IMPLANTABLE DEFRIBRILLATION ELECTRODES

• Main Authors: FINE, MICHAEL J, CALFEE, RICHARD V, BAKER, ROSS G., JR, IDEKER, RAYMOND E
• Format: Patent
• Language: English; French
• Published: 30.03.1993
• Edition: 5
• Subjects: ELECTROTHERAPY; HUMAN NECESSITIES; HYGIENE; MAGNETOTHERAPY; MEDICAL OR VETERINARY SCIENCE; RADIATION THERAPY; ULTRASOUND THERAPY

A pair of defibrillation patch electrodes is adapted for close fitting placement over the ventricles of the heart, either epicardially or pericardially. One of the patches is contoured to fit over the right ventricle, and the other is contoured to fit over the left ventricle in spaced relationship to the first patch to form a substantially uniform gap between confronting borders of the two. The gap is sufficiently wide to avoid the shunting of current between edges of the patches upon delivery of defibrillation shocks, as well as to accommodate the ventricular septum and the major coronary arteries therein. The size and shape of the patches is such that they encompass most of the ventricular myocardium within and between their borders, to establish a nearly uniform potential gradient field throughout the entire ventricular mass when a defibrillation shock is delivered to the electrodes. Flat versions of the two electrodes provide ease of manufacture.