Subcutaneous cardiac rhythm management
First Claim
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1. An implantable system, comprising:
- a housing configured for subcutaneous, non-intrathoracic placement in a patient, the housing comprising a plurality of electrically conductive regions respectively defining a plurality of electrodes, wherein all electrodes of the implantable system are defined by the plurality of electrically conductive regions of the housing and the plurality of electrically conductive regions comprise four electrically conductive and isolated sidewalls of the housing;
detection circuitry provided in the housing and coupled to at least some of the plurality of electrodes, the detection circuitry configured to detect cardiac activity necessitating a cardiac stimulation therapy; and
energy delivery circuitry provided in the housing and coupled to at least some of the plurality of electrodes, the energy delivery circuitry configured to deliver the cardiac stimulation therapy.
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Abstract
An implantable system includes a housing configured for subcutaneous, non-intrathoracic placement in a patient, and a plurality of electrodes coupled to the housing, each of the plurality of electrodes configured for subcutaneous, non-intrathoracic placement in the patient. Detection circuitry is provided in the housing and coupled to the plurality of electrodes. The detection circuitry is configured to detect cardiac activity necessitating a cardiac stimulation therapy. Energy delivery circuitry is provided in the housing and coupled to the plurality of electrodes. The energy delivery circuitry is configured to deliver the cardiac stimulation therapy.
92 Citations
13 Claims
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1. An implantable system, comprising:
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a housing configured for subcutaneous, non-intrathoracic placement in a patient, the housing comprising a plurality of electrically conductive regions respectively defining a plurality of electrodes, wherein all electrodes of the implantable system are defined by the plurality of electrically conductive regions of the housing and the plurality of electrically conductive regions comprise four electrically conductive and isolated sidewalls of the housing; detection circuitry provided in the housing and coupled to at least some of the plurality of electrodes, the detection circuitry configured to detect cardiac activity necessitating a cardiac stimulation therapy; and energy delivery circuitry provided in the housing and coupled to at least some of the plurality of electrodes, the energy delivery circuitry configured to deliver the cardiac stimulation therapy. - View Dependent Claims (2, 3, 4, 5)
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6. A unitary implantable system, comprising:
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a housing comprising a plurality of electrodes, the housing and plurality of electrodes defining a unitary structure configured for subcutaneous, non-intrathoracic placement in a patient, wherein all electrodes of the implantable system respectively define a plurality of electrically conductive and isolated regions of the housing and the plurality of electrically conductive and isolated regions of the housing comprise four electrically conductive and isolated sidewalls of the housing; detection circuitry provided in the housing and coupled to the plurality of electrodes, the detection circuitry configured to detect cardiac activity necessitating a cardiac stimulation therapy; and energy delivery circuitry provided in the housing and coupled to the plurality of electrodes, the energy delivery circuitry configured to deliver the cardiac stimulation therapy. - View Dependent Claims (7, 8, 9, 10)
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11. A method, comprising:
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sensing cardiac activity from a subcutaneous, non-intrathoracic region of a patient; detecting, from the subcutaneous, non-intrathoracic region, a cardiac condition necessitating treatment in response to the sensed cardiac activity using two electrodes in the subcutaneous, non-intrathoracic region respectively serving as cathode and anode for the cardiac condition detecting; and delivering, from the subcutaneous, non-intrathoracic region, a cardiac electrical therapy to treat the detected cardiac condition using two electrodes in the subcutaneous, non-intrathoracic region respectively serving as cathode and anode for the cardiac electrical therapy delivery. - View Dependent Claims (12, 13)
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Specification