Leadless cardiac pacemaker with retrieval features

Patent metadata

Field	Value
Publication number	US-11717677-B2
Application number	US-201916541809-A
Country	US
Kind code	B2
Filing date	Aug 15, 2019
Priority date	Apr 29, 2014
Publication date	Aug 8, 2023
Grant date	Aug 8, 2023

Abstract

An implantable leadless cardiac pacing device and associated retrieval features. The implantable device includes a docking member extending from the proximal end of the housing of the implantable device including a covering surrounding at least a portion of the docking member configured to facilitate retrieval of the implantable leadless cardiac pacing device.

First claim

What is claimed is:

1. An implantable leadless cardiac pacing device comprising:
a housing having a proximal end, a distal end, and a circumferential surface extending around a central longitudinal axis of the housing between the proximal end and the distal end, the housing having a radial dimension from the central longitudinal axis to the circumferential surface of the housing, the housing containing a power source and electrical circuitry therein;
one or more electrodes configured to be positioned adjacent cardiac tissue to provide electrical stimulation thereto, the one or more electrodes in electrical communication with the electrical circuitry in the housing;
a docking member extending from the proximal end of the housing along the central longitudinal axis of the housing, the docking member including a head portion and a neck portion extending between the housing and the head portion, the head portion having a radial dimension from the central longitudinal axis and the neck portion having a radial dimension from the central longitudinal axis less than the radial dimension of the head portion; and
a plurality of retrieval features arranged with the housing and extending distally beyond a proximal end of the housing in an equilibrium state, each of the plurality of retrieval features having an inner radial dimension from the central longitudinal axis less than the radial dimension of the housing and an outer radial dimension from the central longitudinal axis greater than the radial dimension of the housing;
wherein the plurality of retrieval features are configured to remain with the housing while implanted in a patient.

2. The implantable leadless cardiac pacing device of claim 1 , wherein the plurality of retrieval features are configured to facilitate engagement of a retrieval device for retrieving the implantable leadless cardiac pacing device.

3. The implantable leadless cardiac pacing device of claim 1 , wherein the plurality of retrieval features include a plurality of radially extending protrusions.

4. The implantable leadless cardiac pacing device of claim 3 , wherein the plurality of radially extending protrusions are flexible.

5. The implantable leadless cardiac pacing device of claim 4 , wherein the plurality of radially extending protrusions are configured to deflect to a delivery state and expand to an equilibrium state.

6. The implantable leadless cardiac pacing device of claim 3 , wherein the plurality of radially extending protrusions are arranged at the proximal end of the housing.

7. The implantable leadless cardiac pacing device of claim 1 , wherein the plurality of retrieval features are affixed to the docking member.

8. The implantable leadless cardiac pacing device of claim 7 , wherein the plurality of retrieval features each include an engagement surface configured to facilitate guiding a retrieval device into engagement with the docking member.

9. The implantable leadless cardiac pacing device of claim 8 , wherein the engagement surface is oriented at an oblique angle to the central longitudinal axis in an equilibrium state.

10. The implantable leadless cardiac pacing device of claim 1 , wherein the plurality of retrieval features are angled toward the distal end of the housing in the equilibrium state.

11. An implantable leadless cardiac pacing device comprising:
a housing having a proximal end, a distal end, and a circumferential surface extending around a central longitudinal axis of the housing between the proximal end and the distal end, the housing having a radial dimension from the central longitudinal axis to the circumferential surface of the housing, the housing containing a power source and electrical circuitry therein;
an electrode positioned proximate the distal end of the housing configured to be positioned adjacent cardiac tissue;
a fixation mechanism proximate the distal end of the housing;
a docking member extending proximally from the proximal end of the housing, the docking member having a radial dimension from the central longitudinal axis less than the radial dimension of the housing;
a plurality of retrieval features each having a radial dimension from the central longitudinal axis greater than the radial dimension of the housing;
wherein the plurality of retrieval features are configured to remain with the housing while implanted in a patient;
wherein the docking member includes a head portion spaced apart from the housing and a neck portion extending between the housing and the head portion;
wherein the neck portion has a radial dimension from the central longitudinal axis less than the radial dimension of the housing and the head portion has a radial dimension from the central longitudinal axis greater than the radial dimension of the neck portion;
wherein the plurality of retrieval features are fixed to and extend radially outward from the head portion.

12. The implantable leadless cardiac pacing device of claim 11 , wherein the plurality of retrieval features are configured to facilitate engagement of a retrieval device with the docking member for retrieving the implantable leadless cardiac pacing device.

13. The implantable leadless cardiac pacing device of claim 11 , wherein the plurality of retrieval features include a plurality of radially extending protrusions.

14. The implantable leadless cardiac pacing device of claim 13 , wherein the plurality of radially extending protrusions are flexible.

15. The implantable leadless cardiac pacing device of claim 13 , wherein the plurality of radially extending protrusions are oriented at an oblique angle to the longitudinal axis in an equilibrium state.

16. The implantable leadless cardiac pacing device of claim 13 , wherein the plurality of radially extending protrusions extend distal of the docking member.

Assignees

• Cardiac Pacemakers Inc

Inventors

• Schmidt Brian L
• Haasl Benjamin J
• Edgell John M
• Sachs Dana

Classifications

• A61N1/0587 Primary

  Epicardial electrode systems; Endocardial electrodes piercing the pericardium · CPC title

• A61B17/50

  Instruments {, other than pincettes or toothpicks,} for removing foreign bodies from the human body (surgical pincettes, i.e. surgical tweezers, A61B17/30) · CPC title

• A61N1/3756 Primary

  Casings with electrodes thereon, e.g. leadless stimulators · CPC title

• A61N1/37512

  Pacemakers · CPC title

• A61N2001/0578

  having means for removal or extraction · CPC title