WO2004091717A3 - Derivation cardiaque sous-cutanee a fixation - Google Patents

Derivation cardiaque sous-cutanee a fixation Download PDF

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Publication number
WO2004091717A3
WO2004091717A3 PCT/US2004/010916 US2004010916W WO2004091717A3 WO 2004091717 A3 WO2004091717 A3 WO 2004091717A3 US 2004010916 W US2004010916 W US 2004010916W WO 2004091717 A3 WO2004091717 A3 WO 2004091717A3
Authority
WO
WIPO (PCT)
Prior art keywords
lead
fixation
subcutaneous
electrode
tines
Prior art date
Application number
PCT/US2004/010916
Other languages
English (en)
Other versions
WO2004091717A2 (fr
Inventor
Adam W Cates
Ron Heil
Curtis Charles Lindstrom
Jason Alan Shiroff
Pete Kelley
Darrell Orvin Wagner
Original Assignee
Cardiac Pacemakers Inc
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
Priority claimed from US10/739,877 external-priority patent/US7493175B2/en
Priority claimed from US10/739,918 external-priority patent/US7499758B2/en
Priority claimed from US10/745,398 external-priority patent/US20040230282A1/en
Priority claimed from US10/745,341 external-priority patent/US7349742B2/en
Application filed by Cardiac Pacemakers Inc filed Critical Cardiac Pacemakers Inc
Priority to EP04759317A priority Critical patent/EP1617894A2/fr
Priority to JP2006509835A priority patent/JP2006522661A/ja
Publication of WO2004091717A2 publication Critical patent/WO2004091717A2/fr
Publication of WO2004091717A3 publication Critical patent/WO2004091717A3/fr

Links

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
    • 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
    • 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
    • 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
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36585—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
    • 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
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • 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
    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
    • A61N1/39622—Pacing therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors
    • 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
    • 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
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Electrotherapy Devices (AREA)

Abstract

L'invention concerne des dispositifs sous-cutanés implantables et des procédés utilisant une dérivation et/ou une électrode en vue de commander et/ou stimuler le coeur. Un ou plusieurs éléments de fixation sont compris, par exemple des éléments extensibles, des éléments de fixation hélicoïdaux à porosité, des rainures, des crêtes, des dents, des dents à arête, des dents chargées par ressort, des dents souples ou repliables, ou d'autres mécanismes de fixation conçus de manière à sécuriser de façon active et/ou passive une ou les deux électrodes ou corps de la dérivation dans les tissus non intrathoraciques sous-cutanés de façon aiguë, chronique, ou chronique et aiguë. L'invention concerne également un procédé d'implantation de dérivation sous-cutanée consistant à fournir une dérivation comprenant un corps de dérivation, une électrode et un ou plusieurs éléments de fixation, et à fixer le corps de dérivation et/ou l'électrode au tissu non intrathoracique sous-cutané au niveau d'un ou plusieurs sites de fixation au moyen des éléments de fixation. Ce procédé peut nécessiter l'utilisation d'un dispositif d'administration, notamment une gaine, destiné à l'administration de la dérivation au niveau d'un site d'implantation non intrathoracique sous-cutané.
PCT/US2004/010916 2003-04-11 2004-04-09 Derivation cardiaque sous-cutanee a fixation WO2004091717A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP04759317A EP1617894A2 (fr) 2003-04-11 2004-04-09 Derivation cardiaque sous-cutanee a fixation
JP2006509835A JP2006522661A (ja) 2003-04-11 2004-04-09 固定付皮下心臓リード線

Applications Claiming Priority (10)

Application Number Priority Date Filing Date Title
US46227203P 2003-04-11 2003-04-11
US60/462,272 2003-04-11
US10/739,877 US7493175B2 (en) 2003-04-11 2003-12-18 Subcutaneous lead with tined fixation
US10/739,918 US7499758B2 (en) 2003-04-11 2003-12-18 Helical fixation elements for subcutaneous electrodes
US10/739,877 2003-12-18
US10/739,918 2003-12-18
US10/745,341 2003-12-23
US10/745,398 US20040230282A1 (en) 2003-04-11 2003-12-23 Acute and chronic fixation for subcutaneous electrodes
US10/745,341 US7349742B2 (en) 2003-04-11 2003-12-23 Expandable fixation elements for subcutaneous electrodes
US10/745,398 2003-12-23

Publications (2)

Publication Number Publication Date
WO2004091717A2 WO2004091717A2 (fr) 2004-10-28
WO2004091717A3 true WO2004091717A3 (fr) 2004-12-23

Family

ID=33304202

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/010916 WO2004091717A2 (fr) 2003-04-11 2004-04-09 Derivation cardiaque sous-cutanee a fixation

Country Status (3)

Country Link
EP (1) EP1617894A2 (fr)
JP (1) JP2006522661A (fr)
WO (1) WO2004091717A2 (fr)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4742356B2 (ja) * 2005-02-02 2011-08-10 独立行政法人産業技術総合研究所 埋め込み型電極装置及び電極埋め込み装置
US8160722B2 (en) * 2006-02-28 2012-04-17 Medtronic, Inc. Subcutaneous lead fixation mechanisms
US20070208402A1 (en) * 2006-03-06 2007-09-06 Helland John R Medical lead with tissue-protecting tip structure
US8105261B2 (en) * 2007-07-02 2012-01-31 Cardiac Pacemakers, Inc. Osmotic devices and methods for diuretic therapy
NL2001208C2 (nl) 2008-01-23 2009-07-27 Medical Concepts Europ B V Werkwijze voor vervaardiging van een inrichting voor het positioneren en fixeren van elektroden op lichaamsorganen, inrichting en verzameling onderdelen.
US11324954B2 (en) 2019-06-28 2022-05-10 Covidien Lp Achieving smooth breathing by modified bilateral phrenic nerve pacing

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3902501A (en) * 1973-06-21 1975-09-02 Medtronic Inc Endocardial electrode
US4301815A (en) * 1980-01-23 1981-11-24 Telectronics Pty. Limited Trailing tine electrode lead
US4716888A (en) * 1985-06-17 1988-01-05 Cordis Corporation Tined leads
EP0517494A2 (fr) * 1991-06-07 1992-12-09 Cardiac Pacemakers, Inc. Outil pour introduire et ouvrir un tunnel pour une électrode souscutanée à treillis en fil
US5366496A (en) * 1993-04-01 1994-11-22 Cardiac Pacemakers, Inc. Subcutaneous shunted coil electrode
WO1996004955A2 (fr) * 1994-08-16 1996-02-22 Cortrak Medical, Inc. Systeme et methode d'apport de medicaments par matrice polymere
US5951597A (en) * 1998-04-14 1999-09-14 Cardiac Pacemakers, Inc. Coronary sinus lead having expandable matrix anchor
EP0941695A2 (fr) * 1992-01-14 1999-09-15 Cardiac Pacemakers, Inc. Appareil implantable de surveillance cardiaque
US6136021A (en) * 1999-03-23 2000-10-24 Cardiac Pacemakers, Inc. Expandable electrode for coronary venous leads
US20020016622A1 (en) * 1998-08-12 2002-02-07 Cardiac Pacemakers, Inc. Expandable seal for use with medical device and system
US20020107546A1 (en) * 2000-09-18 2002-08-08 Cameron Health, Inc. Packaging technology for non-transvenous cardioverter/defibrillator devices

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3902501A (en) * 1973-06-21 1975-09-02 Medtronic Inc Endocardial electrode
US4301815A (en) * 1980-01-23 1981-11-24 Telectronics Pty. Limited Trailing tine electrode lead
US4716888A (en) * 1985-06-17 1988-01-05 Cordis Corporation Tined leads
EP0517494A2 (fr) * 1991-06-07 1992-12-09 Cardiac Pacemakers, Inc. Outil pour introduire et ouvrir un tunnel pour une électrode souscutanée à treillis en fil
EP0941695A2 (fr) * 1992-01-14 1999-09-15 Cardiac Pacemakers, Inc. Appareil implantable de surveillance cardiaque
US5366496A (en) * 1993-04-01 1994-11-22 Cardiac Pacemakers, Inc. Subcutaneous shunted coil electrode
WO1996004955A2 (fr) * 1994-08-16 1996-02-22 Cortrak Medical, Inc. Systeme et methode d'apport de medicaments par matrice polymere
US5951597A (en) * 1998-04-14 1999-09-14 Cardiac Pacemakers, Inc. Coronary sinus lead having expandable matrix anchor
US20020016622A1 (en) * 1998-08-12 2002-02-07 Cardiac Pacemakers, Inc. Expandable seal for use with medical device and system
US6136021A (en) * 1999-03-23 2000-10-24 Cardiac Pacemakers, Inc. Expandable electrode for coronary venous leads
US20020107546A1 (en) * 2000-09-18 2002-08-08 Cameron Health, Inc. Packaging technology for non-transvenous cardioverter/defibrillator devices

Also Published As

Publication number Publication date
EP1617894A2 (fr) 2006-01-25
JP2006522661A (ja) 2006-10-05
WO2004091717A2 (fr) 2004-10-28

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