System and method for placing an implantable medical device within a body

• US 20020111662A1
• Filed: 02/08/2002
• Published: 08/15/2002
• Est. Priority Date: 02/09/2001
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Laske, Timothy G., Iaizzo, Paul A.
• Application Number:
  US10/072,786
• Publication Number:
  US 20020111662A1
• Time in Patent Office: Days
• US Class Current: 607/119
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

A system and method for positioning an implantable medical device (IMD) within a living body is disclosed. The IMD includes a flow-directed member that is deployed within the body to carry the IMD via the flow of blood. The flow-directed member may be an inflatable member such as a balloon, or a mechanical member such as a parachute structure that deploys within the body. The IMD further includes a pressure measuring device and a pressure monitor to obtain pressure measurements at one or more locations within the body adjacent the IMD. The pressure measurements are used to estimate the location of at least a portion of the IMD relative to the body to aid in positioning the IMD in the body without the use of a fluoro-visible media.

Claims

1. A system for positioning an implantable medical device (IMD) within a living body, comprising:

an elongated body;

a flow-directed member coupled to the elongated body; and

a pressure measuring device coupled to the elongated body to obtain pressure measurements.

2. The system of claim 1, and further comprising a pressure monitor coupled to the pressure measuring device to utilize the pressure measurements to estimate a location of one or more portions of the elongated body relative to the living body.

3. The system of claim 2, wherein the elongated body includes a proximal and distal end, and wherein the pressure measuring device includes means for obtaining pressure measurements at the distal end, whereby the relative location of the distal end of the elongated body may be estimated.

4. The system of claim 2, wherein the flow-directed member is an inflatable device.

5. The system of claim 2, wherein the elongated body includes at least one pull-wire to accomplish deflection of a portion of the elongated body.

6. The system of claim 2, wherein the elongated body includes a lumen to receiving a stiffening member.

7. The system of claim 2, wherein the elongated body includes at least one electrode.

8. The system of claim 2, wherein the proximal end includes marker bands to indicate the location of the distal end within the body.

9. The system of claim 1, wherein the pressure monitor includes a processing circuit.

10. The system of claim 9, wherein the pressure monitor includes a storage system coupled to the processing circuit to store at least one pressure profile, wherein the pressure profile is used to correlate ones of the pressure measurements to locations within the living body.

11. The system of claim 10, wherein the pressure monitor includes a user interface to provide an indication to a user of the estimated location of one or more portions of the elongated body relative to the living body.

12. The system of claim 11, wherein the user interface includes a display screen.

13. The system of claim 2, wherein the elongated body is the body of an IMD selected from the group consisting of a lead, a catheter, and a sheath.

15. The lead of claim 14, and further including a pressure monitor coupled to the pressure measurement device to utilize the pressure measurements to provide an indication of a location within the living body of at least a portion of the implantable medical lead.

16. The lead of claim 15, wherein the flow-directed member is an inflatable member.

17. The lead of claim 16, wherein the elongated body includes a proximal and a distal end, and wherein the lead includes a fixation member coupled to the distal end.

18. The lead of claim 17, wherein the inflation member is positioned to inflate adjacent to at least a portion of the fixation member.

19. The lead of claim 18, wherein the inflation member is shaped to at least partially surround the fixation member when in an inflated state.

20. The lead of claim 19, wherein the fixation member includes a helix.

21. The lead of claim 18, wherein the fixation member includes one or more tines.

14. An implantable medical lead for implantation in a living body, comprising:

an elongated body;

a flow-directed member coupled to the elongated body; and

a pressure measurement device coupled to the elongated body to obtain pressure measurements at one or more locations within the living body adjacent to the elongated body.

22. A sheath for use in implanting an implantable medical device within a living body, comprising:

an elongated body having a proximal end and a distal end, and an inner lumen to receive the implantable medical device;

a flow-directed member coupled to the distal end;

a pressure measuring device coupled to the elongated body to measure pressure at one or more predetermined points adjacent the elongated body when the elongated body is located within the living body; and

a pressure monitor coupled to the pressure measuring device to estimate a position of at least a portion of the elongated body relative to the living body.

23. The sheath of claim 22, and further including an inflatable member coupled to the elongated body adapted to compress the inner lumen and grip the implantable medical device positioned within the lumen.

24. The sheath of claim 23, wherein the elongated body is formed of a material having sufficient stiffness to transfer torque from the proximal end to the distal end.

25. The sheath of claim 22, and further including at least one pull-wire incorporated into the elongated body to deflect the distal end.

27. The method of claim 26, wherein step b.) comprises inflating an inflatable member.

28. The method of claim 27, wherein step d.) comprises:

d1. ) providing a pressure profile including pressure data correlated to locations within the living body;

d2.) comparing the one or more pressure measurements obtained in step b.) to the pressure data; and

d3.) utilizing the results of the comparison to estimate a location within the living body at which the one or more pressure measurements were obtained.

29. The method of claim 28, wherein step d3) comprises providing an indication of the estimated location for use in positioning the IMD.

30. The method of claim 29, wherein the indication of the estimated location includes a visual representation of at least a portion of the living body and at least a portion of the IMD.

31. The method of claim 29, wherein the indication of the estimated location includes a pressure waveform.

32. The method of claim 26, wherein the IMD is a guide catheter having a lumen, and further including the steps of:

providing a medical electrical lead;

advancing the lead within the lumen of the guide catheter; and

withdrawing the guide catheter from the body, leaving the lead in position.

33. The method of claim 32, wherein the guide catheter includes a distal end, wherein step (d.) includes deflecting the distal end.

34. The method of claim 26, wherein the IMD is a sheath having a lumen, and further 4 including the steps of:

providing a medical electrical lead; and

advancing the lead within the lumen of the sheath.

35. The method of claim 34, wherein the sheath includes an inflation member, and further comprising:

inflating the inflation member to grip the lead positioned within the lumen of the sheath;

deploying the lead within the living body; and

withdrawing the sheath from the living body.

36. The method of claim 27, wherein the IMD is a lead having a fixation member, and further comprising inflating the inflatable member adjacent to the fixation member to substantially prevent the fixation member from contacting tissue within the living body.

37. The method of claim 36, and further comprising

deflating the inflatable member after the lead is substantially located at a predetermined position within the living body;

and

affixing the fixation member to tissue within the living body.

26. A method of positioning an implantable medical device (IMD) within a living body, wherein the IMD includes a flow-directed member and a pressure measuring device, comprising:

a.) introducing a portion of the IMD into the living body;

b.) deploying the flow-directed member;

c.) utilizing the pressure measuring device to obtain one or more pressure measurements; and

d.) utilizing the one or more pressure measurements to position the IMD within the living body.