Cardiac electrode anchoring system
First Claim
1. A method for inserting an electrode within a myocardium of a heart, the method comprising:
- inserting an anchor coupled to a tension element through the myocardium to an operating position adjacent an outer surface of the heart;
threading an electrode having an inner guide channel for accommodating the tension element and a pole for stimulating the heart over an end of the tension element;
advancing the electrode over the tension element towards the inserted anchor until the pole contacts the heart; and
affixing the tension element to the electrode at a connection point to prevent movement of the electrode in a direction away from the anchor.
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Abstract
A cardiac electrode arrangement has one or several heart electrodes arranged on the exterior surface of a heart or attached to the heart from the outside and/or arranged with a pole in the cardiac tissue. The electrodes, which can be fixed in the operating position by an anchor, run to an implanted heart pacemaker. For positioning and affixing the anchor, a tool is used that is designed as a rod or stylet and acts on an attachment site of the anchor, whereby the anchor can be pushed into or through the myocardium. The anchor is, at the same time, attached to a tension element or thread, over which the electrode, which has an inner guide channel that accommodates the tension element or thread, can be moved in a fitted and controlled manner. In the operating position, the electrode can be connected to the tension element or thread located in the guide channel.
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Citations
20 Claims
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1. A method for inserting an electrode within a myocardium of a heart, the method comprising:
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inserting an anchor coupled to a tension element through the myocardium to an operating position adjacent an outer surface of the heart; threading an electrode having an inner guide channel for accommodating the tension element and a pole for stimulating the heart over an end of the tension element; advancing the electrode over the tension element towards the inserted anchor until the pole contacts the heart; and affixing the tension element to the electrode at a connection point to prevent movement of the electrode in a direction away from the anchor. - View Dependent Claims (2, 3, 4, 6, 7, 8, 9, 10, 11, 12, 13)
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5. The method of claim wherein 1 affixing the tension element to the first electrode further comprises positioning a front end of the electrode against a stop on the tension element.
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14. A method for inserting an electrode within a myocardium of a heart, the method comprising:
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inserting an anchor coupled to a tension element through the myocardium to an operating position adjacent an outer surface of the heart; manipulating the anchor into an abutment configuration relative to the outer surface of the heart; after inserting the anchor, advancing an electrode having a pole for stimulating the myocardium over the tension element towards the anchor; and coupling the tension element to the electrode. - View Dependent Claims (15, 16, 17, 18, 19)
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20. A method for inserting an electrode within a myocardium of a heart, the method comprising:
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inserting an anchor coupled to a tension element through the myocardium to an operating position adjacent an outer surface of the heart; manipulating the anchor to an abutment configuration relative to the outer surface of the heart; after inserting the anchor, advancing an electrode having a pole for stimulating the myocardium over the tension element towards the anchor; and affixing the tension element to the electrode at a connection point to prevent movement of the electrode in a direction away from the anchor.
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Specification