Delay to therapy following patient controlled atrial shock therapy request
First Claim
1. An implantable patient controllable atrial shock therapy device, comprising:
- (a) an atrial arrhythmia detector for detecting an atrial arrhythmia of the patient;
(b) an atrial cardioverter for providing atrial shock therapy to a heart of the patient to terminate a detected atrial arrhythmia of the patient;
(c) patient therapy request detection means for detecting an external patient therapy request active for a time duration greater than a selected therapy request signal duration, wherein the patient therapy request detection means is responsive to the external patient therapy request to provide the patient therapy request; and
(d) shock therapy control means for timing a shock therapy delay period in response to detection of the patient therapy request and for controlling the atrial cardioverter to provide atrial shock therapy after expiration of the shock therapy delay period.
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Accused Products
Abstract
An implantable cardiac device detects a patient therapy request originating from external to the implantable device. A shock therapy delay period is timed in response to the detection of the patient therapy request. Atrial shock therapy is provided to the patient after expiration of the shock therapy delay period (if the presence of an ongoing atrial arrhythmia is detected). The patient therapy request may be provided by a patient activator including a magnet for operating a reed switch in the implanted device to provide the request. A patient activator including an input and receiver/transmitter circuitry may be employed to request the immediate providing of atrial shock therapy, and/or to set the duration of the shock therapy delay period. By allowing specific delays to therapy after a therapy request, a patient can prepare for the requested therapy and thereby mitigate therapy discomfort.
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Citations
35 Claims
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1. An implantable patient controllable atrial shock therapy device, comprising:
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(a) an atrial arrhythmia detector for detecting an atrial arrhythmia of the patient;
(b) an atrial cardioverter for providing atrial shock therapy to a heart of the patient to terminate a detected atrial arrhythmia of the patient;
(c) patient therapy request detection means for detecting an external patient therapy request active for a time duration greater than a selected therapy request signal duration, wherein the patient therapy request detection means is responsive to the external patient therapy request to provide the patient therapy request; and
(d) shock therapy control means for timing a shock therapy delay period in response to detection of the patient therapy request and for controlling the atrial cardioverter to provide atrial shock therapy after expiration of the shock therapy delay period. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. An implantable patient controllable atrial shock therapy device, comprising:
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(a) an atrial arrhythmia detector for detecting an atrial arrhythmia of the patient;
(b) an atrial cardioverter for providing atrial shock therapy to a heart of the patient to terminate a detected atrial arrhythmia of the patient;
(c) a receiver for receiving a patient therapy request signal and a patient therapy delay request signal originating from external to the implantable device; and
(d) shock therapy control means for timing a shock therapy delay period in response to receipt of the patient therapy delay request signal and for controlling the atrial cardioverter to provide atrial shock therapy after expiration of the shock therapy delay period, and for controlling the atrial cardioverter to provide atrial shock therapy without timing a shock therapy delay period in response to receipt of the patient therapy request signal. - View Dependent Claims (11, 12, 13)
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14. A method for controlling an implantable atrial shock therapy device, comprising the steps of:
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(a) detecting an atrial arrhythmia with the implantable device;
(b) detecting a patient therapy request originating from external to the implantable device for a time greater than a selected therapy request signal duration;
(c) timing a shock therapy delay period in response to detection of the patient therapy request; and
(d) providing atrial shock therapy with the implantable device after expiration of the shock therapy delay period to terminate a detected atrial arrhythmia. - View Dependent Claims (15, 16, 17, 18, 19)
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20. A method for controlling an implantable atrial shock therapy device, comprising the steps of:
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(a) detecting an atrial arrhythmia with the implantable device;
(b) receiving patient therapy request signals and patient therapy delay request signals originating from external to the implantable device;
(c) timing a shock therapy delay period in response to receipt of a patient therapy delay request signal;
(d) providing atrial shock therapy if an atrial arrhythmia is detected after expiration of the shock therapy delay period; and
(e) providing atrial shock therapy if an atrial arrhythmia is detected without timing a shock therapy delay period in response to receipt of a patient therapy request signal. - View Dependent Claims (21, 22, 23)
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24. An implantable patient controllable atrial shock therapy device, comprising:
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(a) an atrial arrhythmia detector for detecting an atrial arrhythmia of the patient;
(b) an atrial cardioverter for providing atrial shock therapy to a heart of the patient to terminate a detected atrial arrhythmia of the patient;
(c) patient therapy request detection means for detecting a patient therapy request originating from external to the implantable device, wherein the detection means includes a reed switch responsive to a magnetic field operating the reed switch for a time duration greater than a selected therapy request signal duration to provide the patient therapy request;
(d) shock therapy control means for timing a shock therapy delay period in response to detection of the patient therapy request and for controlling the atrial cardioverter to provide atrial shock therapy after expiration of the shock therapy delay period. - View Dependent Claims (25, 26)
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27. A method for controlling an implantable atrial shock therapy device, comprising the steps of:
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(a) detecting an atrial arrhythmia with the implantable device;
(b) detecting a patient therapy request originating from external to the implantable device by detecting a presence of a magnet near the implanted device for a time greater than a selected therapy request signal duration;
(c) timing a shock therapy delay period in response to detection of the patient therapy request; and
(d) providing atrial shock therapy with the implantable device after expiration of the shock therapy delay period to terminate a detected atrial arrhythmia. - View Dependent Claims (28, 29)
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30. A system comprising:
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an implantable patient controllable atrial shock therapy device, wherein the device includes;
(a) an atrial arrhythmia detector for detecting an atrial arrhythmia of the patient;
(b) an atrial cardioverter for providing atrial shock therapy to a heart of the patient to terminate a detected atrial arrhythmia of the patient;
(c) patient therapy request detection means for detecting a patient therapy request originating from external to the implantable device, wherein the patient therapy request detection means is responsive to the external patient therapy request for a time duration greater than a selected therapy request signal duration to provide the patient therapy request;
(d) shock therapy control means for timing a shock therapy delay period in response to detection of the patient therapy request and for controlling the atrial cardioverter to provide atrial shock therapy after expiration of the shock therapy delay period; and
(e) receiver/transmitter circuitry including an antenna to implement a telemetry link; and
a patient activator communication device, wherein the device includes;
(a) an input circuit;
(b) receiver/transmitter circuitry including an antenna to implement a telemetry link;
(c) a processor, wherein the processor receives the patient therapy request from the input circuit and transmits the request to the implantable device; and
(d) a display, wherein the display is adaptable to indicate the patient therapy request was received by the implantable patient controllable atrial shock therapy device. - View Dependent Claims (31, 32, 33, 34, 35)
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Specification