Device And Method For Peri-Hisian Pacing And/Or Simultaneous Bi-Ventricular or Tri-Ventricular Pacing For Cardiac Resynchronization
First Claim
1. A pacing device for pacing a plurality of regions of the heart comprising:
- a main pacing device body, said main body housing a power source, a control unit, a plurality of logic circuitry coupled to said control unit, a plurality of ports, said plurality of ports constructed and arranged to receive at least one pacing lead constructed and arranged to pace the right atrium of the heart and at least one pacing lead constructed and arranged to pace at, or near the His bundle region of the heart, wherein pacing of said right atrium and said His bundle region results in synchronization of the heart chambers.
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Abstract
The present invention provides a pacing device and method that allows for preferential right atrial, at or near the His bundle, and ventricular pacing, either individually or in combination, including tri-ventricular pacing. The pacing device includes a power source and one or more logic circuits allowing for programmable delivery of pacing to any combination of the right atria, the para-Hisian region, and the right and/or the left ventricles. The pacing device allows the user to select which site(s) to pace as well at the appropriate relative timing of pacing impulse delivery to any of these three previously mentioned sites. The device is constructed and arranged to be combined with an atrial sensing/pacing electrode to allow for atrio-ventricular sequential tri-ventricular pacing or variants of such. Also, a defibrillator lead can be incorporated into the device to allow for protection from ventricular arrhythmias and sudden death.
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Citations
18 Claims
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1. A pacing device for pacing a plurality of regions of the heart comprising:
- a main pacing device body, said main body housing a power source, a control unit, a plurality of logic circuitry coupled to said control unit, a plurality of ports, said plurality of ports constructed and arranged to receive at least one pacing lead constructed and arranged to pace the right atrium of the heart and at least one pacing lead constructed and arranged to pace at, or near the His bundle region of the heart, wherein pacing of said right atrium and said His bundle region results in synchronization of the heart chambers.
- View Dependent Claims (5, 6, 7, 8, 9, 10, 11, 12)
- 2. The pacing device according to claim 2 further including an additional pacing lead for pacing the right ventricle, said right ventricle pacing lead coupled to said control unit.
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13. A method of pacing a plurality of regions of the heart comprising the steps of:
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providing to a user a pacing device for pacing a plurality of regions of the heart, said pacing device comprising;
a main pacing device body, said main body housing a power source, a control unit, a plurality of logic circuitry coupled to said control unit, a plurality of ports, said plurality of ports constructed and arranged to receive at least one pacing lead constructed and arranged to pace the right atrium of the heart and at least one pacing lead pacing constructed and arranged to pace at, or near the His bundle region of the heart, wherein pacing of said right atrium and said His bundle region results in synchronization of the heart chambers;coupling said right atrium lead to said control unit of said pacing device and placing said right atrium lead into a region of the right atrium of the heart; coupling said His bundle lead to said control unit of said pacing device and placing said His bundle lead at or near the vicinity of the bundle of His; coupling said ventricle lead to said control unit of said pacing device and placing said ventricle lead into the right ventricle; programming said control unit to pace the right atrium, at or near the His bundle, and the right ventricle at the appropriate relative time; and providing a pacing event to one or more areas of the heart. - View Dependent Claims (14, 15, 16, 17, 18)
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Specification