Implantable defibrillator with alternating counter electrode

Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems

Reexamination Certificate

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Reexamination Certificate

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06987999

ABSTRACT:
An implantable cardiac stimulation device delivers successive defibrillation waveforms using alternating counter electrodes selected from a case electrode and an electrode located on a coronary sinus lead. The case electrode and coronary sinus electrode may be selected individually in an alternating fashion such that the defibrillation pathway alternates between two single pathways during a defibrillation regimen. The case electrode and the coronary sinus electrode may also be used simultaneously in parallel to create a dual pathway. Defibrillation waveforms may then be delivered in a cyclical fashion between the individual counter electrodes and the combined counter electrodes such that alternation between single pathways and a dual pathway is achieved.

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