CA2465754A1 - Flexible subcutaneous implantable cardioverter-defibrillator - Google Patents

Flexible subcutaneous implantable cardioverter-defibrillator Download PDF

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Publication number
CA2465754A1
CA2465754A1 CA002465754A CA2465754A CA2465754A1 CA 2465754 A1 CA2465754 A1 CA 2465754A1 CA 002465754 A CA002465754 A CA 002465754A CA 2465754 A CA2465754 A CA 2465754A CA 2465754 A1 CA2465754 A1 CA 2465754A1
Authority
CA
Canada
Prior art keywords
defibrillator
implantable cardioverter
housing
patient
cardioverter
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002465754A
Other languages
French (fr)
Other versions
CA2465754C (en
Inventor
Alan H. Ostroff
William J. Rissmann
Gust H. Bardy
Riccardo Cappato
Paul J. Erlinger
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cameron Health Inc
Original Assignee
Cameron Health, Inc.
Alan H. Ostroff
William J. Rissmann
Gust H. Bardy
Riccardo Cappato
Paul J. Erlinger
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
Application filed by Cameron Health, Inc., Alan H. Ostroff, William J. Rissmann, Gust H. Bardy, Riccardo Cappato, Paul J. Erlinger filed Critical Cameron Health, Inc.
Publication of CA2465754A1 publication Critical patent/CA2465754A1/en
Application granted granted Critical
Publication of CA2465754C publication Critical patent/CA2465754C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3956Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3968Constructional arrangements, e.g. casings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • A61N1/37518Anchoring of the implants, e.g. fixation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • A61N1/3756Casings with electrodes thereon, e.g. leadless stimulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3906Heart defibrillators characterised by the form of the shockwave
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3975Power supply

Abstract

One embodiment of the present invention provides an implantable cardioverter-defibrillator for subcutaneous positioning over a patient's ribcage, the implantable cardioverter-defibrillator including a housing, wherein the housing conforms to the patient's ribcage when subcutaneously positioned; an electrode disposed upon a portion of the housing; and an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the electrode.

Claims (59)

1. An implantable cardioverter-defibrillator for subcutaneous positioning over a patient's ribcage, the implantable cardioverter-defibrillator comprising:
a housing, wherein the housing conforms to the patient's ribcage when subcutaneously positioned;
an electrode disposed upon a portion of the housing; and an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the electrode.
2. The implantable cardioverter-defibrillator of claim 1, wherein a portion of the housing comprises a compliant material.
3. The implantable cardioverter-defibrillator of claim 2, wherein the compliant material is selected from the group consisting of a polyurethane, a polyamide, a polyetheretherketone (PEEK), a polyether block amide (PEBA), a polytetrafluoroethylene (PTFE), a polyethylene, a silicone, and mixtures thereof.
4. The implantable cardioverter-defibrillator of claim 1, wherein a portion of the housing comprises a pleated section having a plurality of individual pleats.
5. The implantable cardioverter-defibrillator of claim 4, wherein the individual pleats are formed by material comprising the housing.
6. The implantable cardioverter-defibrillator of claim 5, wherein the material comprising the housing is polymeric.
7. The implantable cardioverter-defibrillator of claim 5, wherein the material comprising the housing is stainless steel.
8. The implantable cardioverter-defibrillator of claim 5, wherein the material comprising the housing is titanium alloy.
9. The implantable cardioverter-defibrillator of claim 2, wherein the housing further comprises a first end and a second end, wherein the electrode is disposed at the first end of the housing.
10. The implantable cardioverter-defibrillator of claim 9, wherein the implantable cardioverter-defibrillator further comprises a second electrode, wherein the second electrode is disposed at the second end of the housing.
11. The implantable cardioverter-defibrillator of claim 10, wherein the material comprising the first end of the housing and the second end of the housing is titanium alloy.
12. The implantable cardioverter-defibrillator of claim 10, wherein the material comprising the first end of the housing and the second end of the housing is stainless steel alloy.
13. The implantable cardioverter-defibrillator of claim 10, wherein the material comprising the first end of the housing and the second end of the housing is ceramic.
14. The implantable cardioverter-defibrillator of claim 9, wherein the compliant material is located between the first end of the housing and the second end of the housing.
15. The implantable cardioverter-defibrillator of claim 1, wherein the housing further comprises a plurality of coupled segments.
16. The implantable cardioverter-defibrillator of claim 15, wherein the material comprising the plurality of coupled segments is titanium alloy.
17. The implantable cardioverter-defibrillator of claim 15, wherein the material comprising the plurality of coupled segments is stainless steel alloy.
18. The implantable cardioverter-defibrillator of claim 15, wherein the material comprising the plurality of coupled segments is ceramic.
19. The implantable cardioverter-defibrillator of claim 15, wherein the material comprising the plurality of coupled segments is a polymeric material.
20. The implantable cardioverter-defibrillator of claim 19, wherein the polymeric material is selected from the group consisting essentially of a polyurethane, a polyamide, a polyetheretherketone (PEEK), a polyether block amide (PEBA), a polytetrafluoroethylene (PTFE), a silicone, and mixtures thereof.
21. The implantable cardioverter-defibrillator of claim 15, wherein the housing comprises a first segment and a second segment, and further wherein the first segment and the second segment are coupled by a hinge.
22. The implantable cardioverter-defibrillator of claim 21, wherein the first segment is curved.
23. The implantable cardioverter-defibrillator of claim 22, wherein the second segment is generally planar.
24. The implantable cardioverter-defibrillator of claim 22, wherein the second segment is curved.
25. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can provide a cardioversion-defibrillation energy to a patient's heart.
26. The implantable cardioverter-defibrillator of claim 25, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient's heart.
27. The implantable cardioverter-defibrillator of claim 25, wherein the electrical circuit can further provide monophasic waveform cardiac pacing for the patient's heart.
28. An implantable cardioverter-defibrillator for subcutaneous positioning within a patient, the implantable cardioverter-defibrillator comprising:
a housing having a first end and a second end, and wherein a portion of the housing is compliant;
a first electrode disposed upon the first end of the housing;
a second electrode disposed upon the second end of the housing; and an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the first electrode and the second electrode.
29. The implantable cardioverter-defibrillator of claim 28, wherein the material comprising the portion of the housing being compliant is selected from the group consisting of a polyurethane, a polyamide, a polyetheretherketone (PEEK), a polyether block amide (PEBA), a polytetrafluoroethylene (PTFE), a polyethylene, a silicone, and mixtures thereof.
30. The implantable cardioverter-defibrillator of claim 28, wherein the material comprising the first end of the housing and the second end of the housing is titanium alloy.
31. The implantable cardioverter-defibrillator of claim 28, wherein the material comprising the first end of the housing and the second end of the housing is stainless steel alloy.
32. The implantable cardioverter-defibrillator of claim 28, wherein the material comprising the first end of the housing and the second end of the housing is ceramic.
33. The implantable cardioverter-defibrillator of claim 28, wherein the portion of the housing being compliant is located between the first end of the housing and the second end of the housing.
34. The implantable cardioverter-defibrillator of claim 28, wherein the portion of the housing being compliant comprises a section of housing forming a plurality of individual pleats.
35. The implantable cardioverter-defibrillator of claim 34, wherein the portion of the housing forming a plurality of individual pleats is polymeric.
36. The implantable cardioverter-defibrillator of claim 34, wherein the portion of the housing forming a plurality of individual pleats is stainless steel.
37. The implantable cardioverter-defibrillator of claim 34, wherein the portion of the housing forming a plurality of individual pleats is a titanium alloy.
38. The implantable cardioverter-defibrillator of claim 28, wherein the electrical circuit can provide a cardioversion-defibrillation energy to a patient's heart.
39. The implantable cardioverter-defibrillator of claim 38, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient's heart.
40. The implantable cardioverter-defibrillator of claim 38, wherein the electrical circuit can further provide monophasic waveform cardiac pacing for the patient's heart.
41. An implantable cardioverter-defibrillator for subcutaneous positioning within a patient, the implantable cardioverter-defibrillator comprising:
a housing having a plurality of interconnected segments;
a first electrode disposed upon a portion of the housing;
a second electrode disposed upon a portion of the housing; and an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the first electrode and the second electrode.
42. The implantable cardioverter-defibrillator of claim 41, wherein the material comprising the plurality of interconnected segments is titanium alloy.
43. The implantable cardioverter-defibrillator of claim 41, wherein the material comprising the plurality of interconnected segments is stainless steel alloy.
44. The implantable cardioverter-defibrillator of claim 41, wherein the material comprising the plurality of interconnected segments is ceramic.
45. The implantable cardioverter-defibrillator of claim 41, wherein the material comprising the plurality of interconnected segments is a polymeric material.
46. The implantable cardioverter-defibrillator of claim 45, wherein the polymeric material is selected from the group consisting essentially of a polyurethane, a polyamide, a polyetheretherketone (PEEK), a polyether block amide (PEBA), a polytetrafluoroethylene (PTFE), a silicone, and mixtures thereof.
47. The implantable cardioverter-defibrillator of claim 41, wherein at least two of the plurality of interconnected segments are coupled by a hinge.
48. The implantable cardioverter-defibrillator of claim 41, wherein at least one of the plurality of interconnected segments is curved.
49. The implantable cardioverter-defibrillator of claim 41, wherein the plurality of interconnected segments are generally planar.
50. The implantable cardioverter-defibrillator of claim 41, wherein the electrical circuit can provide a cardioversion-defibrillation energy to a patient's heart.
51. The implantable cardioverter-defibrillator of claim 50, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient's heart.
52. The implantable cardioverter-defibrillator of claim 50, wherein the electrical circuit can further provide monophasic waveform cardiac pacing for the patient's heart.
53. A method of inserting an implantable cardioverter-defibrillator within a patient, the method comprising the steps of:
providing a pliable cardioverter-defibrillator canister that conforms to the shape of a patient's ribcage;
making a single incision into the patient; and advancing the cardioverter-defibrillator canister through the single incision and subcutaneously over the patient's ribcage.
54. The method of claim 53, wherein a portion of the pliable cardioverter-defibrillator canister comprises a compliant material.
55. The method of claim 54, wherein the compliant material is selected from the group consisting of a polyurethane, a polyamide, a polyetheretherketone (PEEK), a polyether block amide (PEBA), a polytetrafluoroethylene (PTFE), a polyethylene, a silicone, and mixtures thereof.
56. The method of claim 53, wherein of the pliable cardioverter-defibrillator canister comprises a plurality of coupled segments.
57. The method of claim 56, wherein the plurality of coupled segments are connected by a hinge.
58. The method of claim 56, wherein the plurality of coupled segments are curved.
59. The method of claim 56, wherein the plurality of coupled segments are generally planar.
CA2465754A 2001-11-05 2002-10-28 Flexible subcutaneous implantable cardioverter-defibrillator Expired - Fee Related CA2465754C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/011,956 US7120495B2 (en) 2000-09-18 2001-11-05 Flexible subcutaneous implantable cardioverter-defibrillator
US10/011,956 2001-11-05
PCT/IB2002/004516 WO2003039668A1 (en) 2001-11-05 2002-10-28 Flexible subcutaneous implantable cardioverter-defibrillator

Publications (2)

Publication Number Publication Date
CA2465754A1 true CA2465754A1 (en) 2003-05-15
CA2465754C CA2465754C (en) 2012-10-02

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CA2465754A Expired - Fee Related CA2465754C (en) 2001-11-05 2002-10-28 Flexible subcutaneous implantable cardioverter-defibrillator

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US (2) US7120495B2 (en)
EP (1) EP1444007B1 (en)
JP (1) JP4320257B2 (en)
AU (1) AU2002339644B2 (en)
CA (1) CA2465754C (en)
ES (1) ES2404129T3 (en)
WO (1) WO2003039668A1 (en)

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US20050192639A1 (en) 2005-09-01
EP1444007B1 (en) 2013-04-03
CA2465754C (en) 2012-10-02
WO2003039668A1 (en) 2003-05-15
ES2404129T3 (en) 2013-05-24
JP4320257B2 (en) 2009-08-26
US7363083B2 (en) 2008-04-22
US20020103510A1 (en) 2002-08-01
AU2002339644B2 (en) 2007-06-14
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EP1444007A1 (en) 2004-08-11
US7120495B2 (en) 2006-10-10

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