# US 9,750,932 B2 · Method and apparatus to manage lead-related conditions for fault tolerance enhancements

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- Number: US 9,750,932 B2
- Document ID: US9750932B2
- Status: Granted
- Kind: B2
- Application number: 14/992,693
- Filed: 2016-01-11
- Published: 2016-05-05
- Granted: 2017-09-05
- Earliest claimed: 2011-10-27
- Assignees: Medtronic, Inc.
- Applicants: Medtronic, Inc.
- Inventors: Thomas H Spear; Nancy M Germanson
- Web page: https://patentgrep.com/patent/US9750932B2

## CPC

- A61B 5/0215: by means inserted into the body
- A61B 5/283: Invasive
- A61B 5/349: Detecting specific parameters of the electrocardiograph cycle
- A61N 1/3706: {Pacemaker parameters (stimulation threshold A61N1/371)}
- A61N 1/3937: {Monitoring output parameters}
- A61N 1/3956: {Implantable devices for applying electric shocks to the heart, e.g. for cardioversion}
- A61B 5/7217: {of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- 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

The disclosure describes systems, methods, and apparatus providing detection mechanism for lead-related conditions, including transient behaviors, on a conductive pathway of a medical electrical lead. In one example, a sense path arbitration module identifies a lead-related condition associated with a conductive pathway based on signal processing to identify transients emerging from a propagated signal. The sense path arbitration module may evaluate a plurality of conductive pathways of the medical electrical lead and arbitrates propagation of a sensed signal that is transmitted through the plurality of lead conductors based on the evaluation. Therapy delivery functions utilizing the medical electrical lead may also be controlled in response to the signal processing and identification of the lead-related condition on a conductive pathway.

## Claims

### Claim 1

A medical electrical lead system, comprising:
an electrode;
a plurality of conductors coupled to the electrode, wherein each of the plurality of conductors includes a conductive pathway;
a sense path arbiter coupled to the plurality of conductors, wherein the sense path arbiter evaluates each of the plurality of conductive pathways and in response to the evaluation selects one of the plurality of conductors for transmission of a signal sensed by the electrode; and
a plurality of containment modules each coupled along a length of a respective one of the plurality of conductors between the electrode and the sense path arbiter.

### Claim 2 (depends on 1)

The medical electrical lead system of claim 1, wherein each of the plurality of containment modules is coupled in a series configuration along the length of the plurality of conductors.

### Claim 3 (depends on 1)

The medical electrical lead system of claim 1, wherein the evaluation of the conductive pathway comprises analyzing a signal propagated though the respective conductor to detect a transient.

### Claim 4 (depends on 1)

The medical electrical lead system of claim 1, wherein one or more of the plurality of containment modules are configured to permit the electrical signal propagation in a first direction only.

### Claim 5

An implantable medical system, comprising:
a sensing element;
a sense circuitry; and
a medical electrical lead coupled at a distal end to the sensing element, the lead having:
a first and second containment module, wherein each of the first and second containment modules is coupled to the sensing element;
a plurality of conductors coupled to the sensing element and to each of the first and second containment module, wherein each of the plurality of conductors includes a conductive pathway;
a sense path arbiter coupled to the plurality of conductors, wherein the sense path arbiter evaluates the conductive pathways and in response to the evaluation couples a proximal end of one of the plurality of conductors to the sense circuitry for propagation of an electrical signal from the electrode.

### Claim 6 (depends on 5)

The implantable medical system of claim 5, wherein the sense path arbiter is configured to monitor an electrical property of the plurality of conductors.

### Claim 7 (depends on 5)

The implantable medical system of claim 5, wherein the sensing element is an electrode.

### Claim 8 (depends on 5)

The implantable medical system of claim 5, wherein the sensing element is selected from the group consisting of a pressure sensor, and an oxygen sensor.

### Claim 9 (depends on 5)

The implantable medical system of claim 5, wherein the sense path arbiter is configured to detect transient characteristics of a signal on the plurality of conductors.