Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Reexamination Certificate
2005-08-23
2005-08-23
Getzow, Scott M. (Department: 3762)
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
Reexamination Certificate
active
06934583
ABSTRACT:
Methods and apparatus for stimulating the right vagal nerve within a living body via positioning an electrode portion of a lead proximate to the portion of the vagus nerve where the right cardiac branch is located (e.g., near or within an azygos vein, or the superior vena cava near the opening of the azygos vein) and delivering an electrical signal to an electrode portion adapted to be implanted therein. Stimulation of the right vagus nerve and/or the cardiac branch thereof act to slow the atrial heart rate. Exemplary embodiments include deploying an expandable or self-oriented electrode (e.g., a basket, an electrode umbrella, and/or an electrode spiral electrode, electrode pairs, etc). Various dedicated and single-pass leads are disclosed, as well as, various electrodes, and stabilization means. The methods include preserving sinus rhythm, avoiding asystole, preserving A-V synchrony, automatically determining parameter combinations that achieve these features, and further (in one embodiment) automatically determining parameter combinations achieve these features and reduce current drain.
REFERENCES:
patent: 4289144 (1981-09-01), Gilman
patent: 4643201 (1987-02-01), Stokes
patent: 5243980 (1993-09-01), Mehra
patent: 5330507 (1994-07-01), Schwartz
patent: 5354318 (1994-10-01), Taepke
patent: 5356425 (1994-10-01), Bardy et al.
patent: 5411025 (1995-05-01), Webster, Jr.
patent: 5466254 (1995-11-01), Helland
patent: 5476483 (1995-12-01), Bornzin et al.
patent: 5507784 (1996-04-01), Hill et al.
patent: 5578061 (1996-11-01), Stroetmann et al.
patent: 5782239 (1998-07-01), Webster, Jr.
patent: 5916239 (1999-06-01), Geddes et al.
patent: 5968040 (1999-10-01), Swanson et al.
patent: 6006134 (1999-12-01), Hill et al.
patent: 6157862 (2000-12-01), Brownlee et al.
patent: 6201994 (2001-03-01), Warman et al.
patent: 6295475 (2001-09-01), Morgan
patent: 6345198 (2002-02-01), Mouchawar et al.
patent: 6697677 (2004-02-01), Dahl et al.
patent: 0993840 (2000-04-01), None
patent: 2801509 (2001-06-01), None
patent: WO 00/78391 (2000-12-01), None
patent: WO 01/00273 (2001-01-01), None
Schauerte, P. et al., Transvenous Parasympathetic Cardiac Nerve Stimulation for Treatment of Tachycardic Atrial Fibrillation, Tachycarde Rhythmusstörungen, 89:766-773 (2000).
Bilgutay, Aydin M., et al., Vagal Tuning, Journal of Thoracic and Cardiovascular Surgery, vol. 56, No. 1, pp: 71-82 (Jul. 1968).
Scherlag, M.D., Michael A., et al., Transvenous Parasympathetic Cardiac Nerve Stimulation: A New Approach for Sinus Rate Control, PACE, vol. 22, No. 4, Part II, Abstract Session I, (Listed date, Apr. 1999) and (Publically disclosed on May 13, 1999).
Cooper, Terry B., et al., Neural Effects on Sinus Rate and Atrioventricular Conduction Produced by Electrical Stimulaiton from a Transvenous Electrode Catheter in the Canine Right Pulmonary Artery, Circulation Research, vol. 46, No. 1, pp: 48-57, (Jan. 1980).
Schauerte, Patrick MD, et al., “Catheter Stimulation of Cardiac Parasympathetic Nerves in Humans”, Circulation, pp: 2430-2435 (Nov. 13, 2001).
Levine Paul A.
Weinberg Lisa P.
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