Cardiac device for reducing arrhythmia

Overview

Information

Number: 5873896
Application: 08/864030
Filing date: 05/27/1997
Issue date: 02/23/1999
Inventor(s): Raymond E. Ideker

US Classification: 607/14

Citations

Medtronic (4)

Number	Title	Issue Date
3937226	Arrhythmia prevention apparatus	1976/02/10
5018522	Ramped waveform non-invasive pacemaker	1991/05/28
5111811	Cardioversion and defibrillation lead system with electrode extension into the coronary sinus and great vein	1992/05/12
5243978	Method and apparatus for wide area antitachycardia pacing	1993/09/14

Cardiac Pacemakers (2)

Number	Title	Issue Date
5107834	Low energy multiple shock defibrillation/cardioversion discharge technique and electrode configuration	1992/04/28
5350404	Lead system for use with an atrial defibrillator and method	1994/09/27

Intermedics (1)

Number	Title	Issue Date
5002052	System and method for detection and treatment of ventricular arrhythmias	1991/03/26

Arzco Medical Electronics (1)

Number	Title	Issue Date
5191885	Method of terminating an arrhythmia	1993/03/09

PaceSetter (1)

Number	Title	Issue Date
5411547	Implantable cardioversion-defibrillation patch electrodes having means for passive multiplexing of discharge pulses	1995/05/02

NA (1)

Number	Title	Issue Date
4554922	Method of inhibiting cardiac arrhythmias	1985/11/26

Ventritex (1)

Number	Title	Issue Date
3939844	Method and apparatus for stimulating a heart to eliminate rhythmic abnormalities, especially tachycardias	1976/02/24

Abstract

Abstract

A device is disclosed for reducing the likelihood of cardiac arrhythmia or halting the arrhythmia after it begins without having to give a large shock which can be painful or may damage the heart. The device includes an elongated primary strip having a plurality of electrodes positioned at spaced intervals along its length. The strip is dimensioned so that, upon insertion into a patient, the electrodes on the strip electrically contact the heart tissue, either directly or through an intermediate high resistance conductive layer. The electrodes are then energized with an electrical energy sufficient to hyperpolarize heart tissue adjacent to each of the electrodes. Furthermore, the electrodes are spaced along the strip sufficiently close to each other so that, upon energization of the electrodes, a line of heart tissue is hyperpolarized to thereby prevent cardiac electrical conductance across that line. Optionally, secondary electrode strip(s) extend alongside, or encircle, the primary strip. The secondary strip(s) include electrodes which are activated by lower current levels than the primary strip to minimize the likelihood of an activation front caused by activation from the primary strip electrodes.

Assignees with Similar Patents

NA (9)

Number	Title
4136702	Catheter-type electrode member for an implantable pacemaker
102436554	Arrhythmia Classification and Therapy Selection
102236667	Use of tools, mapping systems, catheters, electrodes or any devices targeting any autonomic nerve(s) structure(s) in the human heart for the diagnostic, treatment and/or prevention of the recurrence of cardiac arrhythmias.
102100482	IMPLANTED CARDIAC DEVICE FOR DEFIBRILLATION
5700282	Heart rhythm stabilization using a neurocybernetic prosthesis
102502269	Apparatus And Methods for Separating Pericardial Tissue From The Epicardium of the Heart
102589754	ANTI-ARRHYTHMIA IMPLANTABLE MEDICAL DEVICE
102765104	METHOD AND DEVICE FOR THREE-STAGE ATRIAL CARDIOVERSION THERAPY
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ALABAMA AT BIRMINGHAM, UNIVERSITY OF (9)

Number	Title
6539257	Method and apparatus for treating cardiac arrhythmia
7346392	Method and apparatus for the monitoring and treatment of spontaneous cardiac arrhythmias
7020530	Method and apparatus for passive cardiac stimulation
7047067	Apparatus, methods, and computer program products for evaluating a risk of cardiac arrhythmias from restitution properties
6205357	Methods and apparatus for detecting and treating medical conditions of the heart
6243603	Methods and apparatus for detecting medical conditions of the heart
6148230	Method for the monitoring and treatment of spontaneous cardiac arrhythmias
5873896	Cardiac device for reducing arrhythmia
5697928	Cardic electrode catheter

Medtronic (8)

Number	Title
4010758	Bipolar body tissue electrode
5800464	System for providing hyperpolarization of cardiac to enhance cardiac function
6718212	Implantable medical electrical lead with light-activated adhesive fixation
7177680	Field stimulation about a discontinuity of the myocardium to capture the heart at reduced pacing thresholds
7142928	Field stimulation about a discontinuity of the myocardium to capture the heart at reduced pacing thresholds
100421873	Field stimulation about a discontinuity of the myocardium to capture the heart at reduced pacing thresholds
5814079	Cardiac arrhythmia management by application of adnodal stimulation for hyperpolarization of myocardial cells
7734345	Method and system for aborting cardiac treatments

Impulse Dynamics N.V. (6)

Number	Title
7167748	Electrical muscle controller
7062318	Electrical muscle controller
6363279	Electrical muscle controller
6330476	Electrical muscle controller using a non-excitatory electric field
8311629	Electrical muscle controller
6317631	Controlling heart performance using a non-excitatory electric field

Cardiac Pacemakers (6)

Number	Title
7894893	Arrhythmia classification and therapy selection
7908001	Automatic multi-level therapy based on morphologic organization of an arrhythmia
5330496	Vascular catheter assembly for tissue penetration and for cardiac stimulation and methods thereof
101254843	Epicardial lead fixation system
101649673	EPICARDIAL LEAD
5042497	Arrhythmia prediction and prevention for implanted devices

Referenced by

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7487780	Sub-xyphoid method for ablating cardiac tissue	2009/02/10
7468061	Transmural ablation device with integral EKG sensor	2008/12/23
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6546935	Method for transmural ablation	2003/04/15
6517536	Transmural ablation device and method	2003/02/11
6923806	Transmural ablation device with spring loaded jaws	2005/08/02
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Medtronic (14)

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7507235	Method and system for organ positioning and stabilization	2009/03/24
7470272	Device and method for ablating tissue	2008/12/30
7566334	Ablation device with jaws	2009/07/28
7628780	Devices and methods for interstitial injection of biologic agents into tissue	2009/12/08
7292888	Cardiac stimulation during a refractory period	2007/11/06
6078837	Method and apparatus for treatment of fibrillation	2000/06/20
7678111	Device and method for ablating tissue	2010/03/16
7740623	Devices and methods for interstitial injection of biologic agents into tissue	2010/06/22
7744562	Devices and methods for interstitial injection of biologic agents into tissue	2010/06/29
7146214	Anti-tachycardia pacing based on multi-site electrograms	2006/12/05
7875028	Ablation device with jaws	2011/01/25
7967816	Fluid-assisted electrosurgical instrument with shapeable electrode	2011/06/28
8162941	Ablation device with jaws	2012/04/24
8273072	Devices and methods for interstitial injection of biologic agents into tissue	2012/09/25

Maquet Cardiovascular, (12)

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7387627	Vacuum-assisted securing apparatus for a microwave ablation instrument	2008/06/17
7346399	Monopole tip for ablation catheter	2008/03/18
7303560	Method of positioning a medical instrument	2007/12/04
7301131	Microwave ablation instrument with flexible antenna assembly and method	2007/11/27
7226446	Surgical microwave ablation assembly	2007/06/05
7192427	Apparatus and method for assessing transmurality of a tissue ablation	2007/03/20
7156841	Electrode arrangement for use in a medical instrument	2007/01/02
7115126	Directional microwave ablation instrument with off-set energy delivery portion	2006/10/03
7099717	Catheter having improved steering	2006/08/29
7052491	Vacuum-assisted securing apparatus for a microwave ablation instrument	2006/05/30
7033352	Flexible ablation instrument	2006/04/25
6976986	Electrode arrangement for use in a medical instrument	2005/12/20

The Trustees of Columbia University in the City of New York (1)

Number	Title	Issue Date
6868287	Cardiac remodeling	2005/03/15

Ben-Gurion University of the Negev (1)

Number	Title	Issue Date
6463330	Method and device for the cancellation of unwanted excitation waves in the heart	2002/10/08

Tech Analysis

Class	Subclass	Type	Reference Factor	Citation Factor	Strength	Grant time	Early grant (%)
607	14	Stable	Average	Seminal	Medium High	Rapid	20.4