EP3071289A1 - Lead implantation method - Google Patents
Lead implantation methodInfo
- Publication number
- EP3071289A1 EP3071289A1 EP14864930.4A EP14864930A EP3071289A1 EP 3071289 A1 EP3071289 A1 EP 3071289A1 EP 14864930 A EP14864930 A EP 14864930A EP 3071289 A1 EP3071289 A1 EP 3071289A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- lead
- suture
- distal end
- anchoring member
- electrode
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 238000000034 method Methods 0.000 title claims abstract description 32
- 238000002513 implantation Methods 0.000 title claims abstract description 24
- 210000000111 lower esophageal sphincter Anatomy 0.000 claims abstract description 81
- 238000004873 anchoring Methods 0.000 claims abstract description 59
- 230000004936 stimulating effect Effects 0.000 claims abstract description 37
- 208000021302 gastroesophageal reflux disease Diseases 0.000 claims abstract description 20
- 230000003387 muscular Effects 0.000 claims abstract description 16
- 208000034991 Hiatal Hernia Diseases 0.000 claims abstract description 12
- 206010020028 Hiatus hernia Diseases 0.000 claims abstract description 12
- 230000008439 repair process Effects 0.000 claims abstract description 8
- 210000000683 abdominal cavity Anatomy 0.000 claims abstract description 7
- 210000003815 abdominal wall Anatomy 0.000 claims abstract description 6
- 229910052751 metal Inorganic materials 0.000 claims description 14
- 239000002184 metal Substances 0.000 claims description 14
- 230000003187 abdominal effect Effects 0.000 claims description 5
- 239000007943 implant Substances 0.000 claims description 5
- 210000001699 lower leg Anatomy 0.000 claims description 5
- 230000008878 coupling Effects 0.000 claims description 4
- 238000010168 coupling process Methods 0.000 claims description 4
- 238000005859 coupling reaction Methods 0.000 claims description 4
- 238000002224 dissection Methods 0.000 claims description 4
- 239000011810 insulating material Substances 0.000 claims description 4
- 208000000289 Esophageal Achalasia Diseases 0.000 claims description 2
- 208000030644 Esophageal Motility disease Diseases 0.000 claims description 2
- 206010030136 Oesophageal achalasia Diseases 0.000 claims description 2
- 208000014174 Oesophageal disease Diseases 0.000 claims description 2
- 201000000621 achalasia Diseases 0.000 claims description 2
- 201000011191 dyskinesia of esophagus Diseases 0.000 claims description 2
- 239000012777 electrically insulating material Substances 0.000 claims description 2
- 208000028299 esophageal disease Diseases 0.000 claims description 2
- 210000003484 anatomy Anatomy 0.000 abstract description 16
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract description 5
- 206010019909 Hernia Diseases 0.000 abstract description 2
- 210000003236 esophagogastric junction Anatomy 0.000 abstract description 2
- 230000000638 stimulation Effects 0.000 description 19
- 210000001519 tissue Anatomy 0.000 description 17
- 208000008589 Obesity Diseases 0.000 description 13
- 230000002496 gastric effect Effects 0.000 description 11
- 210000003238 esophagus Anatomy 0.000 description 9
- 235000020824 obesity Nutrition 0.000 description 8
- 210000002784 stomach Anatomy 0.000 description 6
- 206010033307 Overweight Diseases 0.000 description 5
- 208000012696 congenital leptin deficiency Diseases 0.000 description 5
- 208000001022 morbid obesity Diseases 0.000 description 5
- 238000002560 therapeutic procedure Methods 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 206010021518 Impaired gastric emptying Diseases 0.000 description 2
- 206010047700 Vomiting Diseases 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 210000005022 abdominal esophagus Anatomy 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000037396 body weight Effects 0.000 description 2
- 210000002318 cardia Anatomy 0.000 description 2
- 230000001684 chronic effect Effects 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000035475 disorder Diseases 0.000 description 2
- 208000001288 gastroparesis Diseases 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- WABPQHHGFIMREM-NOHWODKXSA-N lead-200 Chemical compound [200Pb] WABPQHHGFIMREM-NOHWODKXSA-N 0.000 description 2
- 210000004185 liver Anatomy 0.000 description 2
- 210000004877 mucosa Anatomy 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000000472 traumatic effect Effects 0.000 description 2
- 208000023514 Barrett esophagus Diseases 0.000 description 1
- 208000023665 Barrett oesophagus Diseases 0.000 description 1
- 208000026310 Breast neoplasm Diseases 0.000 description 1
- 201000009030 Carcinoma Diseases 0.000 description 1
- 208000017897 Carcinoma of esophagus Diseases 0.000 description 1
- 201000004624 Dermatitis Diseases 0.000 description 1
- 208000032928 Dyslipidaemia Diseases 0.000 description 1
- 208000000461 Esophageal Neoplasms Diseases 0.000 description 1
- 208000018522 Gastrointestinal disease Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 208000017170 Lipid metabolism disease Diseases 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 206010030216 Oesophagitis Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 206010035004 Pickwickian syndrome Diseases 0.000 description 1
- 208000034189 Sclerosis Diseases 0.000 description 1
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 208000025865 Ulcer Diseases 0.000 description 1
- 208000002495 Uterine Neoplasms Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 201000001883 cholelithiasis Diseases 0.000 description 1
- 206010012601 diabetes mellitus Diseases 0.000 description 1
- 208000010643 digestive system disease Diseases 0.000 description 1
- 208000037765 diseases and disorders Diseases 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 201000006549 dyspepsia Diseases 0.000 description 1
- 210000000105 enteric nervous system Anatomy 0.000 description 1
- 208000006881 esophagitis Diseases 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 210000002683 foot Anatomy 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 208000001130 gallstones Diseases 0.000 description 1
- 210000004211 gastric acid Anatomy 0.000 description 1
- 208000018685 gastrointestinal system disease Diseases 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000005802 health problem Effects 0.000 description 1
- 208000024798 heartburn Diseases 0.000 description 1
- 210000001624 hip Anatomy 0.000 description 1
- 208000000509 infertility Diseases 0.000 description 1
- 230000036512 infertility Effects 0.000 description 1
- 231100000535 infertility Toxicity 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004899 motility Effects 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 230000008855 peristalsis Effects 0.000 description 1
- 230000005180 public health Effects 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 230000036186 satiety Effects 0.000 description 1
- 235000019627 satiety Nutrition 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 201000002859 sleep apnea Diseases 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 239000004557 technical material Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 201000005060 thrombophlebitis Diseases 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 230000008736 traumatic injury Effects 0.000 description 1
- 231100000397 ulcer Toxicity 0.000 description 1
- 206010046766 uterine cancer Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0517—Esophageal electrodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0507—Electrodes for the digestive system
- A61N1/0509—Stomach and intestinal electrodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
- A61B2017/00827—Treatment of gastro-esophageal reflux
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0417—T-fasteners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361906825P | 2013-11-20 | 2013-11-20 | |
PCT/US2014/066578 WO2015077435A1 (en) | 2013-11-20 | 2014-11-20 | Lead implantation method |
Publications (2)
Publication Number | Publication Date |
---|---|
EP3071289A1 true EP3071289A1 (en) | 2016-09-28 |
EP3071289A4 EP3071289A4 (en) | 2017-05-31 |
Family
ID=53180129
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP14864930.4A Withdrawn EP3071289A4 (en) | 2013-11-20 | 2014-11-20 | Lead implantation method |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP3071289A4 (en) |
CN (1) | CN105939755A (en) |
AU (1) | AU2014352987A1 (en) |
WO (1) | WO2015077435A1 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10376694B2 (en) | 2008-10-09 | 2019-08-13 | Virender K. Sharma | Method and apparatus for stimulating the vascular system |
US10603489B2 (en) | 2008-10-09 | 2020-03-31 | Virender K. Sharma | Methods and apparatuses for stimulating blood vessels in order to control, treat, and/or prevent a hemorrhage |
Families Citing this family (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9020597B2 (en) | 2008-11-12 | 2015-04-28 | Endostim, Inc. | Device and implantation system for electrical stimulation of biological systems |
US9345879B2 (en) | 2006-10-09 | 2016-05-24 | Endostim, Inc. | Device and implantation system for electrical stimulation of biological systems |
US11577077B2 (en) | 2006-10-09 | 2023-02-14 | Endostim, Inc. | Systems and methods for electrical stimulation of biological systems |
US20150224310A1 (en) | 2006-10-09 | 2015-08-13 | Endostim, Inc. | Device and Implantation System for Electrical Stimulation of Biological Systems |
US9724510B2 (en) | 2006-10-09 | 2017-08-08 | Endostim, Inc. | System and methods for electrical stimulation of biological systems |
DE212011100038U1 (en) | 2010-03-05 | 2012-07-17 | Endostim, Inc. | Device and implantation system for electrical stimulation of biological systems |
US11717681B2 (en) | 2010-03-05 | 2023-08-08 | Endostim, Inc. | Systems and methods for treating gastroesophageal reflux disease |
CN103596515A (en) | 2011-04-14 | 2014-02-19 | 恩多斯提姆公司 | Systems and methods for treating gastroesophageal reflux disease |
US9925367B2 (en) | 2011-09-02 | 2018-03-27 | Endostim, Inc. | Laparoscopic lead implantation method |
US9782583B2 (en) | 2012-02-21 | 2017-10-10 | Virender K. Sharma | System and method for electrical stimulation of anorectal structures to treat urinary dysfunction |
US8706234B2 (en) | 2012-02-21 | 2014-04-22 | Virender K. Sharma | System and method for electrical stimulation of anorectal structures to treat anal dysfunction |
US10576278B2 (en) | 2012-02-21 | 2020-03-03 | Virender K. Sharma | System and method for electrical stimulation of anorectal structures to treat urinary dysfunction |
AU2013305543A1 (en) | 2012-08-23 | 2015-03-19 | Endostim, Inc. | Device and implantation system for electrical stimulation of biological systems |
US9498619B2 (en) | 2013-02-26 | 2016-11-22 | Endostim, Inc. | Implantable electrical stimulation leads |
WO2015034867A2 (en) | 2013-09-03 | 2015-03-12 | Endostim, Inc. | Methods and systems of electrode polarity switching in electrical stimulation therapy |
WO2016081468A2 (en) | 2014-11-17 | 2016-05-26 | Endostim, Inc. | Implantable electro-medical device programmable for improved operational life |
ES2955721T3 (en) | 2014-12-09 | 2023-12-05 | Mordechay Esh | Non-invasive device to treat gastroesophageal reflux disease |
US11819683B2 (en) | 2016-11-17 | 2023-11-21 | Endostim, Inc. | Modular stimulation system for the treatment of gastrointestinal disorders |
JP2021507755A (en) * | 2017-12-21 | 2021-02-25 | ガルバニ バイオエレクトロニクス リミテッド | Systems and methods configured to insert implants into the abdominal wall cavity |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3910281A (en) * | 1973-10-09 | 1975-10-07 | Bio Medicus Inc | Suture anchor |
US5861014A (en) * | 1997-04-30 | 1999-01-19 | Medtronic, Inc. | Method and apparatus for sensing a stimulating gastrointestinal tract on-demand |
US5769881A (en) * | 1997-05-22 | 1998-06-23 | Sulzer Intermedics Inc. | Endocardial lead with multiple branches |
US7039470B1 (en) * | 2000-09-26 | 2006-05-02 | Micronet Medical, Inc. | Medical lead and method for medical lead manufacture |
US7463934B2 (en) * | 2002-04-12 | 2008-12-09 | Medtronic, Inc. | Implantable medical device with captivation fixation |
US20070282410A1 (en) * | 2006-04-28 | 2007-12-06 | Cross Thomas E Jr | Implantable medical lead assemblies with improved flexibility and extensibility and having a substantially two-dimensional nature |
MX2012001181A (en) * | 2009-09-21 | 2012-04-30 | Medtronic Inc | Waveforms for electrical stimulation therapy. |
CN103596515A (en) * | 2011-04-14 | 2014-02-19 | 恩多斯提姆公司 | Systems and methods for treating gastroesophageal reflux disease |
US9498619B2 (en) * | 2013-02-26 | 2016-11-22 | Endostim, Inc. | Implantable electrical stimulation leads |
-
2014
- 2014-11-20 AU AU2014352987A patent/AU2014352987A1/en not_active Abandoned
- 2014-11-20 CN CN201480071598.1A patent/CN105939755A/en active Pending
- 2014-11-20 WO PCT/US2014/066578 patent/WO2015077435A1/en active Application Filing
- 2014-11-20 EP EP14864930.4A patent/EP3071289A4/en not_active Withdrawn
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10376694B2 (en) | 2008-10-09 | 2019-08-13 | Virender K. Sharma | Method and apparatus for stimulating the vascular system |
US10603489B2 (en) | 2008-10-09 | 2020-03-31 | Virender K. Sharma | Methods and apparatuses for stimulating blood vessels in order to control, treat, and/or prevent a hemorrhage |
US11517749B2 (en) | 2008-10-09 | 2022-12-06 | Virender K. Sharma | Methods and apparatuses for stimulating blood vessels in order to control, treat, and/or prevent a hemorrhage |
Also Published As
Publication number | Publication date |
---|---|
CN105939755A (en) | 2016-09-14 |
AU2014352987A1 (en) | 2016-06-09 |
WO2015077435A1 (en) | 2015-05-28 |
EP3071289A4 (en) | 2017-05-31 |
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Legal Events
Date | Code | Title | Description |
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PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
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17P | Request for examination filed |
Effective date: 20160607 |
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AX | Request for extension of the european patent |
Extension state: BA ME |
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DAX | Request for extension of the european patent (deleted) | ||
A4 | Supplementary search report drawn up and despatched |
Effective date: 20170504 |
|
RIC1 | Information provided on ipc code assigned before grant |
Ipc: A61N 1/375 20060101ALI20170426BHEP Ipc: A61N 1/05 20060101AFI20170426BHEP |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE |
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STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
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18D | Application deemed to be withdrawn |
Effective date: 20200603 |