Bi-chamber cardiac pacing system employing unipolar left heart chamber lead in combination with bipolar right chamber lead

  

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Bi-chamber cardiac pacing system employing unipolar left heart chamber lead in combination with bipolar right chamber lead

Invention: Bi-chamber cardiac pacing system employing unipolar left heart chamber lead in combination with bipolar right chamber lead

Year    Description
1999Invention patented by Charles A. Yerich, Jean E. Hudson, and Brian A. Blow on November 11th, 1999. Abstract: In a bi-ventricular pacing system, an implantable pulse generator optionally having an IPG indifferent electrode is coupled to a small diameter, unipolar, left ventricular (LV) lead and a bipolar right ventricular (RV) lead. The LV lead is advanced through the superior vena cava, the right atrium, the ostium of the coronary sinus (CS), the CS, and into a coronary vein descending from the CS to locate the LV active pace/sense electrode at a desired LV pace/sense site. An LV lead placed on an epicardial surface can substitute. The RV lead in a preferred embodiment is advanced into the RV chamber to locate RV active and indifferent pace/sense electrodes therein. Sensing of RV spontaneous cardiac depolarizations to provide a RV sense event signal and delivery of RV pacing pulses is conducted across the RV active pace/sense electrode and one of the RV or IPG indifferent pace/sense electrodes. Sensing of LV spontaneous cardiac depolarizations to provide a LV sense event signal is conducted across the LV active pace/sense electrode and one of the RV active or indifferent pace/sense electrodes or the IPG indifferent pace/sense electrodes. Delivery of LV pacing pulses is conducted across the LV active pace/sense electrode and the RV indifferent pace/sense electrode. A similar arrangement is disclosed for left atrial (LA) and right atrial (RA) pacing and sensing.
Source: selected by the editor from original sources.

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