# US 2014/0194965 A1 · Implantable epicardial electrode assembly

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- Number: US 2014/0194965 A1
- Document ID: US20140194965A1
- Status: Published application
- Kind: A1
- Application number: 14/241,091
- Filed: 2012-08-16
- Published: 2014-07-10
- Earliest claimed: 2011-08-26
- Inventors: Peter Osypka
- Web page: https://patentgrep.com/patent/US20140194965A1

## CPC

- A61N 1/059: {Anchoring means}
- A61N 1/0597: {Surface area electrodes, e.g. cardiac harness}
- A61N 1/3625: {External stimulators}
- A61N 1/3918: {characterised by shock pathway, e.g. by electrode configuration}
- A61N 1/3956: {Implantable devices for applying electric shocks to the heart, e.g. for cardioversion}
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

An implantable epicardial electrode assembly comprises electrode poles fixed on the heart having a large surface area and being multipolar and can at the same time be used as sensing and stimulating electrodes, wherein the electrode assembly has the shape of a tennis racket or is circular, elliptical, hexagonal, rectangular, oakleaf-shaped, star-shaped or cloverleaf-shaped and comprises at least two electrode poles which are arranged over a large surface area, and a further electrode arrangement which comprises at least one electrode pole and which is arranged between the large surface area electrode poles and further comprises a fixing element, wherein the defibrillation can take place between the mutually insulated poles of the electrodes, and wherein the stimulation of the heart can take place between one of the electrode poles and a pole of the electrode arrangement.

## Claims

### Claim at position 1

1-8. (canceled)

### Claim 9

An implantable epicardial electrode assembly including comprising:
a plurality of electrodes including:
a plurality of defibrillation electrode poles fixed on the heart which have a large surface area, wherein at least two defibrillation electrode poles are arranged over a large surface area, wherein defibrillation can take place between mutually insulated defibrillation electrode poles arranged over a large surface area; and
at least one sensing electrode pole fixed on the heart and can at the same time be used as sensing and stimulating electrodes, wherein at least one of the sensing electrode poles is arranged between the defibrillation electrode poles, wherein stimulation of heart tissue can take place between one of the defibrillation electrode poles and the sensing electrode poles; and
a fixing element configured to fix the electrode assembly to the surface of heart tissue, wherein the electrode assembly has the shape of a tennis racket or is circular, elliptical, hexagonal, rectangular, oak leaf-shaped, star-shaped or cloverleaf-shaped, wherein the electrode assembly is configured to be easily removed at any time after use by being pulled out, and wherein the electrode assembly is configured to permit measurement monitoring, stimulation, and defibrillation of heart tissue in conjunction with a heart pacemaker or defibrillator being positioned outside a patient body.

### Claim 10 (depends on 1)

The implantable epicardial electrode assembly according to claim 1, wherein the electrode poles comprise a metal mesh, metal strand or a metal filament.

### Claim 11 (depends on 1)

The implantable epicardial electrode assembly according to claim 1, wherein the sensing electrode pole that is arranged between the defibrillating electrode poles is multi-polar, and wherein the stimulation of the heart can take place between each pole of the multi-polar sensing electrode pole.

### Claim 12 (depends on 1)

The implantable epicardial electrode assembly according to claim 1, wherein a part of the electrode assembly facing away from the heart is covered by a stretchable insulating film which comprises silicone.

### Claim 13 (depends on 1)

The implantable epicardial electrode assembly according to claim 1, wherein the plurality of electrodes are integrated into an insulating highly flexible tube said tube having at least one opening for each pole, wherein the opening faces the use position towards the heart.

### Claim 14 (depends on 5)

The implantable epicardial electrode assembly according to claim 5, wherein a distance of the electrode poles can vary and wherein liquids or liquid medicine can flow through an opening.

### Claim 15 (depends on 1)

The implantable epicardial electrode assembly according to claim 1, wherein the fixing element comprises fixation elements of differing anchor shapes including threads, helix, or loops.

### Claim 16 (depends on 1)

The implantable epicardial electrode assembly according to claim 1, wherein all information signals and supplied power for pacing or cardioversion of the heart is stored, and can be wirelessly transmitted in both directions.
