Pacesetter, Inc.

St. Jude Medical, Cardiology Division, Inc.

Bernhard Arnar

Jennifer Heisel

Thomas Blake Eby

Daniel Coyle

Bradley Charles Knippel

Brett Allen Hillukka

Adam Weber

Tracee E Eidenschink

Paul M Paspa

Joseph Ramon Callol

Byron Chun

Mike Sacha

Jeremiah Blue

Craig E Mar

Tyler J Strang

David Rickheim

Daniel Goodman

Scott Kerns

Sondra Orts

Scott Smith

Benjamin F James, Iv

Rebecca Stufft

Kavous Sahabi

Arees Garabed

Christopher Alan Hubbard

Travis Lieber

Wade A Keller

Keith Victorine

Carl Lance Boling

Steven Nicholas Willard

Thomas Robert Luhrs

Xiangqun Chen

Nicole Cooper

Stephanie M Raymond

Nicholas V Jepson

Kyle J Nix

Steve Chantasirivisal

Peter Nee

Joseph Ramon Callof

Xiangqun Shawn Chen

Benjamin F James Iv

A biostimulator and a biostimulator system for septal pacing, is described. The biostimulator includes an articulation to allow an electrode axis of a pacing electrode to be directed differently than a housing axis of a housing. The housing contains electrical circuitry that is electrically connected to the pacing electrode. The differently directed axes allow the pacing electrode to affix to target tissue of an interventricular septal wall of a heart when the housing of the biostimulator is located near an apex of the heart. The articulation can include a flexible portion of an extension, a hinge, or a tether. Other embodiments are also described and claimed.

Biostimulator having articulation

A delivery device for an implantable medical device may include an inner shaft configured to retain the implantable medical device at its distal end, an outer shaft slidably disposed about the inner shaft, and a locking hub affixed to the outer shaft. The locking hub may include a housing, a piston element in the housing, an actuator operatively coupled to the piston element, and a clamping gasket made of a compressible material and disposed in the housing. The actuator may be movable relative to the housing between unlocked and locked conditions. The clamping gasket may have a lumen defining a first diameter with the actuator in the unlocked condition and a second diameter with the actuator in the locked condition, the second diameter being less than the first diameter. The outer shaft and the locking hub may be fixed to the inner shaft with the actuator in the locked condition.

Locking guide catheter hubs

A medical tool includes a rotation mechanism that further includes a warning feature. The warning feature provides an indication when the rotation mechanism has achieved a number of rotations.

Medical tool employing a warning mechanism notifying that a rotational limit has been reached

A loading tool for loading a biostimulator onto a biostimulator delivery system is described. The loading tool includes a first body portion and a second body portion connected by a hinge. A latch is mounted on the first body portion, and the latch can be locked to fasten the first body portion to the second body portion. A biostimulator can be mounted in the loading tool, and a tether of a biostimulator delivery system can be inserted through a funnel in the loading tool to engage the biostimulator. An operator can use only one hand to unlock the latch, open the loading tool, and remove the loading tool from the biostimulator prior to delivering the biostimulator into a patient. Other embodiments are also described and claimed.

Loading tool for a biostimulator

A leadless biostimulator including an attachment feature to facilitate precise manipulation during delivery or retrieval is described. The attachment feature can be monolithically formed from a rigid material, and includes a base, a button, and a stem interconnecting the base to the button. The stem is a single post having a transverse profile extending around a central axis. The transverse profile can be annular and can surround the central axis. The leadless biostimulator includes a battery assembly having a cell can that includes an end boss. A tether recess in the end boss is axially aligned with a face port in the button to receive tethers of a delivery or retrieval system through an inner lumen of the stem. The attachment feature can be mounted on and welded to the cell can at a thickened transition region around the end boss. Other embodiments are also described and claimed.

Leadless pacemaker having attachment feature

Disclosed herein is a delivery system for delivering a leadless pacemaker. The delivery system may include a catheter, which may be a guide catheter. The catheter includes a distal end, a proximal end opposite the distal end, a lumen extending between the distal end and the proximal end, and a locking hub operably coupled to the proximal end. The locking hub includes a lumen segment of the lumen. In one implementation, self-biasing of the lumen segment places the lumen segment out of alignment with a rest of the lumen. Deflecting the lumen segment against the self-biasing of the lumen segment places the lumen segment in coaxial alignment with the rest of the lumen. In another implementation, self-biasing of the lumen segment reduces an inner diameter of the lumen segment and actuation of the locking hub expands the inner diameter.

Catheter-based delivery system for delivering a leadless pacemaker and employing a locking hub

An implantable medical device () includes an attachment member () having an aperture () with a first diameter. A delivery device () includes a catheter shaft (), a tube (') within the shaft, and a tether (&#x2032;) within the tube. The tube has a main portion (&#x2032;) with a second diameter and an expandable distal end (&#x2032;). The tether has a body (&#x2032;) and a tether member (&#x2032;) having a third diameter greater than the second diameter and smaller than the first diameter. The tether is slideable relative to the tube from a released condition in which the tether member is positioned at least partially distal to the distal end of the tube, and a locked condition in which the tether member is at least partially surrounded by the distal end of the tube. The distal end of the tube can pass through the aperture only in the released condition.

Delivery device with tethering for implantable medical device

Leadless biostimulator attachment feature

Catheter-based delivery systems for delivery and retrieval of a leadless pacemaker include features to facilitate improved manipulation of the catheter and improved capture and docking functionality of leadless pacemakers. Such functionality includes mechanisms directed to deflecting and locking a deflectable catheter, maintaining tension on a retrieval feature, protection from anti-rotation, and improved docking cap and drive gear assemblies.

Catheter-based system for delivery and retrieval of a leadless pacemaker

Growing community of inventors

Minnetrista, MN, United States of America

Bernhard Arnar