WO2004073506A3 - Subxiphoid procedures and apparatus for placement of cardiac defibrillator and pacer - Google Patents

Subxiphoid procedures and apparatus for placement of cardiac defibrillator and pacer Download PDF

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Publication number
WO2004073506A3
WO2004073506A3 PCT/US2004/000875 US2004000875W WO2004073506A3 WO 2004073506 A3 WO2004073506 A3 WO 2004073506A3 US 2004000875 W US2004000875 W US 2004000875W WO 2004073506 A3 WO2004073506 A3 WO 2004073506A3
Authority
WO
WIPO (PCT)
Prior art keywords
electrode structure
subxiphoid
pericardium
pacer
placement
Prior art date
Application number
PCT/US2004/000875
Other languages
French (fr)
Other versions
WO2004073506A2 (en
Inventor
Albert K Chin
Original Assignee
Origin Medystems Inc
Albert K Chin
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/369,980 external-priority patent/US7288096B2/en
Application filed by Origin Medystems Inc, Albert K Chin filed Critical Origin Medystems Inc
Priority to EP04702482A priority Critical patent/EP1596702A4/en
Publication of WO2004073506A2 publication Critical patent/WO2004073506A2/en
Publication of WO2004073506A3 publication Critical patent/WO2004073506A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • 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
    • A61N2001/0578—Anchoring means; Means for fixing the head inside the heart having means for removal or extraction

Abstract

Surgical procedure and surgical instruments include an electrode structure for insertion through tissue superiorly of a subxiphoid incision to a position posterior of an aspect of the sternum and anterior of the pericardium. The electrode structure may be expanded, for example, including an inflatable member to position a number of electrodes of the electrode structure in contact with the pericardium. Alternatively, an electrode structure on an insertion cannula may be retained in contact with the pericardium by the cannula positioned within the dissected tissue. Electrical conductors from the contacting electrodes are routed through the tract of dissected tissue toward the subxiphoid incision for attachment to a generator that is implanted in a subcutaneous pocket near the subxiphoid incision.
PCT/US2004/000875 2003-02-18 2004-01-15 Subxiphoid procedures and apparatus for placement of cardiac defibrillator and pacer WO2004073506A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP04702482A EP1596702A4 (en) 2003-02-18 2004-01-15 Subxiphoid procedures and apparatus for placement of cardiac defibrillator and pacer

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/369,980 US7288096B2 (en) 2003-01-17 2003-02-18 Apparatus for placement of cardiac defibrillator and pacer
US10/369,980 2003-02-18

Publications (2)

Publication Number Publication Date
WO2004073506A2 WO2004073506A2 (en) 2004-09-02
WO2004073506A3 true WO2004073506A3 (en) 2008-01-10

Family

ID=35125954

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/000875 WO2004073506A2 (en) 2003-02-18 2004-01-15 Subxiphoid procedures and apparatus for placement of cardiac defibrillator and pacer

Country Status (2)

Country Link
EP (1) EP1596702A4 (en)
WO (1) WO2004073506A2 (en)

Families Citing this family (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0979635A2 (en) 1998-08-12 2000-02-16 Origin Medsystems, Inc. Tissue dissector apparatus
US6558313B1 (en) 2000-11-17 2003-05-06 Embro Corporation Vein harvesting system and method
US9770230B2 (en) 2006-06-01 2017-09-26 Maquet Cardiovascular Llc Endoscopic vessel harvesting system components
US10556117B2 (en) 2013-05-06 2020-02-11 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) system including substernal pacing lead
US9717898B2 (en) 2013-05-06 2017-08-01 Medtronic, Inc. Systems and methods for implanting a medical electrical lead
US10532203B2 (en) 2013-05-06 2020-01-14 Medtronic, Inc. Substernal electrical stimulation system
US9717923B2 (en) 2013-05-06 2017-08-01 Medtronic, Inc. Implantable medical device system having implantable cardioverter-defibrillator (ICD) system and substernal leadless pacing device
US10471267B2 (en) 2013-05-06 2019-11-12 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) system including substernal lead
US20140330287A1 (en) 2013-05-06 2014-11-06 Medtronic, Inc. Devices and techniques for anchoring an implantable medical device
US9220913B2 (en) 2013-05-06 2015-12-29 Medtronics, Inc. Multi-mode implantable medical device
US10434307B2 (en) 2013-10-15 2019-10-08 Medtronic, Inc. Methods and devices for subcutaneous lead implantation
US10531893B2 (en) 2013-11-12 2020-01-14 Medtronic, Inc. Extravascular implant tools with open sheath and implant techniques utilizing such tools
US10118027B2 (en) 2013-11-12 2018-11-06 Medtronic, Inc. Open channel implant tools having an attachment feature and implant techniques utilizing such tools
US10842988B2 (en) 2014-06-02 2020-11-24 Medtronic, Inc. Over-the-wire delivery of a substernal lead
US9636512B2 (en) 2014-11-05 2017-05-02 Medtronic, Inc. Implantable cardioverter-defibrillator (ICD) system having multiple common polarity extravascular defibrillation electrodes
US11083491B2 (en) 2014-12-09 2021-08-10 Medtronic, Inc. Extravascular implant tools utilizing a bore-in mechanism and implant techniques using such tools
US10349978B2 (en) 2014-12-18 2019-07-16 Medtronic, Inc. Open channel implant tool with additional lumen and implant techniques utilizing such tools
US10729456B2 (en) 2014-12-18 2020-08-04 Medtronic, Inc. Systems and methods for deploying an implantable medical electrical lead
US11123547B2 (en) 2015-07-22 2021-09-21 Cameron Health, Inc. Substernal placement of a pacing and/or defibrillating electrode
US11717674B2 (en) 2018-07-31 2023-08-08 Manicka Institute Llc Subcutaneous device for use with remote device
US11660444B2 (en) 2018-07-31 2023-05-30 Manicka Institute Llc Resilient body component contact for a subcutaneous device
US10716511B2 (en) 2018-07-31 2020-07-21 Manicka Institute Llc Subcutaneous device for monitoring and/or providing therapies
US11433233B2 (en) 2020-11-25 2022-09-06 Calyan Technologies, Inc. Electrode contact for a subcutaneous device
US10576291B2 (en) 2018-07-31 2020-03-03 Manicka Institute Llc Subcutaneous device
US11179571B2 (en) 2018-07-31 2021-11-23 Manicka Institute Llc Subcutaneous device for monitoring and/or providing therapies
US10987060B1 (en) 2020-09-14 2021-04-27 Calyan Technologies, Inc. Clip design for a subcutaneous device

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5129394A (en) * 1991-01-07 1992-07-14 Medtronic, Inc. Method and apparatus for controlling heart rate in proportion to left ventricular pressure
US5246014A (en) * 1991-11-08 1993-09-21 Medtronic, Inc. Implantable lead system
US5433198A (en) * 1993-03-11 1995-07-18 Desai; Jawahar M. Apparatus and method for cardiac ablation

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5282845A (en) * 1990-10-01 1994-02-01 Ventritex, Inc. Multiple electrode deployable lead
US5904711A (en) * 1996-02-08 1999-05-18 Heartport, Inc. Expandable thoracoscopic defibrillation catheter system and method
US6719755B2 (en) * 1996-10-22 2004-04-13 Epicor Medical, Inc. Methods and devices for ablation
EP0855196A1 (en) * 1997-01-28 1998-07-29 Sulzer Osypka GmbH Defibrillation electrode
US6038472A (en) * 1997-04-29 2000-03-14 Medtronic, Inc. Implantable defibrillator and lead system
US6385491B1 (en) * 1999-10-04 2002-05-07 Medtronic, Inc. Temporary medical electrical lead having biodegradable electrode mounting pad loaded with therapeutic drug
EP1253965A1 (en) * 2000-02-11 2002-11-06 Theracardia, Inc. Systems and methods for percutaneous cardiac treatment

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5129394A (en) * 1991-01-07 1992-07-14 Medtronic, Inc. Method and apparatus for controlling heart rate in proportion to left ventricular pressure
US5246014A (en) * 1991-11-08 1993-09-21 Medtronic, Inc. Implantable lead system
US5433198A (en) * 1993-03-11 1995-07-18 Desai; Jawahar M. Apparatus and method for cardiac ablation

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1596702A4 *

Also Published As

Publication number Publication date
EP1596702A2 (en) 2005-11-23
EP1596702A4 (en) 2009-01-21
WO2004073506A2 (en) 2004-09-02

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