摘要:
A modular implantable medical device having first and second component containers and a flexible connector for connecting the first and second containers. The connector can include a pair of end members and a flexible portion extending therebetween to define an internal passage between the end members. Each of the end members can include a receptacle configured to communicate with the containers. The connector further includes a conduit extending between the pair of end members in the internal passage to provide a communication path between the first and second containers such that the first and second component containers are in communication.
摘要:
Devices and methods providing for a isolation connector for a generally cylindrical or frustro-cylindrical housing of an implantable intravascular medical device are described herein. The isolation connector has a generally annular exterior surface, a proximal end, and a distal end. The isolation connector includes a housing interface portion at the proximal end which is secured to a first end of the housing. The proximal end of the housing interface portion is constructed to be obverse to the first end of the housing and presents a perimeter of substantially similar size and shape to the perimeter of the first end of the housing. The isolation connector further includes a first insulator portion disposed adjacent to a distal end of the housing interface portion. The isolation connector may further include a feed-through channel constructed to traverse the proximal and distal ends of the isolation connector and is defined through the housing interface portion and the first insulator portion. In an optional embodiment, an electrical conductor is disposed within the feed-through channel to electrically coupled at least one component disposed within the housing to at least one component disposed beyond the insulator portion.
摘要:
The present application describes an intravascular implantable pacing and/or defibrillation system. The described system includes a pulse generator that is implantable within a blood vessel and proportioned to blood flow through the blood vessel, and at least one electrode attachable to the pulse generator. During implantation, the pulse generator is introduced into a patient's vasculature, advanced to a desired vessel and anchored in place within the vessel. The electrode or electrodes are placed within the heart or surrounding vessels as needed to deliver electrical pulses to the appropriate location.
摘要:
The present application describes a retention device for anchoring a medical device within the vasculature. The device may include expandable member coupled to an intravascular medical device and proportioned for receipt within a vessel. At least a portion of the expandable member is expandable to radially engage a vessel wall and to thereby retain the medical device within the vessel. The system is suitable for a variety of intravascular devices, including but not limited to ICD's, pacemakers, and intravascular drug delivery systems.
摘要:
Methods, systems and tools for implanting long-term active therapeutic medical devices referred to as intravascular implantable devices (IID) within a patient's vasculature are disclosed. In one embodiment, the implantation techniques and instruments of the present invention are adapted for implanting an IID having only a single anchoring arrangement positioned proximate a distal portion of the device for anchoring within a vessel located superior to the heart, i.e. above the heart in a direction toward the head of a patient. Other embodiments of the invention include various methods and tools for delivering and implanting an IID, delivering and securing an anchor, and delivering and implanting one or more leads.
摘要:
An intravascular implantable medical device includes a detachable tether arrangement. In one embodiment, the detachable tether arrangement comprises a tip assembly that includes a break-away joint and a tether portion, and may also include a connector and an extension portion connected to an end of an elongated intravascular implantable medical device. In this embodiment, the break-away joint is disposed between the extension portion and the tether portion. In some embodiments, the extension portion may comprise a housing or other arrangement that includes an antenna for transmitting and receiving data. In other embodiments, the extension portion may also include a lead for defibrillation, pacing, and/or sensing cardiac electrical activity. In certain embodiments, the tether arrangement is designed to be secured within a patient's vasculature with a vascular anchor either in the form of a separate anchor, such as a conventional stent, or by various integrated retention arrangements.
摘要:
A method of treating autonomic imbalance in a patient includes energizing a first therapeutic element disposed in a superior vena cava of the patient to deliver therapy to a parasympathetic nerve fiber (e.g. vagus nerve), and energizing a second therapeutic element disposed within the superior vena cava to deliver therapy to a sympathetic cardiac nerve fiber. A neuromodulation system includes a parasympathetic therapy element adapted for positioning within a blood vessel, a sympathetic therapy element adapted for positioning within the blood vessel; and a stimulator to energize the parasympathetic therapy element to deliver parasympathetic therapy to a parasympathetic nerve fiber disposed external to the blood vessel and energize the sympathetic therapy element within the blood vessel to deliver sympathetic therapy to a sympathetic nerve fiber disposed external to the blood vessel. The therapy decreases the patient's heart rate and elevates or maintains the blood pressure of the patient.
摘要:
A method and apparatus for retaining a medical device within a blood vessel are described. A medical device (e.g. a pulse generator or a lead) is positioned within a blood vessel. An expandable the retention sleeve is passed into the vessel adjacent to the medical device and expanded to an expanded position to engage the medical device between an exterior surface of the retention sleeve and a surface of the vessel.
摘要:
Improved methods and apparatuses for positioning intravascular implantable device (IID) in a patient's vasculature utilize a device delivery system having an elongated flexible body. A handle can be operably connected to the proximal end and a grasper mechanism can be positioned at the distal end of the device delivery system. The grasper mechanism can be configured to releasably grasp the IID by closing a releasable honda around the IID and can be selectively controllable with the handle.
摘要:
Devices and methods providing for a isolation connector for a generally cylindrical or frustro-cylindrical housing of an implantable intravascular medical device are described herein. The isolation connector has a generally annular exterior surface, a proximal end, and a distal end. The isolation connector includes a housing interface portion at the proximal end which is secured to a first end of the housing. The proximal end of the housing interface portion is constructed to be obverse to the first end of the housing and presents a perimeter of substantially similar size and shape to the perimeter of the first end of the housing. The isolation connector further includes a first insulator portion disposed adjacent to a distal end of the housing interface portion. The isolation connector may further include a feed-through channel constructed to traverse the proximal and distal ends of the isolation connector and is defined through the housing interface portion and the first insulator portion. In an optional embodiment, an electrical conductor is disposed within the feed-through channel to electrically coupled at least one component disposed within the housing to at least one component disposed beyond the insulator portion.