摘要:
An implantable medical lead having an elongated lead body extending from a proximal end to a distal end, at least one conductor extending within the lead body from the proximal end to the distal end, and a fixation member having a proximal end and a distal end, the proximal end of the electrode configured to be electrically coupled to the distal end of the lead body. The fixation member includes a first delivery port and second delivery port for releasing a therapeutic agent from the fixation member to tissue of a patient, wherein the first delivery port is positioned along the proximal end of the fixation member to deliver the therapeutic agent to endothelial cells along an endothelial layer of tissue, and the second delivery port is positioned along the distal end of the fixation member and spaced a distance from the first delivery port.
摘要:
An implantable medical device (IMD) includes a heterogeneous housing configured to receive and store one or more components of the IMD. The housing includes an intrinsically non-conductive and non-magnetic base material and at least one dopant with a property of at least one of electrical conductance and magnetic permeability. The base material and the dopant form a first region of the housing including a first skin depth and a second region of the housing including a second skin depth different than the first skin depth.
摘要:
Various embodiments of a sealed package and a method of forming such package are disclosed. The package can include a non-conductive substrate that includes a cavity disposed in a first major surface. A cover layer can be disposed over the cavity and attached to the first major surface of the non-conductive substrate to form a sealed enclosure. The sealed package can also include a feedthrough that includes a via between a recessed surface of the cavity and a second major surface of the substrate, and a conductive material disposed in the via. An external contact can be disposed over the via on the second major surface of the non-conductive substrate, where the external contact is electrically connected to the conductive material disposed in the via. The sealed package can also include an electronic device disposed within the sealed enclosure that is electrically connected to the external contact.
摘要:
A ventricularly implantable medical device that includes a sensing module that is configured to identify a search window of time within a cardiac cycle to search for an atrial artifact. Control circuitry in the ventricular implantable medical device is configured to deliver a ventricular pacing therapy to a patient's heart, wherein the ventricular pacing therapy is time dependent, at least in part, on an atrial event identified in the search window of time.
摘要:
A ventricularly implantable medical device that includes a sensing module that is configured to detect an artifact during ventricular filling and to identify an atrial event based at least on part on the detected artifact. Control circuitry of the implantable medical device is configured to deliver a ventricular pacing therapy to a patient's heart, wherein the ventricular pacing therapy is time dependent, at least in part, on the identified atrial event.
摘要:
Methods, systems and devices for providing cardiac resynchronization therapy (CRT) to a patient using a Ieadless cardiac pacemaker and an extracardiac device. The extracardiac device is configured to analyze one or more QRS complexes of the patient's heart, determine whether fusion pacing is taking place, and, if not, to communicate with the Ieadless cardiac pacemaker to adjust intervals used in the CRT in order to generate desirable fusion of the pace and intrinsic signals. The extracardiac device may take the form of a subcutaneous implantable monitor, a subcutaneous implantable defibrillator, or other devices including wearable devices.
摘要:
Gehäusekomponente, insbesondere für implantierbare Vorrichtungen, mit wenigstens einem Gehäusewandabschnitt, der eine Fensteröffnung zur Durchleitung von elektromagnetischen Wellen aufweist, wobei die Fensteröffnung durch Umformen eines Rohlings aus einem für elektromagnetische Wellen durchlässigen Material hermetisch verschlossen ist.
摘要:
A leadless pacing device is disclosed including a housing having a proximal end and a distal end, and a set of one or more electrodes supported by the housing. The housing includes a first distal extension extending distally from the distal end thereof. One or more electrodes are supported by the distal extension. The leadless pacing device is releasably coupled to an expandable anchor mechanism.
摘要:
Cardioversion or defibrillation of the heart is carried out by passing electrical energy through the heart. An electrical energy storage device, such as a battery and capacitor, are connected to an electronic processor. The energy storage device and the electronic processor are sized to be implantable within the body of the patient. Two leads are subcutaneously implanted and connected to the energy storage device under control of the processor. An electrode is connected to each lead, and are also subcutaneously implanted, the first able proximate the heart and an anterior portion of the ribcage in the patient's chest, and the second proximate the heart and a posterior portion of the ribcage in the patients back. Sensors transmit information to the processor relating to heart function, and under control of software, the processor causes the electrodes to be energized to restore normal heart function.
摘要:
Flexible semi-hermetic implantable medical device (IMD) structure, including a flexible device body, at least one flexible lead and at least one respective transition unit, for respectively coupling each flexible lead to the flexible device body, the flexible device body including a plurality of hermetically sealed components, at least one electrical cable harness and an external flexible polymer structure, each one of the hermetically sealed components including at least one hermetically sealed electrical connection and at least some of the hermetically sealed components including at least one separation dome, the electrical cable harness for electrically and mechanically coupling the plurality of hermetically sealed components together and the external flexible polymer structure for encapsulating the hermetically sealed components, the electrical cable harness and the respective transition unit.