Enhanced Implantable Cardioverter-Defibrillator (ICD) System with Substernal Pacing Lead

Publication ID: 24-11857779_0006_PTD
Published: October 28, 2025
Category:Direct Improvements & Enhancements

Legal Citation

pr1or.art Inc., “Enhanced Implantable Cardioverter-Defibrillator (ICD) System with Substernal Pacing Lead,” Published Technical Disclosure No. 24-11857779_0006_PTD, Published October 28, 2025, available at https://archive.pr1or.art/24-11857779_0006_PTD
This technical disclosure describes improvements that would be readily apparent to a Person Having Ordinary Skill In The Art (PHOSITA) when considered in combination with the foundational architecture disclosed in U.S. Patent No. 11,857,779.

Summary of the Inventive Concept

The present invention relates to an improved implantable cardioverter-defibrillator (ICD) system with a substernal pacing lead, designed to reduce cardiac tissue damage during defibrillation and provide more efficient and effective cardiac defibrillation.

Background and Problem Solved

The original patent disclosed an ICD system with a substernal pacing lead, which, although effective, had limitations in terms of cardiac tissue damage during defibrillation. The present invention addresses these limitations by introducing novel features that optimize the defibrillation pulse and reduce cardiac tissue damage.

Detailed Description of the Inventive Concept

The enhanced ICD system comprises an ICD, a substernal pacing lead, and a cardiac tissue protection module. The substernal pacing lead is designed to reduce cardiac tissue damage during defibrillation, and the cardiac tissue protection module adjusts the defibrillation pulse width and amplitude based on the patient's cardiac tissue characteristics. The system can also include a real-time cardiac tissue monitoring module to detect cardiac tissue damage during defibrillation and adjust the defibrillation pulse accordingly. The inventive concept provides a more efficient and effective cardiac defibrillation system that reduces cardiac tissue damage.

Novelty and Inventive Step

The novel features of the present invention include the cardiac tissue protection module, the real-time cardiac tissue monitoring module, and the optimized defibrillation pulse. These features provide a non-obvious solution to the problem of cardiac tissue damage during defibrillation, and offer a significant improvement over the original patent.

Alternative Embodiments and Variations

Alternative embodiments of the inventive concept may include different configurations of the substernal pacing lead, such as varying the electrode design or the lead's geometry. Additionally, the cardiac tissue protection module and real-time cardiac tissue monitoring module could be implemented using different algorithms or sensing technologies.

Potential Commercial Applications and Market

The enhanced ICD system has significant commercial potential in the cardiac rhythm management market, particularly in the area of implantable cardioverter-defibrillators. The system's ability to reduce cardiac tissue damage during defibrillation makes it an attractive solution for patients at risk of cardiac arrhythmias.

Field of Art

Medical device engineering, specifically implantable cardiac rhythm management systems, focusing on cardioverter-defibrillator technology and lead design

Person of Ordinary Skill (PHOSITA) Profile

A biomedical engineer with advanced degree, specialized knowledge in cardiac electrophysiology, medical device design, and electrical stimulation technologies, familiar with implantable cardiac device optimization techniques

Obviousness Rationale

A PHOSITA would recognize that the published technical disclosure represents predictable variations on the source patent's core ICD system design. The proposed cardiac tissue protection and monitoring modules represent logical extensions of existing defibrillation technologies, utilizing standard engineering approaches to address known challenges in cardiac tissue damage during electrical stimulation. The modifications represent incremental improvements that would be apparent to a skilled practitioner seeking to optimize implantable cardiac device performance.

Obvious Combinations & Variations

Source Patent Element
Substernal pacing lead with defibrillation electrode configuration
PTD Variation
Adding a cardiac tissue protection module to dynamically adjust pulse parameters
Obviousness Reasoning
Known design optimization technique to minimize tissue damage, using predictable electrical parameter adjustments based on tissue characteristics
Source Patent Element
ICD configured to deliver pacing pulses with variable pulse widths
PTD Variation
Real-time cardiac tissue monitoring module to adjust defibrillation pulse characteristics
Obviousness Reasoning
Applying feedback control principles common in medical device engineering to dynamically optimize electrical stimulation parameters
Source Patent Element
Implantable cardioverter-defibrillator system with subcutaneous implementation
PTD Variation
Enhanced lead geometry and electrode design to reduce cardiac tissue damage
Obviousness Reasoning
Routine engineering design variation using known geometric optimization techniques to improve medical device performance
Source Patent Element
Defibrillation pulse delivery mechanism
PTD Variation
Implementing algorithmic pulse width and amplitude modulation based on patient-specific cardiac tissue characteristics
Obviousness Reasoning
Applying standard signal processing and adaptive control methodologies to personalize medical device electrical stimulation
35 U.S.C. § 103 Summary: Based on the teachings of US Patent 11857779 and the published technical disclosure, a person having ordinary skill in the art would find the claimed variations obvious, as they represent predictable engineering solutions utilizing known techniques for optimizing implantable cardiac defibrillation systems. The disclosed modifications constitute routine design choices that would be apparent to a skilled practitioner seeking to improve cardiac tissue protection during electrical stimulation.

Original Patent Information

Patent NumberUS 11,857,779
TitleImplantable cardioverter-defibrillator (ICD) system including substernal pacing lead
Assignee(s)Medtronic, Inc.