CA2224330A1 - Low energy pacing pulse waveform for implantable pacemaker - Google Patents

Low energy pacing pulse waveform for implantable pacemaker

Info

Publication number
CA2224330A1
CA2224330A1 CA002224330A CA2224330A CA2224330A1 CA 2224330 A1 CA2224330 A1 CA 2224330A1 CA 002224330 A CA002224330 A CA 002224330A CA 2224330 A CA2224330 A CA 2224330A CA 2224330 A1 CA2224330 A1 CA 2224330A1
Authority
CA
Canada
Prior art keywords
pulse waveform
low energy
pacing pulse
pulse
waveform
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002224330A
Other languages
French (fr)
Other versions
CA2224330C (en
Inventor
Stuart P. Lahtinen
Russell E. Anderson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
Original Assignee
Medtronic, Inc.
Stuart P. Lahtinen
Russell E. Anderson
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic, Inc., Stuart P. Lahtinen, Russell E. Anderson filed Critical Medtronic, Inc.
Publication of CA2224330A1 publication Critical patent/CA2224330A1/en
Application granted granted Critical
Publication of CA2224330C publication Critical patent/CA2224330C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting

Abstract

A tissue electrical stimulator and electrical pulse waveform are described.
The stimulator or pulse generator may deliver the pulse preferably through an endocardial electrode to pace a heart but could be used for other tissue such as nerves or to deliver defibrillation pulses through other means. A preferred circuit is described employing timing of a gate voltage level on an output transistor for the discharge capacitor(s) of the pulse generator. The waveform has a leading edge starting above zero volts and ramps upward for an initial fraction until a saturation voltage is reached and then ramps downward.
CA002224330A 1996-04-23 1997-03-25 Low energy pacing pulse waveform for implantable pacemaker Expired - Fee Related CA2224330C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US08/636,455 1996-04-23
US08/636,455 US5782880A (en) 1996-04-23 1996-04-23 Low energy pacing pulse waveform for implantable pacemaker
PCT/US1997/004840 WO1997039794A1 (en) 1996-04-23 1997-03-25 Low energy pacing pulse waveform for implantable pacemaker

Publications (2)

Publication Number Publication Date
CA2224330A1 true CA2224330A1 (en) 1997-10-30
CA2224330C CA2224330C (en) 2003-11-04

Family

ID=24551986

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002224330A Expired - Fee Related CA2224330C (en) 1996-04-23 1997-03-25 Low energy pacing pulse waveform for implantable pacemaker

Country Status (7)

Country Link
US (1) US5782880A (en)
EP (1) EP0833680B1 (en)
JP (1) JP4312830B2 (en)
AU (1) AU710123B2 (en)
CA (1) CA2224330C (en)
DE (1) DE69726675T2 (en)
WO (1) WO1997039794A1 (en)

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US6324425B1 (en) 1999-07-28 2001-11-27 Medtronic, Inc., Recharge circuitry for multi-site stimulation of body tissue
US8527046B2 (en) 2000-04-20 2013-09-03 Medtronic, Inc. MRI-compatible implantable device
US6668193B2 (en) * 2001-01-04 2003-12-23 Cardiac Pacemakers, Inc. Method and apparatus for cardiac shock therapy
US6829509B1 (en) 2001-02-20 2004-12-07 Biophan Technologies, Inc. Electromagnetic interference immune tissue invasive system
US20020116029A1 (en) 2001-02-20 2002-08-22 Victor Miller MRI-compatible pacemaker with power carrying photonic catheter and isolated pulse generating electronics providing VOO functionality
US6731979B2 (en) 2001-08-30 2004-05-04 Biophan Technologies Inc. Pulse width cardiac pacing apparatus
US10022078B2 (en) 2004-07-13 2018-07-17 Dexcom, Inc. Analyte sensor
US6711440B2 (en) 2002-04-11 2004-03-23 Biophan Technologies, Inc. MRI-compatible medical device with passive generation of optical sensing signals
US6725092B2 (en) 2002-04-25 2004-04-20 Biophan Technologies, Inc. Electromagnetic radiation immune medical assist device adapter
US7363079B1 (en) 2002-09-26 2008-04-22 Boston Scientific Neuromodulation Corporation Power qualifier for electrical stimulation configurations
DE60331351D1 (en) * 2002-12-06 2010-04-01 Boston Scient Neuromodulation METHOD FOR DETERMINING STIMULATION PARAMETERS
US7591801B2 (en) 2004-02-26 2009-09-22 Dexcom, Inc. Integrated delivery device for continuous glucose sensor
US7920906B2 (en) 2005-03-10 2011-04-05 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US9247900B2 (en) 2004-07-13 2016-02-02 Dexcom, Inc. Analyte sensor
US7364592B2 (en) * 2004-02-12 2008-04-29 Dexcom, Inc. Biointerface membrane with macro-and micro-architecture
US8808228B2 (en) 2004-02-26 2014-08-19 Dexcom, Inc. Integrated medicament delivery device for use with continuous analyte sensor
US20060020192A1 (en) 2004-07-13 2006-01-26 Dexcom, Inc. Transcutaneous analyte sensor
US7373202B1 (en) 2005-03-31 2008-05-13 Pacesetter, Inc. Unipolar and bipolar lead cardiac pacemaker and method for inhibiting anode stimulation
US7715911B2 (en) * 2005-05-31 2010-05-11 Medtronic, Inc. Apparatus for tissue stimulation
US8634908B2 (en) * 2005-08-01 2014-01-21 Ebr Systems, Inc. Efficiently delivering acoustic stimulation energy to tissue
WO2007087875A1 (en) * 2006-01-13 2007-08-09 Universität Duisburg-Essen Stimulation system, in particular a cardiac pacemaker
US7852052B2 (en) * 2006-02-28 2010-12-14 Medtronic, Inc. Supply circuit for implantable medical devices
US8718773B2 (en) 2007-05-23 2014-05-06 Ebr Systems, Inc. Optimizing energy transmission in a leadless tissue stimulation system
JP5012218B2 (en) 2007-05-29 2012-08-29 トヨタ自動車株式会社 Asymmetric BF3 complex
EP2152350A4 (en) 2007-06-08 2013-03-27 Dexcom Inc Integrated medicament delivery device for use with continuous analyte sensor
EP4098177A1 (en) 2007-10-09 2022-12-07 DexCom, Inc. Integrated insulin delivery system with continuous glucose sensor
US20090163889A1 (en) * 2007-11-26 2009-06-25 Microtransponder, Inc. Biodelivery System for Microtransponder Array
CA2715628A1 (en) 2008-02-21 2009-08-27 Dexcom, Inc. Systems and methods for processing, transmitting and displaying sensor data
EP2265166B1 (en) 2008-03-25 2020-08-05 EBR Systems, Inc. Temporary electrode connection for wireless pacing systems
US8452399B2 (en) 2009-06-23 2013-05-28 Medtronic, Inc. Constant current pacing apparatus with protection from high voltage pulses
EP2544763B1 (en) * 2010-03-09 2016-04-27 Cardiac Pacemakers, Inc. Implantable defibrillation output circuit
WO2012013342A2 (en) 2010-07-27 2012-02-02 Md Start Sa Stimulation system with synchronized wireless electrode devices
WO2012013201A1 (en) 2010-07-27 2012-02-02 Universität Duisburg-Essen Implantatable, electrode device, in particular for a cardiac pacemaker
US9139103B2 (en) 2011-07-28 2015-09-22 Ford Global Technologies, Llc Battery cell capacity balancing system and method
US8676419B2 (en) * 2011-07-28 2014-03-18 Ford Global Technologies, Llc Time-based vehicle battery balancing system and method
US9145064B2 (en) 2011-07-28 2015-09-29 Ford Global Technologies, Llc Battery cell capacity balancing system and method
US8897940B2 (en) 2011-07-28 2014-11-25 Ford Global Technologies, Llc Battery cell voltage balancing system and method
US8793042B2 (en) 2011-07-28 2014-07-29 Ford Global Technologies, Llc Method and system for charging a vehicle battery
US9295850B2 (en) * 2012-04-24 2016-03-29 Medtronic, Inc. Charge-balancing during electrical stimulation
US9956413B2 (en) 2012-10-11 2018-05-01 Pacesetter, Inc. Systems and methods for packed pacing using bifurcated pacing pulses of opposing polarity generated by an implantable medical device
US8868178B2 (en) 2012-12-11 2014-10-21 Galvani, Ltd. Arrhythmia electrotherapy device and method with provisions for mitigating patient discomfort
EP2968929B1 (en) * 2013-03-14 2018-10-10 The University of North Carolina at Chapel Hill Device and system for managing acute and chronic pain
US9472685B2 (en) * 2013-04-05 2016-10-18 Joshua D. Kaggie Methods of circuit construction to improve diode performance
US9409020B2 (en) 2014-05-20 2016-08-09 Nevro Corporation Implanted pulse generators with reduced power consumption via signal strength/duration characteristics, and associated systems and methods
US10166396B2 (en) 2015-04-24 2019-01-01 Medtronic, Inc. Efficient delivery of multi-site pacing
EP3345651B1 (en) * 2017-01-04 2019-07-10 BIOTRONIK SE & Co. KG System for capture verification in implantable leadless pacemakers
US11382540B2 (en) 2017-10-24 2022-07-12 Dexcom, Inc. Pre-connected analyte sensors
US11331022B2 (en) 2017-10-24 2022-05-17 Dexcom, Inc. Pre-connected analyte sensors
EP3737459A4 (en) * 2018-01-30 2021-10-20 Nevro Corp. Efficient use of an implantable pulse generator battery, and associated systems and methods
US10933238B2 (en) 2019-01-31 2021-03-02 Nevro Corp. Power control circuit for sterilized devices, and associated systems and methods

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US3885573A (en) * 1973-03-20 1975-05-27 Hakuju Inst For Health Science Therapeutical apparatus applying superposed output of DC and AC voltages
US4637397A (en) * 1985-05-30 1987-01-20 Case Western Reserve University Triphasic wave defibrillation
US4895154A (en) * 1988-02-19 1990-01-23 Staodynamics, Inc. Electronic stimulating device for enhanced healing of soft tissue wounds
US4998531A (en) * 1990-03-28 1991-03-12 Cardiac Pacemakers, Inc. Implantable N-phasic defibrillator output bridge circuit
US5314448A (en) * 1991-10-28 1994-05-24 Angeion Corporation Process for defibrillation pretreatment of a heart
US5527346A (en) * 1993-12-13 1996-06-18 Angeion Corporation Implantable cardioverter defibrillator employing polymer thin film capacitors

Also Published As

Publication number Publication date
WO1997039794A1 (en) 1997-10-30
DE69726675T2 (en) 2004-06-03
US5782880A (en) 1998-07-21
JP4312830B2 (en) 2009-08-12
EP0833680A2 (en) 1998-04-08
AU710123B2 (en) 1999-09-16
JPH11508805A (en) 1999-08-03
CA2224330C (en) 2003-11-04
EP0833680B1 (en) 2003-12-10
AU2345797A (en) 1997-11-12
DE69726675D1 (en) 2004-01-22

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