Apparatus for generating biphasic waveforms in an implantable de

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

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A61N 139

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058715053

ABSTRACT:
A method and apparatus for generating biphasic waveforms for an implantable defibrillator uses two disparate capacitor systems. A first phase of the biphasic waveform is generated from the charge stored in a first capacitor system, and a second phase of less energy than the first phase is generated from the charge stored in a second capacitor system. By using a second capacitor system for the second phase of the biphasic waveform that stores less energy than the first capacitor system, the overall size and power requirements of the implantable device can be reduced. In a preferred embodiment, the disparate capacitor systems have different effective capacitances, with the second capacitor system preferably having a higher effective capacitance, but a lower charging voltage, than the first capacitor system.

REFERENCES:
patent: 3241555 (1966-03-01), Caywood et al.
patent: 4638397 (1987-01-01), Jones et al.
patent: 4850337 (1989-07-01), Bach, Jr.
patent: 4850357 (1989-07-01), Bach
patent: 4998531 (1991-03-01), Bocchi et al.
patent: 5163427 (1992-11-01), Keimel
patent: 5334219 (1994-08-01), Kroll
patent: 5360435 (1994-11-01), DeGroot
patent: 5411525 (1995-05-01), Swanson et al.
Kroll M.W. et al., Decline in Defibrillation Thresholds, PACE 1993; 16:1:213-217.
Bardy, G.H. et al. A Prospective Fandomized Evaluation of Biphasic vs. Monophasic Waveform Pulses on Defibrillation Efficiency in Humans, J. American College of Cardiology, 1989 14:728-733.
Wyse, D.G. et al., Comparison of Biphasic and Monophasic Shocks for Defibrillation using a Non-Thoracotomy System, American J. Cardiology 1993; 71: 197-202.
Schuder, J.C. et al. Transthoracic Ventricular Defibrillation with Square-Wave Stimuli: One-Half Cycle, One Cycle and MultiCycle Waveforms, Circulation Research, 1964; 15: 258-264.
Kavanagh, K.M. et al., Comparison of the Internal Defibrillation Thresholds for Monophasic and Double and Single Capacitor Biphasic Waveforms, J. Americam College of Cardiology, 1989; 14:1343-1349.
Freeser, S.A. et al., Strenght-Duration and Probability of Success Curves for Defibrillation with Biphasic Waveforms, Circulation, 1990; 82:2128-2141.
Walker R.G., Walcott G.P., Swanson D.K. et al., Relationship of Charge Distribution between Phases in Biphasic Waveforms, Circulation 1992; 86 No. 4:I-792 (Abstract).
Gurvish H.L., Markarychev,V.A.: Defibrillation of the Heart with Biphasic Electrical Impulses, Kardiologilia 1967;7:109-112.
Tchou P., Krum D., Aktar M. Avitail B., Reduction of Defibrillation Energy Requirements with new Biphasic Waveforms, PACE 1990; 13:507 (Abstract).
Jones J.L., Jones R.E., Balasky G., Improved Cardiac Cell Excitation with Symmetrical Biphasic Defibrillator Waveforms, American J. Physiology 1987; 253:H1418-H1424.
Kavanagh K.M., Duff H.J., Clark R., et al., Monophasic vs. Biphasic Cardiac Stimulation: Mechanism of Decreased Energy Requirements, PACE 1990:13; 1268-1276.
Swartz J.F., Jones J. L., R.E., Fletcher R.D., Conditioning Prepulse of Biphasic Defibrillator Waveforms Enhances Refractoriness to Fibrillation Wavefronts, Circulation Research 1991;68:438-449.
Karasik P., Jones R., Jones J., Effect of Waveform Duration on Refractory Period Extension Produced by Monophasic and Biphasic Defibrillator Waveforms, PACE 1991; 14:715 (abstract).
Tang ASL, Yabe S., Wharton J.M. et al., Ventricular Defibrillation Using Biphasic Waveforms: The Importance of Phasic Defibrillation, J. American College of Cardiology 1989; 13:207-14.
Bourland J.D., Tacker W.A., Geddes L.A. et al., "Comparative Efficacy of Damped Sign Wave and Square Wave current for Transchest Ventricular Defibrillation in Animals", Medical Instrumentation 1978;12#1:38-41.
Irnich W., "The Chronaxie Time and its Practical Importance", PACE 1980; 8:870-888.
Kroll M.W., Adams T.P., "The Optimum Pulse Width for the Implantable Defibrillator", 7th Purdue Conference on Defibrillation, American Heart Journal 1992; 124#3;835.
Schwartz J.F., Karasik P.E, Donofrio J. et al., "Effect of Biphasic Waveform Tilt on Human Non-Thoracotomy Defibrillation Threshold", PACE 1993;16#4II:888.
Ideker r.E., Tang A.S.L., Frazier D.W. et al., Ventricular Defibrillation: Basic Concepts:, Cardiac Pacing and Electrophysiology 3rd Ed., edited by El-Sherif N. & Samatt, W.B. Saunders Co. Philadelphia 1991;42:713-726.
Frazier D.W., Wolf P.D., Wharton J.M., et al., "A Stimulas Induced Critical Point: A Mechanism for Electrical Initiation of Re-Entry in Normal Canine Myocardium", J. of Clinical Investigation 1989;83:1039.
Shibata N., Chen P.S., DIxon E.G., et al., "Epicardial Activation After Unsuccessful Defibrillation Shocks in Dogs", American J. Physiology 1988;255:H902-H909.
Zhou X. Daubert J.P., Wolf P.D., et al., Epicardial Mapping of Ventricular Defibrillation with Monophasic and Biphasic Shocks in Dogs:, Circulation Research 1993;72:145-160.
Jones JL, Jones R.E., "Decreased Defibrillator-Induced Dysfunction with Biphasec Rectangular Waveforms", American J. Physiology 1984:247:H792-796.
Niebauer M.J., Babbbs C.F., Geddes L.A., et al., "Efficacy and Safety of the Reciprocal Pulse Defibrillator Current Waveform", Medical and Biological Engineering and Computing 1984;22:28-31.
Kavanagh, K.M. et al., Comparison of the Internal Defibrillation Thresholds for Monophasic and Double and Single Capacitor Biphasic Waveforms, J. American College of Cardiology, 1989; 14:1343-1349.
Feeser S.A., Tang A.S.L., Kavanagh K.M., et al., "Strength -Duration and Probability of Success Curves for Defibrillaion with Biphasic Waveforms" Circulation 1990;82:2128-2141.
Dixon E.F., et al., "Improved Defibrillation Thresholds with Large Contoured Epicardial Electrodes and Biphasic Waveforms", Circulation, 1987;76:1176-1184.
Chapman, et al., "Efficacy of Monophasic and Biphasic Truncated Exponential Shocks for Nonthoracotomy Internal Defibrillation in Dogs", J. American College of Cardiology, 1988;12:739-745.
Dillon S.M., "Synchronized Depolarized after Defibrillation Shocks: A Possible Component of the Defibrillation Process Demonstrated by Optical Recordings in Rabbit Heart", Circulation 1992;85:1865-1878.
Sweeney R.J., et al., "Ventricular Refractory Period Extension Caused by Defibrillation Shocks", Circulation 1990;82:965-972.
Belz M.K. et al., "Successful Defibrillation Prolongs Action Potential Durations in Humans", PACE 993;16:932.
Frasier D.W. et al., Extracellular Field Required for Excitation in Three-Dimensional Anisotropic Canine Myocardium:, Circulation Research 1988;63:147-164.
Wessale J.L. et al., "Bipolar Catheter Defibrillation in Dogs using trapezoidal Waveforms of Various Titls", J. Electrocardiology 1980;13(4):359-366.
Wharton J.M. et al., "Electrophysiological Effects in Vivo of Monphasic and Biphasic Stimuli in Normal and Infracted Dogs", PACE 1990;13:1158-1172.
Niebauer M.J., Babbbs C.F., Geddes L.A., et al., "Efficacy and Safety of Defibrillation with Rectangular Waves of 2 to 20-milliseconds Duration", Crit. Care Medicine 1983; 11#2:95-98.
Daubert J.P. et al., "Response of Relatively Refractory Canine Myocardium to Monophasic and Biphasic Shocks", Circulation 1991;84:2522-2538.
Zhou X. Daubert J.P., Wolf P.D., et al., "Prolongation of Repolorization Time by Electric Field Stimulation with Monophasic and Biphasic Shocks in Open Chest Dogs", Circulation Research 1991;68:1761-1767.
Yabe S., et al., "Conduction Disturbances Caused by High Current Density Electric Fields", Circulation Research 1990;66:1190-1203.
Fozzard H.A., "Membrane Capacity of the Cardiac Purkinje Fiber", J. physiol (Great Britain) 1966; 182:255-267.
Weidmann S., "Electrical Constants of Trabecular Muscle from Mammalian Heart", J. Physiol (Great Britain) 1970;210:1041-1054.
Knisley S.B. et al., "Optical Measurement of Transmembrane Potential Changes During Electric Field Stimulation of Ventricular Cells", Circulation Research 1993;72:255-270.
January C.T. et al., Early After Depolarization Newer Insights into Cellular Mechanisms:, J. Cardiovascular Electrophysiology 1990;1:161-169.
Shibata N. et al., "Epicardial Activation After Unsuccessful Defibrillation Shocks in Dogs", American J. Physiology 1

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