Subcutaneous only implantable cardioverter-defibrillator and optional pacer
First Claim
1. A method of implanting a cardiac stimulus system into a patient, the system including a canister and an associated lead assembly having a proximal end for securing to the canister and a distal end including one or more lead electrodes, the method comprising:
- establishing a subcutaneous pocket for receiving the canister at an inferior and lateral position relative to the patient'"'"'s atria on the left side of the patient'"'"'s torso and over the patient'"'"'s ribs;
inserting the canister into the subcutaneous pocket;
establishing a subcutaneous path for receiving the lead assembly extending over one or more of the patient'"'"'s ribs at least partly towards the patient'"'"'s sternum; and
inserting at least a distal portion of the lead assembly into the subcutaneous path.
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Accused Products
Abstract
A subcutaneous implantable cardioverter-defibrillator is disclosed which has an electrically active canister which houses a source of electrical energy, a capacitor, and operational circuitry that senses the presence of potentially fatal heart rhythms. At least one subcutaneous electrode that serves as the opposite electrode from the canister is attached to the canister via a lead system. Cardioversion-defibrillation energy is delivered when the operational circuitry senses a potentially fatal heart rhythm. There are no transvenous, intracardic, or epicardial electrodes. A method of subcutaneously implanting the cardioverter-defibrillator is also disclosed as well as a kit for conducting the method.
29 Citations
20 Claims
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1. A method of implanting a cardiac stimulus system into a patient, the system including a canister and an associated lead assembly having a proximal end for securing to the canister and a distal end including one or more lead electrodes, the method comprising:
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establishing a subcutaneous pocket for receiving the canister at an inferior and lateral position relative to the patient'"'"'s atria on the left side of the patient'"'"'s torso and over the patient'"'"'s ribs;
inserting the canister into the subcutaneous pocket;
establishing a subcutaneous path for receiving the lead assembly extending over one or more of the patient'"'"'s ribs at least partly towards the patient'"'"'s sternum; and
inserting at least a distal portion of the lead assembly into the subcutaneous path. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method of implanting a cardiac stimulus system into a patient, the system including means for housing operational circuitry that powers and controls the cardiac stimulus system and an associated lead assembly having a proximal end for securing to the housing means and a distal end including one or more lead electrodes, the method comprising:
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establishing a subcutaneous pocket for receiving the means for housing at an inferior and lateral position relative to the patient'"'"'s atria on the left side of the patient'"'"'s torso and over the patient'"'"'s ribs;
inserting the housing means into the subcutaneous pocket;
establishing a subcutaneous path for receiving the lead assembly extending over one or more of the patient'"'"'s ribs at least partly towards the patient'"'"'s sternum; and
inserting at least a distal portion of the lead assembly into the subcutaneous path. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
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19. A method of implanting a cardiac stimulus system into a patient, the system including a canister and an associated lead assembly having a proximal end adapted for securing to the canister and a distal end including one or more lead electrodes, the method comprising:
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establishing a subcutaneous pocket for receiving the canister at an inferior and lateral position relative to the patient'"'"'s atria on the left side of the patient'"'"'s torso and over the patient'"'"'s ribs;
inserting the canister into the subcutaneous pocket;
establishing a subcutaneous path for receiving the lead assembly extending over one or more of the patient'"'"'s ribs at least partly towards the patient'"'"'s sternum;
inserting at least a distal portion of the lead assembly into the subcutaneous path; and
activating the cardiac stimulus system;
wherein the activated cardiac stimulus system is configured to deliver therapy using a vector defined between a first electrode and a second electrode, wherein the first electrode is disposed on the canister and the second electrode is disposed on or integrated into the lead assembly. - View Dependent Claims (20)
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Specification