公开(公告)号：US5086772A

公开(公告)日：1992-02-11

申请号：US559295

申请日：1990-07-30

申请人： Donald J. Larnard ,  Andre G. Routh

发明人： Donald J. Larnard ,  Andre G. Routh

IPC分类号： A61N1/362 ,  A61N1/39

CPC分类号： A61N1/3962 ,  A61N1/3621

摘要： An arrhythmia control method and device are disclosed which monitor the cardiac state of a patient, utilize an arrhythmia recognition algorithm to detect and distinguish among bradycardia, sinus rhythm, supraventricular tachycardia and ventricular fibrillation, and deliver therapy in the form of electrical energy to cardiac tissue to revert selected arrhythmias and restore normal sinus rhythm. In its preferred form the device is an implantable combined dual chamber pacing and cardioverting device that is adapted to be electrically connected to the atrium and ventricle for sensing the atrial and ventricular waveforms and deliverying shock therapy thereto as required. The arrhythmia recognition algorithm utilizes the sensed atrial and ventricular waveform data for, among other things, distinguishing between ventricular tachycardia and supraventricular tachycardia.

公开(公告)号：US6096064A

公开(公告)日：2000-08-01

申请号：US933581

申请日：1997-09-19

申请人： Andre G. Routh

发明人： Andre G. Routh

IPC分类号： A61N1/368 ,  A61N1/05 ,  A61N1/362

CPC分类号： A61N1/3622 ,  A61N1/056 ,  A61N1/3627 ,  A61N1/368

摘要： An endocardial apparatus for pacing four chambers of a heart, comprising: a power source housed in an implantable can, first, second and third leads having proximal and distal ends, each lead being electrically connected to the power source at its proximal end and extending into a vein proximal the heart, the first lead connecting at its distal end to an electrode that is in electrical contact with the right atrium of the heart, the second lead connecting at its distal end to an electrode that is in electrical contact with the right ventricle of the heart, the third lead connecting at a point proximal its distal end to a first electrode that is in electrical contact with the inside of the coronary sinus and oriented so as to stimulate the left atrium of the heart and connecting at its distal end to a second electrode that is in electrical contact with the inside of the great cardiac vein and oriented so as to stimulate the left ventricle of the heart. Devices are also disclosed for orienting and maintaining the position of the electrodes on the third lead.

摘要翻译： 一种用于起搏心脏的四腔室的心内膜装置，包括：容纳在可植入罐中的电源，具有近端和远端的第一，第二和第三引线，每个引线在其近端处电连接到电源并延伸到 靠近心脏的静脉，第一引线在其远端连接到与心脏的右心房电接触的电极，第二引线在其远端连接到与右心室电接触的电极 心脏的第三引线，其连接在其远端附近的点处，与第一电极连接，该第一电极与冠状窦的内部电接触并被定向以便刺激心脏的左心房并将其远端连接到 第二电极，其与大心脏静脉的内部电接触并定向成刺激心脏的左心室。 还公开了用于定向和保持电极在第三引线上的位置的装置。