JP2021020059A - 植込型心臓装置用皮下リード - Google Patents
植込型心臓装置用皮下リード Download PDFInfo
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- JP2021020059A JP2021020059A JP2020115479A JP2020115479A JP2021020059A JP 2021020059 A JP2021020059 A JP 2021020059A JP 2020115479 A JP2020115479 A JP 2020115479A JP 2020115479 A JP2020115479 A JP 2020115479A JP 2021020059 A JP2021020059 A JP 2021020059A
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- insulating sleeve
- lead
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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
- A61N1/0504—Subcutaneous electrodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3968—Constructional arrangements, e.g. casings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
-
- 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
- A61N1/0563—Transvascular endocardial electrode systems specially adapted for defibrillation or cardioversion
-
- 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
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
- A61N1/0597—Surface area electrodes, e.g. cardiac harness
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/37512—Pacemakers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
- A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
- A61N1/39622—Pacing therapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3987—Heart defibrillators characterised by the timing or triggering of the shock
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Vascular Medicine (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Electrotherapy Devices (AREA)
Abstract
Description
それぞれ、リード本体20は、絶縁スリーブ22の中心軸A1に対して長手方向に(二重矢印D1によって表される)および/または半径方向に(二重矢印D2によって表される)変位され得る。
Claims (13)
- 植込型心臓機器、特に除細動器または/およびペースメーカ(14)のための皮下リードであって、それ自体が少なくとも1つの感知電極(16)を含むリード本体(20)を含み、および
絶縁スリーブ(22)およびリード本体(20)が互いに関連して可動となるように、少なくとも部分的に感知電極(16)を絶縁スリーブ(22)で覆われるリード本体(20)がねじ込まれる絶縁スリーブ(22)をさらに含む皮下リード。 - 皮下リードであって、絶縁スリーブ(22)は、絶縁スリーブ(22)の中心軸(A1)に沿って、感知電極(16)の中心軸(A2)に沿った感知電極(16)の長さ(L2)よりも長い長さ(L1)を有し、および
側方開口部(24)が感知電極(16)の上方に位置するように、絶縁スリーブ(22)の側壁(26)に側方向開口部(24)を備える絶縁スリーブ(22)を有する請求項1に記載の皮下リード。 - 皮下リードであって、絶縁スリーブ(22,118)が、リード本体(20,102)のそれぞれに対して、絶縁スリーブ(22,118)のそれぞれの中心軸(A1)に対してリード本体(20,102)の中心軸に対し長手方向および/または半径方向に移動可能である請求項1または2に記載の皮下リード。
- 皮下リードであって、リード本体(102)は、第2の感知電極(110)をさらに備え、ここで絶縁スリーブ(118)は、第1の感知電極(108)および第2の感知電極(110)を少なくとも部分的に覆う請求項1に記載の皮下リード。
- 皮下リードであって、絶縁スリーブ(118)は、第1の側方開口部(120)が第1の感知電極(108)の上方に配置され、第2の側方開口部(122)が第2の感知電極(110)の上方に配置されるように、絶縁スリーブ(118)の側壁(124)に2つの側方開口部(120,122)を備える請求項4に記載の皮下リード。
- 皮下リードであって、リード本体(102)の遠位に配置された第3の感知電極(112)、および
除細動電極(114)とをさらに含み、
除細動電極(114)は第3の感知電極(112)と第1および第2の感知電極(108,110)によって形成されたアセンブリとの間に配置され、
第1の感知電極(108)および第2の感知電極(110)を少なくとも部分的に覆う絶縁スリーブ(118)を含む
請求項4または5に記載の皮下リード。 - 皮下リードであって、第1および第2の感知電極(108,110)によって形成されたアセンブリが、心臓刺激機能のために構成されている請求項4、5または6に記載の皮下リード。
- 皮下リードであって、絶縁スリーブ(118)の中心軸(A1)に沿った絶縁スリーブ(118)の第1の部分(126)は、それ自体が少なくとも1つの平坦な表面、特に絶縁スリーブ(118)の中心軸に沿った絶縁スリーブ(118)の部分(126)を含む側壁(124)を含み、絶縁スリーブ(118)の中心軸に対して、本質的に多角形の幾何学的形状、好ましくは三角形の幾何学的形状の断面を有する請求項1〜7のいずれか一項に記載の皮下リード。
- 皮下リードであって、絶縁スリーブ(22,118)の中心軸(A1)に沿った絶縁スリーブ(22,118)の第2の部分(30,128)が、絶縁スリーブ(22,118)のリード本体(20,102)の中心軸に対する縦方向の動きを妨げるように、および/または絶縁スリーブ(22,118)を筋肉組織に付着させるために構成された少なくとも1つの固定手段(34,130)を含む請求項8に記載の皮下リード。
- 皮下リードであって、リード本体(20,102)が、リード本体(20,102)の中心軸に対して、絶縁スリーブ(22,118)の縦方向の動きを遮断することができるリード本体(20,102)の周りの少なくとも部分的にリード本体(20,102)から突出する少なくとも1つの停止要素(40,140)を含む請求項1〜9のいずれか一項に記載の皮下リード。
- 皮下リードであって、少なくとも1つの感知電極(16,108,110,112)が、リード本体(20,102)の周囲に巻かれた1つまたはそれ以上のフィラメント、特に、請求項4に記載の第1の感知電極(108)および第2の感知電極(110)の少なくとも1つを含む柔軟性電極である請求項1〜10のいずれか一項に記載の皮下リード。
- 皮下リードであって、絶縁スリーブ(22,108)が少なくとも2つの別々の部分で実現され、絶縁スリーブの各部分が少なくとも1つの側方開口部(24,120,122)を含む請求項1〜11のいずれか一項に記載の皮下リード。
- 皮下リードであって、絶縁スリーブ(22,108)が、放射線不透過性材料を含む請求項1〜12のいずれか一項に記載の皮下リード。
Priority Applications (1)
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JP2023056864A JP2023078463A (ja) | 2019-07-05 | 2023-03-31 | 植込型心臓装置用皮下リード |
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FR1907535 | 2019-07-05 | ||
FR1907535 | 2019-07-05 |
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JP2023056864A Division JP2023078463A (ja) | 2019-07-05 | 2023-03-31 | 植込型心臓装置用皮下リード |
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JP2021020059A true JP2021020059A (ja) | 2021-02-18 |
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JP2020115479A Pending JP2021020059A (ja) | 2019-07-05 | 2020-07-03 | 植込型心臓装置用皮下リード |
JP2023056864A Pending JP2023078463A (ja) | 2019-07-05 | 2023-03-31 | 植込型心臓装置用皮下リード |
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JP2023056864A Pending JP2023078463A (ja) | 2019-07-05 | 2023-03-31 | 植込型心臓装置用皮下リード |
Country Status (4)
Country | Link |
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US (1) | US11484703B2 (ja) |
EP (1) | EP3760113A1 (ja) |
JP (2) | JP2021020059A (ja) |
CN (1) | CN112169174A (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022163470A1 (ja) | 2021-01-27 | 2022-08-04 | キヤノン株式会社 | 医療装置および湾曲可能ユニット |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH0880353A (ja) * | 1994-04-14 | 1996-03-26 | Pacesetter Ab | 電極装置 |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5241957A (en) * | 1991-11-18 | 1993-09-07 | Medtronic, Inc. | Bipolar temporary pacing lead and connector and permanent bipolar nerve wire |
US6104961A (en) * | 1999-02-18 | 2000-08-15 | Intermedics Inc. | Endocardial defibrillation lead with looped cable conductor |
US6192280B1 (en) * | 1999-06-02 | 2001-02-20 | Medtronic, Inc. | Guidewire placed implantable lead with tip seal |
EP1341579B1 (en) * | 2000-12-07 | 2006-11-29 | Medtronic, Inc. | Directional brain stimulation and recording leads |
US8219213B2 (en) * | 2005-12-30 | 2012-07-10 | Medtronic, Inc. | Active fixation cardiac vein medical lead |
US8437864B2 (en) * | 2008-11-29 | 2013-05-07 | Medtronic, Inc. | Medical electrical lead with embedded electrode sub-assembly |
US9724126B2 (en) * | 2010-01-29 | 2017-08-08 | Medtronic, Inc. | Introduction of medical lead into patient |
WO2012039654A1 (en) * | 2010-09-20 | 2012-03-29 | St. Jude Medical Ab | Mri-compatible implantable medical lead |
JP2013034535A (ja) * | 2011-08-04 | 2013-02-21 | Olympus Corp | 電気刺激電極組立体 |
EP2679275B1 (de) * | 2012-06-28 | 2014-05-14 | Peter Osypka Stiftung | Epikardiale Mapping-Elektrode |
-
2020
- 2020-07-01 EP EP20183491.8A patent/EP3760113A1/fr active Pending
- 2020-07-02 US US16/920,090 patent/US11484703B2/en active Active
- 2020-07-03 CN CN202010635817.1A patent/CN112169174A/zh active Pending
- 2020-07-03 JP JP2020115479A patent/JP2021020059A/ja active Pending
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2023
- 2023-03-31 JP JP2023056864A patent/JP2023078463A/ja active Pending
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH0880353A (ja) * | 1994-04-14 | 1996-03-26 | Pacesetter Ab | 電極装置 |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022163470A1 (ja) | 2021-01-27 | 2022-08-04 | キヤノン株式会社 | 医療装置および湾曲可能ユニット |
Also Published As
Publication number | Publication date |
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JP2023078463A (ja) | 2023-06-06 |
EP3760113A1 (fr) | 2021-01-06 |
US20210001112A1 (en) | 2021-01-07 |
US11484703B2 (en) | 2022-11-01 |
CN112169174A (zh) | 2021-01-05 |
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