Towards impedance optimised transcutaneous atrial defibrillation

PR Walsh, PA Rodrigues, J Goodfellow, N Waterman, DJ McEneaney, OJ Escalona

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Citation (Scopus)

Abstract

Impedance compensated transcutaneous atrial defibrillation may offer more cost effective and less painful treatment for patients with AF by facilitating arrhythmia detection and low-energy synchronized cardioversion in a non-acute care setting. However, the technological barriers to implementation remain significant. In this paper advancements towards the realization of an impedance compensated passive transcutaneous atrial defibrillator architecture are reported: high power transcutaneous inductive link for defibrillation energy transfer, low-power electrocardiogram and impedance sensing for AF detection and optimised cardioversion management via an embedded microcontroller with RF communications link for overall system control. The transcutaneous inductive link has been reliably operated in two distinct modes; ‘sense mode' offers a >5W continuous power transfer mode to enable AF-ECG processing and intracardiac impedance measurement prior to cardioversion while `shock mode' facilitates the transcutaneous coupling of >150W during delivery of an impedance compensated rectilinear defibrillation shock waveform to the heart. Laboratory bench test and experimental results are presented to demonstrate proof of concept.
LanguageEnglish
Title of host publicationUnknown Host Publication
Pages665-668
Number of pages4
Volume41
Publication statusPublished - 15 Dec 2014
EventComputing in Cardiology 2014 - Cambridge, MA, USA
Duration: 15 Dec 2014 → …

Conference

ConferenceComputing in Cardiology 2014
Period15/12/14 → …

Fingerprint

Electrocardiography
Defibrillators
Microcontrollers
Energy transfer
Telecommunication links
Control systems
Processing
Costs

Keywords

  • Defibrillators
  • AF
  • atrial fibrillation
  • heart diseases
  • electric impedance
  • electrocardiography
  • ECG
  • medical signal processing
  • microcontrollers
  • cardioversion optimisation
  • telemedicine
  • AF-ECG processing
  • RF communications link.

Cite this

Walsh, PR., Rodrigues, PA., Goodfellow, J., Waterman, N., McEneaney, DJ., & Escalona, OJ. (2014). Towards impedance optimised transcutaneous atrial defibrillation. In Unknown Host Publication (Vol. 41, pp. 665-668)
Walsh, PR ; Rodrigues, PA ; Goodfellow, J ; Waterman, N ; McEneaney, DJ ; Escalona, OJ. / Towards impedance optimised transcutaneous atrial defibrillation. Unknown Host Publication. Vol. 41 2014. pp. 665-668
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Walsh, PR, Rodrigues, PA, Goodfellow, J, Waterman, N, McEneaney, DJ & Escalona, OJ 2014, Towards impedance optimised transcutaneous atrial defibrillation. in Unknown Host Publication. vol. 41, pp. 665-668, Computing in Cardiology 2014, 15/12/14.

Towards impedance optimised transcutaneous atrial defibrillation. / Walsh, PR; Rodrigues, PA; Goodfellow, J; Waterman, N; McEneaney, DJ; Escalona, OJ.

Unknown Host Publication. Vol. 41 2014. p. 665-668.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

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AB - Impedance compensated transcutaneous atrial defibrillation may offer more cost effective and less painful treatment for patients with AF by facilitating arrhythmia detection and low-energy synchronized cardioversion in a non-acute care setting. However, the technological barriers to implementation remain significant. In this paper advancements towards the realization of an impedance compensated passive transcutaneous atrial defibrillator architecture are reported: high power transcutaneous inductive link for defibrillation energy transfer, low-power electrocardiogram and impedance sensing for AF detection and optimised cardioversion management via an embedded microcontroller with RF communications link for overall system control. The transcutaneous inductive link has been reliably operated in two distinct modes; ‘sense mode' offers a >5W continuous power transfer mode to enable AF-ECG processing and intracardiac impedance measurement prior to cardioversion while `shock mode' facilitates the transcutaneous coupling of >150W during delivery of an impedance compensated rectilinear defibrillation shock waveform to the heart. Laboratory bench test and experimental results are presented to demonstrate proof of concept.

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Walsh PR, Rodrigues PA, Goodfellow J, Waterman N, McEneaney DJ, Escalona OJ. Towards impedance optimised transcutaneous atrial defibrillation. In Unknown Host Publication. Vol. 41. 2014. p. 665-668