公开(公告)号：US08831720B2

公开(公告)日：2014-09-09

申请号：US14063255

申请日：2013-10-25

申请人： Cameron Health, Inc.

发明人： Gust H. Bardy ,  Riccardo Cappato

IPC分类号： A61N1/39 ,  A61N1/375 ,  A61N1/365 ,  A61B5/042

CPC分类号： A61N1/3956 ,  A61B5/042 ,  A61N1/36521 ,  A61N1/375 ,  A61N1/3756 ,  A61N1/3906

摘要： A subcutaneous implantable cardioverter-defibrillator is disclosed which has an electrically active canister which houses a source of electrical energy, a capacitor, and operational circuitry that senses the presence of potentially fatal heart rhythms. At least one subcutaneous electrode that serves as the opposite electrode from the canister is attached to the canister via a lead system. Cardioversion-defibrillation energy is delivered when the operational circuitry senses a potentially fatal heart rhythm. There are no transvenous, intracardiac, or epicardial electrodes. A method of subcutaneously implanting the cardioverter-defibrillator is also disclosed as well as a kit for conducting the method.

摘要翻译： 公开了一种皮下植入式心律转复除颤器，其具有容纳电能源的电活性罐，电容器和感测潜在致命心律的存在的操作电路。 用作与罐相反的电极的至少一个皮下电极通过引导系统附接到罐。 当操作电路感测到潜在的致命心律时，可以传递心律转复 - 除颤能量。 没有经静脉，心内或心外膜电极。 还公开了皮下植入心律转复除颤器的方法以及用于进行该方法的试剂盒。

公开(公告)号：US08718760B2

公开(公告)日：2014-05-06

申请号：US13887652

申请日：2013-05-06

申请人： Cameron Health, Inc.

发明人： Gust H. Bardy ,  Riccardo Cappato ,  Alan H. Ostroff ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/00

CPC分类号： A61N1/0504 ,  A61N1/3756 ,  A61N1/3912 ,  A61N1/3931 ,  A61N1/3968

摘要： A subcutaneous cardiac device includes two electrodes and a stimulator that generates a pulse to the electrodes. The electrodes are implanted between the skin and the rib cage of the patient and are adapted to generate an electric field corresponding to the pulse, the electric field having a substantially uniform voltage gradient as it passes through the heart. The shapes, sizes, positions and structures of the electrodes are selected to optimize the voltage gradient of the electric field, and to minimize the energy dissipated by the electric field outside the heart. More specifically, the electrodes have contact surfaces that contact the patient tissues, said contact surfaces having a total contact area of less than 100 cm2. In one embodiment, one or both electrodes are physically separated from the stimulator. In another embodiment, a unitary housing holds the both electrodes and the stimulator. Sensor circuitry may also include in the stimulator for detecting intrinsic cardiac activity through the same electrodes.

摘要翻译： 皮下心脏装置包括两个电极和一个向电极产生脉冲的刺激器。 电极被植入患者的皮肤和肋骨架之间，适于产生对应于该脉冲的电场，该电场在通过心脏时具有基本均匀的电压梯度。 选择电极的形状，尺寸，位置和结构以优化电场的电压梯度，并且使由心脏外的电场消耗的能量最小化。 更具体地，电极具有接触患者组织的接触表面，所述接触表面的总接触面积小于100cm 2。 在一个实施例中，一个或两个电极与刺激器物理分离。 在另一个实施例中，整体外壳保持两个电极和刺激器。 传感器电路还可以包括在用于通过相同电极检测内在心脏活动的刺激器中。

公开(公告)号：US08660668B2

公开(公告)日：2014-02-25

申请号：US13646680

申请日：2012-10-06

申请人： Cameron Health, Inc.

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/05

CPC分类号： A61N1/3962 ,  A61N1/05 ,  A61N1/0563 ,  A61N1/375 ,  A61N1/3752 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： Lead electrode assemblies for use with an implantable cardioverter-defibrillator subcutaneously implanted outside the ribcage between the third and twelfth ribs comprising the electrode. Example assemblies include appendages of various types for use during implantation including fins, pinholes, loops, tubes, openings and other means for attachment to an implant tool. Several embodiments include first and second faces on the electrodes such that a first face is configured to be implanted facing the ribcage of the patient and the second face has the appendage.

摘要翻译： 引导电极组件，用于与包含电极的第三和第十二肋之间的胸腔内皮下植入的心律转复除颤器。 示例组件包括在植入期间使用的各种类型的附件，包括鳍，针孔，环，管，开口和用于附接到植入工具的其它装置。 几个实施例包括电极上的第一和第二面，使得第一面被构造成面向患者的胸腔植入，并且第二面具有附肢。

公开(公告)号：US20140052205A1

公开(公告)日：2014-02-20

申请号：US14063255

申请日：2013-10-25

申请人： Cameron Health, Inc.

发明人： Gust H. Bardy ,  Riccardo Cappato

IPC分类号： A61N1/39

CPC分类号： A61N1/3956 ,  A61B5/042 ,  A61N1/36521 ,  A61N1/375 ,  A61N1/3756 ,  A61N1/3906

摘要： A subcutaneous implantable cardioverter-defibrillator is disclosed which has an electrically active canister which houses a source of electrical energy, a capacitor, and operational circuitry that senses the presence of potentially fatal heart rhythms. At least one subcutaneous electrode that serves as the opposite electrode from the canister is attached to the canister via a lead system. Cardioversion-defibrillation energy is delivered when the operational circuitry senses a potentially fatal heart rhythm. There are no transvenous, intracardiac, or epicardial electrodes. A method of subcutaneously implanting the cardioverter-defibrillator is also disclosed as well as a kit for conducting the method.

摘要翻译： 公开了一种皮下植入式心律转复除颤器，其具有容纳电能源的电活性罐，电容器和感测潜在致命心律的存在的操作电路。 用作与罐相反的电极的至少一个皮下电极通过引导系统附接到罐。 当操作电路感测到潜在的致命心律时，可以传递心律转复 - 除颤能量。 没有经静脉，心内或心外膜电极。 还公开了皮下植入心律转复除颤器的方法以及用于进行该方法的试剂盒。

公开(公告)号：US20130261716A1

公开(公告)日：2013-10-03

申请号：US13887652

申请日：2013-05-06

申请人： Cameron Health, Inc.

发明人： Gust H. Bardy ,  Riccardo Cappato ,  Alan H. Ostroff ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/05

CPC分类号： A61N1/0504 ,  A61N1/3756 ,  A61N1/3912 ,  A61N1/3931 ,  A61N1/3968

摘要： A subcutaneous cardiac device includes two electrodes and a stimulator that generates a pulse to the electrodes. The electrodes are implanted between the skin and the rib cage of the patient and are adapted to generate an electric field corresponding to the pulse, the electric field having a substantially uniform voltage gradient as it passes through the heart. The shapes, sizes, positions and structures of the electrodes are selected to optimize the voltage gradient of the electric field, and to minimize the energy dissipated by the electric field outside the heart. More specifically, the electrodes have contact surfaces that contact the patient tissues, said contact surfaces having a total contact area of less than 100 cm2. In one embodiment, one or both electrodes are physically separated from the stimulator. In another embodiment, a unitary housing holds the both electrodes and the stimulator. Sensor circuitry may also include in the stimulator for detecting intrinsic cardiac activity through the same electrodes.

摘要翻译： 皮下心脏装置包括两个电极和一个向电极产生脉冲的刺激器。 电极被植入患者的皮肤和肋骨架之间，适于产生对应于该脉冲的电场，该电场在通过心脏时具有基本均匀的电压梯度。 选择电极的形状，尺寸，位置和结构以优化电场的电压梯度，并且使由心脏外的电场消耗的能量最小化。 更具体地，电极具有接触患者组织的接触表面，所述接触表面的总接触面积小于100cm 2。 在一个实施例中，一个或两个电极与刺激器物理分离。 在另一个实施例中，整体外壳保持两个电极和刺激器。 传感器电路还可以包括在用于通过相同电极检测内在心脏活动的刺激器中。

公开(公告)号：US20130030511A1

公开(公告)日：2013-01-31

申请号：US13646680

申请日：2012-10-06

申请人： Cameron Health, Inc.

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/05

CPC分类号： A61N1/3962 ,  A61N1/05 ,  A61N1/0563 ,  A61N1/375 ,  A61N1/3752 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： Lead electrode assemblies for use with an implantable cardioverter-defibrillator subcutaneously implanted outside the ribcage between the third and twelfth ribs comprising the electrode. Example assemblies include appendages of various types for use during implantation including fins, pinholes, loops, tubes, openings and other means for attachment to an implant tool. Several embodiments include first and second faces on the electrodes such that a first face is configured to be implanted facing the ribcage of the patient and the second face has the appendage.

摘要翻译： 引导电极组件，用于与包含电极的第三和第十二肋之间的胸腔内皮下植入的心律转复除颤器。 示例组件包括在植入期间使用的各种类型的附件，包括鳍，针孔，环，管，开口和用于附接到植入工具的其它装置。 几个实施例包括电极上的第一和第二面，使得第一面被构造成面向患者的胸腔植入，并且第二面具有附肢。