The Development of the Transvenous Automatic Defibrillator

M. Mirowski, Morton Maimon Mower, William S. Staewen, Rollin H. Denniston, Albert I. Mendeloff

Research output: Contribution to journalArticle

Abstract

The transvenous automatic defibrillator is a device which automatically recognizes and treats ventricular fibrillation. The initial clinical prototype resembles an external pacemaker: the electronic components and power supply are external to the body, the sensing and defibrillating elements being contained in a transvenous catheter. The sensors monitor intracardiac R waves and cardiac contraction. Absence of both signals identifies the arrhythmia and triggers the defibrillatory shock, delivered through the right ventricular electrode and another more proximal on the catheter. If needed, the device recycles automatically. It is also adaptable for pacing and for elective intraatrial cardioversion. Results of animal experiments were successful, and tests are currently being done on patients requiring defibrillation during open heart surgery. The clinical indications for the device are numerous and it is hoped that this approach will decrease the present prohibitive mortality from coronary heart disease.

Original languageEnglish (US)
Pages (from-to)773-779
Number of pages7
JournalArchives of Internal Medicine
Volume129
Issue number5
DOIs
StatePublished - 1972

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Defibrillators
Equipment and Supplies
Catheters
Electric Power Supplies
Electric Countershock
Ventricular Fibrillation
Thoracic Surgery
Coronary Disease
Cardiac Arrhythmias
Shock
Electrodes
Mortality

ASJC Scopus subject areas

  • Internal Medicine

Cite this

The Development of the Transvenous Automatic Defibrillator. / Mirowski, M.; Mower, Morton Maimon; Staewen, William S.; Denniston, Rollin H.; Mendeloff, Albert I.

In: Archives of Internal Medicine, Vol. 129, No. 5, 1972, p. 773-779.

Research output: Contribution to journalArticle

Mirowski, M. ; Mower, Morton Maimon ; Staewen, William S. ; Denniston, Rollin H. ; Mendeloff, Albert I. / The Development of the Transvenous Automatic Defibrillator. In: Archives of Internal Medicine. 1972 ; Vol. 129, No. 5. pp. 773-779.
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