Systems for using a pulmonary artery electrode

• US 9,149,639 B2
• Filed: 04/02/2013
• Issued: 10/06/2015
• Est. Priority Date: 05/10/2005
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Zhang, Yongxing, Zhang, Yunlong
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Patel, Natasha
• Application Number:
  US13/855,570
• Publication Number:
  US 20130218221A1
• Time in Patent Office: 917 Days
• Field of Search: 607/9, 607/14
• US Class Current: 1/1
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36114 Cardiac control, e.g. by vagal stimulation stimulating the heart A61N1/362
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/3624 occurring in the atrium, i.e. atrial tachycardia
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/368 comprising more than one electrode co-operating with different heart regions A61N1/3622, A61N1/3627 take precedence
• CPC Class Codes: A61N 1/395 for treating atrial fibrillation
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

According to some method embodiments, a left pulmonary artery electrode is positioned in a left pulmonary artery, and the left pulmonary artery electrode is used to sense atrial activity, or capture cardiac tissue, or deliver neural stimulation. According to some method embodiments, a right pulmonary artery electrode is positioned in a right pulmonary artery and a left pulmonary artery electrode is positioned in a left pulmonary artery, the right pulmonary artery electrode is used to sense atrial activity, or capture cardiac tissue, or deliver neural stimulation, and the left pulmonary artery electrode is used to sense atrial activity, or capture cardiac tissue, or deliver neural stimulation.

Claims

1. A system comprising an implantable medical device (IMD) and a lead configured to be connected to the IMD, the lead comprising:

a lead body having an end adapted to connect to the IMD and a distal portion adapted to be securely positioned in a pulmonary artery;

the lead body being adapted to be fed into the right atrium, through a tricuspid valve, into a right ventricle, and through a pulmonary valve; and

the distal portion of the lead body being adapted to be secured within a pulmonary artery, the distal portion including at least one electrode adapted to be positioned within the pulmonary artery when the distal portion is secured within the pulmonary artery, wherein the IMD is adapted to use the at least one electrode to;

apply neural stimulation to a neural stimulation target when the distal portion is secured within the pulmonar artery; and

capture atrial tissue when the distal portion is secured within the pulmonary artery, or sense an intrinsic atrial electrical event when the distal portion is secured within the pulmonary artery, or both capture atrial tissue and sense an intrinsic atrial electrical event when the distal portion is secured within the pulmonary artery.

2. The system of claim 1, wherein the distal portion of the lead body includes a pre-formed, biased shape adapted to passively fixate the distal end of the lead body within the pulmonary artery.

3. The system of claim 2, wherein the pre-formed, biased shape includes an S-shaped configuration.

4. The system of claim 2, wherein the pre-formed, biased shape includes a C-shaped configuration.

5. The system of claim 2, wherein the pre-formed, biased shape includes a spiral configuration.

6. The system of claim 2, wherein the pre-formed, biased shape includes a J-shaped configuration.

7. The system of claim 2, wherein the pre-formed, biased shape includes at least one curve in the lead body dimensioned to provide at least two surfaces positioned to contact opposing walls of the pulmonary artery.

8. The system of claim 1, wherein the at least one electrode includes a defibrillation coil electrode.

9. The system of claim 1, wherein the at least one electrode includes a stent-like electrode adapted to expand into contact with a pulmonary artery wall, the expanded stent-like electrode being passively-fixed within the pulmonary artery.

10. The system of claim 1, wherein the at least one electrode includes a ring electrode or a tip electrode.

11. The system of claim 1, wherein the lead body includes a lumen through an entire length of the lead body to allow the lead to be implanted over a guide wire.