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公开(公告)号:US20240123218A1
公开(公告)日:2024-04-18
申请号:US18396019
申请日:2023-12-26
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G.T. Christie , Paul J. DeGroot , Rick D. McVenes , Becky L. Dolan
CPC classification number: A61N1/05 , A61N1/39622
Abstract: An implantable cardiac defibrillator (ICD) system includes an ICD implanted subcutaneously in a patient, a defibrillation lead having a proximal portion coupled to the ICD and a distal portion having a defibrillation electrode configured to deliver a defibrillation or cardioversion shock to a heart of the patient, and a pacing lead that includes a distal portion having one or more electrodes and a proximal portion coupled to the ICD. The distal portion of the pacing lead is implanted at least partially along a posterior side of a sternum of the patient within the anterior mediastinum. The ICD is configured to provide pacing pulses to the heart of the patient via the pacing lead and provide defibrillation shocks to the patient via the defibrillation lead. As such, the implantable cardiac system provides pacing from the substernal space for an extravascular ICD system.
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公开(公告)号:US11857779B2
公开(公告)日:2024-01-02
申请号:US16742385
申请日:2020-01-14
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Paul J. DeGroot , Rick D. McVenes , Becky L Dolan
CPC classification number: A61N1/05 , A61N1/39622
Abstract: An implantable cardiac defibrillator (ICD) system includes an ICD implanted subcutaneously in a patient, a defibrillation lead having a proximal portion coupled to the ICD and a distal portion having a defibrillation electrode configured to deliver a defibrillation or cardioversion shock to a heart of the patient, and a pacing lead that includes a distal portion having one or more electrodes and a proximal portion coupled to the ICD. The distal portion of the pacing lead is implanted at least partially along a posterior side of a sternum of the patient within the anterior mediastinum. The ICD is configured to provide pacing pulses to the heart of the patient via the pacing lead and provide defibrillation shocks to the patient via the defibrillation lead. As such, the implantable cardiac system provides pacing from the substernal space for an extravascular ICD system.
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公开(公告)号:US20200345387A1
公开(公告)日:2020-11-05
申请号:US16935942
申请日:2020-07-22
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Kenneth C. Gardeski , Rick D. McVenes , Zhongping C. Yang
Abstract: A reservoir of a system for deploying an implantable lead to an extravascular location delivers a flow of fluid through a lumen of one or both of a tunneling tool and an introducer of the system. In some cases, the tunneling tool includes a pressure sensor assembly for monitoring a change in a pressure of the flow through the lumen thereof Alternately, or in addition, a flow-controlled passageway, through which the flow of fluid from the reservoir is delivered to the lumen of the introducer, includes a compliant chamber to hold a reserve of the fluid. Fluid from the reserve may be drawn into the lumen of the introducer as the tunneling tool is withdrawn therefrom. Alternately, the introducer may include a chamber located between two seals, wherein fluid that fills the chamber is drawn distally into the lumen of the introducer, as the tunneling tool is withdrawn therefrom.
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公开(公告)号:US10729456B2
公开(公告)日:2020-08-04
申请号:US14935708
申请日:2015-11-09
Applicant: Medtronic, Inc.
Inventor: Ronald A. Drake , Kenneth C. Gardeski , Zhongping Yang , Rick D. McVenes
Abstract: A reservoir of a system for deploying an implantable lead to an extravascular location delivers a flow of fluid through a lumen of one or both of a tunneling tool and an introducer of the system. In some cases, the tunneling tool includes a pressure sensor assembly for monitoring a change in a pressure of the flow through the lumen thereof. Alternately, or in addition, a flow-controlled passageway, through which the flow of fluid from the reservoir is delivered to the lumen of the introducer, includes a compliant chamber to hold a reserve of the fluid. Fluid from the reserve may be drawn into the lumen of the introducer as the tunneling tool is withdrawn therefrom. Alternately, the introducer may include a chamber located between two seals, wherein fluid that fills the chamber is drawn distally into the lumen of the introducer, as the tunneling tool is withdrawn therefrom.
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公开(公告)号:US11524157B2
公开(公告)日:2022-12-13
申请号:US16885837
申请日:2020-05-28
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Paul J. DeGroot , Rick D. McVenes
Abstract: Implantable leadless cardiac pacing systems and methods for providing substernal pacing using the leadless cardiac pacing systems are described. In one embodiment, an implantable leadless cardiac pacing system includes a housing, a first electrode on the housing, a second electrode on the housing, and a pulse generator within the housing and electrically coupled to the first electrode and the second electrode. The housing is implanted substantially within an anterior mediastinum of a patient and the pulse generator is configured to deliver pacing pulses to a heart of the patient via a therapy vector formed between the first and second electrodes.
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公开(公告)号:US11344737B2
公开(公告)日:2022-05-31
申请号:US16678365
申请日:2019-11-08
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Paul J. DeGroot , Rick D. McVenes , Becky L. Dolan
Abstract: Substernal implantable cardioveter-defibrillator (ICD) systems and methods for providing substernal electrical stimulation therapy to treat malignant tachyarrhythmia, e.g., ventricular tachycardia (VT) and ventricular fibrillation (VF) are described. In one example, an implantable cardioveter-defibrillator (ICD) system includes an ICD implanted in a patient and an implantable medical electrical lead. The lead includes an elongated lead body having a proximal end and a distal portion, a connector at the proximal end of the lead body configured to couple to the ICD, and one or more electrodes along the distal portion of the elongated lead body. The distal portion of the elongated lead body of the lead is implanted substantially within an anterior mediastinum of the patient and the ICD is configured to deliver electrical stimulation to a heart of the patient using the one or more electrodes.
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公开(公告)号:US11344720B2
公开(公告)日:2022-05-31
申请号:US16725458
申请日:2019-12-23
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Rick D. McVenes
Abstract: Implantable cardiac pacing systems and methods for providing substernal pacing are described. In one example, a cardiac pacing system includes a pacemaker implanted in a patient and an implantable medical electrical lead. The implantable medical electrical lead includes an elongated lead body having a proximal end and a distal portion, a connector configured to couple to the pacemaker at the proximal end of the elongated lead body, and one or more electrodes along the distal portion of the elongated lead body, wherein the distal portion of the elongated lead body of the lead is implanted substantially within an anterior mediastinum of the patient and the pacemaker is configured to deliver pacing pulses to a heart of the patient.
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公开(公告)号:US20200147402A1
公开(公告)日:2020-05-14
申请号:US16742385
申请日:2020-01-14
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G.T. Christie , Paul J. DeGroot , Rick D. McVenes , Becky L. Dolan
Abstract: An implantable cardiac defibrillator (ICD) system includes an ICD implanted subcutaneously in a patient, a defibrillation lead having a proximal portion coupled to the ICD and a distal portion having a defibrillation electrode configured to deliver a defibrillation or cardioversion shock to a heart of the patient, and a pacing lead that includes a distal portion having one or more electrodes and a proximal portion coupled to the ICD. The distal portion of the pacing lead is implanted at least partially along a posterior side of a sternum of the patient within the anterior mediastinum. The ICD is configured to provide pacing pulses to the heart of the patient via the pacing lead and provide defibrillation shocks to the patient via the defibrillation lead. As such, the implantable cardiac system provides pacing from the substernal space for an extravascular ICD system.
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公开(公告)号:US10532203B2
公开(公告)日:2020-01-14
申请号:US14261479
申请日:2014-04-25
Applicant: Medtronic, Inc.
Inventor: Amy E. Thompson-Nauman , Melissa G. T. Christie , Rick D. McVenes
Abstract: Implantable cardiac pacing systems and methods for providing substernal pacing are described. In one example, a cardiac pacing system includes a pacemaker implanted in a patient and an implantable medical electrical lead. The implantable medical electrical lead includes an elongated lead body having a proximal end and a distal portion, a connector configured to couple to the pacemaker at the proximal end of the elongated lead body, and one or more electrodes along the distal portion of the elongated lead body, wherein the distal portion of the elongated lead body of the lead is implanted substantially within an anterior mediastinum of the patient and the pacemaker is configured to deliver pacing pulses to a heart of the patient.
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公开(公告)号:US09220913B2
公开(公告)日:2015-12-29
申请号:US14270804
申请日:2014-05-06
Applicant: Medtronic, Inc.
Inventor: Melissa G. T. Christie , Amy E. Thompson-Nauman , Becky L. Dolan , Paul J. DeGroot , Rick D. McVenes
CPC classification number: A61N1/3962 , A61N1/0504 , A61N1/0563 , A61N1/3688 , A61N1/3752 , A61N1/3925 , A61N2001/083
Abstract: Techniques and methods for determining the number and type of leads that are connected to an implantable medical device (IMD) system are disclosed. The IMD system is configured having at least two modes of operation, the modes of operation corresponding to the number and type of leads that are coupled to the IMD system. In accordance with aspects of the disclosure, one of the at least two modes may be selected based on the determination of the number and type of leads that are connected to the IMD system.
Abstract translation: 公开了用于确定连接到可植入医疗装置(IMD)系统的引线的数量和类型的技术和方法。 IMD系统被配置为具有至少两种操作模式,操作模式对应于耦合到IMD系统的引线的数量和类型。 根据本公开的方面,可以基于连接到IMD系统的引线的数量和类型的确定来选择至少两种模式之一。
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