Delivery system for cardiac pacing

• US 10,195,422 B2
• Filed: 09/04/2015
• Issued: 02/05/2019
• Est. Priority Date: 09/04/2014
• Status: Active Grant

• Current Assignee: Atacor Medical Inc.
• Original Assignee: Atacor Medical Inc.
• Inventors: Sanghera, Rick, Marcovecchio, Alan, McGeehan, Sean
• Primary Examiner(s): Fairchild, Mallika D
• Application Number:
  US14/846,648
• Publication Number:
  US 20160067480A1
• Time in Patent Office: 1,250 Days
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/3427 for intercostal space
• CPC Class Codes: A61B 2017/3482 inside
• CPC Class Codes: A61B 2017/3488 Fixation to inner organ or inner body tissue
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61M 2205/587 Lighting arrangements
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/06 Body-piercing guide needles or the like
• CPC Class Codes: A61N 1/0504 Subcutaneous electrodes
• CPC Class Codes: A61N 1/0587 Epicardial electrode systems; Endocardial electrodes piercing the pericardium
• CPC Class Codes: A61N 1/059 Anchoring means
• CPC Class Codes: A61N 1/0592 Introducing the lead through the pericardium with a needle
• CPC Class Codes: A61N 1/3629 in combination with non-electric therapy
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration
• CPC Class Codes: A61N 1/3655 controlled by body or blood temperature
• CPC Class Codes: A61N 1/36564 controlled by blood pressure
• CPC Class Codes: A61N 1/37211 Means for communicating with stimulators
• CPC Class Codes: A61N 1/37512 Pacemakers
• CPC Class Codes: A61N 1/3752 : Details of casing-lead connections

Abstract

A delivery device for installing a medical device in a patient comprising a body portion having a proximal end and a distal end, the distal end having a chisel shaped tip, a receptacle disposed in the distal end of the body portion for receiving a medical device for implanting in the patient, a handle disposed at the proximal end of the body portion for facilitating advancement of the proximal end of the body portion into the patient.

Claims

1. A cardiac pacing system comprising:

a pulse generator including a housing, the pulse generator configured to generate therapeutic electric pulses;

at least one lead configured to electrically couple with the pulse generator and transmit the therapeutic electric pulses generated by the pulse generator, the at least one lead comprising;

a lead body configured to transmit the therapeutic electric pulses between a distal end and a proximal end of the lead body;

an electrode to transmit the therapeutic electric pulses to a heart; and

at least one sensor disposed at the distal end of the lead body, the at least one sensor configured to monitor physiological characteristics of a patient when the distal end of the lead is advanced through an intercostal space associated with a cardiac notch of the left lung of the patient; and

an inflatable balloon disposed at a distal tip of the lead body, extending at least partially beyond the distal tip.

2. The cardiac pacing system as in claim 1, wherein the at least one sensor comprises:

at least one accelerometer, the at least one accelerometer configured to detect movement of the distal end of the lead body as it is advanced into the patient.

3. The cardiac pacing system as in claim 2, wherein the at least one accelerometer is configured to measure a pressure wave emitted by a blood-filled vessel of the patient.

4. The cardiac pacing system as in claim 1, wherein the at least one sensor comprises:

a light source configured to emit photons having a wavelength that is readily absorbed by blood-filled structures; and

,

a light detector configured to detect photons reflected by tissue surrounding the blood-filled structures of the patient.

5. The cardiac pacing system as in claim 1, wherein the at least one sensor comprises a thermocouple configured to monitor temperature of tissue in a vicinity of the distal end of the lead to facilitate a determination of a depth of the distal end of the lead in the patient.

6. The cardiac pacing system as in claim 1, wherein the at least one sensor comprises a pH meter configured to monitor the pH level of tissue in a vicinity of the distal end of the lead to facilitate a determination of a depth of the distal end of the lead in the patient.

7. The cardiac pacing system as in claim 1, wherein the at least one sensor comprises an electrical impedance sensor configured to monitor the level of electrical impedance of tissue in a vicinity of the distal end of the lead to facilitate a determination of a depth of the distal end of the lead in the patient.

8. The cardiac pacing system as in claim 1, wherein the inflatable balloon is configured to be inflated to separate the distal end of the lead body from physiological elements of the patient.

9. The cardiac pacing system as in claim 8, wherein the inflatable balloon facilitates avoidance of perforation of the physiological elements of the patient by the distal end of the lead body.

10. The cardiac pacing system as in claim 1, wherein the inflatable balloon is configured to inflate transversely from the lead body to displace the lead body from physiological elements of the patient.

11. The cardiac pacing system as in claim 1, wherein the inflatable balloon extends at least partially beyond the electrode.

12. The cardiac pacing system as in claim 1, wherein the inflatable balloon is configured to be inflated to displace soft tissue elements of the patient during advancement of the distal end of the lead body through the patient.

13. A cardiac pacing system comprising:

a pulse generator including a housing, the pulse generator configured to generate therapeutic electric pulses;

at least one lead configured to electrically couple with the pulse generator and transmit the therapeutic electric pulses generated by the pulse generator, the at least one lead comprising;

a lead body configured to transmit the therapeutic electric pulses between a distal end and a proximal end of the lead body;

an electrode to transmit the therapeutic electric pulses to a heart; and

at least one sensor disposed at the distal end of the lead body, the at least one sensor configured to monitor physiological characteristics of a patient when the distal end of the lead body is advanced into the patient; and

an inflatable balloon extending at least partially beyond the electrode and a distal tip of the lead body.

14. The cardiac pacing system as in claim 13, wherein the at least one sensor comprises:

at least one accelerometer, the at least one accelerometer configured to detect movement of the distal end of the lead body as it is advanced into the patient.

15. The cardiac pacing system as in claim 14, wherein the at least one accelerometer is configured to measure a pressure wave emitted by a blood-filled vessel of the patient.

16. The cardiac pacing system as in claim 13, wherein the at least one sensor comprises:

a light source configured to emit photons having a wavelength that is readily absorbed by blood-filled structures; and

,

a light detector configured to detect photons reflected by tissue surrounding the blood-filled structures of the patient.

17. The cardiac pacing system as in claim 13, wherein the at least one sensor comprises a thermocouple configured to monitor a temperature of tissue in a vicinity of the distal end of the lead to facilitate a determination of a depth of the distal end of the lead in the patient.

18. The cardiac pacing system as in claim 13, wherein the at least one sensor comprises a pH meter configured to monitor the pH level of tissue in a vicinity of the distal end of the lead to facilitate a determination of a depth of the distal end of the lead in the patient.

19. The cardiac pacing system as in claim 13, wherein the at least one sensor comprises an electrical impedance sensor configured to monitor the level of electrical impedance of tissue in a vicinity of the distal end of the lead to facilitate a determination of a depth of the distal end of the lead in the patient.

20. The cardiac pacing system as in claim 13, wherein the inflatable balloon is configured to be inflated to separate the distal end of the lead body from physiological elements of the patient.

21. The cardiac pacing system as in claim 20, wherein the inflatable balloon facilitates avoidance of perforation of the physiological elements of the patient by the distal end of the lead body.

22. The cardiac pacing system as in claim 13, wherein the inflatable balloon is configured to inflate transversely from the lead body to displace the lead body from physiological elements of the patient.

23. The cardiac pacing system as in claim 13, wherein the inflatable balloon is configured to be inflated to displace soft tissue elements of the patient during advancement of the distal end of the lead body through the patient.