Transvenous method of treating sleep apnea
First Claim
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1. A method of treating sleep apnea, comprising:
- implanting an implantable pulse generator subcutaneously at a pectoral, non-vasculature location within a body of a patient and connecting a single lead to the pulse generator, wherein the single lead includes a stimulation electrode portion that is in electrical communication with the pulse generator, with the stimulation electrode portion being separate from, and independent of, stimulation circuitry of the pulse generator;
inserting the single lead within a non-cardiac vasculature of the body and advancing the single lead through the non-cardiac vasculature; and
positioning the stimulation electrode portion of the single lead within the non-cardiac vasculature in close proximity to the hypoglossal nerve to apply a nerve-stimulation signal, wherein positioning the stimulation electrode portion comprises;
arranging the stimulation electrode portion on a distal portion of the single lead and arranging a respiratory sensing portion on a proximal portion of the single lead; and
distally advancing the single lead within the non-cardiac vasculature to simultaneously cause;
positioning the stimulation electrode portion within a first vein of the non-cardiac vasculature in close proximity to the hypoglossal nerve and within a neck region of the patient; and
positioning the respiratory sensing portion within a second vein of the non-cardiac vasculature within a pectoral region of the patient, the second vein in fluid communication with the first vein.
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Abstract
A system and method for treating sleep apnea includes inserting an implantable pulse generator subcutaneously within a body of a patient and connecting a lead to the pulse generator. The lead is inserted within the vasculature and advanced transvenously through the vasculature until a stimulation portion of the lead becomes positioned in close proximity to the hypoglossal nerve. A nerve-stimulation signal is applied to the hypoglossal nerve via the stimulation portion of the lead.
322 Citations
30 Claims
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1. A method of treating sleep apnea, comprising:
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implanting an implantable pulse generator subcutaneously at a pectoral, non-vasculature location within a body of a patient and connecting a single lead to the pulse generator, wherein the single lead includes a stimulation electrode portion that is in electrical communication with the pulse generator, with the stimulation electrode portion being separate from, and independent of, stimulation circuitry of the pulse generator; inserting the single lead within a non-cardiac vasculature of the body and advancing the single lead through the non-cardiac vasculature; and positioning the stimulation electrode portion of the single lead within the non-cardiac vasculature in close proximity to the hypoglossal nerve to apply a nerve-stimulation signal, wherein positioning the stimulation electrode portion comprises; arranging the stimulation electrode portion on a distal portion of the single lead and arranging a respiratory sensing portion on a proximal portion of the single lead; and distally advancing the single lead within the non-cardiac vasculature to simultaneously cause; positioning the stimulation electrode portion within a first vein of the non-cardiac vasculature in close proximity to the hypoglossal nerve and within a neck region of the patient; and positioning the respiratory sensing portion within a second vein of the non-cardiac vasculature within a pectoral region of the patient, the second vein in fluid communication with the first vein. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 30)
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24. A method of treating sleep apnea, comprising:
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implanting an implantable pulse generator subcutaneously at a pectoral, non-vasculature location within a body of a patient and connecting a single lead to the pulse generator, wherein a distal portion of the single lead includes a stimulation electrode portion that is in electrical communication with the pulse generator, with the stimulation electrode portion being separate from, and independent of, stimulation circuitry of the pulse generator; inserting the single lead within a non-cardiac vasculature of the body and advancing the single lead through the non-cardiac vasculature; positioning the stimulation electrode portion of the single lead within a first vein of the non-cardiac vasculature in a neck region of a patient in close proximity to the hypoglossal nerve to apply a nerve-stimulation signal; and arranging at least a first portion of a respiratory sensing portion on a second portion of the single lead proximal to, and spaced apart from, the stimulation electrode portion to position the first portion of the respiratory sensing portion within a second vein of the non-cardiac vasculature within the pectoral region of the patient, wherein the second vein is in fluid communication with the first vein. - View Dependent Claims (25, 26, 27, 28, 29)
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Specification