Implantable cardiac stimulation device providing reduced...

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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07856266

ABSTRACT:
An implantable cardiac defibrillation device provides pre-shock stimuli to reduce the defibrillation threshold (DFT). The device includes an arrhythmia detector that detects fibrillation of a fibrillating chamber of a heart and a pulse generator that provides a fibrillation therapy output responsive to the arrhythmia detector detecting fibrillation of the fibrillating chamber of the heart. The therapy output includes a defibrillating shock having an output magnitude exceeding a temporary defibrillation threshold of the fibrillating chamber and at least one pre-defibrillating shock output pulse that reduces an initial defibrillation threshold of the fibrillating chamber to the temporary defibrillation threshold. An electrode system having at least two defibrillation electrodes delivers both the at least one pre-defibrillating shock output pulse to the heart and the defibrillating shock to the fibrillating chamber of the heart.

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Kolman, Benet S. MD et al., “The Effect of Vagus Nerve Stimulation upon Vulnerability of the Canine Ventricle,” Circulation. Oct. 1975; 52(4):578-585.
Murakawa, Yuji MD et al., “Effect of Cervical Vagal Nerve Stimulatino on Defibrillation Energy,” Jpn Heart J. Jan. 2003; 44(1): 91-100.

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