发明授权
US08812103B2 Method for detecting and treating insulation lead-to-housing failures
有权
绝缘导线到壳体故障的检测和处理方法
- 专利标题: Method for detecting and treating insulation lead-to-housing failures
- 专利标题(中): 绝缘导线到壳体故障的检测和处理方法
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申请号: US13843145申请日: 2013-03-15
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公开(公告)号: US08812103B2公开(公告)日: 2014-08-19
- 发明人: Mark William Kroll , Charles Dennis Swerdlow
- 申请人: Lamda Nu, LLC
- 申请人地址: US MN Orono
- 专利权人: Lamda Nu, LLC
- 当前专利权人: Lamda Nu, LLC
- 当前专利权人地址: US MN Orono
- 代理机构: Patterson Thuente Pedersen, P.A.
- 主分类号: A61N1/39
- IPC分类号: A61N1/39 ; A61N1/08
摘要:
Disclosed is a method for the diagnosis of conductor anomalies, such as an insulation failure resulting in a short circuit, in an implantable medical device, such as an implantable cardioverter defibrillator (ICD). Upon determining if a specific defibrillation pathway is shorted, the method excludes the one electrode from the defibrillation circuit, delivering defibrillation current only between functioning defibrillation electrodes. Protection can be provided against a short in the right-ventricular coil-CAN defibrillation pathway of a pectoral, transvenous ICD with a dual-coil defibrillation lead. If a short caused by an in-pocket abrasion is present, the CAN is excluded from the defibrillation circuit, delivering defibrillation current only between the right-ventricular and superior vena cava defibrillation coils. Determination that the defibrillation pathway is shorted may be made by conventional low current measurements or delivery of high current extremely short test pulses.
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