Method and apparatus for automatic configuration of implantable medical devices

Patent metadata

Field	Value
Publication number	US-9744364-B2
Application number	US-201414248939-A
Country	US
Kind code	B2
Filing date	Apr 9, 2014
Priority date	Sep 25, 2013
Publication date	Aug 29, 2017
Grant date	Aug 29, 2017

Abstract

A system including a programmable implantable monitoring device and a programmer for programming the device and a method of use thereof. The programmer may be configured to transmit programming commands responsive to entry of a reason for monitoring to the implantable device including a prioritization of an arrhythmia storage criterion. The implantable may be configured to thereafter store and/or transmit records of the arrhythmia according to the prioritization. The programmer may be configured to transmit the patient's age to the implantable device and the implantable may be configured to thereafter apply arrhythmia detection criteria based upon the patient's age.

First claim

In conjunction with the above disclosure, we claim:

1. A method of programming an implantable cardiac monitoring device, comprising:
in a programmer, detecting entry of a patient's age;
thereafter transmitting programming commands from the programmer to the implantable cardiac monitoring device including an arrhythmia criterion selected as a function of the patient's age;
in the programmer, detecting entry of a reason for monitoring;
thereafter transmitting programming commands from the programmer to the implantable cardiac monitoring device including a prioritization of an arrhythmia storage criterion, the cardiac monitoring device having first and second sense electrodes on a housing of the device, wherein the implantable cardiac monitoring device is a leadless implantable cardiac device; and
responsive to receipt of the programming commands, employing the implantable device to detect the arrhythmia according to the criterion and employing the implantable cardiac device to store records of the arrhythmia according to the prioritization.

2. A method according to claim 1 wherein the arrhythmia comprises a ventricular tachyarrhythmia.

3. A method according to claim 1 wherein the criterion is a rate or interval based criterion.

4. A method according to claim 3 , wherein the criterion is set based upon a subtraction of the patient's age from a preset rate.

5. A system comprising:
a programmable implantable cardiac monitoring device having first and second sense electrodes on a housing of the device, a programmer, responsive to entry of a patient's age, the programmer configured to thereafter transmit a programming commands from the programmer to the implantable device including an arrhythmia detection criterion and responsive to entry of a reason for monitoring, the programmer configured to thereafter transmit programming commands from the programmer to the implantable device including a prioritization of an arrhythmia storage criterion; and
wherein the implantable device is configured to, responsive to receipt of the programming commands, thereafter detect the arrhythmia according to the criterion and transmit records of the arrhythmia according to the prioritization, wherein the implantable cardiac monitoring device is a leadless implantable cardiac monitoring device.

6. A system according to claim 5 wherein the reason for monitoring includes one of syncope, palpitations, seizures, ventricular tachycardia, suspected AF, AF ablation, AF management or cryptogenic stroke.

7. A system according to claim 5 wherein the arrhythmia comprises atrial fibrillation.

8. A system according to claim 5 wherein the prioritization is based upon duration of the arrhythmia.

9. A system comprising:
a programmable implantable cardiac monitoring device having first and second sense electrodes on a housing of the device, a programmer, responsive to entry of a patient's age, the programmer configured to thereafter transmit a programming commands from the programmer to the implantable device including an arrhythmia detection criterion and responsive to entry of a reason for monitoring, the programmer configured to thereafter transmit programming commands from the programmer to the implantable device including a prioritization of an arrhythmia storage criterion; and
wherein the implantable device is configured to, responsive to receipt of the programming commands, thereafter detect the arrhythmia according to the criterion and store records of the arrhythmia according to the prioritization, wherein implantable cardiac monitoring device is a leadless implantable cardiac monitoring device.

10. A system according to claim 9 wherein the arrhythmia comprises a ventricular tachyarrhythmia.

11. A system according to claim 9 wherein the criterion is a rate or interval based criterion.

12. A system according to claim 11 , wherein the criterion is set based upon a subtraction of the patient's age from a preset rate.

13. A system according to claim 12 , wherein the implantable device is configured to, responsive to passage of time, update the patient's age and the detection criterion thereafter detect the arrhythmia according to the updated criterion.

14. A method according to claim 1 wherein the reason for monitoring includes one of syncope, palpitations, seizures, ventricular tachycardia, suspected AF, AF ablation, AF management or cryptogenic stroke.

15. A method according to claim 1 wherein the arrhythmia comprises atrial fibrillation.

16. A method according to claim 1 wherein the prioritization is based upon duration of the arrhythmia.

17. A system according to claim 9 wherein the reason for monitoring includes one of syncope, palpitations, seizures, ventricular tachycardia, suspected AF, AF ablation, AF management or cryptogenic stroke.

18. A system according to claim 9 wherein the arrhythmia comprises atrial fibrillation.

19. A system according to claim 9 wherein the prioritization is based upon duration of the arrhythmia.

Assignees

• Medtronic Inc

Inventors

• Gordon Charles R
• Krause Paul G
• Neitzell Grant Alan
• Sarkar Shantanu
• Wyszynski Ryan

Classifications

• A61B5/0006

  ECG or EEG signals · CPC title

• A61N1/3624

  occurring in the atrium, i.e. atrial tachycardia · CPC title

• A61B5/0031

  Implanted circuitry · CPC title

• A61N1/3704 Primary

  Circuits specially adapted therefor, e.g. for sensitivity control · CPC title

• G06F19/3418

  Physics · mapped topic