Wireless tissue electrostimulation

• US 9,393,405 B2
• Filed: 04/29/2014
• Issued: 07/19/2016
• Est. Priority Date: 02/07/2008
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Hastings, Roger, Becker, John A., Pikus, Michael J., Lafontaine, Daniel M., Edmunds, Kevin D.
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US14/264,663
• Publication Number:
  US 20140236172A1
• Time in Patent Office: 812 Days
• US Class Current: 1/1
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/057 Anchoring means; Means for fixing the head inside the heart
• CPC Class Codes: A61N 1/0573 chacterised by means penetrating the heart tissue, e.g. helix needle or hook
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/3624 occurring in the atrium, i.e. atrial tachycardia
• CPC Class Codes: A61N 1/3684 for stimulating the heart at multiple sites of the ventricle or the atrium
• CPC Class Codes: A61N 1/36842 Multi-site stimulation in the same chamber
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula
• CPC Class Codes: A61N 1/37223 Circuits for electromagnetic coupling
• CPC Class Codes: A61N 1/37229 Shape or location of the implanted or external antenna
• CPC Class Codes: A61N 1/3756 Casings with electrodes thereon, e.g. leadless stimulators
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

A wireless electrostimulation system can comprise a wireless energy transmission source, and an implantable cardiovascular wireless electrostimulation node. A receiver circuit comprising an inductive antenna can be configured to capture magnetic energy to generate a tissue electrostimulation. A tissue electrostimulation circuit, coupled to the receiver circuit, can be configured to deliver energy captured by the receiver circuit as a tissue electrostimulation waveform. Delivery of tissue electrostimulation can be initiated by a therapy control unit.

Claims

1. A wireless electrostimulation device, comprising:

an implantable seed having a proximal end, a distal end, and a longitudinal axis extending from the proximal end to the distal end;

the implantable seed including a proximal portion having a distally extending opening defined at least in part by a side wall;

a tissue attachment mechanism positioned proximate the distal end of the implantable seed, the tissue attachment mechanism configured to secure the implantable seed to cardiac tissue;

a first electrostimulation electrode configured to contact cardiac tissue when the implantable seed is secured to cardiac tissue;

a second electrostimulation electrode;

wherein the first and second electrostimulation electrodes form an electrostimulation circuit to provide an electrical stimulus to cardiac tissue; and

a retention pin located proximate the proximal end of the implantable seed, the retention pin extending across the opening in the proximal portion of the implantable seed and secured to the side wall on opposing sides of the opening.

2. The wireless electrostimulation device of claim 1, wherein the proximal portion of the implantable seed has an annular shape defining the opening, and

the retention pin is secured to the annular proximal portion with the retention pin extending across the opening.

3. The wireless electrostimulation device of claim 2, wherein a space is defined between an interior surface of the annular proximal portion and the retention pin.

4. The wireless electrostimulation device of claim 2, wherein the annular proximal portion of the implantable seed extends proximal of the retention pin.

5. The wireless electrostimulation device of claim 1, wherein an outer surface of the proximal portion of the implantable seed is cylindrical.

6. The wireless electrostimulation device of claim 5, wherein the retention pin is cylindrical.

7. The wireless electrostimulation device of claim 1, wherein the retention pin is configured to be engaged by a component of an intravascular delivery system during implantation of the implantable seed.

8. The wireless electrostimulation device of claim 1, wherein the retention pin is cylindrical.

9. A wireless electrostimulation system, comprising:

an implantable seed including;

a housing having a proximal end, a distal end, and a longitudinal axis extending from the proximal end to the distal end;

a tissue attachment mechanism positioned proximate the distal end of the housing, the tissue attachment mechanism configured to secure the implantable seed to cardiac tissue;

a retention pin located proximate the proximal end of the housing, with the retention pin extending between a first side and an opposing second side of an opening defined by the proximal end of the housing; and

an intravascular delivery system including;

a delivery catheter having a distal end region surrounding the implantable seed during delivery of the implantable seed to cardiac tissue; and

a retention feature configured to engage the retention pin while the implantable seed is positioned in the distal end region of the delivery catheter.

10. The wireless electrostimulation system of claim 9, wherein the retention feature surrounds the retention pin.

11. The wireless electrostimulation system of claim 10, wherein the retention feature is releasable from the retention pin upon implantation of the implantable seed into cardiac tissue.

12. The wireless electrostimulation system of claim 9, wherein the retention feature includes a flexible member extending proximally from the retention pin.

13. The wireless electrostimulation system of claim 12, wherein proximal movement of the flexible member away from the retention pin releases the flexible member from the retention pin.

14. The wireless electrostimulation system of claim 9, wherein the retention pin is oriented perpendicular to the longitudinal axis of the housing.

15. The wireless electrostimulation system of claim 10, wherein the retention pin is cylindrical.

16. The wireless electrostimulation system of claim 15, wherein the proximal portion of the implantable seed extends proximal of the retention pin.

17. The wireless electrostimulation system of claim 16, wherein an outer surface of the proximal portion of the housing is cylindrical.