Temporary leadless implantable medical device with indwelling retrieval mechanism

• US 9,168,372 B2
• Filed: 03/07/2013
• Issued: 10/27/2015
• Est. Priority Date: 03/07/2013
• Status: Active Grant

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Fain, Eric S.
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US13/788,891
• Publication Number:
  US 20140257324A1
• Time in Patent Office: 964 Days
• Field of Search: 606/129
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

A method and system are provided for removing, from an implant chamber of a heart, a leadless implantable medical device (LIMD) having a distal end and a proximal end. The distal end is configured to be actively secured to tissue in the implant chamber of the heart. The proximal end is configured to be coupled to a distal end of an indwelling retrieval mechanism (IRM). The IRM extends from the heart along a vessel, the IRM having a proximal end configured to be anchored at a temporary anchor site. The method comprises detaching the IRM from the anchor site, loading a retrieval tool over the proximal end of the IRM and along the body of the IRM. The retrieval tool has a lumen therein that receives the IRM as the retrieval tool re-enters the vessel, thereby allowing the retrieval tool to engage the LIMD.

Claims

1. A leadless implantable medical device (LIMD) system comprising;

a housing having a distal end and a proximal end, the distal end configured to be actively secured to tissue in an implant chamber of a heart;

at least one electrode configured to perform at least one of sensing and pacing of at least one chamber of the heart;

a processor to control sensing and pacing operations;

an indwelling retrieval mechanism (IRM) having a distal end coupled to the proximal end of the housing, the IRM having a body configured to extend from the heart, along a vessel and exit the vessel at an exit/re-entry point;

the IRM having a proximal end configured to be anchored at a temporary anchor site to at least one of subcutaneous tissue and muscle while the LIMD is implanted;

the body of the IRM being formed of a flexible biocompatible and biostable material and having sufficient strength to maintain a desired level of structural integrity for a duration of time that the LIMD is implanted;

a catheter having first and second lumen, the first lumen to receive the IRM; and

an LIMD gripper device loaded into the second lumen and advanced until projecting from an open end of the catheter, a distal end of the LIMD gripper device coupling to a proximal end of the LIMD.

2. The LIMD system of claim 1

wherein the IRM body comprises a conducive core electrically coupled to the processor the core being configured to transmit electrical communications from the LIMD.

3. The LIMD system of claim 1, wherein the IRM is formed of a flexible biocompatible and biostable material.

4. The LIMD system of claim 1, wherein the IRM is formed of a monofilament or multistrand suture thread.

5. The LIMD system of claim 1, further comprising, on the IRM, a non-thrombogenic coating having a strength to survive a duration of a time in which the LIMD is implanted.

6. A leadless implantable medical device (LIMD) system comprising;

a housing having a distal end and a proximal end, the distal end configured to be actively secured to tissue in an implant chamber of a heart;

at least one electrode configured to perform at least one of sensing and pacing of at least one chamber of the heart;

a processor to control sensing and pacing operations;

intra-cardiac (IC) device extension having a distal end coupled to a proximal end of the LIMD, the device extension including one or more electrodes coupled to the processor to perform at least one of sensing and pacing of at least one chamber of the heart;

an indwelling retrieval mechanism (IRM) having a distal end coupled to a proximal end of the IC device extension, the IRM having a body configured to extend from the heart, along a vessel and exit the vessel at an exit/re-entry point;

the IRM having a proximal end configured to be anchored at a temporary anchor site to at least one of subcutaneous tissue and muscle while the LIMD is implanted;

a catheter having first and second lumen, the first lumen to receive the IRM; and

an LIMD gripper device loaded into the second lumen and advanced until projecting from an open end of the catheter, a distal end of the LIMD gripper device coupling to the proximal end of the LIMD.