Device for positioning an electrode

• US 5,170,787 A
• Filed: 03/14/1991
• Issued: 12/15/1992
• Est. Priority Date: 03/30/1990
• Status: Expired due to Term

• Current Assignee: Pacesetter AB (Abbott Laboratories)
• Original Assignee: Siemens AG
• Inventors: Lindegren, Ulf
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Casler, Brian L.
• Application Number:
  US07/669,461
• Time in Patent Office: 642 Days
• Field of Search: 128/639, 128/642, 128/784-786, 128/419 P, 128/772, 604/280, 604/281, 606/129
• US Class Current: 600/373
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

For simplifying the positioning of electrodes inside living bodies, a positioning device has a wire running through a tube, the tube being fastened to a case and being fastened to a handling element disposed in the case. With the handling element, the wire can be moved relative to the tube, which enables the positioning of an electrode in, for example, the heart, by extending a preshaped curve at the end of the wire and turning it to a suitable position. Alternatively, the tube may be fastened to the handling element and moved relative to the wire which may be fastened to the case, or relative to a second turnable handling element in the case. The preshaped curve of the wire is released by pulling the tube back from the wire.

Claims

1. A device for in vivo positioning of an electrode having an electrode head at a distal end, a hollow lead and a proximal end, said device comprising:

a wire having a pre-shaped curve at a distal end and surrounded by a tube with said wire being movable in said tube, said tube being deformable, but mechanically resistant compared to the wire, said tube having a diameter and length adapted to be inserted into said hollow lead, said wire and said tube constituting adjustment elements and each of said wire and said tube having a proximal end; and

a case having a handling element disposed therein so as to be movable along a longitudinal axis of said case, the proximal end of one of said adjustment elements being connected to said case and the proximal end of the other of said adjustment elements being connected to said handling element, so that the position of said distal end of said wire in relation to said tube, and thus the curvature of said distal end of said electrode in which said wire and said tube are inserted, can be selected by moving said handling element along said longitudinal axis.

2. A device as claimed in claim 1 wherein said case has an opening therein permitting manual access to said handling element for moving said handling element.

3. A device as claimed in claim 2 wherein said handling element has a projection extending through said opening in said case, said projection annularly surrounding said case.

4. A device as claimed in claim 1 wherein said handling element includes means for mounting said handling element in said case so that said handling element is rotatable around said longitudinal axis of said case.

5. A device as claimed in claim 1 further comprising an additional handling element disposed in said case, and wherein said handling element has a bore therein through which said wire runs said longitudinal axis, said wire being fastened to said further handling element and said further handling element being mounted in said case so as to be rotatable around said longitudinal axis.

6. A device as claimed in claim 1 further comprising a guiding tube disposed in said case with said wire running through said guiding tube, said handling element and said guiding tube being telescopically engaged.

7. A device as claimed in claim 1 further comprising means for removably attaching one of said adjustment elements to said case and for attaching the other of said adjustment elements to said handling element.

8. A device as claimed in claim 7 wherein said case has an opening therein permitting manual access to said handling element for moving said handling element, and wherein said means for removably fastening said wire to said handling element is accessible through said opening when said handling element is moved to a selected position within said case.

9. A device as claimed in claim 1 further comprising locking means in said case for said proximal end of said electrode.

10. A device as claimed in claim 1 wherein said preshaped curve terminates at said distal end of said wire with a rounded tip, said rounded tip having a diameter larger than an inner diameter of said tube.