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公开(公告)号:US20170209690A1
公开(公告)日:2017-07-27
申请号:US15416282
申请日:2017-01-26
申请人: Medtronic, Inc.
发明人: Ronald A Drake , Kenneth C Gardeski , Carla Pfeiffer , Kevin R Seifert , Lester O Stener , Matthew D Bonner
CPC分类号: A61N1/0573 , A61N1/3688 , A61N1/37205 , A61N1/3756 , A61N2001/0578 , A61N2001/058
摘要: Methods and systems for positioning a leadless pacing device (LPD) in cardiac tissue are disclosed. A delivery device is employed that comprises a proximal end, a distal end and a lumen therebetween sized to receive the LPD. The LPD has a leadlet extending therefrom that includes a means to fixate the leadlet to tissue. The delivery device comprises an introducer to introduce the LPD into the lumen of the delivery device. The LPD is loaded in the distal end of the lumen of the delivery device. The leadlet extends proximally from the LPD while the fixation means extends distally toward the LPD. A LPD mover is configured to advance the LPD out of the delivery device. A leadlet mover is configured to advance the leadlet out of the lumen delivery device and cause the leadlet to engage with cardiac tissue.
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公开(公告)号:US09446248B2
公开(公告)日:2016-09-20
申请号:US14518128
申请日:2014-10-20
申请人: Medtronic, Inc.
CPC分类号: A61N1/371 , A61B17/3468 , A61B2017/00358 , A61B2017/22035 , A61B2018/00642 , A61B2090/0811 , A61M25/0082 , A61N1/056 , A61N1/0573 , A61N1/372 , A61N1/37205 , A61N1/3756 , A61N2001/058 , A61N2001/0585
摘要: Delivery tools of interventional medical systems facilitate deployment of relatively compact implantable medical devices that include sensing extensions, for example, right ventricular cardiac pacing devices that include a sensing extension for atrial sensing. An entirety of such a device is contained within a delivery tool while a distal-most portion of the tool is navigated to a target implant site; the tool is configured to expose, out from a distal opening thereof, a distal portion of the device for initial deployment, after which sensing, via a sense electrode of the aforementioned sensing extension of the device, can be evaluated without withdrawing the tool from over the remainder of the device that includes the sensing extension.
摘要翻译: 介入医疗系统的传送工具便于部署相对紧凑的植入式医疗设备,其包括感测扩展,例如包括用于心房感测的感测扩展的右心室心脏起搏装置。 整个这样的装置被包含在输送工具内,而工具的最远部分被导航到目标植入部位; 该工具被配置为从其远端开口露出用于初始展开的装置的远端部分,之后可以通过装置的上述感测延伸部分的感测电极感测,而不退出工具 该设备的其余部分包括感测扩展。
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公开(公告)号:US10238865B2
公开(公告)日:2019-03-26
申请号:US15287122
申请日:2016-10-06
申请人: Medtronic, Inc.
摘要: An implantable medical device assembly includes a mounting structure, an electrode protruding from a surface of the structure, between opposing sides thereof, and tissue-penetrating fixation tines, each extending from a corresponding shoulder of the structure surface, adjacent to the opposing sides. In a relaxed condition, each tine extends away from the surface and then bends toward a proximal end of the structure and back toward the surface. In an extended condition, each tine bends toward a distal end of the structure and extends along the corresponding shoulder. A holding member of a delivery tool has opposing sidewalls defining a cavity, wherein each sidewall includes a rail-like edge that fits in sliding engagement with a corresponding shoulder, to deform a corresponding tine into the extended condition, when an operator passes the assembly into the cavity. Applying a push force, to move the assembly back out form the cavity, releases the tines.
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公开(公告)号:US10159834B2
公开(公告)日:2018-12-25
申请号:US15416282
申请日:2017-01-26
申请人: Medtronic, Inc.
发明人: Ronald A Drake , Kenneth C Gardeski , Carla Pfeiffer , Kevin R Seifert , Lester O Stener , Matthew D Bonner
摘要: Methods and systems for positioning a leadless pacing device (LPD) in cardiac tissue are disclosed. A delivery device is employed that comprises a proximal end, a distal end and a lumen therebetween sized to receive the LPD. The LPD has a leadlet extending therefrom that includes a means to fixate the leadlet to tissue. The delivery device comprises an introducer to introduce the LPD into the lumen of the delivery device. The LPD is loaded in the distal end of the lumen of the delivery device. The leadlet extends proximally from the LPD while the fixation means extends distally toward the LPD. A LPD mover is configured to advance the LPD out of the delivery device. A leadlet mover is configured to advance the leadlet out of the lumen delivery device and cause the leadlet to engage with cardiac tissue.
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公开(公告)号:US09539423B2
公开(公告)日:2017-01-10
申请号:US14518087
申请日:2014-10-20
申请人: Medtronic, Inc.
IPC分类号: A61B19/00 , A61N1/05 , A61N1/362 , A61N1/365 , A61B17/34 , A61N1/372 , A61N1/375 , A61M25/00 , A61B17/00 , A61B17/22 , A61B17/221
CPC分类号: A61N1/0592 , A61B17/3468 , A61B2017/00044 , A61B2017/00243 , A61B2017/22035 , A61B2017/2215 , A61M25/0026 , A61N1/059 , A61N1/3624 , A61N1/36507 , A61N1/372 , A61N1/37205 , A61N1/3756
摘要: Delivery tools of interventional medical systems facilitate deployment of relatively compact implantable medical devices that include extensions, for example, cardiac pacing devices that include an extension for atrial sensing, wherein an entirety of the device is contained within the delivery tool while a distal-most portion of the tool is navigated to a target implant site. Once at the implant site, a device fixation member may be exposed out from a distal opening of the tool, for initial deployment, while the extension remains contained within the delivery tool. The tool includes a grasping mechanism, operable, within and without a lumen of the tool, to alternately grip and release the device extension, for example, to position a distal end of the extension after the tool has been withdrawn from over an entirety of the initially deployed device.
摘要翻译: 介入医疗系统的传送工具便于部署相对紧凑的可植入医疗设备,其包括延伸部,例如包括用于心房感测的延伸部的心脏起搏装置,其中整个装置包含在输送工具内,而最远部分 的工具被导航到目标植入部位。 一旦在植入位置处,装置固定构件可以从工具的远侧开口暴露出来,用于初始部署,同时延伸部分保持在输送工具内。 该工具包括抓握机构,该工具可在该工具的内腔内和不具有内腔的情况下交替地夹持和释放装置延伸部,例如,在该工具已经从整体上撤出之后定位延伸部的远端 初始部署的设备。
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公开(公告)号:US10478620B2
公开(公告)日:2019-11-19
申请号:US14518261
申请日:2014-10-20
申请人: Medtronic, Inc.
发明人: Michael D Eggen , James K Carney , Matthew D Bonner , Vladimir Grubac , Douglas S Hine , Thomas D Brostrom , John L Sommer
摘要: A relatively compact implantable medical device includes a fixation member formed by a plurality of fingers mounted around a perimeter of a distal end of a housing of the device; each finger is elastically deformable from a relaxed condition to an extended condition, to accommodate delivery of the device to a target implant site, and from the relaxed condition to a compressed condition, to accommodate wedging of the fingers between opposing tissue surfaces at the target implant site, wherein the compressed fingers hold a cardiac pacing electrode of the device in intimate tissue contact for the delivery of pacing stimulation to the site. Each fixation finger is preferably configured to prevent penetration thereof within the tissue when the fingers are compressed and wedged between the opposing tissue surfaces. The pacing electrode may be mounted on a pacing extension, which extends distally from the distal end of the device housing.
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公开(公告)号:US10463853B2
公开(公告)日:2019-11-05
申请号:US15410085
申请日:2017-01-19
申请人: Medtronic, Inc.
发明人: Ronald A Drake , Xin Chen , Michael D Eggen , Matthew D Bonner , Vladimir Grubac , Brian P Colin , Kenneth C Gardeski , Kevin R Seifert
摘要: An implantable medical device includes ventricular and atrial portions, and a flexible leadlet that extends therebetween. An open channel of the atrial portion, formed along a core thereof, is sized to receive the leadlet therein, when the leadlet is folded over on itself. An interventional medical system includes the device and a delivery tool; a tubular sidewall of the tool defines a lumen and has a tether extending therein. A slot formed in the sidewall extends proximally from an open end thereof, coincident with a distal opening of the lumen. When the atrial portion is contained within the lumen, a segment of the leadlet extends alongside the atrial portion; another segment of the leadlet, being folded over on itself, proximal to the atrial portion, has the tether engaged therewith. The slot may allow passage of the leadlet therethrough, when the atrial portion is positioned for deployment through the distal opening.
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公开(公告)号:US10448971B2
公开(公告)日:2019-10-22
申请号:US15387224
申请日:2016-12-21
申请人: Medtronic, Inc.
摘要: An apparatus for forming a passageway through tissue includes a dilator mounted to a shaft, wherein the dilator includes a first portion, which has an increasing taper from a first outer diameter to a larger second outer diameter, and a second portion, which has a decreasing taper from the first portion to a distal end of the dilator, and which includes an external non-cutting thread formed along the decreasing taper. Lumens of the dilator and shaft provide a conduit for means to pierce through the tissue, for example, an elongate wire that includes a piercing tip. In some cases, the dilator first portion is expandable to, and contractible from, the larger second outer diameter, wherein the apparatus may include a spreading member configured to slide between the shaft and the first portion. The apparatus may be included in a system with an introducer sheath.
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公开(公告)号:US10390720B2
公开(公告)日:2019-08-27
申请号:US14694952
申请日:2015-04-23
申请人: Medtronic, Inc.
IPC分类号: A61B5/04 , A61B5/042 , A61B5/00 , A61N1/362 , A61B5/0452 , A61N1/375 , A61N1/368 , A61N1/372 , A61N1/05
摘要: A leadless pacing system includes a leadless pacing device and a sensing extension extending from a housing of the leadless pacing device. The sensing extension includes one or more electrodes with which the leadless pacing device may sense electrical cardiac activity. The one or more electrodes of the sensing extension may be carried by a self-supporting body that is configured to passively position the one or more electrodes proximate or within a chamber of the heart other than the chamber in which the LPD is implanted.
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公开(公告)号:US10449354B2
公开(公告)日:2019-10-22
申请号:US15136709
申请日:2016-04-22
申请人: Medtronic, Inc.
发明人: Wade M Demmer , Matthew D Bonner , Vladimir Grubac
摘要: An elongated implantable medical device for delivering electrical stimulation pulses to a patient includes a housing having a housing proximal end and a housing distal end and an electrical conductor having a conductor proximal end and a conductor distal end. The conductor distal end extends from the housing proximal end. The housing has a first fixation force at a first implant site after being implanted in a patient's body, and the conductor proximal end has a second fixation force at a second implant site after being implanted in a patient's body. The second fixation force is different than the first fixation force.
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