Disclosed is a coupling for use in a looped medical device, such as a loop catheter. A sleeve is fitted onto a distal portion of an activation wire and a shape-memory wire is positioned alongside the sleeved activation wire. The sleeve is welded onto the activation wire to hold the sleeve onto the activation wire and is also welded onto the shape-memory wire that is positioned alongside the activation wire, thereby affixing the activation wire to the shape-memory wire. Also disclosed is an activation wire for use in a catheter. The activation wire includes a proximal section, and a distal section having at least a partial loop. The activation wire includes a connection section on the distal section, where the connection section is linear, and where the external surface of the connection section has a higher coefficient of friction than at least some of the remaining portion of the actuation wire that is housed within the catheter shaft.

Medical devices and methods for making and using medical devices are disclosed. An example medical device may include an implantable medical device. The implantable medical device may include an implantable pacing member having a housing and a lead input. A lead may be coupled to the lead input. The lead may be designed to extend along a pericardial space, epicardium, or both and engage a heart chamber. A passageway may be defined along a portion of the length of the lead.

A degradable cardiac pacing current-providing wire, comprising: conductive core; insulating film ,covering said conductive core, wherein said conductive core is made of magnesium alloy, the weight percentage of said magnesium alloy is: zinc 4.5-5.5%, manganese 0.8-1.2%, calcium 0.8-1.2%, and the remainder is magnesium, said insulating film is made of either or at least two copolymers of Polylactic acid (PLA), Polyglycolic acid (PGA), Polycaprolactone (PCL), Polydioxanone (PDS) and Polyhydroxyalkanoate (PHA). A cardiac pacing current-providing unit, for use in providing pacing current to the heart of the patient, comprising: wire; suture needle and connecting electrode which is connected to the cardiac pacemaker, there is no wire residue in the body after degradation, and no metal artifacts will occur, which makes the patients free from the need for re-operation, and reduces the mental, physical and economic burden caused by the operation, has a strong clinical application value.

Implantation of a cardiac stimulus system using parasternal access to the ITV is provided. Superior access may be achieved using parasternal locations in the upper ribcage to access the ITV. Inferior access may be achieved using parasternal locations in the lower ribcage to access the ITV. Parasternal access may include creating an opening in an intercostal space between two ribs and advancing a needle using ultrasound guidance.

Medical devices and methods for making and using medical devices are disclosed. An example medical device may include an implantable medical device. The implantable medical device may include an implantable pacing member having a housing and a lead input. A lead may be coupled to the lead input. The lead may be designed to extend along a pericardial space, epicardium, or both and engage a heart chamber. A passageway may be defined along a portion of the length of the lead.

A cardiac pacing system that includes an implantable pulse generator and electrical leads that include a lead body portion having a distal end and a proximal end, a connector configured to electrically connect the proximal end of the lead body to the pulse generator, and at least one electrode disposed at the distal end of the lead body for delivering electrical stimulation to a patient's heart, wherein the distal end of the lead body is configured to terminate within the mediastinum of the thoracic cavity of the patient, proximate to the heart.

Implantation of a cardiac stimulus system into the mediastinum using the ITV. Superior, intercostal, and inferior access methods are discussed and disclosed. Superior access may be performed using the brachiocephalic vein to access the ITV, with access to the brachiocephalic vein achieved using subclavian vein, using standard visualization techniques. Inferior access may be accomplished inferior to the lower rib margin via the superior epigastric vein. Intercostal access may include creating an opening in an intercostal space between two ribs and advancing a needle using ultrasound guidance.

The present invention includes devices and methods for lead, conduit or other medical fixture placement in tissues or organs. The device is configured to permit the placement foot, such as a suction foot, to articulate to a desired position with respect to the target tissue, while the lead, conduit or other medical fixture is releasably attached to the placement foot to permit it to be released from the placement foot after stabilization on the target tissue site. In a preferred embodiment, the invention features an articulating dual suction foot device, an inner lead conduit or guide and foot contained within an outer lead conduit or guide and foot, with the inner conduit or guide configured to extend from the outer conduit or guide, and to be further articulated once extended.

A method, system and device for implanting an electrode assembly of an implantable medical device in a patient's heart. Positioning one or more radiopaque markers in a coronary sinus of the patient's heart. Positioning, by using the one or more positioned radiopaque markers as a fluoroscopic visual reference, a distal tip of a delivery catheter within a right atrium of the patient's heart so that a distal opening of a lumen of the catheter is against a septal wall of the heart at a location between the ostium of the coronary sinus and the A-V nodal area of the right atrium, and so that the tip of the catheter is generally directed toward a left ventricle of the patient's heart. Advancing the electrode assembly through the lumen of the catheter and into the septal wall.

A medical system comprising a guiding catheter having an inflation lumen. The inflation lumen extends within a handle and a shaft of the guiding catheter. An inflatable sleeve has a proximal end and a distal end, with the ends attached to the guiding catheter. A sealed interior portion of the inflatable sleeve is bounded by the inflatable sleeve and the shaft of the guiding catheter, and in fluid communication with a distal port of the inflation lumen. The system further comprises a delivery catheter defining a delivery lumen and configured for sliding engagement within the guide lumen of the guiding catheter.