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11. 发明授权

US5105809A System and method for evaluating lead defibrillation requirements of an implanted device without repeated fibrillation induction 失效
标题翻译：用于评估没有重复激发感应的植入装置的导线缺陷要求的系统和方法
公开(公告)号：US5105809A
公开(公告)日：1992-04-21
申请号：US571234
申请日：1990-08-23
申请人： Stanley M. Bach, Jr. , Douglas J. Lang , Raymond E. Ideker , J. Marcus Wharton
发明人： Stanley M. Bach, Jr. , Douglas J. Lang , Raymond E. Ideker , J. Marcus Wharton
IPC分类号： A61B5/0472 , A61B5/0402 , A61B5/0452 , A61N1/08 , A61N1/365 , A61N1/372 , A61N1/38 , A61N1/39
CPC分类号： A61N1/08 , A61N1/385 , A61N1/3943
摘要： A system for determining the defibrillation threshold energy of a defibrillation lead arrangement by shocking the heart during the T wave of the ECG at decreasing energy levels until the heart is placed in fibrillation. The lowest energy level tested which fails to place the heart in fibrillation correlates to the defibrillation threshold energy of the lead arrangement.

12. 发明授权

US5044375A Unitary intravascular defibrillating catheter with separate bipolar sensing 失效
标题翻译：单一血管内除颤导管与单独的双极感应
公开(公告)号：US5044375A
公开(公告)日：1991-09-03
申请号：US447908
申请日：1989-12-08
申请人： Stanley M. Bach, Jr. , J. Edward Shapland , Douglas J. Lang , Roger W. Dahl
发明人： Stanley M. Bach, Jr. , J. Edward Shapland , Douglas J. Lang , Roger W. Dahl
IPC分类号： A61N1/05 , A61N1/39
CPC分类号： A61N1/3918 , A61N1/056
摘要： A cardioversion system includes a bipolar sensing circuit with two sensing electrodes, and a cardioversion circuit with two spaced apart spring electrodes. The sensing electrodes are spaced apart from one another but kept sufficiently close to one another for isolated, localized R-wave sensing. The sensing electrodes further are positioned remotely of the cardioversion electrodes, to avoid post-shock abnormalities which otherwise would interfere with a timely R-wave sensing, to substantially prevent the discharge of an unnecessary cardioversion pulse after return of the heart to normal cardiac rhythm. One preferred version of the system is a unitary catheter including a distal tip electrode and ring electrode as the sensing electrodes, and to substantially larger, more proximal spring electrodes for defibrillation. Alternatively, the defibrillation electrodes and the sensing electrodes can be provided on two separate catheters. Yet another alternative involves providing one or more patch electrodes as defibrillation electrodes.
摘要翻译：复律系统包括具有两个感测电极的双极感测电路和具有两个间隔开的弹簧电极的心电复律电路。感测电极彼此间隔开，但彼此保持足够接近以进行隔离的局部R波感测。检测电极进一步位于心复律电极的远端，以避免后期的异常，否则会干扰及时的R波检测，从而基本上防止在心脏恢复正常的心脏节律之后放出不必要的心脏复律脉冲。系统的一个优选方案是整体导管，其包括作为感测电极的远侧末端电极和环形电极，以及用于除颤的基本上较大的更近的弹簧电极。或者，除颤电极和感测电极可以设置在两个分开的导管上。另一替代方案涉及提供一个或多个贴片电极作为除颤电极。

13. 发明授权

US4969463A Defibrillation electrode and method for employing gatling discharge defibrillation 失效
标题翻译：除颤电极及采用格特林放电除颤的方法
公开(公告)号：US4969463A
公开(公告)日：1990-11-13
申请号：US361978
申请日：1989-06-06
申请人： Roger W. Dahl , Stanley M. Bach, Jr. , Ronald W. Heil, Jr. , Mieczyslaw Mirowski
发明人： Roger W. Dahl , Stanley M. Bach, Jr. , Ronald W. Heil, Jr. , Mieczyslaw Mirowski
IPC分类号： A61B5/042 , A61N1/05 , A61N1/39
CPC分类号： A61B5/6852 , A61B5/0422 , A61N1/0587 , A61N1/3956 , A61B2562/0209 , A61B2562/043 , A61B2562/046
摘要： An implantable defibrillation/cardioversion system and method comprising an electrode having a plurality of discrete electrically conductive segments. The conductive segments are electrically isolated from each other and electrically connected to a defibrillation/cardioversion unit. An electrical pulse block is generated and chopped into a plurality of discrete pulse segments by the defibrillation/cardioversion unit and applied to the electrode so that each conductive segment receives a particular electrical pulse assigned from the series of pulses. In this way, the concentration of gas generated from ionic current produced by a high energy defibrillation pulse is reduces and more energy is delivered to the heart, thus reducing the required energy input to the electrode. The electrode may be planar or in a catheter electrode configuration.
摘要翻译：一种可植入除颤/心脏复律系统和方法，其包括具有多个离散导电段的电极。导电段彼此电隔离并电连接到除颤/心脏复律单元。产生电脉冲块并通过除颤/心律转换单元将其切成多个离散脉冲段并施加到电极，使得每个导电段接收从该系列脉冲分配的特定电脉冲。以这种方式，由高能除颤脉冲产生的离子电流产生的气体的浓度降低，并且更多的能量传递到心脏，从而减少对电极的所需能量输入。电极可以是平面的或者在导管电极配置中。

14. 发明授权

US4603705A Intravascular multiple electrode unitary catheter 失效
标题翻译：血管内多电极整体导管
公开(公告)号：US4603705A
公开(公告)日：1986-08-05
申请号：US606948
申请日：1984-05-04
申请人： Vernon L. Speicher , Stanley M. Bach, Jr.
发明人： Vernon L. Speicher , Stanley M. Bach, Jr.
IPC分类号： A61B5/0408 , A61B5/0478 , A61B5/0492 , A61N1/05 , A61N1/362 , A61N1/375 , A61N1/38 , A61N1/39
CPC分类号： A61N1/056
摘要： A multiple electrode unitary intravascular cardiac catheter comprising a distal electrode for sensing and pacing, an intermediate electrode for sensing, pacing and cardioverting, and a proximal electrode for sensing and cardioverting. The catheter may also be employed in combination with an external patch electrode.
摘要翻译：包括用于感测和起搏的远端电极，用于感测，起搏和心律转换的中间电极以及用于感测和心律转复的近端电极的多电极单一血管内心脏导管。导管还可以与外部贴片电极组合使用。

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