Simplified defibrillator output circuit

• US 20060009807A1
• Filed: 09/12/2005
• Published: 01/12/2006
• Est. Priority Date: 11/05/2001
• Status: Active Grant

• Current Assignee: Cameron Health Inc (Boston Scientific Corporation)
• Original Assignee: Cameron Health Inc (Boston Scientific Corporation)
• Inventors: Ostroff, Alan H.
• Granted Patent: US 7,389,139 B2
• Time in Patent Office: Days
• US Class Current: 607/5
• CPC Class Codes: A61N 1/3912 Output circuitry therefor, e.g. switches
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

High side driver circuitry for a defibrillator circuit employs respective capacitors connected to respective gates of silicon controlled rectifiers serving as high side switches. Applying a voltage pulse to a selected capacitor turns on the associated SCR. Positive turn-on of the high side SCRs is insured by inserting a constant current source into the low side activation current path at start-up.

Claims

1. An implantable cardiac stimulus device including circuitry for delivering cardiac stimulus to a patient, the circuitry for delivering cardiac stimulus having a high side for delivering current to a patient and a low side for receiving current from a patient, the circuitry for delivering cardiac stimulus comprising:

a first high side switching device having a control terminal adapted to receive a control current, said control current causing closing of a signal path through said switching device; and

a first capacitor coupled to said control terminal and adapted to receive a control voltage selected to create said control current;

wherein said first high side switching device comprises a first silicon controlled rectifier.

2. The implantable cardiac stimulus device of claim 1, wherein the control terminal is the gate of the first silicon controlled rectifier.

3. The implantable cardiac stimulus device of claim 1, wherein the circuitry for delivering cardiac stimulus is constructed to include a current source in the low side thereof, the current source being selectively enabled for holding the first silicon controlled rectifier “

on”

during a selected interval.

4. The implantable cardiac stimulus device of claim 3, wherein the current includes a first transistor having a resistor coupled thereto, with a switch coupled in parallel with the resistor for selectively shorting signal across the resistor.

5. The implantable cardiac stimulus device of claim 1, wherein the circuitry for delivering cardiac stimulus further includes a second high side switching device having a control terminal adapted to receive a control current, the control current selectively causing closing of a signal path through the second switching device, wherein the second high side switching device is also an SCR.

6. An H-bridge adapted to provide outputs for use in an implantable cardiac stimulus device, the H-bridge comprising:

a first high side switch having a control terminal;

a second high side switch having a control terminal;

a first low side switch having a control terminal;

a second low side switch having a control terminal;

first and second output nodes for providing an output from the H-bridge, each node being a circuit location in the H-bridge where two of the switches are electrically coupled to one another;

a first capacitor coupling the control terminal of the first high side switch to the control terminal of the first low side switch; and

a second capacitor coupling the control terminal of the second high side switch to the control terminal of the second low side switch;

wherein the first and second high side switches and first and second low side switches are coupled to the first and second nodes such that;

if the first high side switch and first low side switch are simultaneously in a closed state, current is allowed to flow from a high voltage node, through the first high side switch to the first output node and from the second output node through the first low side switch to a low voltage node; and

if the second high side switch and second low side switch are simultaneously in a closed state, current is allowed to flow from the high voltage node, through the second high side switch to the second output node and from the first output node through the second low side switch to the low voltage node.

7. The H-bridge of claim 6, wherein the first and second high side switches are silicon controlled rectifiers, and the control terminals for the first and second high side switches are the respective gates of the silicon rectifiers.

8. The H-bridge of claim 7, wherein the first and second low side switches are IGBTs, and the control terminals for the first and second low side switches are the respective gates of the IGBTs.

9. The H-bridge of claim 6, wherein the first and second low side switches are IGBTs, and the control terminals for the first and second low side switches are the respective gates of the IGBTs.

10. A method of operating an implantable cardiac stimulus device, the implantable cardiac stimulus device comprising at least a first high side switch and a first low side switch configured such that stimulus applied to a patient causes current to flow, in succession, from a relatively high voltage node through the first high side switch, through the patient, and through the first low side switch to a relatively low voltage node, the implantable cardiac stimulus device further comprising control circuitry having a plurality of outputs for controlling components of the implantable cardiac stimulus device, the method comprising:

applying a first enabling signal generated at a first single output of the control circuitry to each of the first high side switch and the first low side switch; and

providing a circuit path from the first single output of the control circuitry to the first high side switch having first one or more circuit elements that, combined, limit current flow of the first enabling signal to the first high side switch.

11. The method of claim 10, wherein the first one or more circuit elements includes a capacitor.

12. The method of claim 11, wherein the first high side switch is a silicon controlled rectifier.

13. The method of claim 10, wherein the first high side switch is a silicon controlled rectifier.

14. The method of claim 10, wherein the implantable cardiac stimulus device further comprises a second high side switch and a second low side switch, and the first high side switch, the second high side switch, the first low side switch, and the second low side switch are arranged in an H-bridge configuration.

15. The method of claim 14, further comprising:

applying a second enabling signal generated at a second single output of the control circuitry to each of the second high side switch and the second low side switch; and

providing a circuit path from a second single output of the control circuitry to the second high side switch having second one or more circuit elements that, combined, limit current flow of the second enabling signal to the second high side switch.

16. The method of claim 15, wherein the first and second one or more circuit elements each includes a capacitor.

17. The method of claim 16, wherein the first and second high side switches are silicon controlled rectifiers.

18. The method of claim 15, wherein the first and second high side switches are silicon controlled rectifiers.

19. The method of claim 15, further comprising, in association with the first and second enabling signals, providing a high voltage signal coupled to the H-bridge, wherein successive application of the first and second enabling signals causes a biphasic cardiac stimulus waveform to be generated.

20. The method of claim 10, further comprising, in association with the first enabling signal, providing a high voltage signal coupled to the first high side switch, wherein application of the enabling signal causes application of a defibrillation signal to a patient.