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公开(公告)号:US20210106839A1
公开(公告)日:2021-04-15
申请号:US17070361
申请日:2020-10-14
Applicant: Medtronic, Inc.
Inventor: Douglas S. Hine , Zhongping Yang , William J. Clemens
Abstract: An implantable lead system may include an adjustable lead assembly. The lead assembly may include a fixation member and an implantable lead slidably coupled to and rotatable relative to the fixation member. The implantable lead system may include a telescoping delivery system. The delivery system may include an outer catheter and an inner catheter slidably coupled to and rotatable relative to the outer catheter. The lead assembly may be implanted in a cardiac septal wall through the delivery assembly.
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公开(公告)号:US20190290915A1
公开(公告)日:2019-09-26
申请号:US16361996
申请日:2019-03-22
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Thomas A. Anderson , Brian P. Colin , William J. Clemens , Subham Ghosh , Jeffrey M. Gillberg , Maurice T. I. Verbeek , Toine Camps , Lilian Kornet , Berthold Stegemann , Jean Rutten
Abstract: VfA cardiac therapy uses an implantable medical device or system. The implantable medical device includes a tissue-piercing electrode implanted in the basal and/or septal region of the left ventricular myocardium of the patient's heart from the triangle of Koch region of the right atrium through the right atrial endocardium and central fibrous body. The device may include a right atrial electrode, a right atrial motion detector, or both. The device may be implanted completely within the patient's heart or may use one or more leads to implant electrodes in the patient's heart. The device may be used to provide cardiac therapy, including single or multiple chamber pacing, atrioventricular synchronous pacing, asynchronous pacing, triggered pacing, cardiac resynchronization pacing, or tachycardia-related therapy. A separate medical device may be used to provide some functionality for cardiac therapy, such as sensing, pacing, or shock therapy.
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公开(公告)号:US20160114151A1
公开(公告)日:2016-04-28
申请号:US14523058
申请日:2014-10-24
Applicant: Medtronic, Inc.
Inventor: John L. Sommer , William J. Clemens , Linda L. Franke
IPC: A61N1/05
CPC classification number: A61N1/056 , A61N1/3686 , A61N2001/0585
Abstract: The present disclosure may comprise an improvement to the prior art leads as disclosed above. One embodiment is directed to an intravenous medical electrical lead that includes an elongated lead body. The elongated lead body comprises a length between proximal and distal ends with a longitudinal axis extending therebetween. The distal end of the lead body includes a plurality of electrodes forming first and second pairs of electrodes. The first pair of electrodes comprises one electrode electrically connected to another electrode circumferentially and diagonally spaced apart along the longitudinal axis. The second pair of electrodes comprising one electrode electrically connected to another electrode circumferentially and diagonally spaced apart along the longitudinal axis.
Abstract translation: 本公开可以包括对如上所公开的现有技术的引线的改进。 一个实施例涉及包括细长引线体的静脉内医疗电引线。 细长引线体包括近端和远端之间的长度,其间延伸有纵向轴线。 引线主体的远端包括形成第一和第二对电极的多个电极。 第一对电极包括一个电极,沿着纵向轴线沿周向和对角间隔开地与另一个电极电连接。 所述第二对电极包括一个电极,沿着所述纵向轴线周向和对角间隔开地与另一个电极电连接。
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公开(公告)号:US20250144433A1
公开(公告)日:2025-05-08
申请号:US18836903
申请日:2023-03-10
Applicant: Medtronic, Inc.
Inventor: Vladimir P. Nikolski , Dina L. Williams , Mark T. Marshall , William J. Clemens , Matthew J. Hoffman
Abstract: An implantable medical lead includes a first defibrillation electrode and a second defibrillation electrode. The implantable medical lead further includes a pacing electrode configured to deliver a pacing pulse that generates an electric field proximate to the pacing electrode. The implantable medical lead further includes a shield disposed over a portion of an outer surface of the pacing electrode and extending laterally away from the pacing electrode. The shield is configured to impede the electric field in a direction from the pacing electrode away from a heart. The implantable medical lead further includes a conductive surface disposed on the shield and electrically coupled to the pacing electrode.
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公开(公告)号:US11235159B2
公开(公告)日:2022-02-01
申请号:US16361996
申请日:2019-03-22
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Thomas A. Anderson , Brian P. Colin , William J. Clemens , Subham Ghosh , Jeffrey M. Gillberg , Maurice T. I. Verbeek , Toine Camps , Lilian Kornet , Berthold Stegemann , Jean Rutten
Abstract: VfA cardiac therapy uses an implantable medical device or system. The implantable medical device includes a tissue-piercing electrode implanted in the basal and/or septal region of the left ventricular myocardium of the patient's heart from the triangle of Koch region of the right atrium through the right atrial endocardium and central fibrous body. The device may include a right atrial electrode, a right atrial motion detector, or both. The device may be implanted completely within the patient's heart or may use one or more leads to implant electrodes in the patient's heart. The device may be used to provide cardiac therapy, including single or multiple chamber pacing, atrioventricular synchronous pacing, asynchronous pacing, triggered pacing, cardiac resynchronization pacing, or tachycardia-related therapy. A separate medical device may be used to provide some functionality for cardiac therapy, such as sensing, pacing, or shock therapy.
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公开(公告)号:US11020587B2
公开(公告)日:2021-06-01
申请号:US16357813
申请日:2019-03-19
Applicant: MEDTRONIC, INC.
Inventor: William J. Clemens , Linda L. Franke , Mark T. Marshall , Timothy M. Ramos , Vania Lee
Abstract: A distal electrode of an electrode assembly, for example, employed by an implantable medical electrical lead device, extends distally from a distal terminal end of a sleeve of the assembly; and the sleeve, which defines a longitudinal axis of the assembly, includes a plurality of channels that provide fluid communication between a steroid eluting component, which is seated in an external groove of the sleeve, and an area distal to the distal terminal end of the sleeve. Floors of some or all of the sleeve channels may angle toward the longitudinal axis of the assembly, being closer to the axis at the distal terminal end of the sleeve. The assembly may further include a proximal electrode secured to a proximal end of the sleeve, wherein the proximal electrode may be mounted around an outer surface of the sleeve or coupled to the sleeve by means of a coupling component.
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公开(公告)号:US20160114155A1
公开(公告)日:2016-04-28
申请号:US14523257
申请日:2014-10-24
Applicant: Medtronic, Inc.
Inventor: John L. Sommer , William J. Clemens , Linda L. Franke
IPC: A61N1/05
CPC classification number: A61N1/0565 , A61N2001/0585
Abstract: The present invention may comprise an improvement to the prior art leads as disclosed above. In a preferred embodiment, the invention comprises an medical electrical lead that includes an elongated lead body. The elongated lead body comprises a length between a proximal end and a curved distal end, the lead body defining a longitudinal axis extending between the proximal end and the distal end. The lead body having an outer circumference and provided with a set of electrodes circumferentially spaced apart. Each electrode includes an electrically active portion and an insulated portion at an outer circumference of the electrode along a first longitudinal plane and along a second longitudinal plane diametrically opposed to the first longitudinal plane are insulated electrodes. Each electrode is configured to include a guide aid to engage with a non-conductive housing.
Abstract translation: 本发明可以包括对如上所公开的现有技术的引线的改进。 在优选实施例中,本发明包括包括细长引线体的医用电引线。 细长引线体包括在近端和弯曲远端之间的长度,引线主体限定在近端和远端之间延伸的纵向轴线。 引线体具有外圆周并且设置有周向间隔开的一组电极。 每个电极包括电活性部分和沿着第一纵向平面在电极的外圆周处并沿着与第一纵向平面直径相对的第二纵向平面的绝缘部分是绝缘电极。 每个电极被构造成包括导向辅助件以与非导电壳体接合。
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公开(公告)号:US12017083B2
公开(公告)日:2024-06-25
申请号:US17070361
申请日:2020-10-14
Applicant: Medtronic, Inc.
Inventor: Douglas S. Hine , Zhongping Yang , William J. Clemens
CPC classification number: A61N1/39622 , A61N1/0573 , A61N1/362
Abstract: An implantable lead system may include an adjustable lead assembly. The lead assembly may include a fixation member and an implantable lead slidably coupled to and rotatable relative to the fixation member. The implantable lead system may include a telescoping delivery system. The delivery system may include an outer catheter and an inner catheter slidably coupled to and rotatable relative to the outer catheter. The lead assembly may be implanted in a cardiac septal wall through the delivery assembly.
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公开(公告)号:US20240149067A1
公开(公告)日:2024-05-09
申请号:US18413447
申请日:2024-01-16
Applicant: MEDTRONIC, INC.
Inventor: Vicki L. Bjorklund , Xin Chen , William J. Clemens , Lilian Kornet , Jean Rutten , Berthold Stegemann , Zhongping Yang
CPC classification number: A61N1/36843 , A61B5/287 , A61B90/39 , A61N1/0573 , A61N1/059 , A61N1/0592 , A61N1/37512 , A61B2090/3966 , A61B2090/3987 , A61N1/3627 , A61N1/368
Abstract: A method, system and device for implanting an electrode assembly of an implantable medical device in a patient's heart. Positioning one or more radiopaque markers in a coronary sinus of the patient's heart. Positioning, by using the one or more positioned radiopaque markers as a fluoroscopic visual reference, a distal tip of a delivery catheter within a right atrium of the patient's heart so that a distal opening of a lumen of the catheter is against a septal wall of the heart at a location between the ostium of the coronary sinus and the A-V nodal area of the right atrium, and so that the tip of the catheter is generally directed toward a left ventricle of the patient's heart. Advancing the electrode assembly through the lumen of the catheter and into the septal wall.
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公开(公告)号:US11819699B2
公开(公告)日:2023-11-21
申请号:US17558832
申请日:2021-12-22
Applicant: Medtronic, Inc.
Inventor: Zhongping Yang , Thomas A. Anderson , Brian P. Colin , William J. Clemens , Subham Ghosh , Jeffrey M. Gillberg , Maurice T. I Verbeek , Toine Camps , Lilian Kornet , Berthold Stegemann , Jean Rutten
CPC classification number: A61N1/36843 , A61B5/29 , A61N1/059 , A61N1/0573 , A61N1/368 , A61N1/3688 , A61N1/36592 , A61N1/3752 , A61N1/3754 , A61N1/3756 , A61N1/37512 , A61N1/37518
Abstract: VfA cardiac therapy uses an implantable medical device or system. The implantable medical device includes a tissue-piercing electrode implanted in the basal and/or septal region of the left ventricular myocardium of the patient's heart from the triangle of Koch region of the right atrium through the right atrial endocardium and central fibrous body. The device may include a right atrial electrode, a right atrial motion detector, or both. The device may be implanted completely within the patient's heart or may use one or more leads to implant electrodes in the patient's heart. The device may be used to provide cardiac therapy, including single or multiple chamber pacing, atrioventricular synchronous pacing, asynchronous pacing, triggered pacing, cardiac resynchronization pacing, or tachycardia-related therapy. A separate medical device may be used to provide some functionality for cardiac therapy, such as sensing, pacing, or shock therapy.
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