Methods and apparatus for tissue activation and monitoring

• US 7,214,189 B2
• Filed: 09/01/2005
• Issued: 05/08/2007
• Est. Priority Date: 09/02/2004
• Status: Active Grant

• Current Assignee: Proteus Digital Health, Inc. (Otsuka Holdings Company Limited)
• Original Assignee: Proteus Biomedical, Inc. (Otsuka Holdings Company Limited)
• Inventors: Zdeblick, Mark J.
• Primary Examiner(s): Pezzuto; Robert E.
• Assistant Examiner(s): Bertram; Eric D.
• Application Number:
  US11/219,305
• Publication Number:
  US 20060058588A1
• Time in Patent Office: 614 Days
• Field of Search: 600/300, 607/34, 607/37
• US Class Current: 600/300
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/341 Vectorcardiography [VCG]
• 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 1/368 comprising more than one electrode co-operating with different heart regions A61N1/3622, A61N1/3627 take precedence
• CPC Class Codes: A61N 1/3684 for stimulating the heart at multiple sites of the ventricle or the atrium
• CPC Class Codes: A61N 1/36843 Bi-ventricular stimulation
• CPC Class Codes: A61N 1/3686 configured for selecting the electrode configuration on a lead A61N1/3688 takes precedence
• CPC Class Codes: A61N 1/372 Arrangements in connection with the implantation of stimulators
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37276 characterised by means for reducing power consumption during telemetry
• CPC Class Codes: A61N 1/37288 Communication to several implantable medical devices within one patient
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

Techniques for controlling one or more modular circuits (“satellites”) that are intended for placement in a subject'"'"'s body. The one or more satellites are controlled by sending signals over a bus that includes first and second conduction paths. Also coupled to the bus in system embodiments is a device such as a pacemaker that provides power and includes control circuitry. Each satellite includes satellite circuitry and one or more effectors that interact with the tissue. The satellite circuitry is coupled to the bus, and thus interfaces the controller to the one or more effectors, which may function as actuators, sensors, or both. The effectors may be electrodes that are used to introduce analog electrical signals (e.g., one or more pacing pulses) into the tissue in the local areas where the electrodes are positioned (e.g., heart muscles) or to sense analog signals (e.g., a propagating depolarization signal) within the tissue.

Claims

1. A method for controlling one or more satellite units which reside along a carrier located in a subject'"'"'s body, wherein

each satellite unit includes a number of electrodes and circuitry that is coupled to a bus, and

the bus includes first and second conduction paths with at least the first conduction path being insulated from the subject'"'"'s body when the carrier is located within the subject'"'"'s body,

the method comprising:

supplying power to one or more of the satellite units over the bus;

transmitting a bit sequence over the bus;

storing information in at least one satellite unit based on the bit sequence to configure said electrodes of said satellite;

ceasing to transmit bit sequences;

ceasing to supply power to the satellite units, wherein ceasing to supply power to the satellite units includes transmitting a sleep command on the bus to the satellite units so that a certain part of the control circuit within each satellite unit is turned off while the electrodes therein remain in their configured states, hence reducing the rower consumption by the satellite units; and

sending pacing pulses to the configured electrodes and/or detecting analog signals through the configured electrodes.

2. The method of claim 1, wherein at least one satellite unit can be used for activation, and at least one satellite unit, which may be the same satellite unit, can be used for signal detection.

3. The method of claim 1, and further comprising configuring one or more desired electrodes within that satellite unit to be coupled to the bus based on the stored information.

4. The method of claim 1, and further comprising using the stored information to modulate the impedance between at least one selected electrodes and at least one conduction path.

5. The method of claim 1, wherein:

the bit sequence includes satellite address information, and

a given satellite unit acts on the bit sequence only if that satellite'"'"'s address matches the address information in the bit sequence.

6. The method of claim 5, wherein:

the bit sequence includes electrode connection information for a given electrode; and

the given satellite unit establishes a connection state for the given electrode based on the electrode connection information.

7. The method of claim 1, wherein:

the bit sequence includes electrode connection information;

the stored information specifies whether a given electrode is to be connected to a given conduction path of the bus; and

the method further comprises establishing a connection state for the given electrode based on the electrode connection information.

8. The method of claim 1, wherein the information remains stored during an interval in which power is not being supplied to the satellite unit over the bus.

9. The method of claim 1, wherein:

the stored information specifies whether a given electrode is to be connected to a given conduction path of the bus; and

the information remains stored during an interval in which power is not being supplied.

10. The method of claim 9, wherein, if the stored information specifies that the given electrode is to be connected to the given conduction path, the given electrode remains connected to the given conduction path during an interval in which power is not being supplied to the satellite unit.

11. The method of claim 1, wherein the second conduction path is insulated from the subject'"'"'s body.

12. The method of claim 1, wherein:

the first conduction path is the only conduction path that is insulated from the subjects body; and

the second conduction path is provided by portions of the subject'"'"'s body.

13. The method of claim 1, wherein supplying power is performed in connection with transmitting the bit sequences.

14. The method of claim 1, wherein supplying power is performed separately from transmitting the bit sequences.

15. The method of claim 1, wherein supplying power is performed in connection with transmitting pacing signals over the bus.

16. The method of claim 1, wherein:

transmitting a number of bit sequences includes transmitting a number of satellite-address commands and a number of electrode-address commands; and

a satellite-address command and an electrode-address command are used jointly to select a given satellite unit, and within the selected satellite unit, how one or more electrodes are to be coupled to the first conduction path or the second conduction path.

17. The method of claim 1, wherein configuring the electrodes includes transmitting a switch command to trigger the coupling of these electrodes.

18. The method of claim 1, wherein transmitting a number of bit sequences includes amplitude-modulating a DC power supply voltage with a digital signal.

19. The method of claim 18, wherein the digital signal is a frequency-shift-keying (FSK) modulated signal.

20. The method of claim 1, further comprising resuming supplying power to the satellite units after a period of time, thereby allowing the states of the electrodes within each satellite unit to be maintained.

21. The method of claim 1, wherein subsequent to configuring the electrodes, the method further comprises transmitting one or more pacing signals over the bus to the configured electrodes, thereby facilitating cardiac pacing with improved accuracy.

22. The method of claim 1, wherein subsequent to configuring the electrodes, the method further comprises receiving analog signals through the configured electrodes within the selected satellite units, thereby facilitating detection of signals in tissue in the vicinity of the configured electrodes with improved accuracy and sensitivity.