Implantable intravascular device for defibrillation and/or pacing
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-019/00
A61N-001/05
A61N-001/372
출원번호
UP-0443841
(2006-05-31)
등록번호
US-7734343
(2010-06-29)
발명자
/ 주소
Ransbury, Terrance
Williams, Michael S.
출원인 / 주소
Synecor, LLC
인용정보
피인용 횟수 :
46인용 특허 :
188
초록▼
The present application describes an intravascular implantable pacing and/or defibrillation system. The described system includes a pulse generator that is implantable within a blood vessel and proportioned to blood flow through the blood vessel, and at least one lead attachable to the pulse generat
The present application describes an intravascular implantable pacing and/or defibrillation system. The described system includes a pulse generator that is implantable within a blood vessel and proportioned to blood flow through the blood vessel, and at least one lead attachable to the pulse generator. During implantation, the pulse generator is introduced into a patient's vasculature, advanced to a desired vessel and anchored in place within the vessel. The lead or leads are placed within the heart or surrounding vessels as needed to deliver electrical pulses to the appropriate location.
대표청구항▼
What is claimed is: 1. A method of implanting an intravascular implantable device into a vasculature of a patient, comprising: creating an access to a vasculature of a patient; introducing a guidewire into the access and advancing the guidewire through the vasculature toward a heart of the patient;
What is claimed is: 1. A method of implanting an intravascular implantable device into a vasculature of a patient, comprising: creating an access to a vasculature of a patient; introducing a guidewire into the access and advancing the guidewire through the vasculature toward a heart of the patient; advancing an intravascular implantable device over the guidewire until it is fully within the vasculature of the patient, the intravascular implantable device including an elongated enclosure containing a battery and electronic components, the enclosure flexible about a longitudinal axis at one or more points; anchoring the intravascular implantable device within the vasculature at a target anchor location; withdrawing the guidewire from the patient. 2. The method of claim 1, wherein creating the access to the vasculature of the patient comprises creating a femoral access to the vasculature of the patient. 3. The method of claim 1, wherein creating the access to the vasculature of the patient comprises creating a subclavian access to the vasculature of the patient. 4. The method of claim 1, wherein creating the access to the vasculature of the patient comprises making an incision in the vasculature of the patient and inserting an introducer through the incision and into the vasculature. 5. The method of claim 1, wherein the intravascular implantable device further includes a cardiac lead coupled to the elongated enclosure, the method further comprising advancing the lead along the guidewire to a target lead location. 6. The method of claim 5, wherein advancing the lead along the guidewire comprises pushing the lead through the vasculature with a pusher. 7. The method of claim 6, wherein the pusher defines an axial hollow core, and pushing the lead through the vasculature with a pusher further comprises inserting the guidewire through the hollow core of the pusher. 8. The method of claim 5, wherein the lead includes a cuff portion for receiving the guidewire, and the method further comprises inserting the guidewire through the cuff. 9. The method of claim 8, wherein pushing the lead comprises pushing the cuff portion. 10. The method of claim 5, wherein advancing the lead is performed prior to advancing the intravascular implantable device. 11. The method of claim 5, wherein advancing the intravascular implantable device is performed prior to advancing the lead. 12. The method of claim 5, further comprising fixating the lead at the target lead location. 13. The method of claim 1, wherein the enclosure is segmented along the longitudinal axis into modules with one or more hinge zones between adjacent modules, and advancing the intravascular implantable device comprises bending the hinge zones as the enclosure is advanced within the vasculature. 14. A system for implanting an intravascular implantable device into a vasculature of a patient, comprising: a guidewire adapted to be passed through an access to a vasculature of a patient and guided through the vasculature of the patient toward a heart of the patient; an intravascular implantable device including an elongated enclosure containing a battery and electronic components, the enclosure flexible about a longitudinal axis at one or more points, the device adapted to fit over the guidewire and to be fully inserted into the vasculature of the patient; an anchor device for anchoring the intravascular implantable device within the vasculature of the patient at a target anchor location. 15. The system of claim 14, wherein the intravascular implantable device further includes a lead extending from an end of the intravascular implantable device. 16. The system of claim 15, wherein the lead comprises a cuff portion for receiving the guidewire. 17. The system of claim 16, the system further comprising a pusher adapted to push the lead at the cuff portion over the guidewire through the vasculature to a target lead location. 18. The system of claim 14, wherein the enclosure of the intravascular implantable device is segmented along the longitudinal axis into modules with one or more hinge zones between adjacent modules, such that the hinge zones bend as the enclosure is advanced within the vasculature. 19. A method, comprising: providing an intravascular implantable device, the intravascular implantable device including an elongated enclosure containing a battery and electronic components, the enclosure flexible about a longitudinal axis at one or more points, the device further including a means for receiving a guidewire; and providing a set of instructions for implanting the intravascular implantable device into the vasculature of the patient, the instructions including the steps of: introducing a guidewire through an access to the vasculature and advancing the guidewire through the vasculature toward a heart of the patient; advancing the intravascular implantable device over the guidewire until the intravascular implantable device is fully within the vasculature of the patient; and anchoring the intravascular implantable device within the vasculature at a target anchor location. 20. The method of claim 19, wherein the instructions further include the step of withdrawing the guidewire from the patient.
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Lyster, Thomas D.; Morgan, Carlton B.; Bardy, Gust H.; Gliner, Bradford E., Adaptive analysis method for an electrotherapy device and apparatus.
Spreigl William T. ; Hess Douglas N ; Heynen Henri G.,NLX ; Struble Chester I.,NLX ; von Venrooij Paulus C.,NLX, Apparatus and method for fixing electrodes in a blood vessel.
Bardy, Gust H.; Rissmann, William J.; Ostroff, Alan H.; Erlinger, Paul J.; Allavatam, Venugopal, Apparatus and method of arrhythmia detection in a subcutaneous implantable cardioverter/defibrillator.
Cameron David B. (Seattle WA) Powers Daniel (Bainbridge Island WA) Lyster Thomas (Bothell WA) Morgan Carlton (Bainbridge Island WA), Battery system and method for determining a battery condition.
Dahl Roger W. (Andover MN) Bach ; Jr. Stanley M. (Shoreview MN) Heil ; Jr. Ronald W. (Rosevill MN) Mirowski Mieczyslaw (Owings Mills MD), Defibrillation electrode and method for employing gatling discharge defibrillation.
Shapland James E. (Shoreview MN) Knudson Mark B. (Shoreview MN) Shimada Jin (Falcon Heights MN) Hildebrand Keith R. (Houlton WI), Drug delivery apparatus and method.
Muffoletto,Barry; Stringham,Rodney; Eberhard,Doug; Spaulding,Joseph; Liu,Yanming; Monroe,Don; Ziarniac,Chris; Ziarniac,Eric; Gloss,Edward; O'Connor,Laurie; Elliott,William; Stemen,Eric; Lindke,Troy; , Electrolytic capacitor capable of insertion into the vasculature of a patient.
Gliner Bradford E. (Bellevue WA) Lyster Thomas D. (Bothell WA) Cole Clinton S. (Kirkland WA) Powers Daniel J. (Bainbridge Island WA) Morgan Carlton B. (Bainbridge Island WA), Electrotherapy method.
Gliner Bradford E. (Bellevue WA) Lyster Thomas D. (Bothell WA) Cole Clinton S. (Kirkland WA) Powers Daniel J. (Bainbridge Island WA) Morgan Carlton B. (Bainbridge Island WA), Electrotherapy method.
Cameron David (Seattle WA) Lyster Thomas D. (Bothell WA) Powers Daniel J. (Bainbridge Island WA) Gliner Bradford E. (Bellevue WA) Cole Clinton S. (Seattle WA) Morgan Carlton B. (Bainbridge Island WA), Electrotherapy method and apparatus.
Cameron David ; Lyster Thomas D. ; Powers Daniel J. ; Gliner Bradford E. ; Cole Clinton S. ; Morgan Carlton B., Electrotherapy method and apparatus for external defibrillation.
Gliner Bradford E. ; Lyster Thomas D. ; Cole Clinton S. ; Powers Daniel J. ; Morgan Carlton B., Electrotherapy method for producing a multiphasic discharge based upon a patient-dependent electrical parameter and time.
Gliner Bradford E. ; Lyster Thomas D. ; Cole Clinton S. ; Powers Daniel J. ; Morgan Carlton B., Electrotherapy method utilizing patient dependent electrical parameters.
Gliner Bradford E. ; Lyster Thomas D. ; Cole Clinton S. ; Powers Daniel J. ; Morgan Carlton B., Electrotherapy method utilizing patient dependent electrical parameters.
Heil John E. ; Heil ; Jr. Ronald W. ; Scheiner Avram ; Lin Yayun ; Bye Lyle A. ; Lattuca J. John,GBX, Endocardial lead having defibrillation and sensing electrodes with septal anchoring.
Gliner Bradford E. ; Lyster Thomas D. ; Cole Clinton S. ; Powers Daniel J. ; Morgan Carlton B., External defibrillator capable of delivering patient impedance compensated biphasic waveforms.
Powers Daniel J. ; Cameron David ; Cole Clinton S. ; Lyster Thomas D. ; Mydynski Steven T. ; Morgan Carlton B., External defibrillator with automatic self-testing prior to use.
Werth John (Princeton NJ) Fekete ; deceased Imre (late of Piscataway NJ by Anna M. Fekete ; administratrix), Fuel cell/battery hybrid system having battery charge-level control.
Whitehurst, Todd K.; McGivern, James P.; Woods, Carla Mann; Meadows, Paul M.; Kuzma, Janusz A., Fully implantable miniature neurostimulator for stimulation as a therapy for headache and/or facial pain.
Bocchi David E. (Vadnais Heights MN) Laackman Jeffrey T. (Isanti MN) Bach ; Jr. Stanley M. (Shoreview MN), Implantable N-phasic defibrillator output bridge circuit.
Hirschberg Jakub (Taeby SEX) Stegfeldt Olof (Alta SEX) Peterson Lars-Olof (Bromma SEX) Alm Malin (Solna SEX), Implantable arrangement for the defibrillation or cardioversion of a heart.
Collins Kenneth A. (Neutral Bay AUX) Maker Philip J. (Sydney AUX), Implantable automatic and haemodynamically responsive cardioverting/defibrillating pacemaker with means for minimizing b.
Pless Benjamin D. (Menlo Park CA) Elias William H. (Six Mile SC) Marguit Timothy A. (San Jose CA), Implantable cardiac defibrillator with improved capacitors.
Kroll Mark W. ; Adams Theodore P. ; Anderson Kenneth M. ; Smith Charles U., Implantable cardioverter defibrillator having a smaller energy storage capacity.
Heilman Marlin S. (Gibsonia PA) Langer Alois A. (Pittsburgh PA) Mirowski Mieczyslaw (Owings Mills MD) Mower Morton M. (Baltimore MD) Reilly David M. (Pittsburgh PA), Implantable electrodes for accomplishing ventricular defibrillation and pacing and method of electrode implantation and.
Hauser Robert G. (Long Lake MN), Implantable intravenous cardiac stimulation system with pulse generator housing serving as optional additional electrode.
Schulman Joseph H. (Santa Clarita CA) Strojnik Primoz (Granada Hills CA) Meadows Paul (Altadena CA), Implantable microdevice with self-attaching electrodes.
Loeb, Gerald E.; Richmond, Francis J. R.; Mann, Carla M.; Faltys, Michael A.; Whitehurst, Todd K.; McGivern, James P., Implantable stimulator system and method for treatment of incontinence and pain.
Tiefenbrun Jonathan (62 Country Rd. Mamaronek NY 10543) Wilk Peter J. (185 W. End Ave. New York NY 10023), Instrument and associated method for applying biologically effective composition during laparoscopic operation.
DeSimone, Joseph M.; Williams, Michael S., Intraluminal prostheses having polymeric material with selectively modified crystallinity and methods of making same.
Scheiner, Avram; Heil, Jr., Ronald W.; Kelley, Peter T.; Tockman, Bruce; Westlund, Randy; Warren, Jay A., Leads for pacing and/or sensing the heart from within the coronary veins.
Ideker Raymond E. (Durham NC) Guse Paul A. (Durham NC) Lang Douglas J. (Arden Hills MN) Swanson David K. (Roseville MN) Dahl Roger W. (Andover MN), Low energy multiple shock defibrillation/cardioversion discharge technique and electrode configuration.
Hahn Stephen J. (Roseville MN) Swanson David K. (Mountain View CA), Method and apparatus for defibrillation using a multiphasic truncated exponential waveform.
Cyrus Judith L. ; Gordon Garry R. ; Cole Clinton S. ; Grimley Justin ; Bell Leona, Method and apparatus for recording and replaying time-correlated medical event data.
Gliner Bradford E. (Bellevue WA) Lyster Thomas D. (Bothell WA) Cole Clinton S. (Kirkland WA) Powers Daniel J. (Bainbridge Island WA) Morgan Carlton B. (Bainbridge Island WA), Method for applying a multiphasic waveform.
Powers Daniel J. ; Cameron David ; Cole Clinton S. ; Lyster Thomas D. ; Mydynski Steven T. ; Morgan Carlton B., Method for performing self-test in a defibrillator.
Bardy, Gust H.; Cappato, Riccardo; Rissmann, William J.; Sanders, Gary H., Method of insertion and implantation of implantable cardioverter-defibrillator canisters.
Hanson S. Gifford ; Ivan Sepetka ; Mark E. Deem ; Allan R. Will ; Martin S. Dieck ; Sunmi Chew, Methods and devices for protecting a passageway in a body when advancing devices through the passageway.
Kroll Mark W. (Minnetonka MN) Adams Theodore P. (Edina MN) Supino Charles G. (Arden Hills MN), Optimal energy steering for an implantable defibrillator.
Purdy David L. (Indiana PA) Speicher Vernon L. (Leechburg PA) Shipko Frederick J. (Spring Church PA) Johnson William L. (Kittanning PA), Pacemakers of low weight and method of making such pacemakers.
Smith ; David B. ; Benson ; James A., Portable electronic physiological instrument having separable first and second components, and improved mechanical conn.
Bardy Gust H. (Seattle WA) Cannon Norbert H. (Shoreview MN) Thornton Arnold W. (Roseville MN) Williams Terrell W. (Coon Rapids MN), Removable endocardial lead.
Tacker ; Jr. Willis A. (West Lafayette IN) Bourland Joe D. (West Lafayette IN) Babbs Charles F. (West Lafayette IN) Geddes Leslie A. (West Lafayette IN), Sequential-pulse, multiple pathway defibrillation method.
Dahl Roger W. (Andover MN) Wickham ; deceased Robert W. (late of Harris MN by Duane Quiggle ; administrator) Swanson David K. (Roseville MN) Lipson David (Poway CA), Stent-type defibrillation electrode structures.
Schulman Joseph H. (Santa Clarita CA) Loeb Gerald E. (Kingston CAX) Gord John C. (Venice) Strojnik Primoz (Sylmar CA), Structure and method of manufacture of an implantable microstimulator.
Cohen Donald M. (Irvine CA) Hafelfinger Werner (Valencia CA), Transvenously placed defibrillation leads via an inferior vena cava access site and method of use.
Schulte Theodore J. (Plymouth MN) Dahl Roger W. (Andover MN) Bach ; Jr. Stanley M. (Shoreview MN) Shapland J. Edward (Shoreview MN) Lang Douglas J. (Arden Hills MN), Unitary intravascular defibrillating catheter with bipolar sensing.
Bach ; Jr. Stanley M. (Shoreview MN) Shapland J. Edward (Shoreview MN) Lang Douglas J. (Arden Hills MN) Dahl Roger W. (Andover MN), Unitary intravascular defibrillating catheter with separate bipolar sensing.
Maile, Keith R.; Koop, Brendan E.; Schmidt, Brian L.; Kane, Michael J.; Ludwig, Jacob M.; Stahmann, Jeffrey E.; Juffer, Lance E., Communications in a medical device system with link quality assessment.
Ludwig, Jacob M.; Kane, Michael J.; Koop, Brendan E.; Linder, William J.; Maile, Keith R.; Stahmann, Jeffrey E., Communications in a medical device system with temporal optimization.
Kane, Michael J.; Linder, William J.; Balczewski, Ron A.; Mi, Bin; Hatlestad, John D.; Huelskamp, Paul; Maile, Keith R., Spatial configuration of a motion sensor in an implantable medical device.
Kane, Michael J.; Linder, William J.; Juffer, Lance Eric; Haasl, Benjamin J.; Schmidt, Brian L.; Huelskamp, Paul; Maile, Keith R., Systems and methods for behaviorally responsive signal detection and therapy delivery.
Schmidt, Brian L.; Juffer, Lance Eric; Maile, Keith R.; Kane, Michael J.; Koop, Brendan Early, Systems and methods for communication between medical devices.
Stahmann, Jeffrey E.; Simms, Jr., Howard D.; Maile, Keith R.; Kane, Michael J.; Linder, William J., Systems and methods for detecting cardiac arrhythmias.
Kane, Michael J.; Linder, William J.; Haasl, Benjamin J.; Huelskamp, Paul; Maile, Keith R.; Balczewski, Ron A.; Mi, Bin; Hatlestad, John D.; Shuros, Allan Charles, Temporal configuration of a motion sensor in an implantable medical device.
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