Subcutaneous implantable cardioverter/defibrillator

A - Human Necessities – 61 – N

Patent

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A61N 1/362 (2006.01) A61N 1/05 (2006.01)

Patent

CA 2589407

A cardiac pacemaker and method of its use. The pacemaker is provided with a pacing electrode array configured for location at a left anterior portion of a patient~s thorax between the patients third and sixth ribs, outside the patient~s thoracic cavity. The pacing electrode array includes multiple pacing electrodes and preferably includes one or more steering electrodes for configuring the electrical field produced by delivery of pacing pulses to avoid unwanted nerve and muscle stimulation while allowing cardiac stimulation. The electrode array may be located subcutaneously, submuscularly or on the patient~s skin.

L~invention concerne un stimulateur cardiaque et son procédé d~utilisation. Le stimulateur est doté d~un réseau d~électrodes stimulantes configuré pour être placé au niveau de la région antérieure gauche du thorax d~un patient, entre les troisième et sixième côtes du patient, à l~extérieur de sa cage thoracique. Le réseau d~électrodes stimulantes comporte plusieurs électrodes stimulantes et de préférence une ou plusieurs électrodes de guidage pour configurer le champ électrique créé par génération d~impulsions stimulantes de façon à éviter toute stimulation indésirable d~un nerf ou d~un muscle mais à permettre la stimulation cardiaque. Le réseau d~électrodes peut occuper une position sous-cutanée, sous-musculaire ou sur la peau du patient.

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