2001/083 Monitoring integrity of contacts, e.g. by impedance measurement

Abstract

The present invention relates, generally, to scientific and medical system methods for diagnosis of implantable cardioverter defibrillator (ICD) lead conductor anomalies, in particular conductor migration and externalization within an ICD implantable cardiac lead. The method uses an “imaginary” component of the high frequency transmission line impedance having certain spectral changes that correspond to movements of the conductor or an “imaginary impedance”. This allows the detection of conductor migration and small insulation failures.

Claims

1. A system for analyzing an implantable cardiac lead implanted proximate and in electrical communication with a heart of a patient, the system comprising:

an implantable cardiac lead including one or more high-voltage conductors, each high voltage conductor being electrically connected to at least one defibrillation electrode; and

an implantable cardioverter defibrillator (ICD) device in electrical communication with the implantable cardiac lead including;

a radio adapted to transmit and receive RF transmissions related to the operation of the implantable cardiac device,

a high frequency test circuit adapted to generate a high frequency test signal greater than 10 MHz for application to the implantable cardiac lead;

a frequency oscillator configured to provide a frequency for the RF transmissions and for the high frequency test circuit; and

,

a microcontroller configured to control the radio and the high frequency test circuitry to generate a high frequency test signal that is applied to at least one of the one or more high-voltage conductors of the implantable cardiac lead, determine an imaginary component of a transmission line impedance of the implantable cardiac lead in response to the test signal, and communicate via the radio an indication of potential lead failure related to conductor migration, damage, insulation abrasion or externalization within the implantable cardiac lead based on whether the imaginary component of the transmission line impedance is increased relative to a expected value.

2. The system of claim 1, further comprising:

an external high frequency pulse generator; and

an adapter cable operably coupleable to the implantable cardiac lead,

wherein the external high frequency pulse generator is operably adapted to generate a multitude of high frequency pulses to be applied to the implantable cardiac lead over a frequency sweep range to confirm whether the indication of a potential lead failure is correct.