JP2010508904A - 引っ込み可能な螺旋体を有する心臓用リード - Google Patents
引っ込み可能な螺旋体を有する心臓用リード Download PDFInfo
- Publication number
- JP2010508904A JP2010508904A JP2009535373A JP2009535373A JP2010508904A JP 2010508904 A JP2010508904 A JP 2010508904A JP 2009535373 A JP2009535373 A JP 2009535373A JP 2009535373 A JP2009535373 A JP 2009535373A JP 2010508904 A JP2010508904 A JP 2010508904A
- Authority
- JP
- Japan
- Prior art keywords
- distal
- management system
- helix
- lead
- 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.)
- Pending
Links
- 230000000747 cardiac effect Effects 0.000 title claims abstract description 40
- 210000002216 heart Anatomy 0.000 claims abstract description 40
- 230000033764 rhythmic process Effects 0.000 claims abstract description 40
- 239000003814 drug Substances 0.000 claims description 7
- 230000007246 mechanism Effects 0.000 claims description 7
- 210000005166 vasculature Anatomy 0.000 claims description 7
- 238000004873 anchoring Methods 0.000 claims description 6
- 238000003780 insertion Methods 0.000 claims description 4
- 230000037431 insertion Effects 0.000 claims description 4
- 229940124597 therapeutic agent Drugs 0.000 claims description 3
- 230000000087 stabilizing effect Effects 0.000 abstract 1
- 210000001519 tissue Anatomy 0.000 description 22
- 230000002107 myocardial effect Effects 0.000 description 16
- 239000004020 conductor Substances 0.000 description 9
- 238000000034 method Methods 0.000 description 7
- 210000005242 cardiac chamber Anatomy 0.000 description 5
- 238000012986 modification Methods 0.000 description 4
- 230000004048 modification Effects 0.000 description 4
- 210000004165 myocardium Anatomy 0.000 description 3
- 210000005245 right atrium Anatomy 0.000 description 3
- 210000005241 right ventricle Anatomy 0.000 description 3
- 210000002620 vena cava superior Anatomy 0.000 description 3
- 230000002861 ventricular Effects 0.000 description 3
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 210000005240 left ventricle Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 230000002441 reversible effect Effects 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 208000011616 HELIX syndrome Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 229910001260 Pt alloy Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 229920000249 biocompatible polymer Polymers 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000004070 electrodeposition Methods 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 239000011810 insulating material Substances 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 210000005246 left atrium Anatomy 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 239000012811 non-conductive material Substances 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 210000001147 pulmonary artery Anatomy 0.000 description 1
- 210000003102 pulmonary valve Anatomy 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 125000002345 steroid group Chemical group 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 210000000596 ventricular septum Anatomy 0.000 description 1
Images
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
- A61N1/057—Anchoring means; Means for fixing the head inside the heart
- A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
-
- 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
- A61N1/057—Anchoring means; Means for fixing the head inside the heart
- A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
- A61N1/0575—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook with drug delivery
-
- 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
- A61N1/057—Anchoring means; Means for fixing the head inside the heart
- A61N2001/0578—Anchoring means; Means for fixing the head inside the heart having means for removal or extraction
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (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 |
|---|---|---|---|
| US11/557,815 US7657326B2 (en) | 2006-11-08 | 2006-11-08 | Cardiac lead with a retractable helix |
| PCT/US2007/077528 WO2008057651A1 (en) | 2006-11-08 | 2007-09-04 | Cardiac lead with a retractable helix |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2010508904A true JP2010508904A (ja) | 2010-03-25 |
| JP2010508904A5 JP2010508904A5 (enExample) | 2010-10-21 |
Family
ID=38923135
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2009535373A Pending JP2010508904A (ja) | 2006-11-08 | 2007-09-04 | 引っ込み可能な螺旋体を有する心臓用リード |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US7657326B2 (enExample) |
| EP (1) | EP2079509A1 (enExample) |
| JP (1) | JP2010508904A (enExample) |
| WO (1) | WO2008057651A1 (enExample) |
Families Citing this family (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU2003272951A1 (en) * | 2002-11-19 | 2004-06-15 | Nihon University | Balloon catheter and device for injecting medical treatment method |
| US8852270B2 (en) | 2007-11-15 | 2014-10-07 | Cardiosolutions, Inc. | Implant delivery system and method |
| US7785366B2 (en) | 2005-10-26 | 2010-08-31 | Maurer Christopher W | Mitral spacer |
| US8216302B2 (en) | 2005-10-26 | 2012-07-10 | Cardiosolutions, Inc. | Implant delivery and deployment system and method |
| US8778017B2 (en) | 2005-10-26 | 2014-07-15 | Cardiosolutions, Inc. | Safety for mitral valve implant |
| US9259317B2 (en) | 2008-06-13 | 2016-02-16 | Cardiosolutions, Inc. | System and method for implanting a heart implant |
| US8092525B2 (en) | 2005-10-26 | 2012-01-10 | Cardiosolutions, Inc. | Heart valve implant |
| US8449606B2 (en) | 2005-10-26 | 2013-05-28 | Cardiosolutions, Inc. | Balloon mitral spacer |
| EP1957152B1 (en) * | 2005-11-30 | 2011-06-08 | St Jude Medical AB | Endocardial lead |
| US8480730B2 (en) * | 2007-05-14 | 2013-07-09 | Cardiosolutions, Inc. | Solid construct mitral spacer |
| US8597347B2 (en) | 2007-11-15 | 2013-12-03 | Cardiosolutions, Inc. | Heart regurgitation method and apparatus |
| WO2009079037A1 (en) | 2007-12-14 | 2009-06-25 | Cardiac Pacemakers, Inc. | Fixation helix and multipolar medical electrode |
| CA2715015A1 (en) * | 2008-03-17 | 2009-09-24 | Surgivision, Inc. | Low profile medical devices with internal drive shafts that cooperate with releasably engageable drive tools and related methods |
| US8591460B2 (en) | 2008-06-13 | 2013-11-26 | Cardiosolutions, Inc. | Steerable catheter and dilator and system and method for implanting a heart implant |
| WO2010114429A1 (en) | 2009-03-31 | 2010-10-07 | St. Jude Medical Ab | A medical implantable lead and a method for manufacturing of such a lead |
| US8634933B2 (en) | 2010-05-17 | 2014-01-21 | Cardiac Pacemakers, Inc. | Active fixation leads and method of assembly |
| WO2012088118A1 (en) * | 2010-12-20 | 2012-06-28 | Nanostim, Inc. | Leadless pacemaker with radial fixation mechanism |
| US8755909B2 (en) * | 2012-06-01 | 2014-06-17 | Medtronic, Inc. | Active fixation medical electrical lead |
| WO2014159568A1 (en) | 2013-03-12 | 2014-10-02 | Cardiac Pacemakers, Inc. | Implantable medical devices with separate fixation mechanism |
| US9289297B2 (en) | 2013-03-15 | 2016-03-22 | Cardiosolutions, Inc. | Mitral valve spacer and system and method for implanting the same |
| US9232998B2 (en) | 2013-03-15 | 2016-01-12 | Cardiosolutions Inc. | Trans-apical implant systems, implants and methods |
| US9980812B2 (en) | 2013-06-14 | 2018-05-29 | Cardiosolutions, Inc. | Mitral valve spacer and system and method for implanting the same |
| US10315028B2 (en) * | 2014-04-23 | 2019-06-11 | Medtronic, Inc. | Active fixation medical electrical lead |
| FR3022790A1 (fr) * | 2014-06-25 | 2016-01-01 | Sorin Crm Sas | Capsule implantable a fixation par vissage, notamment capsule autonome de stimulation cardiaque |
| EP2959936B1 (fr) * | 2014-06-25 | 2021-03-31 | Sorin CRM SAS | Capsule inplantable à fixation par vissage, notamment capsule autonome de stimulation cardiaque |
| US10737102B2 (en) | 2017-01-26 | 2020-08-11 | Cardiac Pacemakers, Inc. | Leadless implantable device with detachable fixation |
| NL2019577B1 (en) | 2017-09-19 | 2019-03-28 | Cardiac Pacemakers Inc | Stimulation/sensing electrode fixation device and electrical lead |
| EP4233997B1 (en) | 2017-11-06 | 2024-12-18 | Pacesetter, Inc. | Biostimulator having fixation element |
| WO2019209651A1 (en) | 2018-04-23 | 2019-10-31 | Cardiac Pacemakers, Inc. | Multipolar lead for his bundle pacing |
| US11577086B2 (en) | 2018-08-20 | 2023-02-14 | Pacesetter, Inc. | Fixation mechanisms for a leadless cardiac biostimulator |
| EP3866912B1 (en) | 2018-10-16 | 2023-07-12 | Cardiac Pacemakers, Inc. | His bundle lead with extensible electrode and repositioning features |
| USD894396S1 (en) | 2019-03-08 | 2020-08-25 | Pacesetter, Inc. | Leadless biostimulator attachment feature |
| US11541243B2 (en) | 2019-03-15 | 2023-01-03 | Pacesetter, Inc. | Biostimulator having coaxial fixation elements |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2724566A1 (fr) * | 1994-09-16 | 1996-03-22 | Dev Sed Soc Et | Dispositif de manoeuvre motorisee d'une sonde cardiaque a electrode, notamment a helice retractable |
| US5575814A (en) * | 1995-01-27 | 1996-11-19 | Medtronic, Inc. | Active fixation medical electrical lead having mapping capability |
| US6269272B1 (en) * | 1999-08-03 | 2001-07-31 | Intermedics, Inc. | Cardiac pacemaker lead with dual pitch fixation apparatus |
| JP2001511405A (ja) * | 1997-07-30 | 2001-08-14 | インターメディクス インコーポレーテッド | 外部誘導管をもつ小径心内膜リード |
| US20050165452A1 (en) * | 2004-01-28 | 2005-07-28 | Medtronic, Inc. | Antithrombogenic medical device |
Family Cites Families (23)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE2732547A1 (de) * | 1977-07-19 | 1979-02-01 | Bisping Hans Juergen | Implantierbare elektrode |
| US4282885A (en) * | 1978-08-21 | 1981-08-11 | Bisping Hans Juergen | Electrode for implantation in the heart |
| DE3708133A1 (de) * | 1987-03-13 | 1988-09-22 | Bisping Hans Juergen | Implantierbare elektrodensonde mit ausfahrbarer schraubelektrode |
| US5003992A (en) * | 1989-08-23 | 1991-04-02 | Holleman Timothy W | Atraumatic screw-in lead |
| US5076285A (en) * | 1990-03-30 | 1991-12-31 | Medtronic, Inc. | Screw-in lead |
| US5129404A (en) * | 1990-12-21 | 1992-07-14 | Intermedics, Inc. | Implantable endocardial lead with retractable fixation apparatus |
| US5259395A (en) * | 1992-01-15 | 1993-11-09 | Siemens Pacesetter, Inc. | Pacemaker lead with extendable retractable lockable fixing helix |
| US5447533A (en) * | 1992-09-03 | 1995-09-05 | Pacesetter, Inc. | Implantable stimulation lead having an advanceable therapeutic drug delivery system |
| US6086582A (en) * | 1997-03-13 | 2000-07-11 | Altman; Peter A. | Cardiac drug delivery system |
| US6212434B1 (en) * | 1998-07-22 | 2001-04-03 | Cardiac Pacemakers, Inc. | Single pass lead system |
| US6152954A (en) * | 1998-07-22 | 2000-11-28 | Cardiac Pacemakers, Inc. | Single pass lead having retractable, actively attached electrode for pacing and sensing |
| US5964795A (en) * | 1998-03-13 | 1999-10-12 | Medtronic, Inc. | Medical electrical lead |
| US6296630B1 (en) * | 1998-04-08 | 2001-10-02 | Biocardia, Inc. | Device and method to slow or stop the heart temporarily |
| US6256541B1 (en) * | 1998-04-17 | 2001-07-03 | Cardiac Pacemakers, Inc. | Endocardial lead having defibrillation and sensing electrodes with septal anchoring |
| US6463334B1 (en) * | 1998-11-02 | 2002-10-08 | Cardiac Pacemakers, Inc. | Extendable and retractable lead |
| US6687550B1 (en) * | 2001-06-01 | 2004-02-03 | Pacesetter, Inc. | Active fixation electrode lead having an electrical coupling mechanism |
| US6819959B1 (en) * | 2001-11-21 | 2004-11-16 | Pacesetter, Inc. | Extendable/retractable screw-in tip design with an improved thread/screw mechanism |
| US7107105B2 (en) * | 2002-09-24 | 2006-09-12 | Medtronic, Inc. | Deployable medical lead fixation system and method |
| US7149587B2 (en) | 2002-09-26 | 2006-12-12 | Pacesetter, Inc. | Cardiovascular anchoring device and method of deploying same |
| US7103418B2 (en) * | 2002-10-02 | 2006-09-05 | Medtronic, Inc. | Active fluid delivery catheter |
| US7158838B2 (en) * | 2003-01-31 | 2007-01-02 | Medtronic, Inc. | Arrangement for implanting a miniaturized cardiac lead having a fixation helix |
| US20050070984A1 (en) * | 2003-09-29 | 2005-03-31 | Sundberg Gregory L. | Extendable and retractable lead with an active fixation assembly |
| US7657325B2 (en) | 2005-12-30 | 2010-02-02 | Medtronic, Inc. | Implantable medical lead including a helical fixation member |
-
2006
- 2006-11-08 US US11/557,815 patent/US7657326B2/en not_active Expired - Fee Related
-
2007
- 2007-09-04 WO PCT/US2007/077528 patent/WO2008057651A1/en not_active Ceased
- 2007-09-04 JP JP2009535373A patent/JP2010508904A/ja active Pending
- 2007-09-04 EP EP07841821A patent/EP2079509A1/en not_active Withdrawn
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2724566A1 (fr) * | 1994-09-16 | 1996-03-22 | Dev Sed Soc Et | Dispositif de manoeuvre motorisee d'une sonde cardiaque a electrode, notamment a helice retractable |
| US5575814A (en) * | 1995-01-27 | 1996-11-19 | Medtronic, Inc. | Active fixation medical electrical lead having mapping capability |
| JP2001511405A (ja) * | 1997-07-30 | 2001-08-14 | インターメディクス インコーポレーテッド | 外部誘導管をもつ小径心内膜リード |
| US6269272B1 (en) * | 1999-08-03 | 2001-07-31 | Intermedics, Inc. | Cardiac pacemaker lead with dual pitch fixation apparatus |
| US20050165452A1 (en) * | 2004-01-28 | 2005-07-28 | Medtronic, Inc. | Antithrombogenic medical device |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2008057651A1 (en) | 2008-05-15 |
| US20080109042A1 (en) | 2008-05-08 |
| US7657326B2 (en) | 2010-02-02 |
| EP2079509A1 (en) | 2009-07-22 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20100902 |
|
| A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20100902 |
|
| A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20120611 |
|
| A02 | Decision of refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A02 Effective date: 20121112 |