CA2465751A1 - Optional use of a lead for a unitary subcutaneous implantable cardioverter-defibrillator - Google Patents

Optional use of a lead for a unitary subcutaneous implantable cardioverter-defibrillator Download PDF

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Publication number
CA2465751A1
CA2465751A1 CA002465751A CA2465751A CA2465751A1 CA 2465751 A1 CA2465751 A1 CA 2465751A1 CA 002465751 A CA002465751 A CA 002465751A CA 2465751 A CA2465751 A CA 2465751A CA 2465751 A1 CA2465751 A1 CA 2465751A1
Authority
CA
Canada
Prior art keywords
electrode
patient
defibrillator
implantable cardioverter
electrical circuit
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
CA002465751A
Other languages
French (fr)
Other versions
CA2465751C (en
Inventor
Gust H. Bardy
Riccardo Cappato
William J. Rissmann
Gary H. Sanders
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.
Gust H. Bardy
Riccardo Cappato
William J. Rissmann
Gary H. Sanders
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 US09/663,606 external-priority patent/US6647292B1/en
Priority claimed from US09/663,607 external-priority patent/US6721597B1/en
Priority claimed from US09/940,599 external-priority patent/US6950705B2/en
Application filed by Cameron Health, Inc., Gust H. Bardy, Riccardo Cappato, William J. Rissmann, Gary H. Sanders filed Critical Cameron Health, Inc.
Publication of CA2465751A1 publication Critical patent/CA2465751A1/en
Application granted granted Critical
Publication of CA2465751C publication Critical patent/CA2465751C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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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
    • A61N1/38Applying 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
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • 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

Abstract

One embodiment of the present invention provides an implantable cardioverter-defibrillator for subcutaneous positioning over a patient's ribcage, the implantable cardioverter-defibrillator includes a housing having a first end and a second end; a first electrode disposed upon the first end of the housing; a second electrode disposed upon the second end of the housing; an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the first electrode and the second electrode; and a lead electrode electrically coupled to the electrical circuit located within the housing.

Claims (31)

1. An implantable cardioverter-defibrillator for subcutaneous positioning over a patient's ribcage, the implantable cardioverter-defibrillator comprising:
a housing having a first end and a second end;
a first electrode disposed upon the first end of the housing;
a second electrode disposed upon the second end of the housing;
an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the first electrode and the second electrode; and a lead electrode electrically coupled to the electrical circuit located within the housing.
2. The implantable cardioverter-defibrillator of claim 1, wherein the lead electrode is coupled to the electrical circuit located within the housing through a connection port.
3. The implantable cardioverter-defibrillator of claim 1, wherein the first electrode, second electrode and lead electrode can emit an energy for shocking a patient's heart.
4. The implantable cardioverter-defibrillator of claim 3, wherein the first electrode, second electrode and lead electrode can further receive sensory information.
5. The implantable cardioverter-defibrillator of claim 4, wherein the sensory information that is receivable concerns a patient's blood glucose level.
6. The implantable cardioverter-defibrillator of claim 4, wherein the sensory information that is receivable concerns a patient's respiratory rate.
7. The implantable cardioverter-defibrillator of claim 4, wherein the sensory information that is receivable concerns a patient's blood oxygen content.
8. The implantable cardioverter-defibrillator of claim 4, wherein the sensory information that is receivable concerns a patient's blood pressure.
9. The implantable cardioverter-defibrillator of claim 4, wherein the sensory information that is receivable concerns a patient's activity.
10. The implantable cardioverter-defibrillator of claim 4, wherein the sensory information that is receivable concerns a patient's cardiac output.
11. The implantable cardioverter-defibrillator of claim 1, wherein the first electrode and the second electrode form a depolarization vector with respect to a patient's heart.
12. The implantable cardioverter-defibrillator of claim 1, wherein the first electrode and the lead electrode form a depolarization vector with respect to a patient's heart.
13. The implantable cardioverter-defibrillator of claim 1, wherein the first electrode and second electrode form a depolarization vector with the lead electrode with respect to a patient's heart.
14. The implantable cardioverter-defibrillator of claim 1, wherein the first electrode and the lead electrode form a depolarization vector with the second electrode with respect to a patient's heart.
15. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit is programmed prior to implantation into the patient.
16. The implantable cardioverter-defibrillator of claim 15, wherein the electrical circuit is capable of being further programmed after implantation into the patient.
17. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can provide a cardioversion-defibrillation energy to a patient's heart.
18. The implantable cardioverter-defibrillator of claim 17, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient's heart.
19. The implantable cardioverter-defibrillator of claim 17, wherein the electrical circuit can further provide monophasic waveform cardiac pacing for the patient's heart.
20. A method of forming a plurality of depolarization vectors for an implantable cardioverter-defibrillator, the method comprising the steps of:
providing a cardioverter-defibrillator canister having a first electrode and a second electrode disposed upon a portion of the cardioverter-defibrillator canister, and an electrical circuit contained within the cardioverter-defibrillator canister that electrically couples to the first electrode and the second electrode;
providing a lead electrode that is electrically coupled to the electrical circuit contained within the cardioverter-defibrillator canister; and positioning the cardioverter-defibrillator canister and the lead electrode subcutaneously over a patient's ribcage.
21. The method of claim 20, wherein the first electrode and the second electrode form a depolarization vector with respect to a patient's heart.
22. The method of claim 20, wherein the first electrode and the lead electrode form a depolarization vector with respect to a patient's heart.
23. The method of claim 20, wherein the first electrode and second electrode form a depolarization vector with the lead electrode with respect to a patient's heart.
24. The method of claim 20, wherein the first electrode and the lead electrode form a depolarization vector with the second electrode with respect to a patient's heart.
25. The method of claim 20, wherein the first electrode, second electrode and lead electrode can emit an energy for shocking a patient's heart.
26. The method of claim 25, wherein the first electrode, second electrode and lead electrode can further receive sensory information.
27. The method of claim 20, wherein the electrical circuit is programmed prior to implantation into the patient.
28. The method of claim 27, wherein the electrical circuit is capable of being further programmed after implantation into the patient.
29. The method of claim 20, wherein the electrical circuit can provide a cardioversion-defibrillation energy to a patient's heart.
30. The method of claim 29, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient's heart.
31. The method of claim 29, wherein the electrical circuit can further provide monophasic waveform cardiac pacing for the patient's heart.
CA2465751A 2000-09-18 2002-10-28 Optional use of a lead for a unitary subcutaneous implantable cardioverter-defibrillator Expired - Fee Related CA2465751C (en)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US09/663,606 US6647292B1 (en) 2000-09-18 2000-09-18 Unitary subcutaneous only implantable cardioverter-defibrillator and optional pacer
US09/663,607 US6721597B1 (en) 2000-09-18 2000-09-18 Subcutaneous only implantable cardioverter defibrillator and optional pacer
US09/940,599 US6950705B2 (en) 2000-09-18 2001-08-27 Canister designs for implantable cardioverter-defibrillators
US10/011,566 2001-11-05
US10/011,566 US6988003B2 (en) 2000-09-18 2001-11-05 Implantable cardioverter-defibrillator having two spaced apart shocking electrodes on housing
PCT/IB2002/004475 WO2003039647A2 (en) 2000-09-18 2002-10-28 Optional use of a lead for a unitary subcutaneous implantable cardioverter-defibrillator

Publications (2)

Publication Number Publication Date
CA2465751A1 true CA2465751A1 (en) 2003-05-15
CA2465751C CA2465751C (en) 2012-06-26

Family

ID=36569651

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2465751A Expired - Fee Related CA2465751C (en) 2000-09-18 2002-10-28 Optional use of a lead for a unitary subcutaneous implantable cardioverter-defibrillator

Country Status (5)

Country Link
US (3) US6988003B2 (en)
EP (1) EP1453573B1 (en)
JP (1) JP4320256B2 (en)
CA (1) CA2465751C (en)
WO (1) WO2003039647A2 (en)

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US9144683B2 (en) 2000-09-18 2015-09-29 Cameron Health, Inc. Post-shock treatment in a subcutaneous device

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EP1453573A2 (en) 2004-09-08
WO2003039647A3 (en) 2004-02-05
US7428437B2 (en) 2008-09-23
JP4320256B2 (en) 2009-08-26
US20030088278A1 (en) 2003-05-08
EP1453573B1 (en) 2013-07-31
JP2005507745A (en) 2005-03-24
WO2003039647A2 (en) 2003-05-15
US7359754B2 (en) 2008-04-15
US6988003B2 (en) 2006-01-17
US20050010251A9 (en) 2005-01-13
US20060036289A1 (en) 2006-02-16
CA2465751C (en) 2012-06-26
US20060004416A1 (en) 2006-01-05
WO2003039647A8 (en) 2004-03-18

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