Tissue contact for satellite cardiac pacemaker

• US 7,200,437 B1
• Filed: 10/13/2004
• Issued: 04/03/2007
• Est. Priority Date: 10/13/2004
• Status: Expired due to Fees

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Poore, John W., Kroll, Mark W., Truex, Buehl E., Nabutovsky, Yelena, Bjorling, Anders, Williams, Sheldon, Klonecke, Adam, Hawkins, Rodney J.
• Primary Examiner(s): Pezzuto; Robert
• Assistant Examiner(s): JOHNSON, SHEVON ELIZABETH
• Application Number:
  US10/964,910
• Time in Patent Office: 902 Days
• Field of Search: 607/9, 607/33, 607 36- 37, 607/129, 128/903
• US Class Current: 607/9
• CPC Class Codes: A61N 1/0587 Epicardial electrode systems; Endocardial electrodes piercing the pericardium
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: A61N 1/375 Constructional arrangements, e.g. casings
• CPC Class Codes: A61N 1/37512 Pacemakers
• CPC Class Codes: A61N 1/37518 Anchoring of the implants, e.g. fixation
• CPC Class Codes: Y10S 128/903 Radio telemetry

Abstract

An implantable cardiac system has a master pacing unit and a remote satellite pacing unit. The master pacing unit is electrically coupled to a right side of a patient'"'"'s heart via a lead assembly. The satellite pacing unit is a leadless device mounted on the left side of the patient'"'"'s heart and is wirelessly controlled by the master pacing unit. The satellite pacing unit is affixed to the heart by one or more mounting members. The base of the satellite unit case has a gel-like material which facilitates adhesion of the pacing unit to the heart tissue. The gel-like material promotes tissue growth to hold the pacing unit in place on the heart. The gel-like material may be composed of polyvinlpyrrolidone and may contain a steroid, such as dimethyl sulfoxide (DMSO), or dexamethazone sodium phosphate.

Claims

1. An implantable cardiac system comprising:

a master pacing unit operative to generate pacing pulses to be delivered to a portion of a patient'"'"'s heart;

at least one lead connected to the master pacing unit and configured for placement in electrical communication with a heart chamber; and

a satellite pacing unit remote from the master pacing unit and operative to apply pacing pulses to a different portion of the patient'"'"'s heart, said satellite pacing unit comprising;

a housing having a base portion;

an elongated member extending outwardly from said base portion for insertion into the patient'"'"'s heart tissue, wherein the elongated member comprises an electrode for carrying electrical current from the pacing unit to the patient'"'"'s heart; and

a gel-like material affixed to said base portion for placement into contact with the patient'"'"'s heart tissue, wherein said gel-like material is composed of an electrically conductive material to provide a complete electrical path for current generated from said elongated member.

2. An implantable cardiac system as recited in claim 1, wherein the elongated member has a substantially helical shape to enable the elongated member to be screwed directly into the epicardium of the patient'"'"'s heart.

3. An implantable cardiac system as recited in claim 2, wherein the elongated member contains a steroid eluding material thereon.

4. An implantable cardiac system as recited in claim 1, wherein the said gel-like material contains a steroid.

5. An implantable cardiac system as recited in claim 4, wherein said steroid comprises dexamethazone sodium phosphate.

6. An implantable cardiac system as recited in claim 1, wherein said gel-like material comprises polyvinlpyrrolidone.

7. An implantable cardiac system as recited in claim 1, wherein, when implanted into a patient'"'"'s body, the master pacing unit is electrically coupled to the right side of the patient'"'"'s heart via one or more leads that position one or more electrodes in the right ventricle and one or more electrodes in the right atrium.

8. An implantable cardiac system as recited in claim 7, wherein, when implanted into a patient'"'"'s body, the satellite pacing unit is affixed to the left side of the patient'"'"'s heart in electrical contact with the left ventricle.

9. An implantable cardiac system as recited in claim 8, wherein the satellite pacing unit applies the pacing pulses in response to a signal wirelessly transmitted from the master pacing unit.

10. An implantable cardiac system as recited in claim 1, further comprising:

a first communications module coupled to said master pacing unit to transmit a pacing command; and

a second communications module coupled to said satellite pacing unit to receive the pacing command from the master pacing unit;

wherein

the first and second communication modules employ high frequency modulation to facilitate wireless communication between the master pacing unit and the satellite pacing unit.

11. An implantable cardiac system as recited in claim 10, wherein the satellite pacing unit is configured to apply the pacing pulses to the left side of the patient'"'"'s heart in response to the pacing command wirelessly received from the master pacing unit.

12. An implantable cardiac system as recited in claim 10, wherein the satellite pacing unit is further equipped with sensing circuitry to sense cardiac activity, the satellite pacing unit being configured to apply the pacing pulses to the left side of the patient'"'"'s heart in response to sensed cardiac activity.

13. An implantable cardiac system as recited in claim 10, wherein the satellite pacing unit is further equipped with sensing circuitry to sense cardiac activity, the satellite pacing unit being configured to apply the pacing pulses to the left side of the patient'"'"'s heart in response to sensed cardiac activity in combination with receipt of the pacing command from the master pacing unit.

14. An implantable cardiac system as recited in claim 10, wherein the satellite pacing unit is further equipped with sensing circuitry to sense cardiac activity, the satellite pacing unit being configured to collect data pertaining to the cardiac activity and to transmit the data wirelessly to the master pacing unit.

15. A cardiac pacing unit implantable into a patient for attachment to the patient'"'"'s heart, comprising:

a housing having a base portion;

an elongated member extending outwardly from said base portion for insertion into the patient'"'"'s heart tissue, wherein the elongated member comprises an electrode for carrying electrical current from the pacing unit to the patient'"'"'s heart; and

a gel-like material affixed to said base portion for placement into contact with the patient'"'"'s heart tissue to facilitate adherence of said satellite pacing unit to the patient'"'"'s heart, wherein said gel-like material is composed of an electrically conductive material to provide a complete electrical path for current generated from said elongated member.

16. A cardiac pacing unit as recited in claim 15, wherein the elongated member has a substantially helical shape to enable the elongated member to be screwed directly into the epicardium of the patient'"'"'s heart.

17. A cardiac pacing unit as recited in claim 16, wherein the elongated member contains a steroid eluding material thereon.

18. A cardiac pacing unit as recited in claim 15, wherein the elongated member contains a steroid eluting material thereon.

19. A cardiac pacing unit as recited in claim 15, wherein the said gel-like material contains a steroid.

20. A cardiac pacing unit as recited in claim 19, wherein said steroid comprises dexamethazone sodium phosphate.

21. A cardiac pacing unit as recited in claim 15, wherein said gel-like material comprises polyvinlpyrrolidone.

22. An implantable cardiac system comprising:

a master pacing unit electrically coupled to deliver pulses to a right side of a patient'"'"'s heart via one or more leads; and

a leadless satellite pacing unit coupled to deliver pulses to a left side of the patient'"'"'s heart under control of the master pacing unit, said leadless satellite pacing unit comprising;

a housing having a base portion;

an elongated member extending outwardly from said base portion for insertion into the patient'"'"'s heart tissue, wherein the elongated member comprises an electrode for carrying electrical current from the pacing unit to the patient'"'"'s heart; and

a gel-like material affixed to said base portion for placement into contact with the patient'"'"'s heart tissue, wherein said gel-like material is composed of an electrically conductive material to provide a complete electrical path for current generated from said elongated member.

23. An implantable cardiac device as recited in claim 22, wherein the master pacing unit communicates with the leadless satellite pacing unit via a wireless communication link.

24. An implantable cardiac device as recited in claim 22, wherein the leadless satellite pacing unit comprises sensing circuitry to sense cardiac activity, the satellite pacing unit being configured to deliver pulses in response to at least one of commands received from the master pacing unit or sensed cardiac activity.

25. A cardiac pacing unit as recited in claim 22, wherein the elongated member has a substantially helical shape to enable the elongated member to be screwed directly into the epicardium of the patient'"'"'s heart.

26. A cardiac pacing unit as recited in claim 25, wherein the elongated member contains a steroid eluting material thereon.

27. A cardiac pacing unit as recited in claim 22, wherein the said gel-like material contains a steroid.

28. A cardiac pacing unit as recited in claim 27, wherein said steroid comprises dexamethazone sodium phosphate.

29. A cardiac pacing unit as recited in claim 28, wherein said gel-like material comprises polyvinlpyrrolidone.