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

IPC: A61N1/39 ,  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.

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

IPC: A61N1/05 ,  A61N1/365 ,  A61N1/362 ,  A61N1/372 ,  A61N1/375

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.

公开(公告)号：US10080905B2

公开(公告)日：2018-09-25

申请号：US15367516

申请日：2016-12-02

Applicant: Medtronic, Inc.

Inventor： David A. Anderson ,  Mark T. Marshall ,  Vladimir P. Nikolski ,  Robert T. Sawchuk ,  Amy E. Thompson-Nauman ,  John D. Wahlstrand ,  Gregory A. Younker

IPC: A61N1/37 ,  A61N1/39 ,  A61N1/375 ,  A61N1/362

CPC classification number: A61N1/3962 ,  A61N1/0587 ,  A61N1/3621 ,  A61N1/3706 ,  A61N1/371 ,  A61N1/3712 ,  A61N1/3758 ,  A61N1/3925 ,  A61N1/3987

Abstract: An extra-cardiovascular implantable cardioverter defibrillator (ICD) having a low voltage therapy module and a high voltage therapy module is configured to select, by a control module of the ICD, a pacing output configuration from at least a low-voltage pacing output configuration of the low voltage therapy module and a high-voltage pacing output configuration of the high voltage therapy module. The high voltage therapy module includes a high voltage capacitor having a first capacitance and the low voltage therapy module includes a plurality of low voltage capacitors each having up to a second capacitance that is less than the first capacitance. The ICD control module controls a respective one of the low voltage therapy module or the high voltage therapy module to deliver extra-cardiovascular pacing pulses in the selected pacing output configuration via extra-cardiovascular electrodes coupled to the ICD.

公开(公告)号：US09717898B2

公开(公告)日：2017-08-01

申请号：US14257549

申请日：2014-04-21

Applicant: Medtronic, Inc.

Inventor： Amy E. Thompson-Nauman ,  Melissa G. T. Christie ,  Noah D. Barka

IPC: A61N1/05 ,  A61M5/14 ,  A61B17/34 ,  A61B17/00 ,  A61B17/32

CPC classification number: A61N1/05 ,  A61B17/3462 ,  A61B17/3468 ,  A61B17/3494 ,  A61B2017/00243 ,  A61B2017/00331 ,  A61B2017/00455 ,  A61B2017/320056 ,  A61M5/14 ,  A61N1/0504 ,  A61N1/0563

Abstract: Implant tools and techniques for implantation of a medical lead, catheter or other implantable component are provided. The implant tools and techniques are particularly useful in implanting medical electrical leads in implant locations such as substernal spaces or subcutaneous locations. The implant tools include a sheath coupled to a sealing device. The sheath includes a continuous lumen that is in fluid communication with a passage of the sealing device. The lead is advanced through the passage and the lumen for placement of the distal end of the lead at the implant location.

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

IPC: A61N1/372 ,  A61N1/39 ,  A61N1/375 ,  A61N1/368 ,  A61N1/08 ,  A61N1/05

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。

公开(公告)号：US20150306375A1

公开(公告)日：2015-10-29

申请号：US14519436

申请日：2014-10-21

Applicant: Medtronic, Inc.

Inventor： Mark T. Marshall ,  Jian Cao ,  Melissa G.T. Christie ,  Paul J. DeGroot ,  Vladimir P. Nikolski ,  Amy E. Thompson-Nauman

IPC: A61N1/05 ,  A61N1/39

Abstract: Implantable medical electrical leads having electrodes arranged such that a defibrillation coil electrode and a pace/sense electrode(s) are concurrently positioned substantially over the ventricle when implanted are described. The leads include an elongated lead body having a distal portion and a proximal end, a connector at the proximal end of the lead body, a defibrillation electrode located along the distal portion of the lead body, wherein the defibrillation electrode includes a first segment and a second segment proximal to the first segment by a distance, a first electrical conductor extending from the proximal end of the lead body and electrically coupling to the first segment and the second segment of the defibrillation electrode, and at least one pace/sense electrode located between the first segment and the second segment of the defibrillation electrode.

Abstract translation: 描述了植入式医疗电引线，其具有布置成使得当植入时基本上位于心室上的除颤线圈电极和步调/感测电极同时定位的电极。 引线包括具有远侧部分和近端的细长引线体，在引线本体的近端处的连接器，沿着引线主体的远端部分设置的除颤电极，其中除颤电极包括第一部分和 靠近所述第一段的第二段延伸一段距离;从所述引线主体的近端延伸并电耦合到所述除颤电极的所述第一段和所述第二段的第一电导体，以及位于所述除颤电极之间的至少一个步进/ 除颤电极的第一段和第二段。

公开(公告)号：US20140330329A1

公开(公告)日：2014-11-06

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

IPC: A61N1/05 ,  A61N1/365

CPC classification number: A61N1/3756 ,  A61N1/05 ,  A61N1/0504 ,  A61N1/0587 ,  A61N1/362 ,  A61N1/365 ,  A61N1/37288

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.

Abstract translation: 描述了植入式心脏起搏系统和用于提供下位起搏的方法。 在一个示例中，心脏起搏系统包括植入患者的起搏器和可植入的医用电引线。 可植入医疗电线包括具有近端和远端部分的细长引线本体，被配置为在细长引线体的近端处连接到起搏器的连接器以及沿着细长引线的远端部分的一个或多个电极 其中所述引线的细长引线体的远端部分基本上植入患者的前纵隔，并且起搏器构造成将起搏脉冲输送到患者的心脏。

公开(公告)号：US20140330325A1

公开(公告)日：2014-11-06

申请号：US14261456

申请日：2014-04-25

Applicant: Medtronic, Inc.

Inventor： Amy E. Thompson-Nauman ,  Melissa G.T. Christie ,  Paul J. DeGroot ,  Rick D. McVenes ,  Becky L. Dolan

IPC: A61N1/39

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。

公开(公告)号：US12172010B2

公开(公告)日：2024-12-24

申请号：US18324781

申请日：2023-05-26

Applicant: Medtronic, Inc.

Inventor： Vladimir P. Nikolski ,  Melissa G. T. Christie ,  Mark T. Marshall ,  Amy E. Thompson-Nauman

IPC: A61N1/362 ,  A61B5/363 ,  A61N1/36 ,  A61N1/37 ,  A61N1/39

Abstract: A medical device is configured to deliver therapeutic electrical stimulation pulses by generating frequency modulated electrical stimulation pulse signals. The medical device includes a pulse signal source and a modulator. The pulse signal source generates an electrical stimulation pulse signal having a pulse width. The modulator may include a high frequency modulator configured to modulate a frequency of the pulse signal from a starting frequency down to a minimum frequency during the pulse width. The modulator may include a low frequency bias generator to modulate the offset of the pulse signal between a minimum offset and a maximum offset in other examples.

公开(公告)号：US11832848B2

公开(公告)日：2023-12-05

申请号：US17188538

申请日：2021-03-01

Applicant: Medtronic, Inc.

Inventor： Melissa G. T. Christie ,  Noah D. Barka ,  Rick D. McVenes ,  Amy E. Thompson-Nauman

IPC: A61B17/34 ,  A61N1/05 ,  A61B17/00 ,  A61B17/32 ,  A61B90/00 ,  A61M5/14

CPC classification number: A61B17/3468 ,  A61M5/14 ,  A61N1/05 ,  A61B17/3462 ,  A61B17/3494 ,  A61B2017/00243 ,  A61B2017/00331 ,  A61B2017/00455 ,  A61B2017/320056 ,  A61B2090/3966 ,  A61N1/0504 ,  A61N1/0563

Abstract: Devices and implantation methods utilizing subcutaneous placement into a patient are disclosed for the insertion, advancement and positioning of a subcutaneous implantable medical device (SIMD) such as a medical electrical lead. The device for implanting the SIMD is configured having a pre-biased distal curve for creating a pathway to an implant location within a substernal space.