摘要:
A lead delivery system for delivering a medical electrical lead to an internal jugular vein (IJV) through a subclavian vein. An inner catheter extends from a proximal end to a distal end. The inner catheter includes an inner catheter curve configured to direct the distal end to the IJV when positioned in the subclavian vein. The stiffness of the inner catheter decreases in an inner catheter transition region in a direction from the proximal end to the distal end. An outer catheter extends from a proximal end to a distal end and is sized to slide over the inner catheter. The outer catheter includes an outer catheter curve. The stiffness of the outer catheter decreases in an outer catheter transition region in a direction from the proximal end to the distal end. The system further comprises a guidewire having a distal end and a proximal end. The guidewire is sized to slide through the inner catheter to a desired location in the IJV and the guidewire stiffness decreases in a guidewire transition region in a direction from the guidewire proximal end to the guidewire distal end. A method of delivering a medical electrical lead to a target location within an IJV.
摘要:
An implantable tissue stimulator includes a polymer film capacitor adhered to an inside wall surface of the stimulator's case or housing in a way that minimizes the size and weight of the stimulator device. The energy storage capacitor for the tissue stimulator comprises a monolithic, multi-layer device and where the polymer is a suitable acrylate of a known formulation, over 1500 parallel plate capacitor electrodes can be built it with the height dimension of the resulting capacitor being less than about 3 mms. Instead of forming the capacitor on the inner surface of the stimulator's case in situ, such a capacitor can be formed on a mold member corresponding in shape to the inner surface of the stimulator's case and inserted into the stimulator's case following removal from the mold.
摘要:
Electrode leads for providing neuromuscular stimulation of the spinal muscles, and methods of implantation of electrode leads, are provided that reduce injury to target muscles, and avoid extended recuperation period, by enabling a clinician to visualize and confirm the implantation site of the electrode leads during an implantation procedure.
摘要:
A lead system and method of use for treating breathing disorders by the transvenous stimulation of the phrenic nerve. The lead is implanted in a vein near one portion of the phrenic nerve.
摘要:
A means for treating breathing disorders by stimulating respiratory muscles or nerves to entrain respiratory systems while leaving respiratory drive intact. Embodiments of the invention employ frequency analysis to determine if appropriate stimulation energy is being applied.
摘要:
A lead system for an implantable medical device and applications for the lead system. Also includes therapeutic systems, devices, and processes for detecting and treating disordered breathing and treating cardiac and breathing issues together with an implantable device.
摘要:
A medical electrical lead for transvascularly stimulating a nerve, muscle or other tissue from an adjacent vessel is described. The lead includes a bifurcated distal portion including a first elongate member forming a first spiral and a second elongate member forming a second spiral. The spirals can be in parallel or serial alignment with one another.
摘要:
A medical electrical lead and methods of implanting medical electrical leads in lumens. Leads in accordance with the invention employ preformed biases to stabilize the lead within a lumen or lumen and to provide feedback to lead implanters. In some embodiments, a preformed bend in the lead may assist an implanter with orienting the lead within a lumen.
摘要:
Electrode leads for providing neuromuscular stimulation of the spinal muscles, and methods of implantation of electrode leads, are provided that reduce injury to target muscles, and avoid extended recuperation period, by enabling a clinician to visualize and confirm the implantation site of the electrode leads during an implantation procedure
摘要:
An apparatus for performing a minimally-invasive surgical procedure in the vagus nerve region includes a cannula, an endoscopic dissection tool and a cradle assembly slideably disposed in a cannula lumen. The cradle assembly includes a C-ring, an electrode cuff disposed over an exterior surface of the C-ring, and a deployment device. The electrode cuff is adapted to wrap around the target nerve region or nerve branch to be stimulated when deployed from the C-ring using the deployment device. A method of performing a minimally invasive surgical procedure is also described.