Pacemaker Programming for His Bundle Lead Configuration Alerts
Find Innovative SolutionsGenerate Solutions
Solution Overview
Problem
Conventional pacemakers risk losing efficiency and posing patient safety risks when stimulation/sensing parameters are inadvertently adjusted for typical electrode lead configurations instead of those specifically adapted for His bundle pacing.
Innovation Solution
A programming device that allows selection between typical and atypical electrode lead configurations, generating a notification signal for His bundle pacing, ensuring appropriate parameter adjustment and reducing the risk of incorrect configuration.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If conventional pacemaker programming is used for His bundle pacing, then the device can be programmed with standard parameters, but the stimulation efficiency is lost and patient safety is compromised
Solution Approach 1:
The system performs preliminary identification of the electrode lead configuration type (His bundle pacing vs. conventional pacing) before programming parameters. The programming device detects whether a His bundle electrode lead is connected to the electrode lead port, and based on this preliminary identification, automatically selects the appropriate parameter set (His bundle-specific or conventional parameters), thereby preventing incorrect programming before it occurs
Solution Approach 2:
The system implements feedback by having the implantable medical device detect and report the electrode lead configuration type back to the programming device. The programming device receives this feedback information and uses it to automatically adjust the programming interface and parameter selection, ensuring that the correct parameters are applied based on the actual configuration
2Reliability
If the programming device supports multiple electrode lead configurations, then the risk of incorrect parameter settings is reduced, but the device complexity increases
Solution Approach 1:
The programming device is designed with multi-functionality to handle both His bundle pacing and conventional pacing configurations through a single unified interface. The device can automatically adapt its programming parameters and validation rules based on the detected electrode lead configuration type, eliminating the need for separate programming devices or complex manual configuration steps while maintaining high reliability
Solution Approach 2:
The system implements self-service by having the implantable medical device automatically detect and communicate its electrode lead configuration type to the programming device. This automatic self-identification eliminates the need for manual configuration or complex user input, reducing the programming device's operational complexity while ensuring accurate parameter selection
Data Source
AI summary
A programming device for programming an implantable medical device for stimulating a human or animal heart, wherein the following steps are performed: a) allowing to select one of at least two electrode lead configurations for stimulating a human or animal heart, wherein the at least two electrode lead configurations comprise a second electrode lead configuration in which at least one electrode lead is connected to an electrode lead port, the electrode lead port being configured to receive an electrode lead for stimulating a second cardiac region or detecting an electric signal at the second cardiac region, wherein the second cardiac region is a part of a ventricular conduction system of the heart, wherein the at least one electrode lead is intended to be implanted or is implanted in the second cardiac region; b) generating and releasing a notification signal if the second electrode lead configuration is selected.