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    • 6. 发明申请
    • ADAPTIVE SHOCK DELIVERY IN AN IMPLANTABLE CARDIAC STIMULUS DEVICE
    • 可植入心脏刺激装置中的适应性电击输送
    • WO2009097597A3
    • 2009-10-22
    • PCT/US2009032783
    • 2009-01-31
    • CAMERON HEALTH INCSANGHERA RICKWARREN JAY A
    • SANGHERA RICKWARREN JAY A
    • A61N1/39A61N1/372
    • A61N1/3956A61N1/3686
    • Methods and devices that are configured to deliver cardiac stimuli in a particular fashion. In an illustrative embodiment, a method is used wherein a first stimulus is delivered using a first polarity, and, if the first stimulus fails to successfully convert an arrhythmia, a second stimulus having a second polarity that is different from or opposite of the first polarity is then delivered. Subsequent stimuli, if needed, are delivered in a continuing alternating-polarity manner. The first polarity may be determined by observing whether successfully-converting stimulus has been delivered previously and, if so, the polarity of the most recent stimulus that resulted in successful conversion is used as the first polarity. In additional embodiments, electrode configuration may be changed instead of or in addition to polarity, following unsuccessful stimulus delivery. Devices configured to perform such methods are included in additional illustrative embodiments.
    • 被配置为以特定方式递送心脏刺激的方法和设备。 在说明性实施例中,使用一种方法,其中使用第一极性传递第一刺激,并且如果第一刺激未能成功转换心律失常,则使用具有与第一极性不同或相反的第二极性的第二刺激 然后交付。 如果需要,随后的刺激以持续交替极性的方式递送。 第一极性可以通过观察先前是否已经成功转换了刺激信号来确定,如果是,则将导致转换成功的最新刺激的极性用作第一极性。 在另外的实施例中,在不成功的刺激传递之后,可以改变电极构造来代替极性或者除极性之外。 被配置为执行这种方法的设备被包括在另外的说明性实施例中