Patent References 3614954 3614955 Electron emitter and method of fabrication Demand heart pacer with improved interference discrimination Apparatus for enhanced display of physiological waveforms and for defibrillation Cardioverting device with stored energy selecting means and discharge initiating means, and related method Cardiac depolarization detection apparatus Synchronous intracardiac cardioverter Command atrial cardioverter Cardioverting method and apparatus utilizing catheter and patch electrodes InventorsAssigneeApplicationNo. 685130 filed on 04/12/1991US Classes:607/5, Cardioverting/defibrillating607/4Combined cardioverting/defibrillating and pacingExaminersPrimary: Kamm, William E.Assistant: Schaetzle, Kennedy J. Attorney, Agent or FirmForeign Patent References
International ClassA61N 001/39AbstractAn 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. An endocardial lead is also described which ensures that the delivered atrial defibrillating electrical energy is substantially confined to the atria of the heart. | |