Leadless cardiac pacemaker with retrieval features

• US 10,420,932 B2
• Filed: 09/15/2017
• Issued: 09/24/2019
• Est. Priority Date: 04/29/2014
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Schmidt, Brian L., Haasl, Benjamin J., Edgell, John M., Sachs, Dana
• Primary Examiner(s): Hulbert, Amanda K
• Application Number:
  US15/705,766
• Publication Number:
  US 20180001082A1
• Time in Patent Office: 739 Days
• CPC Class Codes: A61B 17/50 Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body locating otherwise A61B5/06; locating by radiation A61B6/00; removing calculi A61B17/22; from the eyes A61F9/00709
• CPC Class Codes: A61N 1/0587 Epicardial electrode systems; Endocardial electrodes piercing the pericardium
• CPC Class Codes: A61N 1/37512 Pacemakers
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

An implantable leadless cardiac pacing device and associated retrieval features. The implantable device includes a docking member extending from the proximal end of the housing of the implantable device including a covering surrounding at least a portion of the docking member configured to facilitate retrieval of the implantable leadless cardiac pacing device.

Claims

1. An implantable leadless cardiac pacing device comprising:

a housing having a proximal end, a distal end, and a circumferential surface extending between the proximal end and the distal end;

an electrode positioned proximate the distal end of the housing configured to be positioned adjacent cardiac tissue;

a docking member extending from the proximal end of the housing along a longitudinal axis of the housing, the docking member configured to facilitate retrieval of the implantable leadless cardiac pacing device; and

a covering affixed to the docking member, the covering surrounding at least a portion of the docking member and including one or more retrieval features having a radial dimension from the longitudinal axis greater than a radial dimension of the housing from the longitudinal axis to the circumferential surface of the housing;

wherein the covering is configured to remain affixed to the docking member while implanted in a patient.

2. The implantable leadless cardiac pacing device of claim 1, wherein the one or more retrieval features are configured to direct a retrieval device into engagement with the docking member.

3. The implantable leadless cardiac pacing device of claim 2, wherein the one or more retrieval features are further configured to prevent a head portion of the docking member from passing through the retrieval device.

4. The implantable leadless cardiac pacing device of claim 1, wherein the one or more retrieval features include one or more radially extending protrusions.

5. The implantable leadless cardiac pacing device of claim 4, wherein the one or more radially extending protrusions each include an engagement surface configured to facilitate guiding a retrieval device into engagement with the docking member.

6. The implantable leadless cardiac pacing device of claim 5, wherein the engagement surface is oriented at an oblique angle to the longitudinal axis.

7. The implantable leadless cardiac pacing device of claim 4, wherein the one or more radially extending protrusions are configured to deflect to a delivery state and expand to an equilibrium state.

8. The implantable leadless cardiac pacing device of claim 7, wherein the radial dimension of the one or more retrieval features is greater than the radial dimension of the housing when the one or more radially extending protrusions are in the equilibrium state.

9. The implantable leadless cardiac pacing device of claim 1, wherein the docking member includes a head portion and a neck portion extending between the housing and the head portion, the head portion having a radial dimension from the longitudinal axis and the neck portion having a radial dimension from the longitudinal axis less than the radial dimension of the head portion.

10. The implantable leadless cardiac pacing device of claim 9, wherein the covering surrounds the head portion of the docking member.

11. The implantable leadless cardiac pacing device of claim 9, wherein the radial dimension of the one or more retrieval features is greater than the radial dimension of the head portion.

12. The implantable leadless cardiac pacing device of claim 9, wherein the covering surrounds the neck portion of the docking member.

13. The implantable leadless cardiac pacing device of claim 1, wherein the one or more retrieval features are angled toward the distal end of the housing.

14. An implantable leadless cardiac pacing device comprising:

a housing having a proximal end, a distal end, and a circumferential surface extending between the proximal end and the distal end;

an electrode positioned proximate the distal end of the housing configured to be positioned adjacent cardiac tissue;

a docking member extending from the proximal end of the housing along a longitudinal axis of the housing, the docking member configured to facilitate retrieval of the implantable leadless cardiac pacing device;

the docking member including a head portion and a neck portion extending between the housing and the head portion;

the head portion having a radial dimension from the longitudinal axis and the neck portion having a radial dimension from the longitudinal axis less than the radial dimension of the head portion; and

one or more flexible retrieval features extending from the head portion of the docking member configured to direct a retrieval device into engagement with the docking member, the one or more flexible retrieval features configured to deflect from an equilibrium state to a delivery state.

15. The implantable leadless cardiac pacing device of claim 14, wherein the one or more flexible retrieval features include one or more radially extending protrusions.

16. The implantable leadless cardiac pacing device of claim 15, wherein the one or more radially extending protrusions have a radial dimension from the longitudinal axis in the equilibrium state greater than a radial dimension of the housing from the longitudinal axis to the circumferential surface of the housing.

17. The implantable leadless cardiac pacing device of claim 14, wherein the one or more flexible retrieval features include a plurality of radially extending protrusions extending radially from the head portion of the docking member.

18. The implantable leadless cardiac pacing device of claim 17, wherein the plurality of radially extending protrusions are oriented at an oblique angle to the longitudinal axis.

19. The implantable leadless cardiac pacing device of claim 18, wherein the plurality of radially extending protrusions are angled toward the distal end of the housing.

20. A method of retrieving an implantable cardiac pacing device, the implantable cardiac pacing device having a housing having a proximal end, a distal end, and a circumferential surface extending between the proximal end and the distal end, an electrode positioned proximate the distal end of the housing, and a docking member extending from the proximal end of the housing along a longitudinal axis of the housing, the docking member including a head portion, a neck portion extending between the housing and the head portion, and one or more flexible retrieval features extending from the head portion of the docking member, the one or more flexible retrieval features configured to deflect from an equilibrium state to a delivery state, the method comprising:

advancing a snare toward the docking member such that the snare engages an engagement surface of the one or more flexible retrieval features and the engagement surface

guiding the snare along the engagement surface into a recess area between the engagement surface and the neck portion of the docking member; and

cinching the loop around the neck portion of the docking member.