Defibrillation utilizing the dominant frequency of fibrillation

• US 5,792,189 A
• Filed: 04/04/1997
• Issued: 08/11/1998
• Est. Priority Date: 04/04/1997
• Status: Expired due to Fees

• Current Assignee: The Research Foundation for The State University of New York (State University of New York)
• Original Assignee: The Research Foundation for The State University of New York (State University of New York)
• Inventors: Jalife, Jose, Gray, Richard A.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US08/835,118
• Time in Patent Office: 494 Days
• Field of Search: 607/5, 607/68, 607/69, 607/73, 607/76, 607/4
• US Class Current: 607/5
• CPC Class Codes: A61N 1/3906 characterised by the form of the shockwave
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

Method and apparatus are provided for cardiac defibrillation using a waveform with a dominant frequency near that of a fibrillating heart. The defibrillator includes electrical generating means for producing a waveform having a dominant frequency within a range of 2 Hz-20 Hz. The waveform provides low level electrical shock to a fibrillating heart, thereby causing defibrillation. The waveform, which can comprise a Rossler-type chaotic waveform or a sinusoidal waveform, preferably has a dominant frequency near the frequency of fibrillation of the fibrillating heart.

Claims

1. A method for defibrillating a heart in fibrillation, comprising the steps of:

detecting fibrillation of the heart; and

responsive to said detecting, applying to the fibrillating heart a periodic waveform which entrains the heart thereby producing defibrillation, said periodic waveform having a frequency spectrum with a dominant frequency, said dominant frequency being in the range of 2 Hz-20 Hz.

2. The method of claim 1, wherein said frequency spectrum of said waveform has a range of frequency components, and said dominant frequency comprises one frequency component of said range of frequency components.

3. The method of claim 1, further comprising predetermining a frequency spectrum of a fibrillating human heart and determining therefrom a dominant frequency of fibrillation, said dominant frequency of said waveform applied to said fibrillating heart being near said predetermined dominant frequency of fibrillation of said fibrillating human heart.

4. The method of claim 3, wherein said dominant frequency of said fibrillating human heart is near 10 Hz.

5. A method for defibrillating a heart in fibrillation, comprising the steps of:

detecting fibrillation of the heart; and

responsive to said detecting, applying to the fibrillating heart a chaotic waveform having a frequency spectrum with a dominant frequency, said dominant frequency being in a range of 2 Hz-20 Hz.

6. The method of claim 5, wherein said applying comprises applying to the fibrillating heart a Rossler-type chaotic waveform having said dominant frequency.

7. A method for defibrillating a heart in fibrillation, comprising the steps of:

detecting fibrillation of the heart; and

responsive to said detecting, applying to the fibrillating heart a sinusoidal-shaped waveform having a frequency spectrum with a dominant frequency, said dominant frequency being in the range of 2 Hz-20 Hz.

8. The method of claim 7, wherein said sinusoidal-shaped waveform of said applying comprises a sinusoidal-shaped waveform of increasing amplitude.

9. A method for defibrillating a heart in fibrillation, comprising the steps of:

detecting fibrillation of the heart; and

responsive to said detecting, applying to the fibrillating heart a waveform having a frequency spectrum with a dominant frequency, said dominant frequency being in the range of 2 Hz-20 Hz, and wherein said dominant frequency of said waveform comprises a dominant frequency near a frequency of fibrillation of said fibrillating heart.

10. The method of claim 9, wherein said applying comprises applying to the fibrillating heart said waveform having said dominant frequency for a predefined time interval, wherein said predefined time interval is greater than 0.1 seconds.

11. A method for defibrillating a heart in fibrillation, comprising the steps of:

detecting fibrillation of the heart; and

responsive to said detecting, applying to the fibrillating heart a waveform having a frequency spectrum with a dominant frequency and a subordinate frequency, said dominant frequency being lower than said subordinate frequency within said waveform.

12. A defibrillator for defibrillating a fibrillating heart, said defibrillator comprising:

electrical generating means for producing a periodic waveform having a frequency spectrum with a dominant frequency, said dominant frequency being in the range of 2 Hz-20 Hz; and

means for delivering said waveform to electrically entrain the fibrillating heart, thereby causing defibrillation of the heart.

13. The defibrillator of claim 12, wherein said electrical generating means further comprises means for producing said waveform having said dominant frequency and a duration longer than 0.1 seconds.

14. The defibrillator of claim 12, wherein said electrical generating means comprises producing said waveform to have multiple frequency components, said dominant frequency comprising one frequency component of said multiple frequency components.

15. The defibrillator of claim 12, wherein said dominant frequency of said waveform produced by said electrical generating means comprises a frequency near 10 Hz.

16. A defibrillator for defibrillating a fibrillating heart, said defibrillator comprising:

electrical generating means for generating a Rossler-type chaotic waveform having a dominant frequency, said dominant frequency being near a frequency of fibrillation of the fibrillating heart and in the range of 2 Hz-20 Hz; and

means for delivering said waveform to provide electrical shock to the fibrillating heart, thereby causing defibrillation of the heart.

17. A defibrillator for defibrillating a fibrillating heart, said defibrillator comprising:

electrical generating means for generating a sinusoidal-shaped waveform having a frequency spectrum with a dominant frequency, said dominant frequency being in the range of 2 Hz-20 Hz; and

means for delivering said waveform to electrically entrain the fibrillating heart, thereby causing defibrillation of the heart.