# US 8,543,207 B2 · MRI operation modes for implantable medical devices > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 8,543,207 B2 - Document ID: US8543207B2 - Status: Granted - Kind: B2 - Application number: 13/178,571 - Filed: 2011-07-08 - Published: 2011-11-03 - Granted: 2013-09-24 - Earliest claimed: 2004-12-17 - Assignees: Cardiac Pacemakers, Inc. - Applicants: Daniel J. Cooke; Jeffrey A. Von Arx - Inventors: Daniel J. Cooke; Jeffrey A. Von Arx - Web page: https://patentgrep.com/patent/US8543207B2 ## CPC - A61N 1/3718: {Monitoring of or protection against external electromagnetic fields or currents} - A61N 1/36092: {Mental training} - A61N 1/3931: {Protecting, e.g. back-up systems} - A61N 1/3962: {in combination with another heart therapy} - A61N 1/39622: {Pacing therapy} - A61N 1/02: Details - A61N 1/3688: {configured for switching the pacing mode, e.g. from AAI to DDD} - Y10S 128/901: Suppression of noise in electric signal - 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) - Y10S: TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS ## Abstract One embodiment of the present invention relates to an implantable medical device (“IMD”) that can be programmed from one operational mode to another operational mode when in the presence of electro-magnetic interference (“EMI”). In accordance with this particular embodiment, the IMD includes a communication interface for receiving communication signals from an external device, such as a command to switch the IMD from a first operation mode to a second operation mode. The IMD further includes a processor in electrical communication with the communication interface, which is operable to switch or reprogram the IMD from the first operation mode to the second operation mode upon receiving a command to do so. In addition, the IMD includes a timer operable to measure a time period from when the processor switches the IMD to the second operation mode. In accordance with this aspect of the invention, the processor is in electrical communication with the timer, and is further operable to switch the IMD from the second operation mode back to the first operation mode when the measured time period reaches a predetermined time period. ## Claims ### Claim 1 A method for operating an implantable medical device (IMD) in the presence of a magnetic resonance imaging (MRI) system, the IMD including a sensor operable to sense MRI electromagnetic fields, the method comprising: programming the IMD with an external device from a non-MRI mode, in which the sensor is inactive, to an MRI mode, in which the sensor is active, outside the presence of the MRI system; and switching the IMD from a first operation mode to a second operation mode when the sensor detects an MRI electromagnetic field. ### Claim 2 (depends on 1) The method of claim 1, and further comprising: measuring a time period from when the IMD is switched to the second operation mode; and switching the IMD from the second operation mode to the first operation mode when the measured time period reaches a predetermined time period. ### Claim 3 (depends on 2) The method of claim 2, wherein the predetermined time period is extended if the sensor detects an MRI electromagnetic field at the end of the predetermined time period. ### Claim 4 (depends on 1) The method of claim 1, wherein the IMD is a cardiac pacing device, and wherein the first operation mode is a non-fixed-rate pacing mode, and the second operation mode is a fixed-rate pacing mode. ### Claim 5 (depends on 1) The method of claim 1, wherein the IMD is a cardiac pacing device, and wherein the first operation mode is a demand pacing mode, and the second operation mode is a non-demand or asynchronous pacing mode. ### Claim 6 (depends on 1) The method of claim 1, wherein the IMD is an implantable cardioverter defibrillator, and wherein the first operation mode is a mode in which tachy therapy is enabled, and the second operation mode is a mode in which tachy therapy is disabled. ### Claim 7 (depends on 1) The method of claim 1, and further comprising: detecting the absence of the MRI electromagnetic fields; upon detecting the absence of the one or more MRI electromagnetic fields, switching the IMD from the second operation mode back to the first operation mode. ### Claim 8 (depends on 1) The method of claim 1, and further comprising: programming the IMD from the MRI mode to the non-MRI mode, wherein in the non-MRI mode the IMD is prohibited from switching from the first operation mode to the second operation mode. ### Claim 9 A method for operating an implantable medical device (IMD) in the presence of electromagnetic interference (EMI), the IMD including a sensor operable to sense EMI, the method comprising: programming the IMD with an external device from a non-MRI mode, in which the sensor is inactive, to an MRI mode, in which the sensor is active, outside the presence of the EMI; detecting the presence of EMI; switching the IMD from a first operation mode to a second operation mode upon detecting the presence of EMI; measuring a time period from when the IMD is switched from the first operation mode to the second operation mode; and switching the IMD from the second operation mode back to the first operation mode when the measured time period reaches a predetermined time period, wherein the predetermined time period is set so that the IMD is switched from the second operation mode back to the first operation mode after the IMD is positioned a safe distance from the EMI. ### Claim 10 (depends on 9) The method of claim 9, wherein the IMD is a cardiac pacing device, and wherein the first operation mode is a non-fixed-rate pacing mode, and the second operation mode is a fixed-rate pacing mode. ### Claim 11 (depends on 9) The method of claim 9, wherein the IMD is a cardiac pacing device, and wherein the first operation mode is a demand pacing mode, and the second operation mode is a non-demand or asynchronous pacing mode. ### Claim 12 (depends on 9) The method of claim 9, wherein the IMD is an implantable cardioverter defibrillator, and wherein the first operation mode is a mode in which tachy therapy is enabled, and the second operation mode is a mode in which tachy therapy is disabled. ### Claim 13 (depends on 9) The method of claim 9, wherein the EMI comprises electromagnetic signals from a magnetic resonance imaging (MRI) system, and wherein the step of switching the IMD from the first operation mode to the second operation mode is performed prior to a patient receiving an MRI scan, and wherein the predetermined time period is set so that the step of switching the IMD from the second operation mode back to the first operation mode is performed after the MRI scan is complete. ### Claim 14 A method for operating an implantable medical device (IMD) in the presence of a magnetic resonance imaging (MRI) system, the IMD including a sensor operable to sense electromagnetic fields, the method comprising: programming the IMD with an external device from a non-MRI mode, in which the sensor is inactive, to an MRI mode, in which the sensor is active, outside the presence of the MRI system; measuring a level of one or more electromagnetic field components generated by the MRI system; switching the IMD from a first operation mode to a second operation mode if the level of the one or more electromagnetic field components exceeds a predetermined level threshold; measuring the level of the one or more electromagnetic field components while the IMD is in the second operation mode; and switching the IMD from the second operation mode to the first operation mode if the level of the one or more electromagnetic field components fall below the predetermined level threshold. ### Claim 15 (depends on 14) The method of claim 14, and further comprising: starting a timer after the IMD is switched from the first operation mode to the second operation mode; switching the IMD from the second operation mode back to the first operation mode after the time period measured by the timer reaches a predetermined time period. ### Claim 16 (depends on 15) The method of claim 15, and further comprising: extending the predetermined time period if the level of the one or more electromagnetic field components exceed the predetermined level threshold at the end of the predetermined time period. ### Claim 17 (depends on 14) The method of claim 14, and further comprising: programming the IMD from the MRI mode to the non-MRI mode, wherein in the non-MRI mode the IMD is prohibited from switching from the first operation mode to the second operation mode. ### Claim 18 (depends on 14) The method of claim 14, wherein measuring the level of the one or more electromagnetic field components comprises at least one of measuring a strength of a static magnetic field, measuring an amplitude of a radio frequency (RF) signal at a predetermined frequency, and measuring a strength of a static magnetic field and the amplitude of a RF signal at a predetermined frequency ### Claim 19 (depends on 18) The method of claim 18, wherein measuring the amplitude of the RF signal comprises using a bandpass filter to select the RF signal at the predetermined frequency. ### Claim 20 (depends on 19) The method of claim 19, wherein the predetermined frequency is about 64 MHz.