Acoustically triggered therapy delivery

• US 9,492,671 B2
• Filed: 04/23/2015
• Issued: 11/15/2016
• Est. Priority Date: 05/06/2014
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: O'Brien, Richard J, Carney, James K, Cinbis, Can, Kuhn, Jonathan L, Anderson, Thomas A, Anderson, Taylor R
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US14/694,990
• Publication Number:
  US 20150321016A1
• Time in Patent Office: 572 Days
• US Class Current: 1/1
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/36514 controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37217 characterised by the communication link, e.g. acoustic or tactile
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

A medical device system is configured to sense a physiological signal by a first device and generate a control signal by the first device in response to the physiological signal. An acoustical emitting device is controlled by the first device to emit an acoustical trigger signal in response to the control signal. A second device detects the acoustical trigger signal and delivers an automatic therapy to a patient in response to detecting the acoustical trigger signal.

Claims

1. A medical device system for automatically delivering a therapy, comprising:

a first device configured to sense a physiological signal and generate a control signal in response to the physiological signal;

an acoustical emitting device controlled by the first device to emit an acoustical trigger signal in response to receiving the control signal from the first device; and

a second device comprising;

a transducer for receiving the acoustical trigger signal,

a therapy delivery module, and

a power source comprising at least one battery connected to the therapy delivery module and configured to supply power required by the therapy delivery module;

the second device configured to detect the acoustical trigger signal and deliver the therapy to a patient in response to detecting the acoustical trigger signal, wherein delivering the therapy comprises enabling the power source connected to the therapy delivery module of the second device to provide power to deliver the therapy.

2. The system of claim 1, wherein:

the first device is configured to sense cardiac electrical signals via a plurality of electrodes coupled to the first device; and

the second device is configured to deliver an electrical stimulation pulse to a targeted body tissue of the patient via an electrode pair coupled to the second device in response to detecting the acoustical trigger signal.

3. The system of claim 1, wherein the second device is wholly implantable within a heart chamber.

4. The system of claim 1, wherein the first device comprises a housing and the acoustical emitting device is enclosed by the housing,

the housing further comprising an acoustical coupling member for acoustically coupling the acoustical trigger signal with adjacent body tissue,

the acoustical emitting device configured to emit the acoustical trigger signal through the coupling member.

5. The system of claim 1, further comprising a medical lead extending from the first device, the acoustical emitting device comprising a torus ultrasound transducer carried by the medical lead.

6. The system of claim 1, wherein:

the acoustical emitting device comprises a drive signal circuit and a plurality of emitting transducers;

wherein the first device is configured to control the drive signal circuit to activate the plurality of emitting transducers to at least one of focus a plurality of emitted acoustical signals toward the second device and emit the plurality of acoustical signals to constructively interfere.

7. The system of claim 1, wherein the second device comprises an acoustic coupling member through which the transducer receives the trigger signal, the coupling member extending along at least one side of the second device.

8. The system of claim 7, wherein:

the transducer comprises a plurality of piezoelectric elements extending along the coupling member;

the second device comprises an acoustical receiver configured to;

receive a voltage signal from each of the plurality of piezoelectric elements;

compare the voltage signals to a detection threshold; and

detect the trigger signal in response to the detection threshold being exceeded.

9. The system of claim 1, wherein the second device comprises a faceted coupling member through which the transducer receives the trigger signal.

10. The system of claim 9, wherein the faceted coupling member comprises a plurality of facets at least partially circumscribing the second device.

11. The system of claim 1, wherein the therapy delivery module comprises at least one capacitor,

the second device further configured to charge at least one capacitor of the therapy delivery module from the power source prior to detecting the acoustical trigger signal, wherein delivering the therapy in response to detecting the acoustical trigger signal comprises discharging the at least one capacitor charged prior to detecting the acoustical trigger signal.

12. The system of claim 1, wherein the therapy delivery module is coupled to pacing electrodes and comprises a switch that connects the power source to the pacing electrodes,

wherein delivering the therapy in response to detecting the acoustical trigger signal comprises enabling the switch to connect the power source to the pacing electrodes to deliver a pacing pulse in response to detecting the acoustical trigger signal.

13. A method for delivering an automatic therapy by a medical device system, comprising:

sensing a physiological signal by a first device;

generating a control signal by the first device in response to the physiological signal;

automatically emitting an acoustical trigger signal by an acoustical emitting device receiving the control signal;

detecting the acoustical trigger signal by a second device comprising a transducer that is responsive to the acoustical trigger signal; and

delivering the therapy to a patient in response to the second device detecting the acoustical trigger signal, wherein delivering the therapy comprises enabling a power source of the second device comprising at least one battery and being connected to a therapy delivery module of the second device to provide power to deliver the therapy.

14. The method of claim 13, wherein the physiological signal is a cardiac electrical signal sensed using a plurality of electrodes coupled to the first device,

wherein delivering the therapy in response to detecting the acoustical trigger signal comprises delivering an electrical stimulation pulse generated by the second device to a targeted body tissue of the patient using an electrode pair coupled to the second device.

15. The method of claim 13, further comprising transmitting the acoustical trigger signal from the emitting device to the second device wholly implanted within a heart chamber.

16. The method of claim 13, wherein emitting the acoustical trigger signal comprises emitting the acoustical trigger signal through a coupling member of a housing of the first device, the acoustical coupling member coupling the acoustical trigger signal with adjacent body tissue.

17. The method of claim 16, further comprising receiving the acoustical trigger signal by the transducer through a coupling member extending along at least one side of the second device.

18. The method of claim 17, further comprising:

receiving by an acoustical receiver a voltage signal from each of a plurality of piezoelectric elements extending along the coupling member;

comparing the voltage signals to a detection threshold; and

detecting the trigger signal in response to the detection threshold being exceeded.

19. The method of claim 16, further comprising receiving the acoustical trigger signal by the transducer through a faceted coupling member.

20. The method of claim 16, further comprising receiving the acoustical trigger signal through a coupling member having a faceted portion extending along less than a circumference of the second device.

21. The method of claim 13, wherein emitting the acoustical trigger signal comprises activating a torus ultrasound transducer carried by a medical extending from the first device.

22. The method of claim 13, further comprising controlling a drive signal circuit of the acoustical emitting device by the first device to activate a plurality of emitting transducers to at least one of focus a plurality of emitted acoustical signals toward the second device and emit the plurality of acoustical signals to constructively interfere.

23. A non-transitory, computer-readable storage medium storing a set of instructions that, when executed by a processor of an implantable medical device system, cause the system to:

sense a physiological signal by a first device;

generate a control signal by the first device in response to the physiological signal;

emit an acoustical trigger signal by an acoustical emitting device in response to the control signal;

detect the acoustical trigger signal by a second device comprising a transducer that is responsive to the acoustical trigger signal; and

deliver a therapy by the second device to a patient in response to the second device detecting the acoustical trigger signal, wherein delivering the therapy comprises enabling a power source of the second device comprising at least one battery and being connected to a therapy delivery module of the second device to provide power to deliver the therapy.