Managing communication interference in leadless dual-chamber pacing systems and other IMD systems

Patent metadata

Field	Value
Publication number	US-11766570-B2
Application number	US-202117380307-A
Country	US
Kind code	B2
Filing date	Jul 20, 2021
Priority date	May 10, 2018
Publication date	Sep 26, 2023
Grant date	Sep 26, 2023

Abstract

Embodiments described herein relate to implantable medical devices (IMDs) and methods for use therewith. Such a method includes, during each of a plurality of message alert periods during which a communication capability of the IMD is enabled, determining whether a valid message is detected. In response to determining that no valid message was detected during a message alert period, the communication capability of the IMD is temporarily disable for a disable period. A length of the disable period may be increased in response to no valid message being detected during two consecutive message alert periods. A length of the disable period may be dependent on an operational mode of the IMD, such that the length of the disable period differs for different operational modes. The IMD may also enter a noise state, and remain in the noise state until the IMD receives a specified number of valid messages.

First claim

What is claimed is:

1. A method for use with an implantable medical device (IMD), the method comprising:
during each message alert period of a plurality of message alert periods during which a communication capability of the IMD is enabled, determining whether a valid message is detected during the message alert period;
temporarily disabling the communication capability of the IMD for a disable period, in response to determining that no valid message was detected during a said message alert period; and
increasing a length of the disable period in response to no valid message being detected during two consecutive said message alert periods.

2. The method of claim 1 , wherein:
the increasing the length of the disable period, in response to no valid message being detected during two consecutive said message alert periods, comprises increasing the length of the disable period from a first number of cardiac cycles to a second number of cardiac cycles;
the first number is one or greater; and
the second number is greater than the first number.

3. The method of claim 1 , wherein:
the increasing the length of the disable period, in response to no valid message being detected during two consecutive said message alert periods, comprises increasing the length of the disable period from a first length of time to a second length of time that is longer than the first length of time.

4. The method of claim 1 , further comprising:
further increasing the length of the disable period in response to no valid message being detected during three consecutive message alert periods.

5. The method of claim 1 , wherein:
the communication capability of the IMD, which is temporarily disabled, comprises a communication capability related to at least one of a receiver or a transmitter of the IMD.

6. The method of claim 1 , wherein:
the IMD includes both a first receiver and a second receiver, wherein the first receiver is used to selectively wakeup the second receiver, and wherein the communication capability of the IMD, which is temporarily disabled, comprises a communication capability related to the first receiver.

7. The method of claim 1 , wherein the IMD comprises a first leadless pacemaker (LP1) that is configured to communicate with a second leadless pacemaker (LP2) so that the LP1 and the LP2 can deliver synchronized therapy.

8. A method for use with an implantable medical device (IMD), the method comprising:
during each message alert period of a plurality of message alert periods during which a communication capability of the IMD is enabled, determining whether a valid message is detected during the message alert period; and
temporarily disabling the communication capability of the IMD for a disable period, in response to determining that no valid message was detected during a said message alert period;
wherein a length of the disable period is dependent on an operational mode of the IMD, such that the length of the disable period when the IMD is operating in a first operational mode differs from the length of the disable period when the IMD is operating in a second operational mode.

9. The method of claim 8 , wherein:
the first operational mode comprises a normal operational mode of the IMD;
the second operational mode comprises a magnetic resonance imaging (MRI) ready operational mode; and
the length of the disable period when the IMD is operating in the MRI ready operational mode is longer than the disable period when the IMD is operating in the normal operational mode.

10. The method of claim 8 , wherein:
the length of the disable period when the IMD is operating in the first operational mode comprises a first length of time or a first number of cardiac cycles;
the length of the disable period when the IMD is operating in the second operational mode, which is greater than the length of the disable period when the IMD is operating in the first operational mode, comprises a second length of time or a second number of cardiac cycles; and
the length of the disable period when the IMD is operating in a third operational mode, which is greater than the length of the disable period when the IMD is operating in the second operational mode, comprises a third length of time or a third number of cardiac cycles.

11. The method of claim 10 , wherein:
the first operational mode comprises a normal operational mode of the IMD;
the second operational mode comprises a magnetic resonance imaging (MRI) ready operational mode; and
the third operational mode comprises a radio frequency (RF) ablation ready operational mode.

12. The method of claim 8 , wherein:
the communication capability of the IMD, which is temporarily disabled, comprises a communication capability related to at least one of a receiver or a transmitter of the IMD.

13. The method of claim 8 , wherein:
the IMD includes both a first receiver and a second receiver, wherein the first receiver is used to selectively wakeup the second receiver, and wherein the communication capability of the IMD, which is temporarily disabled, comprises a communication capability related to the first receiver.

14. The method of claim 8 , wherein the IMD comprises a first leadless pacemaker (LP1) that is configured to communicate with a second leadless pacemaker (LP2) so that the LP1 and the LP2 can deliver synchronized therapy.

15. A method for use with an implantable medical device (IMD) that is configured to perform pacing therapy, the method comprising:
during each message alert period of a plurality of message alert periods during which a communication capability of the IMD is enabled, determining whether a valid message is detected during the message alert period;
in response to determining that no valid message was detected during a said message alert period, temporarily disabling the communication capability of the IMD for a disable period and causing the IMD to enter a noise state during which a pacing mode of the IMD does not depend on communicating with another IMD; and
following the IMD entering into the noise state, maintaining the IMD in the noise state until a specified number of valid messages are received by the IMD.

16. The method of claim 15 , further comprising:
causing the IMD to exit the noise state, in response to determining that the specified number of valid message were received by the IMD while the IMD was in the noise state.

17. The method of claim 15 , further comprising:
pacing in accordance with one of a DDD, DDI, VDD, VDI, or DOO mode when the IMD is not in the noise state; and
pacing in accordance with one of a VVI or VOO mode when the IMD is in the noise state.

18. The method of claim 15 , wherein:
the communication capability of the IMD, which is temporarily disabled, comprises a communication capability related to at least one of a receiver or a transmitter of the IMD.

19. The method of claim 15 , wherein:
the IMD includes both a first receiver and a second receiver, wherein the first receiver is used to selectively wakeup the second receiver, and wherein the communication capability of the IMD, which is temporarily disabled, comprises a communication capability related to the first receiver.

20. The method of claim 15 , wherein the IMD comprises a first leadless pacemaker (LP1) that is configured to communicate with a second leadless pacemaker (LP2) so that the LP1 and the LP2 can deliver synchronized therapy, and wherein the other IMD comprises the LP2.

Assignees

• Pacesetter Inc

Inventors

• Fishler Matthew G
• Persson Benjamin T
• Gurunathan Suresh

Classifications

• A61N1/37254 Primary

  Pacemaker or defibrillator security, e.g. to prevent or inhibit programming alterations by hackers or unauthorised individuals · CPC title

• A61B5/0031

  Implanted circuitry · CPC title

• A61N1/37258

  Alerting the patient · CPC title

• G16H40/60

  for the operation of medical equipment or devices · CPC title

• G16H40/67 Primary

  for remote operation · CPC title