Post-shock treatment in a subcutaneous device
    1.
    发明授权
    Post-shock treatment in a subcutaneous device 有权
    皮下装置后冲击治疗

    公开(公告)号:US09144683B2

    公开(公告)日:2015-09-29

    申请号:US11554185

    申请日:2006-10-30

    IPC分类号: A61N1/39 A61N1/362 A61N1/375

    摘要: A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.

    摘要翻译: 一种用于可植入式心律转复除颤器的电源,用于在第三肋骨和第十二肋骨之间皮下定位并使用引导系统,其不直接接触患者的心脏或者位于胸腔内血管内并且用于向患者的心脏起搏能量提供抗心动过缓起搏能量 心脏,包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统,用于向电容器子系统提供抗心动过缓起搏能量。

    Nonvascular implantable defibrillator and method
    3.
    发明授权
    Nonvascular implantable defibrillator and method 有权
    非血管植入式除颤器及方法

    公开(公告)号:US07536222B2

    公开(公告)日:2009-05-19

    申请号:US10984585

    申请日:2004-11-09

    IPC分类号: A61N1/39

    摘要: A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and for providing anti-tachycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-tachycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-tachycardia pacing energy to the capacitor subsystem.

    摘要翻译: 一种用于植入式心律转复除颤器的电源,用于在第三肋骨和第十二肋骨之间皮下定位,并且使用不直接接触患者心脏或位于胸内血管内的引导系统,并用于向患者提供抗心动过速起搏能量 心脏,包括用于存储用于递送至患者心脏的抗心动过速起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统,用于向电容器子系统提供抗心动过速起搏能量。

    Subcutaneous electrode for transthoracic conduction with improved installation characteristics
    5.
    发明授权
    Subcutaneous electrode for transthoracic conduction with improved installation characteristics 失效
    用于经胸导管的皮下电极,具有改善的安装特性

    公开(公告)号:US07239925B2

    公开(公告)日:2007-07-03

    申请号:US10838768

    申请日:2004-05-04

    IPC分类号: A61N1/05

    摘要: Electrical cardiac therapy devices including lead electrode assemblies for implantation into a patient comprising an electrode having a first face and a second face, and an appendage extending opposite the second face of the electrode, the appendage including an eyelet for securing an insertion device thereto. The assembly may further include an electrode frame assembly to which the appendage may be attached. Alternatively, the appendage may be formed as part of a molded electrode frame assembly. A backing piece may be provided between the electrode frame assembly and the electrode. The frame assembly may cover a portion of a front side of the electrode. Further embodiments include an electrode lead assembly including an appendage with an eyelet and an electrode insertion tool adapted to engage the eyelet. Another embodiment is a treatment kit including an electrode lead assembly having an appendage with an eyelet, an electrode insertion tool adapted to engage the eyelet, and an implantable housing having circuitry for providing electrical cardiac therapy.

    摘要翻译: 包括用于植入患者的引线电极组件的电气心脏治疗装置,包括具有第一面和第二面的电极以及与电极的第二面相对延伸的附肢,附件包括用于将插入装置固定到其上的孔眼。 组件还可以包括可附接附件的电极框架组件。 或者,附件可以形成为模制电极框架组件的一部分。 可以在电极框架组件和电极之间设置背衬件。 框架组件可以覆盖电极的前侧的一部分。 另外的实施例包括电极引线组件,其包括具有孔眼的附件和适于接合孔眼的电极插入工具。 另一个实施例是一种治疗套件,其包括具有附眼的电极引线组件,具有孔眼,适于接合孔眼的电极插入工具和具有用于提供电心脏治疗的电路的可植入壳体。

    Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator
    6.
    发明授权
    Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator 有权
    用于皮下植入式心律转复除颤器的抗心动过缓起搏

    公开(公告)号:US07146212B2

    公开(公告)日:2006-12-05

    申请号:US09940378

    申请日:2001-08-27

    IPC分类号: A61N1/372 A61N1/375

    摘要: A power supply for an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib and using a lead system that does not directly contact a patient's heart or reside in the intrathoracic blood vessels and far providing anti-bradycardia pacing energy to the heart, comprising a capacitor subsystem for storing the anti-bradycardia pacing energy for delivery to the patient's heart; and a battery subsystem electrically coupled to the capacitor subsystem for providing the anti-bradycardia pacing energy to the capacitor subsystem.

    摘要翻译: 一种用于植入式心律转复除颤器的电源,用于第三肋骨和第十二肋骨之间的皮下定位,并且使用引导系统,其不直接接触患者的心脏或居住在胸内血管中并且远离提供抗心动过缓起搏能量 心脏,包括用于存储用于递送至患者心脏的抗心动过缓起搏能量的电容器子系统; 以及电耦合到电容器子系统的电池子系统,用于向电容器子系统提供抗心动过缓起搏能量。

    Subcutaneous implantable cardioverter-defibrillator placement methods
    8.
    发明授权
    Subcutaneous implantable cardioverter-defibrillator placement methods 有权
    皮下植入式心律转复除颤器放置方法

    公开(公告)号:US08447398B2

    公开(公告)日:2013-05-21

    申请号:US11680107

    申请日:2007-02-28

    IPC分类号: A61N1/00

    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。

    Subcutaneous electrode for transthoracic conduction with insertion tool
    10.
    发明授权
    Subcutaneous electrode for transthoracic conduction with insertion tool 有权
    用于经胸导管插入工具的皮下电极

    公开(公告)号:US07299097B2

    公开(公告)日:2007-11-20

    申请号:US10841682

    申请日:2004-05-06

    IPC分类号: A61N1/05

    摘要: Electrical cardiac therapy devices including electrode lead assemblies having first and second insertion tool receivers. The insertion tool receivers may be attached to an electrode and/or an electrode cover assembly. A lead assembly having first and second insertion tool receivers may be used in conjunction with an insertion tool having means, such as tines, for coupling with the insertion tool receivers. A lead assembly system may include both an insertion tool and a lead assembly. A treatment system further includes an implantable housing along with the lead assembly and insertion tool.

    摘要翻译: 电子心脏治疗装置包括具有第一和第二插入工具接收器的电极引线组件。 插入工具接收器可以附接到电极和/或电极盖组件。 具有第一和第二插入工具接收器的引线组件可以与具有用于与插入工具接收器耦合的装置(例如齿)的插入工具结合使用。 引线组装系统可以包括插入工具和引线组件。 处理系统还包括可植入壳体以及引导组件和插入工具。