Radian curve shaped implantable cardioverter-defibrillator canister

US 20020068958A1
Filed: 08/27/2001
Published: 06/06/2002
Est. Priority Date: 09/18/2000
Status: Active Grant

First Claim

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1. An implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator comprising:

a housing, wherein at least a portion of the housing is curved;

an electrical circuit; and

an electrically conductive surface located on a portion of the housing, wherein the electrically conductive surface is coupled to the electrical circuit.

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Abstract

One embodiment of the present invention provides an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing, wherein at least a portion of the housing is curved; an electrical circuit; and an electrically conductive surface located on a portion of the housing, wherein the electrically conductive surface is coupled to the electrical circuit.

263 Citations

127 Claims

1. An implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator comprising:
- a housing, wherein at least a portion of the housing is curved;
  
  an electrical circuit; and
  
  an electrically conductive surface located on a portion of the housing, wherein the electrically conductive surface is coupled to the electrical circuit.
- View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 91, 92, 93, 94, 95, 96, 97, 98, 115)
- - 2. The implantable cardioverter-defibrillator of claim 1, wherein the housing comprises an electrically insulated material.
  - 3. The implantable cardioverter-defibrillator of claim 1, wherein the housing comprise an electrically nonconductive material.
  - 4. The implantable cardioverter-defibrillator of claim 1, wherein the housing is pliable.
  - 5. The implantable cardioverter-defibrillator of claim 1, wherein the housing comprises a material that can be sterilized.
  - 6. The implantable cardioverter-defibrillator of claim 1, wherein the housing comprises a ceramic material.
  - 7. The implantable cardioverter-defibrillator of claim 1, wherein the housing comprises a titanium alloy.
  - 8. The implantable cardioverter-defibrillator of claim 1, wherein the housing comprises a stainless steel alloy.
  - 9. The implantable cardioverter-defibrillator of claim 1, wherein the housing comprises a polymeric material.
  - 10. The implantable cardioverter-defibrillator of claim 9, 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.
  - 11. The implantable cardioverter-defibrillator of claim 1, wherein the housing further comprises;
    - a first vector end point located at a first end of the housing;
      
      a second vector end point located at a second end of the housing;
      
      an origin defining a position on the housing between the first vector end point and the second end point; and
      
      a curvature vector, wherein the curvature vector defines an angle of separation between the first vector end point and the second vector end point with respect to the origin.
  - 12. The implantable cardioverter-defibrillator of claim 11, wherein the origin is centered between the first vector end point and the second vector end point.
  - 13. The implantable cardioverter-defibrillator of claim 11, wherein the angle of separation is between approximately 30 degrees and approximately 60 degrees.
  - 14. The implantable cardioverter-defibrillator of claim 11, wherein the angle of separation is between approximately 60 degrees and 90 degrees.
  - 15. The implantable cardioverter-defibrillator of claim 11, wherein the angle of separation is between approximately 90 degrees and 120 degrees.
  - 16. The implantable cardioverter-defibrillator of claim 11, wherein the angle of separation is between approximately 120 degrees and 150 degrees.
  - 17. The implantable cardioverter-defibrillator of claim 11, wherein the angle of separation is between approximately 150 degrees and 180 degrees.
  - 18. The implantable cardioverter-defibrillator of claim 1, wherein the portion of the housing being curved comprises a circular curve.
  - 19. The implantable cardioverter-defibrillator of claim 1, wherein the portion of the housing being curved comprises an elliptical curve.
  - 20. The implantable cardioverter-defibrillator of claim 1, wherein the portion of the housing being curved comprises a nonsymmetrical curve.
  - 21. The implantable cardioverter-defibrillator of claim 1, wherein the portion of the housing being curved comprises a non-linear curve.
  - 22. The implantable cardioverter-defibrillator of claim 1, wherein the housing further comprises a first segment and a second segment, wherein at least a portion of the first segment is curved.
  - 23. The implantable cardioverter-defibrillator of claim 22, further wherein at least a portion of the second segment is curved.
  - 24. The implantable cardioverter-defibrillator of claim 23, wherein the portion of the second segment being curved comprises a circular curve.
  - 25. The implantable cardioverter-defibrillator of claim 23, wherein the portion of the second segment being curved comprises an elliptical curve.
  - 26. The implantable cardioverter-defibrillator of claim 23, wherein the portion of the second segment being curved comprises a nonsymmetrical arc.
  - 27. The implantable cardioverter-defibrillator of claim 22, further wherein the second segment of the housing is substantially straight.
  - 28. The implantable cardioverter-defibrillator of claim 22, wherein the first segment of the housing is contiguous with the second segment of the housing.
  - 29. The implantable cardioverter-defibrillator of claim 22, wherein the first segment of the housing is disjointed with the second segment of the housing.
  - 30. The implantable cardioverter-defibrillator of claim 22, wherein a hinge couples the first segment of the housing to the second segment of the housing.
  - 31. The implantable cardioverter-defibrillator of claim 1 wherein the electrical circuit can provide cardioversion defibrillation for the patient'"'"'s heart.
  - 32. The implantable cardioverter-defibrillator of claim 31, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient'"'"'s heart.
  - 33. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can provide biphasic waveform cardioversion-defibrillation for the patient'"'"'s heart.
  - 34. The implantable cardioverter-defibrillator of claim 33, wherein the electrical circuit can provide triphasic waveform cardioversion-defibrillation for the patient'"'"'s heart.
  - 35. The implantable cardioverter-defibrillator of claim 33, wherein the electrical circuit can provide biphasic waveform cardiac pacing for the patient'"'"'s heart.
  - 36. The implantable cardioverter-defibrillator of claim 33, wherein the electrical circuit can provide monophasic waveform cardiac pacing for the patient'"'"'s heart.
  - 37. The implantable cardioverter-defibrillator of claim 1, wherein the electrically conductive surface can emit an energy for shocking the patient'"'"'s heart.
  - 38. The implantable cardioverter-defibrillator of claim 37, wherein the electrically conductive surface can further receive sensory information.
  - 39. The implantable cardioverter-defibrillator of claim 1, wherein the surface can receive sensory information.
  - 40. The implantable cardioverter-defibrillator of claim 1, wherein the housing further comprises a connection port that electrically couples to the electrical circuit.
  - 41. The implantable cardioverter-defibrillator of claim 40, wherein the connection port is further coupled to a lead.
  - 42. The implantable cardioverter-defibrillator of claim 40, wherein the lead is a pacing lead.
  - 43. The implantable cardioverter-defibrillator of claim 40, wherein the lead is a shocking lead.
  - 44. The implantable cardioverter-defibrillator of claim 40, wherein the lead is a sensory lead.
  - 46. The cardioverter-defibrillator of claim 45, wherein the electrode can emit an energy for shocking a patient'"'"'s heart.
  - 47. The cardioverter-defibrillator of claim 46, wherein the electrode can further receive sensory information.
  - 48. The cardioverter-defibrillator of claim 45, wherein the electrode can receive sensory information.
  - 49. The cardioverter-defibrillator of claim 45, wherein at least portion of the electrode is non-planar.
  - 50. The cardioverter-defibrillator of claim 45, wherein the housing comprises an electrically insulated material.
  - 51. The cardioverter-defibrillator of claim 45, wherein the housing comprises an electrically nonconductive material.
  - 52. The cardioverter-defibrillator of claim 45, wherein the housing is pliable.
  - 53. The cardioverter-defibrillator of claim 45, wherein the housing comprises a material that can be sterilized.
  - 54. The cardioverter-defibrillator of claim 45, wherein the housing comprises a ceramic material.
  - 55. The cardioverter-defibrillator of claim 45, wherein the housing comprises a titanium alloy.
  - 56. The cardioverter-defibrillator of claim 45, wherein the housing comprises a stainless steel alloy.
  - 57. The cardioverter-defibrillator of claim 45, wherein the housing comprises a polymeric material.
  - 58. The cardioverter-defibrillator of claim 57, 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.
  - 59. The implantable cardioverter-defibrillator of claim 1, wherein the housing further comprises:
    - a first vector end point located at a first end of the housing;
      
      a second vector end point located at a second end of the housing;
      
      an origin defining a position on the housing between the first vector end point and the second vector end point; and
      
      a curvature vector, wherein the curvature vector defines an angle of separation between the first vector end point and the second vector end point with respect to the origin.
  - 60. The implantable cardioverter-defibrillator of claim 59, wherein the origin is centered between the first vector end point and the second vector end point.
  - 61. The implantable cardioverter-defibrillator of claim 59, wherein the angle of separation is between approximately 30 degrees and approximately 60 degrees.
  - 62. The implantable cardioverter-defibrillator of claim 59, wherein the angle of separation is between approximately 60 degrees and approximately 90 degrees.
  - 63. The implantable cardioverter-defibrillator of claim 59, wherein the angle of separation is between approximately 90 degrees and approximately 120 degrees.
  - 64. The implantable cardioverter-defibrillator of claim 59, wherein the angle of separation is between approximately 120 degrees and approximately 150 degrees.
  - 65. The implantable cardioverter-defibrillator of claim 59, wherein the angle of separation is between approximately 150 degrees and approximately 180 degrees.
  - 66. The cardioverter-defibrillator of claim 45, wherein the curved portion of the housing comprises a circular curve.
  - 67. The cardioverter-defibrillator of claim 45, wherein the curved portion of the housing comprises an elliptical curve.
  - 68. The cardioverter-defibrillator of claim 45, wherein the curved portion of the housing comprises a nonsymmetrical curve.
  - 69. The cardioverter-defibrillator of claim 45, wherein the curved portion of the housing comprises a non-linear curve.
  - 70. The cardioverter-defibrillator of claim 45, wherein the predetermined relationship is with respect to the patient'"'"'s heart.
  - 71. The cardioverter-defibrillator of claim 45, wherein the curved portion of the housing maintains the electrode subcutaneously over an area defined between the patient'"'"'s third rib and the patient'"'"'s twelfth rib.
  - 72. The cardioverter-defibrillator of claim 45, wherein the housing further comprises a connection port that electrically couples to the electrical circuit.
  - 73. The cardioverter-defibrillator of claim 72, wherein the connection port is further coupled to a lead.
  - 74. The cardioverter-defibrillator of claim 73, wherein the lead is a pacing lead.
  - 75. The cardioverter-defibrillator of claim 73, wherein the lead is a shocking lead.
  - 76. The cardioverter-defibrillator of claim 73, wherein the lead is a sensory lead.
  - 77. The cardioverter-defibrillator of claim 45, wherein the cardioversion-defibrillation circuitry can provide multiphasic waveform cardiac pacing for a patient'"'"'s heart.
  - 78. The cardioverter-defibrillator of claim 77, wherein the cardioversion-defibrillation circuitry can provide biphasic waveform cardiac pacing for a patient'"'"'s heart.
  - 79. The cardioverter-defibrillator of claim 77, wherein the cardioversion-defibrillation circuitry can provide triphasic waveform cardiac pacing for a patient'"'"'s heart.
  - 80. The cardioverter-defibrillator of claim 77, wherein the cardioversion-defibrillation circuitry can provide monophasic waveform cardiac pacing for a patient'"'"'s heart.
  - 91. The subcutaneous cardioverter-defibrillator of claim 1, wherein the housing further comprises;
    - a first vector end point located at a second end of the housing;
      
      a second vector end point located at a second end of the housing;
      
      an origin defining a position on the housing between the first vector end point and the second vector end point; and
      
      a curvature vector, wherein the curvature vector defines an angle of separation between the first vector end point and the second vector end point with respect to the origin.
  - 92. The subcutaneous cardioverter-defibrillator of claim 91, wherein the origin is centered between the first vector end point and the second vector end point.
  - 93. The subcutaneous cardioverter-defibrillator of claim 91, wherein the angle of separation is between approximately 30 degrees and approximately 60 degrees.
  - 94. The subcutaneous cardioverter-defibrillator of claim 91, wherein the angle of separation is between approximately 60 degrees and approximately 90 degrees.
  - 95. The subcutaneous cardioverter-defibrillator of claim 91, wherein the angle of separation is between approximately 90 degrees and approximately 120 degrees.
  - 96. The subcutaneous cardioverter-defibrillator of claim 91, wherein the angle of separation is between approximately 120 degrees and approximately 150 degrees.
  - 97. The subcutaneous cardioverter-defibrillator of claim 91, wherein the angle of separation is between approximately 150 degrees and approximately 180 degrees.
  - 98. The subcutaneous cardioverter-defibrillator of claim 57, wherein the portion of the bottom surface of the housing being non planar comprises a circular curve.
  - 115. The subcutaneous cardioverter-defibrillator of claim 80, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient'"'"'s heart.

45. A cardioverter-defibrillator comprising:
- an electrode;
  
  a housing having a curved portion, wherein the curved portion of the housing maintains the electrode in a predetermined relationship subcutaneously over a patient'"'"'s ribs; and
  
  a cardioversion-defibrillation circuitry located within the housing and coupled to the electrode.

81. A subcutaneous cardioverter-defibrillator comprising:
- a housing having a top surface and a bottom surface, wherein at least a portion of the bottom surface of the housing is non planar;
  
  an electrical circuit located within the housing; and
  
  an electrode located upon a portion of the housing, wherein the electrode couples to the electrical circuit, and further wherein the electrode can provide a cardioversion energy of approximately 5 V/cm to approximately 90 percent of a patient'"'"'s myocardium.
- View Dependent Claims (82, 83, 84, 85, 86, 87, 88, 89, 90, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127)
- - 82. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing comprises an electrically insulated material.
  - 83. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing comprises an electrically nonconductive material.
  - 84. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing is pliable.
  - 85. The subcutaneous cardioverter-defibrillator of claim 82, wherein the housing comprises a material that can be sterilized.
  - 86. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing comprises a ceramic material.
  - 87. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing comprises a titanium alloy.
  - 88. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing comprises a stainless steel alloy.
  - 89. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing comprises a polymeric material.
  - 90. The subcutaneous cardioverter-defibrillator of claim 89, 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.
  - 99. The subcutaneous cardioverter-defibrillator of claim 81, wherein the portion of the bottom surface of the housing being non planar comprises an elliptical curve.
  - 100. The subcutaneous cardioverter-defibrillator of claim 81, wherein the portion of the bottom surface of the housing being non planar comprises a nonsymmetrical curve.
  - 101. The subcutaneous cardioverter-defibrillator of claim 81, wherein the portion of the bottom surface of the housing being non planar comprises a non-linear curve.
  - 102. The subcutaneous cardioverter-defibrillator of claim 81, wherein the bottom surface of the housing is substantially smooth.
  - 103. The subcutaneous cardioverter-defibrillator of claim 81, wherein the bottom surface of the housing is larger than the top surface of the housing.
  - 104. The subcutaneous cardioverter-defibrillator of claim 81, wherein a portion of the top surface of the housing is substantially planar.
  - 105. The subcutaneous cardioverter-defibrillator of claim 81, wherein a portion of the top surface of the housing is substantially non planar.
  - 106. The subcutaneous cardioverter-defibrillator of claim 105, wherein the portion the top surface of the housing being non planar comprises a circular curve.
  - 107. The subcutaneous cardioverter-defibrillator of claim 105, wherein the portion of the top surface of the housing being non planar comprises an elliptical curve.
  - 108. The subcutaneous cardioverter-defibrillator of claim 105, wherein the portion of the top surface of the housing being non planar comprises a nonsymmetrical curve.
  - 109. The subcutaneous cardioverter-defibrillator of claim 105, wherein the portion of the top surface of the housing being non planar comprises a non-linear curve.
  - 110. The subcutaneous cardioverter-defibrillator of claim 81, wherein the top surface of the housing is substantially smooth.
  - 111. The subcutaneous cardioverter-defibrillator of claim 81, wherein the bottom surface further comprises a proximal end and a distal end, wherein the electrode is located at the proximal end of the bottom surface.
  - 112. The subcutaneous cardioverter-defibrillator of claim 111, wherein a second electrode is located at the distal end of the bottom surface.
  - 113. The subcutaneous cardioverter-defibrillator of claim 81, wherein at least a portion of the electrode is non-planar.
  - 114. The subcutaneous cardioverter-defibrillator of claim 81, wherein the electrical circuit can provide cardioversion-defibrillation for the patient'"'"'s heart.
  - 116. The subcutaneous cardioverter-defibrillator of claim 81, wherein the electrical circuit can provide biphasic waveform cardiac pacing for the patient'"'"'s heart.
  - 117. The subcutaneous cardioverter-defibrillator of claim 81, wherein the electrical circuit can provide biphasic waveform cardiac pacing for the patient'"'"'s heart.
  - 118. The subcutaneous cardioverter-defibrillator of claim 81, wherein the electrical circuit can provide triphasic waveform cardiac pacing for the patient'"'"'s heart.
  - 119. The subcutaneous cardioverter-defibrillator of claim 81, wherein the electrical circuit can provide monophasic waveform cardiac pacing for the patient'"'"'s heart.
  - 120. The subcutaneous cardioverter-defibrillator of claim 81, wherein the electrode can emit an energy for shocking the patient'"'"'s heart.
  - 121. The subcutaneous cardioverter-defibrillator of claim 120, wherein the electrode can further receive sensory information.
  - 122. The subcutaneous cardioverter-defibrillator of claim 81, wherein the electrode can receive sensory information.
  - 123. The subcutaneous cardioverter-defibrillator of claim 81, wherein the housing further comprises a connection port that electrically couples to the electrical circuit.
  - 124. The subcutaneous cardioverter-defibrillator of claim 123, wherein the connection port is further coupled to a lead.
  - 125. The subcutaneous cardioverter-defibrillator of claim 124, wherein the lead is a pacing lead.
  - 126. The subcutaneous cardioverter-defibrillator of claim 124, wherein the lead is a shocking lead.
  - 127. The subcutaneous cardioverter-defibrillator of claim 124, wherein the lead is a sensory lead.

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Current Assignee
Cameron Incorporated (Schlumberger NV)
Original Assignee
Cameron Incorporated (Schlumberger NV)
Inventors
Rissmann, William J., Bardy, Gust H., Sanders, Gary H., Cappato, Riccardo

Granted Patent

US 6,788,974 B2
Time in Patent Office

Days
Field of Search
US Class Current

607/5
CPC Class Codes

A61N 1/375   Constructional arrangements...

A61N 1/37512   Pacemakers

A61N 1/37518   Anchoring of the implants, ...

A61N 1/3756   Casings with electrodes the...

A61N 1/3906   characterised by the form o...

A61N 1/3956   Implantable devices for app...

A61N 1/3968   Constructional arrangements...

A61N 1/3975   Power supply A61N1/378 take...

Radian curve shaped implantable cardioverter-defibrillator canister

First Claim

3 Assignments

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Abstract

263 Citations

127 Claims

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Radian curve shaped implantable cardioverter-defibrillator canister

First Claim

3 Assignments

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Subscription Required

0 Petitions

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Accused Products

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Abstract

263 Citations

127 Claims

Specification

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Solutions

Use Cases

Quick Links