Atrial defibrillator and method for providing interval timing prior to cardioversion

• US 5,207,219 A
• Filed: 10/23/1992
• Issued: 05/04/1993
• Est. Priority Date: 10/23/1992
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: InControl, Inc. (Daikin Industries Ltd)
• Inventors: Bocek, Joseph M., Alferness, Clifton A., Adams, John M., Infinger, Kenneth R.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US07/965,195
• Time in Patent Office: 193 Days
• Field of Search: 128/419 D
• US Class Current: 607/5
• CPC Class Codes: A61N 1/395 for treating atrial fibrillation
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: A61N 1/3987 characterised by the timing or triggering of the shock

Abstract

An implantable atrial defibrillator provides cardioverting electrical energy to the atria of a human heart in need of cardioversion. The atrial defibrillator includes a first detector for detecting ventricular activations of the heart, a second detector for detecting atrial activity of the heart, and an atrial fibrillation detector responsive to the second detector for determining when the atria of the heart are in need of cardioversion. The atrial defibrillator also includes a cardioverting stage for applying the cardioverting electrical energy to the atria of the heart when the atria of the heart are in need of cardioversion and when the time between immediately successive ventricular activations is greater than a preselected minimum time interval.

Claims

1. An implantable atrial defibrillator for providing cardioverting electrical energy to the atria of a human heart in need of cardioversion, said atrial defibrillator comprising:

first detecting means for detecting ventricular activations of the heart;

second detecting means for detecting atrial activity of the heart;

atrial fibrillation detecting means responsive to said second detecting means for determining when the atria of the heart are in need of cardioversion; and

cardioverting means for applying said cardioverting electrical energy to the atria of the heart when the atria of the heart are in need of cardioversion and when the time between immediately successive ventricular activations is greater than a preselected minimum time interval.

2. An atrial defibrillator as defined in claim 1 further including means for determining said minimum time interval responsive to the ventricular activations of the heart detected by said first detecting means.

3. An atrial defibrillator as defined in claim 1 further including timing means responsive to said first detecting means for timing the time between said immediately successive ventricular activations of the heart.

4. An atria defibrillator as defined in claim 1 wherein said immediately successive ventricular activations include a first ventricular activation and an immediately following second ventricular activation and wherein said cardioverting means applies said cardioverting electrical energy to the atria of the heart substantially coincident with said second ventricular activation.

5. An atrial defibrillator as defined in claim 1 wherein said cardioverting means applies said cardioverting electrical energy to the atria of the heart when the atria of the heart are in need of cardioversion and when said time between said immediately successive ventricular activations is greater than said preselected minimum time interval and less than a preselected maximum time interval.

6. An atrial defibrillator as defined in claim 5 further including means for determining said minimum and maximum time intervals responsive to the ventricular activations of the heart detected by said first detecting means.

7. An atrial defibrillator as defined in claim 5 further including timing means responsive to said first detecting means for timing the time between said immediately successive ventricular activations of the heart.

8. An atrial defibrillator as defined in claim 5 wherein said immediately successive ventricular activations include a first ventricular activation and an immediately following second ventricular activation and wherein said cardioverting means applies said cardioverting electrical energy to the atria of the heart substantially coincident with said second ventricular activation.

9. A method of applying cardioverting electrical energy to the atria of a human heart in need of cardioversion, said method including the steps of:

detecting ventricular activations of the heart;

detecting atrial activity of the heart;

determining, responsive to said detected atrial activity of the heart, when the atria of the heart are in need of cardioversion; and

applying said cardioverting electrical energy to the atria of the heart when the atria of the heart are in need of cardioversion and when the time between immediately successive ventricular activations is greater than a preselected minimum time interval.

10. A method as defined in claim 9 wherein said immediately successive ventricular activations include a first ventricular activation and an immediately following second ventricular activation, and wherein said applying step includes applying said cardioverting electrical energy to the atria of the heart substantially coincident with said second ventricular activation.

11. A method as defined in claim 9 wherein said applying step further includes applying said cardioverting electrical energy to the atria of the heart when the atria of the heart are in need of cardioversion and when said time between said immediately successive ventricular activations is greater than said preselected minimum time interval and less than a preselected maximum time interval.

12. A method as defined in claim 11 wherein said immediately successive ventricular activations include a first ventricular activation and an immediately following second ventricular activation, and wherein said applying step includes applying said cardioverting electrical energy to the atria of the heart substantially coincident with said second ventricular activation.

13. An atrial defibrillator for providing cardioverting electrical energy to the atria of a human heart, said atrial defibrillator comprising:

detecting means for detecting ventricular activations of the heart; and

cardioverting means for applying said cardioverting electrical energy to the atria of the heart when the time between immediately successive ventricular activations detected by said detecting means is greater than a preselected minimum time interval.