WO2013098644A3 - Fixation et boîtier pour dispositif médical implantable - Google Patents
Fixation et boîtier pour dispositif médical implantable Download PDFInfo
- Publication number
- WO2013098644A3 WO2013098644A3 PCT/IB2012/003007 IB2012003007W WO2013098644A3 WO 2013098644 A3 WO2013098644 A3 WO 2013098644A3 IB 2012003007 W IB2012003007 W IB 2012003007W WO 2013098644 A3 WO2013098644 A3 WO 2013098644A3
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- medical device
- implantable medical
- anchoring
- device housing
- variety
- Prior art date
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
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators
-
- 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
- A61N1/059—Anchoring means
-
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/37518—Anchoring of the implants, e.g. fixation
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0649—Coils or spirals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/683—Means for maintaining contact with the body
- A61B5/6839—Anchoring means, e.g. barbs
-
- 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
-
- 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
- A61N1/3629—Heart stimulators in combination with non-electric therapy
Landscapes
- Health & Medical Sciences (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)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Electrotherapy Devices (AREA)
- Prostheses (AREA)
Abstract
Diverses structures et approches de fixation peuvent être utilisées pour fixer un dispositif médical implantable n'importe où dans le corps d'un patient. Le boîtier d'un tel dispositif peut présenter une large gamme de formes et de configurations en fonction du site d'implantation souhaité dans le corps et en fonction d'autres facteurs.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161581685P | 2011-12-30 | 2011-12-30 | |
US61/581,685 | 2011-12-30 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2013098644A2 WO2013098644A2 (fr) | 2013-07-04 |
WO2013098644A3 true WO2013098644A3 (fr) | 2013-08-29 |
Family
ID=47997585
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/IB2012/003007 WO2013098644A2 (fr) | 2011-12-30 | 2012-12-21 | Fixation et boîtier pour dispositif médical implantable |
Country Status (1)
Country | Link |
---|---|
WO (1) | WO2013098644A2 (fr) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9526909B2 (en) | 2014-08-28 | 2016-12-27 | Cardiac Pacemakers, Inc. | Medical device with triggered blanking period |
US9592391B2 (en) | 2014-01-10 | 2017-03-14 | Cardiac Pacemakers, Inc. | Systems and methods for detecting cardiac arrhythmias |
US11147979B2 (en) | 2016-11-21 | 2021-10-19 | Cardiac Pacemakers, Inc. | Implantable medical device with a magnetically permeable housing and an inductive coil disposed about the housing |
Families Citing this family (80)
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WO2015106007A1 (fr) | 2014-01-10 | 2015-07-16 | Cardiac Pacemakers, Inc. | Procédés et systèmes pour communication améliorée entre des dispositifs médicaux |
EP2987529B1 (fr) * | 2014-08-19 | 2016-12-14 | BIOTRONIK SE & Co. KG | Implant doté d'un dispositif de fixation et dispositif d'introduction d'un implant |
US10220213B2 (en) | 2015-02-06 | 2019-03-05 | Cardiac Pacemakers, Inc. | Systems and methods for safe delivery of electrical stimulation therapy |
EP3827877B1 (fr) | 2015-02-06 | 2024-06-19 | Cardiac Pacemakers, Inc. | Systèmes de traitement d'arythmies cardiaques |
US10046167B2 (en) | 2015-02-09 | 2018-08-14 | Cardiac Pacemakers, Inc. | Implantable medical device with radiopaque ID tag |
WO2016141046A1 (fr) | 2015-03-04 | 2016-09-09 | Cardiac Pacemakers, Inc. | Systèmes et procédés de traitement d'arythmies cardiaques |
CN107427222B (zh) | 2015-03-18 | 2021-02-09 | 心脏起搏器股份公司 | 使用链路质量评估的医疗设备系统中的通信 |
US10050700B2 (en) | 2015-03-18 | 2018-08-14 | Cardiac Pacemakers, Inc. | Communications in a medical device system with temporal optimization |
CN108136187B (zh) | 2015-08-20 | 2021-06-29 | 心脏起搏器股份公司 | 用于医疗装置之间的通信的系统和方法 |
CN108136186B (zh) | 2015-08-20 | 2021-09-17 | 心脏起搏器股份公司 | 用于医疗装置之间的通信的系统和方法 |
US9956414B2 (en) | 2015-08-27 | 2018-05-01 | Cardiac Pacemakers, Inc. | Temporal configuration of a motion sensor in an implantable medical device |
US9968787B2 (en) | 2015-08-27 | 2018-05-15 | Cardiac Pacemakers, Inc. | Spatial configuration of a motion sensor in an implantable medical device |
US10137305B2 (en) | 2015-08-28 | 2018-11-27 | Cardiac Pacemakers, Inc. | Systems and methods for behaviorally responsive signal detection and therapy delivery |
US10159842B2 (en) | 2015-08-28 | 2018-12-25 | Cardiac Pacemakers, Inc. | System and method for detecting tamponade |
US10226631B2 (en) | 2015-08-28 | 2019-03-12 | Cardiac Pacemakers, Inc. | Systems and methods for infarct detection |
US10092760B2 (en) | 2015-09-11 | 2018-10-09 | Cardiac Pacemakers, Inc. | Arrhythmia detection and confirmation |
US10065041B2 (en) | 2015-10-08 | 2018-09-04 | Cardiac Pacemakers, Inc. | Devices and methods for adjusting pacing rates in an implantable medical device |
US10183170B2 (en) | 2015-12-17 | 2019-01-22 | Cardiac Pacemakers, Inc. | Conducted communication in a medical device system |
US10905886B2 (en) | 2015-12-28 | 2021-02-02 | Cardiac Pacemakers, Inc. | Implantable medical device for deployment across the atrioventricular septum |
US10583303B2 (en) | 2016-01-19 | 2020-03-10 | Cardiac Pacemakers, Inc. | Devices and methods for wirelessly recharging a rechargeable battery of an implantable medical device |
US10350423B2 (en) | 2016-02-04 | 2019-07-16 | Cardiac Pacemakers, Inc. | Delivery system with force sensor for leadless cardiac device |
WO2017173275A1 (fr) | 2016-03-31 | 2017-10-05 | Cardiac Pacemakers, Inc. | Dispositif médical implantable à batterie rechargeable |
US10328272B2 (en) | 2016-05-10 | 2019-06-25 | Cardiac Pacemakers, Inc. | Retrievability for implantable medical devices |
US10668294B2 (en) | 2016-05-10 | 2020-06-02 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker configured for over the wire delivery |
WO2018005373A1 (fr) | 2016-06-27 | 2018-01-04 | Cardiac Pacemakers, Inc. | Système de thérapie cardiaque utilisant des ondes p détectées de manière sous-cutanée pour la gestion de la stimulation de resynchronisation |
US11207527B2 (en) | 2016-07-06 | 2021-12-28 | Cardiac Pacemakers, Inc. | Method and system for determining an atrial contraction timing fiducial in a leadless cardiac pacemaker system |
US10426962B2 (en) | 2016-07-07 | 2019-10-01 | Cardiac Pacemakers, Inc. | Leadless pacemaker using pressure measurements for pacing capture verification |
CN109475743B (zh) | 2016-07-20 | 2022-09-02 | 心脏起搏器股份公司 | 在无引线心脏起搏器系统中利用心房收缩定时基准的系统 |
CN109562269B (zh) | 2016-08-19 | 2023-08-11 | 心脏起搏器股份公司 | 经隔膜可植入医疗设备 |
WO2018039335A1 (fr) | 2016-08-24 | 2018-03-01 | Cardiac Pacemakers, Inc. | Thérapie intégrée de resynchronisation cardiaque à dispositifs multiples utilisant l'onde p pour stimuler la synchronisation. |
CN109641129B (zh) | 2016-08-24 | 2023-06-30 | 心脏起搏器股份公司 | 使用融合促进进行定时管理的心脏再同步 |
US10905889B2 (en) | 2016-09-21 | 2021-02-02 | Cardiac Pacemakers, Inc. | Leadless stimulation device with a housing that houses internal components of the leadless stimulation device and functions as the battery case and a terminal of an internal battery |
WO2018057626A1 (fr) | 2016-09-21 | 2018-03-29 | Cardiac Pacemakers, Inc. | Moniteur cardiaque implantable |
US10758737B2 (en) | 2016-09-21 | 2020-09-01 | Cardiac Pacemakers, Inc. | Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter |
US10463305B2 (en) | 2016-10-27 | 2019-11-05 | Cardiac Pacemakers, Inc. | Multi-device cardiac resynchronization therapy with timing enhancements |
US10434314B2 (en) | 2016-10-27 | 2019-10-08 | Cardiac Pacemakers, Inc. | Use of a separate device in managing the pace pulse energy of a cardiac pacemaker |
US10413733B2 (en) | 2016-10-27 | 2019-09-17 | Cardiac Pacemakers, Inc. | Implantable medical device with gyroscope |
WO2018081225A1 (fr) | 2016-10-27 | 2018-05-03 | Cardiac Pacemakers, Inc. | Système de pose de dispositif médical implantable avec capteur intégré |
US10765871B2 (en) | 2016-10-27 | 2020-09-08 | Cardiac Pacemakers, Inc. | Implantable medical device with pressure sensor |
US10561330B2 (en) | 2016-10-27 | 2020-02-18 | Cardiac Pacemakers, Inc. | Implantable medical device having a sense channel with performance adjustment |
EP3532157B1 (fr) | 2016-10-31 | 2020-08-26 | Cardiac Pacemakers, Inc. | Systèmes de stimulation de niveau d'activité |
EP3532158B1 (fr) | 2016-10-31 | 2022-12-14 | Cardiac Pacemakers, Inc. | Systèmes de stimulation de niveau d'activité |
WO2018089311A1 (fr) | 2016-11-08 | 2018-05-17 | Cardiac Pacemakers, Inc | Dispositif médical implantable pour déploiement auriculaire |
WO2018089308A1 (fr) | 2016-11-09 | 2018-05-17 | Cardiac Pacemakers, Inc. | Systèmes, dispositifs et procédés pour régler des paramètres d'impulsion de stimulation cardiaque pour un dispositif de stimulation cardiaque |
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US10737102B2 (en) | 2017-01-26 | 2020-08-11 | Cardiac Pacemakers, Inc. | Leadless implantable device with detachable fixation |
JP6953614B2 (ja) | 2017-04-03 | 2021-10-27 | 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 | 感知された心拍数に基づくペーシングパルスエネルギー調整を用いた心臓ペースメーカ |
US10905872B2 (en) | 2017-04-03 | 2021-02-02 | Cardiac Pacemakers, Inc. | Implantable medical device with a movable electrode biased toward an extended position |
CN107233665A (zh) * | 2017-08-01 | 2017-10-10 | 郭成军 | 心腔内植入物及其固定方法 |
WO2019036600A1 (fr) | 2017-08-18 | 2019-02-21 | Cardiac Pacemakers, Inc. | Dispositif médical implantable avec capteur de pression |
WO2019036568A1 (fr) | 2017-08-18 | 2019-02-21 | Cardiac Pacemakers, Inc. | Dispositif médical implantable comprenant un concentrateur de flux et une bobine de réception disposée autour du concentrateur de flux |
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US11185703B2 (en) | 2017-11-07 | 2021-11-30 | Cardiac Pacemakers, Inc. | Leadless cardiac pacemaker for bundle of his pacing |
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WO2019108830A1 (fr) | 2017-12-01 | 2019-06-06 | Cardiac Pacemakers, Inc. | Stimulateur cardiaque sans fil à comportement réversible |
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JP2021519117A (ja) | 2018-03-23 | 2021-08-10 | メドトロニック,インコーポレイテッド | 頻拍のためのVfA心臓治療 |
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CN112770807A (zh) | 2018-09-26 | 2021-05-07 | 美敦力公司 | 心房至心室心脏疗法中的捕获 |
US11951313B2 (en) | 2018-11-17 | 2024-04-09 | Medtronic, Inc. | VFA delivery systems and methods |
US11679265B2 (en) | 2019-02-14 | 2023-06-20 | Medtronic, Inc. | Lead-in-lead systems and methods for cardiac therapy |
US11697025B2 (en) | 2019-03-29 | 2023-07-11 | Medtronic, Inc. | Cardiac conduction system capture |
US11213676B2 (en) | 2019-04-01 | 2022-01-04 | Medtronic, Inc. | Delivery systems for VfA cardiac therapy |
US11712188B2 (en) | 2019-05-07 | 2023-08-01 | Medtronic, Inc. | Posterior left bundle branch engagement |
US11305127B2 (en) | 2019-08-26 | 2022-04-19 | Medtronic Inc. | VfA delivery and implant region detection |
DE102019127310A1 (de) * | 2019-10-10 | 2021-04-15 | Ebnet Medical Gmbh | Fixiereinrichtung sowie Anordnung mit einem Halteelement und einer Fixiereinrichtung |
US11813466B2 (en) | 2020-01-27 | 2023-11-14 | Medtronic, Inc. | Atrioventricular nodal stimulation |
US11911168B2 (en) | 2020-04-03 | 2024-02-27 | Medtronic, Inc. | Cardiac conduction system therapy benefit determination |
US11813464B2 (en) | 2020-07-31 | 2023-11-14 | Medtronic, Inc. | Cardiac conduction system evaluation |
US20220096850A1 (en) * | 2020-09-30 | 2022-03-31 | Medtronic, Inc. | Deployable structures to anchor implanted devices |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040088024A1 (en) * | 2001-03-08 | 2004-05-06 | Firlik Andrew D. | Methods and apparatus for effectuating a lasting change in a neural-function of a patient |
US20060085056A1 (en) * | 2004-10-19 | 2006-04-20 | Schouenborg Jens O R | Method and means for electrical stimulation of cutaneous sensory receptors |
US7613513B1 (en) * | 2003-07-01 | 2009-11-03 | Pacesetter, Inc. | System and method for determining cardiac geometry |
US20100161019A1 (en) * | 2008-12-10 | 2010-06-24 | Gregory Arthur Clark | System and method for electrically shielding a microelectrode array in a physiological pathway from electrical noise |
-
2012
- 2012-12-21 WO PCT/IB2012/003007 patent/WO2013098644A2/fr active Application Filing
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040088024A1 (en) * | 2001-03-08 | 2004-05-06 | Firlik Andrew D. | Methods and apparatus for effectuating a lasting change in a neural-function of a patient |
US7613513B1 (en) * | 2003-07-01 | 2009-11-03 | Pacesetter, Inc. | System and method for determining cardiac geometry |
US20060085056A1 (en) * | 2004-10-19 | 2006-04-20 | Schouenborg Jens O R | Method and means for electrical stimulation of cutaneous sensory receptors |
US20100161019A1 (en) * | 2008-12-10 | 2010-06-24 | Gregory Arthur Clark | System and method for electrically shielding a microelectrode array in a physiological pathway from electrical noise |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9592391B2 (en) | 2014-01-10 | 2017-03-14 | Cardiac Pacemakers, Inc. | Systems and methods for detecting cardiac arrhythmias |
US9526909B2 (en) | 2014-08-28 | 2016-12-27 | Cardiac Pacemakers, Inc. | Medical device with triggered blanking period |
US11147979B2 (en) | 2016-11-21 | 2021-10-19 | Cardiac Pacemakers, Inc. | Implantable medical device with a magnetically permeable housing and an inductive coil disposed about the housing |
Also Published As
Publication number | Publication date |
---|---|
WO2013098644A2 (fr) | 2013-07-04 |
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