Systems and methods for controlling rate responsive pacing

• US 9,849,294 B2
• Filed: 08/07/2009
• Issued: 12/26/2017
• Est. Priority Date: 08/11/2008
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Kelly, Jonathan H., Kalgren, James, Perschbacher, David L., Gilkerson, James O., Peterson, Les N.
• Primary Examiner(s): Mahmood, Nadia A
• Application Number:
  US12/537,362
• Publication Number:
  US 20100036448A1
• Time in Patent Office: 3,063 Days
• Field of Search: 128903, 607 7, 607 9, 607 11, 607 15, 607 17, 607 18, 607 28, 607 30- 32
• 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 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

Embodiments of the invention are related to medical systems and methods that can be used to control features of implanted medical devices, amongst other things. In an embodiment, the invention includes a medical system including an external medical device. The external medical device including a video output and a processor in communication with the video output. The system can be configured to display information through the video output as a graph, the graph comprising data representing pacing rates of an implantable device as a function of activity level over time. The system can further be configured to accept user input through direct manipulation of the graph. Other embodiments are also included herein.

Claims

1. A medical system comprising:

an external medical device comprising

a video output; and

a processor in communication with the video output; and

an implantable medical device capable of rate adaptive pacing based on a pacing algorithm, wherein the pacing algorithm includes one or more rate response parameters,

the external medical device configured to display information through the video output as a graph, the graph comprising data representing pacing rates of the implantable medical device as a function of activity level over time;

the external medical device further configured to accept pacing rate user input through direct manipulation of the graph, wherein the system is configured to calculate changes to one or more rate response parameters of the pacing algorithm in response to pacing rate user input.

2. The medical system of claim 1, wherein the graph comprises a first set of data, the first set of data comprising historical pacing rates as a function of historical activity level data over time.

3. The medical system of claim 2, wherein the first set of data is displayed as a graphical object.

4. The medical system of claim 2, wherein the graphical object comprises a line.

5. The medical system of claim 1, wherein the graph comprises a second set of data, the second set of data comprising projected pacing rates as a function of historical activity level data over time.

6. The medical system of claim 5, wherein the set of values for rate response parameters of the pacing algorithm based on the user input results in the projected pacing rates.

7. The medical system of claim 6, wherein the external device is configured to program the set of values for rate response parameters into the implantable medical device.

8. The medical system of claim 6, wherein calculating a set of values comprises executing a best fit function.

9. The medical system of claim 6, further comprising displaying the set of values through the video output.

10. The medical system of claim 1, wherein the graph comprises a third set of data, the third set of data comprising desired pacing rates as a function of historical activity level data over time.

11. The medical system of claim 10, wherein the third set of data is generated in response to the user input.

12. The medical system of claim 10, wherein the set of values for rate response parameters of the pacing algorithm result in pacing that approximates the desired pacing rates as a function of historical activity level data over time.

13. The medical system of claim 12, wherein the rate response parameters are selected from the group consisting of an activity threshold, a reaction time, a response factor, and a recovery time.

14. The medical system of claim 1, wherein the activity level data comprises data gathered by an implantable sensor.

15. The medical system of claim 1, wherein the activity level data comprises data selected from the group consisting of pressure data, volume data, flow rate data, temperature data, electrogram data, chemical analyte data, activity data, and accelerometer data.