Active implantable device suitable for use in an MRI scanner
Embodiments include an implantable device configured to be used in an MRI device, including a control unit, a memory unit, an MRI sensor and a statistics unit. The memory unit includes program information including control programs and/or control parameters that control the function of the control unit, and current state parameters. The MRI sensor is connected to the control unit and responds to a positioning of the implant and/or a patient within or in the immediate vicinity of the MRI device. The statistics unit is connected to the control unit and detects current state parameters present prior to a respective response of the MRI sensor. The control unit selects a control program or control parameters indicated by the state parameters and maintains the control program or control parameters until the MRI sensor indicates a positioning of the implantable device within or in the immediate vicinity of the MRI device.
1. An electronic implantable device configured to be used in a magnetic resonance imaging (MRI) device, comprising:
a control unit;
a memory unit,
wherein the memory unit stores
program information comprising one or more of control programs and control parameters that control a function of the control unit, and
current state parameters;
an MRI sensor connected to the control unit,
wherein the MRI sensor is configured to
respond to a positioning of the electronic implantable device within or in an immediate vicinity of the MRI device, and
display the positioning; and,
a statistics unit,
wherein the statistics unit is connected to the control unit or is part of the control unit, and
wherein the statistics unit is configured to detect current state parameters present prior to a respective response of the MRI sensor of the current state parameters stored in the memory unit;
wherein the control unit is configured, upon the respective response of the MRI sensor and by evaluation of the current state parameters detected by the statistics unit, to
select one or more of a control program and control parameters indicated of the control programs and control parameters stored in the memory unit by the current state parameters detected, and
maintain the one or more of the control program and the control parameters selected until the MRI sensor indicates the positioning of the electronic implantable device within or in the immediate vicinity of the MRI device; and,
wherein the implantable electronic device is configured to modify one or more of the control parameters or one or more of the control programs in accordance with detected state parameters.
2. The electronic implantable device according to claim 1 , wherein the electronic implantable device is one or more of an implantable pulse generator (IPG), an implantable cardioverter/defibrillator (ICD), a heart stimulator configured to provide cardial resynchronization therapy (CRT), and a neurostimulator.
3. The electronic implantable device according to claim 1 , wherein the electronic implantable device is a heart stimulator, wherein the control unit selects a control program of the control programs stored in the memory unit such that the control program selected suppresses a triggering of stimulation pulses.
4. The electronic implantable device according to claim 1 , wherein the electronic implantable device is a heart stimulator, wherein the control unit selects a control program of the control programs stored in the memory unit such that the control program selected causes an asynchronous stimulation in an asynchronous stimulation mode, wherein the asynchronous stimulation mode comprises V00 or D00.
5. The electronic implantable device according to claim 1 , wherein the electronic implantable device is a heart stimulator, and
wherein the statistics unit comprises or is connected to a stimulation trend memory, and
wherein the statistics unit or the control unit is configured to
select a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor, or
select control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor
under consideration of a number of state parameters stored in the stimulation trend memory in a period prior to the respective response of the MRI sensor.
6. The electronic implantable device according to claim 5 , wherein the stimulation trend memory includes state parameters that reflect one or more of a delivery of stimulation pulses and a frequency of a delivery of stimulation pulses.
7. The electronic implantable device according to claim 1 , wherein the electronic implantable device is a heart stimulator, and
wherein one or more of the statistics unit and the control unit is configured to
select a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor, or
select control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor
under consideration of a natural rhythm detected by the heart stimulator in a period of time prior to the respective response of the MRI sensor.
8. The electronic implantable device according to claim 1 , wherein the electronic implantable device is a heart stimulator, and
wherein one or more of the statistics unit and the control unit are configured to
select a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor, or
select control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor
under consideration of extrasystoles detected by the heart stimulator in a period of time prior to the respective response of the MRI sensor.
9. The electronic implantable device according to claim 1 , wherein the memory unit comprises a selection program that controls a selection of a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor or selection of control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor via one or more of the statistics unit and the control unit.
10. The electronic implantable device according to claim 9 , wherein the memory unit further comprises selection criteria assigned to one or more of the control programs and the control parameters, wherein the selection criteria determine an operating principle of the control unit or of the statistics unit when selecting the control program or the control parameters.
11. The electronic implantable device according to claim 1 , wherein the implantable electronic device is configured to carry out cyclical test algorithms to regularly and automatically update selection criteria to select a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor or to select control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor.
12. The electronic implantable device according to claim 1 , wherein the MRI sensor is one or more of a magnetic field sensor, a gradient field sensor, a high-frequency field sensor, a position sensor, a vibration sensor, and a sensor that monitors characteristic voltage profiles.
13. An electronic implantable device configured to be used in a magnetic resonance imaging (MRI) device, comprising:
a control unit;
a memory unit,
wherein the memory unit stores
program information comprising one or more of control programs and control parameters that control a function of the control unit, and
current state parameters;
an MRI sensor connected to the control unit,
wherein the MRI sensor is configured to
respond to a positioning of the electronic implantable device within or in an immediate vicinity of the MRI device, and
display the positioning; and,
a statistics unit,
wherein the statistics unit is connected to the control unit or is part of the control unit, and
wherein the statistics unit is configured to detect current state parameters present prior to a respective response of the MRI sensor of the current state parameters stored in the memory unit;
wherein the control unit is configured, upon the respective response of the MRI sensor and by evaluation of the current state parameters detected by the statistics unit, to
select one or more of a control program and control parameters indicated of the control programs and control parameters stored in the memory unit by the current state parameters detected, and
maintain the one or more of the control program and the control parameters selected until the MRI sensor indicates the positioning of the electronic implantable device within or in the immediate vicinity of the MRI device; and,
wherein the implantable electronic device is configured to carry out cyclical test algorithms to regularly and automatically update selection criteria to select a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor or to select control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor.
14. An electronic implantable device configured to be used in a magnetic resonance imaging (MRI) device, comprising:
a control unit;
a memory unit,
wherein the memory unit stores
program information comprising one or more of control programs and control parameters that control a function of the control unit, and
current state parameters;
an MRI sensor connected to the control unit,
wherein the MRI sensor is configured to
respond to a positioning of the electronic implantable device within or in an immediate vicinity of the MRI device, and
display the positioning; and,
a statistics unit,
wherein the statistics unit is connected to the control unit or is part of the control unit, and
wherein the statistics unit is configured to detect current state parameters present prior to a respective response of the MRI sensor of the current state parameters stored in the memory unit;
wherein the control unit is configured, upon the respective response of the MRI sensor and by evaluation of the current state parameters detected by the statistics unit, to
select one or more of a control program and control parameters indicated of the control programs and control parameters stored in the memory unit by the current state parameters detected, and
maintain the one or more of the control program and the control parameters selected until the MRI sensor indicates the positioning of the electronic implantable device within or in the immediate vicinity of the MRI device; and,
wherein the electronic implantable device is a heart stimulator, and
wherein one or more of the statistics unit and the control unit is configured to
select a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor, or
select control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor
under consideration of a natural rhythm detected by the heart stimulator in a period of time prior to the respective response of the MRI sensor.
15. An electronic implantable device configured to be used in a magnetic resonance imaging (MRI) device, comprising:
a control unit;
a memory unit,
wherein the memory unit stores
program information comprising one or more of control programs and control parameters that control a function of the control unit, and
current state parameters;
an MRI sensor connected to the control unit,
wherein the MRI sensor is configured to
respond to a positioning of the electronic implantable device within or in an immediate vicinity of the MRI device, and
display the positioning; and,
a statistics unit,
wherein the statistics unit is connected to the control unit or is part of the control unit, and
wherein the statistics unit is configured to detect current state parameters present prior to a respective response of the MRI sensor of the current state parameters stored in the memory unit;
wherein the control unit is configured, upon the respective response of the MRI sensor and by evaluation of the current state parameters detected by the statistics unit, to
select one or more of a control program and control parameters indicated of the control programs and control parameters stored in the memory unit by the current state parameters detected, and
maintain the one or more of the control program and the control parameters selected until the MRI sensor indicates the positioning of the electronic implantable device within or in the immediate vicinity of the MRI device; and,
wherein the electronic implantable device is a heart stimulator, and
wherein one or more of the statistics unit and the control unit are configured to
select a control program of the control programs stored in the memory unit to be applied following the respective response of the MRI sensor, or
select control parameters of the control parameters stored in the memory unit to be applied following the respective response of the MRI sensor
under consideration of extrasystoles detected by the heart stimulator in a period of time prior to the respective response of the MRI sensor.