Implantable medical device having a sense channel with performance adjustment

• US 10,561,330 B2
• Filed: 10/24/2017
• Issued: 02/18/2020
• 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: Kharam, Aleksandra, Balczewski, Ron A., Huelskamp, Paul, Juffer, Lance Eric, Maile, Keith R.
• Primary Examiner(s): Manuel, George
• Application Number:
  US15/792,353
• Publication Number:
  US 20180116540A1
• Time in Patent Office: 847 Days
• CPC Class Codes: A61B 2560/0209 adapted for power saving
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61N 1/3704 Circuits specially adapted therefor, e.g. for sensitivity control
• CPC Class Codes: A61N 1/3708 for power depletion
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• 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 1/37512 Pacemakers
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 1/378 Electrical supply

Abstract

An implantable medical device (IMD) may include a sensor for providing a sensor output signal and a sense channel configured to receive the sensor output signal from the sensor. The sense channel may be configured to process the sensor output signal and output a sense channel output signal. The sense channel may have an adjustable performance level, wherein for a higher performance level the sense channel consumes more power than for a lower performance level. A controller may be configured to adjust the performance level of the sense channel to achieve more performance and more power consumption when a higher degree of sense channel performance is desired and to achieve less performance and less power consumption when a higher degree of performance is not desired.

Claims

1. An implantable medical device (IMD) comprising:

a housing;

a sensor for providing a sensor output signal;

a sense channel receiving the sensor output signal from the sensor, the sense channel processing the sensor output signal and outputting a sense channel output signal;

the sense channel having an adjustable performance level, wherein for a higher performance level the sense channel consumes more power and for a lower performance level the sense channel consumes less power;

a controller receiving the sense channel output signal; and

the controller adjusting the performance level of the sense channel to achieve more performance and more power consumption when a higher degree of performance is desired and to achieve less performance and less power consumption when a high degree of performance is not desired.

2. The IMD of claim 1, wherein the controller determines a measure of a signal-to-noise ratio (SNR) of the sense channel output signal, and adjusts the performance level of the sense channel based at least in part on the measure of the signal-to-noise ratio (SNR) of the sense channel output signal.

3. The IMD of claim 1, wherein the performance level of the sense channel is adjusted by adjusting a noise floor of a sense amplifier of the sense channel.

4. The IMD of claim 1, wherein the performance level of the sense channel is adjusted by adjusting a resolution of the sense channel and/or a supply voltage of a sense amplifier of the sense channel.

5. The IMD of claim 1, wherein the performance level of the sense channel is adjusted by adjusted a sample rate of the sense channel.

6. The IMD of claim 1, wherein the sense channel comprises a sense amplifier, and wherein the performance level of the sense channel is adjusted by adjusting a bias of the sense amplifier.

7. The IMD of claim 1, wherein the sense channel is activated and deactivated at a duty cycle, and wherein the performance level of the sense channel is adjusted by adjusting the duty cycle of the sense channel.

8. The IMD of claim 1, wherein the sense channel samples the sensor output signal at a sample rate, and wherein the performance level of the sense channel is adjusted by adjusting the sample rate of the sense channel.

9. The IMD of claim 1, wherein the sense channel comprises an analog-to-digital (A/D) converter with an adjustable resolution, and wherein the performance level of the sense channel is adjusted by adjusting the resolution of the A/D converter.

10. The IMD of claim 1, wherein the IMD senses and processes two or more different cardiac signals, and wherein the controller adjusts the performance level of the sense channel based at least in part on which of the two or more different cardiac signals is to be sensed and processed.

11. The IMD of claim 10, wherein the two or more different cardiac signals comprise an R-wave and a P-Wave, and wherein the controller adjusts the performance level of the sense channel to achieve more performance and more power consumption when the P-Wave is to be sensed and processed, and adjusts the performance level of the sense channel to achieve less performance and less power consumption when the R-Wave is to be sensed and processed.

12. The IMD of claim 1, wherein the controller dynamically adjusts the performance level of the sense channel.

13. The IMD of claim 1, comprising a leadless cardiac pacemaker (LCP).

14. The IMD of claim 1, comprising an insertable cardiac monitor (ICM).

15. A leadless cardiac pacemaker (LCP) configured for implantation into a patient'"'"'s heart, the LCP configured to sense electrical cardiac activity and to deliver pacing pulses to the patient'"'"'s heart, the LCP comprising:

a housing;

a first electrode secured relative to the housing;

a second electrode secured relative to the housing, the second electrode spaced from the first electrode;

a controller disposed within the housing and operably coupled to the first electrode and the second electrode such that the controller is capable of receiving, via the first electrode and the second electrode, electrical cardiac signals of the heart;

a sensor disposed within the housing, the sensor sensing an indication of cardiac activity and providing a sensor output signal;

a sense channel receiving the sensor output signal from the sensor, the sense channel processing the sensor output signal and outputting a sense channel output signal;

the sense channel having an adjustable performance level, wherein for a higher performance level the sense channel consumes more power and for a lower performance level the sense channel consumes less power;

the controller receiving the sense channel output signal; and

the controller adjusting the performance level of the sense channel to achieve more performance and more power consumption when a higher degree of performance is desired and to achieve less performance and less power consumption when a high degree of performance is not desired.

16. The LCP of claim 15, wherein the LCP senses and processes two or more different cardiac signals, and wherein the controller adjusts the performance level of the sense channel based at least in part on which of the two or more different cardiac signals is to be sensed and processed.

17. The LCP of claim 15, wherein the sensor comprises an electrical signal sensor that senses an electric signal between the first electrode and the second electrode.

18. The LCP of claim 15, wherein the sensor comprises one or more of an accelerometer, a pressure sensor, a gyroscope, and a magnetic sensor.

19. A method of monitoring a patient'"'"'s heart using an implantable medical device configured for implantation proximate the patient'"'"'s heart, the implantable medical device including a sensor configured to sense an indication of cardiac activity and a dynamically adjustable sense channel configured to process a signal from the sensor, the implantable medical device further including a controller operably coupled to the dynamically adjustable sense channel, the method comprising:

sensing an indication of cardiac activity using the sensor, the sensor outputting a signal to the dynamically adjustable sense channel;

operating the dynamically adjustable sense channel at a performance level to process the signal from the sensor and output the processed signal to the controller;

analyzing the processed signal for an indication of signal quality;

determining if the indication of signal quality is acceptable; and

adjusting the performance level of the dynamically adjustable sense channel if the indication of signal quality is not acceptable.

20. The method of claim 19, further comprising:

repeating the sensing, operating, analyzing, determining and adjusting steps until the indication of signal quality is determined to be acceptable.