|Publication number||US3807411 A|
|Publication date||Apr 30, 1974|
|Filing date||Aug 16, 1971|
|Priority date||Aug 16, 1971|
|Publication number||US 3807411 A, US 3807411A, US-A-3807411, US3807411 A, US3807411A|
|Inventors||Gibson D, Harris P|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (5), Referenced by (20), Classifications (4)|
|External Links: USPTO, USPTO Assignment, Espacenet|
United States Patent 1191 Harris et a1.
[451 Apr. 30, 1974  Filed:
[ 1 EXTERNAL CARDIAC PACER WITH SEPARABLE GENERATING AND POWER-PROBE UNITS  Assignee: Concept, Inc., St. Petersburg, Fla.
Aug. 16, 1971  Appl. No.: 171,847
 US. Cl 128/419 P, 128/422  Int. Cl A6ln 1/36  Field of Search 128/4 11213 128/419 P, 419 R, 419 s, 421, 422, 423, 404, 405, 406, 410, 420, 2.1 R, 303.13, 172.1,
 References Cited UNITED STATES PATENTS 1,913,595 6/1933 Hyman et a1. 128/419 P 666,431 l/l90l Mead 128/424 3,078,850 2/1963 Schein et al.... 128/419 P 3,667,477 6 1972 Susset et a1. 128/419 E FOREIGN PATENTS OR APPLICATIONS 1,469.132 l/l967 France 128/419 P Primary Examiner-William E. Kamm Attorney, Agent, or Firm-Arthur H. Van Horn ABSTRACT A portable, self-powered, battery operated cardiac pacer comprising a removable plug-in battery and probe package and a main stimulator package, in
I 9 which the stimulator, when electrically connected with the battery and probe package, will permit the cardiac surgeon to insert the negative probe lead needle into the heart muscle and to insert the positive probe lead needle into the subcutaneous tissue of the heart muscle as a ground, whereupon, in response to a predetermined timed pulse ratio selection, an abrupt short duration pulse is delivered to the heart through the positive probe. This pacer unit has a distinct advantage in that it is readily available for use in open heart procedures for instantaneous pacing either while on bypass or immediately coming off cardiopulmonary bypass when the inherent heart rate may be too slow to either sustain an adequate cardiac output of the slow rate may be associated with bradyarrhythmias. The myocardial, or heart muscle, position of the needle electrode results in a lower stimulation threshold.
4 Claims, 3 Drawing Figures EXTERNAL CARDIAC PACER WITH SEPARABLE GENERATING AND POWER-PROBE UNITS NATURE AND OBJECTS OF THE INVENTION sirablefor use not only in cardiac surgery but, with appropriate probes and modifications, may be used effectively for cardiac arrhythmila treatment.
The interconnected units provide an effective and easily available cardiac pacing means which is safe in use and which assures the cardiac surgeon that the heart muscle will contract efficiently immediately after discontinuing the oxygenator during open heart surgery. At this time, the negative lead probe is inserted into the heart muscle and the positive lead probe is inserted into the subcutaneous tissue of the heart muscle as a ground, thus imposing a potential and stimulating pulse of appropriate amplitude and duration to activate the heart muscle.
, THE DRAWING DESCRIPTION The battery and probe package as viewed in FIG. 1 consists of a cylindrical battery casing 1 of dielectric material, closed at one end and in which one or more serially connected battery cells 2 are carried. Positive and negative insulated conductors 3 and 4, respectively, are connected at one end to the positiveand negative terminals of the battery unit and to receptacle contacts Sand 6 carried in the female coupling member 7. mounted in the opposite end of the casing 1.
Insulated probe leads 8 and 9 are electrically connected at one end to probe needles l0 and 11, respectively, through insulated respective finger grips l2, and to receptacle contacts 13 and -14 carried in the male coupling member 15.
The battery power source indicated at 1 and the pulse probe leads 8 and 9'andprobe needles l0 and 11 are preferably packaged together in a sterilized disposable package (not shown) and together with the main stimulator 16 package, constitute a compact combination, readily available for use by the operating surgeon. The main stimulator package 16 is suitable for repeated use.
The main stimulator package consists of resistors R and R and R together with Capacitor C, transistor T and the audio monitor and wave shaping speakerinductor S.
I In use, the battery and probe package 1 is plugged into the stimulator package 16, as illustrated in FIG. 3, with the on-off switch 17 in closed position, the battery imposes a potential on transistor T and simultaneously energizes the transistor emitter through resistors R and R, and capacitor C. As voltage on capacitor C builds up through R and Rv, the emitter of transistor T becomes sufficiently positive to cause transistor T to become conductive, thereby discharging C through T. The time required for this to occur has been determined by the values of R, R and C and is a function of the desired or predetermined pulse repitition rate. In this manner, when T becomes conductive and consequently C dischargesan abrupt, short duration pulse appears across the speaker-inductor S giving an audible signal or indication that the instrument is functioning.
Resistor R is a limiting resistor to prevent damage to transistor T in the event the instrument operator inadvertently short circuits the probes 10 and 11.
In use, during which the negative probe needle 10 is inserted into the heart muscle and the positive probe needle 11 is inserted into the surrounding tissue, the stimulating pulse of appropriate amplitude and duration which is evidenced across the speaker-inductor S, is conducted into resistor R to activate heart activity at the desired constant rate, say beats per minute.
The unit has distinct advantage in that it is readily available for all open heart procedures for instantaneous pacing either while on bypass or immediately coming off cardiopulmonary bypass when the inherent heart rate may be too slow to either sustain an adequate cardiac output or the slow rate may be associated with bradyarrhythmias. The myocardial position of needle electrode results in a lower stimulation threshold. The electrodes are left in place until all coagulation is completed by use of the electrocautery. At this time, pacing wires may then be sewn to the epicardial surface for use in the immediate postoperative period as the needle electrodes are withdrawn. To our knowledge, the only available units at this time are the standard ventricular pacing wires which require suturing to the epicardium. The exposed surface of the wires may provide an electrical hazard because of possible contact with the electrocautery. The wires must be hooked to an intermediary connection before they are attached to the battery source outside of the sterile field; This procedure requires a prolonged period of time as contrasted with the use of the present invention which is of simple construction, safe, inexpensive and has reliable performance.
1. A portable, self-powered, battery operated cardiac pacer comprising, in combination, of a pair of complementary interconnecting units comprising a disposable battery and probe package, and a stimulator package electrically and removably interconnectable one with the other, said probe package containing a battery casing, a source of battery enery in said casing, insulated positive and negative probe conductors extending from said casing, plug-in terminals in one end of said casing electrically connected with the respective probe conductors at one end thereof and with said source, a probe needle electrically connected to each of said conductors, respectively, said stimulator package comprising means for electrical interconnection with said terminals, pulse generator means connected to said interconnecting means for generating and delivering a potential through and to said conductors and said probes in the form of a heart stimulating pulse to the heart muscle when said battery and said packages are electrically interconnected, said pulse generator means 3 comprising a unijunction pulse generator, said probes being oppositely charged such that when said probes are applied to the heart, said probes develop an electrical potential therebetween to activate the heart muscle.
2. The invention defined in claim 1 in which is included means to select the repetitive rate of heart stimulating pulse output of said stimulator package.
3. A portable cardiac pacer comprising a casing, a source of battery power within said casing, plug-in terminals in said casing, certain of said terminals having electrical connection with the terminals of said battery power source, a pair of probe conductors having electrical connection with certain of said plug-in terminals, a pair of probe needles each having electrical connection with one of said probe conductors, a stimulation unit pulse generator means housed within said unit for generating and discharging a pulse potential, said pulse generator means comprising a unijunction pulse generator, plug-in terminals in said unit for electrical interconnection with the respective plug-in terminals carried in said battery power casing to deliver battery power to said pulse generating means and to deliver the generated pulse rate to and through said probe needles, when the respective plug-in terminals are electrically interconnected to develop and electrical potential between said probe needles to activate the heart muscle.
4. The invention defined in claim 3 including means in said stimulator unit for selecting the pulse repetitive rate delivered to and through one of said probe needles inserted into the subcutaneous tissue of the heart muscle and the other of said probe needles is inserted into the heart muscle.
.fUNITE-D STATES PATENT OFFICE CERTIFICATEQE CORRECTION Dated April 5 1974 Patent No. 3,807,191
Paul 1). llarris et a1. Inventor(s) It is certifiedthat error appears inthe above-identified patent and that said Letters Patent are hereby corrected as shown below:
Abstract line 10, delete "ratio" and insert rate Column 2, line 54, delete "enery" and insert energy Eolumn 4, line 8; delete "and" and insert an Signed and sealed this 8th day of Qctober 1974.,
McCOY M. GIBSON .JR. 0. MARSHALL DANN Attesting Officer Commissioner of Patents FORM Po-mso (10-69) USCOMM'DC eoan'peg U s GUVERNMENY PRNTINQ DFFKZE:
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