Therapy delivery methods and circuits for an implantable medical device
US-2015306406-A1 · Oct 29, 2015 · US
US12337186B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12337186-B2 |
| Application number | US-202017630323-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jul 21, 2020 |
| Priority date | Aug 6, 2019 |
| Publication date | Jun 24, 2025 |
| Grant date | Jun 24, 2025 |
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The present invention relates an implantable pulse generator comprising an electric circuit, wherein the electric circuit comprises: a primary energy store, at least one secondary energy store, and a control unit, wherein the control unit is configured to activate an electric switch in the electric circuit in such a way that, in a first interval of a first phase of a pulse delivery, the primary energy store is discharged via a therapeutic current path, and to activate an electric switch in the electric circuit in such a way that, in a second interval of the first phase of the pulse delivery, the secondary energy store is discharged via the therapeutic current path, wherein the primary energy store and the at least one secondary energy store are fixedly connected, or connectable, in series, and wherein the implantable pulse generator is designed to deliver a shock having an approximately rectangular pulse waveform.
Opening claim text (preview).
The invention claimed is: 1. An implantable pulse generator comprising an electric circuit, the electric circuit comprising: a primary energy store; at least one secondary energy store; and a control unit, the control unit being configured to activate one or more electric switches in the electric circuit in such a way that: in a first interval of a first phase of a pulse delivery, the primary energy store is discharged via a therapeutic current path, wherein the at least one second energy store is not discharged in the first interval, and in a second interval of the first phase of the pulse delivery, the primary energy store and the at least one secondary energy store are discharged via the therapeutic current path, the primary energy store and the at least one secondary energy store being inalterably connected in series, wherein: the implantable pulse generator is designed to deliver a shock having an approximately rectangular pulse waveform. 2. The implantable pulse generator according to claim 1 , wherein the electric circuit comprises a plurality of secondary energy stores, the primary energy store and the plurality of energy stores being inalterably connected in series, and the control unit being configured to activate the one or more electric switches of the electric circuit in such a way that the second energy stores of the plurality of secondary energy stores are sequentially or consecutively discharged via the therapeutic current path in the second interval of the first phase of the pulse delivery. 3. The implantable pulse generator according to claim 2 , wherein the plurality of secondary energy stores is formed by a capacitor comprising at least one electrode having a first polarity and at least two second electrodes having a second polarity, each electrode being electrically contactable separately from one another from an outside of the capacitor. 4. The implantable pulse generator according to claim 1 , wherein the control unit is further configured to activate at least one electric switch of a bridge circuit, in a second phase of the pulse delivery in such a way that the direction of current in the therapeutic current path is reversed. 5. The implantable pulse generator according to claim 1 , wherein the primary energy store is composed of a plurality of individual energy stores that are inalterably connected in series or connectable in parallel with one another. 6. The implantable pulse generator according to claim 1 , wherein the one or more electrical switches of the electric circuit is an insulated-gate bipolar transistor (IGBT) and/or an anode gated thyristor (AGT). 7. The implantable pulse generator according to claim 1 , wherein the electric circuit comprises between two and four secondary energy stores. 8. The implantable pulse generator according to claim 1 , wherein the primary energy store and/or the at least one secondary energy store is a capacitor or a coil. 9. The implantable pulse generator according to claim 1 , wherein: the primary energy store has a capacitance in the range of 150 μF to 300 μF and/or a nominal voltage in the range of 250 V to 255 V, and/or the at least one secondary energy store has a capacitance in the range of 180 μF to 360 μF and/or a nominal voltage in the range of 250 V to 255 V. 10. A method for delivering an electrical pulse having a substantially rectangular voltage pulse waveform, the method comprising the following steps: connecting a charged primary energy store to a discharge current path in a first interval of a first phase of a pulse delivery; and connecting a at least one secondary energy store to the discharge current path in a second interval of the first phase of the pulse delivery, the primary energy store and the at least one secondary energy store being inalterably connected in series, in the first interval, the at least one second energy store is not discharged, and in the second interval, the primary energy store and the at least one secondary energy store being discharged via the therapeutic current path. 11. The method according to claim 10 , wherein the at least one secondary energy store comprises a plurality of secondary energy connected to the discharge current path in the second interval of the first phase of the pulse delivery. 12. The method according to claim 11 , wherein: only one secondary energy store at a time is connected to the discharge current path, or the plurality of secondary energy stores is sequentially connected to the discharge current path. 13. The method according to claim 10 , wherein the connection of the primary energy store and of the at least one secondary energy store is carried out by way of an electronic switch. 14. The method according to claim 10 , wherein a direction of current in the therapeutic current path is reversed in a second phase of the pulse delivery.
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