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Apparatus for treating atrial tachyarrhythmias with synchronized shocks

Patent 6091988 Issued on July 18, 2000. Estimated Expiration Date: Icon_subject April 30, 2018. Estimated Expiration Date is calculated based on simple USPTO term provisions. It does not account for terminal disclaimers, term adjustments, failure to pay maintenance fees, or other factors which might affect the term of a patent.

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Inventors

Assignee

Application

No. 070690 filed on 04/30/1998

US Classes:

607/5Cardioverting/defibrillating

Examiners

Primary: Kamm, William E.

Attorney, Agent or Firm

Foreign Patent References

  • 9528987 WO. 02/13/1995
  • 9528988 WO. 02/13/1995

International Class

A61N 001/39

Abstract

An implantable anti-tachyarrhythmia device which delivers atrial cardioversion or defibrillation pulses heart in response to detection of atrial tachyarrhythmias. The pulses are synchronized to atrial and ventricular events in such a fashion as to assure they occur outside of the vulnerable periods associated with both chambers. The device is provided with a pulse synchronizer which defines a first synchronization interval initiated following a sensed atrial event and a second synchronization interval initiated responsive to a sensed ventricular event and a pulse triggerer which triggers delivery of a cardioversion or defibrillation pulse responsive to the first and second synchronization intervals simultaneously being underway. In particular, the pulse triggerer may be responsive to initiation of the first synchronization interval during the second synchronization interval. In addition, the synchronizer may also define minimum time intervals following ventricular events and the triggerer may additionally be responsive to expiration of a defined minimum time interval following a ventricular event preceding the sensed ventricular event which initiated the second synchronization interval currently underway.

Other References

  • "Synchronous Intracardiac Cardioversion" Zipes et al, Barold S. Serge, ed. Modern Cardiac Pacing. Mount Kisco, NY: Futura pub. Co. 1985, pp. 727-743
  • U.S. Patent Application, SN 08/649,145, entitled "Prioritized Rule Based Method and Apparatus for Diagnosis and Treatment of Arrhythmias" filed May 14, 1996, Gillberg et a
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