Implantable cardioverter/defibrillator

A - Human Necessities – 61 – N

Patent

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A61N 1/39 (2006.01)

Patent

CA 2452198

An implantable cardioverter/defibrillator includes an active can electrode and a high-voltage lead that can be electrically isolated from one another by opening a switch between them. The performance of the high-voltage lead and the can electrode can then be independently monitored, thus indicating which lead is inoperable, should one become inoperable. If a lead becomes inoperable, the implantable device can then reconfigure an electrical pathway such as a cardioversion and/or a defibrillation pathway by excluding the inoperable lead. By separating the high-voltage lead from the can electrode, pseudo ECG measurements can also be taken and utilized by the implantable device.

L'invention concerne un "cardioverter"/défibrillateur implantable qui comprend une électrode boîtier active et un conducteur haute tension susceptibles d'être isolés électriquement par ouverture d'un commutateur entre eux. Dès lors, on peut contrôler indépendamment les performances respectives des deux éléments, et savoir lequel ne fonctionne pas en cas de défaut. Si l'un des éléments est défaillant, le dispositif implantable peut reconfigurer un trajet électrique du type trajet de cardioversion et/ou défibrillation, en excluant l'élément défaillant. En séparant le conducteur haute tension de l'électrode boîtier, on peut aussi réaliser des pseudo-mesures ECG susceptibles d'être utilisées par le dispositif implantable.

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