Multi-piece dual-chamber leadless intra-cardiac medical device and method of implanting same

• US 9,017,341 B2
• Filed: 01/17/2012
• Issued: 04/28/2015
• Est. Priority Date: 10/31/2011
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Bornzin, Gene A., Poore, John W., Somogyi, Zoltan, Min, Xiaoyi
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): Kapoor, Sidharth
• Application Number:
  US13/352,005
• Publication Number:
  US 20130110127A1
• Time in Patent Office: 1,197 Days
• Field of Search: 607/27, 607/61, 607/119, 607122-123, 607 36- 38, 439/131, 439/578, 439638-639, 128/898, 128/899
• US Class Current: 606/129
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/059 Anchoring means
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/37288 Communication to several implantable medical devices within one patient
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators

Abstract

A leadless intra-cardiac medical device (LIMD) includes an electrode assembly configured to be anchored within a first wall portion of a first chamber of a heart. The electrode assembly includes an electrode main body having a first securing helix, an electrode wire segment extending from the body, and a first segment-terminating contact positioned on the electrode wire segment. The device further includes a housing assembly configured to be anchored within a second wall portion of a second chamber of the heart. The housing assembly includes a body having a second securing helix, a housing wire segment extending from the body, and a second segment-terminating contact positioned on the housing wire segment. The device also includes a connector block that electrically connects the electrode wire segment to the housing wire segment by retaining the first and second segment-terminating contacts.

Claims

1. A leadless intra-cardiac medical device (LIMD) configured to be contained within a heart of a patient, said device comprising:

an electrode assembly configured to be retained completely within the heart of the patient and further configured to be anchored within a first wall portion of a first chamber of a heart, the electrode assembly comprising an electrode main body having a first securing helix, an electrode wire segment extending from the body and a first segment-terminating contact positioned on the electrode wire segment, the first securing helix configured to be anchored within a first wall portion of the first chamber of a heart;

a housing assembly configured to be retained completely within the heart of the patient and further configured to be anchored within a second wall portion of a second chamber of the heart, the housing assembly comprising a body having a second securing helix and a housing wire segment extending from the body, and a second segment-terminating contact positioned on the housing wire segment;

a connector block having a first side and a second side, the connector block having first and second passages extending from the first side to the second side, through the connector block, the connector block having a first flared chamber along the first passage and intermediate the first side and second side and a second flared chamber along the second passage and intermediate the first sided and the second side, the connector block further having a threaded opening positioned along the first edge and intermediate the first and second passages, the threaded opening to receive therein a maneuvering wire; and

the connector block further for retaining, in the first passage, the first segment-terminating contact on the electrode wire segment extending from the body of the electrode assembly and for retaining, in the second passage, the second segment-terminating contact on the housing wire segment extending from the body of the housing assembly, the connector further electrically splicing together the electrode wire segment extending from the body of the electrode assembly with the housing wire segment extending from the body of the housing assembly to electrically connect the electrode wire segment to the housing wire segment by retaining the first and second segment-terminating contacts.

2. The device of claim 1, wherein the housing wire segment is configured to extend into the first chamber and terminate therein.

3. The device of claim 1, wherein the electrode wire segment is configured to terminate within the first chamber.

4. The device of claim 1, wherein the first segment-terminating contact extends into the first passage and is securely retained in the first flared chamber and the second-terminating contact extends into the second passage and is securely retained in the second flared chamber.

5. The device of claim 1, wherein each of the first and second segment-terminating contacts comprises a connection stud that is retained within the first and second flared chambers of the connector block.

6. The device of claim 5, wherein each of the connection studs comprises an expanded head integrally connected to a clamping tail.

7. The device of claim 1, wherein at least one of the first and second segment-terminating contacts includes a recess configured to be temporarily connected to a pacing system analyzer wire segment during implantation.

8. The device of claim 1, wherein the first and second wire-terminating contacts being inserted into the first and second passages through the first side, the connector block configured to receive pacing system analyzer wire segments into the first and second passages through the second side.

9. The device of claim 1, wherein the first and second passages of the connector block join contact receiving terminals.

10. A leadless intra-cardiac medical device (LIMD) configured to be contained within a heart of a patient, said device comprising:

an electrode assembly configured to be retained completely within the heart of the patient and further configured to be anchored within a first wall portion of a first chamber of a heart, the electrode assembly comprising an electrode main body having a first securing helix, an electrode wire segment extending from the body and a first segment-terminating contact positioned on the electrode wire segment, the first securing helix configured to be anchored within a first wall portion of the first chamber of a heart;

a housing assembly configured to be retained completely within the heart of the patient and further configured to be anchored within a second wall portion of a second chamber of the heart, the housing assembly comprising a body having a second securing helix and a housing wire segment extending from the body, and a second segment-terminating contact positioned on the housing wire segment; and

a connector block having an electrically conductive main body, the connector block having a first side and a second side, the connector block having first and second passages being directly electrically coupled by the electrically conductive material of the main body, the first and second passages extending from the first side to the second side, through the connector block, the connector block having a first flared chamber along the first passage and intermediate the first side and second side, the connector block further having a threaded opening positioned along the first edge and intermediate the first and second passages, the threaded opening to receive therein a maneuvering wire; and

the connector block further for retaining, in the first passage, the first segment-terminating contact on the electrode wire segment extending from the body of the electrode assembly and for retaining, in the second passage, the second segment-terminating contact on the housing wire segment extending from the body of the housing assembly, the connector further electrically splicing together the electrode wire segment extending from the body of the electrode assembly with the housing wire segment extending from the body of the housing assembly to electrically connect the electrode wire segment to the housing wire segment by retaining the first and second segment-terminating contacts.

11. The device of claim 10, wherein the connector block further includes a second flared chamber along the second passage and intermediate the first sided and the second side.

12. The device of claim 11, wherein the housing wire segment is configured to extend into the first chamber and terminate therein.

13. The device of claim 12, wherein the electrode wire segment is configured to terminate within the first chamber.

14. The device of claim 13, wherein the first segment-terminating contact extends into the first passage and is securely retained in the first flared chamber and the second-terminating contact extends into the second passage and is securely retained in the second flared chamber.

15. The device of claim 14, wherein each of the first and second segment-terminating contacts comprises a connection stud that is retained within first and second flared chambers of connector block.

16. The device of claim 15, wherein each of the connection studs comprises an expanded head integrally connected to a clamping tail.

17. The device of claim 16, wherein at least one of the first and second segment-terminating contacts includes a recess configured to be temporarily connected to a pacing system analyzer wire segment during implantation.

18. The device of claim 17, wherein the first and second wire-terminating contacts being inserted into the first and second passages through the first side of the connector block, the connector block configured to receive pacing system analyzer wire segments into the first and second passages through the second side of the connector block.

19. The device of claim 18, wherein the first and second passages of the connector block join contact receiving terminals.