Implantable stimulation assemblies having tissue engagement mechanisms, and associated systems and methods
The present technology is generally directed to medical implants, such as stimulation assemblies for stimulating heart tissue. In some embodiments, a stimulation assembly includes a body, circuitry positioned at least partially within the body, an electrode coupled to the body, and a hook mechanism coupled to the body. The stimulation assembly can be implanted at cardiac tissue of a patient such that the electrode electrically contacts the tissue. The circuitry can be configured to receive acoustic energy and convert the acoustic energy to electrical energy, and the electrode can deliver the electrical energy to the tissue to stimulate the tissue. The hook mechanism can be configured to engage the tissue to pull the tissue and the electrode toward and into engagement with one another.
1. A method of implanting a stimulation assembly at a target site of cardiac tissue within a patient, the method comprising:
threading a suture into and back out of the cardiac tissue proximate the target site by advancing the suture out of a catheter, into the cardiac tissue, back out of the cardiac tissue, and then back into the catheter;
advancing the stimulation assembly along the suture until an electrode of the stimulation assembly contacts the cardiac tissue at the target site;
securing the suture to itself at a securement region proximal of the stimulation assembly; and
severing the suture proximal of the securement region.
2. The method of claim 1 wherein the method further comprises detecting one or more electrical timing parameters and/or pacing threshold parameters at the target site.
3. The method of claim 2 wherein detecting the one or more electrical timing parameters and/or pacing threshold parameters includes positioning an electrode of a catheter in contact with the target site before threading the suture into and back out of the cardiac tissue.
4. The method of claim 1 wherein the stimulation assembly includes a body and a plurality of guides coupled to the body, wherein the method further comprises threading the suture through the guides, and wherein advancing the stimulation assembly along the suture includes tracking the guides along the suture.
5. The method of claim 1 wherein securing the suture to itself includes tying or crimping the suture.
6. The method of claim 1 wherein the method further comprises:
advancing the stimulation assembly at least partially through a catheter and along the suture;
after advancing the stimulation assembly along the suture until the electrode of the stimulation assembly contacts the cardiac tissue at the target site, directing acoustic energy toward the stimulation assembly from an acoustic transducer positioned at a distal portion of the catheter;
converting, at the stimulation assembly, the acoustic energy to electrical energy; and
outputting the electrical energy to the cardiac tissue via the electrode.
7. The method of claim 1 wherein the method further comprises:
receiving acoustic energy at the stimulation assembly from a remote source;
converting the acoustic energy to electrical energy at the stimulation assembly; and
outputting the electrical energy to the cardiac tissue via the electrode.
8. The method of claim 1 wherein the target site is along an outer surface of the cardiac tissue.
9. The method of claim 4 wherein the guides are coupled to an outer surface of the body.
10. The method of claim 4 wherein the guides comprise loops coupled to an outer surface of the body.
11. The method of claim 4 wherein the guides comprise loops coupled to an outer side surface of the body.
12. A method of implanting a stimulation assembly at a target site of cardiac tissue within a patient, the method comprising:
threading a suture into and back out of the cardiac tissue proximate the target site;
advancing the stimulation assembly along the suture until an electrode of the stimulation assembly contacts the cardiac tissue at the target site;
securing the suture to itself at a securement region proximal of the stimulation assembly;
severing the suture proximal of the securement region;
receiving acoustic energy at the stimulation assembly from a remote source;
converting the acoustic energy to electrical energy at the stimulation assembly; and
outputting the electrical energy to the cardiac tissue via the electrode.
13. The method of claim 12 wherein the target site is along an outer surface of the cardiac tissue.
14. The method of claim 12 wherein the stimulation assembly includes a body having an outer surface and a plurality of guides coupled to the outer surface of the body, wherein the method further comprises threading the suture through the guides, and wherein advancing the stimulation assembly along the suture includes tracking the guides along the suture.
15. The method of claim 12 wherein the stimulation assembly includes a body having an outer side surface and a plurality of guides coupled to the outer side surface of the body, wherein the method further comprises threading the suture through the guides, and wherein advancing the stimulation assembly along the suture includes tracking the guides along the suture.
16. The method of claim 12 wherein threading the suture into and back out of the cardiac tissue includes advancing the suture out of the catheter, into the cardiac tissue, back out of the cardiac tissue, and then back into the catheter.
17. A method of implanting a stimulation assembly at a target site of cardiac tissue within a patient, the method comprising:
threading a suture into and back out of the cardiac tissue proximate the target site;
threading the suture through a plurality of loops coupled to an outer surface of the stimulation assembly;
tracking the stimulation assembly along the suture until an electrode of the stimulation assembly contacts the cardiac tissue at the target site;
securing the suture to itself at a securement region proximal of the stimulation assembly; and
severing the suture proximal of the securement region.
18. The method claim 17 wherein the guides comprise loops.
19. The method of claim 17 wherein the target site is along an outer surface of the cardiac tissue.
20. The method of claim 17 wherein threading the suture into and back out of the cardiac tissue includes advancing the suture out of the catheter, into the cardiac tissue, back out of the cardiac tissue, and then back into the catheter.