JP2009539425A - 展開可能な固定機構を有する医療用電気リード - Google Patents
展開可能な固定機構を有する医療用電気リード Download PDFInfo
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
- A61N1/057—Anchoring means; Means for fixing the head inside the heart
- A61N1/0573—Anchoring means; Means for fixing the head inside the heart chacterised by means penetrating the heart tissue, e.g. helix needle or hook
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
- A61N2001/0585—Coronary sinus electrodes
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Radiology & Medical Imaging (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Medical Informatics (AREA)
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- Electrotherapy Devices (AREA)
Abstract
Description
本出願は、Brian D.Soltis,et al.による2006年6月2日に出願された、「MEDICAL ELECTRICAL LEAD WITH EXPANDABLE FIXATION FEATURES」と題する同時係属米国特許出願第11/422000号と関連する。上記出願は、あらゆる目的のために参照によって本明細書に組み込まれる。
Claims (16)
- パルス発生器と、
前記パルス発生器に結合された近位端を有するリードとを含み、
前記リードは、心臓血管内に部分的に差し込まれるように構成され、かつ
近位領域と遠位領域を備えた細長いリード本体であって、前記遠位領域が前記本体上に電極と、前記本体上に偏向位置と、組織係合外面を有する偏向可能領域とを含むリード本体と、
前記本体内に少なくとも部分的に配置され、かつ前記偏向可能領域に遠位の第1取付位置で張力を受けて前記本体に取り付けられたテンドンと
を含む差し込み型システムであって
前記テンドン内の張力は、前記組織係合外面が、前記心臓血管の内面を摩擦によって係合させることができる、前記偏向可能領域を偏向形状に維持するシステム。 - 前記遠位領域が、前記リード本体上に複数の偏向位置を含み、かつ前記偏向可能領域が、前記偏向位置の各々で偏向するように構成された請求項1に記載のリード。
- 前記偏向位置が、比較的硬い材料から、比較的柔軟な材料への変わり目を含む請求項1に記載のリード。
- 前記比較的硬い材料が、ポリウレタンであり、かつ前記比較的柔軟な材料が、シリコーンである請求項3に記載のリード。
- 前記偏向位置が、第1の肉厚を有するリード本体の第1部分から第2の肉厚を有するリード本体の第2部分への変わり目を含み、前記第1の肉厚は、前記第2の肉厚よりも大きい請求項1に記載のリード。
- 前記リード本体が、外側絶縁シースを含み、かつ前記絶縁シースの部分が、前記偏向位置を形成するために、除去される請求項1に記載のリード。
- 前記偏向形状が、J字形である請求項1に記載のリード。
- 遠位先端を更に含み、前記第1取付位置が、前記遠位先端に近接する請求項1に記載のリード。
- 前記第1取付位置が、前記遠位先端に近位である遠位先端を更に含む請求項1に記載のリード。
- 前記偏向形状が、S字形である請求項1に記載のリード。
- 前記遠位領域が、複数の偏向位置を含み、かつ前記偏向形状が、正弦波形状である請求項1に記載のリード。
- 前記遠位領域が、前記リード本体の外周の周りで互いにオフセットされた複数の偏向位置を含み、かつ前記偏向形状が、三次元曲線を含む請求項1に記載のリード。
- 近位領域と遠位領域を備えた細長い本体であって、前記遠位領域が、心臓血管に部分的に差し込まれるように構成され、かつ前記本体上に少なくとも1つの電極と、第1及び第2偏向可能領域とを含む本体と、
前記第1偏向可能領域に遠位の第1取付位置で張力を受けて前記リード本体内に少なくとも部分的に収容され、かつ前記リード本体に取り付けられた第1テンドンと、
前記第2偏向可能領域に遠位の第2取付位置で張力を受けて前記リード本体内に少なくとも部分的に収容され、かつ前記リード本体に取り付けられた第2テンドンと
を含む医療用電気リードであって、
前記第1及び第2テンドン内の張力が、前記第1及び第2偏向可能領域を偏向状態に維持するリード。 - 前記第1テンドンが、第1内腔内に少なくとも部分的に配置される請求項13に記載の、かつ前記近位領域から前記第1偏向可能領域に遠位の位置に延びる第1内腔を更に含むリード。
- 前記第2テンドンが、第2内腔内に配置される請求項14に記載の、かつ前記近位領域から前記第2偏向可能領域に遠位の位置に延びる第2内腔を更に含むリード。
- 前記遠位領域が、前記本体上に複数の偏向位置を含み、かつ前記第1及び第2偏向可能領域の各々が、前記偏向位置の1つ以上で偏向するように構成される請求項13に記載のリード。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/421,990 US7890174B2 (en) | 2006-06-02 | 2006-06-02 | Medical electrical lead with deployable fixation features |
PCT/US2007/067885 WO2007143304A2 (en) | 2006-06-02 | 2007-05-01 | Medical electrical lead with deployable fixation features |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009539425A true JP2009539425A (ja) | 2009-11-19 |
JP2009539425A5 JP2009539425A5 (ja) | 2010-06-17 |
Family
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Application Number | Title | Priority Date | Filing Date |
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JP2009513360A Pending JP2009539425A (ja) | 2006-06-02 | 2007-05-01 | 展開可能な固定機構を有する医療用電気リード |
Country Status (5)
Country | Link |
---|---|
US (1) | US7890174B2 (ja) |
EP (1) | EP2051771B1 (ja) |
JP (1) | JP2009539425A (ja) |
AT (1) | ATE549059T1 (ja) |
WO (1) | WO2007143304A2 (ja) |
Cited By (11)
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JP2013526346A (ja) * | 2010-05-10 | 2013-06-24 | スパイナル・モデュレーション・インコーポレイテッド | 位置ずれを抑制するための方法、システムおよびデバイス |
US8983624B2 (en) | 2006-12-06 | 2015-03-17 | Spinal Modulation, Inc. | Delivery devices, systems and methods for stimulating nerve tissue on multiple spinal levels |
US9044592B2 (en) | 2007-01-29 | 2015-06-02 | Spinal Modulation, Inc. | Sutureless lead retention features |
US9056197B2 (en) | 2008-10-27 | 2015-06-16 | Spinal Modulation, Inc. | Selective stimulation systems and signal parameters for medical conditions |
US9205261B2 (en) | 2004-09-08 | 2015-12-08 | The Board Of Trustees Of The Leland Stanford Junior University | Neurostimulation methods and systems |
US9259569B2 (en) | 2009-05-15 | 2016-02-16 | Daniel M. Brounstein | Methods, systems and devices for neuromodulating spinal anatomy |
US9314618B2 (en) | 2006-12-06 | 2016-04-19 | Spinal Modulation, Inc. | Implantable flexible circuit leads and methods of use |
US9327110B2 (en) | 2009-10-27 | 2016-05-03 | St. Jude Medical Luxembourg Holdings SMI S.A.R.L. (“SJM LUX SMI”) | Devices, systems and methods for the targeted treatment of movement disorders |
US9427570B2 (en) | 2006-12-06 | 2016-08-30 | St. Jude Medical Luxembourg Holdings SMI S.A.R.L. (“SJM LUX SMI”) | Expandable stimulation leads and methods of use |
US9468762B2 (en) | 2009-03-24 | 2016-10-18 | St. Jude Medical Luxembourg Holdings SMI S.A.R.L. (“SJM LUX SMI”) | Pain management with stimulation subthreshold to paresthesia |
US10232180B2 (en) | 2004-09-08 | 2019-03-19 | The Board Of Trustees Of The Leland Stanford Junior University | Selective stimulation to modulate the sympathetic nervous system |
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US8452394B2 (en) | 2008-10-31 | 2013-05-28 | Medtronic, Inc. | Implantable medical device crosstalk evaluation and mitigation |
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US20130072995A1 (en) | 2011-07-11 | 2013-03-21 | Terrance Ransbury | Catheter system for acute neuromodulation |
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US9446240B2 (en) | 2011-07-11 | 2016-09-20 | Interventional Autonomics Corporation | System and method for neuromodulation |
US20130158640A1 (en) * | 2011-12-19 | 2013-06-20 | Brian D. Soltis | Lead anchoring system with limited movement of anchoring device along lead |
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US20130245739A1 (en) * | 2012-03-14 | 2013-09-19 | Anatoly Arber | Self-anchored stimulator lead and method of insertion |
JP6085682B2 (ja) | 2012-10-29 | 2017-02-22 | カーディアック ペースメイカーズ, インコーポレイテッド | 耐破断性を備える外側表面を有する縫合糸スリーブ |
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2006
- 2006-06-02 US US11/421,990 patent/US7890174B2/en not_active Expired - Fee Related
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2007
- 2007-05-01 JP JP2009513360A patent/JP2009539425A/ja active Pending
- 2007-05-01 WO PCT/US2007/067885 patent/WO2007143304A2/en active Application Filing
- 2007-05-01 EP EP07761645A patent/EP2051771B1/en not_active Not-in-force
- 2007-05-01 AT AT07761645T patent/ATE549059T1/de active
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Also Published As
Publication number | Publication date |
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ATE549059T1 (de) | 2012-03-15 |
US7890174B2 (en) | 2011-02-15 |
WO2007143304A3 (en) | 2008-03-27 |
EP2051771A2 (en) | 2009-04-29 |
US20070282412A1 (en) | 2007-12-06 |
EP2051771B1 (en) | 2012-03-14 |
WO2007143304A2 (en) | 2007-12-13 |
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