Cardiac arrhythmia treatment devices and delivery
Systems, methods and devices to facilitate insertion of a lead for cardiac therapy into an intercostal space associated with the cardiac notch of a patient are described including devices, methods and medical procedure templates to facilitate insertion proximate to a lateral margin of the patient's sternum.
1. A method comprising:
placing a medical procedure guide on the patient and utilizing the medical procedure guide to identify a location for inserting a lead;
utilizing the medical procedure guide to determine of a presence or an absence of interposed lung;
inserting a lead for cardiac therapy into an intercostal space associated with the cardiac notch of the patient; and
advancing a distal end of the lead through the intercostal space.
2. The method of claim 1 , wherein placing the medical procedure guide on the patient includes affixing the medical procedure guide to the patient.
3. The method of claim 1 , further comprising puncturing the medical procedure guide when puncturing the tissue of the patient.
4. The method of claim 1 , further comprising utilizing imaging markers on the medical procedure guide to further facilitate identification of a location for inserting the lead.
5. A method comprising:
placing a medical procedure guide on the patient and utilizing the medical procedure guide to identify a location for inserting a lead;
utilizing the medical procedure guide to determine a distance between a sternal margin and a thoracic vein or a thoracic artery;
inserting a lead for cardiac therapy into an intercostal space associated with the cardiac notch of the patient; and
advancing a distal end of the lead through the intercostal space.
6. The method of claim 5 , wherein placing the medical procedure guide on the patient includes affixing the medical procedure guide to the patient.
7. The method of claim 5 , further comprising puncturing the medical procedure guide when puncturing the tissue of the patient.
8. The method of claim 5 , further comprising utilizing imaging markers on the medical procedure guide to further facilitate identification of a location for inserting the lead.
9. A method comprising:
placing a medical procedure guide on a patient and utilizing the medical procedure guide to identify a location for inserting a lead;
utilizing imaging markers on the medical procedure guide to determine a proper depth of insertion for a cardiac therapy lead;
inserting a lead for cardiac therapy into an intercostal space associated with the cardiac notch of the patient; and
advancing a distal end of the lead through the intercostal space.
10. The method of claim 9 , wherein placing the medical procedure guide on the patient includes affixing the medical procedure guide to the patient.
11. The method of claim 9 , further comprising puncturing the medical procedure guide when puncturing the tissue of the patient.
12. The method of claim 9 , further comprising utilizing imaging markers on the medical procedure guide to further facilitate identification of a location for inserting the lead.
13. A method comprising:
placing a medical procedure guide on a patient and utilizing the medical procedure guide to identify a location for inserting a lead;
utilizing the medical procedure guide to determine a distance between a posterior surface of a sternum and a pericardium;
inserting a lead for cardiac therapy into an intercostal space associated with the cardiac notch of the patient; and
advancing a distal end of the lead through the intercostal space.
14. The method of claim 13 , wherein placing the medical procedure guide on the patient includes affixing the medical procedure guide to the patient.
15. The method of claim 13 , further comprising puncturing the medical procedure guide when puncturing the tissue of the patient.
16. The method of claim 13 , further comprising utilizing imaging markers on the medical procedure guide to further facilitate identification of a location for inserting the lead.
17. A method comprising:
placing a medical procedure guide on a patient and utilizing the medical procedure guide to identify a location for inserting a lead;
utilizing the medical procedure guide to determine the patient's sternum thickness;
inserting a lead for cardiac therapy into an intercostal space associated with the cardiac notch of the patient;
advancing a distal end of the lead through the intercostal space.
18. The method of claim 17 , wherein placing the medical procedure guide on the patient includes affixing the medical procedure guide to the patient.
19. The method of claim 17 , further comprising puncturing the medical procedure guide when puncturing the tissue of the patient.
20. The method of claim 17 , further comprising utilizing imaging markers on the medical procedure guide to further facilitate identification of a location for inserting the lead.