The Uab Research Foundation

Duke University

Cardiac Pacemakers, Inc.

Ruse Technologies, LLC

Other

Physio-control, Inc.

Raymond E Ideker

Gregory P Walcott

Bruce H KenKnight

Michael E Benser

Steven D Girouard

Stephen John Hahn

Richard B Ruse

Scott James Bohanan

Xiangsheng Zheng

David K Swanson

Robert S Booker, Iii

Randolph A Cooper

Jay A Warren

Fred William Chapman

Douglas J Lang

Jeffrey J Giba

Donald A Richardson

Derek J Dosdall

James P Ruse

Greg Walcott

Paul A Guse

Clifton A Alferness

Roger W Dahl

Milton M Morris

Jeffrey A Hall

Stanley M Bach, Jr

Xiaohong Xhou

J Marcus Wharton

Jian Huang

Javier E Sanchez

William M Smith

Jonathan C Newton

Greg Ruse, Legal

Nipon Chattipakorn

Greg Ruse, Legal Representative

Stanley H Bach

An apparatus has advanced amplifier Classes and low pass filter technologies for using software generated ascending or level waveforms that are effective when applying cardiac defibrillation and cardioversion waveforms which significantly reduce damage to the heart muscle. The apparatus comprises a waveform energy control system for delivering software generated waveforms comprising differentially driven Class D and Class B amplifier sections, wherein the Class D amplifier section produces Phase 1 ascending waveforms and has a programmable lowpass filter (LPF) and wherein the Class B amplifier section delivers hard-switched Phase 2 waveforms.

Implantable cardioverter defibrillators using high power amplifiers with impedance tracking lowpass filters

A method and apparatus for treating a cardiac condition in a human or animal patient comprises contacting an area of skin spanning the chest area of the patient with at least two patches or electrode paddles that apply low voltages and currents in a rotational manner to pre-stimulate that area, followed by applying a high voltage shock in rapid succession through the patient's heart through at least two electrode pad patches or paddles, wherein an amplifier-based external defibrillation cardioversion system is used. Also, an external pacing system is employed using ascending ramp or any arbitrary ascending or level waveform for transcutaneous pacing which employ a constant current delivery mode. Treatable conditions include atrial fibrillation (AF), atrial tachycardia (AT), ventricular fibrillation (VF), and ventricular tachycardia (VT).

Method and apparatus for hospital, EMT/EMS, and AED grade external defibrillation and transcutaneous pacing

Cardiac defibrillation or cardioversion waveform energy control systems employ transvenous ICDs, subcutaneous SICDs, or pacemakers for treating cardiac conditions. The systems comprise differentially driven amplifier circuit operational modes to control the delivery of pacing, anti-tachycardia pacing, defibrillation, and/or cardioversion electrical shocks, wherein the pacing, anti-tachycardia pacing, and shock waveforms employ constant current, constant voltage, or constant energy. Biphasic arbitrary shock waveforms deliver increasing energy with increasing time as represented by phase 1 ascending ramp, ascending exponential, ascending chopped, ascending stepped, ascending curved, square, or rectilinear and/or any combination of geometric shaped ascending arbitrary waveforms or any BTE waveform.

Implantable cardioverter defibrillator (ICD), subcutaneous implantable cardioverter defibrillator (SICD), and waveform energy control systems

Methods, systems and computer program products are provided for reducing a risk of pulseless electrical activity (PEA) include detecting a first post-defibrillation blood flow of a subject and detecting a second post-defibrillation blood flow of the subject after the first post-defibrillation blood flow. If the first post-defibrillation blood flow of the subject is above a first threshold value and the second post-defibrillation blood flow is below a second threshold value, a plurality of electrical pulses that reduces a risk of PEA is delivered.

Method and system for reducing cardiac low pressure states

Methods, systems and computer program products determine and identify a favorable time to deliver cardiac compression to a subject to avoid a vulnerable period of a spontaneous intrinsic cardiac cycle.

Methods, systems and computer program products to inhibit ventricular fibrillation during cardiopulmonary resuscitation

An implantable system for the defibrillation of the atria of a patient's heart comprises (a) a first catheter configured for insertion into the right atrium of the heart, preferably without extending into the right ventricle of the heart; a first atrial defibrillation electrode carried by the first catheter and positioned at the atrial septum of the heart (i.e., an atrial septum electrode); (b) a second atrial defibrillation electrode which together with the first atrial defibrillation electrode provides a pair of atrial defibrillation electrodes that are configured for orientation in or about the patient's heart to effect atrial defibrillation, and (c) a pulse generator operatively associated with the pair of atrial defibrillation electrodes for delivering a first atrial defibrillation pulse to the heart of the patient. The second electrode may be configured for positioning through the coronary sinus ostium and in the coronary sinus or a vein on the surface of the left ventricle, such as the great vein. An additional electrode configured for positioning in the superior vena cava, right atrium (including the right atrial appendage, or the right ventricle may also be included, and the pulse generator may be configured or programmed for concurrently delivering a first defibrillation pulse through the additional electrode and the atrial septum electrode, and a second defibrillation pulse through the atrial septum electrode and the second electrode. Electrode assemblies and methods useful for carrying out the invention are also disclosed.

Inter-atrial septum or superior vena cava electrodes for atrial defibrillation

Methods, systems and computer program products for cardiac pacing are provided. A defibrillation shock is applied to a heart of the patient and a pacing stimulation signal is automatically applied to the heart of the patient subsequent to termination of the delivery of the defibrillation shock. The pacing stimulation may be applied to the heart of the patient within about two seconds of termination of the defibrillation shock. The pacing stimulation signal may be applied to the heart of the patient subsequent to termination of the defibrillation shock irrespective of a characterization of electrical activity detected in the heart. The pacing stimulation may be single and/or paired pacing stimulation.

Post-defibrillation pacing methods and devices

An implantable system for the defibrillation of the atria of a patient's heart comprises (a) a first catheter configured for insertion into the right atrium of the heart; a first atrial defibrillation electrode carried by the first catheter and positioned to stimulate Bachmann's bundle, or positioned at the atrial septum of the heart (i.e., an atrial septum electrode); (b) a second atrial defibrillation electrode which together with the first atrial defibrillation electrode provides a pair of atrial defibrillation electrodes that are configured for orientation in or about the patient's heart to effect atrial defibrillation, and (c) a pulse generator operatively associated with the pair of atrial defibrillation electrodes for delivering a first atrial defibrillation pulse to the heart of the patient. The second electrode may be configured for positioning through the coronary sinus ostium and in the coronary sinus or a vein on the surface of the left ventricle, such as the great vein. An additional electrode configured for positioning in the superior vena cava, right atrium (including the right atrial appendage, or the right ventricle may also be included, and the pulse generator may be configured or programmed for concurrently delivering a first defibrillation pulse through the additional electrode and the atrial septum electrode, and a second defibrillation pulse through the atrial septum electrode and the second electrode. Electrode assemblies and methods useful for carrying out the invention are also disclosed.

Bachmann's bundle electrode for atrial defibrillation

An apparatus for treating atrial fibrillation or atrial tachycardia comprises means for dynamically steering or selecting two or more current vector paths sequentially or simultaneously for defibrillation to change the transmembrane potential in the left and right atria sufficiently to halt AF or AT. The apparatus is useful to treat AF or AT in patients.

Apparatus and method for treating atrial fibrillation and atrial tachycardia

An apparatus for treating ventricular fibrillation or ventricular tachycardia comprises means for dynamically steering or selecting two or more current vector paths sequentially or simultaneously for defibrillation so as to change the transmembrane potential in the left and right ventricles sufficiently to halt VF or VT.

Apparatus and method for treating ventricular fibrillation and ventricular tachycardia

Methods, systems and computer program products for combining atrial defibrillation treatment techniques include techniques for reducing the discomfort associated with defibrillation and/or reducing the defibrillation threshold. Techniques include timing the defibrillation shock to reduce discomfort based on a sensed signal, giving the shock relatively early during atrial fibrillation, therapeutic drugs, administering more than one shock in succession, pacing the heart before, after, or during the defibrillation shock or shocks, and placing the shock electrodes in locations that may reduce discomfort.

Methods and systems for reducing discomfort from cardiac defibrillation shocks

The present invention provides systems, methods and computer program products for detecting the presence of cardiac activity in a patient. The present invention includes a detector circuit that is configured to detect the influence of a first defibrillation shock on the patient immediately subsequent to termination of a first defibrillation shock.

Devices for detecting the presence of cardiac activity following administration of defibrillation therapy

Methods, systems and computer program products for selecting a shock profile for a defibrillator based on patient discomfort to a plurality of different defibrillating shocks include delivering a first defibrillating shock having an associated first shock profile to a patient, and measuring the associated physical displacement of a selected region in the patient. A second defibrillating shock having an associated second shock profile is delivered to the patient, and the associated physical displacement of the selected region in measured. One of the first or second shock profiles is selected based on which shock profile has the lesser amount of measured physical displacement.

Method and system for the selection of cardiac defibrillation shocks based on discomfort

Methods, systems and computer program products for cardiac pacing are provided. For pacing using biventricular synchronization in a patient, a first stimulation signal is applied to a first region of a heart of the patient at a first time and a second stimulation signal applied to a second region of the heart of the patient at a second time to provide biventricular synchronization stimulation of the heart. Cardiac function of the patient associated with application of the first and the second stimulation signals is sensed and a timing relationship of the first stimulation signal to the second stimulation signal is adjusted based on the sensed cardiac function. Additionally, a cardiac timing interval, such as the A-V timing interval, may be adjusted by applying stimulation to a heart of the patient utilizing a cardiac timing interval, detecting a change in cardiac function by sensing cardiac function associated with application of the stimulation using the cardiac timing interval and adjusting the cardiac timing interval directly from the detected change in cardiac function.

Pacing methods and devices using feedback controlled timing

Growing community of inventors

Birmingham, AL, United States of America

Raymond E Ideker