Patent ReferencesEndocardial, implantable lead for pacemaker Single-pass A-V lead Endocardial defibrillation electrode system Cardioversion and defibrillation lead system with electrode extension into the coronary sinus and great vein Difibrillation lead system and method of use Patent #: 5165403 InventorsAssigneeApplicationNo. 130308 filed on 10/01/1993US Classes:607/5, Cardioverting/defibrillating607/4, Combined cardioverting/defibrillating and pacing607/122Catheter or endocardial (inside heart) typeExaminersPrimary: Kamm, William E.Assistant: Schaetzle, Kennedy J. Attorney, Agent or FirmInternational 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. 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. | |