Cardiac stimulation using intravascularly-deliverable electrode assemblies
First Claim
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1. A cardiac tissue excitation system, comprising:
- a seed assembly having a housing that is sized and shaped for delivery to an interior of a heart and configured to be endocardially affixed to a wall of the heart, the seed assembly including an electrical stimulation circuit disposed within the housing for generating an electrical stimulus;
two or more electrode assemblies mechanically and electrically coupled to the seed assembly via two or more leads, a first of the two or more electrode assemblies configured to be affixed at a first location along an interior surface of the heart, a second of the two or more electrode assemblies configured to be affixed at a second location along the interior surface of the heart, wherein the second location is laterally spaced along the interior surface of the heart from the first location, the two or more leads configured to deliver electrical stimulus generated by the electrical stimulation circuit to corresponding ones of the two or more electrode assemblies, and the two or more electrode assemblies each configured to deliver the received electrical stimulus, generated by the electrical stimulation circuit, to corresponding cardiac tissue;
wherein each of the two or more electrode assemblies include a fixation element configured to anchor each of the two or more electrode assemblies to the heart; and
wherein the seed assembly and the two or more electrode assemblies are sized and shaped to fit entirely within the heart.
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Abstract
A seed assembly for delivery to an interior of a heart includes an electrical stimulation circuit for delivering an electrical stimulus to cardiac tissue. A first electrode assembly is mechanically and electrically coupled to the seed assembly via a micro lead, the first electrode assembly configured to deliver the electrical stimulus generated by the electrical stimulation circuit to the cardiac tissue. The seed assembly and the first electrode assembly are sized and shaped to fit entirely within the heart.
296 Citations
20 Claims
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1. A cardiac tissue excitation system, comprising:
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a seed assembly having a housing that is sized and shaped for delivery to an interior of a heart and configured to be endocardially affixed to a wall of the heart, the seed assembly including an electrical stimulation circuit disposed within the housing for generating an electrical stimulus; two or more electrode assemblies mechanically and electrically coupled to the seed assembly via two or more leads, a first of the two or more electrode assemblies configured to be affixed at a first location along an interior surface of the heart, a second of the two or more electrode assemblies configured to be affixed at a second location along the interior surface of the heart, wherein the second location is laterally spaced along the interior surface of the heart from the first location, the two or more leads configured to deliver electrical stimulus generated by the electrical stimulation circuit to corresponding ones of the two or more electrode assemblies, and the two or more electrode assemblies each configured to deliver the received electrical stimulus, generated by the electrical stimulation circuit, to corresponding cardiac tissue; wherein each of the two or more electrode assemblies include a fixation element configured to anchor each of the two or more electrode assemblies to the heart; and wherein the seed assembly and the two or more electrode assemblies are sized and shaped to fit entirely within the heart. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A cardiac tissue excitation system, comprising:
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a seed assembly including a seed housing supporting an exposed seed electrode, the seed housing sized and shaped for delivery to an interior of a heart and configured to be endocardially affixed to a first location along an interior surface of the heart, the seed assembly including an electrical stimulation circuit disposed within the seed housing for generating an electrical stimulus; a first electrode assembly including a pacing electrode, the first electrode assembly mechanically and electrically coupled to the seed assembly via a lead, wherein the lead is configured to deliver the electrical stimulus generated by the electrical stimulation circuit of the seed assembly to the first electrode assembly and the first electrode assembly is configured to deliver the electrical stimulus to the pacing electrode of the first electrode assembly, the first electrode assembly is configured to be disposed at a second location along the interior surface of the heart, wherein the second location is laterally spaced along the interior surface of the heart from the first location, the first electrode assembly and the seed assembly are configured to deliver the electrical stimulus generated by the electrical stimulation circuit of the seed assembly to cardiac tissue via the pacing electrode of the electrode assembly and the seed electrode of the seed assembly; wherein the first location is located at a first interior wall of the heart; wherein the second location is located at a second interior wall of the heart different than the first interior wall of the heart; and wherein the seed assembly and the electrode assembly are sized and shaped to fit entirely within the heart. - View Dependent Claims (10, 11, 12, 13, 14, 15)
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16. A cardiac tissue excitation system, comprising:
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a seed assembly including a seed housing supporting an exposed seed electrode, the seed housing sized and shaped for delivery to an interior of a heart and configured to be endocardially affixed at a first location on an interior surface of a chamber of the heart, the seed assembly including an electrical stimulation circuit disposed within the seed housing for actively generating an electrical stimulus; a first electrode assembly including a pacing electrode, the first electrode assembly mechanically and electrically coupled to the seed assembly via a lead and configured to be affixed at a second location along the interior surface of the chamber of the heart, wherein the second location is remote from the first location, wherein the lead is configured to deliver the electrical stimulus generated by the electrical stimulation circuit to the first electrode assembly and the first electrode assembly is configured to deliver the electrical stimulus directly to the pacing electrode of the first electrode assembly, the first electrode assembly and the seed assembly are configured to deliver the electrical stimulus generated by the electrical stimulation circuit of the seed assembly to cardiac tissue via the pacing electrode of the first electrode assembly and the seed electrode of the seed assembly. - View Dependent Claims (17, 18, 19, 20)
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Specification