Leadless cardiac pacemaker with delivery and/or retrieval features

• US 10,625,085 B2
• Filed: 03/27/2019
• Issued: 04/21/2020
• Est. Priority Date: 08/16/2013
• 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., Maile, Keith R., Sachs, Dana
• Primary Examiner(s): Shi, Katherine M
• Application Number:
  US16/366,666
• Publication Number:
  US 20190224485A1
• Time in Patent Office: 391 Days
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 1/362 Heart stimulators heart defibrillators A61N1/39
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• 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 delivery and retrieval devices. The implantable device includes a docking member extending from the proximal end of the housing of the implantable device configured to engage with the delivery and/or retrieval device to facilitate delivery and/or 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 defining a central longitudinal axis;

one or more electrodes associated with the housing;

a pulse generator providing electrical signals to the one or more electrodes to provide electrical stimulation to cardiac tissue; and

a docking member extending from the proximal end of the housing, the docking member being configured to facilitate delivery of the implantable leadless cardiac pacing device;

wherein the docking member includes a neck portion extending proximally from the housing coaxially with the central longitudinal axis and a plurality of spokes extending radially outward from the neck portion;

wherein each spoke includes a base portion adjacent the neck portion and a free end;

wherein a width of each spoke at the free end as viewed axially is greater than a width of each spoke at the base portion as viewed axially.

2. The implantable leadless cardiac pacing device of claim 1, wherein spaces having a width as viewed axially are defined between adjacent spokes of the plurality of spokes, the width of the spaces between adjacent free ends being greater than the width of the spaces between adjacent base portions.

3. The implantable leadless cardiac pacing device of claim 1, wherein the plurality of spokes is axially spaced apart from the proximal end of the housing.

4. The implantable leadless cardiac pacing device of claim 1, wherein the plurality of spokes includes 3 or more spokes.

5. The implantable leadless cardiac pacing device of claim 1, wherein the plurality of spokes is symmetrically arranged around the central longitudinal axis.

6. The implantable leadless cardiac pacing device of claim 1, wherein the plurality of spokes is asymmetrically arranged around the central longitudinal axis.

7. The implantable leadless cardiac pacing device of claim 1, further including a helical fixation anchor at the distal end of the housing.

8. The implantable leadless cardiac pacing device of claim 1, wherein the docking member is configured to mate with a driver mechanism of a delivery device to transfer rotational movement from the driver mechanism to the implantable leadless cardiac pacing device.

9. The implantable leadless cardiac pacing device of claim 8, wherein the docking member is further configured to engage with the driver mechanism of the delivery device to transfer longitudinal movement from the driver mechanism to the implantable leadless cardiac pacing device.

10. An implantable leadless cardiac pacing device, comprising:

a housing having a proximal end, a distal end, and defining a central longitudinal axis;

one or more electrodes associated with the housing;

a pulse generator providing electrical signals to the one or more electrodes to provide electrical stimulation to cardiac tissue; and

a docking member extending from the proximal end of the housing;

wherein the docking member includes a neck portion extending proximally from the housing coaxially with the central longitudinal axis and three or more spokes extending radially outward from the neck portion;

wherein each spoke includes a base portion adjacent the neck portion and a free end;

wherein spaces having a width as viewed axially are defined between adjacent spokes of the three or more spokes, the width of the spaces between adjacent free ends being greater than the width of the spaces between adjacent base portions.

11. The implantable leadless cardiac pacing device of claim 10, wherein a distally-facing surface of the free end of each spoke is disposed axially closer to the distal end of the housing than a distally-facing surface of the base portion of each spoke.

12. The implantable leadless cardiac pacing device of claim 10, wherein the free end of each spoke includes an enlarged portion configured to retain a snare of a snare device.

13. The implantable leadless cardiac pacing device of claim 10, further including a helical fixation anchor at the distal end of the housing.

14. The implantable leadless cardiac pacing device of claim 10, wherein the docking member is further configured to mate with a driver mechanism of a delivery device to transfer rotational movement from the driver mechanism to the implantable leadless cardiac pacing device during delivery of the implantable leadless cardiac pacing device.

15. An implantable leadless cardiac pacing device, comprising:

a housing having a proximal end, a distal end, and defining a central longitudinal axis;

one or more electrodes associated with the housing;

a pulse generator providing electrical signals to the one or more electrodes to provide electrical stimulation to cardiac tissue; and

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

wherein the docking member includes a neck portion extending proximally from the housing coaxially with the central longitudinal axis and three or more spokes extending laterally away from the neck portion and symmetrically arranged circumferentially about the central longitudinal axis;

wherein each spoke includes a base portion adjacent the neck portion and a free end opposite the base portion relative to the neck portion;

wherein spaces having a width as viewed axially are defined between adjacent spokes of the three or more spokes, the width between adjacent free ends being greater than the width between adjacent base portions.

16. The implantable leadless cardiac pacing device of claim 15, wherein each spoke includes a first side and a second side, the first and second sides each having at least one substantially planar surface oriented parallel to the central longitudinal axis.

17. The implantable leadless cardiac pacing device of claim 15, wherein the free end of each spoke includes an enlarged portion configured to retain a snare of a snare device.

18. The implantable leadless cardiac pacing device of claim 15, wherein a driver mechanism of a delivery device is configured to mate with the docking member to transfer rotational and longitudinal movement from the driver mechanism to the implantable leadless cardiac pacing device during delivery of the implantable leadless cardiac pacing device.

19. The implantable leadless cardiac pacing device of claim 15, further including a helical fixation anchor at the distal end of the housing.

20. The implantable leadless cardiac pacing device of claim 15, wherein the free end of each spoke is disposed radially outward of the neck portion.