Identifying a lead related condition based on detecting noise subsequent to signal delivery
AssigneeMedtronic, Inc.
InventorsBruce D. Gunderson, Kevin A. Wanasek, Charles D. Swerdlow
Life of this patent
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Abstract
In general, the disclosure describes techniques for detecting lead related conditions, such as lead fractures or other lead integrity issues. As described herein, delivering an electrical signal through selected electrodes may result in, reveal, or amplify noise if a lead related condition is present. A processor may detect electrical noise indicative of the lead related condition subsequent to the delivery of the electrical signal, and identify a lead related condition in response to detecting the noise.
Claims34
A method comprising:
- delivering an electrical signal between two or more implanted electrodes and via an implanted medical lead that carries at least one of the two or more implanted electrodes;
- sensing an electrogram signal with the two or more implanted electrodes and via the implanted medical lead during a period having a predetermined length subsequent to delivery of the electrical signal;
- detecting, based on the sensed electrogram signal, noise induced by the delivered electrical signal and indicative of a lead related condition of the implanted medical lead within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal;
- and
- identifying, by a processor, the lead related condition of the implanted medical lead in response to the detection of the noise indicative of the lead related condition within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal.
A system comprising:
- a signal generator configured to deliver an electrical signal between two or more implanted electrodes and via an implanted medical lead that carries at least one of the two or more implanted electrodes;
- and
- a sensing module configured to:
- sense an electrogram signal with the two or more implanted electrodes and via the implanted medical lead during a period having a predetermined length subsequent to delivery of the electrical signal;
- and
- detecting, based on the sensed electrogram signal, noise induced by the delivered electrical signal and indicative of a lead related condition of the implanted medical lead within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal;
- and
- a processor configured to identify the lead related condition of the implanted medical lead in response to the detection of the noise indicative of the lead related condition within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal.
A system comprising:
- means for delivering an electrical signal between two or more implanted electrodes and via an implanted medical lead that carries at least one of the two or more implanted electrodes;
- means for sensing an electrogram signal with the two or more implanted electrodes and via the implanted medical lead during a period having a predetermined length subsequent to delivery of the electrical signal;
- means for detecting, based on the sensed electrogram signal, noise induced by the delivered electrical signal and indicative of a lead related condition of the implanted medical lead within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal;
- and
- means for identifying the lead related condition of the implanted medical lead in response to the detection of the noise indicative of the lead related condition within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal.
A non-transitory computer-readable storage medium comprising instructions for causing a programmable processor to:
- deliver an electrical signal between two or more implanted electrodes and via an implanted medical lead that carries at least one of the two or more implanted electrodes;
- sense an electrogram signal with the two or more implanted electrodes and the implanted medical lead during a period having a predetermined length subsequent to delivery of the electrical signal;
- detect, based on the sensed electrogram signal, noise induced by the delivered electrical signal and indicative of a lead related condition of the implanted medical lead within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal;
- and
- identify the lead related condition of the implanted medical lead in response to the detection of the noise indicative of the lead related condition within the electrogram signal during the period having the predetermined length subsequent to the delivery of the electrical signal.
A method comprising:
- delivering an electrical signal via an electrical path that includes a medical lead;
- detecting noise indicative of a lead related condition on the electrical path within during a period having a predetermined length subsequent to the delivery of the electrical signal;
- identifying, by a processor, a lead related condition in response to the detection of the noise indicative of the lead related condition;
- delivering a therapeutic electrical signal configured to capture tissue via the electrical path subsequent to identifying the lead related condition;
- and
- based on identifying the lead related condition, shorting the electrical path subsequent to delivering the therapeutic electrical signal.
Dependencies are inferred from the claim text.