Subcutaneous implantable cardioverter-defibrillator employing a telescoping lead
First Claim
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1. An implantable cardioverter-defibrillator comprising:
- a means for housing cardioversion-defibrillation circuitry, wherein the means for housing includes a first surface and a second surface and a left and a right overhang portion connected to the first surface, and at least a portion of the means for housing is electrically insulated;
wherein the cardioversion-defibrillation circuitry can provide an anti-arrhythmia waveform;
an electrically conductive surface disposed upon a portion of the means for housing, wherein the electrically conductive surface couples to the cardioversion-defibrillation circuitry; and
a lead assembly adjustably disposed on and electrically coupled to the first surface of the means for housing, wherein the first surface of the means for housing and the lead assembly are configured such that the position of the lead assembly can vary along substantially all of the first surface of the means for housing between the left and the right overhang portions.
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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 including a first electrode; a telescoping lead assembly including a second electrode, wherein the telescoping lead assembly is electrically and mechanically coupled to the housing; and an electrical circuit located within and electrically coupled to the housing.
236 Citations
59 Claims
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1. An implantable cardioverter-defibrillator comprising:
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a means for housing cardioversion-defibrillation circuitry, wherein the means for housing includes a first surface and a second surface and a left and a right overhang portion connected to the first surface, and at least a portion of the means for housing is electrically insulated; wherein the cardioversion-defibrillation circuitry can provide an anti-arrhythmia waveform; an electrically conductive surface disposed upon a portion of the means for housing, wherein the electrically conductive surface couples to the cardioversion-defibrillation circuitry; and a lead assembly adjustably disposed on and electrically coupled to the first surface of the means for housing, wherein the first surface of the means for housing and the lead assembly are configured such that the position of the lead assembly can vary along substantially all of the first surface of the means for housing between the left and the right overhang portions. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. An implantable cardioverter-defibrillator comprising:
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a housing having a first surface and a second surface and a left and a right overhang portion connected to the first surface, wherein at least a portion of the housing is electrically insulated, the housing having one or more connector blocks; a cardioversion-defibrillation circuitry sealed within the housing, wherein the cardioversion-defibrillation circuitry can provide an anti-arrhythmia waveform; an electrically conductive surface disposed upon a portion of the housing, wherein the electrically conductive surface couples to the cardioversion-defibrillation circuitry; and a lead assembly adjustably disposed on and electrically coupled to the first surface of the housing, and is disposed between the left and the right overhang portions of the housing, the lead assembly including one or more connector blocks; wherein the first surface of the housing and the lead assembly are configured such that the position of the lead assembly can vary along substantially all of the first surface of the housing; wherein at least one connector block on the housing is electrically coupled to the cardioversion-defibrillation circuitry; and wherein at least one connector block on the housing is electrically and mechanically coupled to at least one connector block on the lead assembly. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40)
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41. An implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator comprising:
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a housing including a first electrode, the housing having a first surface and a second surface, and left and right overhang portions connected to the first surface; a telescoping lead assembly including a second electrode, wherein the telescoping lead assembly is electrically and mechanically coupled to the housing; and an electrical circuit located within and electrically coupled to the housing; wherein the telescoping lead assembly is selectively disposed next to the first surface and between the left and the right overhang portions of the housing, wherein the position of the telescoping lead assembly can vary along pre-set positions on the housing. - View Dependent Claims (42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59)
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Specification