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公开(公告)号:US10786679B2
公开(公告)日:2020-09-29
申请号:US15846060
申请日:2017-12-18
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: G. Shantanu Reddy , Andrew L. De Kock , Peter Hall
Abstract: A lead for use with cardiac stimulus device with at least two electrodes positioned at a single longitudinal location is provided. The electrodes may include a shocking coil electrode and a sensing and/or pacing ring electrode and may be separated by an insulating element. The at least two electrically insulated electrodes may be electrically isolated and serve separate purposes in the device.
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公开(公告)号:US20180169384A1
公开(公告)日:2018-06-21
申请号:US15846081
申请日:2017-12-18
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: G. Shantanu Reddy , Peter Hall , Andrew L. De Kock , Christopher Alan Fuhs , Daniel J. Foster , James K. Cawthra, JR.
CPC classification number: A61M25/0133 , A61B5/0422 , A61B5/0538 , A61B5/4836 , A61B5/6851 , A61B5/686 , A61B5/6876 , A61N1/0563 , A61N1/0587 , A61N1/3956
Abstract: Implantation of a cardiac stimulus system using the ITV. Access to the ITV may be performed using the intercostal vein as an access point, and entering the ITV through an ostium therebetween. The intercostal vein may be located on a costal groove on an inferior portion of a rib. Advancement from the intercostal vein to the ITV may then be performed in a superior direction, an inferior direction, or both.
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公开(公告)号:US10980570B2
公开(公告)日:2021-04-20
申请号:US15868799
申请日:2018-01-11
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: G. Shantanu Reddy , Andrew L. De Kock , James O. Gilkerson , James K. Cawthra, Jr. , Christopher Alan Fuhs , Daniel J. Foster , Peter Hall
Abstract: 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.
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公开(公告)号:US20160235972A1
公开(公告)日:2016-08-18
申请号:US15015882
申请日:2016-02-04
Applicant: Cardiac Pacemakers, Inc.
Inventor: Peter Hall
CPC classification number: A61N1/0587 , A61B5/042 , A61B2562/0217 , A61L31/022 , A61N1/05 , A61N1/056 , A61N1/3605 , A61N1/375 , C25D11/34 , H01J9/02
Abstract: An electrode for use with an implantable medical device includes an alloy and a conductive oxide layer on a surface of the alloy. The alloy includes iridium and at least one of cobalt and iron. The conductive oxide layer includes iridium oxide. The conductive oxide layer has a thickness greater than about 5 nanometers.
Abstract translation: 用于可植入医疗装置的电极包括合金表面上的合金和导电氧化物层。 合金包括铱和钴和铁中的至少一种。 导电氧化物层包括氧化铱。 导电氧化物层具有大于约5纳米的厚度。
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公开(公告)号:US11766571B2
公开(公告)日:2023-09-26
申请号:US17527703
申请日:2021-11-16
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: G. Shantanu Reddy , Benjamin Michael Nitti , Bryan Peter Nelson , Christopher Alan Fuhs , Andrew L. De Kock , Peter Hall
CPC classification number: A61N1/3752 , A61N1/0504 , A61N1/057 , A61N1/0563 , A61N2001/058 , A61N2001/0582
Abstract: A retention device for use with an implantable medical device (IMD) may comprise an elongate body including a configured to receive the lead of the IMD. The retention device may also include securing mechanisms coupled to the elongate body and configured to push against tissue of a patient. The securing mechanisms may also include linking elements coupled to the elongate body and a portion of the securing mechanisms.
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公开(公告)号:US11077299B2
公开(公告)日:2021-08-03
申请号:US15913369
申请日:2018-03-06
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: Christopher Alan Fuhs , Andrew L. De Kock , G. Shantanu Reddy , Peter Hall , James K. Cawthra, Jr. , Daniel J. Foster
Abstract: Implantation of a cardiac stimulus system using the ITV. Superior, intercostal, and inferior access methods are discussed and disclosed. Superior access may be performed using the brachiocephalic vein to access the ITV, with access to the brachiocephalic vein achieved using subclavian vein, using standard visualization techniques. A positioning mechanism may be advanced to the ITV, a location of the positioning mechanism may then be obtained, and an external access may then be established. Inferior external access may be accomplished inferior to the lower rib margin via the superior epigastric or musculophrenic vein. Intercostal external access may be accomplished via an intercostal vein between two ribs. A lead may then be attached to the positioning mechanism and drawn into the ITV.
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公开(公告)号:US11219775B2
公开(公告)日:2022-01-11
申请号:US16397086
申请日:2019-04-29
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: Bryan Peter Nelson , Christopher Alan Fuhs , G. Shantanu Reddy , Peter Hall , Andrew L. De Kock
Abstract: Retention devices for use with an implantable medical device (IMD) are disclosed. An illustrative retention device may comprise an elongate body including a hollow lumen configured to receive a lead of the IMD and an outer surface configured to receive a suture. The retention device may also include a securing mechanism configured to push against tissue of a patient.
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公开(公告)号:US11077297B2
公开(公告)日:2021-08-03
申请号:US15955331
申请日:2018-04-17
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: Andrew L. De Kock , G. Shantanu Reddy , Lili Liu , James K. Cawthra, Jr. , Christopher Alan Fuhs , Peter Hall , James O. Gilkerson , Benjamin Philip Gundale , Daniel J. Foster , Henry J. Pepin
Abstract: Implantable leads of a cardiac stimulus system are disclosed, as well as methods for implanting leads of a cardiac stimulus system. The lead may be comprised of a proximal portion having a coupler for coupling to an implantable pulse generator, an intermediate portion comprising a plurality of electrodes disposed thereon, and a distal portion. The intermediate portion may have a first diameter and the distal portion may have a second diameter. The distal portion may also have an attachment feature for attaching to a lead pulling tool for delivery to an ITV and an intercostal vein. Methods may include pulling a lead from a first position to a second position within the vasculature, exiting the vasculature at the second location, and attaching a portion of the lead that exits the vasculature to an electrode or implantable device for use with the lead.
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公开(公告)号:US20180214686A1
公开(公告)日:2018-08-02
申请号:US15882130
申请日:2018-01-29
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: Andrew L. De Kock , G. Shantanu Reddy , Christopher Alan Fuhs , Daniel J. Foster , Peter Hall , James K. Cawthra, JR.
CPC classification number: A61N1/0504 , A61B5/053 , A61B5/686 , A61N1/362 , A61N1/3621 , A61N1/36521 , A61N1/37 , A61N1/37516 , A61N1/3956
Abstract: 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.
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公开(公告)号:US20180193060A1
公开(公告)日:2018-07-12
申请号:US15868799
申请日:2018-01-11
Applicant: CARDIAC PACEMAKERS, INC.
Inventor: G. Shantanu Reddy , Andrew L. De Kock , James O. Gilkerson , James K. Cawthra, JR. , Christopher Alan Fuhs , Daniel J. Foster , Peter Hall
CPC classification number: A61B17/3468 , A61B2017/00292 , A61F2/82 , A61F2220/0016 , A61N1/05 , A61N1/0504 , A61N1/056 , A61N1/0563 , A61N1/057 , A61N1/3621 , A61N1/3627 , A61N1/3956
Abstract: 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.
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