Atrial defibrillation system having patient selectable atrial fibrillation detection

• US 5,999,851 A
• Filed: 04/15/1998
• Issued: 12/07/1999
• Est. Priority Date: 04/15/1998
• Status: Expired

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: White, Harley G.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US09/060,723
• Time in Patent Office: 601 Days
• Field of Search: 607/5, 607/32, 128/903
• 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 atrial defibrillation system includes an implantable atrial defibrillator having an atrial defibrillation detector for detecting atrial fibrillation and a cardioverter for cardioverting the atria of a heart. The implantable atrial defibrillator further includes a receiver for receiving commands from an external nonimplanted transmitter. A nonimplantable communication device includes a transmitter for transmitting a command to the receiver. The command causes only the atrial fibrillation detector to be activated resulting only in the detection for atrial fibrillation without committing to atrial fibrillation cardioversion should atrial fibrillation be detected.

Claims

1. An atrial defibrillation system comprising:

an implantable atrial defibrillator including an atrial fibrillation detector for detecting atrial fibrillation and a cardioverter for cardioverting the atria of a heart, the implantable atrial defibrillator further including a receiver for receiving commands from an external nonimplanted transmitter; and

a nonimplantable communication device including a transmitter for transmitting a first command to the receiver for activating only the atrial fibrillation detector to cause the atrial fibrillation detector to detect for atrial fibrillation and wherein the cardioverter is not activated in response to the detection of atrial fibrillation unless a further command is transmitted from the nonimplantable communication device to the receiver in the implantable atrial defibrillator.

2. A defibrillation system as defined in claim 1 wherein the implantable atrial defibrillator liner includes a transmitter for transmitting an acknowledgment message upon receiving the first command and wherein the communication device includes a receiver for receiving the acknowledgment message transmitted by the atrial defibrillator transmitter.

3. A defibrillation system as defined in claim 1 wherein the implantable atrial defibrillator includes a transmitter for transmitting a status message indicative of detected atrial fibrillation and wherein the communication device includes a receiver for receiving the status message and means for providing a perceptible indication responsive to receipt of the status message.

4. A defibrillation system as defined in claim 3 wherein the communication device transmitter further includes means for transmitting a further command to the atrial defibrillator receiver and wherein the atrial defibrillator includes means responsive to receipt of the further command to cause the atrial fibrillation detector to redetect for atrial fibrillation and the cardioverter to cardiovert the atria responsive to redetection of atrial fibrillation.

5. An atrial defibrillation system comprising:

an implantable atrial defibrillator including an atrial fibrillation detector for detecting fibrillation of a patient'"'"'s atria, an atrial cardioverter for applying cardioverting electrical energy to the patient'"'"'s atria, a receiver for receiving operation commands transmitted from an external transmitter, and a mode selecting stage for causing the defibrillator to operate in a first mode of operation wherein only the atrial fibrillation detector is activated to detect for atrial fibrillation and wherein the cardioverter is not activated if atrial fibrillation is detected or in a second mode of operation wherein the atrial fibrillation detector is activated to detect for atrial fibrillation and the cardioverter is automatically activated for applying cardioverting electrical energy to the patient'"'"'s atria if atrial fibrillation is detected; and

a nonimplantable communication device dimensioned to be hand-held and operable by the patient including a transmitter for selectively transmitting a first operation command to cause the mode selector stage to render the implantable atrial defibrillator in the first mode of operation and a second operation command to cause the mode selector stage to render the implantable atrial defibrillator in the second mode of operation.

6. A defibrillation system as defined in claim 5 wherein the implantable atrial defibrillator further includes a transmitter for transmitting atrial fibrillation detection outcome status messages responsive to the atrial fibrillation detector and wherein the nonimplantable communication device includes a receiver for receiving the outcome status messages and an indicator for providing a perceptible indication of atrial fibrillation detection outcome status.

7. A method of operating an atrial defibrillation system including an implantable atrial defibrillator including an atrial fibrillation detector for detecting atrial fibrillation, a cardioverter for cardioverting the atria of a heart, and a receiver for receiving commands transmitted from an external nonimplanted transmitter in a nonimplantable communication device, comprising the steps of:

transmitting a first command from the nonimplantable communication device to the implantable atrial defibrillator; and

activating only the atrial fibrillation detector to detect for atrial fibrillation in response to the first command and not automatically activating the cardioverter if atrial fibrillation is detected.

8. The method of claim 7 comprising the additional steps of:

transmitting a further command from the nonimplantable communication device to the implantable atrial defibrillator; and

activating the atrial fibrillation detector to redetect for atrial fibrillation and automatically activating the cardioverter to cardiovert the atria in response to redetection of atrial fibrillation in response to the further command.

9. The method of claim 7 wherein the nonimplantable communication device includes a receiver for receiving status messages transmitted from a transmitter in the implantable atrial defibrillator and comprising the additional steps of transmitting a status message indicative of detected atrial fibrillation from the implantable atrial defibrillator to the nonimplantable communication device and providing a perceptible indication in response to receipt of the status message by the nonimplantable communication device.