Phrenic nerve stimulation
US-2024173074-A1 · May 30, 2024 · US
US9339644B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9339644-B2 |
| Application number | US-201113004165-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jan 11, 2011 |
| Priority date | Jan 14, 2010 |
| Publication date | May 17, 2016 |
| Grant date | May 17, 2016 |
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The present invention relates to an apparatus for medical applications. The apparatus includes an oblong conductive element having a distal end. A resistance element is disposed in the vicinity of the distal end. The resistance element changes the resistance thereof as a function of a temperature and/or an electromagnetic field. To this end, the resistance element is designed to reduce a temperature rise of the distal end caused by energy absorption from, for example, an electromagnetic field.
Opening claim text (preview).
We claim: 1. An apparatus for medical applications, comprising: an oblong conductive element having a distal end and a resistance element that is disposed in the vicinity of the distal end and electrically connected to the distal end and changes the resistance thereof as a function of a temperature and/or an electromagnetic field, wherein the resistance element is designed to reduce a temperature rise of the distal end, the rise caused by energy absorption at the distal end from an electromagnetic field. 2. The apparatus according to claim 1 , wherein the resistance element includes a PTC thermistor, which is designed such that it has a low resistance at body temperature and a high resistance at a temperature above the body temperature, but below a temperature that damages body tissue. 3. The apparatus according to claim 2 , wherein the distal end encloses the PTC thermistor at least partially. 4. The apparatus according to claim 1 , wherein the resistance element has the shape of a cylinder with a concentric bore, the cylinder at least partially forming the oblong conductive element or surrounding it. 5. The apparatus according to claim 1 , wherein the oblong conductive element comprises a dissipating unit, which is disposed in the vicinity of the distal end and electrically connected to the resistance element and conducts the energy absorbed from an electromagnetic field away from the distal end. 6. The apparatus according to claim 5 , wherein the dissipating unit comprises an NTC thermistor, which is designed such that it has a low resistance at body temperature and a high resistance at a temperature above the body temperature, but below a temperature that damages body tissue. 7. The apparatus according to claim 1 , wherein the apparatus is designed as a catheter, said catheter including an ablation, balloon or insertion catheter. 8. The apparatus according to claim 1 , wherein the apparatus is designed as a guide wire. 9. The apparatus according to claim 1 , wherein the apparatus is designed as an introducer sheath. 10. The apparatus according to claim 1 , wherein the apparatus is designed as a stent. 11. An electrode lead for medical applications, comprising: an oblong conductive element having a distal end and a resistance element that is disposed in the vicinity of the distal end and electrically connected to the distal end and changes the resistance thereof as a function of a temperature and/or an electromagnetic field, wherein the resistance element is designed to reduce a temperature rise of the distal end, the rise caused by energy absorption at the distal end from an electromagnetic field. 12. The electrode lead according to claim 11 , further comprising an electrode disposed at a distance from the distal end to which a dissipating unit dissipates the energy absorbed, wherein the electrode includes an annular electrode or a shock coil of a multipolar electrode. 13. The electrode lead according to claim 11 , wherein the distal end comprises an electrode for stimulating a heart, an ICD electrode, a transvenous ICD electrode, a subcutaneously implantable ICD electrode, or an electrode for neurostimulation. 14. An implant comprising an electrode lead according to claim 11 , wherein the distal end comprises an electrode for stimulating a body part, wherein the electrode is controlled based on a stimulation parameter, and wherein the implant further comprises a device for detecting a change in the resistance of the resistance element and a device for adapting the stimulation parameter based on the detected change in the resistance of the resistance element. 15. The electrode lead according to claim 11 , wherein the resistance element includes a PTC thermistor, which is designed such that it has a low resistance at body temperature and a high resistance at a temperature above the body temperature, but below a temperature that damages body tissue. 16. The electrode lead according to claim 15 , wherein the distal end encloses the PTC thermistor at least partially. 17. The electrode lead according to claim 11 , wherein the resistance element has the shape of a cylinder with a concentric bore, the cylinder at least partially forming the oblong conductive element or surrounding it. 18. The electrode lead according to claim 11 , wherein the oblong conductive element comprises a dissipating unit, which is disposed in the vicinity of the distal end and electrically connected to the resistance element and conducts the energy absorbed from an electromagnetic field away from the distal end. 19. The electrode lead according to claim 18 , wherein the dissipating unit comprises an NTC thermistor, which is designed such that it has a low resistance at body temperature and a high resistance at a temperature above the body temperature, but below a temperature that damages body tissue. 20. An apparatus for medical applications, comprising: an oblong conductive element having a distal end and a resistance element that is disposed in the vicinity of the distal end and changes the resistance thereof as a function of a temperature and/or an electromagnetic field, wherein the resistance element is designed to reduce a temperature rise of the distal end, the rise caused by energy absorption from an electromagnetic field, wherein the distal end comprises an electrode for stimulating a body part, wherein the electrode is controlled based on a stimulation parameter, and wherein the implant further comprises a device for detecting a change in the resistance of the resistance element and a device for adapting the stimulation parameter based on the detected change in the resistance of the resistance element, and wherein the implant further comprises an input stage having a sensor for receiving measurement signals, which describe the state of the body part to be stimulated, and a device for adapting a characteristic of the input stage based on the detected change in the resistance of the resistance element. 21. An electrode lead for medical applications, comprising: an oblong conductive element having a distal end and a resistance element that is disposed in the vicinity of the distal end and changes the resistance thereof as a function of a temperature and/or an electromagnetic field, wherein the resistance element is designed to reduce a temperature rise of the distal end, the rise caused by energy absorption from an electromagnetic field, wherein the distal end comprises an electrode for stimulating a body part, wherein the electrode is controlled based on a stimulation parameter, and wherein the implant further comprises a device for detecting a change in the resistance of the resistance element and a device for adapting the stimulation parameter based on the detected change in the resistance of the resistance element, and wherein the implant further comprises an input stage having a sensor for receiving measurement signals, which describe the state of the body part to be stimulated, and a device for adapting a characteristic of the input stage based on the detected change in the resistance of the resistance element.
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