Patient-worn energy delivery apparatus

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

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607 12, A61N 139

Patent

active

057413061

ABSTRACT:
The present invention provides for a patient-worn energy delivery apparatus for imparting electrical therapy to the body of a patient responsive to an occurrence of a treatable condition. The apparatus includes a voltage converter for converting electrical energy from an initial voltage to a final voltage at a plurality of charging rates, and a defibrillator electrically coupled between the converter and the patient and having an energy reservoir for receiving the electrical energy. The defibrillator produces preshaped electrical pulses such as defibrillation pulses and cardioversion pulses. The apparatus additionally includes an energy delivery controller electrically coupled to the patient and the converter and the defibrillator. The controller causes the converter to provide the electrical energy to the defibrillator at a specific charging rate in response to an energy level in the reservoir. The apparatus may include a plurality of electrodes interposed between the defibrillator and the patient and each electrode preferably has an impedance reducing means contained therein. One embodiment of the apparatus may include a H-bridge to produce a positive-going pulse segment and the negative-going pulse segment within the biphasic exponential signals.

REFERENCES:
patent: 3706313 (1972-12-01), Milani et al.
patent: 3886950 (1975-06-01), Ukkestad et al.
patent: 4576170 (1986-03-01), Bradley et al.
patent: 4619265 (1986-10-01), Morgan et al.
patent: 4823796 (1989-04-01), Benson
patent: 4928690 (1990-05-01), Heilman et al.
patent: 5097830 (1992-03-01), Eikefjord et al.
patent: 5405361 (1995-04-01), Persson
patent: 5433737 (1995-07-01), Aimone
patent: 5470341 (1995-11-01), Kuehn et al.
"Cardiac Defibrillator Devices", developed by Association for the Advancement of Medical Instrumentation, 1989.

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