JP2005507717A - 静脈内ペーシングリードに対する方法及び装置 - Google Patents
静脈内ペーシングリードに対する方法及び装置 Download PDFInfo
- Publication number
- JP2005507717A JP2005507717A JP2003539762A JP2003539762A JP2005507717A JP 2005507717 A JP2005507717 A JP 2005507717A JP 2003539762 A JP2003539762 A JP 2003539762A JP 2003539762 A JP2003539762 A JP 2003539762A JP 2005507717 A JP2005507717 A JP 2005507717A
- Authority
- JP
- Japan
- Prior art keywords
- lead
- cardiac vein
- electrical lead
- distal end
- vasodilator
- 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.)
- Pending
Links
- 238000000034 method Methods 0.000 title claims abstract description 32
- 238000001990 intravenous administration Methods 0.000 title description 4
- 230000000747 cardiac effect Effects 0.000 claims abstract description 58
- 210000003462 vein Anatomy 0.000 claims abstract description 57
- 229940124549 vasodilator Drugs 0.000 claims abstract description 52
- 239000003071 vasodilator agent Substances 0.000 claims abstract description 52
- 210000003748 coronary sinus Anatomy 0.000 claims abstract description 24
- 239000000463 material Substances 0.000 claims abstract description 18
- 210000004204 blood vessel Anatomy 0.000 claims description 16
- 210000005240 left ventricle Anatomy 0.000 claims description 10
- 230000002861 ventricular Effects 0.000 claims description 6
- 239000004020 conductor Substances 0.000 claims description 3
- 238000004873 anchoring Methods 0.000 claims description 2
- 239000011810 insulating material Substances 0.000 claims description 2
- 229920002635 polyurethane Polymers 0.000 claims description 2
- 239000004814 polyurethane Substances 0.000 claims description 2
- 229920006395 saturated elastomer Polymers 0.000 claims description 2
- 230000000916 dilatatory effect Effects 0.000 claims 1
- 229920001296 polysiloxane Polymers 0.000 claims 1
- 230000000694 effects Effects 0.000 description 10
- 210000005245 right atrium Anatomy 0.000 description 7
- 230000004044 response Effects 0.000 description 6
- 230000000638 stimulation Effects 0.000 description 6
- 238000013461 design Methods 0.000 description 5
- 210000003484 anatomy Anatomy 0.000 description 4
- 210000002620 vena cava superior Anatomy 0.000 description 4
- 208000003663 ventricular fibrillation Diseases 0.000 description 4
- 230000007246 mechanism Effects 0.000 description 3
- 210000005241 right ventricle Anatomy 0.000 description 3
- 230000001225 therapeutic effect Effects 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 206010003119 arrhythmia Diseases 0.000 description 2
- 230000006793 arrhythmia Effects 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 230000010339 dilation Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000002600 fibrillogenic effect Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000033764 rhythmic process Effects 0.000 description 2
- 230000002411 adverse Effects 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 206010061592 cardiac fibrillation Diseases 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000001862 defibrillatory effect Effects 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 210000005246 left atrium Anatomy 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- XQYZDYMELSJDRZ-UHFFFAOYSA-N papaverine Chemical compound C1=C(OC)C(OC)=CC=C1CC1=NC=CC2=CC(OC)=C(OC)C=C12 XQYZDYMELSJDRZ-UHFFFAOYSA-N 0.000 description 1
- 229960001789 papaverine Drugs 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 206010047302 ventricular tachycardia 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
- A61N1/056—Transvascular endocardial electrode systems
- A61N1/0565—Electrode heads
- A61N1/0568—Electrode heads with drug delivery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M2025/0057—Catheters delivering medicament other than through a conventional lumen, e.g. porous walls or hydrogel coatings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0177—Introducing, guiding, advancing, emplacing or holding catheters having external means for receiving guide wires, wires or stiffening members, e.g. loops, clamps or lateral tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
- A61M25/007—Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
-
- 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
- A61N1/056—Transvascular endocardial electrode systems
- A61N2001/0585—Coronary sinus electrodes
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Radiology & Medical Imaging (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medicinal Chemistry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/041,802 US6936040B2 (en) | 2001-10-29 | 2001-10-29 | Method and apparatus for endovenous pacing lead |
| PCT/US2002/031982 WO2003037423A1 (en) | 2001-10-29 | 2002-10-07 | Method and apparatus for endovenous pacing lead |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2005507717A true JP2005507717A (ja) | 2005-03-24 |
| JP2005507717A5 JP2005507717A5 (enExample) | 2005-12-22 |
Family
ID=21918390
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2003539762A Pending JP2005507717A (ja) | 2001-10-29 | 2002-10-07 | 静脈内ペーシングリードに対する方法及び装置 |
Country Status (5)
| Country | Link |
|---|---|
| US (3) | US6936040B2 (enExample) |
| EP (1) | EP1444005A1 (enExample) |
| JP (1) | JP2005507717A (enExample) |
| CA (1) | CA2460053A1 (enExample) |
| WO (1) | WO2003037423A1 (enExample) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2012108108A1 (ja) * | 2011-02-08 | 2012-08-16 | テルモ株式会社 | リード組立体、電気刺激装置およびリード |
Families Citing this family (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AUPR148400A0 (en) | 2000-11-14 | 2000-12-07 | Cochlear Limited | Apparatus for delivery of pharmaceuticals to the cochlea |
| US9089450B2 (en) * | 2000-11-14 | 2015-07-28 | Cochlear Limited | Implantatable component having an accessible lumen and a drug release capsule for introduction into same |
| US6936040B2 (en) * | 2001-10-29 | 2005-08-30 | Medtronic, Inc. | Method and apparatus for endovenous pacing lead |
| AUPR879201A0 (en) * | 2001-11-09 | 2001-12-06 | Cochlear Limited | Subthreshold stimulation of a cochlea |
| AT507045B1 (de) * | 2002-11-29 | 2010-04-15 | Cochlear Ltd | Implantierbare, gewebe-stimulierende vorrichtung |
| US20050080472A1 (en) * | 2003-10-10 | 2005-04-14 | Atkinson Robert Emmett | Lead stabilization devices and methods |
| US20080212563A1 (en) * | 2005-02-25 | 2008-09-04 | Koninklijke Philips Electronics, N.V. | Method And Apparatus For Synchronizing Wireless Receiver |
| WO2008112870A2 (en) | 2007-03-13 | 2008-09-18 | University Of Virginia Patent Foundation | Epicardial ablation catheter and method of use |
| US11058354B2 (en) | 2007-03-19 | 2021-07-13 | University Of Virginia Patent Foundation | Access needle with direct visualization and related methods |
| US9468396B2 (en) | 2007-03-19 | 2016-10-18 | University Of Virginia Patent Foundation | Systems and methods for determining location of an access needle in a subject |
| AU2008229154B2 (en) | 2007-03-19 | 2013-12-19 | University Of Virginia Patent Foundation | Access needle pressure sensor device and method of use |
| US9211405B2 (en) | 2007-03-22 | 2015-12-15 | University Of Virginia Patent Foundation | Electrode catheter for ablation purposes and related method thereof |
| WO2009062061A1 (en) | 2007-11-09 | 2009-05-14 | University Of Virginia Patent Foundation | Steerable epicardial pacing catheter system placed via the subxiphoid process |
| JP5247884B2 (ja) * | 2008-08-12 | 2013-07-24 | カーディアック ペースメイカーズ， インコーポレイテッド | 埋め込み型リードおよび冠状静脈圧センサー装置 |
| US9642534B2 (en) | 2009-09-11 | 2017-05-09 | University Of Virginia Patent Foundation | Systems and methods for determining location of an access needle in a subject |
| EP2537149B1 (en) | 2010-02-18 | 2017-10-25 | University Of Virginia Patent Foundation | System, method, and computer program product for simulating epicardial electrophysiology procedures |
| US8617097B2 (en) | 2010-05-24 | 2013-12-31 | Cochlear Limited | Drug-delivery accessory for an implantable medical device |
| US8795319B2 (en) | 2011-03-02 | 2014-08-05 | Cook Medical Technologies Llc | Embolization coil |
| US9289593B1 (en) | 2011-10-11 | 2016-03-22 | A-Hamid Hakki | Endovascular electrode system for tissue stimulation |
| US9775991B1 (en) | 2011-10-11 | 2017-10-03 | A-Hamid Hakki | Endovascular electrode system for tissue stimulation with embedded generator |
| US10500394B1 (en) | 2011-10-11 | 2019-12-10 | A-Hamid Hakki | Pacemaker system equipped with a flexible intercostal generator |
| US10456581B2 (en) | 2015-11-20 | 2019-10-29 | Cardiac Pacemakers, Inc | Single pass coronary venous lead for multiple chamber sense and pace |
Family Cites Families (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4375817A (en) * | 1979-07-19 | 1983-03-08 | Medtronic, Inc. | Implantable cardioverter |
| US4506680A (en) * | 1983-03-17 | 1985-03-26 | Medtronic, Inc. | Drug dispensing body implantable lead |
| US5033998A (en) * | 1984-01-20 | 1991-07-23 | Eliot Corday | Retrograde delivery of pharmacologic and diagnostic agents via venous circulation |
| US5350395A (en) * | 1986-04-15 | 1994-09-27 | Yock Paul G | Angioplasty apparatus facilitating rapid exchanges |
| JPS63158064A (ja) * | 1986-12-23 | 1988-07-01 | テルモ株式会社 | 血管拡張カテ−テル |
| US4819662A (en) * | 1987-10-26 | 1989-04-11 | Cardiac Pacemakers, Inc. | Cardiac electrode with drug delivery capabilities |
| US4946457A (en) * | 1987-12-03 | 1990-08-07 | Dimed, Incorporated | Defibrillator system with cardiac leads and method for transvenous implantation |
| CA1327838C (fr) * | 1988-06-13 | 1994-03-15 | Fred Zacouto | Dispositif implantable de protection contre les affections liees a la coagulation sanguine |
| AU4191989A (en) | 1988-08-24 | 1990-03-23 | Marvin J. Slepian | Biodegradable polymeric endoluminal sealing |
| US5234407A (en) * | 1991-03-06 | 1993-08-10 | Baxter International Inc. | Method and device for exchanging cardiovascular guide catheter while a previously inserted angioplasty guide wire remains in place |
| WO1994021320A1 (en) * | 1993-03-15 | 1994-09-29 | Advanced Cardiovascular Systems, Inc. | Fluid delivery catheter |
| US5523092A (en) * | 1993-04-14 | 1996-06-04 | Emory University | Device for local drug delivery and methods for using the same |
| US5681278A (en) * | 1994-06-23 | 1997-10-28 | Cormedics Corp. | Coronary vasculature treatment method |
| US5571085A (en) * | 1995-03-24 | 1996-11-05 | Electro-Catheter Corporation | Steerable open lumen catheter |
| US5571161A (en) * | 1995-04-12 | 1996-11-05 | Starksen; Niel F. | Apparatus and method for implanting electrical leads in the heart |
| US5609629A (en) * | 1995-06-07 | 1997-03-11 | Med Institute, Inc. | Coated implantable medical device |
| JPH11507251A (ja) * | 1995-06-07 | 1999-06-29 | カーディマ・インコーポレイテッド | 冠状静脈洞用のガイドカテーテル |
| US5755766A (en) * | 1997-01-24 | 1998-05-26 | Cardiac Pacemakers, Inc. | Open-ended intravenous cardiac lead |
| US6086582A (en) * | 1997-03-13 | 2000-07-11 | Altman; Peter A. | Cardiac drug delivery system |
| TW422712B (en) * | 1997-04-01 | 2001-02-21 | Wako Pure Chem Ind Ltd | Liquid test components separation method and equipment thereof |
| US6070104A (en) | 1997-11-28 | 2000-05-30 | Medtronic, Inc. | Medical electrical right atrium and coronary sinus lead |
| US5916209A (en) * | 1997-12-24 | 1999-06-29 | Mick; Matthew J. | Coronary catheters for use in a transradial catheterization |
| US6364856B1 (en) * | 1998-04-14 | 2002-04-02 | Boston Scientific Corporation | Medical device with sponge coating for controlled drug release |
| US6408213B1 (en) * | 1999-09-29 | 2002-06-18 | Cardiac Pacemakers, Inc. | Low profile, ventricular, transvenous, epicardial defibrillation lead |
| US6584362B1 (en) * | 2000-08-30 | 2003-06-24 | Cardiac Pacemakers, Inc. | Leads for pacing and/or sensing the heart from within the coronary veins |
| US6510348B2 (en) * | 2000-12-20 | 2003-01-21 | Medtronic, Inc. | Perfusion lead and method of use |
| US6711443B2 (en) * | 2001-07-25 | 2004-03-23 | Oscor Inc. | Implantable coronary sinus lead and method of implant |
| US6936040B2 (en) * | 2001-10-29 | 2005-08-30 | Medtronic, Inc. | Method and apparatus for endovenous pacing lead |
| US6889091B2 (en) * | 2002-03-06 | 2005-05-03 | Medtronic, Inc. | Method and apparatus for placing a coronary sinus/cardiac vein pacing lead using a multi-purpose side lumen |
-
2001
- 2001-10-29 US US10/041,802 patent/US6936040B2/en not_active Expired - Fee Related
-
2002
- 2002-10-07 EP EP02802432A patent/EP1444005A1/en not_active Withdrawn
- 2002-10-07 CA CA002460053A patent/CA2460053A1/en not_active Abandoned
- 2002-10-07 WO PCT/US2002/031982 patent/WO2003037423A1/en not_active Ceased
- 2002-10-07 JP JP2003539762A patent/JP2005507717A/ja active Pending
-
2005
- 2005-04-06 US US11/099,773 patent/US20050177218A1/en not_active Abandoned
- 2005-07-25 US US11/189,053 patent/US7657323B2/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2012108108A1 (ja) * | 2011-02-08 | 2012-08-16 | テルモ株式会社 | リード組立体、電気刺激装置およびリード |
| JP2012161496A (ja) * | 2011-02-08 | 2012-08-30 | Terumo Corp | リード組立体、電気刺激装置およびリード |
Also Published As
| Publication number | Publication date |
|---|---|
| US20030083725A1 (en) | 2003-05-01 |
| US7657323B2 (en) | 2010-02-02 |
| US6936040B2 (en) | 2005-08-30 |
| US20050256559A1 (en) | 2005-11-17 |
| WO2003037423B1 (en) | 2003-12-04 |
| US20050177218A1 (en) | 2005-08-11 |
| WO2003037423A8 (en) | 2004-03-25 |
| CA2460053A1 (en) | 2003-05-08 |
| WO2003037423A1 (en) | 2003-05-08 |
| EP1444005A1 (en) | 2004-08-11 |
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