# US 4,399,818 A · Direct-coupled output stage for rapid-signal biological stimulator > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 4,399,818 A - Document ID: US4399818A - Status: Granted - Kind: A - Application number: 06/251,192 - Filed: 1981-04-06 - Granted: 1983-08-23 - Earliest claimed: 1981-04-06 - Assignees: Telectronics Pty. Ltd. - Inventors: David K. Money - Web page: https://patentgrep.com/patent/US4399818A ## CPC - A61N 1/365: controlled by a physiological parameter, e.g. heart potential {(evoked response A61N1/371)} - A61N 1/3716: {with reduction of residual polarisation effects} - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) ## Abstract There is disclosed a direct-coupled output stage which is especially advantageous for use in an implantable heart pacer. In order to provide for charge balancing at the electrode/electrolyte interfaces, the electrodes are shorted to each other after a pacing pulse is generated. Not only is the use of a bulky coupling capacitor avoided, but the stored charge dissipates in a much shorter time, thereby minimizing the "blind" interval in the sensing cycle. ## Claims ### Claim 1 A heart pacer comprising a battery supply, a pair of electrodes for applying a stimulating pulse to the heart of a patient, means connected to at least one of said electrodes for sensing heart activity, storage capacitor means, means responsive to said sensing means for determining the need for a stimulating pulse and in response thereto for connecting said storage capacitor means across said electrodes to apply a stimulating pulse to said patient's heart, means for charging said storage capacitor means from said battery supply following the application of a stimulating pulse to said patient's heart, and means operative following the application of a stimulating pulse to said patient's heart for coupling said electrodes directly to each other and independent of said battery supply to allow charge stored in the interfaces between said electrodes and said patient's tissue as a result of said stimulating pulse to be largely recovered, through said electrodes. ### Claim 2 (depends on 1) A heart pacer in accordance with claim 1 wherein said coupling means is operated for a time duration in the range 0.01-400 milliseconds. ### Claim 3 (depends on 2) A heart pacer in accordance with claim 2 wherein said connecting means disconnects said storage capacitor means from said electrodes simultaneously with the operation of said coupling means so that said storage capacitor means can be charged from said battery supply while the charge stored in said patient's heart is recovered through said electrodes. ### Claim 4 (depends on 2) A heart pacer in accordance with claim 2 wherein said coupling means shorts said electrodes to each other. ### Claim 5 A heart pacer comprising electrode means for supplying a stimulating current to the heart of a patient, means for sensing heart activity, control means responsive to said sensing means for determining the need for a stimulating current and in response thereto for causing a stimulating current to flow through said electrode means, and means operative following operation of said control means for enabling a passive discharge of the distributed capacitance in said patient's heart. ### Claim 6 (depends on 5) A heart pacer in accordance with claim 5 wherein said enabling means is operated for a time duration in the range 0.01-400 milliseconds. ### Claim 7 (depends on 5) A heart pacer in accordance with claim 5 wherein said electrode means consists of two electrodes, and said enabling means is operative to short said two electrodes to each other. ### Claim 8 (depends on 5) A heart pacer in accordance with claim 5 wherein the pacer is powered from a single source of potential, and said control means is operative to cause current flow through said electrode means in only one direction. ### Claim 9 (depends on 5) A heart pacer in accordance with claim 5 wherein said sensing means is connected to said electrode means and is disabled from sensing heart activity while said enabling means is operated. ### Claim 10 (depends on 9) A heart pacer in accordance with claim 9 wherein said enabling means is operated for a time duration in the range 0.01-400 milliseconds. ### Claim 11 (depends on 10) A heart pacer in accordance with claim 10 wherein said electrode means consists of two electrodes, and said enabling means is operative to short said two electrodes to each other. ### Claim 12 (depends on 11) A heart pacer in accordance with claim 11 wherein the pacer is powered from a single source of potential, and said control means is operative to cause current flow through said electrode means in only one direction. ### Claim 13 A biological tissue stimulator for applying a rapidly varying signal to a site which is to have minimal net charge transfer comprising electrode means for applying a stimulating current to said site, control means for causing a rapidly varying direct-coupled stimulating current to flow through said electrode means, and means operative following operation of said control means for enabling a passive discharge of the distributed capacitance at said site. ### Claim 14 (depends on 13) A biological tissue stimulator in accordance with claim 13 wherein said enabling means is operated for a time duration in the range 0.01-400 milliseconds. ### Claim 15 (depends on 13) A biological tissue stimulator in accordance with claim 13 wherein said electrode means consists of two electrodes, and said enabling means is operative to short said two electrodes to each other. ### Claim 16 (depends on 13) A biological tissue stimulator in accordance with claim 13 wherein the stimulator is powered from a single source of potential, and said control means is operative to cause current flow through said electrode means in only one direction. ### Claim 17 (depends on 13) A biological tissue stimulator in accordance with claim 13 wherein said control means is disabled from operating while said enabling means is operated. ### Claim 18 (depends on 17) A biological tissue stimulator in accordance with claim 17 wherein said enabling means is operated for a time duration in the range 0.01-400 milliseconds. ### Claim 19 (depends on 18) A biological tissue stimulator in accordance with claim 18 wherein said electrode means consists of two electrodes, and said enabling means is operative to short said two electrodes to each other. ### Claim 20 (depends on 19) A biological tissue stimulator in accordance with claim 19 wherein the stimulator is powered from a single source or potential, and said control means is operative to cause current flow through said electrode means in only one direction. ### Claim 21 An output circuit for a biological tissue stimulator to stimulate a site for which low net charge transfer is desired comprising a pair of electrodes for causing current flow through said site, charge storing means, means for connecting said charge storing means in series with said pair of electrodes when a stimulating current is to be delivered, and means for coupling said pair of electrodes to each other following operation of said connecting means. ### Claim 22 (depends on 21) An output circuit in accordance with claim 21 wherein said connecting means is connected between said charge storing means and one of said electrodes, and said coupling means couples the other of said electrodes to the junction of said connecting means and said one electrode. ### Claim 23 (depends on 22) An output circuit in accordance with claim 22 wherein said coupling means is operated for a time duration in the range 0.01-400 milliseconds. ### Claim 24 (depends on 23) An output circuit in accordance with claim 23 wherein the stimulator is powered from a single source of potential, and said charge storing means is connected to said electrodes only when current flows through said electrodes in one direction. ### Claim 25 (depends on 22) An output circuit in accordance with claim 22 wherein the stimulator is powered from a single source of potential, and said charge storing means is connected to said electrodes only when current flows through said electrodes in one direction. ### Claim 26 (depends on 21) An output circuit in accordance with claim 21 wherein said coupling means is operated for a time duration in the range 0.01-400 milliseconds. ### Claim 27 (depends on 21) An output circuit in accordance with claim 21 wherein the stimulator is powered from a single source of potential, and said charge storing means is connected to said electrodes only when current flows through said electrodes in one direction.