摘要:
The lead configuration enhances the sensing characteristics of the lead and provides for stable location of the electrodes in the coronary sinus. The J-shaped bend in the distal portion of the lead body spaces the distal tip of the lead body less than about 0.9 inches laterally from the portion of the lead body that is proximal to the bend. The tip of the lead body is provided with a pacing/sensing electrode and the curved portion of the J-shaped bend carries an elongated coil electrode that serves as an indifferent electrode for pacing and sensing. For left atrial pacing, the lead tip electrode is located adjacent the wall of the coronary sinus closest to the left atrium, and the indifferent electrode is located adjacent the opposite wall of the coronary sinus, closer to the left ventricle. To enhance spatial distribution of the indifferent electrode and provide for greater averaging of the ventricular signal, which in turn reduces the far field of the ventricular signal, the indifferent electrode extends over 10-50 millimeters or multiple spaced indifferent electrodes are used.
摘要:
A body-implantable transvenous endocardial lead for an implantable medical device system. The lead includes inner and outer coiled conductors each surrounded by a flexible elongate sheath such that the inner conductor is rotatable within the outer sheath. An electrode assembly disposed at the distal end of the lead includes a distally-projecting fixation helix. A sliding member in the electrode assembly includes a helix-engaging collar for engaging the coils of the fixation helix, such that when the helix is rotated in a first direction with respect to the sliding member, it is advanced in a screw-like fashion distally forward with respect to the sliding member, and when the helix is rotated in a second direction with respect to the sliding member, it is retracted proximally backward with respect to the sliding member. A tip electrode is disposed on the distal end of the sliding member. When the helix is fully retracted, the helix-engaging collar is disposed substantially at the distal end of the helix such that the tip electrode extends distally beyond the distal end of the helix. When the helix is fully advanced, the helix engaging collar and the electrode are positioned substantially within the helix.
摘要:
An implantable electrode type lead assembly of the flexible type which is particularly adapted for implantation in the cardiac tissue for applications such as use with a pacemaker. The lead assembly has an electrode head which includes a fixation spiral for implantation into tissue. The spiral or rotation action of the electrode head is controlled by means of an elongated torsionally wound electrical coil conductor, the coil extending through the lead from the proximal to the distal end thereof and carried within a silicone tube which is co-extensive therewith, the tube having been especially treated to modify the slip characteristics of the internal diameter (ID) thereof for high efficiency torque transfer.
摘要:
A medical electrical lead and method of manufacturing such a lead for use in cardiac pacing, the lead having a distal end having an active fixation device such as a helix electrode (46) having a distal end and a proximal end, the tissue securing means extending from the lead body distal end, an electrical conductor (15) extending between the proximal and distal ends of the lead, and a longitudinally extending torque indicator (35 or 36) affixed to the lead body (10) proximal to the tissue securing means, the torque indicator (35 or 36) showing rotational movement or distortion of the torque indicator (35 or 36) under fluoroscopy.
摘要:
A body-implantable lead (10) for use in cardiac pacing having a proximal end and a distal end, the proximal end connected to a medical device, an active fixation device such as a helix electrode (330) extending from the lead body distal end, an electrical conductor (15) extending between the proximal and distal ends of the lead, and a longitudinally extending radiopaque marker (35 or 335) affixed to the lead body (10) proximal to the helix electrode, the radiopaque marker (35 or 335) showing rotational movement or distortion of the radiopaque marker (35 or 335) under fluoroscopy.
摘要:
A catheter body includes an exit port over which a pressure responsive sleeve is formed that allows material to exit a lumen of the catheter body at a given pressure. In one embodiment, a surface of the sleeve is approximately flush with a surface of the catheter body.
摘要:
This disclosure is directed to extra, intra, and transvascular medical lead placement techniques for arranging medical leads and electrical stimulation and/or sensing electrodes proximate nerve tissue within a patient.
摘要:
A needle and needle system that aids in determining needle position with respect to an implanted device. The system determines needle position by detecting changes in electrical characteristics and the system further may generate a cue to indicate proper needle placement within an implanted device. Methods for detecting needle position with respect to an implanted infusion device are also disclosed.
摘要:
This disclosure is directed to extra, intra, and transvascular medical lead placement techniques for arranging medical leads and electrical stimulation and/or sensing electrodes proximate nerve tissue within a patient.