Implantable cardioverter-defibrillator (ICD) system including substernal lead

    公开(公告)号:US11344737B2

    公开(公告)日:2022-05-31

    申请号:US16678365

    申请日:2019-11-08

    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.

    IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR (ICD) SYSTEM INCLUDING SUBSTERNAL PACING LEAD

    公开(公告)号:US20200147402A1

    公开(公告)日:2020-05-14

    申请号:US16742385

    申请日:2020-01-14

    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.

    IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR (ICD) SYSTEM INCLUDING SUBSTERNAL PACING LEAD
    14.
    发明申请
    IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR (ICD) SYSTEM INCLUDING SUBSTERNAL PACING LEAD 审中-公开
    可植入式除虫器(ICD)系统,包括子午线引导

    公开(公告)号:US20140330325A1

    公开(公告)日:2014-11-06

    申请号:US14261456

    申请日:2014-04-25

    CPC classification number: A61N1/3962 A61N1/05

    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.

    Abstract translation: 植入式心脏除颤器(ICD)系统包括皮下植入患者体内的ICD,具有与ICD耦合的近端部分的除颤引线和具有除颤电极的远端部分,该除颤电极被配置为向患者的心脏递送除颤或心脏复律冲击 以及包括具有一个或多个电极的远端部分和耦合到ICD的近端部分的起搏引线。 起搏引线的远端部分至少部分地沿着患者胸骨的后侧在前纵隔中植入。 ICD被配置为通过起搏引线向患者的心脏提供起搏脉冲,并通过除颤引线向病人提供除颤电击。 因此,可植入心脏系统从子宫内空间提供用于血管外ICD系统的起搏。

    INTEGRATED SLEEP APNEA AND AT LEAST ONE OF CARDIAC MONITORING AND CARDIAC THERAPY

    公开(公告)号:US20230241391A1

    公开(公告)日:2023-08-03

    申请号:US18068932

    申请日:2022-12-20

    CPC classification number: A61N1/3611 A61N1/36139 A61N1/37235 A61N1/36514

    Abstract: An implantable medical device (IMD) includes therapy delivery circuitry, sensing circuitry, and processing circuitry. The processing circuitry is configured to determine one or more sleep apnea therapy parameters, control the therapy delivery circuitry to deliver sleep apnea therapy via a first set of electrodes implantable within the patient in accordance with the one or more sleep apnea therapy parameters, and at least one of: (1) monitor a cardiac signal sensed with the sensing circuitry, or (2) determine one or more cardiac therapy parameters, and control the therapy delivery circuitry to deliver cardiac therapy via a second set of electrodes implantable within the patient in accordance with the one or more cardiac therapy parameters.

    Implantable medical device with retractable fixation sheath

    公开(公告)号:US10758733B2

    公开(公告)日:2020-09-01

    申请号:US15705690

    申请日:2017-09-15

    Abstract: An implantable medical device has a housing having a proximal end, a distal end and an outer sidewall extending from the proximal end to the distal end. A fixation sheath includes a housing sheath portion extending along the outer sidewall of the housing, and a fixation member portion extending from the housing sheath portion. The housing sheath portion is advanceable from a first position along the outer sidewall of the housing in which the fixation member portion is retracted toward the proximal end of the housing to a second position along the outer sidewall of the housing in which the fixation member portion is deployed to extend away from the housing distal end for anchoring the implantable medical device at an implant site.

    Implantable cardioverter-defibrillator (ICD) system including substernal pacing lead

    公开(公告)号:US10556117B2

    公开(公告)日:2020-02-11

    申请号:US14261456

    申请日:2014-04-25

    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.

    Implantable cardioverter-defibrillator (ICD) system including substernal lead

    公开(公告)号:US10471267B2

    公开(公告)日:2019-11-12

    申请号:US14261470

    申请日:2014-04-25

    Abstract: Substernal implantable cardioverter-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 cardioverter-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.

    MULTI-MODE IMPLANTABLE MEDICAL DEVICE
    20.
    发明申请
    MULTI-MODE IMPLANTABLE MEDICAL DEVICE 有权
    多模式可植入医疗器械

    公开(公告)号:US20140330328A1

    公开(公告)日:2014-11-06

    申请号:US14270804

    申请日:2014-05-06

    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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