Remotely enabled pacemaker and implantable subcutaneous cardioverter/defibrillator system
First Claim
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1. A system for automatic arrhythmia therapy delivery to a patient, comprising:
- a subcutaneous, implantable cardioverter-defibrillator (SubQ ICD) device adapted to be implanted outside the thoracic cavity, the SubQ ICD being capable of detecting cardiac events indicative of an arrhythmia and delivering a shock therapy;
an implantable pulse generator (IPG) device having leads adapted for connection to a patient'"'"'s heart, the IPG device being capable of detecting cardiac events indicative of an arrhythmia and delivering a pacing therapy;
means for establishing bi-directional communication between the Sub Q ICD device and the IPG device configured to transmit data upon detection by either device of a cardiac event indicative of an arrhythmia;
means for obtaining a confirmation of an existence of cardiac events indicative of an arrhythmia by comparing a cardiac event indication of the SubQ ICD with a cardiac event indication of the IPG device; and
means for commanding delivery of a therapy upon detection of a cardiac event indicative of an arrhythmia based on the data transmitted via the bi-directional communication and a specific capability of each of the SubQ ICD device and the IPG device, wherein, in response to detection of a cardiac event indicative of an arrhythmia and obtaining the confirmation, the IPG is commanded to deliver a pacing therapy and in response to continued detection of a cardiac event indicative of an arrhythmia the SubQ ICD is commanded to deliver a shock therapy.
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Abstract
Subcutaneous Implantable cardioverter-defibrillators (SubQ ICDs) are disclosed that are entirely implantable subcutaneously with minimal surgical intrusion into the body of the patient and provide distributed cardioversion-defibrillation sense and stimulation electrodes for delivery of cardioversion-defibrillation shock and pacing therapies across the heart when necessary. The SubQ ICD is implemented with other implantable and external medical devices and communicates to provide drugs and therapy in a coordinated and synergistic manner.
237 Citations
8 Claims
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1. A system for automatic arrhythmia therapy delivery to a patient, comprising:
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a subcutaneous, implantable cardioverter-defibrillator (SubQ ICD) device adapted to be implanted outside the thoracic cavity, the SubQ ICD being capable of detecting cardiac events indicative of an arrhythmia and delivering a shock therapy; an implantable pulse generator (IPG) device having leads adapted for connection to a patient'"'"'s heart, the IPG device being capable of detecting cardiac events indicative of an arrhythmia and delivering a pacing therapy; means for establishing bi-directional communication between the Sub Q ICD device and the IPG device configured to transmit data upon detection by either device of a cardiac event indicative of an arrhythmia; means for obtaining a confirmation of an existence of cardiac events indicative of an arrhythmia by comparing a cardiac event indication of the SubQ ICD with a cardiac event indication of the IPG device; and means for commanding delivery of a therapy upon detection of a cardiac event indicative of an arrhythmia based on the data transmitted via the bi-directional communication and a specific capability of each of the SubQ ICD device and the IPG device, wherein, in response to detection of a cardiac event indicative of an arrhythmia and obtaining the confirmation, the IPG is commanded to deliver a pacing therapy and in response to continued detection of a cardiac event indicative of an arrhythmia the SubQ ICD is commanded to deliver a shock therapy. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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Specification