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Apparatus for generating multiphasic defibrillation pulse waveform    
United States Patent4800883   
Link to this pagehttp://www.wikipatents.com/4800883.html
Inventor(s)Winstrom; William L. (Andover, NJ)
AbstractAn apparatus suitable for use in an implantable automatic defibrillation system for automatically generating a multiphasic defibrillation pulse waveform in response to sensed fibrillation has first and second series charge-storing capacitors having a common terminal and two other terminals each at different potentials. A controller senses cardiac fibrillation and generates a control signal which causes a charging circuit to charge the capacitors to selected voltage levels in sequentially alternating charge generation and charge coupling cycles. A voltage level detector senses the stored voltage level, disables the charging circuit when the sensed voltage reaches a predetermined level, and informs the controller that the capacitors are fully charged. The controller then communicates control signals indicative of pulse magnitude, duration, and polarity to a multiphasic pulse generator having a number of high-power switches and corresponding switch drivers interposed in circuit between the heart and the terminals of the charge-storing capacitors. The drivers control the conduction states of the switches according to the control signals to establish selected circuit paths between the three terminals and the heart, and to thereby deliver to the heart a multiphasic waveform having pulses with the selected parameters of magnitude, duration, and polarity.
   














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Drawing from US Patent 4800883
Apparatus for generating multiphasic defibrillation pulse waveform - US Patent 4800883 Drawing
Apparatus for generating multiphasic defibrillation pulse waveform
Inventor     Winstrom; William L. (Andover, NJ)
Owner/Assignee     Intermedics, Inc. (Angleton, TX)
Patent assignment
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Publication Date     January 31, 1989
Application Number     06/847,283
PAIR File History     Application Data   Transaction History
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Litigation
Filing Date     April 2, 1986
US Classification     607/7
Int'l Classification     A61N 001/36
Examiner     Kamm; William E.
Assistant Examiner    
Attorney/Law Firm     Egan; Russell J.
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Priority Data    
USPTO Field of Search     128/419 D
Patent Tags     generating multiphasic defibrillation pulse waveform
   
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I claim:

1. An apparatus for generating multiphasic defibrillation pulse waveforms by selectively switching the continuous output of a single multilevel source, comprising:

first and second output terminal means for electrical connection to the heart;

a plurality of charge storage means forming a single multilevel source, each said storage means storing an electrical charge to provide an output potential;

low voltage power source means;

charging means connected to said plurality of charge storage means and said low voltage power source means for charging each of said charge storage means to a level suitable to cause defibrillation of the heart;

a plurality of switch means, each having control means operative to render the switch means conductive in response to a control signal, one switch means of said plurality being connected in circuit between a respective one of each said charge storage means and each of said first and second output terminal means for connecting the potential provided by the said charge storage means to the respective terminal means when said switch means is conductive sand disconnecting the potential provided by said charge storage means form the respective terminal means when said switch means is nonconductive; and

pulse generator means connected to said control means of said plurality of switch means for applying control signals to said control means upon said charge storage means reaching a predetermined level to thereby control the conductive state of each of said plurality of switch means to sequentially connect and disconnect said output potentials of said plurality of charge storage means to and from said first and second output terminal means in selected additive and subtractive combinations to generate a multiphasic defibrillation pulse waveform for application to the heart.

2. The apparatus of claim 1 further comprising:

means responsive to the attainment by at least one of said plurality of charge storage means of a predetermined level of charge

for disabling said charging means from further charging of said charge storage means; and

means responsive to the attainment by said at least one of said plurality of charge storage means of said predetermined level of charge for enabling said pulse generator means to generate said multiphasic pulse waveform.

3. The apparatus of claim 2 wherein said means responsive to the attainment of a predetermined level of charge comprises:

means for receiving signals indicative of said predetermined level of charge;

means for producing from said signals a first scaled reference level;

means for detecting the valve of charge stored in at least one of said charge storage means;

means for producing from the detected level of charge a second scaled level indicative of said level of charge;

means for comparing said second scaled level with said first scaled reference level; and

means responsive to said means for comparing for disabling said charging means when aids second scaled level attains at least the level of said first scaled reference level.

4. The apparatus of claim 1 wherein said charging means comprises:

charge generation means for generating an electrical charge during a charge generation cycle;

charge coupling means for coupling said electrical charge to said charge storage means for storing said electrical charge during a subsequent charge coupling cycle; and

detector means for detecting the end of each charge coupling cycle and initiating the next charge generation cycle.

5. The apparatus of claim 4 wherein said detector means comprises:

means for sensing the level of electrical charge generated during said charge generation cycle;

means for detecting when said electrical charge has been stored by said charge storage means; and

means responsive to said means for detecting for generating a signal indicating the end of the charge coupling cycle when said means for detecting detects that said electrical charge has been stored by said charge storage means.

6. The apparatus of claim 5 including switch means connected in circuit with said charge generation means, said switch means being responsive to said signal generated by said detector means to conduct current through said charge generation means thereby causing said charge generation means to generate said electrical charge during said charge generation cycle, and being responsive to the absence of said signal to prevent current from flowing through said charge generation means thereby causing said charge coupling means to couple the generated electrical charge to said charge storage means during said charge coupling cycle.

7. The apparatus of claim 1 wherein said pulse generator means includes

a plurality of driver means for generating said control signals.

8. The apparatus of claim 7 wherein each of said plurality of driver means is connected to the control means of a pair of said switch means connected in circuit between at least one of said charge storage means and said first sand second output terminals for simultaneously controlling the conduction states of both switch means of said pair to connect and disconnect the potential of said at least one charge storage means across said first and second output terminals.

9. The apparatus of claim 8 wherein:

said plurality of switch means comprises two pairs of switch means;

said plurality of charge storage means comprises a first charge storage means having a first output potential and a second charge storage means having a second output potential;

a first switch means from each pair are connected in a first series connection between said first output potential of said first charge storage means and said second output potential of said second charge storage means;

a second switch means from each pair are connected in a second series connection parallel to the first series connection between said first output potential of said first charge storage means and said second output potential of said second charge storage means;

said first output terminal adapted for connection to a heart comprises the junction of said first series connection between said first switch means from each pair; and said second output terminal adapted for connection to a heart comprises the junction of said second series connection between said second switch means from each pair.

10. The apparatus of claim 8 including protection means connected to said plurality of driver means disabling every other drive means of said plurality from turning its corresponding pair of switch means to the conductive state when any one of said driver means of said plurality is already enabled to turn its corresponding pair of said switch means to the conductive state.

11. A cardiac defibrillator, comprising:

first and second output terminal means for electrical connection to a heart;

a plurality of charge storage means forming a single multilevel source of waveforms, each storage means storing an electrical charge to provide an output potential;

low voltage power source means;

charging means connected to said plurality of charge storage means and said low voltage power source means for charging said charge storage means;

a plurality of switch means, each having control means operative to render the switch means conductive in response to a control signal, one said switch means of said plurality being connected in circuit between a respective one of each said charge storage means and each of said first and second output terminal means for connecting the potential provided by the said charge storage means to the respective terminal means when said switch means is conductive and disconnecting the potential provided by the said charge storage means from the respective terminal means when said switch means is non-conductive;

pulse generator means connected to said control means of said plurality of switch means for applying control signals to said control means to thereby connect and disconnect said output potentials of said plurality of charge storage means to and from said first and second output terminal means to and from said first and second output terminal means in selected additive and subtractive combinations to generate a multiphasic defibrillation pulse waveform for application to the heart;

means responsive to the onset of cardiac fibrillation for activating said charging means and;

means responsive to the attainment by at least one of said charge storage means of a predetermined level of charge sufficient to defibrillate the heart for activating said pulse generator means.

12. The apparatus of claim 11 wherein said charging means comprises:

charge generation means for generating electrical charge during a charge generation cycle;

charge coupling means for coupling said electrical charge to said charge storage means during a subsequent charge coupling cycle; and

detector means for detecting the end of each charge coupling cycle and initiating the next charge generation cycle.

13. The apparatus of claim 12 wherein said detector means comprises:

means for sensing the level of electrical charge generated during said charge generation cycle;

means for detecting when said electrical charge has been stored by said charge storage means; and

means responsive to said means for detecting for generating a signal indicating the end of the charge coupling cycle when said means for detecting detects that said electrical charge has been stored by said charge storage means.

14. The apparatus of claim 13 including switch means connected in circuit with said charge generation means, said switch means being responsive to said signal generated by said detector means to conduct current through said charge generation means thereby causing said charge generation means to generate said electrical charge during said charge generation cycle, and being responsive to the absence of said signal to prevent current from flowing through said charge generation means thereby causing said charge coupling means to couple the generated electrical charge to said charge storage means during said charge coupling cycle.

15. The defibrillator of claim 11 wherein said pulse generator means includes

a plurality of driver means for generating said control signals.

16. The defibrillator of claim 15 wherein each of said plurality of driver means is connected to the control means of a pair of said switch means connected in circuit between at least one of said charge storage means and said first and second output terminals for simultaneously controlling the conduction states of both switch means of said pair to connect and disconnect the potential of said at least one charge storage means across said first and second output terminals.

17. The defibrillator of claim 16 wherein:

said plurality of switch means comprises two pairs of switch means;

said plurality of charge storage means comprises a first charge storage means having a first output potential and a second charge storage means having a second output potential;

a first switch means from each pair are connected in a first series connection between said first output potential of said first charge storage means and said second output potential of said second charge storage means;

a second switch means from each pair are connected in a second series connection parallel to the first series connection between said first output potential of said first charge storage means and said second output potential of said second charge storage means; said first output terminal adapted for connection to a heart comprises the junction of said first series connection between said first switch means from each pair; and said second output terminal adapted for connection to a heart comprises the junction of said second series connection between said second switch means from each pair.

18. The defibrillator of claim 17 including protection means connected to said plurality of driver means and responsive to said control signals for automatically disabling every other driver means of said plurality from turning its corresponding pair of switch means to the conductive state when any one of said driver means of said plurality is already enabled to turn its corresponding pair of switch means to the conductive state.

19. An electrical stimulator apparatus, comprising:

first and second output terminal means for electrical connection to tissue to be stimulated;

a plurality of charge storage means forming a single multilevel source, each said storage means storing an electrical charge to provide an output potential;

low voltage power source means;

charging means connected to said plurality of charge storage means and said low voltage power source means for charging said charge storage means;

a plurality of switch means, each having control means operative to render the switch means conductive in response to a control signal, one switch means of said plurality being connected in circuit between a respective one of said charge storage means and each of said first and second output terminal means for connecting the potential provided by the said charge storage means to the respective terminal means when said switch means is conductive and disconnecting the potential provided by the said charge storage means from the respective terminal means when said switch means is non-conductive;

pulse generator means connected to said control means of said plurality of switch means for applying control signals to said control means to thereby connect and disconnect said output potentials of said plurality of charge storage means to and from said first and second output terminal means in selected additive and subtractive combinations to generate a multiphasic pulse waveform for application to said tissue to be stimulated and

lead means connected between said first and second output terminal means and the tissue to be stimulated.

20. The stimulator apparatus of claim 19, including:

means responsive to a predetermined physiological condition for enabling said charging means to charge said charge storage means; and

means responsive to the attainment by at least one of said charge storage means of a predetermined level of charge for enabling said pulse generator means to generate said multiphasic pulse waveform .

21. A cardiac defibrillator, comprising:

a single source having a plurality of storage means for storing multilevel electrical charges; means responsive to onset of fibrillation for initiating charging of said storing means;

means for detecting the level of charge stored by said storing means to interrupt said charge upon attainment of a preselected level of stored charge; and

means responsive to attainment of said preselected level for sequentially discharging said storing means with successive alternations of polarity over selected time intervals to generate a multiphasic pulse waveform having at least two successive electrical pulses of predetermined magnitude, duration, and opposite polarity sequence, with energy content sufficient for defibrillation, for delivery to the patient's heart.

22. The defibrillator of claim 21, wherein said discharging means includes means for selecting the polarity with which said storing means is first discharged upon attainment of said preselected level, to establish the sequence of alternating polarity of the pulses in said waveform.

23. The defibrillator of claim 21, further including

means for setting said time intervals to establish the duration of each pulse in said waveform.

24. The defibrillator of claim 21, further including

means for setting said preselected level of charge to establish the initial magnitude of the first pulse in said waveform.

25. The defibrillator of claim 24, further including

means for setting said time intervals and the separation thereof, to establish the duration of each pulse, and the initial magnitude of each pulse following the first pulse, in said waveform.

26. The defibrillator of claim 21, wherein said charging means includes means for cyclically delivering packets of electrical charge to said storing means, each packet having a predetermined magnitude, until attainment of said preselected level.

27. The defibrillator of claim 21, further including

conductive lead means for connection at one end thereof to said discharging means and including electrode means at the other end thereof for making electrically stimulating relationship to the patient's heart, to deliver said waveform to the heart.

28. The defibrillator of claim 21, wherein

said storing means includes a pair of series-connected high-voltage charge-storing capacitors,

said charging means includes means for cyclically delivering electrical charge in packets, each of predetermined magnitude, to the charge-storing capacitors until said preselected level of charge is attained, and

said discharging means includes means for generating said waveform by sequential discharge of the capacitors to provide the sequence of pulses of successively opposite polarity.

29. The defibrillator of claim 28, wherein

said generating means partially discharges the charge stored on both capacitors in first one polarity and then the opposite polarity.

30. The defibrillator of claim 28, wherein

said generating means partially discharges the charge stored on only one of said capacitors in one polarity and then discharges the charge stored on the other capacitor and the remaining charge stored on said one capacitor in the opposite polarity.
 Description Submit all comments and votes
 


BACKGROUND OF THE INVENTION

1. Field of the Invention

The invention disclosed herein relates generally to the field of heart defibrillator equipment. More specifically, the present invention relates to a special defibrillator apparatus which is suitable for use in implantable, automatic cardioversion systems, and which can generate particularly effective and beneficial high-voltage multiphasic defibrillation waveforms.

2. Description of the Prior Art

Ventricular fibrillation is almost always fatal unless promptly arrested. It has long been known that the application of a high energy pulse to the heart is often particularly effective in arresting this otherwise fatal condition and in restoring the synchronous operation of the heart muscles.

Automatic, implantable fibrillation sensors and defibrillation pulse generators are known in the art. See, for example, U.S. Pat. Nos. 3,614,954 and 3,614,955 to Mirowski et al., U.S. Pat. No. 4,254,775 to Langer, and U.S. Pat. No. 4,384,585 to Zipes. Such defibrillators, in order to be feasible, must occupy a minimal amount of space, be reliable in operation, and make efficient use of a depletable energy source.

It has been common for such prior art implantable defibrillators to generate unipolar type high-energy defibrillation pulses. See, for example, U.S. patent No. to Langer, U.S. Pat. No. Re. 30,387 to Denniston et al., U.S. Pat. No. Re. 30,372 to Mirowski et al., and U.S. Pat. No. 4,210,149 to Heilman et al. However, the use of unipolar pulses has been known to produce certain undesirable side effects including damage to the heart tissue near the electrode sites, induction of certain post-shock arrhythmias, and changes in the S-T segment. Moreover, under certain circumstances, such pulses are not effective to arrest ventricular fibrillation.

Recent medical research has shown that many of the problems associated with unipolar cardioverting pulses are alleviated or eliminated entirely when multiphasic cardioverting pulse trains are employed and that certain benefits are also obtained. For instance, it has been found that certain beneficial post-shock effects are imparted to the defibrillated heart by the trailing pulse of a three phase defibrillation waveform and that the effect vary with the level of energy imparted to the heart by this pulse. In addition, it has been found that the success rate in arresting ventricular fibrillation using three phase pulse waveforms is significantly greater than with unipolar pulses. See, for example, Schuder, Defibrillation of 100 kg Calves With Asymmetrical, Bidirectional, Rectangular Pulses, Cardiovascular Research 419-426 (1984), and Jones, Decreased Defibrillator-Induced Dysfunction With Biphasic Rectangular Waveforms, Am. J. Physiol. 247 (Heart Circ. Physiol. 16): H792-H796 (1984). Of course, many multiphasic waveform variations are possible and research is continuing in this area to discover others which may provide additional benefits and advantages in cardioverting and other applications.

A number of apparatuses for generating various forms of biphasic signals for pacing or defibrillation applications are known. One group of known apparatuses are manually-operated, electromechanical defibrillation pulse generators. These are not intended for and are totally unsuitable for use in automatic, implantable defibrillation systems, due to their size, mechanical nature, and high power requirements. See, for example, the biphasic defibrillation pulse generators described in U.S. Pat. Nos. 3,093,136 to Lohr, 3,241,555 to Caywod et al., and 3,359,984 to Daniher et al.

Another group of known apparatuses are biphasic pacing pulse generators such as those described in U.S. Pat. Nos. 3,924,641 to Weiss, 4,402,322 to Duggan, 3,563,247 to Bowers, and 3,946,745 to Hsiang-Lai et al. These known apparatuses have solved some of the problems of the electromechanical biphasic defibrillation pulse generators, but are not intended for and are not suitable for efficiently generating and applying to the heart the high-voltage pulses necessary to arrest ventricular fibrillation. In addition, the known pacing pulse generators lack the flexibility to generate the variety of multiphasic waveforms which medical research has recently shown to be advantageous in cardioversion applications, and to generate additional waveforms which continuing research may in the future discover to be beneficial. Moreover, these known generators provide no protection to the patient from internal malfunctions.

Accordingly, it is an object of the present invention to provide a highly energy efficient multiphasic pulse generator suitable for use in implantable automatic defibrillators.

It is another object to provide such a generator that is simple but flexible in its design and application and that can generate a variety of multiphasic waveforms.

It is still another object to provide a multiphasic defibrillation pulse generator that provides improved operational stability and accuracy independent of the magnitude of the pulses to be applied to the heart.

It is a further object to provide a multiphasic pulse generator that provides safeguards to the patient against internal malfunctions.

SUMMARY OF THE INVENTION

The above objects and attendant advantages are achieved by providing an apparatus which generates multiphasic defibrillation pulse waveforms having selected parameters of magnitude, polarity, and duration. The apparatus includes a charging circuit connected to a charge-storing circuit which provides at least three different output potentials. The charging circuit charges the chargestoring circuit to a selected charge level in response to a control signal indicative of fibrillation. An electrical conduction device conducts the output potentials to a heart. When the charge storing circuit is charged to a selected charge level, a multiphasic pulse generator selectively and sequentially connects and disconnects the conduction device and the output potentials to deliver to the heart a multiphasic defibrillation waveform having pulses with selected duration, magnitude, and polarity parameters.

The novel elements believed to be characteristic of the present invention are set forth in the appended claims. The invention itself, together with additional objects and attendant advantages, will best be understood by reference to the following detailed description, which, when taken in conjunction with the accompanying drawings, describes a presently preferred embodiment.

BRIEF DESCRIPTION OF THE DRAWINGS

An exemplary illustration of an apparatus for generating a multiphasic defibrillation pulse waveform comprising a presently preferred embodiment of the invention is contained in the appended drawings in which:

FIG. 1 is a general block diagram of the apparatus for generating a multiphasic defibrillation pulse shown with a heart;

FIG. 2 is block diagram of the charging circuit block of FIG. 1;

FIG. 3 is a schematic diagram of the charging circuit block diagram of FIG. 2;

FIG. 4 is a block diagram of the voltage level regulation block component of FIG. 1;

FIG. 5 is a block diagram of the multiphasic pulse generator block of FIG. 1 shown with a heart;

FIG. 6 is a schematic diagram of the FET driver circuits S1-S4 shown in FIG. 5;

FIG. 7 is a schematic diagram of the nonoverlap protection circuit shown in FIG. 5;

FIG. 8a is a timing diagram showing the relative timing -of the oscillator output, one-shot output, and charge-control signal of the circuit of FIG. 3;

FIG. 8b is a timing diagram showing the relative timing of the oscillator output, the one-shot output, and the voltage E.sub.L at the drain of the power FET 24 in the circuit of FIG. 3; and

FIG. 8c is a diagram illustrating a typical multiphasic defibrillation pulse waveform for delivery to a heart.

DETAILED DESCRIPTION OF A PRESENTLY PREFERRED EMBODIMENT

FIG. 1 shows a block diagram of a multiphasic defibrillation pulse generator apparatus comprising a presently preferred embodiment of the invention. The apparatus comprises a charging circuit 10, a multiphasic pulse generator 11, and first and second high-voltage charge-storing series capacitors 12,13 positioned between the charging circuit 10 and multiphasic pulse generator 11 in parallel therewith and electrically interconnecting the two. The series connection of the charge-storing capacitors 12,13 establishes three terminals, A, B, and C, with terminal B being a common terminal, and each of the terminals having a different potential when the charge-storing capacitors 12,13 are charged. The multiphasic pulse generator 11 in turn electrically connects to the heart 14 via electrically conductive output and return leads 15,16. Leads 15,16 typically have first and second conductive patches 17,18, or other conductive connectors attached to their respective free ends for making electrical connection to the heart 14 in a manner and location known to those skilled in the art. A voltage level detector 19 is electrically connected across the second charge-storing series capacitor 13, and to the charging circuit 10. A controller 9 supplies control signals over control lines 20 to the charging circuit 10 and multiphasic pulse generator 11 to control their operation.

The first and second charge-storing capacitors 12,13 are suitably 350 microfarad aluminum electrolyte type capacitors such s those manufactured by Rubycon. The controller may be any conventional microprocessor or other digital or analog controller suitable for use in automatic, implantable devices. An example of such controller can be found in U.S. Pat. Nos. 4,390,022 and 4,404,972.

The construction and use of such controllers is well known to those skilled in the art and a description herein is not necessary to an understanding of the present invention.

The controller 9 senses when the heart 14 enters a state of fibrillation and in response generates a "charge enable" control signal. Many ways for sensing and determining fibrillation are known to those skilled in the art, and the controller suitably determines the condition of fibrillation in any such known manner. The "charge enable" signal is conducted by the control lines 20 to the charging circuit 10. In response, the charging circuit 10 very quickly (typically 6-7 seconds) charges the first and second charge-storing capacitors 12,13 to first and second preselected voltages. In the presently preferred embodiment, the capacitors 12,13 are simultaneously charged to equal voltages. The voltage level detector 19 determines when the first and second charge-storing capacitors 12,13 are charged to the preselected voltage levels and generates a "charge disable" control signal which is transmitted over line 8 both to the charging circuit 10 and to the controller 9. The controller then generates a series of control signals which are conducted by the control lines 20 to the multiphasic pulse generator 11. The biphasic pulse 11 is responsive to these control signals to electrically switch the output and return leads 15,16 into and out of contact with the terminals A, B, C of the charge-storing capacitors 12,13, thereby establishing selected discharge paths for the capacitors 12,13 through the heart 14. The polarities, durations, and magnitudes of the discharges are determined by the control signals.

After a first multiphasic defibrillation pulse waveform is delivered to the heart 14, the controller may again sense the heart's condition and initiate additional charging and defibrillation, if necessary. Preferably, the controller senses the electrical activity of the heart 14, and stores the number of defibrillation attempts. When no electrical activity is sensed, or when a predetermined number of unsuccessful defibrillation attempts have been made, the controller preferably does not initiate further defibrillation attempts.

As shown in FIG. 2, the charging circuit preferably has a free-running oscillator 21, the output terminal of which is connected to the trigger terminal of a one-shot 22. The output terminal of the one-shot 22 in turn connects to the input of a driver 23, the output of which controls the gate of an N-channel power FET 24. The source of the power FET 24 is connected to ground while the drain connects to one end of a first primary coil 26 which comprises part of a charging transformer 25. The first primary coil 26 connects at its opposite end to one end of a second primary coil 27. The opposite end of the second primary coil 27 connects to the anode of a diode 32, the cathode of which in turn connects to one terminal of a power switch 33. A capacitor 34 is also preferably connected between the cathode of the diode 32 and ground to inhibit power spikes. The other terminal of the power switch 33 connects to the positive supply input terminals of the oscillator, one shot, and driver 21, 22, and 23 respectively. A control line 20a labelled "charge," connects the controller 9 through the voltage level detector 19 to the enable terminal of the one-shot 22, and to the on/off terminal of the power switch 33.

The secondary of the charging transformer 25 contains first and second secondary coils 28,29. The first secondary coil 28 connects at one end to the anode of a first diode 30a. The cathode terminal of the first diode 30a in turn connects to terminal A of the first charge-storing capacitor 12. At its opposite end, the first secondary coil 28 connects to the common terminal B of the first and second series charge-storing capacitors 12,13. The second secondary coil 29 connects at one end to the anode of a second diode 30b, the cathode of which connects to the common terminal B of the first and second series charge-storing capacitors 12,13. At its opposite end, the second secondary coil 29 connects to terminal C of the second charge-storing capacitor 13.

Also connected to the drain of the power FET 24 is the input of a "flyback" or charge coupling cycle termination detector 31. The output of the "flyback" termination detector 31 is connected to the trigger terminal of the oscillator 21.

A positive voltage supply 28 is tapped between the first and second primary coils 26,27 of the charging transformer 25. The positive voltage supply 28 is preferably capable of providing nine (9) volts DC over a long period of time. In the presently preferred embodiment, three lithium cells stacked in series have been found suitable for this purpose.

As illustrated in the schematic diagram of FIG. 3, an Intersil ICM-7556 dual general purpose timer 35 or equivalent may be used to implement the oscillator 21 and oneshot 22. The ICM-7556 is a CMOS device and is preferred over bipolar equivalents for its very low operating current requirement as compared to equivalent bipolar devices. Additionally, the ICM-7556, being a dual device, provides both space and component savings.

In the presently preferred embodiment, pins 1-6 of the ICM-7556 are used to implement the one-shot 22. A resistor 36 is connected at one end to the supply voltage pin (pin 14) and at the other end to a capacitor 37, and to the one-shot discharge and threshold pins (pins 1,2) in parallel. The opposite end of the capacitor 37 is connected to ground. The RC time constant established by the resistor 36 and capacitor 37 controls the duration of the one-shot output pulse. It has been found that the best efficiency in charging the first and second series capacitors 12,13 is obtained when the duration of the output pulse is approximately eight (8) microseconds, which value is preferred for that reason. This value of duration is preferably obtained by choosing a value for the resistor 36 of approximately 80K ohms, and for the capacitor of approximately 100 picofarads. Although other combinations of resistance and capacitance would also provide the appropriate duration value, it is preferable to use high resistance and low capacitance values to minimize the current drain on the positive voltage source 28.

The one-shot 22 is enabled by the application of a positive signal to the one-shot reset pin (pin 4). Such a signal is supplied by the controller (not shown) through the voltage level detector 19 by way of the "charge" control line 20a. A series 10K ohm resistor 38 preferably limits the current flow to the one-shot reset pin (pin 4). A positive pulse having the s