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US6002962A Expired / Lapsed US ⏱️ 0.0 years remaining

Implantable triphasic waveform defibrillator

Assignee: UAB Research Foundation
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Filing: 1998-04-14
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Granted: 1999-12-14
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Expires: 2018-04-14
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Abstract

Abstract An implantable system for the defibrillation or cardioversion of a patient's heart comprises a plurality of electrodes configured for delivering a defibrillation pulse along a predetermined current pathway in the heart. The plurality of electrodes includes a first electrode configured for positioning in the patient's heart. The system includes a power supply and a control circuit. The control circuit is operatively associated with the electrodes and the power supply.

Inventors

  • 👤 Jian Huang
  • 👤 Bruce H. Kenknight
  • 👤 Raymond E. Ideker

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-26 16:53
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/18; A61N1/32; A61N1/38; A61N1/39; A61N1/3956; A61N1/3906

Claims Analysis

Total Claims: 14
Claim 1
Independent Claim 201 words
An implantable system for the defibrillation or cardioversion of the heart of a patient in need of such treatment, said system comprising: a plurality of electrodes configured for delivering a triphasic defibrillation pulse along a predetermined current pathway in said heart, said plurality of electrodes including a first electrode configured for positioning in the right ventricle of said heart; a power supply; and a control circuit operatively associated with said electrodes and said power supply, said control circuit configured for delivering a triphasic defibrillation pulse through said electrodes; said triphasic defibrillation pulse comprising a first phase, a second phase having a polarity opposite from said first phase, and a third phase having a polarity the same as said first phase; with said control circuit configured so that said first electrode is an anode for said first phase and third phase of said triphasic defibrillation pulse; with said plurality of electrodes including a second electrode configured for positioning in the superior vena cava of said patient and a third electrode configured for positioning in the left thoracic region of said patient; and with said control circuit configured so that said second and third electrodes are cathodes for said first and third phases.
Claim 2
Dependent Claim 201 words
An implantable system for the defibrillation or cardioversion of the heart of a patient in need of such treatment, said system comprising: a plurality of electrodes configured for delivering a triphasic defibrillation pulse along a predetermined current pathway in said heart, said plurality of electrodes including a first electrode configured for positioning in the right ventricle of said heart; a power supply; and a control circuit operatively associated with said electrodes and said power supply, said control circuit configured for delivering a triphasic defibrillation pulse through said electrodes; said triphasic defibrillation pulse comprising a first phase, a second phase having a polarity opposite from said first phase, and a third phase having a polarity the same as said first phase; with said control circuit configured so that said first electrode is an anode for said first phase and third phase of said triphasic defibrillation pulse; with said plurality of electrodes including a second electrode configured for positioning in the superior vena cava of said patient and a third electrode configured for positioning in the left thoracic region of said patient; and with said control circuit configured so that said second and third electrodes are cathodes for said first and third phases.
Claim 3
Dependent Claim 31 words
A system according to claim 1, said control circuit configured so that of said second and third phases have a combined duration not greater than the duration of said first phase.
Claim 4
Dependent Claim 21 words
A system according to claim 1, wherein said defibrillation pulse has an energy not more than about 40 Joules in strength.
Claim 5
Dependent Claim 46 words
A system according to claim 1, said control circuit configured so that: said first phase is from 3 to 50 milliseconds in duration; said second phase is from 2 to 15 milliseconds in duration; and said third phase is from one to 15 milliseconds in duration.
Claim 6
Dependent Claim 22 words
A system according to claim 1, said control circuit configured so that said defibrillation pulse has a tilt of at least 40%.
Claim 7
Dependent Claim 22 words
A system according to claim 1, said control circuit configured so that said defibrillation pulse has a tilt of at least 50%.
Claim 8
Dependent Claim 69 words
A system according to claim 1, wherein: said defibrillation pulse is not more than about 35 Joules in strength; said first phase is from 5 to 40 milliseconds in duration; said second phase is from 6 to 12 milliseconds in duration; and said third phase is from 2 to 6 milliseconds in duration; said control circuit configured so that said defibrillation pulse has a tilt of at least 50%.
Claim 9
Independent Claim 161 words
A method for the defibrillation or cardioversion of the heart of a patient in need of such treatment, said method comprising: positioning a plurality of electrodes for delivering a triphasic defibrillation pulse along a predetermined current pathway in said heart, said plurality of electrodes including a first electrode positioned in the right ventricle of said heart; and then delivering a triphasic defibrillation pulse through said electrodes, said triphasic defibrillation pulse comprising a first phase, a second phase having a polarity opposite from said first phase, and a third phase having a polarity the same as said first phase; wherein said first electrode is an anode for said first phase and third phase of said triphasic defibrillation pulse; said plurality of electrodes including a second electrode positioned in the superior vena cava of said patient and a third electrode positioned in the left thoracic region of said patient; with said second and third electrodes being cathodes for said first and third phases.
Claim 10
Independent Claim 161 words
A method for the defibrillation or cardioversion of the heart of a patient in need of such treatment, said method comprising: positioning a plurality of electrodes for delivering a triphasic defibrillation pulse along a predetermined current pathway in said heart, said plurality of electrodes including a first electrode positioned in the right ventricle of said heart; and then delivering a triphasic defibrillation pulse through said electrodes, said triphasic defibrillation pulse comprising a first phase, a second phase having a polarity opposite from said first phase, and a third phase having a polarity the same as said first phase; wherein said first electrode is an anode for said first phase and third phase of said triphasic defibrillation pulse; said plurality of electrodes including a second electrode positioned in the superior vena cava of said patient and a third electrode positioned in the left thoracic region of said patient; with said second and third electrodes being cathodes for said first and third phases.
Claim 11
Dependent Claim 33 words
A method according to claim 8, wherein said delivery step involves delivering triphasic pulses whose durations of said second and third phases together are not greater than the duration of said first phase.
Claim 12
Dependent Claim 21 words
A method according to claim 8, wherein delivery step involves delivering a pulse not greater than about 40 Joules in strength.
Claim 13
Dependent Claim 43 words
A method according to claim 8, wherein said delivering step involves generating: said first phase from 3 to 50 milliseconds in duration; said second phase from 2 to 15 milliseconds in duration; and said third phase from one to 15 milliseconds in duration.
Claim 14
Dependent Claim 21 words
A method according to claim 8, wherein said delivering step involves delivering defibrillation pulse having a tilt of at least 80%.

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-12-13 2003-06-14 2003-12-14 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-12-13 2007-06-14 2007-12-14 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-12-13 2011-06-14 2011-12-14 $7700.00 Window Closed / Lapsed

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