US6148238A
Expired / Lapsed
US
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Pacing leads having a brachiocephalic tine or star tine
Assignee: Medtronic Inc
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Filing: 1998-08-10
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Granted: 2000-11-14
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Expires: 2018-08-10
Abstract
Abstract The present invention provides a pacing system with a lead having a fixation element for providing stable fixation relative to the junction of the left and right brachiocephalic veins of the patient. In a first embodiment, a short tine element is provided for engaging the brachiocephalic junction. The present invention also provides a pacing system with a lead having a fixation element for providing stable fixation relative to the atrium and the SVC of the patient. In another embodiment, a three-pronged tine is provided for engaging the portion of the atrium adjacent the SVC.
Inventors
- 👤 Jean J. G. Rutten
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-11-04 12:59
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/056; A61N1/057
Claims Analysis
Total Claims: 19
Claim 1
Independent Claim
129 words
A pacing lead for pacing a patient's heart, said lead comprising: a distal end and a proximal end, and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the junction of the left and right brachiocephalic veins when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachiocephalic vein, wherein said fixation means comprises a short tine element extending from said lead body at an angle substantially corresponding to the angle of said junction.
Claim 2
Dependent Claim
129 words
A pacing lead for pacing a patient's heart, said lead comprising: a distal end and a proximal end, and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the junction of the left and right brachiocephalic veins when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachiocephalic vein, wherein said fixation means comprises a short tine element extending from said lead body at an angle substantially corresponding to the angle of said junction.
Claim 3
Dependent Claim
31 words
The lead as described in claim 1, wherein the distance from the distal end of the lead to the short tine element is from about 17 cm to about 25 cm.
Claim 4
Dependent Claim
62 words
The lead as described in claim 1, further comprising: an atrial lead body portion extending from said lead body and having a distal end; and an atrial electrode positioned at about said distal end of said atrial lead body portion, and an atrial conductor extending within said atrial lead body portion from said atrial electrode to said proximal end of said lead.
Claim 5
Dependent Claim
14 words
The lead as described in claim 3, wherein said electrode is a ring electrode.
Claim 6
Dependent Claim
31 words
The lead as described in claim 3, wherein said tine element is positioned from about 7 cm to about 11 cm proximal from the base of said atrial lead body portion.
Claim 7
Dependent Claim
27 words
The lead as described in claim 5, wherein said tine element is positioned at about 9 cm proximal from the base of said atrial lead body portion.
Claim 8
Dependent Claim
18 words
The lead as described in claim 1, further comprising a ventricular defibrillation coil connected to said ventricular electrode.
Claim 9
Dependent Claim
113 words
A pacing lead for pacing a Datient's heart, said lead comprising: a distal end and a proximal end, and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the junction of the atrium and the superior vena cava when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachycephalic vein, wherein said fixation means comprises a three-pronged tine.
Claim 10
Dependent Claim
113 words
A pacing lead for pacing a Datient's heart, said lead comprising: a distal end and a proximal end, and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the junction of the atrium and the superior vena cava when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachycephalic vein, wherein said fixation means comprises a three-pronged tine.
Claim 11
Dependent Claim
50 words
The lead as described in claim 8, wherein the three-pronged tine further comprises an atrial electrode positioned at about said distal end of each of said three prongs, and an atrial conductor extending within each of said three prongs from said atrial electrodes to said proximal end of said lead.
Claim 12
Dependent Claim
18 words
The lead as described in claim 8, further comprising a ventricular defibrillation coil connected to said ventricular electrode.
Claim 13
Independent Claim
134 words
A system for pacing a patient's heart, comprising: a pacemaker; and a lead connectable therewith comprising: a distal end and a proximal end, and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the junction of the left and right brachiocephalic veins when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachiocephalic vein, wherein said fixation means comprises a short tine element extending from said lead body at an angle substantially corresponding to the angle of said junction.
Claim 14
Independent Claim
134 words
A system for pacing a patient's heart, comprising: a pacemaker; and a lead connectable therewith comprising: a distal end and a proximal end, and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the junction of the left and right brachiocephalic veins when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachiocephalic vein, wherein said fixation means comprises a short tine element extending from said lead body at an angle substantially corresponding to the angle of said junction.
Claim 15
Dependent Claim
31 words
The system as described in claim 11, wherein the distance from the distal end of the lead to the short tine element is from about 17 cm to about 25 cm.
Claim 16
Dependent Claim
62 words
The system as described in claim 12, further comprising: an atrial lead body portion extending from said lad body and having a distal end; and an atrial electrode positioned at about said distal end of said atrial lead body portion, and an atrial conductor extending within said atrial lead body portion from said atrial electrode to said proximal end of said lead.
Claim 17
Independent Claim
118 words
A system for pacing a patient's heart, comprising: a pacemaker; and a lead connectable therewith comprising: a distal end and a proximal ends and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the function of the atrium and the superior vena cava when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachycephalic vein, wherein said fixation means comprises a three-pronged tine.
Claim 18
Independent Claim
118 words
A system for pacing a patient's heart, comprising: a pacemaker; and a lead connectable therewith comprising: a distal end and a proximal ends and a lead body extending therebetween; a ventricular electrode positioned at about said distal end, and a ventricular conductor extending within said lead body from said proximal end to said ventricular electrode; and fixation means for substantially fixing a portion of said lead with respect to the function of the atrium and the superior vena cava when said distal end is at about the patient's ventricular apex and said lead is positioned to extend proximally from said junction through a portion of the patient's left brachycephalic vein, wherein said fixation means comprises a three-pronged tine.
Claim 19
Dependent Claim
50 words
The system as described in claim 14, wherein the three-pronged tine further comprises an atrial electrode positioned at about said distal end of each of said three prongs, and an atrial conductor extending within each of said three prongs from said atrial electrodes to said proximal end of said lead.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2003-11-14 | 2004-05-15 | 2004-11-14 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2007-11-14 | 2008-05-15 | 2008-11-14 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2011-11-14 | 2012-05-15 | 2012-11-14 | $7700.00 | Window Closed / Lapsed |