Implantable atrial defibrillator having an intermittently activated fibrillation detector

• US 5,464,432 A
• Filed: 04/25/1994
• Issued: 11/07/1995
• Est. Priority Date: 04/25/1994
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: InControl, Inc. (Daikin Industries Ltd)
• Inventors: Bocek, Joseph M., Infinger, Kenneth R.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Parker, Marianne
• Application Number:
  US08/232,767
• Time in Patent Office: 561 Days
• Field of Search: 607/4, 607/5, 607/9, 607/14
• 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

Abstract

An implantable automatic atrial defibrillator powered by a depletable battery power source conserves battery power for extending the predicted life of the defibrillator by intermittently detecting for atrial fibrillation. The atrial defibrillator includes a real time clock which, at spaced apart predetermined times, causes heart activity data to be stored in a memory. Thereafter, a normally deactivated atrial fibrillation detector is activated for processing the stored data to detect for atrial fibrillation.

Claims

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

lead means for sensing electrical activity of the heart including the atria of the heart;

atrial fibrillation detecting means for detecting if the heart is in atrial fibrillation when said atrial fibrillation detecting means is activated, said atrial fibrillation detecting means having a normally deactivated state;

cardioverting means coupled to said lead means and being responsive to said atrial fibrillation detecting means detecting atrial fibrillation of the heart for applying cardioverting electrical energy to the atria of the heart to cardiovert the atria of the heart; and

timing means for activating said atrial fibrillation detecting means at spaced apart predetermined times.

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

lead means for sensing electrical activity of the heart including the atria of the heart;

atrial fibrillation detecting means for detecting if the heart is in atrial fibrillation when said atrial fibrillation detecting means is activated, said atrial fibrillation detecting means having a normally deactivated state;

cardioverting means coupled to said lead means and being responsive to said atrial fibrillation detecting means detecting atrial fibrillation of the heart for applying cardioverting electrical energy to the atria of the heart to cardiovert the atria of the heart;

activating means for activating said atrial fibrillation detecting means at spaced apart predetermined times; and

data acquiring means coupled to said lead means for acquiring data associated with the sensed activity of the heart when said data acquiring means are activated,

said data acquiring means including memory means for storing said acquired data,

said atrial fibrillation detecting means including processing means for processing said stored data for detecting atrial fibrillation of the heart,

said data acquiring means having a normally deactivated state, and

said activating means activating said data acquiring means prior to activating said atrial fibrillation detecting means.

3. An implantable atrial defibrillator for applying cardioverting electrical energy to the atria of a human heart in need of cardioversion, said atrial defibrillator comprising;

lead means for sensing electrical activity of the heart including the atria of the heart;

atrial fibrillation detecting means for detecting if the heart is in atrial fibrillation when said atrial fibrillation detecting means is activated, said atrial fibrillation detecting means having a normally deactivated state;

cardioverting means coupled to said lead means and being responsive to said atrial fibrillation detecting

means detecting atrial fibrillation of the heart for applying cardioverting electrical energy to the atria of the heart to cardiovert the atria of the heart; and

activating means for activating said atrial fibrillation detecting means at spaced apart predetermined times, said activating means including timing means for timing a predetermined time interval.

4. An atrial defibrillator as defined in claim 3 wherein said timing means times said predetermined time interval responsive to said atrial fibrillation detecting means failing to detect atrial fibrillation.

5. An atrial defibrillator as defined in claim 3 wherein said timing means times said predetermined time interval responsive to said cardioverting means cardioverting the atria of the heart.