Endocardial electrode arrangement

• US 4,407,303 A
• Filed: 04/09/1981
• Issued: 10/04/1983
• Est. Priority Date: 04/21/1980
• Status: Expired due to Term

• Current Assignee: Pacesetter AB
• Original Assignee: Siemens AG
• Inventors: Akerstrom, Bengt
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US06/252,428
• Time in Patent Office: 908 Days
• Field of Search: 128/784-786, 128/419 P, 128/642
• US Class Current: 607/126
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart

Abstract

In an exemplary embodiment useful for the intracardiac stimulation of the heart, an elongated electric conductor is provided with an electric insulation covering, and has an electrode head which is electrically conductively connected with the distal end of the conductor, serving the purpose of supplying the stimulation pulses to the heart. The conductor or the electrode head is to be emplaced on the heart wall. It is the object of the disclosure to produce an endocardial electrode arrangement of the type initially cited which is readily embedded as a result of tissue growth and which nevertheless has a comparatively small volume. In accordance with the disclosure, this object is achieved in that, for the purpose of placement of the conductor, or of the electrode head, a loop or a plurality of loops consisting of soft, thin material is provided which is mounted on the electrode head or on the electric insulation of the elongated electric conductor in proximity of the electrode head.

Claims

1. An endocardial electrode arrangement for the intracardiac stimulation of the heart, comprising a conductor assembly including an elongated electric conductor having an electric insulation covering, and a distal end, an electrode head which is electrically conductively connected with the distal end of the conductor, serving the purpose of supplying stimulation pulses to the heart, and conductor assembly emplacement means for the placement of the conductor assembly on the heart wall, characterized in that, for the purpose of placement of the conductor assembly said conductor assembly emplacement means comprises loop means consisting essentially of soft, thin material, mounted on the conductor assembly in proximity to the electrode head, said soft, thin material forming loops on different sides of said conductor assembly each loop including two legs and a free end portion connecting the two legs, and the legs and free end portions of the respective loops projecting from the conductor assembly in respective different directions to facilitate emplacement of the conductor assembly by lifting of the loops from the conductor assembly and adherence of blood within the loops to a heart wall, the loop means being constructed so that the free ends of the loops can be lifted from the conductor assembly by a distance greater than the thickness of said material as measured in a direction radially of the conductor assembly.

2. An endocardial electrode arrangement according to claim 1, characterized in that said conductor assembly emplacement means comprises a plurality of loops (5) arranged along a spiral shaped line about the insulation covering (2) of the elongated electric conductor (1).

3. An endocardial electrode arrangement according to claim 1, characterized in that said conductor assembly emplacement means comprises a plurality of loops (5) arranged along parallel lines in the longitudinal direction of the insulation covering (2) of the elongated electric conductor (1).

4. An endocardial electrode arrangement according to claim 1, characterized in that the loop means (5) is mounted directly on the electric insulation covering (2) of the electric conductor (1).

5. An endocardial electrode arrangement according to claim 1, characterized in that the conductor assembly emplacement means comprises annular mounting means (6) carrying said loop means (5) and slipped over the conductor assembly.

6. An endocardial electrode arrangement according to claim 1, characterized in that the loop means (5) consist of a body-fluid-resistive material.

7. An endocardial electrode arrangement according to claim 1, characterized in that the loop means (5) consist of a reabsorbable material.

8. An endocardial electrode arrangement according to claim 1, characterized in that the loop means (5) in an outwardly extending state, project between one and five millimeters from the surface of the conductor assembly.

9. An endocardial electrode arrangement for the intracardiac stimulation of the heart, comprising a conductor assembly including an elongated electric conductor having an electric insulation covering, and a distal end, an electrode head which is electrically conductively connected with the distal end of the conductor, serving the purpose of supplying stimulation pulses to the heart, and conductor assembly emplacement means for the placement of the conductor assembly on the heart wall, characterized in that, for the purpose of placement of the conductor assembly said conductor assembly emplacement means comprises loop means (5) consisting essentially of soft, thin material, mounted on the conductor assembly (2 or 3) in proximity to the electrode head (3), said conductor assembly together with said electrode head and said emplacement means defining a generally cylindrical electrode configuration in proximity to the electrode head (3) with an outside diameter enabling passage through a vein, said loop means having a loop configuration with a base portion secured with said cylindrical configuration in proximity to said electrode head (3), the loop configuration having two elongated strip portions of the soft thin material extending from the base portion in spaced relationship and in a direction away from said electrode head (3), and having an arcuate connecting strip portion of the soft thin material spaced radially from the cylindrical electrode configuration by a substantial distance and connecting the two elongated strip portions remote from the base portion so as to form a loop with an opening therethrough for accommodating growth of connective tissue into the loop, the loop extending from the base portion at an acute angle to the cylindrical electrode configuration so as to exhibit a divergent relationship to the cylindrical electrode configuration, while being deflectable into close relation to the cylindrical electrode configuration during passage through a vein, and the loop having sufficient resilience so that the loop returns to its divergent relationship to the cylindrical electrode configuration when the loop is moved out of a vein.

10. An endocardial electrode arrangement according to claim 9 with the loop having a divergent relationship to said cylindrical electrode configuration such that the arcuate connecting strip portion is spaced between one and five millimeters from the cylindrical electrode configuration.

11. An endocardial electrode arrangement according to claim 9 with the loop consisting of soft thin synthetic plastic material.

12. An endocardial electrode arrangement according to claim 9 with the loop consisting of soft thin resilient material and being formed from a thin sheet of polyester.

13. An endocardial electrode arrangement according to claim 9, with the loop consisting of soft thin resilient material and being formed from a thin sheet of polypropylene.

14. An endocardial electrode arrangement according to claim 9 with the loop means comprising about eight of said loops spaced about the circumference of said clyindrical electrode configuration.