# US 5,702,425 A · Apparatus and method of noise classification in an implantable cardiac device

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- Number: US 5,702,425 A
- Document ID: US5702425A
- Status: Granted
- Kind: A
- Application number: 08/700,730
- Filed: 1996-08-13
- Granted: 1997-12-30
- Earliest claimed: 1996-08-13
- Assignees: Pacesetter, Inc.
- Inventors: Peter John Wickham
- Web page: https://patentgrep.com/patent/US5702425A

## CPC

- A61N 1/3704: {Circuits specially adapted therefor, e.g. for sensitivity control}
- 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

An implantable cardiac device includes electrodes for sensing and pacing the heart, and optionally, defibrillation electrodes. The IECG sensed in the heart is processed to derive raw sense signals indicative of whether the sensed QRS complexes exceed a predetermined range. These signals are used to control the pacing pulses, and to detect high amplitude noise. This noise is differentiated from tachycardia.

## Claims

### Claim 1

An implantable cardiac device comprising:
means for sensing cardiac activity from a patient's heart to generate an input signal;
means for generating pacing signals for said heart;
means for defining a range for said input signal, said means for defining said range including means for changing said range dynamically in response to changes in the magnitude of said input signal;
means for processing said input signal to generate raw sense signals indicative excursions of said input outside said range;
means for generating a noise indication signal based on said raw sense signals to indicate that said input signal has a large noise component; and
means for controlling said means for generating said pacing signals based on said noise signal.

### Claim 2 (depends on 1)

The device of claim 1 wherein said means for generating said noise indication signal includes means for combining said raw signals to generate consecutive trains of pulses.

### Claim 3 (depends on 2)

The device of claim 2 wherein said means of generating said noise indication signal includes means for sensing the number of pulses in each train and an idle period between each said train.

### Claim 4 (depends on 3)

The device of claim 3 wherein said means of generating said noise indication signal includes means for sensing the number of said pulses and counting the number of pulses that have pulse intervals which are shorter than a pre-determined interval.

### Claim 5

An implantable cardiac device for treating or monitoring normal and malignant heart rhythms comprising:
means for sensing cardiac electrical activity from a patient's heart;
means for amplifying and filtering said signals to define a QRS complex;
means for detecting said QRS complex by when said signal crosses a voltage threshold;
means for measuring a time interval between successive said detects;
means for identifying a malignant heart rhythm from said time intervals;
means for counting a number of consecutive detect intervals that are shorter than a pre-selected threshold, said threshold being indicative of sensed signals which have a non-physiological origin and indicate a presence of noise contamination;
means for providing a noise indication when a said number of consecutive short detect intervals exceeds a pre-determined value; and
means for detecting an idle period between said consecutive detects, wherein said noise indication is provided if said idle period is below a pre-selected threshold.

### Claim 6 (depends on 5)

The device of claim 5 further comprising a disabling means for disabling said means for identifying said heart rhythm in the presence of noise contamination to prevent an erroneous tachycardia identification.

### Claim 7 (depends on 5)

The device of claim 5 further comprising means for dynamically adjusting said voltage threshold for an optimal detection of said QRS complex.

### Claim 8 (depends on 7)

The device of claim 7 wherein said means for adjusting said threshold includes means for sensing an amplitude of said QRS complex and means for changing said threshold in accordance with said amplitude.

### Claim 9 (depends on 5)

The device of claim 5 wherein said means for detecting said QRS complex includes means for detecting when said signal exceeds a first threshold voltage to generate first pulses and means for detecting when said signal exceeds a second threshold voltage to generate second pulses.

### Claim 10 (depends on 9)

The device of claim 9 wherein said detecting means further includes combining means for combining said first and second pulses into consecutive train pulses.

### Claim 11

An implantable cardiac device for treating or monitoring normal and malignant heart rhythms comprising:
means for sensing cardiac electrical activity from a patient's heart;
means for amplifying and filtering said signals to define a QRs complex;
means for detecting said QRS complex by when said signal crosses a voltage threshold;
means for dynamically adjusting said voltage threshold for an optimal detection of said QRS complex;
means for measuring a time interval between successive said detects;
means for identifying a malignant heart rhythm from said time intervals;
means for counting a number of consecutive detect intervals that are shorter than a pre-selected threshold, said threshold being indicative of sensed signals which have a non-physiological origin and indicate a presence of noise contamination; and
means for providing a noise indication when a said number of consecutive short detect intervals exceeds a pre-determined value.