Abstract: An apparatus and method for guiding and centering a catheter to a treatment site within a passageway in the human body includes a flexible tube having a distal end dimension to pass freely along the passageway, and a proximal end adapted to extend outside the body. The flexible tube is provided with a peripherally expandable zone at the distal end of the tube and a longitudinal lumen through the flexible tube dimension for passing a catheter therethrough. The distal end of the flexible tube is guided to a desired location within the passageway. The peripheral zone at the distal end of the tube is then expanded so that the expandable zone pushes against the inner wall of the passageway to center the distal end of the tube within the passageway. With the tube positioned within the passageway, a catheter is passed through the longitudinal lumen of the flexible tube.

Abstract: An apparatus and method for guiding and centering a catheter to a treatment site within a passageway in the human body includes a flexible tube having a distal end dimension to pass freely along the passageway, and a proximal end adapted to extend outside the body. The flexible tube is provided with a peripherally expandable zone at the distal end of the tube and a longitudinal lumen through the flexible tube dimension for passing a catheter therethrough. The distal end of the flexible tube is guided to a desired location within the passageway. The peripheral zone at the distal end of the tube is then expanded so that the expandable zone pushes against the inner wall of the passageway to center the distal end of the tube within the passageway. With the tube positioned within the passageway, a catheter is passed through the longitudinal lumen of the flexible tube.

Abstract: A flexible electrode catheter for rapid endocardial insertion has a "J"-shaped curved configuration. A wing extends laterally from the catheter at the proximal end, and has an established relationship between the lateral direction of the wing and the direction of the curve, allowing the physician to control the orientation of the distal end during and after insertion within the heart. The wing may then be used to stabilize the electrode by taping to the patient's skin. The curved end is opened between 20.degree.-50.degree. from the longitudinal axis of the catheter.

Abstract: Electrode catheters for rapid endocardial insertion and for interconnection with a pacemaker include a flexible conductor having an outer, electrically insulating sheath about the conductor with a curve, bend or other portion at the distal end of the catheter. A wing extends laterally from the catheter at the proximal end, and has an established relationship between the lateral direction of the wing and the curve, bend or other portion allowing the physician to control the orientation of the distal end after insertion to permit the desired positioning of the curve, bend or other portion within the heart. The wing may then be used to stabilize the electrode by taping to the patient's skin.

Abstract: A pacing electrode for rapid endocardial insertion for pacing from the right atrium of a patient and for interconnection with a pacemaker includes a flexible conductor having an outer, electrically insulating sheath about the conductor with a flexible curve at one end of the conductor and an exposed terminal along the flexible curved end. The terminal is adapted for making electrical contact with an inner heart surface, preferably within the right atrium. The curved end of the electrode is straightened during insertion through the circulatory system, and thereafter permitted to resume its curved configuration after entering the heart. A wing extends laterally from the sheath at a position outside the patient's body after the curved end has been inserted into the heart.

Abstract: An apparatus and related method for implanting pacemaker electrodes and similar devices within a patient include an introducer with a tapered end adapted to extend into the patient's body, and a hollow, tubular sleeve having a first portion with an inner dimension greater than the outer dimension of the introducer and a second portion at one end of the sleeve which extends parallel with the introducer and in close engagement therewith, with a gradual taper along the sleeve between the first and second portions. The sleeve has a longitudinal slit along the first portion and through the taper, but short of the forward extremity, to permit the sleeve to be peeled away from the pacemaker electrode after introduction. The introducer and sleeve include corresponding hub and flange arrangements which provide a means for locking the two elements together to prevent inadvertent motion of the sleeve with respect to the introducer as the two elements are being inserted into the patient.

Abstract: An apparatus and related method for implanting pacemaker electrodes and similar devices within a patient include an introducer with a tapered end adapted to extend into the patient's body, and a hollow, tubular sleeve having a first portion with an inner dimension greater than the outer dimension of the introducer and a second portion at one end of the sleeve which extends parallel with the introducer and in close engagement therewith, with a gradual taper along the sleeve between the first and second portions. The sleeve has a longitudinal slit along the first portion and through the taper, but short of the forward extremity, to permit the sleeve to be peeled away from the pacemaker electrode after introduction. The introducer and sleeve include corresponding hub and flange arrangements which provide a means for locking the two elements together to prevent inadvertent motion of the sleeve with respect to the introducer as the two elements are being inserted into the patient.

Abstract: An apparatus and method are disclosed for implanting a pacemaker within a patient with a minimal amount of incision. The pacemaker comprises an encapsulated pulse generator having a receptacle and an electrode having an electrode tip and an electrode connector plug. The electrode connector plug is receivable in the receptacle of the encapsulated pulse generator. A needle is inserted through the exterior skin of the patient to puncture the subclavian vein. An introducer sleeve which is severed or is severable along the length thereof, is inserted into the puncture in the subclavian vein. The introducer sleeve may be introduced through the needle or on the outer surface of a needle, or through the use of a guide wire passed through the internal portion of the needle after the needle is removed. The electrode tip is inserted through the introducer sleeve to enter the vein of the patient. The electrode is moved along the vein to enter the heart of the patient.