Source: https://patents.google.com/patent/US20080077219A1/en
Timestamp: 2019-08-18 08:47:04
Document Index: 259366174

Matched Legal Cases: ['Application No. 60', 'Application No. 60', 'Application No. 60', 'Application No. 60', 'Application No. 60', 'art.\n111', 'art.\n115']

US20080077219A1 - Intravascular electrophysiological system and methods - Google Patents
Intravascular electrophysiological system and methods Download PDF
US20080077219A1
US20080077219A1 US11/980,006 US98000607A US2008077219A1 US 20080077219 A1 US20080077219 A1 US 20080077219A1 US 98000607 A US98000607 A US 98000607A US 2008077219 A1 US2008077219 A1 US 2008077219A1
US11/980,006
US7899554B2 (en
Fifer Daniel W
2003-10-30 Priority to US51574603P priority
2003-10-31 Priority to US51602603P priority
2003-11-26 Priority to US52533203P priority
2003-11-26 Priority to US52533603P priority
2004-02-10 Priority to US54326004P priority
2004-06-04 Priority to US10/862,113 priority patent/US7529589B2/en
2007-10-30 Priority to US11/980,006 priority patent/US7899554B2/en
2007-10-30 Application filed by Williams Michael S, Terrance Ransbury, Glenn Richard A, Fifer Daniel W, Kevin Holbrook filed Critical Williams Michael S
2008-03-27 Publication of US20080077219A1 publication Critical patent/US20080077219A1/en
2011-03-01 Publication of US7899554B2 publication Critical patent/US7899554B2/en
This is a continuation-in-part of U.S. application Ser. No. 10/454,223, filed Jun. 4, 2003, and claims the benefit of U.S. Provisional Application No. 60/515,746, filed Oct. 30, 2003, U.S. Provisional Application No. 60/516,026, filed Oct. 31, 2003, U.S. Provisional Application No. 60/525,332, filed Nov. 26, 2003, U.S. Provisional Application No. 60/525,336, filed Nov. 26, 2003, and U.S. Provisional Application No. 60/543,260, filed Feb. 10, 2004.
FIGS. 5A-5E are a sequence of figures illustrating formation of the electrical and mechanical connections within a device enclosure of the type shown in FIG. 3E. FIG. 5A is an end view showing a device component and end cap, and FIG. 5B is a cross-sectional side view taken along the plane designated 5B-SB in FIG. 5A. FIGS. 5C and 5D are similar to FIGS. 5A and 5B, respectively, but show the component and end cap combined with a flex circuit, enclosure and coupler. FIG. 5E is similar to FIG. 5D but adds the conductor assembly, rod and elastomer.
FIGS. 12A-12F are a sequence of drawings schematically illustrating implantation of the system of FIG. 2B.
64. A method for retaining a medical device within a blood vessel, comprising the steps of:
65. The method of claim 64, wherein the placing step includes coupling the medical device and the retention device prior to the positioning step.
66. The method of claim 64, wherein the placing step includes coupling the medical device and the retention device after the positioning step.
67. The method of claim 64, wherein the medical device and retention device are separated components, and wherein the placing and expanding steps include expanding the retention device into contact with the medical device within the vessel.
68. The method of claim 67, wherein the placing and expanding steps include:
69. The method of claim 64, wherein the retention device is an expandable retention sleeve.
70. The method of claim 69, wherein the retention sleeve substantially minimizes blood flow between the retention sleeve and the medical device.
71. The method of claim 69, wherein the retention sleeve includes a tubular member having end sections and an intermediate section between the end sections, and wherein the method includes positioning the intermediate section adjacent to the device, and radially expanding at least a portion of the end sections into contact with the vessel.
72. The method of claim 64, wherein the method includes the step of positioning the retention device in the compressed position within a positioning sheath, and wherein the expanding step includes releasing the retention device from the positioning sheath.
73. The method of claim 72, wherein the expanding step includes causing the retention device to self-expand after being released from the positioning sheath.
74. The method of claim 64, wherein the expanding step includes positioning an expansion device within the retention device and expanding the expansion device.
75. The method of claim 74, wherein the expansion device is a balloon.
76. The method of claim 64, wherein the medical device is a pulse generator.
77. The method of claim 64, wherein the medical device is a lead.
78. The method of claim 64, further including the steps of positioning a liner within the vessel and positioning the medical device within the liner, and wherein the expanding step include expanding the retention device within the liner to engage the medical device between the retention device and the liner.
79. The method of claim 64, further including the step of promoting tissue growth into the structure of the retention device.
80. A retention device for retaining a medical device within a blood vessel, comprising:
an expandable member positionable in contact with an intravascular medical device and proportioned for receipt within a vessel, at least a portion of the expandable member expandable to radially engage a vessel wall and to thereby retain the medical device within the vessel.
81. The retention device of claim 80, wherein the expandable member is a radially expandable tubular member.
82. The retention device of claim 80, wherein the expandable member includes a coupling connected to an intravascular medical device.
83. The retention device of claim 82, wherein the coupling supports the medical device out of contact with the vessel wall.
84. The retention device of claim 82, wherein the coupling supports the medical device in contact with the vessel wall.
85. The retention device of claim 81, wherein the tubular member includes radially expandable end sections proportioned to radially engage a vessel wall.
86. The retention device of claim 81, wherein the tubular member includes end sections and a conformable intermediate section between the end sections.
87. The retention device of claim 80, wherein the expandable member includes a blood-impermeable barrier.
88. The retention device of claim 87, wherein the barrier includes a non-thrombogenic surface.
89. The retention device of claim 88, wherein the non-thrombogenic surface is configured to elute a non-thrombogenic or anti-platelet agent.
90. The retention device of claim 87, wherein the barrier includes an anti-proliferative surface.
91. The retention device of claim 90, wherein the anti-proliferative surface is configured to elute an anti-proliferative agent.
92. The retention device of claim 87, wherein the barrier includes a surface configured to elute an immunosuppressive agent.
93. The retention device of claim 80, wherein at least a portion of the expandable member includes a structural framework.
94. The retention device of claim 80, further including a tubular vessel liner, wherein the tubular member is proportioned to be received within the vessel liner within a vessel, such that the retention device retains the medical device between the retention device and the liner.
95. The retention device of claim 80, wherein the expandable member includes interstices for promoting tissue ingrowth.
96. A method of delivering an electrical pulse to a heart, comprising the steps of:
positioning a first electrode within a blood vessel;
positioning a second electrode within the cardiovascular system; and
delivering an electrical pulse between the first and second electrodes.
97. The method of claim 96, wherein the blood vessel is an artery.
98. The method of claim 96, wherein the blood vessel is a vein.
99. The method of claim 98, wherein the blood vessel is a subclavian vein.
100. The method of claim 98, wherein the blood vessel is an inferior vena cava.
101. The method of claim 98, wherein the blood vessel is a superior vena cava.
102. The method of claim 96, wherein the step of positioning the second electrode includes positioning the second electrode in a blood vessel.
103. The method of claim 102, wherein the second electrode is positioned in an artery.
104. The method of claim 103, wherein the second electrode is positioned in a vein.
105. The method of claim 104, wherein the second electrode is positioned in a subclavian vein.
106. The method of claim 104, wherein the second electrode is positioned in an inferior vena cava.
107. The method of claim 104, wherein the second electrode is positioned in a superior vena cava.
108. The method of claim 104, wherein the second electrode is positioned in a middle cardiac vein.
109. The method of claim 104, wherein the second electrode is positioned in a vessel selected from the group of vessels consisting of the pulmonary vein, hepatic vein, renal vein, axillary vein, lateral thoracic vein, internal thoracic vein and splenic vein.
110. The method of claim 96, wherein the second electrode is positioned within a chamber of the heart.
111. The method of claim 110, wherein the chamber is the right ventricle.
112. The method of claim 110, wherein the chamber is the right atrium or left atrium.
113. The method of claim 110, wherein the chamber is the left ventricle.
114. The method of claim 96, wherein the second electrode is positioned within the coronary sinus of the heart.
115. The method of claim 96, wherein the pulse is a defibrillation pulse.
116. The method of claim 96, wherein the pulse is a cardioversion pulse.
117. The method of claim 96, wherein the pulse is a pacing pulse.
118. The method of claim 96, wherein the pulse is a cardiac resynchronization pulse.
119. The method of claim 96, wherein the pulse delivers approximately 0.1-50 joules of energy.
120. The method of claim 119, wherein the pulse delivers approximately 5-35 joules of energy.
121-134. (canceled)
US11/980,006 2003-06-04 2007-10-30 Intravascular System and Method Active 2025-02-07 US7899554B2 (en)
US51574603P true 2003-10-30 2003-10-30
US51602603P true 2003-10-31 2003-10-31
US52533603P true 2003-11-26 2003-11-26
US52533203P true 2003-11-26 2003-11-26
US54326004P true 2004-02-10 2004-02-10
US10/862,113 Division US7529589B2 (en) 2003-06-04 2004-06-04 Intravascular electrophysiological system and methods
US20080077219A1 true US20080077219A1 (en) 2008-03-27
US7899554B2 US7899554B2 (en) 2011-03-01
ID=33556799
US10/862,113 Active 2024-05-11 US7529589B2 (en) 2003-06-04 2004-06-04 Intravascular electrophysiological system and methods
US11/980,006 Active 2025-02-07 US7899554B2 (en) 2003-06-04 2007-10-30 Intravascular System and Method
US (2) US7529589B2 (en)
EP (1) EP1633434B1 (en)
JP (1) JP4616252B2 (en)
AU (2) AU2004251673B2 (en)
CA (1) CA2527909A1 (en)
WO (1) WO2005000398A2 (en)
WO2010138390A1 (en) * 2009-05-29 2010-12-02 Medtronic, Inc. Implantable medical device with exposed generator
WO2015017688A2 (en) 2013-07-31 2015-02-05 Electus Medical Inc. Systems for assessing risk of sudden cardiac death, and related methods of use
US711452A (en) * 1902-01-08 1902-10-14 Richard E Meyer Jar-closure.
US5720306A (en) * 1996-05-17 1998-02-24 Brown & Williamson Tobacco Corporation Tobacco drying apparatus
2004-06-04 EP EP20040754293 patent/EP1633434B1/en not_active Expired - Fee Related
2004-06-04 AU AU2004251673A patent/AU2004251673B2/en not_active Ceased
2004-06-04 US US10/862,113 patent/US7529589B2/en active Active
2004-06-04 JP JP2006515174A patent/JP4616252B2/en not_active Expired - Fee Related
2004-06-04 CA CA 2527909 patent/CA2527909A1/en not_active Abandoned
2004-06-04 WO PCT/US2004/017650 patent/WO2005000398A2/en active Application Filing
2007-10-30 US US11/980,006 patent/US7899554B2/en active Active
2010-02-25 AU AU2010200709A patent/AU2010200709A1/en not_active Abandoned
CN102448543A (en) * 2009-05-29 2012-05-09 麦德托尼克公司 Implantable medical device with exposed generator
WO2005000398A3 (en) 2005-04-07
AU2004251673A1 (en) 2005-01-06
EP1633434B1 (en) 2014-11-19
AU2010200709A1 (en) 2010-03-18
JP2006526483A (en) 2006-11-24
EP1633434A2 (en) 2006-03-15
US7899554B2 (en) 2011-03-01
US20050043765A1 (en) 2005-02-24
US7529589B2 (en) 2009-05-05
AU2004251673B2 (en) 2010-01-28
JP4616252B2 (en) 2011-01-19
CA2527909A1 (en) 2005-01-06
WO2005000398A2 (en) 2005-01-06