Pacing apparatus

By placing the pulse generator and electrodes of the pacing device directly on the atrial septum of the heart and using a built-in power supply, the problems of bleeding and adverse reactions caused by external placement in the prior art are solved, and a safer pacing device design is achieved.

WO2026000135A1PCT designated stage Publication Date: 2026-01-02FUWAI HOSPITAL CHINESE ACAD OF MEDICAL SCI & PEKING UNION MEDICAL COLLEGE
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Patent Information

Application Number
PCT/CN2024/101082
Authority / Receiving Office
WO · WO
Patent Type
Applications
Current Assignee / Owner
Filing Date
2024-06-24
Publication Date
2026-01-02

AI Technical Summary

Technical Problem

The pulse generator of existing pacemakers is located outside the patient's body, which can easily lead to bleeding and hematoma at the puncture site and accidental puncture into the subclavian artery, as well as adverse reactions after the procedure.

Method used

The pacemaker's pulse generator and electrodes are directly placed on the atrial septum of the heart, including atrial and ventricular electrodes. It sends pulse signals to the atria and ventricles via electrical connections, reducing surgical damage and providing built-in power.

Benefits of technology

It reduces physical damage during surgery, improves the adverse reactions of externally placed pulse generators, and provides a safer pacing device design.

✦ Generated by Eureka AI based on patent content.

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Abstract

The present application relates to the technical field of medical instruments for stimulating the heart with an electric current, and particularly to a pacing apparatus. The pacing apparatus comprises a main body, a pulse generator, an atrial electrode, and a ventricular electrode. The main body is arranged at the interatrial septum of a user. The pulse generator is arranged in the main body. The atrial electrode is arranged at the main body and is in contact with an atrium of the user. The ventricular electrode is arranged at a ventricle of the user. The pulse generator is configured to be in electrical connection with the atrial electrode and the ventricular electrode and to send pulse signals generated thereby to the atrial electrode and the ventricular electrode. The atrial electrode and the ventricular electrode stimulate the beating of the heart according to the pulse signals. The pacing apparatus provided by embodiments of the present application is directly arranged at the interatrial septum of the user and can reduce damage to the user's body during surgery. Moreover, since the pulse generator is arranged in the main body, there is no need to use an external power supply to supply power to the pacing apparatus.
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Description

Pacing device TECHNICAL FIELD

[0001] The present application relates to the technical field of medical devices for stimulating the heart with electric current, and in particular to a pacing device. BACKGROUND

[0002] The statements herein are merely provided to give general background information on the present application, and do not necessarily constitute the prior art.

[0003] In the related art, the pulse generator and the power supply of the pacing device are arranged at a position outside the heart of the patient, such as near the scapula, which can easily cause bleeding and hematoma at the puncture site, or cause the puncture to enter the subclavian artery, and cause adverse reactions at the position where the pulse generator is placed after the operation.

[0004] SUMMARY

[0005] In the following, a brief summary of the present application is given to provide a basic understanding of some aspects of the present application. It should be understood that this summary is not an exhaustive overview of the present application. It is not intended to identify key or critical elements of the present application or to delineate the scope of the present application. Its sole purpose is to present some concepts in a simplified form as a prelude to the more detailed description that is discussed later.

[0006] In order to solve at least one aspect of the above problem, the embodiments of the present application provide a pacing device for stimulating the heart of a user, which comprises a body, a pulse generator, an atrial electrode and a ventricular electrode, the body is arranged at the atrial septum of the heart of the user, the pulse generator is arranged in the body, the atrial electrode is arranged in the body and in contact with the atrium of the heart of the user, the ventricular electrode is arranged in the ventricle of the user, the pulse generator is electrically connected with the atrial electrode and the ventricular electrode, and sends the pulse signal generated thereby to the atrial electrode and the ventricular electrode, and the atrial electrode and the ventricular electrode stimulate the heart beat according to the pulse signal.

[0007] The pacing device provided by the embodiments of the present application is directly arranged at the atrial septum of the heart of the user, which can reduce the damage to the body of the user during the operation, and can improve the problems caused by arranging the pulse generator outside the heart. BRIEF DESCRIPTION OF DRAWINGS

[0008] In order to further illustrate the above and other advantages and features of the present application, the specific embodiments of the present application are described in detail below in conjunction with the accompanying drawings. The drawings, together with the following detailed description, are incorporated in the specification and form a part of the specification. Elements having the same function and structure are denoted by the same reference numerals. It should be understood that these drawings only describe typical examples of the present application, and should not be regarded as limiting the scope of the present application.

[0009] Fig. 1 is a structural schematic diagram of a pacing device according to an embodiment of the present application;

[0010] Fig. 2 is a structural schematic diagram of a pacing device taking out an adjustment structure and a positioning guide according to an embodiment of the present application;

[0011] Fig. 3 is a structural schematic diagram of a body according to an embodiment of the present application.

[0012] It should be noted that the drawings are not necessarily drawn to scale, but are merely shown in a schematic manner to facilitate understanding.

[0013] Legend of reference signs: 10, heart; 11, atrial septum; 12, ventricle; 121, left ventricle; 122, right ventricle; 13, inferior vena cava; 14, interventricular septum; 15, aorta;

[0014] 200, body; 210, first part; 220, second part; 300, ventricular electrode; 310, end of ventricular electrode; 400, ventricular electrode taking-out device; 500, adjustment structure; 600, positioning guide. DETAILED DESCRIPTION

[0015] Exemplary embodiments of the present application will be described hereinafter with reference to the accompanying drawings. In the description, specific embodiments of the present application have not been described in all features for the sake of clarity and conciseness. It should be appreciated, however, that many specific implementation decisions must be made to achieve the specific objectives of the developer, such as compliance with those constraints related to the system and business, which can vary from implementation to implementation, in the process of developing any such actual implementation. It should also be appreciated that, although the development work can be very complex and time-consuming, it is merely a routine task for those skilled in the art who benefit from the contents of the present application.

[0016] It should also be noted here that, in order to avoid obscuring the present application with unnecessary details, only the device structures and / or processing steps closely related to the scheme according to the present application are shown in the drawings, and other details not closely related to the present application are omitted.

[0017] The following disclosure provides a plurality of different embodiments or examples for implementing the present application. In order to simplify the disclosure of the present application, the components and methods of specific examples are described below. Of course, they are merely examples and the purpose is not to limit the present application. In the description of embodiments of the present application, the meaning of "a plurality of" is at least two, for example, two, three, etc., unless otherwise explicitly specified.

[0018] Referring to FIG. 1 and FIG. 2, FIG. 1 is a structural schematic diagram of a pacing device according to an embodiment of the present application, and FIG. 2 is a structural schematic diagram of the pacing device with a retrieval adjustment structure and a positioning guide according to an embodiment of the present application. The pacing device provided by the embodiment is used to stimulate the heart 10 of a user to beat, and the pacing device comprises a body 200, a pulse generator, an atrial electrode and a ventricular electrode 300. The body 200 is arranged at the atrial septum 11 of the heart 10 of the user, the pulse generator is arranged in the body 200, the atrial electrode is arranged in the body 200 and contacts the atrium of the heart 10 of the user, and the ventricular electrode 300 is arranged in the ventricle 12 of the user. The pulse generator is arranged to be electrically connected with the atrial electrode and the ventricular electrode 300, and sends the pulse signal generated thereby to the atrial electrode and the ventricular electrode 300. The atrial electrode and the ventricular electrode 300 stimulate the heart 10 to beat according to the pulse signal.

[0019] The pacing device provided by the embodiment of the present application is directly arranged at the atrial septum 11 of the heart 10 of the user, which can reduce the damage to the body of the user during the operation. In addition, since the pulse generator is arranged in the body 200, the problems of arranging the pulse generator outside the heart can be improved, and the pacing device does not need to be powered by an external power source.

[0020] Referring to FIG. 3, FIG. 3 is a structural schematic diagram of the body 200 according to an embodiment of the present application. In the embodiment, the body 200 can comprise a first part 210 and a second part 220. The first part 210 and the second part 220 are delivered to the heart 10 of the user by using an input device, and are fixedly arranged at the atrial septum 11. The pulse generator is arranged between the first part 210 and the second part 220.

[0021] The first part 210 and the second part 220 can be a mesh structure capable of being stretched and contracted. The first part 210 and the second part 220 are connected, and the first part 210 and the second part are respectively located on two sides of the atrial septum. When the mesh structure is expanded, it is fixed to the atrial septum. The atrial electrode, the pulse generator and the power source are arranged on the mesh structure, so that the atrial electrode, the pulse generator and the power source are also fixed to the atrial septum.

[0022] In some embodiments, the atrial electrode can be arranged on the outside of the first part 210, so as to contact the atrium of the heart 10.

[0023] In some embodiments, the pacing device further comprises a ventricular electrode retraction device 400 and an adjustment structure 500. The ventricular electrode retraction device 400 is arranged in the first part 210, and the adjustment structure 500 is arranged to cooperate with the ventricular electrode retraction device 400 when the ventricular electrode 300 is installed in the heart 10, so as to adjust the position of the ventricular electrode 300.

[0024] The ventricular electrode retraction device 400 may, for example, include a spool around which a portion of the ventricular electrode 300 is wound, and the adjustment structure 500 is configured to rotate the spool to change the length of the ventricular electrode 300 wound around the spool, thereby adjusting the position of the ventricular electrode 300.

[0025] In some embodiments, the adjustment structure 500 is configured to enter the user's atrium from the user's inferior vena cava 13 and adjust the ventricular electrode retraction device 400 to adjust the position of the ventricular electrode 300 in the user's ventricle 12.

[0026] In some embodiments, the ventricular electrode 300 is configured to extend from the body 200 to the user's ventricle 12 and to secure its end to the user's interventricular septum 14.

[0027] Referring to FIG. 2, one end of the ventricular electrode 300 can be secured to the user's interventricular septum 14, and the adjustment structure 500 can be removed from the user's inferior vena cava 13 after the ventricular electrode 300 is secured to the interventricular septum 14 using the adjustment structure 500 in cooperation with the ventricular electrode retraction device 400.

[0028] In some embodiments, the pacing device further includes a positioning guide 600 configured to position and guide the end 310 of the ventricular electrode 300 when the ventricular electrode 300 is secured to the user's interventricular septum 14.

[0029] By providing the positioning guide 600, the end 310 of the ventricular electrode 300 can be more accurately positioned to a predetermined position and secured to the user's interventricular septum 14.

[0030] In some embodiments, the end 310 of the ventricular electrode 300 is configured to be magnetic, and the positioning guide 600 is configured to be magnetic, such that the positioning guide 600 positions the end 310 of the ventricular electrode 300 by magnetic force between the two.

[0031] As can be readily appreciated, it is more difficult to accurately position the ventricular electrode 300 by directly manipulating the ventricular electrode 300, and the positioning guide 600 provides more accurate positioning of the ventricular electrode 300 by positioning and guiding the ventricular electrode 300, and accurately positioning the ventricular electrode to a predetermined position by magnetic force when it reaches the appropriate position.

[0032] In some embodiments, the positioning guide 600 enters the user's left ventricle 121 through the user's aorta 15, and the ventricular electrode 300 is located in the user's right ventricle 122, and the positioning guide 600 is configured to extend along one side of the interventricular septum 14 and guide and position the ventricular electrode 300 on the other side of the interventricular septum 14 using magnetic force.

[0033] As shown in Fig. 2, after the positioning guide 600 positions and fixes the ventricular electrode 300 to the interventricular septum 14, the positioning guide 600 is taken out through the aorta 15.

[0034] In some embodiments, the end portion 310 of the ventricular electrode is provided in a barb structure, and the positioning guide 600 magnetically attracts the barb structure 310 to guide it to be fixed to the predetermined position of the interventricular septum 14.

[0035] When the positioning guide 600 is used to guide and position the barb structure 310, the positioning guide 600 can first guide the ventricular electrode 300 to move at a position far from the interventricular septum 14, and when the barb structure 310 moves to the predetermined position, the positioning guide 600 is close to the interventricular septum 14 to increase the magnetic force on the barb structure 310, so that the barb structure 310 penetrates into the interventricular septum 14 to be fixed to the predetermined position of the interventricular septum 14.

[0036] According to another embodiment of the present application, a pacing device for stimulating a user's heart to beat comprises: a body arranged at an atrial septum of the user's heart, the body comprising a pulse generator, a power supply and an atrial electrode; a ventricular electrode arranged in contact with the atrial electrode and arranged in contact with an atrium of the user's heart, the ventricular electrode arranged in a ventricle of the user's heart; the pulse generator arranged in electrical connection with the atrial electrode and the ventricular electrode and arranged to transmit a pulse signal generated thereby to the atrial electrode and the ventricular electrode, the atrial electrode and the ventricular electrode arranged to stimulate the heart to beat in response to the pulse signal.

[0037] In this embodiment, the pulse generator, the power supply and the atrial electrode are formed in a telescopic mesh structure, and are formed in a first portion and a second portion, the first portion and the second portion being arranged to be delivered to the user's heart using an input device and arranged to be fixed at the atrial septum.

[0038] In particular, the mesh structure having the functions of the pulse generator, the power supply and the atrial electrode is first contracted together, and after being delivered to a predetermined position in the user's heart using the input device, a first portion of the mesh structure is caused to expand, and then a second portion of the mesh structure is caused to expand, and further, the expanded first portion and the expanded second portion are fixed at the predetermined position. The predetermined position can be, for example, the atrial septum.

[0039] The other structures of the pacing device in this embodiment are the same as those in the previous embodiment, and will not be described in detail.

[0040] It should be noted that the embodiments of the present application can be combined with each other to obtain new embodiments without conflict.

[0041] The above merely describes specific embodiments of the present application, but the protection scope of the present application is not limited thereto, and the protection scope of the present application should be subject to the protection scope of the claims.

Claims

1. A pacemaker for stimulating a user's heartbeat, characterized in that, It includes: The main body, which is disposed in the interatrial compartment of the user's heart, A pulse generator is disposed within the main body. The atrial electrode is disposed on the body and in contact with the atria of the user's heart, and the ventricular electrode is disposed in the ventricle of the user's heart. The pulse generator is configured to be electrically connected to the atrial electrode and the ventricular electrode, and to send the pulse signals it generates to the atrial electrode and the ventricular electrode, which stimulate the heart to beat according to the pulse signals.

2. The pacing device according to claim 1, characterized in that, The main body includes a first part and a second part. The first part and the second part are delivered to the user's heart via an input device, and the first part and the second part are fixedly installed in the interatrial septum. The pulse generator is positioned between the first part and the second part.

3. The pacing device according to claim 2, characterized in that, The atrial electrode is positioned on the outside of the first part so that it contacts the atrium of the heart.

4. The pacing device according to claim 2, characterized in that, It also includes a ventricular electrode deployment and retraction device and an adjustment structure, wherein the ventricular electrode deployment and retraction device is disposed in the first part. The adjustment structure is configured to cooperate with the ventricular electrode retraction device to adjust the position of the ventricular electrode when the ventricular electrode is installed in the heart.

5. The pacing device according to claim 4, characterized in that, The adjustment structure is configured to enter the user's atrium from the user's inferior vena cava and adjust the ventricular electrode retraction device to adjust the position of the ventricular electrode in the ventricle.

6. The pacing device according to claim 1, characterized in that, The ventricular electrode is configured to extend from the body into the user's ventricle, and its end... The part is fixed to the user's interventricular septum.

7. The pacing device according to claim 6, characterized in that, It also includes a positioning guide configured to position and guide the end of the ventricular electrode when the ventricular electrode is fixed to the user's interventricular septum.

8. The pacing device according to claim 7, characterized in that, The end of the ventricular electrode is configured to be magnetic, and the positioning guide is configured to be magnetic, so that the positioning guide positions the end of the ventricular electrode by the magnetic force between the two.

9. The pacing device according to claim 8, characterized in that, The positioning guide enters the user's left ventricle through the user's aorta, and the ventricular electrode is located in the user's right ventricle. The positioning guide is configured to extend along one side of the interventricular septum and uses magnetic force to guide and position the ventricular electrode on the other side of the interventricular septum.

10. The pacing device according to claim 9, characterized in that, The end of the ventricular electrode is provided with a barbed structure, and the positioning guide magnetically attracts the barbed structure to guide it to be fixed at a predetermined position in the interventricular septum.

11. A pacemaker for stimulating a user's heartbeat, characterized in that, It includes: The body, disposed in the interatrial septum of the user's heart, includes a pulse generator, a power supply, and atrial electrodes. A ventricular electrode, wherein the ventricular electrode is connected to the pulse generator and in contact with the atrium of the user's heart, and the ventricular electrode is positioned in the user's ventricle. The pulse generator is configured to be electrically connected to the atrial electrode and the ventricular electrode, and to send the pulse signals it generates to the atrial electrode and the ventricular electrode, which stimulate the heart to beat according to the pulse signals.

12. The pacing device according to claim 11, characterized in that, The main body includes a first part and a second part, which are delivered to the user's heart via an input device and are fixedly installed in the interatrial septum.

13. The pacing device according to claim 12, characterized in that, The atrial electrode is positioned on the outside of the first part so that it contacts the atrium of the heart.

14. The pacing device according to claim 12, characterized in that, It also includes a ventricular electrode deployment and retraction device and an adjustment structure, wherein the ventricular electrode deployment and retraction device is disposed in the first part. The adjustment structure is configured to cooperate with the ventricular electrode retraction device to adjust the position of the ventricular electrode when the ventricular electrode is installed in the heart.

15. The pacing device according to claim 14, characterized in that, The adjustment structure is configured to enter the user's atrium from the user's inferior vena cava and adjust the ventricular electrode retraction device to adjust the position of the ventricular electrode in the ventricle.

16. The pacing device according to claim 11, characterized in that, The ventricular electrode is configured to extend from the body into the user's ventricle and to have its end fixed to the user's interventricular septum.

17. The pacing device according to claim 16, characterized in that, It also includes a positioning guide configured to position and guide the end of the ventricular electrode when the ventricular electrode is fixed to the user's interventricular septum.

18. The pacing device according to claim 17, characterized in that, The end of the ventricular electrode is configured to be magnetic, and the positioning guide is configured to be magnetic, so that the positioning guide positions the end of the ventricular electrode by the magnetic force between the two.

19. The pacing device according to claim 18, characterized in that, The positioning guide enters the user's left ventricle through the user's aorta, and the ventricular electrode is located in the user's right ventricle. The positioning guide is configured to extend along one side of the interventricular septum and uses magnetic force to guide and position the ventricular electrode on the other side of the interventricular septum.

20. The pacing device according to claim 19, characterized in that, The end of the ventricular electrode is configured with a barbed structure, and the positioning guide applies magnetic force to the barbed structure. Attracting it to guide it to a predetermined position on the interventricular septum.

Citation Information

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