Implantable medical device with gyroscope

• US 10,413,733 B2
• Filed: 10/23/2017
• Issued: 09/17/2019
• Est. Priority Date: 10/27/2016
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Mi, Bin, Thakur, Pramodsingh Hirasingh, Stahmann, Jeffrey E., Maile, Keith R., An, Qi, Koop, Brendan Early, Yu, Yinghong, Averina, Viktoria A., Kane, Michael J., Siejko, Krzysztof Z.
• Primary Examiner(s): Porter, Allen
• Application Number:
  US15/791,286
• Publication Number:
  US 20180117340A1
• Time in Patent Office: 694 Days
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/00 Measuring for diagnostic purposes radiation diagnosis A61B6/00; diagnosis by ultrasonic, sonic or infrasonic waves A61B8/00; Identification of persons
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/29 for permanent or long-term implantation
• CPC Class Codes: A61B 5/366 Detecting abnormal QRS complex, e.g. widening
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61N 1/36578 controlled by mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
• CPC Class Codes: A61N 1/37252 Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: G01C 19/38 with north-seeking action by other than magnetic means, e.g. gyrocompasses using earth's rotation
• CPC Class Codes: G06F 3/0346 with detection of the device orientation or free movement in a 3D space, e.g. 3D mice, 6-DOF [six degrees of freedom] pointers using gyroscopes, accelerometers or tilt-sensors

Abstract

An implantable medical device (IMD) that includes a housing, a first electrode secured relative to the housing, a second electrode secured relative to the housing, and a gyroscope secured relative to the housing. The IMD may include circuitry in the housing in communication with the first electrode, the second electrode, and the gyroscope. The circuitry may be configured to determine and store a plurality of torsion data measurements, from which a representation of a twist profile may be determined.

Claims

1. A leadless cardiac pacemaker (LCP) configured to sense cardiac activity and to pace a patient'"'"'s heart, the LCP comprising:

a housing;

an electrode secured relative to the housing and exposed to an environment outside of the housing;

a gyroscope disposed relative to the housing;

circuitry in the housing in communication with the electrode and the gyroscope, the circuitry configured to generate a twisting profile over one or more cardiac cycles based at least in part on data obtained from the gyroscope;

wherein the circuitry is further configured to;

update one or more pacing parameters of the LCP based at least in part on the twisting profile; and

pace the patient'"'"'s heart with the electrode using one or more of the updated pacing parameters.

2. The LCP of claim 1, wherein the circuitry is configured to update the twisting profile at a predefined regular interval.

3. The LCP of claim 1, wherein the circuitry is configured to update the twisting profile in response to a detected condition change.

4. The LCP of claim 1, wherein the detected condition change corresponds to one of exercise, heart failure status, therapy modification, cardiac status, pacing status, or posture.

5. The LCP of claim 1, wherein updating the one or more pacing parameters of the LCP comprises adjusting an AV delay.

6. The LCP of claim 1, wherein updating the one or more pacing parameters of the LCP comprises adjusting a VV delay.

7. The LCP of claim 1, wherein the circuitry is further configured to compare the twisting profile to an additional parameter to determine if the twisting profile is abnormal.

8. The LCP of claim 7, wherein the additional parameter is one or more of a cardiovascular pressure, a heart sound, an ECG attribute, a blood flow, impedance, respiration, and/or one or more cardiac dimensions.

9. A medical device system, comprising:

a first implantable medical device including a gyroscope, the first implantable medical device configured to be secured to a patient'"'"'s heart;

a second medical device in communication with the first implantable medical device;

the first implantable medical device and/or the second medical device configured to;

determine a twisting profile of the patient'"'"'s heart based at least in part on data obtained from the gyroscope of the first implantable medical device;

adjust one or more therapy parameters of a therapy based at least in part on the twisting profile; and

deliver the therapy using one or more of the adjusted therapy parameters.

10. The medical device system of claim 9, wherein the twisting profile comprises a twist velocity, a twist vector, and a twist angle.

11. The medical device system of claim 9, wherein the twisting profile provides confirmation of an event detected by the second medical device.

12. The medical device system of claim 9, wherein the first implantable medical device and/or the second medical device are further configured to update the twisting profile at a predefined regular interval.

13. The medical device system of claim 9, wherein the first implantable medical device and/or the second medical device are further configured to update the twisting profile in response to a detected condition change.

14. The medical device system of claim 13, wherein the detected condition change corresponds to one of exercise, heart failure status, or posture.

15. A method for monitoring cardiac dysfunction of a patient'"'"'s heart using a leadless cardiac pacemaker (LCP) secured to the patient'"'"'s heart, wherein the LCP includes a housing, an electrode secured relative to the housing and exposed to an environment outside of the housing, and a gyroscope disposed relative to the housing, comprising:

delivering a therapy to the patients'"'"' heart using the LCP;

determining a twisting profile over one or more cardiac cycles based at least in part on data obtained from the gyroscope of the leadless cardiac pacemaker (LCP);

adjusting one or more therapy parameters of a therapy for the patient'"'"'s heart based at least in part on the twisting profile; and

delivering the adjusted therapy to the patient'"'"'s heart using the LCP.

16. The method of claim 15, wherein the twisting profile includes at least one of a twist angle, a twist vector, and a twist velocity.

17. The method of claim 15, wherein adjusting one or more therapy parameters comprises adjusting an implant location of the LCP.

18. The method of claim 15, wherein adjusting one or more therapy parameters comprises adjusting an AV delay.

19. The method of claim 15, wherein adjusting one or more therapy parameters comprises adjusting a VV delay.

20. The method of claim 15, wherein adjusting one or more therapy parameters comprises delivering an ATP therapy using the LCP when the twisting profile indicates a tachyarrhythmia that is treatable with ATP therapy.