05230337 is referenced by 261 patents and cites 35 patents.

Implantable electrodes for defibrillation are formed of pluralities of electrode segments. Each of the segments is relatively long and narrow. The electrode segments can be parallel and spaced apart from one another a distance at least ten times the nominal width, with one end of each segment mounted to a transverse distal portion of an electrically conductive lead coupling the electrode to a defibrillation pulse generator. Alternatively, segments can branch or radiate outwardly from a common junction. In yet another arrangement, electrode segments are portions of a single conductive path at the distal end of a lead from a pulse generator, arranged in either a spiral configuration or a serpentine configuration which can align electrode segments side by side, parallel and spaced apart. The electrode segments can be formed of composite conductors in the form of titanium ribbons or wires with a sputtered outer layer of platinum, or a silver core in a stainless steel tube, with a platinum layer formed onto the tube. The electrodes are highly compliant yet can provide large effective areas for defibrillation, enabling a transthoracic pulsing arrangement of two electrodes on opposite sides of the heart, implanted subcutaneously outside of the thoracic region.

Title
Process for implanting subcutaneous defibrillation electrodes
Application Number
533886
Publication Number
5230337
Application Date
July 14, 1992
Publication Date
July 27, 1993
Inventor
John E Heil
St. Paul
MN, US
Douglas J Lang
Arden Hills
MN, US
Stephen J Hahn
Roseville
MN, US
David K Swanson
Roseville
MN, US
Roger W Dahl
Andover
MN, US
Agent
Haugen and Nikolai
Assignee
Cardiac Pacemakers
MN, US
IPC
A61N 1/39
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