Temporal configuration of a motion sensor in an implantable medical device

Patent metadata

Field	Value
Publication number	US-10709892-B2
Application number	US-201815935806-A
Country	US
Kind code	B2
Filing date	Mar 26, 2018
Priority date	Aug 27, 2015
Publication date	Jul 14, 2020
Grant date	Jul 14, 2020

Abstract

Methods and devices for configuring the use of a motion sensor in an implantable cardiac device. The electrical signals of the patient's heart are observed and may be correlated to the physical motion of the heart as detected by the motion sensor of the implantable cardiac device in order to facilitate temporal configuration of motion sensor data collection that avoids detecting cardiac motion in favor of overall motion of the patient.

First claim

What is claimed is:

1. A method of operating an implantable device (ID) adapted for disposition within the heart of a patient, the ID comprising a motion sensor for detecting movement of the patient, the method comprising:
initializing the ID by:
contemporaneously collecting a set of data points from the motion sensor and from a cardiac electrical signal;
correlating time periods within the set of data points from the motion sensor to cardiac activity reflected by the cardiac electrical signal; and
configuring the ID to capture data from the motion sensor by reference to specific repeatable elements of the cardiac electrical signal;

using the ID as configured in the initializing step to capture cardiac signals of the patient and motion signals for the patient.

2. The method of claim 1 further comprising;
using the motion signals to determine an activity level of the patient; and
setting and implementing a pacing rate for the patient using the determined activity level.

3. The method of claim 1 wherein the step of configuring the ID to capture data from the motion sensor is performed by:
determining when intrinsic mechanical motion of the heart is detected by the motion sensor relative to electrical signals of the heart; and
setting a data capture period for the motion sensor relative to a specified electrical signal of the heart to avoid capturing the intrinsic mechanical motion of the heart with the motion sensor.

4. The method of claim 1 wherein the step of configuring the ID to capture data from the motion sensor is performed by:
determining when a quiet period in the intrinsic mechanical motion of the heart is detected by the motion sensor relative to electrical signals of the heart; and
setting a data capture period for the motion sensor relative to a specified electrical signal of the heart to avoid capturing the intrinsic mechanical motion of the heart with the motion sensor.

5. The method of claim 1 wherein the step of configuring the ID to capture data from the motion sensor includes determining a delay after a T-wave in the cardiac electrical signal.

6. The method of claim 5 wherein the delay is configured as a function of cardiac rate.

7. The method of claim 6 wherein the cardiac rate is determined as a rate of pacing output of the ID.

8. The method of claim 6 wherein the cardiac rate is determined as an intrinsic rate of the patient's heart.

9. The method of claim 1 wherein the specific repeatable elements of the cardiac electrical signal are one of an R-wave or a QRS complex.

10. The method of claim 1 wherein the specific repeatable elements of the cardiac electrical signal comprise the T-wave.

11. The method of claim 1 wherein the step of configuring the ID to capture data from the motion sensor by reference to specific repeatable elements of the cardiac electrical signal further includes configuring the ID to maintain the motion sensor in a low power state except when the ID is capturing data therefrom.

12. An implantable medical device (IMD) adapted for implantation within the heart of a patient and comprising:
a plurality of electrodes adapted for one or more of sensing electrical cardiac activity and delivering therapy;
a motion sensor for detecting movement of the patient; and
a processing module configured to receive signals from the motion sensor and from the plurality of electrodes to determine patient status, wherein the processing module is configured to enhance the operation of the device by:
initializing the IMD by:
contemporaneously collecting a set of data points from the motion sensor and from a cardiac electrical signal capturing using two or more of the plurality of electrodes;
correlating time periods within the set of data points from the motion sensor to cardiac activity reflected by the cardiac electrical signal; and
setting up the IMD to capture data from the motion sensor by reference to specific repeatable elements of the cardiac electrical signal; and

using the IMD as set up in the initializing step to capture cardiac signals of the patient and motion signals for the patient.

13. An IMD as in claim 12 wherein the processing module is further configured to:
use the motion signals to determine an activity level of the patient; and
set and implement a pacing rate for the patient using the determined activity level.

14. An IMD as in claim 12 wherein the processing module is configured to set up the IMD to capture data from the motion sensor by:
determining when intrinsic mechanical motion of the heart is detected by the motion sensor relative to electrical signals of the heart; and
setting a data capture period for the motion sensor relative to a specified electrical signal of the heart to avoid capturing intrinsic mechanical motion of the heart with the motion sensor.

15. An IMD as in claim 12 wherein the processing module is configured to set up the IMD to capture data from the motion sensor by:
determining when a quiet period in the intrinsic mechanical motion of the heart is detected by the motion sensor relative to electrical signals of the heart; and
setting a data capture period for the motion sensor relative to a specified electrical signal of the heart to avoid capturing intrinsic mechanical motion of the heart with the motion sensor.

16. An IMD as in claim 12 wherein the processing module is configured to set up the IMD to capture data from the motion sensor by determining a delay after a T-wave in the cardiac electrical signal.

17. An IMD as in claim 16 wherein the processing module is configured to set the delay after a T-wave as a function of cardiac rate.

18. An IMD as in claim 12 wherein the specific repeatable elements of the cardiac electrical signal are one of an R-wave or a QRS complex.

19. An IMD as in claim 12 wherein the specific repeatable elements of the cardiac electrical signal comprise the T-wave.

Assignees

• Cardiac Pacemakers Inc

Inventors

• Kane Michael J
• Linder William J
• Haasl Benjamin J
• Huelskamp Paul
• Maile Keith R
• Balczewski Ron A
• Mi Bin
• Hatlestad John D
• Shuros Allan Charles

Classifications

• A61B5/349

  Detecting specific parameters of the electrocardiograph cycle · CPC title

• A61N1/3756

  Casings with electrodes thereon, e.g. leadless stimulators · CPC title

• A61B5/686

  Permanently implanted devices, e.g. pacemakers, other stimulators, biochips (A61B5/6861 takes precedence) · CPC title

• A61B5/1118

  Determining activity level · CPC title

• A61B5/6869

  Heart · CPC title