WO1992018198A3 - Improved atrial defibrillator, lead systems, and method - Google Patents

Improved atrial defibrillator, lead systems, and method Download PDF

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Publication number
WO1992018198A3
WO1992018198A3 PCT/US1992/002829 US9202829W WO9218198A3 WO 1992018198 A3 WO1992018198 A3 WO 1992018198A3 US 9202829 W US9202829 W US 9202829W WO 9218198 A3 WO9218198 A3 WO 9218198A3
Authority
WO
WIPO (PCT)
Prior art keywords
heart
atrial
defibrillator
electrical energy
sensed
Prior art date
Application number
PCT/US1992/002829
Other languages
French (fr)
Other versions
WO1992018198A2 (en
Inventor
John M Adams
Clifton A Alferness
Paul E Kreyenhagen
Original Assignee
Incontrol Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US07/685,130 external-priority patent/US5282837A/en
Application filed by Incontrol Inc filed Critical Incontrol Inc
Priority to DE69216736T priority Critical patent/DE69216736T2/en
Priority to AU19762/92A priority patent/AU653835B2/en
Priority to EP92912392A priority patent/EP0533917B1/en
Priority to CA002083678A priority patent/CA2083678C/en
Priority to JP51113592A priority patent/JP3481940B2/en
Publication of WO1992018198A2 publication Critical patent/WO1992018198A2/en
Publication of WO1992018198A3 publication Critical patent/WO1992018198A3/en

Links

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
    • A61N1/3918—Heart defibrillators characterised by shock pathway, e.g. by electrode configuration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N1/0563—Transvascular endocardial electrode systems specially adapted for defibrillation or cardioversion
    • 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
    • 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
    • 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
    • A61N1/395—Heart defibrillators for treating atrial fibrillation
    • 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
    • A61N1/3987—Heart defibrillators characterised by the timing or triggering of the shock
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A61N2001/0585—Coronary sinus electrodes

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

An implantable atrial defibrillator provides a pulse of defibrillating electrical energy to the atria of the heart in synchronism with sensed R waves in response to non-coincident sensing of an R wave at first and second areas of the heart. The defibrillating pulse is provided after a predetermined number of consecutive R waves are non-coincidently sensed to assure reliable synchronization. The atrial defibrillator is also operational in a marker mode wherein a number of synchronization marker pulses are delivered to the heart for detection on an externally generated electrocardiogram. The atrial fibrillation detector of the defibrillator is normally disabled and is activated when the sensed ventricular activity indicates a probability of atrial fibrillation to conserve a depletable power source. A plurality of lead systems are also described for use with the atrial defibrillator which reduce the quantity of electrical energy required to defibrillate the heart and ensure that the delivered atrial defibrillating electrical energy is substantially confined to the atria of the heart. <IMAGE>
PCT/US1992/002829 1991-04-12 1992-04-07 Improved atrial defibrillator, lead systems, and method WO1992018198A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
DE69216736T DE69216736T2 (en) 1991-04-12 1992-04-07 FOREARD DEFIBRILLATOR WITH PIPE SYSTEM
AU19762/92A AU653835B2 (en) 1991-04-12 1992-04-07 Improved atrial defibrillator method
EP92912392A EP0533917B1 (en) 1991-04-12 1992-04-07 Improved atrial defibrillator including a lead system
CA002083678A CA2083678C (en) 1991-04-12 1992-04-07 Atrial defibrillator, lead systems, and method
JP51113592A JP3481940B2 (en) 1991-04-12 1992-04-07 Atrial defibrillator

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US685,130 1991-04-12
US07/685,130 US5282837A (en) 1991-04-12 1991-04-12 Atrial defibrillator and method
US856,514 1992-03-24
US07/856,514 US5433729A (en) 1991-04-12 1992-03-24 Atrial defibrillator, lead systems, and method

Publications (2)

Publication Number Publication Date
WO1992018198A2 WO1992018198A2 (en) 1992-10-29
WO1992018198A3 true WO1992018198A3 (en) 1992-11-26

Family

ID=27103509

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1992/002829 WO1992018198A2 (en) 1991-04-12 1992-04-07 Improved atrial defibrillator, lead systems, and method

Country Status (10)

Country Link
US (2) US5433729A (en)
EP (2) EP0672434B1 (en)
JP (1) JP3481940B2 (en)
AT (2) ATE243546T1 (en)
AU (3) AU653835B2 (en)
CA (3) CA2083678C (en)
DE (2) DE69233110T2 (en)
DK (2) DK0533917T3 (en)
ES (2) ES2202338T3 (en)
WO (1) WO1992018198A2 (en)

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* Cited by examiner, † Cited by third party
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