Apparatus and method for inserting an electrode

Surgery – Truss – Pad

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1282144, 128347, 128419P, A61N 118

Patent

active

041664698

ABSTRACT:
An apparatus and method are disclosed for implanting a pacemaker within a patient with a minimal amount of incision. The pacemaker comprises an encapsulated pulse generator having a receptacle and an electrode having an electrode tip and an electrode connector plug. The electrode connector plug is receivable in the receptacle of the encapsulated pulse generator. A needle is inserted through the exterior skin of the patient to puncture the subclavian vein. An introducer sleeve which is severed or is severable along the length thereof, is inserted into the puncture in the subclavian vein. The introducer sleeve may be introduced through the needle or on the outer surface of a needle, or through the use of a guide wire passed through the internal portion of the needle after the needle is removed. The electrode tip is inserted through the introducer sleeve to enter the vein of the patient. The electrode is moved along the vein to enter the heart of the patient. The introducer sleeve is withdrawn from the patient while the electrode is moved through a severing in the sleeve wall along the entire length thereof to remove the sleeve over the connector plug of the electrode. The electrode connector plug is connected to the receptacle of the encapsulated pulse generator and the pulse generator is implanted in the patient.

REFERENCES:
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patent: 3952742 (1976-04-01), Taylor
Friesen et al., "Percutaneous Insertion . . . Subclovian Vein", The Canadian J. of Surg., Mar. 1977, vol. 20, pp. 131-133, 135.
Jachuck et al., "Permanent Cardiac Pacing . . . Vein", Br. J. Surg., vol. 61, 1974, 373-376.

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