# US 2012/0239101 A1 · System and method for filtering neural stimulation

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- Number: US 2012/0239101 A1
- Document ID: US20120239101A1
- Status: Published application
- Kind: A1
- Application number: 13/483,846
- Filed: 2012-05-30
- Published: 2012-09-20
- Earliest claimed: 2004-11-04
- Assignees: Cardiac Pacemakers, Inc.
- Inventors: Imad Libbus; Scot Boon
- Web page: https://patentgrep.com/patent/US20120239101A1

## CPC

- A61N 1/36114: {Cardiac control, e.g. by vagal stimulation (stimulating the heart A61N1/362)}
- A61N 1/37211: {Means for communicating with stimulators}
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Various aspects of the present subject matter provide a filter module. In various embodiments, the filter module comprises an input, an output, a signal path from the input to the output, a filter and a switch. The filter has a transfer response to attenuate a frequency of a neural stimulation signal. The switch is adapted to place the filter in the signal path when the neural stimulation signal is applied and to remove the filter from the signal path when the neural stimulation signal is not applied. Other aspects are provided herein.

## Claims

### Claim 1

A medical device, comprising:
a filter module to pass electrical signals indicative of a sensed electrical activity over a signal path, the filter module including a filter selectively connected in the signal path, the filter having a transfer response to attenuate a frequency of a neural stimulation signal; and
a controller to receive a neural stimulation status signal, the controller to communicate with the sensing module to selectively route the signal path through the filter based on the status signal to filter the neural stimulation frequency from the electrical signals.

### Claim 2 (depends on 1)

The device of claim 1, further comprising a sense amplifier with a sense amplifier passband, wherein the frequency of the neural stimulation signal is near an upper range of the sense amplifier passband, and the filter includes a low pass filter to attenuate frequencies approximately equal to and higher than the frequency of the neural stimulation signal.

### Claim 3 (depends on 1)

The device of claim 1, wherein the filter includes a notch filter having a center frequency corresponding to the frequency of the neural stimulation

### Claim 4 (depends on 3)

The device of claim 3, wherein the filter further includes a second notch filter having a center frequency corresponding to a second harmonic frequency for the frequency of the neural stimulation signal.

### Claim 5 (depends on 3)

The device of claim 3, wherein the filter includes a plurality of notch filters, each having a center frequency corresponding to a unique one of a plurality of harmonic frequencies for the frequency of the neural stimulation signal.

### Claim 6 (depends on 3)

The device of claim 3, wherein the notch filter includes an adjustable notch filter with an adjustable center frequency.

### Claim 7 (depends on 6)

The device of claim 6, wherein the adjustable notch filter includes a switched capacitor filter, the switched capacitor filter to receive a clock signal having a clock frequency corresponding to the frequency of the neural stimulation signal to provide a desired center frequency.

### Claim 8 (depends on 7)

The device of claim 7, further including a neural stimulation frequency detector to extract the clock signal from the neural stimulation signal.

### Claim 9 (depends on 7)

The device of claim 7, further comprising:
communication circuitry to receive a communication signal regarding the neural stimulation, the communication signal having a frequency corresponding to the neural stimulation signal; and
a communication signal frequency detector to extract the clock signal from the frequency of the communication signal.

### Claim 10 (depends on 6)

The device of claim 6, further comprising:
communication circuitry to receive a communication signal regarding the neural stimulation, the communication signal including frequency data indicative of the frequency of the neural stimulation signal; and
signal processing circuitry to provide a control signal corresponding to the frequency data to the adjustable notch filter to provide a desired center frequency.

### Claim 11 (depends on 1)

The device of claim 1, further comprising a lead electrically connected to the signal path in the filter module, the lead including at least one electrode for use in sensing electrical activity.

### Claim 12 (depends on 1)

The device of claim 1, further comprising a pulse generator to generate stimulation pulses, the controller to control the pulse generator to provide stimulator pulses for use in a desired stimulation therapy.

### Claim 13 (depends on 1)

The device of claim 1, wherein the controller includes an analyzer to analyze the electrical activity corresponding to sensed electrical activity.

### Claim 14 (depends on 1)

The device of claim 1, wherein the device is an implantable cardiac rhythm management (CRM) device, the device further comprising a pulse generator to generate stimulation pulses for transmission through a lead, wherein the controller is adapted to control the pulse generator to provide stimulator pulses for use in a desired cardiac stimulation therapy, and wherein the controller is adapted to implement a sensing protocol to analyze the electrical activity corresponding to sensed cardiac electrical activity.

### Claim 15 (depends on 14)

The device of claim 14, wherein the controller of the CRM device is adapted to implement a default CRM sensing protocol, and upon receiving a neural stimulation alert from the neural stimulation status signal, to implement a notched filter protocol to connect the notch filter in the signal path to filter the neural stimulation frequency.

### Claim 16

A medical device for filtering a sensed signal to attenuate a sensed neural stimulation signal that has a therapeutically-effective frequency, comprising:
a signal pass for passing electrical signals indicative of a sensed electrical activity;
a filter with a transfer response to attenuate the therapeutically-effective frequency of the neural stimulation signal;
a switch configured to place the filter in the signal path and remove the filter from the signal path; and
a controller to receive a neural stimulation status signal indicative of whether the neural stimulation signal is being applied, the controller to communicate with the sensing module to control the switch to place the filter in the signal path when the neural stimulation signal is applied and to remove the filter from the signal path when the neural stimulation signal is not applied.

### Claim 17 (depends on 16)

The device of claim 16, further comprising a sense amplifier with a sense amplifier passband, wherein the frequency of the neural stimulation signal is near an upper range of the sense amplifier passband, and the filter includes a low pass filter to attenuate frequencies approximately equal to and higher than the frequency of the neural stimulation signal.

### Claim 18 (depends on 16)

The device of claim 16, wherein the filter includes a notch filter having a center frequency corresponding to the frequency of the neural stimulation signal.

### Claim 19 (depends on 18)

The device of claim 18, wherein the notch filter includes an adjustable notch filter with an adjustable center frequency.

### Claim 20 (depends on 18)

The device of claim 18, wherein the device is configured to automatically adjust the center frequency of the adjustable notch filter based on the therapeutically-effective frequency of the sensed neural stimulation signal.
