Wireless tissue electrostimulation

• US 9,795,797 B2
• Filed: 06/30/2016
• Issued: 10/24/2017
• Est. Priority Date: 02/07/2008
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Hastings, Roger, Becker, John A., Pikus, Michael J., Lafontaine, Daniel M., Edmunds, Kevin D.
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US15/199,089
• Publication Number:
  US 20160310750A1
• Time in Patent Office: 481 Days
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• 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 1/3684 for stimulating the heart at multiple sites of the ventricle or the atrium
• CPC Class Codes: A61N 1/36842 Multi-site stimulation in the same chamber
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37223 Circuits for electromagnetic coupling
• CPC Class Codes: A61N 1/37229 Shape or location of the implanted or external antenna
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

A wireless electrostimulation system can comprise a wireless energy transmission source, and an implantable cardiovascular wireless electrostimulation node. A receiver circuit comprising an inductive antenna can be configured to capture magnetic energy to generate a tissue electrostimulation. A tissue electrostimulation circuit, coupled to the receiver circuit, can be configured to deliver energy captured by the receiver circuit as a tissue electrostimulation waveform. Delivery of tissue electrostimulation can be initiated by a therapy control unit.

Claims

1. A wireless electrostimulation system, comprising:

a wireless electrostimulation seed configured to be implanted endocardially entirely within a heart chamber of a patient'"'"'s heart, the wireless electrostimulation seed comprising;

a body having a proximal end and a distal end;

a tissue attachment mechanism positioned proximate the distal end of the body, the tissue attachment mechanism configured to secure the body to cardiac tissue;

a first electrostimulation electrode configured to contact cardiac tissue when the body is secured to cardiac tissue;

a second electrostimulation electrode spaced from the first electrostimulation electrode;

wherein the first electrostimulation electrode is a cathode and the second electrostimulation electrode is an anode;

a rechargeable power source;

tissue electrostimulation circuitry operably coupled to the first electrostimulation electrode and the second electrostimulation electrode, the tissue electrostimulation circuitry being powered at least in part by the rechargeable power source;

wherein the tissue electrostimulation circuitry is configured to generate, between the anode and the cathode, an electrostimulation pulse of at least 2.5V peak amplitude at a pulse width of 0.4 msec when coupled to a 500 Ohm equivalent load;

a receive antenna for wirelessly receiving recharge energy; and

recharge circuitry operatively coupled to the receive antenna and the rechargeable power source, the recharge circuitry is configured to recharge the rechargeable power source using recharge energy received via the receive antenna; and

a subcutaneously implantable therapy device comprising;

a housing;

a transmit antenna configured to be located subcutaneously within the patient;

a battery situated in the housing;

charge circuitry operatively coupled to the transmit antenna and the battery; and

wherein the charge circuitry is configured to cause the transmit antenna to send recharge energy to the receive antenna of the wireless electrostimulation seed.

2. The wireless electrostimulation system of claim 1, wherein the subcutaneously implantable therapy device comprises a lead extending from the housing, and wherein the transmit antenna is incorporated into the lead.

3. The wireless electrostimulation system of claim 2, wherein the lead comprises at least two antenna feed conductors disposed internally to the lead and operatively coupled to the transmit antenna.

4. The wireless electrostimulation system of claim 2, wherein the transmit antenna is disposed at a distal end of the lead.

5. The wireless electrostimulation system of claim 2, wherein the lead is an electrostimulation lead for delivering electrostimulation therapy to the patient'"'"'s heart.

6. The wireless electrostimulation system of claim 1, wherein the charge circuitry is configured to provide a time-varying signal to the transmit antenna to send the recharge energy to the receive antenna.

7. The wireless electrostimulation system of claim 1, wherein the transmit antenna, the receive antenna, the charge circuitry and the recharge circuitry are configured to produce a resonant coupling between the transmit antenna and the receive antenna.

8. The wireless electrostimulation system of claim 7, wherein the resonant coupling has a resonant frequency that is within a range of frequencies from 500 kilohertz to 5 megahertz, and has a power coupling efficiency of at least 1%.

9. A wireless electrostimulation system, comprising:

a wireless electrostimulation seed configured to be implanted endocardially entirely within a heart chamber of a patient, the wireless electrostimulation seed comprising;

a body having a proximal end and a distal end;

a tissue attachment mechanism positioned proximate the distal end of the body, the tissue attachment mechanism configured to secure the body to cardiac tissue;

a first electrostimulation electrode configured to contact cardiac tissue when the body is secured to cardiac tissue;

a second electrostimulation electrode spaced from the first electrostimulation electrode;

wherein the first electrostimulation electrode is a cathode and the second electrostimulation electrode is an anode;

a rechargeable power source;

tissue electrostimulation circuitry operably coupled to the first electrostimulation electrode and the second electrostimulation electrode, the tissue electrostimulation circuitry being powered at least in part by the rechargeable power source;

wherein the tissue electrostimulation circuitry is configured to generate, between the anode and the cathode, an electrostimulation pulse of at least 2.5V peak amplitude at a pulse width of 0.4 msec when coupled to a 500 Ohm equivalent load;

a receive antenna for wirelessly receiving recharge energy;

recharge circuitry operatively coupled to the receive antenna and the rechargeable power source, the recharge circuitry is configured to recharge the rechargeable power source using recharge energy received via the receive antenna; and

a subcutaneously implantable therapy device comprising;

a housing;

a transmit antenna;

a battery situated in the housing;

charge circuitry operatively coupled to the transmit antenna and the battery; and

wherein the charge circuitry is configured to cause the transmit antenna to send recharge energy to the receive antenna of the wireless electrostimulation seed; and

wherein the transmit antenna, the receive antenna, the charge circuitry and the recharge circuitry are configured to produce a resonant coupling between the transmit antenna and the receive antenna with a power coupling efficiency of at least 1%, and the resonant coupling has a resonance frequency that is within a range of frequencies from 500 kilohertz to 5 megahertz.

10. The wireless electrostimulation system of claim 9, wherein the subcutaneously implantable therapy device comprises a stimulation lead extending from the housing having one or more simulation electrodes, and wherein the transmit antenna is incorporated into the stimulation lead.

11. The wireless electrostimulation system of claim 10, wherein the stimulation lead comprises at least two antenna feed conductors disposed internally to the stimulation lead and operatively coupled to the transmit antenna.

12. The wireless electrostimulation system of claim 10, wherein the transmit antenna is disposed at a distal end of the stimulation lead.

13. A wireless electrostimulation system, comprising:

a wireless electrostimulation seed configured to be implanted endocardially entirely within a heart chamber of a patient, the wireless electrostimulation seed comprising;

a body having a proximal end and a distal end;

a tissue attachment mechanism positioned proximate the distal end of the body, the tissue attachment mechanism configured to secure the body to cardiac tissue;

a first electrostimulation electrode configured to contact cardiac tissue when the body is secured to cardiac tissue;

a second electrostimulation electrode spaced from the first electrostimulation electrode;

wherein the first electrostimulation electrode is a cathode and the second electrostimulation electrode is an anode;

a rechargeable power source;

tissue electrostimulation circuitry operably coupled to the first electrostimulation electrode and the second electrostimulation electrode, the tissue electrostimulation circuitry being powered at least in part by the rechargeable power source;

wherein the tissue electrostimulation circuitry is configured to generate, between the anode and the cathode, an electrostimulation pulse of at least 2.5V peak amplitude at a pulse width of 0.4 msec when coupled to a 500 Ohm equivalent load;

a receive antenna for wirelessly receiving recharge energy;

recharge circuitry operatively coupled to the receive antenna and the rechargeable power source, the recharge circuitry is configured to recharge the rechargeable power source using recharge energy received via the receive antenna; and

a subcutaneously implantable therapy device comprising;

a housing;

a stimulation lead extending from the housing having one or more simulation electrodes;

a transmit antenna, wherein the transmit antenna is incorporated into the stimulation lead;

a battery situated in the housing;

charge circuitry operatively coupled to the transmit antenna and the battery; and

wherein the charge circuitry is configured to cause the transmit antenna to send recharge energy to the receive antenna of the wireless electrostimulation seed.

14. The wireless electrostimulation system of claim 13, wherein at least part of the stimulation lead extends subcutaneously within the patient, and the transmit antenna is located along the part of the stimulation lead that extends subcutaneously within the patient.

15. The wireless electrostimulation system of claim 13, wherein the stimulation lead comprises at least two antenna feed conductors disposed internally to the stimulation lead and operatively coupled to the transmit antenna.

16. The wireless electrostimulation system of claim 13, wherein the charge circuitry is configured to provide a time-varying signal to the transmit antenna to send the recharge energy to the receive antenna.

17. The wireless electrostimulation system of claim 16, wherein the transmit antenna, the receive antenna, the charge circuitry and the recharge circuitry are configured to produce a resonant coupling between the transmit antenna and the receive antenna.

18. The wireless electrostimulation system of claim 17, wherein the resonant coupling has a resonant frequency that is within a range of frequencies from 500 kilohertz to 5 megahertz, and has a power coupling efficiency of at least 1%.