Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Reexamination Certificate
2000-03-15
2001-10-30
Getzow, Scott M. (Department: 3762)
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
Reexamination Certificate
active
06311087
ABSTRACT:
TECHNICAL FIELD
The present system relates generally to a system delivering high voltage energy, and particularly, but not by way of limitation, to a cardiac rhythm management system including a defibrillation energy delivery circuit having a high-side energy delivery through a single-quadrant thyristor triggered with a current-limiting switch.
BACKGROUND
When functioning properly, the human heart maintains its own intrinsic rhythm, and is capable of pumping adequate blood throughout the body's circulatory system. However, some people have irregular cardiac rhythms, referred to as cardiac arrhythmias. Such arrhythmias result in diminished blood circulation. One mode of treating cardiac arrhythmias uses drug therapy. Anti-arrhythmic drugs are often effective at restoring normal heart rhythms. However, drug therapy is not always effective for treating arrhythmias of certain patients. For such patients, an alternative mode of treatment is needed. One such alternative mode of treatment includes the use of a cardiac rhythm management system. Portions of such systems are often implanted in the patient and deliver therapy to the heart.
Cardiac rhythm management systems include, among other things, pacemakers, also referred to as pacers. Pacers deliver timed sequences of low energy electrical stimuli, called pace pulses, to the heart, such as via an intravascular leadwire or catheter (referred to as a “lead”) having one or more electrodes disposed in or about the heart. Heart contractions are initiated in response to such pace pulses (this is referred to as “capturing” the heart). By properly timing the delivery of pace pulses, the heart can be induced to contract in proper rhythm, greatly improving its efficiency as a pump. Pacers are often used to treat patients with bradyarrhythmias, that is, hearts that beat too slowly, or irregularly.
Cardiac rhythm management systems also include cardioverters or defibrillators that are capable of delivering higher energy electrical stimuli to the heart. Defibrillators are often used to treat patients with tachyarrhythmias, that is, hearts that beat too quickly. Such too-fast heart rhythms also cause diminished blood circulation because the heart isn't allowed sufficient time to fill with blood before contracting to expel the blood. Such pumping by the heart is inefficient. A defibrillator is capable of delivering an high energy electrical stimulus that is sometimes referred to as a defibrillation countershock (“shock”). The shock interrupts the tachyarrhythmia, allowing the heart to reestablish a normal rhythm for the efficient pumping of blood. In addition to pacers, cardiac rhythm management systems also include, among other things, pacer/defibrillators that combine the functions of pacers and defibrillators, drug delivery devices, and any other implantable or external systems or devices for diagnosing or treating cardiac arrhythmias.
One problem faced by cardiac rhythm management systems is in delivering the high energy defibrillation shock. In one example, a transformer-coupled dc-to-dc voltage converter transforms a battery voltage (e.g., battery voltages approximately between 1.5 Volts and 6.5 Volts) up to a high defibrillation voltage (e.g., defibrillation voltages up to approximately 1000 Volts). The energy associated with this high defibrillation voltage is typically stored on a storage capacitor. A defibrillation energy delivery circuit delivers the defibrillation energy from the storage capacitor to defibrillation leadwires and defibrillation electrodes associated with the heart. Upon receiving this defibrillation energy via the defibrillation electrodes, the heart resumes normal rhythms if the defibrillation therapy is successful.
The defibrillation energy delivery circuit typically includes numerous discrete electronic components that must be capable of withstanding the large voltages associated with the defibrillation energy being delivered. These numerous discrete electronic components in the defibrillation energy delivery circuit occupy considerable space in the implantable cardiac rhythm management device. In order to improve patient comfort and aesthetics, however, the implantable cardiac rhythm management device should be small sized. Thus, a need exists for, among other things, reducing the size and/or cost of the defibrillation energy delivery circuit.
SUMMARY OF THE INVENTION
This document describes, among other things, portions of a cardiac rhythm management system including an implantable cardiac rhythm management device that includes a defibrillation energy delivery circuit. The defibrillation energy delivery circuit provides high side energy delivery through a single-quadrant thyristor switch that is triggered by a current-limiting transistor switch. The defibrillation energy delivery circuit requires fewer electronic components, reducing the number of assembly processing steps, cost and physical size of the implantable cardiac rhythm management system. For example, the single-quadrant thyristor is designed for conduction/latching in a single quadrant (e.g., quadrant III) and provides the necessary voltage blocking capabilities that can be used to eliminate the need for additional series coupled voltage blocking semiconductor devices. In another example, current-limiting is designed into, or inherent in, the semiconductor device triggering the single-quadrant thyristor, thereby eliminating the need for additional current-limiting circuits.
This document describes, among other things, a cardiac rhythm management system. In one embodiment, the cardiac rhythm management system includes a cardiac rhythm management device. The cardiac rhythm management device includes a defibrillation energy delivery circuit. The defibrillation energy delivery circuit includes a first input terminal, receiving a first power supply, and a first single-quadrant thyristor, coupled between the first input terminal and a first output terminal.
In another embodiment, the cardiac rhythm management system includes a defibrillation energy delivery circuit. The defibrillation energy delivery circuit includes a first input terminal, receiving a first power supply. The defibrillation energy delivery circuit also includes a first switch, coupled between the first input terminal and a first output terminal. The defibrillation energy delivery circuit further includes a first current-limiting field-effect transistor (FET), coupled to the gate terminal of the first switch and sinking a triggering current.
This document also describes, among other things, a method of delivering defibrillation energy. The method includes receiving an input voltage, triggering a thyristor enabling single-quadrant conduction/latching, and coupling the input voltage to an output terminal using the enabled thyristor. These and other aspects of the present system and methods will become apparent upon reading the following detailed description and viewing the accompanying drawings that form a part thereof.
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James Kristofer J.
Vane Mark
Cardiac Pacemakers Inc.
Getzow Scott M.
Schwegman Lundberg Woessner & Kluth P.A.
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