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United States Patent [w]

Cox et al.

[54] CARDIAC SIMULATION SYSTEM HAVING MULTIPLE STIMULATORS FOR ANTIARRHYTHMIA THERAPY

[75] Inventors: Timothy J. Cox, Lake Jackson; John P. Rosborough, Houston, both of Tex.

[73] Assignee: Intermedics Inc., Angleton, Tex.

[21] Appl. No.: 09/122,398 [22] Filed: Jul. 24, 1998

[51] Int. CI.7 A61N 1/368

[52] U.S. CI 607/9; 128/903; 607/33

[58] Field of Search 607/9, 33, 36,

607/37; 128/903

[56] References Cited

U.S. PATENT DOCUMENTS

4.152,540 5/1979 Duncan et al 174/152

4,424,551 1/1984 Stevenson et al 361/302

4,516,579 5/1985 Irnich 128/419

4.524.774 6/1985 Hildebrandt 607/62

4.830,006 5/1989 Haluska et al 128/419

4,880,004 11/1989 Baker, Ir. et al 128/419

4,886,064 12/1989 Strandberg 607/18

5,010,887 4/1991 Thornander 128/696

5.333,095 7/1994 Stevenson et al 361/302

5,342,401 8/1994 Spano et al 607/5

5,383,912 1/1995 Cox et al 607/32

5,406,444 4/1995 Selfried et al 361/302

5.411,535 5/1995 Fujii et al 607/32

5,411,537 5/1995 Munshi et al 607/33

5,446,447 8/1995 Carney et al 340/572

5.480,415 1/1996 Cox et al 607/32

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5,876,425 3/1999 Gord et al 607/33

FOREIGN PATENT DOCUMENTS 0266907 11/1988 European Pat. Off. .

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OTHER PUBLICATIONS

Biomedical Instrumentation & Technology/Medical Device Research Report; Nerve Implant Could Provide Hope for Paralysis Patients; Jul./Aug. 1997; 2 pages.

Tracy Cameron, Gerald E. Loeb, Raymond A. Peck, Joseph H. Schulman, Primoz Strojnik and Philip R. Troyk/IEEE Transactions on Biomedical Engineering, vol. 44, No. 9; Micromodular Implants to Provide Electrical Stimulation of paralyzed Muscles and Limbs; Sep. 1997; 10 pages.

Primary Examiner—Carl H. Layno

Attorney, Agent, or Firm—Schwegman, Lundberg, Woessner & Kluth, PA.

[57] ABSTRACT

A medical system comprising a control device (referred to as a "planet") and a plurality of sensing and stimulating devices (referred to as "satellites") is disclosed. The satellites are relatively small devices that can be thoracoscopically attached to an exterior surface of the heart. The planet can be implanted if desired or, alternatively, externally retained. The planet is capable of wirelessly communicating (i.e., without a direct electrical connection) to each satellite. The planet individually commands each satellite to deliver pacing energy to the heart. Additionally, each satellite is capable of determining when a sense event has occurred at the site of that satellite and transmitting an encoded signal to the planet indicating that a sense event has occurred, along with an identifying code indicating to the planet which satellite detected the sense event. The planet processes the encoded signals received from the network of satellites, assigns time values to each satellite when that satellite detects a sense event, compares the time values to a template of normal values, and determines if an arrhythmia has occurred if the time values do not match the template. Further, the planet selects and implements an appropriate pacing protocol to terminate the arrhythmia. The satellites derive their needed power from signals received from the planet via the wireless communication path.

43 Claims, 12 Drawing Sheets

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