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    Post-heart surgery cardioverting system and method
    1.
    发明授权
    Post-heart surgery cardioverting system and method 失效
    心脏手术心脏转复系统及方法

    公开(公告)号：US5403353A

    公开(公告)日：1995-04-04

    申请号：US100492

    申请日：1993-07-30

    申请人： Clifton A. Alferness ,  Gregory M. Ayers ,  Jerry C. Griffin ,  Kenneth R. Infinger

    发明人： Clifton A. Alferness ,  Gregory M. Ayers ,  Jerry C. Griffin ,  Kenneth R. Infinger

    IPC分类号： A61N1/05 ,  A61N1/362 ,  A61N1/39 ,  A61N1/36

    CPC分类号： A61N1/3918 ,  A61N1/05 ,  A61N1/0587 ,  A61N1/362 ,  A61N1/39 ,  A61N1/395

    摘要： A post-surgical cardioverting system and method applies cardioverting electrical energy to the atria of the heart of a post-surgical heart patient. The system includes a first lead including a first elongated electrode having a proximal end and a distal end, a second lead including a second elongated electrode having a proximal end and a distal end, and sutures for releasably anchoring the distal ends of the first and second electrodes to the pericardium and disposing the first and second electrodes along the pericardium overlying the right and left atria respectively. A non-implantable cardiovertor is coupled to the first and second leads for applying the cardioverting electrical energy to the first and second electrodes. When cardioversion is no longer required, the first and second leads may be pulled out of the patient's chest.

    摘要翻译： 手术后心脏转复系统和方法将心脏转移电能应用于手术后心脏病人心脏的心房。 该系统包括第一引线，其包括具有近端和远端的第一细长电极，第二引线包括具有近端和远端的第二细长电极，以及用于可释放地锚固第一和第二末端的缝合线的缝合线 电极到心包，并且分别沿着包围右心房和左心房的心包布置第一和第二电极。 非植入式心律转换器耦合到第一和第二引线，用于将心电转换电能施加到第一和第二电极。 当不再需要心脏复律时，可以将第一和第二引线从病人的胸部拉出。

    Atrial defibrillator and method for providing synchronized delayed cardioversion
    3.
    发明授权
    Atrial defibrillator and method for providing synchronized delayed cardioversion 失效
    心房除颤器和提供同步延迟心脏复律的方法

    公开(公告)号：US5269298A

    公开(公告)日：1993-12-14

    申请号：US965168

    申请日：1992-10-23

    申请人： John M. Adams ,  Clifton A. Alferness ,  Kenneth R. Infinger ,  Yixuan Jin

    发明人： John M. Adams ,  Clifton A. Alferness ,  Kenneth R. Infinger ,  Yixuan Jin

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3956 ,  A61N1/395 ,  A61N1/3987

    摘要： An implantable atrial defibrillator provides cardioverting electrical energy to the atria of a human heart in need of cardioversion. The atrial defibrillator includes a first detector for detecting ventricular activations of the heart, a second detector for detecting atrial activity of the heart, and an atrial fibrillation detector responsive to the second detector for determining when the atria of the heart are in need of cardioversion. The atrial defibrillator further includes a cardioverter for applying the cardioverting electrical energy to the atria of the heart when the atria of the heart are in need of cardioversion, and a timer delay stage responsive to the first detector for causing the cardioverter to apply the cardioverting electrical energy to the atria of the heart a predetermined delay time after the first detector detects one of the ventricular activations and before the T wave of the heart immediately following the one of the ventricular activations.

    Apparatus and method for reliably detecting a depolarization activation wave of the heart and atrial defibrillator utilizing same
    4.
    发明授权
    Apparatus and method for reliably detecting a depolarization activation wave of the heart and atrial defibrillator utilizing same 失效
    利用其可靠地检测心脏和心房除颤器的去极化激活波的装置和方法

    公开(公告)号：US5348021A

    公开(公告)日：1994-09-20

    申请号：US861184

    申请日：1992-03-31

    申请人： John M. Adams ,  Clifton A. Alferness ,  Kenneth R. Infinger

    发明人： John M. Adams ,  Clifton A. Alferness ,  Kenneth R. Infinger

    IPC分类号： A61N1/39 ,  A61B5/046

    CPC分类号： A61N1/3956 ,  A61N1/395 ,  A61N1/3987

    摘要： An atrial defibrillator reliably detects a depolarization activation wave of the heart and delivers cardioverting electrical energy to the atria of the heart in synchronism with a detected depolarization activation wave. The atrial defibrillator includes a first sensor for producing a first electrical output having a duration substantially equal to the duration of the depolarization activation wave sensed between a first pair of spaced apart locations of the heart. The atrial defibrillator further includes a second sensor for producing a second electrical output having a duration substantially equal to the duration of the depolarization activation wave sensed between a second pair of spaced apart locations of the heart. The spacing between the second pair of locations is greater than the spacing between the first pair of locations. A microprocessor is responsive to the first and second electrical outputs for providing an indication signal indicating the occurrence of the depolarization activation wave when the second electrical output is longer in duration than the first electrical output. A pulse generator coupled to the microprocessor applies electrical cardioverting energy to the atria of the heart in response to the indication signal.

    摘要翻译： 心房除颤器可靠地检测心脏的去极化激活波，并且与检测到的去极化激活波同步地将心电转移到心脏的心房。 心房除颤器包括用于产生第一电输出的第一传感器，其具有基本上等于在心脏的第一对间隔位置之间感测到的去极化激活波的持续时间的持续时间。 心房除颤器还包括第二传感器，用于产生第二电输出，该第二电输出的持续时间基本上等于在心脏的第二对间隔位置之间感测的去极化激活波的持续时间。 第二对位置之间的间隔大于第一对位置之间的间隔。 当第二电输出的持续时间比第一电输出更长时，微处理器响应于第一和第二电输出，用于提供指示去极化激活波的发生的指示信号。 耦合到微处理器的脉冲发生器响应于指示信号将心脏转换能量施加到心脏的心房。

    Atrial fibrillation type selective cardiovertor and method
    6.
    发明授权
    Atrial fibrillation type selective cardiovertor and method 失效
    心房颤动型选择性心脏转移器及方法

    公开(公告)号：US5549641A

    公开(公告)日：1996-08-27

    申请号：US331898

    申请日：1994-10-31

    申请人： Gregory M. Ayers ,  Clifton A. Alferness

    发明人： Gregory M. Ayers ,  Clifton A. Alferness

    IPC分类号： A61N1/362 ,  A61N1/39

    CPC分类号： A61N1/3918 ,  A61N1/3622 ,  A61N1/3962 ,  A61N1/395

    摘要： An atrial cardiovertor/defibrillator provides therapy to the atria corresponding to the type of atrial arrhythmia occurring in the atria of the heart. The atrial cardiovertor/defibrillator includes a memory for storing respective different criteria for each of different types of atrial arrhythmia, a sensor for sensing activity of at least one of the atria of the heart to provide an electrogram signal, and a cardiovertor for providing a corresponding therapy to the heart for each of the different types of atrial arrhythmia. The cardiovertor/defibrillator further includes an atrial arrhythmia detector responsive to the electrogram signal and the stored criteria for identifying one of the types of atrial arrhythmia to cause the cardiovertor to provide therapy to the heart corresponding to the identified atrial arrhythmia.

    摘要翻译： 房性心律转复/除纤颤器对心房心房发生心房心律失常类型的心房提供治疗。 心房心律转移除颤器包括存储器，用于存储针对不同类型心房心律失常的各种不同的标准，用于感测心脏心房中的至少一个的活动以提供电描记图信号的传感器，以及用于提供对应的心律转换器 治疗心脏每种不同类型的心房心律失常。 心律转移除颤器进一步包括心律失常检测器，其响应于电描记图信号和存储的标准，用于识别心房心律失常的类型之一，以使心脏转移器向心脏对应于所确定的房性心律失常提供治疗。

    Atrial defibrillator and method for providing interval timing of successive intervals prior to cardioversion
    7.
    发明授权
    Atrial defibrillator and method for providing interval timing of successive intervals prior to cardioversion 失效
    心房除颤器和在心脏复律之前提供连续间隔的间隔时间的方法

    公开(公告)号：US5486198A

    公开(公告)日：1996-01-23

    申请号：US289701

    申请日：1994-08-12

    申请人： Gregory M. Ayers ,  Clifton A. Alferness ,  Harley G. White

    发明人： Gregory M. Ayers ,  Clifton A. Alferness ,  Harley G. White

    IPC分类号： A61N1/39

    CPC分类号： A61N1/3956 ,  A61N1/3918 ,  A61N1/395 ,  A61N1/3987

    摘要： An atrial defibrillator and method provides cardioverting electrical energy to the atria of a human heart after timing successive R to R intervals. A detector detects ventricular activations of the heart and a timer times intervals between immediately successive ventricular activations. A cardiovertor applies cardioverting electrical energy to the atria of the heart when a second time interval between a third ventricular activation and a second ventricular activation immediately preceding the third ventricular activation satisfies a predetermined criteria with respect to a first time interval between the second ventricular activation and a first ventricular activation immediately preceding the second ventricular activation.

    摘要翻译： 心房除颤器和方法在定时连续的R至R间隔之后向心脏心房提供心律转复的电能。 检测器检测心脏的心室激活，并且定时器在紧接着的心室激活之间进行时间间隔。 当在第三心室激活之前的第三心室激活和第二心室激活之间的第二时间间隔相对于第二心室激活和第二心室激活之间的第一时间间隔满足预定标准时，心律转换器将心脏转换电能施加到心脏心房 在第二次心室激活之前的第一次心室激活。

    Temporary, post-heart surgery cardioverting and pacing system and lead systems for use therein
    8.
    发明授权
    Temporary, post-heart surgery cardioverting and pacing system and lead systems for use therein 失效
    临床，心脏手术后心脏转复和起搏系统及其使用的引导系统

    公开(公告)号：US5766224A

    公开(公告)日：1998-06-16

    申请号：US627688

    申请日：1996-04-02

    申请人： Clifton A. Alferness ,  John M. Adams ,  Gregory M. Ayers ,  Hugo X. Gonzalez

    发明人： Clifton A. Alferness ,  John M. Adams ,  Gregory M. Ayers ,  Hugo X. Gonzalez

    IPC分类号： A61N1/05 ,  A61N1/39

    CPC分类号： A61N1/3962 ,  A61N1/0587

    摘要： A post-surgical atrial cardioverting, atrial pacing, and ventricular pacing system and lead system provides for cardioverting the atria, pacing the atria, and/or pacing the ventricles of the heart of a post-surgical heart patient. The system includes a first lead and a second lead providing a pair of atrial cardioverting electrodes, an atrial pacing electrode, and a ventricular pacing electrode. The electrodes are electrically isolated from each other. The system further includes at least one anchor releasably disposing the electrodes beneath the skin of the patient with each atrial cardioverting electrode electrically contacting a respective given one of the atria, the atrial pacing electrode electrically contacting one of the atria, and the ventricular pacing electrode electrically contacting a ventricle. The system further includes at least one of an external cardiovertor coupled to the cardioverting electrodes for cardioversion, an external atrial pacer coupled to the atrial pacing electrode and one of the atrial cardioverting electrodes for pacing the atria, and an external ventricular pacer coupled to the ventricular pacing electrode and one of the atrial cardioverting electrodes for pacing the ventricles.

    摘要翻译： 手术后心房心律转复，心房起搏和心室起搏系统和牵引系统提供心脏转移心房，起搏心房和/或起搏手术后心脏病人心脏的心室。 该系统包括提供一对心房心脏转复电极，心房起搏电极和心室起搏电极的第一引线和第二引线。 电极彼此电隔离。 所述系统还包括至少一个锚定器，其可释放地将电极设置在患者皮肤下方，每个心房心脏转复电极与相应的心房起搏器电气接触，心房起搏电极与心房起搏器电气接触， 接触心室。 该系统还包括耦合到用于心脏复律的复律电极的外部心脏转换器中的至少一个，耦合到心房起搏电极的外部心房起搏器和用于起搏心房的心房心律转换电极之一和与心室联接的外部心室起搏器 起搏电极和心房心律转复电极之一用于起搏心室。