Subcutaneous implantable cardioverter-defibrillator employing a telescoping lead

• US 20020107547A1
• Filed: 11/05/2001
• Published: 08/08/2002
• Est. Priority Date: 09/18/2000
• Status: Active Grant

• Current Assignee: Cameron Incorporated (Schlumberger NV)
• Original Assignee: Cameron Incorporated (Schlumberger NV)
• Inventors: Bardy, Gust H., Erlinger, Paul J.
• Granted Patent: US 7,043,299 B2
• Time in Patent Office: Days
• US Class Current: 607/5
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion

Abstract

One embodiment of the present invention provides an implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing including a first electrode; a telescoping lead assembly including a second electrode, wherein the telescoping lead assembly is electrically and mechanically coupled to the housing; and an electrical circuit located within and electrically coupled to the housing.

Claims

1. An implantable cardioverter-defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator comprising:

a housing including a first electrode;

a telescoping lead assembly including a second electrode, wherein the telescoping lead assembly is electrically and mechanically coupled to the housing; and

an electrical circuit located within and electrically coupled to the housing.

2. The implantable cardioverter-defibrillator of claim 1, wherein the housing further comprises a first and a second surface, and a left and a right overhang portion connected to the first surface;

and

wherein the telescoping lead assembly is selectively disposed next to the first surface and between the left and the right overhang portions of the housing.

3. The implantable cardioverter-defibrillator of claim 1, wherein the position of telescoping lead assembly can vary along pre-set positions of the housing.

4. The implantable cardioverter-defibrillator of claim 1, wherein the housing and the telescoping lead assembly are substantially curved in shape.

5. The implantable cardioverter-defibrillator of claim 1, wherein the housing and the telescoping lead assembly each further comprises one or more connector blocks;

wherein at least one connector block on the housing is electrically coupled to the electrical circuit; and

wherein at least one connector block on the housing is electrically and mechanically coupled to at least one connector block on the telescoping lead assembly.

6. The implantable cardioverter-defibrillator of claim 5, wherein each of the one or more connector blocks further comprises a set screw for securing the telescoping lead assembly.

7. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can provide a cardioversion-defibrillation energy to the patient'"'"'s heart.

8. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient'"'"'s heart.

9. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can provide biphasic waveform cardiac pacing for the patient'"'"'s heart.

10. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can provide triphasic waveform cardiac pacing for the patient'"'"'s heart.

11. The implantable cardioverter-defibrillator of claim 1, wherein the electrical circuit can provide a monophasic waveform cardiac pacing for the patient'"'"'s heart.

12. The implantable cardioverter-defibrillator of claim 1, wherein the telescoping lead assembly is a pacing lead.

13. The implantable cardioverter-defibrillator of claim 1, wherein the telescoping lead assembly is a shocking lead.

14. The implantable cardioverter-defibrillator of claim 1, wherein the telescoping lead assembly is a sensory lead.

15. The implantable cardioverter-defibrillator of claim 1, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the third and fifth ribs.

16. The implantable cardioverter-defibrillator of claim 1, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the fourth and sixth ribs.

17. The implantable cardioverter-defibrillator of claim 1, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the sixth and eighth ribs.

18. The implantable cardioverter-defibrillator of claim 1, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the eighth and tenth ribs.

19. The implantable cardioverter-defibrillator claim 1, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the tenth and twelfth ribs.

20. The implantable cardioverter-defibrillator of claim 1, wherein the implantable cardioverter-defibrillator provides anti-tachycardia pacing energy to the heart for treatment of atrial fibrillation.

21. The method of claim 1, wherein the implantable cardioverter-defibrillator provides anti-tachycardia pacing energy to the heart for treatment of ventricular tachycardia.

22. An implantable cardioverter-defibrillator comprising:

a housing having a first surface and a second surface, wherein at least a portion of the housing is electrically insulated;

a cardioversion-defibrillation circuitry sealed within the housing, wherein the cardioversion-defibrillation circuitry can provide an anti-arrhythmia waveform;

an electrically conductive surface disposed upon a portion of the housing, wherein the electrically conductive surface couples to the cardioversion-defibrillation circuitry; and

a lead assembly adjustably disposed on and electrically coupled to the first surface of the housing.

23. The implantable cardioverter-defibrillator of claim 22, wherein the housing further comprises a left and a right overhang portion connected to the first surface;

and

wherein the lead assembly is disposed between the left and the right overhang portions of the housing.

24. The implantable cardioverter-defibrillator of claim 23, wherein the position of lead assembly can vary along substantially all of the first surface of the housing.

25. The implantable cardioverter-defibrillator of claim 22, wherein the housing and the lead assembly are substantially curved in shape.

26. The implantable cardioverter-defibrillator of claim 22, wherein the housing and the lead assembly each further comprises one or more connector blocks;

wherein at least one connector block on the housing is electrically coupled to the electrical circuit; and

wherein at least one connector block on the housing is electrically and mechanically coupled to at least one connector block on the lead assembly.

27. The implantable cardioverter-defibrillator of claim 26, wherein each of the one or more connector blocks further comprises a set screw for securing the telescoping lead assembly.

28. The implantable cardioverter-defibrillator of claim 22, wherein the electrical circuit can provide a cardioversion-defibrillation energy to the patient'"'"'s heart.

29. The implantable cardioverter-defibrillator of claim 22, wherein the electrical circuit can further provide multiphasic waveform cardiac pacing for the patient'"'"'s heart.

30. The implantable cardioverter-defibrillator of claim 22, wherein the electrical circuit can provide biphasic waveform cardiac pacing for the patient'"'"'s heart.

31. The implantable cardioverter-defibrillator of claim 22, wherein the electrical circuit can provide triphasic waveform cardiac pacing for the patient'"'"'s heart.

32. The implantable cardioverter-defibrillator of claim 22, wherein the electrical circuit can provide a monophasic waveform cardiac pacing for the patient'"'"'s heart.

33. The implantable cardioverter-defibrillator of claim 22, wherein the lead assembly is a pacing lead.

34. The implantable cardioverter-defibrillator of claim 22, wherein the lead assembly is a shocking lead.

35. The implantable cardioverter-defibrillator of claim 22, wherein the lead assembly is a sensory lead.

36. The implantable cardioverter-defibrillator of claim 22, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the third and fifth ribs.

37. The implantable cardioverter-defibrillator of claim 22, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the fourth and sixth ribs.

38. The implantable cardioverter-defibrillator of claim 22, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the sixth and eighth ribs.

39. The implantable cardioverter-defibrillator of claim 22, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the eighth and tenth ribs.

40. The implantable cardioverter-defibrillator claim 22, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the tenth and twelfth ribs.

41. The implantable cardioverter-defibrillator of claim 22, wherein the implantable cardioverter-defibrillator provides anti-tachycardia pacing energy to the heart for treatment of atrial fibrillation.

42. The implantable cardioverter-defibrillator of claim 22, wherein the implantable cardioverter-defibrillator provides anti-tachycardia pacing energy to the heart for treatment of ventricular tachycardia.

43. The implantable cardioverter-defibrillator of claim 22, wherein the length of the housing is approximately 2 centimeters to approximately 40 centimeters.

44. The implantable cardioverter-defibrillator of claim 22, wherein the width of the housing is approximately 0.1 centimeters to approximately 25 centimeters.

45. The implantable cardioverter-defibrillator of claim 22, wherein the length the lead assembly is approximately 2 centimeters to approximately 55 centimeters.

46. The implantable cardioverter-defibrillator of claim 22, wherein the width the lead assembly is approximately 0.05 centimeters to approximately 8 centimeters.

48. The implantable cardioverter-defibrillator of claim 47, wherein the means for housing further comprises a left and a right overhang portion connected to the first surface;

and

wherein the lead assembly is disposed between the left and the right overhang portions of the means for housing.

49. The implantable cardioverter-defibrillator of claim 48, wherein the position of lead assembly can vary along substantially all of the first surface of the means for housing.

50. The implantable cardioverter-defibrillator of claim 47, wherein the means for housing and the lead assembly are substantially curved in shape.

51. The implantable cardioverter-defibrillator of claim 47, wherein the means for housing and the lead assembly each further comprises one or more connector means;

wherein at least one connector means on the means for housing is electrically coupled to the cardioversion-defibrillation; and

wherein at least one connector means on the means for housing is electrically and mechanically coupled to at least one connector means on the lead assembly.

52. The implantable cardioverter-defibrillator of claim 51, wherein each of the one or more connector means further comprises a set screw for securing the telescoping lead assembly.

53. The implantable cardioverter-defibrillator of claim 47, wherein the lead assembly is a pacing lead.

54. The implantable cardioverter-defibrillator of claim 47, wherein the lead assembly is a shocking lead.

55. The implantable cardioverter-defibrillator of claim 47, wherein the lead assembly is a sensory lead.

56. The implantable cardioverter-defibrillator of claim 47, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the third and fifth ribs.

57. The implantable cardioverter-defibrillator of claim 47, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the fourth and sixth ribs.

58. The implantable cardioverter-defibrillator of claim 47, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the sixth and eighth ribs.

59. The implantable cardioverter-defibrillator of claim 47, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the eighth and tenth ribs.

60. The implantable cardioverter-defibrillator claim 47, wherein the implantable cardioverter-defibrillator is positioned subcutaneously between the tenth and twelfth ribs.

61. The implantable cardioverter-defibrillator of claim 47, wherein the implantable cardioverter-defibrillator provides anti-bradycardia pacing energy to the heart for treatment of atrial fibrillation.

62. The implantable cardioverter-defibrillator of claim 47, wherein the implantable cardioverter-defibrillator provides anti-bradycardia pacing energy to the heart for treatment of ventrical fibrillation.

63. The implantable cardioverter-defibrillator of claim 47, wherein the length of the means for housing is approximately 2 centimeters to approximately 40 centimeters.

64. The implantable cardioverter-defibrillator of claim 47, wherein the width of the means for housing is approximately 0.1 centimeters to approximately 25 centimeters.

65. The implantable cardioverter-defibrillator of claim 47, wherein the length the lead assembly is approximately 2 centimeters to approximately 55 centimeters.

66. The implantable cardioverter-defibrillator of claim 47, wherein the width the lead assembly is approximately 0.05 centimeters to approximately 8 centimeters.

47. An implantable cardioverter-defibrillator comprising:

a means for housing cardioversion-defibrillation circuitry, wherein the means for housing includes a first surface and a second surface and at least a portion of the means for housing is electrically insulated;

wherein the cardioversion-defibrillation circuitry can provide an anti-arrhythmia waveform;

an electrically conductive surface disposed upon a portion of the housing, wherein the electrically conductive surface couples to the cardioversion-defibrillation circuitry; and

a lead assembly having is adjustably disposed on and electrically coupled to the first surface of the housing.