Measuring conduction velocity using one or more satellite devices

• US 7,983,751 B2
• Filed: 08/09/2006
• Issued: 07/19/2011
• Est. Priority Date: 08/12/2005
• 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., Robertson, Timothy, Savage, George M.
• Primary Examiner(s): Manuel; George
• Assistant Examiner(s): Wieland; Robert N
• Application Number:
  US12/063,097
• Publication Number:
  US 20080306394A1
• Time in Patent Office: 1,805 Days
• Field of Search: 600/373, 600/508, 600/509, 607/9, 607/2, 607/27, 607/19, 607/17, 607/122, 607/119, 607/332, 607/61
• US Class Current: 607/9
• CPC Class Codes: A61B 5/341 Vectorcardiography [VCG]

Abstract

A method for measuring the conduction velocity of a depolarization wave in a tissue employs a first satellite located within the tissue and a second that satellite is located within the tissue a distance away from the first satellite, e.g., by using the time of depolarization wave as reported from each satellite and the distance to determine velocity of the wave. Also provided are systems and kits that find use in accordance with the invention.

Claims

1. A method of determining conduction velocity of a depolarization wave in a tissue, the method comprising:

(a) providing a first satellite coupled to a central controller, the first satellite having a first satellite circuit and at least two individually and separately addressable first satellite electrodes, the first satellite circuit adapted to simultaneously and separately couple and decouple each of the at least two first satellite electrodes as directed by the central controller;

(b) providing a second satellite coupled to the central controller, the second satellite having a second satellite circuit and at least two individually and separately addressable second satellite electrodes, the second satellite circuit adapted to simultaneously and separately couple and decouple each of the at least two second satellite electrodes as directed by the central controller;

(c) determining a time interval between a first satellite'"'"'s reporting of a depolarization wave in the tissue and a second satellite'"'"'s reporting of a depolarization wave in the tissue, wherein the first satellite and the second satellite are formed on a lead, and wherein the second satellite is located a fixed distance away from the first satellite; and

(d) calculating the conduction velocity using the time interval and the fixed distance between the first satellite and the second satellite.

2. The method according to claim 1, wherein the first and second satellites are coupled to at least one conductive element within the lead.

3. The method according to claim 2, wherein the lead comprises two wires and the first and second satellites are each coupled to the two wires.

4. The method according to claim 2, wherein the lead comprises a single wire and the first and second satellites are each coupled to the single wire.

5. The method according to claim 2, wherein the at least one conductive element is coupled to the central controller.

6. The method according to claim 1, wherein each of the first and second satellites comprises a circuit and at least one effector coupled to the circuit.

7. The method according to claim 5, wherein the method further comprises configuring the first and second satellites to report a presence of the depolarization wave to the central controller.

8. The method according to claim 7, wherein the configuring the first and second satellites are performed sequentially.

9. The method according to claim 7, wherein each of the first and second satellites comprises an effector, and wherein the method further comprises coupling the effector to the at least one conductive element.

10. The method according to claim 9, wherein the coupling of the first and second satellites is performed sequentially.

11. The method according to claim 1, wherein the method further comprises applying a stimulus to the tissue to produce the depolarization wave.

12. The method according to claim 11, wherein the stimulus is a pharmacological stimulus.

13. The method according to claim 12, wherein the pharmacological stimulus is applied by administering a medication.

14. The method according to claim 11, wherein the stimulus is an electrical stimulus.

15. The method according to claim 14, wherein the electrical stimulus is applied by causing the first satellite to depolarize the tissue.

16. The method according to claim 11, wherein the stimulus is a physical stimulus.

17. The method according to claim 16, wherein the physical stimulus is applied when a host that comprises the tissue is exercising.

18. The method according to claim 1, wherein the tissue is a cardiac tissue.

19. The method according to claim 1, wherein the method further comprises obtaining a second conduction velocity from a third and fourth satellites, wherein the third and fourth satellites are positioned at different locations of the tissue.

20. The method according to claim 19, wherein the third and fourth satellites are present on a second lead.

21. The method according to claim 19, wherein the method further comprises determining a direction of the depolarization wave in the tissue from the first conduction velocity and the second conduction velocity.

22. The method according to claim 21, wherein the method comprises evaluating conductive properties of a portion of the tissue using the determined direction.

23. The method according to claim 22, wherein the evaluating comprises identifying a region of abnormal depolarization wave conduction.

24. The method according to claim 22, wherein the evaluating comprises identifying pre-ischemic or ischemic region of the tissue.

25. The method according to claim 22, wherein the evaluating comprises identifying an ischemic region of the tissue.

26. The method according to claim 25, wherein the region of abnormal depolarization wave conduction is characterized by a nonlinear wave propagation.

27. The method according to claim 26, wherein the non-linear wave propagation is a curvilinear propagation.

28. The method according to claim 23, wherein the method further comprises applying a stimulus to the tissue in a manner sufficient to compensate for the region of abnormal depolarization wave conduction.

29. The method according to claim 28, wherein the method comprises employing a cardiac wavefront controller to apply the stimulus.

30. The method according to claim 29, wherein the cardiac wavefront controller applies an electrical stimulus to the tissue from two or more different effectors associated with the first, second, third, or fourth satellite in a manner sufficient to compensate for the region of abnormal depolarization wave conduction.

31. The method according to claim 30, wherein the cardiac wavefront controller sequentially applies the electrical stimulus to the tissue from the two or more different effectors.

32. A method of stimulating cardiac tissue, the method comprising:

locating a first satellite coupled to a central controller relative to the tissue, the first satellite having a first satellite circuit and at least two first satellite electrodes, the first satellite circuit adapted to individually reconfigurably couple and decouple each of the at least two first satellite electrodes as directed by the central controller;

locating a second satellite coupled to the central controller relative to the tissue, the second satellite having a second satellite circuit and at least two second satellite electrodes, the second satellite circuit adapted to individually reconfigurably couple and decouple each of the at least two second satellite electrodes as directed by the central controller;

determining a time interval between a first satellite'"'"'s reporting of a depolarization wave in the tissue and a second satellite'"'"'s reporting of a depolarization wave in the tissue, wherein the first satellite and the second satellite are formed on a lead, and wherein the second satellite is located a fixed distance away from the first satellite;

calculating a conduction velocity using the time interval and the fixed distance between the first satellite and the second satellite;

identifying a region of abnormal depolarization wavefront conduction in the tissue using at least the conduction velocity; and

applying a stimulus to the tissue in a manner sufficient to compensate for the region of abnormal depolarization wave conduction.

33. The method according to claim 32, wherein the method comprises employing a cardiac wavefront controller to apply the stimulus.

34. The method according to claim 33, wherein the cardiac wavefront controller applies an electrical stimulus to the tissue from two or more different effectors associated with the first and second satellites in a manner sufficient to compensate for the region of abnormal depolarization wave conduction.

35. The method according to claim 34, wherein the cardiac wavefront controller sequentially applies the electrical stimulus to the tissue from the two or more different effectors.

36. A system for determining conduction velocity of a depolarization wave in a tissue, the system comprising:

(a) locating a first satellite coupled to a central controller relative to the tissue, the first satellite having a first satellite circuit and at least two first satellite electrodes, the first satellite circuit adapted to individually reconfigurably couple and decouple each of the at least two first satellite electrodes as directed by the central controller;

(b) locating a second satellite coupled to the central controller relative to the tissue, the second satellite having a second satellite circuit and at least two second satellite electrodes, the second satellite circuit adapted to individually reconfigurably couple and decouple each of the at least two second satellite electrodes as directed by the central controller;

(c) the first satellite and the second satellite positioned a fixed distance away from the first satellite, wherein each of the first and second satellite is configured to report

a depolarization wave in the tissue; and

(d) a signal processing element configured to;

(i) determine a time interval between the first satellite'"'"'s reporting of a depolarization wave in the tissue and the second satellite'"'"'s reporting of the depolarization wave in the tissue; and

(ii) calculate a conduction velocity of the depolarization wave in the tissue using the time interval and the fixed distance between the first satellite and the second satellite.

37. The system according to claim 36, wherein the first and second satellites are coupled to at least one conductive element within the lead.

38. The system according to claim 37, wherein the at least one conductive element is coupled to the central controller.

39. The system according to claim 38, wherein the signal processing element is formed at the central controller.

40. The system according to claim 39, wherein the central controller is formed in an implantable control device.

41. The system according to claim 40, wherein the system further comprises a third and fourth satellites formed on a second lead.

42. The system according to claim 36, wherein the system further comprises a cardiac wavefront controller.

43. A non-transitory computer readable storage medium having a processing program stored thereon, wherein the processing program, when executed by a processor, is configured to perform a method comprising:

directing a first satellite having at least two first satellite electrodes to individually reconfigurably couple and decouple each of at least two first satellite electrodes as directed by a central controller;

directing a second satellite having at least two second satellite electrodes to individually reconfigurably couple and decouple each of at least two second satellite electrodes as directed by the central controller;

determining a time interval between a first satellite'"'"'s reporting of a depolarization wave in a tissue and a second satellite'"'"'s reporting of a depolarization wave in the tissue, wherein the first satellite and the second satellite are formed on a lead, and wherein the second satellite is located a fixed distance away from the first satellite; and

calculating a conduction velocity using the time interval and the fixed distance between the first satellite and the second satellite.