公开(公告)号：US10603487B2

公开(公告)日：2020-03-31

申请号：US16119133

申请日：2018-08-31

申请人： Cardiac Pacemakers, Inc.

发明人： Bruce Alan Tockman ,  Lili Liu ,  Brendan Early Koop ,  Brian Soltis ,  Arthur J. Foster ,  G. Shantanu Reddy

IPC分类号： A61N1/05

摘要： Medical devices and methods for making and using medical devices are disclosed. An example medical device may include an implantable medical device. The implantable medical device may include an implantable pacing member having a housing and a lead input. A lead may be coupled to the lead input. The lead may be designed to extend along a pericardial space, epicardium, or both and engage a heart chamber. A passageway may be defined along a portion of the length of the lead.

公开(公告)号：US20190298990A1

公开(公告)日：2019-10-03

申请号：US16373199

申请日：2019-04-02

申请人： Cardiac Pacemakers, Inc.

发明人： Andrew L. De Kock ,  G. Shantanu Reddy ,  Newell G. Voss ,  Lili Liu

IPC分类号： A61N1/05 ,  A61B17/34 ,  A61N1/362

摘要： A catheter for delivering a medical electrical lead to a bundle of His from within a right atrium of a heart. The catheter includes a straight portion and a hook portion projecting from a distal end of the straight portion. The hook portion includes a first curved portion, a second curved portion, and a third curved portion. The straight portion and the first curved portion define a plane. The second curved portion extends from a distal end of the first curved portion. The second curved portion curves away from the plane. The third curved portion extends from a distal end of the second curved portion. The third curved portion curves toward the plane. The catheter forms a lumen extending from a proximal end of the straight portion to an opening at a distal end of the third curved portion.

公开(公告)号：US10092745B2

公开(公告)日：2018-10-09

申请号：US14931628

申请日：2015-11-03

申请人： Cardiac Pacemakers, Inc.

发明人： Bruce Alan Tockman ,  Lili Liu ,  Brendan Early Koop ,  Brian Soltis ,  Arthur J. Foster ,  G. Shantanu Reddy

IPC分类号： A61N1/05

摘要： Medical devices and methods for making and using medical devices are disclosed. An example medical device may include an implantable medical device. The implantable medical device may include an implantable pacing member having a housing and a lead input. A lead may be coupled to the lead input. The lead may be designed to extend along a pericardial space, epicardium, or both and engage a heart chamber. A passageway may be defined along a portion of the length of the lead.

公开(公告)号：US20180214686A1

公开(公告)日：2018-08-02

申请号：US15882130

申请日：2018-01-29

申请人： CARDIAC PACEMAKERS, INC.

发明人： Andrew L. De Kock ,  G. Shantanu Reddy ,  Christopher Alan Fuhs ,  Daniel J. Foster ,  Peter Hall ,  James K. Cawthra, JR.

IPC分类号： A61N1/05 ,  A61N1/362 ,  A61N1/39 ,  A61N1/37

CPC分类号： A61N1/0504 ,  A61B5/053 ,  A61B5/686 ,  A61N1/362 ,  A61N1/3621 ,  A61N1/36521 ,  A61N1/37 ,  A61N1/37516 ,  A61N1/3956

摘要： IMD devices and implantation methods are discussed and disclosed. Electrode structures may be employed to allow electrical stimulation to heart tissue and/or sense a physiological condition. Devices may be used for the placement of the electrode structures in a patient and facilitate the degree of contact between the electrode structures and the tissue of the patient.

公开(公告)号：US20180193060A1

公开(公告)日：2018-07-12

申请号：US15868799

申请日：2018-01-11

申请人： CARDIAC PACEMAKERS, INC.

发明人： G. Shantanu Reddy ,  Andrew L. De Kock ,  James O. Gilkerson ,  James K. Cawthra, JR. ,  Christopher Alan Fuhs ,  Daniel J. Foster ,  Peter Hall

IPC分类号： A61B17/34 ,  A61N1/05 ,  A61N1/39 ,  A61N1/362 ,  A61F2/82

CPC分类号： A61B17/3468 ,  A61B2017/00292 ,  A61F2/82 ,  A61F2220/0016 ,  A61N1/05 ,  A61N1/0504 ,  A61N1/056 ,  A61N1/0563 ,  A61N1/057 ,  A61N1/3621 ,  A61N1/3627 ,  A61N1/3956

摘要： Implantation of a cardiac stimulus system using the intercostal veins. Superior, intercostal, and inferior access methods are discussed and disclosed. Superior access may be performed by entering the brachiocephalic vein from a jugular, subclavian, or other vein, and then accessing the internal thoracic vein, traversing a portion of the internal thoracic vein and then accessing an intercostal vein therefrom. Inferior access may be accomplished inferior to the lower rib margin via the superior epigastric vein, advancing superiorly into the internal thoracic vein and then accessing an intercostal vein therefrom. Intercostal access may include creating an opening in an intercostal space between two ribs and advancing a needle using ultrasound guidance to enter the intercostal vein directly.

公开(公告)号：US20180178019A1

公开(公告)日：2018-06-28

申请号：US15847490

申请日：2017-12-19

申请人： CARDIAC PACEMAKERS, INC.

发明人： G. Shantanu Reddy ,  Eric Falbe Hammill ,  James O. Gilkerson ,  Ramesh Wariar ,  Pramodsingh Hirasingh Thakur

IPC分类号： A61N1/378 ,  A61N1/375 ,  A61N1/05

CPC分类号： A61N1/3787 ,  A61N1/0563 ,  A61N1/37211 ,  A61N1/37288 ,  A61N1/37512 ,  A61N1/3756 ,  A61N1/3962

摘要： Cardiac therapy devices in the form of pacemakers and/or defibrillators including one or more leads with electrodes implanted in a vein in a posterior position in combination with one or more leads with electrodes implanted in an anterior position. The posterior position may be chosen from one or more of the azygos, hemiazygos, accessory hemiazygos, or posterior intercostal veins. The anterior position may be chosen from the internal thoracic vein, an anterior intercostal vein, or an anterior subcutaneous location. In other examples, sensors are placed for use by a cardiac monitoring or therapy system in one or more of the internal thoracic vein, the azygos vein, the hemiazygos vein, the accessory hemiazygos vein, and/or an anterior or posterior intercostal vein.

公开(公告)号：US20160361538A1

公开(公告)日：2016-12-15

申请号：US15245600

申请日：2016-08-24

申请人： Cardiac Pacemakers, Inc.

发明人： Masoud Ameri ,  G. Shantanu Reddy ,  Joseph Walker

IPC分类号： A61N1/08 ,  A61N1/05

CPC分类号： A61N1/08 ,  A61N1/0558 ,  A61N1/0563 ,  A61N1/0573 ,  A61N1/086 ,  H01R43/00 ,  Y10T29/49002 ,  Y10T29/49117

摘要： A medical device lead includes a tubular conductive element disposed over a lead body. The tubular conductive element includes at least one segment having one or more kerfs formed radially therethrough in a predetermined configuration so as to affect at least one electrical property, e.g., electrical impedance, of the segment. The segment may form a shocking conductor of the medical device lead. The tubular conductive element may alternatively include proximal, intermediate and distal segments each having one or more kerfs formed radially therethrough, where the one or more kerfs in each of the proximal and intermediate segments are configured so that these segments each have a higher electrical impedance than the distal segment. A layer of insulative material is disposed over the proximal and intermediate segments, so that the proximal and intermediate segments of the tubular conductive element are operable to filter electromagnetic energy from an external source.

公开(公告)号：US11534602B2

公开(公告)日：2022-12-27

申请号：US16776207

申请日：2020-01-29

申请人： CARDIAC PACEMAKERS, INC.

发明人： G. Shantanu Reddy ,  James O. Gilkerson ,  Andrew L. De Kock ,  James K. Cawthra, Jr. ,  Eric Hammill

IPC分类号： A61N1/05 ,  A61N1/39 ,  A61N1/365 ,  A61B5/00 ,  A61N1/362 ,  A61N1/37 ,  A61B5/363 ,  A61N1/375 ,  A61N1/372

摘要： Implantable devices and systems include one or more leads adapted to be emplaced in the internal thoracic vein (ITV) of a patient. The lead may include features to adapt the lead for such placement. An associated device for use with the lead may include operational circuitry adapted for use with a lead having an electrode for sensing and/or therapy purposes coupled thereto. Methods for implantation and use of such devices and systems are disclosed as well.

公开(公告)号：US11471190B2

公开(公告)日：2022-10-18

申请号：US16373199

申请日：2019-04-02

申请人： Cardiac Pacemakers, Inc.

发明人： Andrew L. De Kock ,  G. Shantanu Reddy ,  Newell G. Voss ,  Lili Liu

IPC分类号： A61B17/34 ,  A61N1/05 ,  A61N1/362 ,  A61M25/00 ,  A61N1/372 ,  A61B17/00

摘要： A catheter for delivering a medical electrical lead to a bundle of His from within a right atrium of a heart. The catheter includes a straight portion and a hook portion projecting from a distal end of the straight portion. The hook portion includes a first curved portion, a second curved portion, and a third curved portion. The straight portion and the first curved portion define a plane. The second curved portion extends from a distal end of the first curved portion. The second curved portion curves away from the plane. The third curved portion extends from a distal end of the second curved portion. The third curved portion curves toward the plane. The catheter forms a lumen extending from a proximal end of the straight portion to an opening at a distal end of the third curved portion.

公开(公告)号：US20220323749A1

公开(公告)日：2022-10-13

申请号：US17853271

申请日：2022-06-29

申请人： Cardiac Pacemakers Inc.

发明人： Arthur J. Foster ,  Benjamin J. Haasl ,  Linda L. Evert ,  G. Shantanu Reddy

IPC分类号： A61N1/05 ,  A61N1/375

摘要： A device for the active fixation of an implantable medical lead includes a housing, a tine assembly, and rotatable shaft. The housing includes a proximal end for connecting to the lead and a distal end opposite the proximal end. The housing defines a housing lumen having a longitudinal axis extending between the proximal end and the distal end. The tine assembly is disposed within the housing lumen. The tine assembly includes at least one tine configured to self-bias from a linear configuration within the housing to a curved configuration outside of the housing. The rotatable shaft extends through the housing lumen. The shaft is configured to engage the tine assembly such that rotation of the shaft transitions the at least one tine between the linear configuration and the curved configuration.