Injectable subcutaneous string heart device

Inventors

Strommer, Gera M. • Fishel, Robert S. • Broder, Avi

Assignees

Newpace Ltd

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Publication Number

US-9814889-B2

Patent

Publication Date

2017-11-14

Expiration Date


Abstract

Injectable subcutaneous heart device (ISHD) for regulating arrhythmias in a heart of a patient, including a plurality of linked structures, each one of the linked structures being hollow, an interconnecting bus, a biocompatible coating, at least two electrodes and a plurality of sensors, the interconnecting bus for electrically coupling the linked structures and the biocompatible coating for hermetically sealing and electrically insulating the linked structures, one of the linked structures encapsulating a power source, another one of the linked structures encapsulating at least one capacitor and a third one of the linked structures encapsulating electronics, the electrodes and the sensors being respectively placed on an outer surface of the linked structures located at opposite ends of the ISH D, for detecting arrhythmias and providing electrical shocks to the heart, the electrodes and the sensors being electrically coupled with the interconnecting bus and the ISHD being positioned subcutaneously around the heart.

Core Innovation

The invention relates to an implantable subcutaneous heart device (ISHD) for regulating arrhythmias in a heart of a patient. The ISHD comprises a plurality of similarly shaped linked structures, each with a substantially symmetric cross-section, and an interconnecting bus for electrically coupling the plurality. A biocompatible coating hermetically seals and electrically insulates the plurality of similarly shaped linked structures, while at least two electrodes and a plurality of sensors are included.

The plurality of similarly shaped linked structures are arranged so that a first one encapsulates a power source, a second one encapsulates at least one capacitor, and a third one encapsulates electronics. The interconnecting bus electrically couples the at least two electrodes and the plurality of sensors with the electronics. The power source provides power to the electronics and provides electrical energy to the at least one capacitor, and the at least one capacitor stores electrical energy and discharges it to the at least two electrodes when an arrhythmia is detected.

The ISHD places the at least two electrodes on an outer surface of at least two different ones of the plurality of similarly shaped linked structures located at opposite ends of the ISHD, and the electrodes each have a substantially symmetric circular cross-section. The ISHD also places at least two of the plurality of sensors on an outer surface at opposite ends of the ISHD, with the sensors each having a substantially symmetric circular cross-section. The substantially symmetric circular cross-sections enable the ISHD to be indifferent to its roll position.

The ISHD is completely positioned subcutaneously around the heart, outside of a ribcage of the patient, and the larger portion is positioned subcutaneously in an abdominal region. The plurality of similarly shaped linked structures provides flexibility in at least three directions. In one embodiment of the device architecture, the similarly shaped linked structures are vertebrae-like structures.

Claims Coverage

The document provides two independent claim coverages, each describing an implantable subcutaneous heart device architecture with multiple similarly shaped linked or vertebrae-like structures, an interconnecting bus, hermetically sealing and electrically insulating biocompatible coating, at least two electrodes and a plurality of sensors, and specific placement and geometry features. Across the independent claims, the inventive features emphasize modular encapsulation of power source, capacitor, and electronics in separate structures, and opposite-end outer-surface electrode and sensor placement with substantially symmetric circular cross-sections enabling roll-indifference, along with complete subcutaneous positioning outside the ribcage and a larger abdominal portion.

Modular linked-structure encapsulation with interconnecting bus

A plurality of similarly shaped linked structures, each having a substantially symmetric cross-section, and an interconnecting bus for electrically coupling the plurality.

Hermetic electrically insulating biocompatible coating on linked structures

A biocompatible coating, for hermetically sealing and electrically insulating said plurality of similarly shaped linked structures.

Separate structures encapsulating power source, capacitor, and electronics

A first one of said plurality of similarly shaped linked structures encapsulates a power source; a second one encapsulates at least one capacitor; and a third one encapsulates electronics.

Opposite-end outer-surface electrodes with substantially symmetric circular cross-section

At least two electrodes respectively placed on an outer surface of at least two different ones of said plurality of similarly shaped linked structures located at opposite ends of said ISHD, for providing electrical shocks to the heart, wherein said at least two electrodes each have a substantially symmetric circular cross-section.

Opposite-end outer-surface sensors with substantially symmetric circular cross-section

At least two of said plurality of sensors located on an outer surface at opposite ends of said ISHD, for detecting said arrhythmias in the heart, wherein said plurality of sensors each have a substantially symmetric circular cross-section.

Capacitor energy storage and discharge to electrodes upon arrhythmia detection

Said power source provides power to said electronics and provides electrical energy to said at least one capacitor; said at least one capacitor stores electrical energy and discharges said electrical energy to said at least two electrodes when an arrhythmia is detected in the heart.

Complete subcutaneous placement around heart outside ribcage with larger abdominal portion

Said ISHD is completely positioned subcutaneously around the heart, outside of a ribcage of the patient, wherein a larger portion of said ISHD is positioned subcutaneously in an abdominal region of the patient.

Flexibility in multiple directions and roll-indifference via symmetric circular cross-sections

Said plurality of similarly shaped linked structures provides said ISHD flexibility in at least three directions; said substantially symmetric circular cross-sections of said at least two electrodes and said plurality of sensors enable said ISHD to be indifferent to its roll position.

Vertebrae-like structures as the similarly shaped modular elements

A plurality of similarly shaped vertebrae-like structures, each having a substantially symmetric cross-section, and an interconnecting bus for electrically coupling said plurality of similarly shaped vertebrae-like structures.

The independent claims cover a subcutaneous implant architecture using multiple similarly shaped linked or vertebrae-like structures with hermetically sealing and electrically insulating biocompatible coating, an interconnecting bus coupling electrodes and sensors, and modular encapsulation of the power source, capacitor, and electronics in distinct structures. The claims further require opposite-end outer-surface placement of substantially symmetric circular cross-section electrodes and sensors to provide shock delivery and arrhythmia detection while enabling roll-indifference, together with complete subcutaneous placement around the heart outside the ribcage and a larger abdominal portion, and flexibility in at least three directions.

Stated Advantages

Enable the ISHD to be indifferent to its roll position.

Provide ISHD flexibility in at least three directions.

Provide electrical shocks to the heart for regulating arrhythmias.

Detect arrhythmias in the heart.

Documented Applications

Implantable subcutaneous heart device (ISHD) for regulating arrhythmias in a heart of a patient.

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