JPH03168161A - 心室細動除去装置 - Google Patents

心室細動除去装置

Info

Publication number
JPH03168161A
JPH03168161A JP2290556A JP29055690A JPH03168161A JP H03168161 A JPH03168161 A JP H03168161A JP 2290556 A JP2290556 A JP 2290556A JP 29055690 A JP29055690 A JP 29055690A JP H03168161 A JPH03168161 A JP H03168161A
Authority
JP
Japan
Prior art keywords
electrode
epicardial
electrodes
endocardial
heart
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.)
Granted
Application number
JP2290556A
Other languages
English (en)
Japanese (ja)
Other versions
JPH0534027B2 (enExample
Inventor
Donald M Cohen
ドナルド、エム、コーヘン
James R Thacker
ジエームス、アール、サツカー
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Siemens Corp
Original Assignee
Siemens Corp
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Siemens Corp filed Critical Siemens Corp
Publication of JPH03168161A publication Critical patent/JPH03168161A/ja
Publication of JPH0534027B2 publication Critical patent/JPH0534027B2/ja
Granted legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3918—Heart defibrillators characterised by shock pathway, e.g. by electrode configuration
    • 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
    • A61N1/0563—Transvascular endocardial electrode systems specially adapted for defibrillation or cardioversion
    • 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
    • A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (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)
  • Vascular Medicine (AREA)
  • Electrotherapy Devices (AREA)
JP2290556A 1989-10-30 1990-10-25 心室細動除去装置 Granted JPH03168161A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US429440 1989-10-30
US07/429,440 US4998975A (en) 1989-10-30 1989-10-30 Travenously placed defibrillation leads

Publications (2)

Publication Number Publication Date
JPH03168161A true JPH03168161A (ja) 1991-07-19
JPH0534027B2 JPH0534027B2 (enExample) 1993-05-21

Family

ID=23703257

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2290556A Granted JPH03168161A (ja) 1989-10-30 1990-10-25 心室細動除去装置

Country Status (4)

Country Link
US (1) US4998975A (enExample)
EP (1) EP0426089A3 (enExample)
JP (1) JPH03168161A (enExample)
AU (1) AU629503B2 (enExample)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH06197988A (ja) * 1992-11-24 1994-07-19 Cardiac Pacemakers Inc 除細動用の多数の導電性素子を有する植え込み式の適合コイルパッチ電極
US6915169B2 (en) 1998-07-22 2005-07-05 Cardiac Pacemakers, Inc. Extendable and retractable lead having a snap-fit terminal connector
US6983185B2 (en) 1998-07-22 2006-01-03 Cardiac Pacemakers, Inc. Lead with terminal connector assembly
US7366574B2 (en) 1996-03-01 2008-04-29 Cardiac Pacemakers, Inc. Device for the transvenous cardioversion of atrial fibrillation or atrial flutter

Families Citing this family (111)

* Cited by examiner, † Cited by third party
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DE3914662A1 (de) * 1989-05-03 1990-11-08 Alt Eckhard Vorrichtung zum uebertragen elektrischer signale zwischen einem implantierbaren medizinischen geraet und elektrisch erregbarem menschlichen gewebe
US4991603A (en) * 1989-10-30 1991-02-12 Siemens-Pacesetter, Inc. Transvenously placed defibrillation leads via an inferior vena cava access site and method of use
US5230337A (en) * 1990-06-06 1993-07-27 Cardiac Pacemakers, Inc. Process for implanting subcutaneous defibrillation electrodes
US5203348A (en) * 1990-06-06 1993-04-20 Cardiac Pacemakers, Inc. Subcutaneous defibrillation electrodes
US5144960A (en) * 1991-03-20 1992-09-08 Medtronic, Inc. Transvenous defibrillation lead and method of use
US5237989A (en) * 1991-04-04 1993-08-24 Physio-Control Corporation Cardiac defibrillator with movable contact switch
US5243978A (en) * 1991-10-07 1993-09-14 Medtronic, Inc. Method and apparatus for wide area antitachycardia pacing
US5269326A (en) * 1991-10-24 1993-12-14 Georgetown University Method for transvenously accessing the pericardial space via the right auricle for medical procedures
US5324327A (en) * 1991-12-17 1994-06-28 Cohen Donald M Low threshold cardiac pacing lead
US5509900A (en) * 1992-03-02 1996-04-23 Kirkman; Thomas R. Apparatus and method for retaining a catheter in a blood vessel in a fixed position
SE9200803D0 (sv) * 1992-03-16 1992-03-16 Siemens Elema Ab Defibrilleringselektrod
US5336252A (en) * 1992-06-22 1994-08-09 Cohen Donald M System and method for implanting cardiac electrical leads
WO1994000187A1 (en) * 1992-06-22 1994-01-06 Eitan Sobel An implantable conducting system for the heart
US5330521A (en) * 1992-06-29 1994-07-19 Cohen Donald M Low resistance implantable electrical leads
EP0669839B2 (en) * 1992-10-01 2001-12-19 Cardiac Pacemakers, Inc. Stent-type defibrillation electrode structures
US5318591A (en) * 1992-11-23 1994-06-07 Siemens Pacesetter, Inc. Implantable cardioverter-defibrillator having early charging capability
US5403351A (en) * 1993-01-11 1995-04-04 Saksena; Sanjeev Method of transvenous defibrillation/cardioversion employing an endocardial lead system
US5397342A (en) * 1993-06-07 1995-03-14 Cardiac Pacemakers, Inc. Resilient structurally coupled and electrically independent electrodes
US5488768A (en) * 1993-09-24 1996-02-06 Ventritex, Inc. Method of forming a defibrillation electrode connection
US5439485A (en) * 1993-09-24 1995-08-08 Ventritex, Inc. Flexible defibrillation electrode of improved construction
US5411544A (en) * 1993-11-02 1995-05-02 Ventritex, Inc. Defibrillation lead with improved mechanical and electrical characteristics
US5476500A (en) * 1993-12-20 1995-12-19 Ventritex, Inc. Endocardial lead system with defibrillation electrode fixation
US5524632A (en) * 1994-01-07 1996-06-11 Medtronic, Inc. Method for implanting electromyographic sensing electrodes
US5470342A (en) * 1994-04-12 1995-11-28 Pacesetter, Inc. Adaptive refractory period within implantable cardioverter-defibrillator
US6185457B1 (en) * 1994-05-31 2001-02-06 Galvani, Ltd. Method and apparatus for electrically forcing cardiac output in an arrhythmia patient
US6853859B1 (en) * 1994-05-31 2005-02-08 Galvani, Ltd. Electrical cardiac output forcer
US5534022A (en) * 1994-11-22 1996-07-09 Ventritex, Inc. Lead having an integrated defibrillation/sensing electrode
US5609621A (en) * 1995-08-04 1997-03-11 Medtronic, Inc. Right ventricular outflow tract defibrillation lead
WO1997016169A1 (en) * 1995-11-01 1997-05-09 Chiron Corporation Treatment of a cardiovascular indication by delivery of therapeutics to the pericardial space
US5897554A (en) * 1997-03-01 1999-04-27 Irvine Biomedical, Inc. Steerable catheter having a loop electrode
US6038472A (en) * 1997-04-29 2000-03-14 Medtronic, Inc. Implantable defibrillator and lead system
US20040215168A1 (en) * 1997-04-30 2004-10-28 Beth Israel Deaconess Medical Center Kit for transvenously accessing the pericardial space via the right atrium
US5968010A (en) * 1997-04-30 1999-10-19 Beth Israel Deaconess Medical Center, Inc. Method for transvenously accessing the pericardial space via the right atrium
US6200303B1 (en) 1997-04-30 2001-03-13 Beth Israel Deaconess Medical Center, Inc. Method and kit for transvenously accessing the pericardial space via the right atrium
US5897586A (en) * 1997-08-15 1999-04-27 Regents Of The University Of Minnesota Implantable defibrillator lead
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
US6501994B1 (en) 1997-12-24 2002-12-31 Cardiac Pacemakers, Inc. High impedance electrode tip
US6321122B1 (en) 1998-07-22 2001-11-20 Cardiac Pacemakers, Inc. Single pass defibrillation/pacing lead with passively attached electrode for pacing and sensing
US6085119A (en) * 1998-07-22 2000-07-04 Cardiac Pacemakers, Inc. Single pass endocardial lead for multi-site atrial pacing
US5942276A (en) * 1998-01-16 1999-08-24 Medtronic, Inc. Method of manufacturing x-ray visible soluble covering
US6296630B1 (en) 1998-04-08 2001-10-02 Biocardia, Inc. Device and method to slow or stop the heart temporarily
US6623480B1 (en) * 1998-07-24 2003-09-23 University Of Kentucky Research Foundation Flexible recording/high energy electrode catheter with anchor for ablation of atrial flutter by radio frequency energy
US6488689B1 (en) * 1999-05-20 2002-12-03 Aaron V. Kaplan Methods and apparatus for transpericardial left atrial appendage closure
DE19925853A1 (de) * 1999-06-02 2000-12-07 Biotronik Mess & Therapieg Kardioversionsanordnung
DE19925854A1 (de) 1999-06-02 2000-12-07 Biotronik Mess & Therapieg Elektrodenanordnung
US6876991B1 (en) 1999-11-08 2005-04-05 Collaborative Decision Platforms, Llc. System, method and computer program product for a collaborative decision platform
US6671548B1 (en) 1999-12-29 2003-12-30 Pacesetter, Inc. Implantable stimulation device and method for discrimination atrial and ventricular arrhythmias
CN1404406A (zh) * 2000-02-18 2003-03-19 哈特塞恩技术有限公司 除纤颤器
US6539260B1 (en) 2000-02-28 2003-03-25 Pacesetter, Inc. Atrial sensing and pacing using a unipolar atrial electrode
US6445954B1 (en) 2000-04-04 2002-09-03 Cardiac Pacemakers, Inc. Pulse generator header lead introducer tool
US6478776B1 (en) 2000-04-05 2002-11-12 Biocardia, Inc. Implant delivery catheter system and methods for its use
DE10142834A1 (de) 2001-08-23 2003-03-06 Biotronik Mess & Therapieg Einzel-Elektrodensonde für Herzschrittmachersysteme
US7610104B2 (en) * 2002-05-10 2009-10-27 Cerebral Vascular Applications, Inc. Methods and apparatus for lead placement on a surface of the heart
US7027852B2 (en) * 2002-05-21 2006-04-11 Pacesetter, Inc. Lead with distal tip surface electrodes connected in parallel
US7392094B2 (en) 2002-12-19 2008-06-24 Cardiac Pacemakers, Inc. Implantable lead for septal placement of pacing electrodes
US20040186545A1 (en) * 2003-03-20 2004-09-23 Rosero Spencer Z. Temporary percutaneous cardioverter-defibrillator
US7082336B2 (en) * 2003-06-04 2006-07-25 Synecor, Llc Implantable intravascular device for defibrillation and/or pacing
US8239045B2 (en) * 2003-06-04 2012-08-07 Synecor Llc Device and method for retaining a medical device within a vessel
WO2005000398A2 (en) * 2003-06-04 2005-01-06 Synecor Intravascular electrophysiological system and methods
US7617007B2 (en) * 2003-06-04 2009-11-10 Synecor Llc Method and apparatus for retaining medical implants within body vessels
US7231249B2 (en) * 2003-07-24 2007-06-12 Mirowski Family Ventures, L.L.C. Methods, apparatus, and systems for multiple stimulation from a single stimulator
US20050055057A1 (en) * 2003-09-05 2005-03-10 Mirowski Famliy Ventures, L.L.C. Method and apparatus for providing ipselateral therapy
US20050055058A1 (en) * 2003-09-08 2005-03-10 Mower Morton M. Method and apparatus for intrachamber resynchronization
US7846168B2 (en) 2003-10-09 2010-12-07 Sentreheart, Inc. Apparatus and method for the ligation of tissue
US20050131507A1 (en) * 2003-12-11 2005-06-16 Sundberg Gregory L. Lead having reduced lead body size
JP2007514482A (ja) * 2003-12-12 2007-06-07 シネコー・エルエルシー 前置移植外骨格を有する移植可能な医療デバイス
US7292886B1 (en) * 2004-01-20 2007-11-06 Pacesetter, Inc. Bifocal cardiac stimulation device and methods
EP1718359B1 (en) * 2004-02-10 2011-11-23 Synecor, LLC Intravascular delivery system for therapeutic agents
US7308305B1 (en) 2004-07-27 2007-12-11 Pacesetter, Inc. Optimally timed early shock defibrillation
US7181276B1 (en) * 2004-07-27 2007-02-20 Pacesetter, Inc. Device and method for preventing the acceleration of cardiac arrhythmias
US7238883B2 (en) 2004-08-11 2007-07-03 Cardiac Pacemakers, Inc. Lead assembly with flexible portions and method therefor
US8029470B2 (en) * 2004-09-30 2011-10-04 Pacesetter, Inc. Transmembrane access systems and methods
US20070083168A1 (en) * 2004-09-30 2007-04-12 Whiting James S Transmembrane access systems and methods
US8401637B2 (en) * 2004-11-24 2013-03-19 Galvani, Ltd. Medium voltage therapy applications in treating cardiac arrest
JP4981688B2 (ja) * 2005-01-31 2012-07-25 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 医療センサのためのマルチコンダクタ接続デバイス
WO2006110734A2 (en) * 2005-04-07 2006-10-19 Sentreheart, Inc. Apparatus and method for the ligation of tissue
WO2007019243A2 (en) * 2005-08-05 2007-02-15 Duke University Catheter kit for intracardiac recording and/or pacing
US7899555B2 (en) * 2006-04-11 2011-03-01 Pacesetter, Inc. Intrapericardial lead
US8244379B2 (en) 2006-04-26 2012-08-14 Medtronic, Inc. Pericardium fixation concepts of epicardium pacing leads and tools
US8588904B2 (en) 2006-10-13 2013-11-19 Lifescience Solutions Llc Pacemaker
US20080103572A1 (en) 2006-10-31 2008-05-01 Medtronic, Inc. Implantable medical lead with threaded fixation
US8012143B1 (en) 2006-12-12 2011-09-06 Pacesetter, Inc. Intrapericardial delivery tools and methods
US7949411B1 (en) * 2007-01-23 2011-05-24 Pacesetter, Inc. Epicardial lead
US7920928B1 (en) 2007-01-31 2011-04-05 Pacesetter, Inc. Passive fixation for epicardial lead
US7610089B1 (en) 2007-02-21 2009-10-27 Pacesetter, Inc. Implantable strain sensor for medical diagnostics
DE102007009716B4 (de) * 2007-02-28 2010-01-14 Osypka, Peter, Dr. Ing. Vorrichtung zur Defibrillation des Herzens
EP2929842B1 (en) 2007-03-30 2019-06-12 Sentreheart, Inc. Devices and sytems for closing the left atrial appendage
US20080294175A1 (en) * 2007-05-21 2008-11-27 Epitek, Inc. Left atrial appendage closure
JP2010527697A (ja) * 2007-05-21 2010-08-19 エピテック インコーポレイテッド 左心房付属器の閉塞
US7881810B1 (en) 2007-05-24 2011-02-01 Pacesetter, Inc. Cardiac access methods and apparatus
EP2214563B1 (en) * 2007-09-20 2017-04-19 Sentreheart, Inc. Devices and methods for remote suture management
US8086324B1 (en) 2007-09-27 2011-12-27 Pacesetter, Inc. Intrapericardial lead with distal region configured to optimize lead extraction
US8655458B2 (en) * 2008-09-05 2014-02-18 Cardiac Pacemakers, Inc. Conformal electrodes for shaped medical device lead body segments
JP5612073B2 (ja) * 2009-04-01 2014-10-22 センターハート・インコーポレイテッドＳｅｎｔｒｅＨＥＡＲＴ， Ｉｎｃ． 組織結紮装置及びその操作
US8406896B2 (en) 2009-06-29 2013-03-26 Boston Scientific Neuromodulation Corporation Multi-element contact assemblies for electrical stimulation systems and systems and methods of making and using
US8483822B1 (en) 2009-07-02 2013-07-09 Galvani, Ltd. Adaptive medium voltage therapy for cardiac arrhythmias
AU2011241103A1 (en) 2010-04-13 2012-11-08 Sentreheart, Inc. Methods and devices for treating atrial fibrillation
ES2671928T3 (es) 2011-06-08 2018-06-11 Sentreheart, Inc. Dispositivos de ligadura de tejidos y dispositivos de tensión para ellos
US10905884B2 (en) 2012-07-20 2021-02-02 Cardialen, Inc. Multi-stage atrial cardioversion therapy leads
US8750990B1 (en) 2012-12-12 2014-06-10 Galvani, Ltd. Coordinated medium voltage therapy for improving effectiveness of defibrillation therapy
AU2014249724B2 (en) 2013-03-12 2017-09-07 Atricure, Inc. Tissue ligation devices and methods therefor
WO2015066549A1 (en) 2013-10-31 2015-05-07 Sentreheart, Inc. Devices and methods for left atrial appendage closure
US9636512B2 (en) 2014-11-05 2017-05-02 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) system having multiple common polarity extravascular defibrillation electrodes
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EP3273870B1 (en) 2015-03-24 2023-12-13 AtriCure, Inc. Tissue ligation devices
ES2969765T3 (es) 2015-03-24 2024-05-22 Atricure Inc Dispositivos para cierre de la orejuela de la aurícula izquierda
AU2017223996B2 (en) 2016-02-26 2022-02-10 Atricure, Inc. Devices and methods for left atrial appendage closure
WO2017173433A1 (en) 2016-04-01 2017-10-05 Tholakanahalli Venkatakrishna N Shaped epicardial lead and placement system and method
US10391299B2 (en) 2017-03-30 2019-08-27 Medtronic, Inc. Interventional medical systems for therapy delivery in extracardiovascular spaces and associated tools and methods
US10835741B2 (en) * 2018-03-27 2020-11-17 Pacesetter, Inc. Screw-in pericardial leads and systems for delivering screw-in pericardial leads

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JPH01148276A (ja) * 1987-11-13 1989-06-09 Thomas J Fogarty 自動細動除去器を植込むための方法と装置
JPH0263478A (ja) * 1988-04-14 1990-03-02 Mirowski Mieczyslaw 心臓の細動除去及びカルジオバージョン用渦巻パッチ電極装置

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JPS5819301A (ja) * 1981-07-16 1983-02-04 ヘキスト・アクチエンゲゼルシヤフト 共重合体水性分散物の製造方法および該分散物の用途
JPS625178U (enExample) * 1985-06-26 1987-01-13
JPH01148276A (ja) * 1987-11-13 1989-06-09 Thomas J Fogarty 自動細動除去器を植込むための方法と装置
JPH0263478A (ja) * 1988-04-14 1990-03-02 Mirowski Mieczyslaw 心臓の細動除去及びカルジオバージョン用渦巻パッチ電極装置

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH06197988A (ja) * 1992-11-24 1994-07-19 Cardiac Pacemakers Inc 除細動用の多数の導電性素子を有する植え込み式の適合コイルパッチ電極
US7366574B2 (en) 1996-03-01 2008-04-29 Cardiac Pacemakers, Inc. Device for the transvenous cardioversion of atrial fibrillation or atrial flutter
US6915169B2 (en) 1998-07-22 2005-07-05 Cardiac Pacemakers, Inc. Extendable and retractable lead having a snap-fit terminal connector
US6983185B2 (en) 1998-07-22 2006-01-03 Cardiac Pacemakers, Inc. Lead with terminal connector assembly
US7392095B2 (en) 1998-07-22 2008-06-24 Cardiac Pacemakers, Inc. Extendable and retractable lead having a snap-fit terminal connector

Also Published As

Publication number Publication date
JPH0534027B2 (enExample) 1993-05-21
EP0426089A2 (en) 1991-05-08
AU629503B2 (en) 1992-10-01
US4998975A (en) 1991-03-12
AU6379090A (en) 1991-05-02
EP0426089A3 (en) 1992-05-20

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