WO2003039648A2 - Defibrillation pacing circuitry - Google Patents
Defibrillation pacing circuitry Download PDFInfo
- Publication number
- WO2003039648A2 WO2003039648A2 PCT/IB2002/004476 IB0204476W WO03039648A2 WO 2003039648 A2 WO2003039648 A2 WO 2003039648A2 IB 0204476 W IB0204476 W IB 0204476W WO 03039648 A2 WO03039648 A2 WO 03039648A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- circuit
- resistance
- constant voltage
- voltage source
- patient
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3906—Heart defibrillators characterised by the form of the shockwave
- A61N1/3912—Output circuitry therefor, e.g. switches
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
- A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
- A61N1/39622—Pacing therapy
Definitions
- the present invention relates to apparatus and methods useful in connection with performing electrical cardioversion/defib ⁇ llation and optional pacing of the heart
- Defib ⁇ llation/cardioversion is a technique employed to counter arrhythmic heart conditions including some tachycardias in the atria and/or ventricles.
- electrodes are employed to stimulate the heart with electrical impulses or shocks, of a magnitude substantially greater than pulses used in cardiac pacing
- Defibnllation/cardioversion systems include body implantable electrodes that are connected to a hermetically sealed container housing the electronics, battery supply and capacitors The entire system is referred to as implantable cardioverter/defib ⁇ llators (ICDs).
- ICDs implantable cardioverter/defib ⁇ llators
- the electrodes used in ICDs can be in the form of patches applied directly to epicardial tissue, or, more commonly, are on the distal regions of small cylindrical insulated catheters that typically enter the subclavian venous system, pass through the supe ⁇ or vena cava and, into one or more endocardial areas of the heart
- Such electrode systems are called mtravascular or transvenous electrodes U.S Pat Nos 4,603,705, 4,693,253, 4,944,300, 5,105,810, the disclosures of which are all incorporated herein by reference, disclose mtravascular or transvenous electrodes, employed either alone, in combination with other mtravascular or transvenous electrodes, or in combination with an epicardial patch or subcutaneous electrodes.
- Compliant epicardial defib ⁇ llator electrodes are disclosed in U S. Pat Nos 4,567,900 and 5,618,287, the disclosures of which are incorporated herein by reference
- a sensing epicardial electrode configuration is disclosed in U S Pat No. 5,476,503, the disclosure of which is incorporated herein by reference.
- V-Fib p ⁇ ma ⁇ ly vent ⁇ cular fibrillation
- transvenous ICD systems also increase cost and require specialized lnterventional rooms and equipment as well as special skill for insertion These systems are typically implanted by cardiac electrophysiologists who have had a great deal of extra training.
- the automatic external defib ⁇ llator (AED) AEDs employ the use of cutaneous patch electrodes, rather than implantable lead systems, to effect defib ⁇ llation under the direction of a bystander user who treats the patient suffering from V-Fib with a portable device containing the necessary electronics and power supply that allows defib ⁇ llation AEDs can be nearly as effective as an ICD for defib ⁇ llation if applied to the victim of vent ⁇ cular fib ⁇ llation promptly, l e , within 2 to 3 minutes of the onset of the vent ⁇ cular fib ⁇ llation AED therapy has great appeal as a tool for diminishing the ⁇ sk of death in public venues such as in air flight
- an AED must be used by another individual, not the person suffe ⁇ ng from the potential fatal rhythm It is more of a public health tool than a patient-specific tool like an ICD Because >75% of cardiac arrests occur
- the invention relates in various aspects to methods and apparatus for selectively converting a defib ⁇ llator circuit or circuit for delive ⁇ ng a defib ⁇ llating pulse to a patient into circuitry suitable for providing a constant current, useful, e g , in pacing applications.
- Fig 1 is a schematic view of a conventional defib ⁇ llator circuit
- Fig 2 is a circuit schematic of an illustrative embodiment of the present invention
- Fig 3 is a circuit schematic of an alternate embodiment
- Fig 4 is a circuit schematic of a second alternate embodiment
- Fig 5 is a circuit schematic illustrating one approach to controlling switching in the embodiment of Fig 4 Detailed Description of Illustrative Embodiments
- Fig 1 illustrates a conventional "H-b ⁇ dge" defib ⁇ llator circuit 11
- the circuit 11 includes a capacitor Ci which is charged to a high voltage and four switches H 1; H 2 , L,, L 2 .
- the capacitor CI and switches H,, H 2 , L L 2 are used to create either a monophasic voltage pulse or a biphasic voltage pulse (Fig 2) across a patient represented by resistance R PA ⁇
- the switches H b H 2 , L b L 2 may be MOSFETs, IGBTs, or SCRs (silicon controlled rectifiers)
- a first pair of switches, e g a first pair of switches, e g .
- Hi and L 2 may be closed to create a first positive pulse 13 Then all of the switches, Hi, H 2 , L,, L 2 , are turned off du ⁇ ng a "center pulse" delay pe ⁇ od d, At the end of the delay pe ⁇ od di, the switches H 2 and Li are both closed, thereby reversing the current through the patient R PA ⁇ to produce the negative voltage pulse 17
- digital logic is employed to control the sequencing of the switches H H 2 , L,, L 2
- the order of the pulses can be inverted, l e
- the negative going pulse 17 can be produced before the positive going pulse 13
- the direction of the pulses 13, 17 is, e g , 1 to 20 millisecond and the inter-pulse delay dj is, e g , one millisecond
- Fig 3 illustrates circuitry which may operate as a defib ⁇ llator circuit du ⁇ ng a first selected interval and as a constant current source du ⁇ ng a second selected interval
- the constant current may be useful, for example, in providing a "pacing" current to a patient R PAT
- the high side switches Hi , H 2 employed in Fig 3 may be IGBTs, MOSFETs,
- Such high side switches Hi, H 2 may be controlled in any suitable manner such as, for example, with pulse transformers, opto-couplers, photo-voltaic generators, or in accordance with the teachings of the application filed on even date herewith on behalf of the same inventor and entitled Simplified Defib ⁇ llator Output Circuit, herein incorporated by reference
- Digital logic suitable for controlling such circuitry to achieve switching may comprise a programmed microprocessor, microcontroller, discrete logic, or other forms of digital logic control
- a resistor Ri is inserted in se ⁇ es with the emitter or the source leg of a first low side transistor Q 2 , which is preferably an IGBT or MOSFET Similarly, a resistor
- R 2 is inserted in series with the emitter or source leg of the second low side transistor Qi A constant voltage is applied across the resistor Ri via a voltage source Si, which applies a voltage
- the transistors Qi, Q 2 serve the purposes of low side switches, e g , L b L 2 of Fig 1, and the resistors R b R 2 are switched out of the circuit by suitable means, e g , switches
- the low side transistors Qi, Q 2 may be high voltage IGBT or MOSFETs, ranging from 500 volts to 3,000 volts capacity or greater
- the threshold voltage V ⁇ of the transistor Q may vary from device to device. Hence, it is typically necessary to calibrate the circuit in production. In calibrating a circuit like that of Fig 2, a known voltage is applied and the current through Ri is measured, typically resulting in a large offset, which is compensated for by the system software
- the voltage source Si may be constructed using a feedback circuit employing an operational amplifier A, as shown in Fig 4.
- the op-amp Ai is connected to directly drive the low side transistor Q 2 , which may comp ⁇ se, e g., a MOSFET or IGBT.
- Use of the operational amplifier A] removes the uncertainty of the threshold voltage V ⁇ so that the current that passes through the resistor Ri is equal to simply V DR] E divided by R .
- the capacitor voltage V c needs to be appropriately selected according to a number of considerations.
- the cu ⁇ ent that is programmed to go through the patient will generate a voltage V PAT across the patient.
- the voltage compliance V C O MP of the current source must be appropriately set
- the voltage compliance V CO MP IS the voltage V Rt across the resistor Rj plus the minimum operating voltage V ⁇ of the low side transistor Q2. Accordingly, the minimum voltage V HV across the capacitor to current source is defined by the relation-
- V HV (mm ) V PAT + V CO MP (2)
- V HV voltage
- V DRIV E voltage
- resistors e g , m series with or for Ri
- Suitable logic circuitry may be provided to select the value of V DRIVE
- a DAC digital to analog converter
- a DAC is a circuit that generates different voltages in response to corresponding digital codes provided to it. Such a DAC could be used to d ⁇ ve either an input of the op-amp A, (as illustrated in Fig. 4) or the input (gate) of the transistor Qi As noted above, an advantage of the op-amp Ai is that it removes the V ⁇ term from the VH V equation. Particular parameter ranges for circuitry as configured in Figs. 2 and 3 include 1 to 50 ohms for the resistance R] and 1 to 20 volts for a V DR I V E resulting in a current ranging from 0 to 500 mil amps.
- FIG. 5 Another illustrative circuit for implementing a cu ⁇ ent source is illustrated in Fig 5.
- This circuit employs a resistor R 3 connected between the high voltage capacitor Ci and the high side switches Hi, H 3 The resistor R 3 is switched out of the circuit by a switch SW 3 for defib ⁇ llator operation and into the circuit for pacing.
- the circuit of Fig. 5 is somewhat more energy wasteful but will work with the use of a high voltage switch for SW 3
- the switches Hi, H 2 ; Li , L 2 are manipulated so as to place the resistor R 3 in se ⁇ es with the output
- the amount of current may then be selected by the voltage to which the capacitor Q is charged.
- the patient resistance R PAT vanes from 30-150 ohms
- selecting a resistor R 3 of anywhere from 500-5000 ohms, l e., a resistance that is much larger than that of the patient results in an approximation of an ideal cu ⁇ ent source
- a high voltage switch SW 3 is connected across the se ⁇ es resistor R 3 to switch R 3 out of the circuit in order to enter the defib ⁇ llation mode Since the high voltage switch SW 3 is a floating switch, a high side driver 19 is also needed. These considerations render the circuit of Fig. 6 more difficult to implement m an implantable device.
- the circuits of Figs. 3 and 4 require a switch, e.g , SW, to switch to the defib ⁇ llation mode, but the switch SW, does not have to be a high voltage switch Instead, the switch SW1 need only be a smaller, low voltage device having the capacity to pass the defib ⁇ llation current. In an illustrative circuit, there may be on the order of only 10 volts across SWi, which is advantageous
- the voltage V DRIV E IS preferably implemented by a DAC, either connected to directly d ⁇ ve the resistor Ri (Fig. 3) or to dnve the resistor R 3 through an op-amp A, (Fig. 4).
- Provision of a constant cu ⁇ ent has the advantage of maintaining a constant current density across the heart, l ⁇ espective of the electrode interface impedance.
Abstract
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2002363390A AU2002363390A1 (en) | 2001-11-05 | 2002-10-28 | Defibrillation pacing circuitry |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/011,955 | 2001-11-05 | ||
US10/011,955 US6952608B2 (en) | 2001-11-05 | 2001-11-05 | Defibrillation pacing circuitry |
Publications (2)
Publication Number | Publication Date |
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WO2003039648A2 true WO2003039648A2 (en) | 2003-05-15 |
WO2003039648A3 WO2003039648A3 (en) | 2004-02-05 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/IB2002/004476 WO2003039648A2 (en) | 2001-11-05 | 2002-10-28 | Defibrillation pacing circuitry |
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US (4) | US6952608B2 (en) |
AU (1) | AU2002363390A1 (en) |
WO (1) | WO2003039648A2 (en) |
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WO2007100997A2 (en) * | 2006-02-28 | 2007-09-07 | Medtronic, Inc. | Supply circuit for implantable medical devices |
US7874489B2 (en) | 2005-06-20 | 2011-01-25 | Authentiform Technologies, Llc | Product authentication |
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US20020035381A1 (en) | 2000-09-18 | 2002-03-21 | Cameron Health, Inc. | Subcutaneous electrode with improved contact shape for transthoracic conduction |
US7146212B2 (en) | 2000-09-18 | 2006-12-05 | Cameron Health, Inc. | Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
US7076296B2 (en) * | 2000-09-18 | 2006-07-11 | Cameron Health, Inc. | Method of supplying energy to subcutaneous cardioverter-defibrillator and pacer |
US6865417B2 (en) * | 2001-11-05 | 2005-03-08 | Cameron Health, Inc. | H-bridge with sensing circuit |
US7751885B2 (en) | 2000-09-18 | 2010-07-06 | Cameron Health, Inc. | Bradycardia pacing in a subcutaneous device |
US7149575B2 (en) * | 2000-09-18 | 2006-12-12 | Cameron Health, Inc. | Subcutaneous cardiac stimulator device having an anteriorly positioned electrode |
US6721597B1 (en) | 2000-09-18 | 2004-04-13 | Cameron Health, Inc. | Subcutaneous only implantable cardioverter defibrillator and optional pacer |
US7069080B2 (en) | 2000-09-18 | 2006-06-27 | Cameron Health, Inc. | Active housing and subcutaneous electrode cardioversion/defibrillating system |
US6988003B2 (en) * | 2000-09-18 | 2006-01-17 | Cameron Health, Inc. | Implantable cardioverter-defibrillator having two spaced apart shocking electrodes on housing |
US7194302B2 (en) | 2000-09-18 | 2007-03-20 | Cameron Health, Inc. | Subcutaneous cardiac stimulator with small contact surface electrodes |
US6952608B2 (en) * | 2001-11-05 | 2005-10-04 | Cameron Health, Inc. | Defibrillation pacing circuitry |
US20020082658A1 (en) * | 2000-11-22 | 2002-06-27 | Heinrich Stephen D. | Apparatus for detecting and treating ventricular arrhythmia |
US6751502B2 (en) | 2001-03-14 | 2004-06-15 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with defibrillation threshold prediction |
US7386344B2 (en) * | 2004-08-11 | 2008-06-10 | Cardiac Pacemakers, Inc. | Pacer with combined defibrillator tailored for bradycardia patients |
US7189204B2 (en) | 2002-12-04 | 2007-03-13 | Cardiac Pacemakers, Inc. | Sleep detection using an adjustable threshold |
US7392081B2 (en) | 2003-02-28 | 2008-06-24 | Cardiac Pacemakers, Inc. | Subcutaneous cardiac stimulator employing post-shock transthoracic asystole prevention pacing |
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US20040220626A1 (en) * | 2003-04-11 | 2004-11-04 | Wagner Darrell Orvin | Distributed subcutaneous defibrillation system |
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US20050004615A1 (en) * | 2003-04-11 | 2005-01-06 | Sanders Richard S. | Reconfigurable implantable cardiac monitoring and therapy delivery device |
US20040220628A1 (en) * | 2003-04-11 | 2004-11-04 | Wagner Darrell Orvin | Subcutaneous defibrillation timing correlated with induced skeletal muscle contraction |
US7302294B2 (en) * | 2003-04-11 | 2007-11-27 | Cardiac Pacemakers, Inc. | Subcutaneous cardiac sensing and stimulation system employing blood sensor |
US20040215240A1 (en) * | 2003-04-11 | 2004-10-28 | Lovett Eric G. | Reconfigurable subcutaneous cardiac device |
US20040230230A1 (en) * | 2003-04-11 | 2004-11-18 | Lindstrom Curtis Charles | Methods and systems involving subcutaneous electrode positioning relative to a heart |
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US7555335B2 (en) * | 2003-04-11 | 2009-06-30 | Cardiac Pacemakers, Inc. | Biopotential signal source separation using source impedances |
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US7706866B2 (en) | 2004-06-24 | 2010-04-27 | Cardiac Pacemakers, Inc. | Automatic orientation determination for ECG measurements using multiple electrodes |
US7457664B2 (en) | 2005-05-09 | 2008-11-25 | Cardiac Pacemakers, Inc. | Closed loop cardiac resynchronization therapy using cardiac activation sequence information |
US7509170B2 (en) | 2005-05-09 | 2009-03-24 | Cardiac Pacemakers, Inc. | Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes |
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US7996072B2 (en) | 2004-12-21 | 2011-08-09 | Cardiac Pacemakers, Inc. | Positionally adaptable implantable cardiac device |
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US20070049975A1 (en) * | 2005-09-01 | 2007-03-01 | Cates Adam W | Active can with dedicated defibrillation and sensing electrodes |
US20070118180A1 (en) | 2005-11-18 | 2007-05-24 | Quan Ni | Cardiac resynchronization therapy for improved hemodynamics based on disordered breathing detection |
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US20070173712A1 (en) | 2005-12-30 | 2007-07-26 | Medtronic Minimed, Inc. | Method of and system for stabilization of sensors |
US7783340B2 (en) | 2007-01-16 | 2010-08-24 | Cameron Health, Inc. | Systems and methods for sensing vector selection in an implantable medical device using a polynomial approach |
US8200341B2 (en) | 2007-02-07 | 2012-06-12 | Cameron Health, Inc. | Sensing vector selection in a cardiac stimulus device with postural assessment |
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US9037239B2 (en) | 2007-08-07 | 2015-05-19 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
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US8452399B2 (en) * | 2009-06-23 | 2013-05-28 | Medtronic, Inc. | Constant current pacing apparatus with protection from high voltage pulses |
US8619408B2 (en) | 2009-12-18 | 2013-12-31 | Cardiac Pacemakers, Inc. | Sintered capacitor electrode including a folded connection |
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US8750997B2 (en) * | 2009-12-31 | 2014-06-10 | Cardiac Pacemakers, Inc. | Implantable medical device including isolation test circuit |
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US8848341B2 (en) | 2010-06-24 | 2014-09-30 | Cardiac Pacemakers, Inc. | Electronic component mounted on a capacitor electrode |
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US9014807B2 (en) | 2010-12-20 | 2015-04-21 | Cardiac Pacemakers, Inc. | Lead fault detection for implantable medical device |
US8588895B2 (en) | 2011-04-22 | 2013-11-19 | Cameron Health, Inc. | Robust rate calculation in an implantable cardiac stimulus or monitoring device |
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US9579065B2 (en) | 2013-03-12 | 2017-02-28 | Cameron Health Inc. | Cardiac signal vector selection with monophasic and biphasic shape consideration |
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US20160336813A1 (en) | 2015-05-15 | 2016-11-17 | NeuSpera Medical Inc. | Midfield coupler |
EP3383488B1 (en) | 2015-12-03 | 2023-10-25 | Medtronic, Inc. | Tachyarrhythmia induction by an extra-cardiovascular implantable cardioverter defibrillator |
EP3383491B1 (en) | 2015-12-03 | 2019-09-11 | Medtronic Inc. | Extra-cardiovascular cardiac pacing system for delivering composite pacing pulses |
CN108290046B (en) | 2015-12-03 | 2021-12-10 | 美敦力公司 | Extravascular pacing with an implantable cardioverter defibrillator |
US10946207B2 (en) | 2017-05-27 | 2021-03-16 | West Affum Holdings Corp. | Defibrillation waveforms for a wearable cardiac defibrillator |
CN108992780A (en) * | 2018-08-01 | 2018-12-14 | 乐普医学电子仪器股份有限公司 | A kind of defibrillator bridge-type discharge circuit accurately controlling turn on process |
WO2020190693A1 (en) | 2019-03-15 | 2020-09-24 | Boston Scientific Scimed, Inc. | Waveform generator and control for selective cell ablation |
US11931592B2 (en) | 2020-02-13 | 2024-03-19 | Cardiac Pacemakers, Inc. | Output circuitry for multiple-therapy implantable devices |
US11717695B2 (en) | 2020-02-13 | 2023-08-08 | Cardiac Pacemakers, Inc. | High voltage therapy system with current control |
US11745023B2 (en) | 2020-03-12 | 2023-09-05 | Cardiac Pacemakers, Inc. | High voltage therapy system with low side control |
EP4240478B1 (en) | 2021-01-28 | 2024-01-03 | Usa Medical Electronix, Inc. | Pocket-sized automated external defibrillator |
EP4272810A3 (en) * | 2021-06-24 | 2024-01-24 | Pacesetter, Inc. | Implantable system for constant current pacing |
Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4567900A (en) | 1984-06-04 | 1986-02-04 | Moore J Paul | Internal deployable defibrillator electrode |
US4603705A (en) | 1984-05-04 | 1986-08-05 | Mieczyslaw Mirowski | Intravascular multiple electrode unitary catheter |
US4693253A (en) | 1981-03-23 | 1987-09-15 | Medtronic, Inc. | Automatic implantable defibrillator and pacer |
US4944300A (en) | 1987-04-28 | 1990-07-31 | Sanjeev Saksena | Method for high energy defibrillation of ventricular fibrillation in humans without a thoracotomy |
US5105810A (en) | 1990-07-24 | 1992-04-21 | Telectronics Pacing Systems, Inc. | Implantable automatic and haemodynamically responsive cardioverting/defibrillating pacemaker with means for minimizing bradycardia support pacing voltages |
US5342407A (en) | 1990-06-06 | 1994-08-30 | Cardiac Pacemakers, Inc. | Body implantable defibrillation system |
US5476503A (en) | 1994-03-28 | 1995-12-19 | Pacesetter, Inc. | Sense array intelligent patch lead for an implantable defibrillator and method |
US5618287A (en) | 1994-01-28 | 1997-04-08 | Thomas J. Fogarty | Methods of surgically implanting a defibrillator electrode within a patient |
Family Cites Families (77)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3710374A (en) | 1970-03-16 | 1973-01-09 | Wester Instr Inc | Dual-slope and analog-to-digital converter wherein two analog input signals are selectively integrated with respect to time |
US3653387A (en) | 1970-05-08 | 1972-04-04 | Cardiac Electronics Inc | Protector circuit for cardiac apparatus |
US4223678A (en) | 1978-05-03 | 1980-09-23 | Mieczyslaw Mirowski | Arrhythmia recorder for use with an implantable defibrillator |
US4191942A (en) | 1978-06-08 | 1980-03-04 | National Semiconductor Corporation | Single slope A/D converter with sample and hold |
US4407288B1 (en) | 1981-02-18 | 2000-09-19 | Mieczyslaw Mirowski | Implantable heart stimulator and stimulation method |
US4402322A (en) | 1981-03-25 | 1983-09-06 | Medtronic, Inc. | Pacer output circuit |
DE3300672A1 (en) | 1983-01-11 | 1984-07-12 | Siemens AG, 1000 Berlin und 8000 München | HEART PACEMAKER SYSTEM |
US4800883A (en) | 1986-04-02 | 1989-01-31 | Intermedics, Inc. | Apparatus for generating multiphasic defibrillation pulse waveform |
US4830005A (en) | 1987-07-23 | 1989-05-16 | Siemens-Pacesetter, Inc. | Disposable in-package load test element for pacemakers |
ATE120587T1 (en) | 1987-11-19 | 1995-04-15 | Siemens Ag | ANALOG-DIGITAL CONVERTER. |
FR2632865A1 (en) | 1988-06-15 | 1989-12-22 | Atesys Sa | HIGH PERFORMANCE DEFIBRILLATOR WITH SEVERAL ELECTRODES OUTSIDE THE HEART |
US5133353A (en) | 1990-04-25 | 1992-07-28 | Cardiac Pacemakers, Inc. | Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode |
US5713926A (en) | 1990-04-25 | 1998-02-03 | Cardiac Pacemakers, Inc. | Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode |
US5109842A (en) | 1990-09-24 | 1992-05-05 | Siemens Pacesetter, Inc. | Implantable tachyarrhythmia control system having a patch electrode with an integrated cardiac activity system |
US5531765A (en) | 1990-12-18 | 1996-07-02 | Ventritex, Inc. | Method and apparatus for producing configurable biphasic defibrillation waveforms |
US5129392A (en) | 1990-12-20 | 1992-07-14 | Medtronic, Inc. | Apparatus for automatically inducing fibrillation |
CA2106378A1 (en) | 1991-04-05 | 1992-10-06 | Tom D. Bennett | Subcutaneous multi-electrode sensing system |
US5507781A (en) | 1991-05-23 | 1996-04-16 | Angeion Corporation | Implantable defibrillator system with capacitor switching circuitry |
US5292339A (en) | 1991-06-14 | 1994-03-08 | Telectronics Pacing Systems, Inc. | Implantable pacemaker/cardioverter/defibrillator device and method incorporating multiple bradycardia support pacing rates |
US5144946A (en) | 1991-08-05 | 1992-09-08 | Siemens Pacesetter, Inc. | Combined pacemaker substrate and electrical interconnect and method of assembly |
US5215083A (en) | 1991-10-07 | 1993-06-01 | Telectronics Pacing Systems, Inc. | Apparatus and method for arrhythmia induction in arrhythmia control system |
US5184616A (en) | 1991-10-21 | 1993-02-09 | Telectronics Pacing Systems, Inc. | Apparatus and method for generation of varying waveforms in arrhythmia control system |
JPH0621492Y2 (en) | 1992-02-07 | 1994-06-08 | 日本光電工業株式会社 | Defibrillator with ECG monitor |
US5261400A (en) | 1992-02-12 | 1993-11-16 | Medtronic, Inc. | Defibrillator employing transvenous and subcutaneous electrodes and method of use |
US5306291A (en) | 1992-02-26 | 1994-04-26 | Angeion Corporation | Optimal energy steering for an implantable defibrillator |
US5376103A (en) | 1992-03-19 | 1994-12-27 | Angeion Corporation | Electrode system for implantable defibrillator |
US5601607A (en) | 1992-03-19 | 1997-02-11 | Angeion Corporation | Implantable cardioverter defibrillator housing plated electrode |
WO1993019809A1 (en) | 1992-04-06 | 1993-10-14 | Angemed, Inc. | System for treatment of ventricular tachycardia using a far-field pulse series |
AU1796595A (en) | 1992-12-01 | 1995-07-13 | Siemens Aktiengesellschaft | Cardiac arrhythmia detection system for an implantable stimulation device |
US5697953A (en) | 1993-03-13 | 1997-12-16 | Angeion Corporation | Implantable cardioverter defibrillator having a smaller displacement volume |
US5411547A (en) | 1993-08-09 | 1995-05-02 | Pacesetter, Inc. | Implantable cardioversion-defibrillation patch electrodes having means for passive multiplexing of discharge pulses |
US5447518A (en) | 1993-08-31 | 1995-09-05 | Ventritex, Inc. | Method and apparatus for phase related cardiac defibrillation |
US5620477A (en) | 1994-03-31 | 1997-04-15 | Ventritex, Inc. | Pulse generator with case that can be active or inactive |
US5658321A (en) | 1995-06-09 | 1997-08-19 | Ventritex, Inc. | Conductive housing for implantable cardiac device |
US5690683A (en) | 1995-06-19 | 1997-11-25 | Cardiac Pacemakers, Inc. | After potential removal in cardiac rhythm management device |
US5658317A (en) | 1995-08-14 | 1997-08-19 | Cardiac Pacemakers, Inc. | Threshold templating for digital AGC |
US6014586A (en) | 1995-11-20 | 2000-01-11 | Pacesetter, Inc. | Vertically integrated semiconductor package for an implantable medical device |
US5674260A (en) | 1996-02-23 | 1997-10-07 | Pacesetter, Inc. | Apparatus and method for mounting an activity sensor or other component within a pacemaker using a contoured hybrid lid |
US5645572A (en) | 1996-03-12 | 1997-07-08 | Angeion Corporation | Implantable cardioverter defibrillator with slew rate limiting |
US5919211A (en) | 1996-06-27 | 1999-07-06 | Adams; Theodore P. | ICD power source using multiple single use batteries |
US6058328A (en) | 1996-08-06 | 2000-05-02 | Pacesetter, Inc. | Implantable stimulation device having means for operating in a preemptive pacing mode to prevent tachyarrhythmias and method thereof |
WO1998025349A1 (en) | 1996-12-03 | 1998-06-11 | Microchip Technology Incorporated | Slope analog-to-digital converter with ramp initiated prior to counter |
US5766226A (en) | 1996-12-09 | 1998-06-16 | Angeion Corporation | Switched discharge pathways for ICD having multiple output capacitors |
US6096063A (en) | 1996-12-18 | 2000-08-01 | Zmd Corporation | Electrotherapy circuit having controlled current discharge based on patient-dependent electrical parameter |
US5749911A (en) | 1997-01-24 | 1998-05-12 | Cardiac Pacemakers, Inc. | Implantable tissue stimulator incorporating deposited multilayer capacitor |
US5836976A (en) | 1997-04-30 | 1998-11-17 | Medtronic, Inc. | Cardioversion energy reduction system |
EP0996483A1 (en) | 1997-07-17 | 2000-05-03 | CPR Medical, Inc. | Defibrillator/pacemaker |
US6144866A (en) | 1998-10-30 | 2000-11-07 | Medtronic, Inc. | Multiple sensor assembly for medical electric lead |
US5941904A (en) | 1997-09-12 | 1999-08-24 | Sulzer Intermedics Inc. | Electromagnetic acceleration transducer for implantable medical device |
SE9704311D0 (en) | 1997-11-24 | 1997-11-24 | Pacesetter Ab | A cardiac event detecting system for a heart stimulator |
FR2772516B1 (en) | 1997-12-12 | 2003-07-04 | Ela Medical Sa | ELECTRONIC CIRCUIT, IN PARTICULAR FOR AN ACTIVE IMPLANTABLE MEDICAL DEVICE SUCH AS A CARDIAC STIMULATOR OR DEFIBRILLATOR, AND ITS MANUFACTURING METHOD |
US6185450B1 (en) | 1998-01-26 | 2001-02-06 | Physio-Control Manufacturing Corporation | Digital sliding pole fast-restore for an electrocardiograph display |
CA2318907C (en) | 1998-01-27 | 2004-05-04 | Vitatron Medical, B.V. | System for inducing tachycardia utilizing near field t-wave sensing |
US6128531A (en) * | 1998-04-01 | 2000-10-03 | Pacesetter, Inc. | Delivery of ICD shock capacitor energy via a controlled current source |
US6026325A (en) | 1998-06-18 | 2000-02-15 | Pacesetter, Inc. | Implantable medical device having an improved packaging system and method for making electrical connections |
US6208895B1 (en) | 1998-10-13 | 2001-03-27 | Physio-Control Manufacturing Corporation | Circuit for performing external pacing and biphasic defibrillation |
US6169921B1 (en) | 1998-12-08 | 2001-01-02 | Cardiac Pacemakers, Inc. | Autocapture determination for an implantable cardioverter defibrillator |
US6104953A (en) * | 1999-01-28 | 2000-08-15 | Heartstream, Inc. | Method and apparatus for delivering defibrillation and pacing energy from a single power source |
US6241751B1 (en) | 1999-04-22 | 2001-06-05 | Agilent Technologies, Inc. | Defibrillator with impedance-compensated energy delivery |
US6411844B1 (en) | 1999-10-19 | 2002-06-25 | Pacesetter, Inc. | Fast recovery sensor amplifier circuit for implantable medical device |
WO2001056166A2 (en) | 2000-01-28 | 2001-08-02 | Infineon Technologies Ag | Method and analog-to-digital converter for converting an analog voltage into an arithmetical value |
US7146212B2 (en) | 2000-09-18 | 2006-12-05 | Cameron Health, Inc. | Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
US6778860B2 (en) | 2001-11-05 | 2004-08-17 | Cameron Health, Inc. | Switched capacitor defibrillation circuit |
US6952608B2 (en) | 2001-11-05 | 2005-10-04 | Cameron Health, Inc. | Defibrillation pacing circuitry |
US6788974B2 (en) | 2000-09-18 | 2004-09-07 | Cameron Health, Inc. | Radian curve shaped implantable cardioverter-defibrillator canister |
US6954670B2 (en) | 2001-11-05 | 2005-10-11 | Cameron Health, Inc. | Simplified defibrillator output circuit |
US6937907B2 (en) | 2000-09-18 | 2005-08-30 | Cameron Health, Inc. | Subcutaneous electrode for transthoracic conduction with low-profile installation appendage and method of doing same |
US7039465B2 (en) | 2000-09-18 | 2006-05-02 | Cameron Health, Inc. | Ceramics and/or other material insulated shell for active and non-active S-ICD can |
US6866044B2 (en) | 2000-09-18 | 2005-03-15 | Cameron Health, Inc. | Method of insertion and implantation of implantable cardioverter-defibrillator canisters |
US7065407B2 (en) | 2000-09-18 | 2006-06-20 | Cameron Health, Inc. | Duckbill-shaped implantable cardioverter-defibrillator canister and method of use |
US6950705B2 (en) | 2000-09-18 | 2005-09-27 | Cameron Health, Inc. | Canister designs for implantable cardioverter-defibrillators |
US6647292B1 (en) | 2000-09-18 | 2003-11-11 | Cameron Health | Unitary subcutaneous only implantable cardioverter-defibrillator and optional pacer |
US7069080B2 (en) | 2000-09-18 | 2006-06-27 | Cameron Health, Inc. | Active housing and subcutaneous electrode cardioversion/defibrillating system |
US6721597B1 (en) | 2000-09-18 | 2004-04-13 | Cameron Health, Inc. | Subcutaneous only implantable cardioverter defibrillator and optional pacer |
US6856835B2 (en) | 2000-09-18 | 2005-02-15 | Cameron Health, Inc. | Biphasic waveform for anti-tachycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
US6804552B2 (en) | 2000-11-03 | 2004-10-12 | Medtronic, Inc. | MEMs switching circuit and method for an implantable medical device |
US6721602B2 (en) | 2001-08-21 | 2004-04-13 | Medtronic, Inc. | Implantable medical device assembly and manufacturing method |
-
2001
- 2001-11-05 US US10/011,955 patent/US6952608B2/en not_active Expired - Lifetime
-
2002
- 2002-10-28 AU AU2002363390A patent/AU2002363390A1/en not_active Abandoned
- 2002-10-28 WO PCT/IB2002/004476 patent/WO2003039648A2/en not_active Application Discontinuation
-
2005
- 2005-06-07 US US11/146,607 patent/US7522957B2/en not_active Expired - Lifetime
-
2009
- 2009-04-20 US US12/426,779 patent/US9283398B2/en active Active
-
2016
- 2016-02-24 US US15/051,805 patent/US9522284B2/en not_active Expired - Lifetime
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4693253A (en) | 1981-03-23 | 1987-09-15 | Medtronic, Inc. | Automatic implantable defibrillator and pacer |
US4603705A (en) | 1984-05-04 | 1986-08-05 | Mieczyslaw Mirowski | Intravascular multiple electrode unitary catheter |
US4567900A (en) | 1984-06-04 | 1986-02-04 | Moore J Paul | Internal deployable defibrillator electrode |
US4944300A (en) | 1987-04-28 | 1990-07-31 | Sanjeev Saksena | Method for high energy defibrillation of ventricular fibrillation in humans without a thoracotomy |
US5342407A (en) | 1990-06-06 | 1994-08-30 | Cardiac Pacemakers, Inc. | Body implantable defibrillation system |
US5105810A (en) | 1990-07-24 | 1992-04-21 | Telectronics Pacing Systems, Inc. | Implantable automatic and haemodynamically responsive cardioverting/defibrillating pacemaker with means for minimizing bradycardia support pacing voltages |
US5618287A (en) | 1994-01-28 | 1997-04-08 | Thomas J. Fogarty | Methods of surgically implanting a defibrillator electrode within a patient |
US5476503A (en) | 1994-03-28 | 1995-12-19 | Pacesetter, Inc. | Sense array intelligent patch lead for an implantable defibrillator and method |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006115922A2 (en) * | 2005-04-26 | 2006-11-02 | Cameron Health, Inc. | Methods and implantable devices for inducing fibrillation by alternating constant current |
WO2006115922A3 (en) * | 2005-04-26 | 2007-02-15 | Cameron Health Inc | Methods and implantable devices for inducing fibrillation by alternating constant current |
US7874489B2 (en) | 2005-06-20 | 2011-01-25 | Authentiform Technologies, Llc | Product authentication |
US8247018B2 (en) | 2005-06-20 | 2012-08-21 | Authentiform Technologies, Llc | Methods for quality control |
US8458475B2 (en) | 2005-06-20 | 2013-06-04 | Authentiform Technologies, L.L.C. | Systems and methods for product authentication |
WO2007100997A2 (en) * | 2006-02-28 | 2007-09-07 | Medtronic, Inc. | Supply circuit for implantable medical devices |
WO2007100997A3 (en) * | 2006-02-28 | 2008-02-21 | Medtronic Inc | Supply circuit for implantable medical devices |
US7852052B2 (en) | 2006-02-28 | 2010-12-14 | Medtronic, Inc. | Supply circuit for implantable medical devices |
US9053364B2 (en) | 2012-10-30 | 2015-06-09 | Authentiform, LLC | Product, image, or document authentication, verification, and item identification |
Also Published As
Publication number | Publication date |
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US9283398B2 (en) | 2016-03-15 |
AU2002363390A1 (en) | 2003-05-19 |
US20030088282A1 (en) | 2003-05-08 |
US9522284B2 (en) | 2016-12-20 |
WO2003039648A3 (en) | 2004-02-05 |
US20090210021A1 (en) | 2009-08-20 |
US20050288714A1 (en) | 2005-12-29 |
US20160166841A1 (en) | 2016-06-16 |
US6952608B2 (en) | 2005-10-04 |
US7522957B2 (en) | 2009-04-21 |
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