Granted Patent B2

US 12,629,531 · App. 17/631,744 · Granted May 19, 2026

Inventors: Thomas Doerr (Berlin, DE); Gernot Kolberg (Berlin, DE)

Assignee: BIOTRONIK SE & Co. KG

A61N1/3956A61N1/0563

Abstract

Claims (39)

1 . A defibrillation generator for an implantable defibrillation system, comprising:

a housing;

a connector block for connecting a non-transvenously implantable electrode lead assembly having at least one electrode lead and at least one defibrillation electrode pole; and

a control device for controlling the operation of the defibrillation generator,

wherein the connector block has two connectors, each connector of the two connectors is configured to connect to a single electrode lead of the electrode lead assembly,

wherein the control device is configured to assume a first operating state when only one electrode lead is connected to one connector of the two connectors, the first operating state providing a first defibrillation function,

wherein the control device is configured to assume a second operating state when two electrode leads, are connected to the two connectors, the second operating state providing a second defibrillation function,

wherein each of the two electrode leads comprises a defibrillation electrode pole, an atrial sensing electrode pole for detecting atrial signals and arranged on a first side of the defibrillation electrode pole, and a ventricular sensing electrode pole for detecting ventricular signals and arranged on a second side of the defibrillation electrode pole,

wherein the control device has a first receiving channel for processing ventricular signals received via the electrode lead assembly and a second receiving channel for processing atrial signals received via the electrode lead assembly, wherein the second receiving channel has a different gain and different filter characteristic than the first receiving channel for processing the atrial signals separately from the ventricular signals, and

wherein each filter characteristic utilizes a cyclic time window to suppress interfering signals.

2 . The defibrillation generator according to claim 1 , wherein the connector block has a third connector for connecting an electrode lead to be transvenously implanted intracardially.

3 . The defibrillation generator according to claim 2 , wherein the connector block has a fourth connector for connecting a coronary sinus electrode lead to be transvenously implanted.

4 . The defibrillation generator according to claim 1 , wherein the housing of the defibrillation generator forms a counter-electrode to at least one defibrillation electrode pole of an electrode lead of the electrode lead assembly for delivering stimulation energy.

5 . An implantable defibrillation system, comprising:

an electrode lead assembly; and

a defibrillation generator, comprising:

a connector block for connecting a non-transvenously implantable electrode lead assembly having at least one electrode lead and at least one defibrillation electrode pole; and

a control device for controlling the operation of the defibrillation generator,

wherein the connector block has two connectors, each connector of the two connectors is configured to connect to a single electrode lead of the electrode lead assembly,

wherein the control device is configured to assume a first operating state when only one electrode lead is connected to one connector of the two connectors, the first operating state providing a first defibrillation function,

wherein the control device is configured to assume a second operating state when two electrode leads, are connected to the two connectors, the second operating state providing a second defibrillation function,

wherein each of the two electrode leads comprises a defibrillation electrode pole, an atrial sensing electrode pole for detecting atrial signals and arranged on a first side of the defibrillation electrode pole, and a ventricular sensing electrode pole for detecting ventricular signals and arranged on a second side of the defibrillation electrode pole,

wherein the control device has a first receiving channel for processing ventricular signals received via the electrode lead assembly and a second receiving channel for processing atrial signals received via the electrode lead assembly, wherein the second receiving channel has a different gain and different filter characteristic than the first receiving channel for processing the atrial signals separately from the ventricular signals, and

wherein each filter characteristic utilizes a cyclic time window to suppress interfering signals.

6 . The implantable defibrillation system according to claim 5 , wherein at least one of the atrial sensing electrode pole and the ventricular electrode pole is designed as a ring electrode.

7 . The implantable defibrillation system according to claim 5 , wherein the at least one defibrillation electrode pole is designed as a helix.

8 . The implantable defibrillation system according to claim 5 , wherein the first electrode lead and/or the second electrode lead have at least one atrial sensing electrode pole for detecting atrial signals at a distal end of the electrode lead in question, remote from the defibrillation generator.

9 . The implantable defibrillation system according to claim 5 , wherein the first electrode lead and/or the second electrode lead have two atrial sensing electrode poles, forming a dipole, for detecting atrial signals.

10 . The implantable defibrillation system according to claim 5 , further comprising a third electrode lead for connection to a third connector of the connector block of the defibrillation generator, the third electrode lead being intended to be intravenously implanted in the heart.

11 . The implantable defibrillation system according to claim 10 , wherein the third electrode lead has an electrode array for intracardiac stimulation and/or sensing.

12 . A method for configuring an implantable defibrillation system, comprising the steps of:

providing a defibrillation generator, which has a housing, a connector block for connecting to an electrode lead assembly, and a control device for controlling the operation of the defibrillation generator;

providing a non-transvenously electrode lead assembly comprising at least one electrode lead and at least one defibrillation electrode pole;

wherein the connector block has two connectors, each connector of the two connectors is configured to connect to a single electrode lead of the electrode lead assembly;

configuring a switching unit of the control device to assume a first operating state when only one electrode lead is connected to one connector of the two connectors, the first operating state providing a first defibrillation function;

configuring the switching unit of the control device to assume a second operating state when two electrode leads, are connected to the two connectors, the second operating state providing a second defibrillation function,

wherein each of the two electrode leads comprises a defibrillation electrode pole, an atrial sensing electrode pole for detecting atrial signals and arranged on a first side of the defibrillation electrode pole, and a ventricular sensing electrode pole for detecting ventricular signals and arranged on a second side of the defibrillation electrode pole,

wherein the control device has a first receiving channel for processing ventricular signals received via the electrode lead assembly and a second receiving channel for processing atrial signals received via the electrode lead assembly, wherein the second receiving channel has a different gain and different filter characteristic than the first receiving channel for processing the atrial signals separately from the ventricular signals, and

wherein each filter characteristic utilizes a cyclic time window to suppress interfering signals.

Assignments (1)

Priority Claims (1)

Continuity (1)

References Cited (23)