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US5314459A Expired / Lapsed US ⏱️ 0.0 years remaining

Defibrillation electrode system having smooth current distribution with floating electrode

Assignee: Cardiac Pacemakers Inc
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Filing: 1991-11-19
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Granted: 1994-05-24
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Expires: 2011-11-19
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Abstract

Abstract A defibrillation electrode for implantation in the region of the heart and for connection to a defibrillation system. The electrode comprises multiple independent conductive segments spaced apart for defining a discharge surface of the electrode. In one embodiment, the electrode comprises a plurality of concentric conductive rings electrically connected together. To smooth the current distribution, the interface impedance of the inner conductive segments is made lower than that of the outer conductive segments. In one embodiment, the impedance is determined by the choice of the conductive material. In another embodiment, the impedance is determined by texturing the surface of the conductive segments. In yet another embodiment, the impedance is determined by the ratio of conductive edges to surface of the conductive segment. The discharge surface region can also take the form of a portion of a cardiac catheter. Other ways to control the current distribution include the use of a floating conductive segment, and the use of discrete segments which receive defibrillating waveforms of different amplitudes and isolating the conductive segments to deliver higher amplitude waveforms to the inner segments than the outer segments.

Inventors

  • 👤 David K. Swanson
  • 👤 Roger W. Dahl
  • 👤 Douglas J. Lang

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-04 11:13
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/056; A61N1/0563

Claims Analysis

Total Claims: 13
Claim 1
Independent Claim 93 words
An electrode for implantation in the region of the heart for connection to a defibrillation/cardioversion system, said electrode comprising: a discharge surface region having a predetermined surface area for delivering electrical energy to the heart, said discharge surface region comprising multiple conductive segments, means for electrically connecting all but at least a select one of said conductive segments together and to said defibrillation/cardioversion system as active electrode segments, said select one or ones of said conductive segments being interdigitated between said active electrode segments and acting as a floating electrode segment or segments.
Claim 2
Dependent Claim 93 words
An electrode for implantation in the region of the heart for connection to a defibrillation/cardioversion system, said electrode comprising: a discharge surface region having a predetermined surface area for delivering electrical energy to the heart, said discharge surface region comprising multiple conductive segments, means for electrically connecting all but at least a select one of said conductive segments together and to said defibrillation/cardioversion system as active electrode segments, said select one or ones of said conductive segments being interdigitated between said active electrode segments and acting as a floating electrode segment or segments.
Claim 3
Dependent Claim 21 words
The electrode of claim 1, and further comprising insulation means covering the surface of said electrode opposite said discharge surface region.
Claim 4
Dependent Claim 15 words
The electrode of claim 1, wherein said plurality of conductive segments comprise spaced concentric rings.
Claim 5
Dependent Claim 28 words
The electrode of claim 1, wherein the electrode is a catheter, and wherein said discharge surface region comprises a surface portion along a predetermined length of said catheter.
Claim 6
Dependent Claim 32 words
The electrode of claim 1, wherein said floating electrode segments occupy the extreme portions of said discharge surface region and said active segments occupy the central portions of said conductive discharge region.
Claim 7
Dependent Claim 13 words
The electrode of claim 1, wherein said active and floating segments are interlaced.
Claim 8
Dependent Claim 88 words
A defibrillation/cardioversion system comprising: a pulse generator; and an electrode comprising: an elongated catheter having a proximal lead portion and a distal active portion; multiple conductive segments spaced apart along said distal active portion; and all but a select one or ones of said conductive segments being connected in common to the pulse generator as active electrode segments, while said select one or ones of said conductive segments remain unconnected and serve as floating electrode segments, said conductive segments being configured for delivering a predetermined defibrillation/cardioversion discharge pattern.
Claim 9
Dependent Claim 88 words
A defibrillation/cardioversion system comprising: a pulse generator; and an electrode comprising: an elongated catheter having a proximal lead portion and a distal active portion; multiple conductive segments spaced apart along said distal active portion; and all but a select one or ones of said conductive segments being connected in common to the pulse generator as active electrode segments, while said select one or ones of said conductive segments remain unconnected and serve as floating electrode segments, said conductive segments being configured for delivering a predetermined defibrillation/cardioversion discharge pattern.
Claim 10
Dependent Claim 28 words
The system of claim 7, wherein said floating electrode segments are configured and positioned between said active electrode segments such that a current discharge distribution is substantially smooth.
Claim 11
Dependent Claim 29 words
The system of claim 7, wherein said floating electrode segments are configured and positioned between said active electrode segments such that a current discharge has a predetermined irregular distribution.
Claim 12
Dependent Claim 74 words
An implantable defibrillation/cardioversion system comprising pulse generator means, a defibrillation/cardioversion electrode for implantation in the region of the heart and connected to said pulse generator means for serving as an active electrode for discharging electrical energy to the heart, and a floating electrode for mounting in the heart and not being connected to said pulse generator, wherein said floating electrode is a endocardial catheter electrode for mounting in the right ventricle of the heart.
Claim 13
Dependent Claim 74 words
An implantable defibrillation/cardioversion system comprising pulse generator means, a defibrillation/cardioversion electrode for implantation in the region of the heart and connected to said pulse generator means for serving as an active electrode for discharging electrical energy to the heart, and a floating electrode for mounting in the heart and not being connected to said pulse generator, wherein said floating electrode is a endocardial catheter electrode for mounting in the right ventricle of the heart.

References Cited (Backward Citations)

US4628934A Cited
US4641656A Cited
US4848352A Cited
US4969463A Cited
US5063932A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1997-05-23 1997-11-22 1998-05-24 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2001-05-23 2001-11-22 2002-05-24 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2005-05-23 2005-11-22 2006-05-24 $7700.00 Window Closed / Lapsed

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