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    • 9. 发明授权
    • Devices and methods for steering electrical stimulation in cardiac rhythm management
    • 用于在心律管理中转向电刺激的装置和方法
    • US08326423B2
    • 2012-12-04
    • US12147317
    • 2008-06-26
    • Qingsheng ZhuDaniel Felipe Ortega
    • Qingsheng ZhuDaniel Felipe Ortega
    • A61N1/372
    • A61N1/37A61N1/3627
    • Tools and methods are particularly suited for certain cardiac conditions involving use of a catheter for pacing of the right and left ventricles from a lead in the right ventricle, e.g., to facilitate mechanically and/or electrically synchronous contractions for resynchronization. Certain aspects involve pacing and/or mapping by delivering pulses to a cardiac site useful for improving heart function as measured, e.g., by QRS width, fractionation, late LV activation timing, mechanical synchronicity of free wall and septal wall, effective throughput/pressure, or a combination thereof. In one embodiment, a catheter arrangement includes a fixation mechanism to attach the catheter arrangement to heart tissue, individually-addressable electrodes for providing pacing signals to the heart tissue, and an elongated structure that supports the fixation mechanism and the electrodes. The elongated structure is used to direct an end thereof to the target region in the right ventricle, and deliver an electrical pacing signal to different portions within the target region of the heart when the fixation mechanism is operative to attach to heart tissue and also when the fixation mechanism is not attaching the catheter arrangement to heart tissue.
    • 工具和方法特别适合于某些心脏状况,包括使用导管将右心室和左心室从右心室中的引线起搏,例如为了促进用于再同步的机械和/或电同步收缩。 某些方面涉及通过将脉搏递送到心脏位置,用于改善心脏功能,例如通过QRS宽度,分级,晚期LV激活时间,游离壁和间隔壁的机械同步性,有效吞吐量/压力, 或其组合。 在一个实施例中,导管装置包括用于将导管装置附接到心脏组织的固定机构,用于向心脏组织提供起搏信号的单独寻址电极,以及支撑固定机构和电极的细长结构。 细长结构用于将其末端引导到右心室中的目标区域,并且当固定机构可操作地附接到心脏组织时,以及当心脏组织工作时,将电起搏信号递送到心脏的目标区域内的不同部分 固定机构不将导管装置附接到心脏组织。