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    Subcutaneous Implantable Cardioverter-Defibrillator Placement Methods
    1.
    发明申请
    Subcutaneous Implantable Cardioverter-Defibrillator Placement Methods 有权
    皮下植入式心律转复除颤器放置方法

    公开(公告)号：US20070142865A1

    公开(公告)日：2007-06-21

    申请号：US11680107

    申请日：2007-02-28

    申请人： Gust Bardy ,  Riccardo Cappato ,  Alan Ostroff ,  William Rissmann ,  Gary Sanders

    发明人： Gust Bardy ,  Riccardo Cappato ,  Alan Ostroff ,  William Rissmann ,  Gary Sanders

    IPC分类号： A61N1/39

    CPC分类号： A61N1/0504 ,  A61N1/3756 ,  A61N1/3912 ,  A61N1/3931 ,  A61N1/3968

    摘要： A subcutaneous cardiac device includes two electrodes and a stimulator that generates a pulse to the electrodes. The electrodes are implanted between the skin and the rib cage of the patient and are adapted to generate an electric field corresponding to the pulse, the electric field having a substantially uniform voltage gradient as it passes through the heart. The shapes, sizes, positions and structures of the electrodes are selected to optimize the voltage gradient of the electric field, and to minimize the energy dissipated by the electric field outside the heart. More specifically, the electrodes have contact surfaces that contact the patient tissues, said contact surfaces having a total contact area of less than 100 cm2. In one embodiment, one or both electrodes are physically separated from the stimulator. In another embodiment, a unitary housing holds the both electrodes and the stimulator. Sensor circuitry may also include in the stimulator for detecting intrinsic cardiac activity through the same electrodes.

    摘要翻译： 皮下心脏装置包括两个电极和一个向电极产生脉冲的刺激器。 电极被植入患者的皮肤和肋骨架之间，适于产生对应于该脉冲的电场，该电场在通过心脏时具有基本均匀的电压梯度。 选择电极的形状，尺寸，位置和结构以优化电场的电压梯度，并且使由心脏外的电场消耗的能量最小化。 更具体地，电极具有接触患者组织的接触表面，所述接触表面的总接触面积小于100cm 2。 在一个实施例中，一个或两个电极与刺激器物理分离。 在另一个实施例中，整体外壳保持两个电极和刺激器。 传感器电路还可以包括在用于通过相同电极检测内在心脏活动的刺激器中。

    Current waveforms for anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator
    4.
    发明申请
    Current waveforms for anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator 有权
    用于皮下植入式心律转复除颤器的抗心动过缓起搏的电流波形

    公开(公告)号：US20050143778A1

    公开(公告)日：2005-06-30

    申请号：US11060869

    申请日：2005-02-18

    申请人： Alan Ostroff ,  William Rissmann ,  Gary Mezack ,  Gust Bardy

    发明人： Alan Ostroff ,  William Rissmann ,  Gary Mezack ,  Gust Bardy

    IPC分类号： A61N1/375 ,  A61N1/39 ,  A61N1/362

    CPC分类号： A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3962 ,  A61N1/3968 ,  A61N1/3975

    摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.

    摘要翻译： 一种用于可植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位并使用引导系统，其不直接接触患者的心脏或者位于胸腔内血管内并且用于向患者的心脏起搏能量提供抗心动过缓起搏能量 心脏，包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过缓起搏能量。

    BRADYCARDIA PACING IN A SUBCUTANEOUS DEVICE
    6.
    发明申请
    BRADYCARDIA PACING IN A SUBCUTANEOUS DEVICE 有权

    公开(公告)号：US20070049979A1

    公开(公告)日：2007-03-01

    申请号：US11553785

    申请日：2006-10-27

    申请人： GUST BARDY ,  RICCARDO CAPPATO ,  WILLIAM RISSMANN

    发明人： GUST BARDY ,  RICCARDO CAPPATO ,  WILLIAM RISSMANN

    IPC分类号： A61N1/00

    CPC分类号： A61N1/362 ,  A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3962 ,  A61N1/3968 ,  A61N1/3975

    摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.

    摘要翻译： 一种用于可植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位并使用引导系统，其不直接接触患者的心脏或者位于胸腔内血管内并且用于向患者的心脏起搏能量提供抗心动过缓起搏能量 心脏，包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过缓起搏能量。

    POST-SHOCK TREATMENT IN A SUBCUTANEOUS DEVICE
    9.
    发明申请
    POST-SHOCK TREATMENT IN A SUBCUTANEOUS DEVICE 有权
    后期处理在一个繁琐的设备

    公开(公告)号：US20070055314A1

    公开(公告)日：2007-03-08

    申请号：US11554185

    申请日：2006-10-30

    申请人： GUST BARDY ,  RICCARDO CAPPATO ,  WILLIAM RISSMANN

    发明人： GUST BARDY ,  RICCARDO CAPPATO ,  WILLIAM RISSMANN

    IPC分类号： A61N1/00

    CPC分类号： A61N1/362 ,  A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3962 ,  A61N1/3968 ,  A61N1/3975

    摘要： A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.

    摘要翻译： 一种用于可植入式心律转复除颤器的电源，用于在第三肋骨和第十二肋骨之间皮下定位并使用引导系统，其不直接接触患者的心脏或者位于胸腔内血管内并且用于向患者的心脏起搏能量提供抗心动过缓起搏能量 心脏，包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统，用于向电容器子系统提供抗心动过缓起搏能量。