Automatic pacing configuration switcher

摘要

A system or apparatus can provide electrostimulations via an electrode configuration that can be selected from multiple electrode configurations, the electrostimulations of the type for inducing a desired heart contraction, or a neurostimulation response. The system or apparatus can allow communicating with an external device to receive an input indicating a degree of patient discomfort with an electrostimulation delivered using a first electrode configuration, and can associate information about the degree of discomfort with information about the corresponding first electrode configuration for use by a controller circuit in determining a second electrode configuration for delivering a subsequent electrostimulation.

主权项

1. An apparatus comprising:
an implantable electronics unit, the implantable electronics unit including:
an electrostimulation circuit, configured to provide a first electrostimulation to a target tissue using a first electrostimulation energy and a first electrode configuration selected from multiple electrode configurations;a communication circuit, configured to communicate with an external device to receive an input indicating a degree of patient discomfort produced by unintended stimulation of a non-target tissue different from the target tissue by the first electrostimulation delivered using the first electrostimulation energy and the first electrode configuration; anda controller circuit, coupled to the electrostimulation circuit and the communication circuit, the controller circuit comprising a stimulation detector circuit configured to detect the unintended stimulation of the non-target tissue, wherein the controller circuit is configured to use information about the degree of patient discomfort to provide a second electrostimulation using at least one of a second electrostimulation energy that is different from the first electrostimulation energy or a second electrostimulation configuration that is different from the first electrostimulation configuration.