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公开(公告)号：US07167759B2
公开(公告)日：2007-01-23
申请号：US10115356
申请日：2002-04-03
IPC分类号： A61N1/00
CPC分类号： A61N1/056 , A61N2001/0585
摘要： An electrode line, in particular for an implantable electrostimulation device, which is adapted for insertion into body vessels such as heart chambers or blood vessels, comprising electrodes for the stimulation of body tissue, a longitudinal axis and a distal end, wherein there is provided at least one structural element (2) in the region of the distal end, which has an electrostrictive polymer and which can be connected to a voltage source by way of at least one electrical feed line (3) and which is adapted to change its shape when an electrical voltage is applied.
摘要翻译： 特别是用于可植入电刺激装置的电极线，其适于插入诸如心室或血管的体内容器中，其包括用于刺激身体组织的电极，纵向轴线和远端，其中设置在 在远端区域中的至少一个结构元件（2），其具有电致伸缩聚合物，并且可以通过至少一个馈电线（3）连接到电压源，并且适于当 施加电压。
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公开(公告)号：US07236827B2
公开(公告)日：2007-06-26
申请号：US10200567
申请日：2002-07-19
IPC分类号： A61N1/00
CPC分类号： A61N1/372
摘要： An electrical therapy device has a blocking triggering unit and a re-use blocking unit. The re-use blocking unit prevents the functions of the electrical therapy device during implantation in dependence on the condition of the blocking triggering unit. The blocking triggering unit is triggered either upon implantation or explantation of the electrical therapy device. In some aspects, an electrical therapy device has a blocking triggering unit and a re-use blocking unit, wherein the re-use blocking unit prevents the functions of the electrical therapy device in dependence on the condition of the blocking triggering unit. The blocking triggering unit is triggered upon explantation of the electrical therapy device.
摘要翻译： 电疗装置具有阻塞触发单元和再使用阻断单元。 再使用阻断单元根据阻塞触发单元的状况来防止植入期间电疗装置的功能。 阻塞触发单元在电疗治疗装置的植入或移植时被触发。 在一些方面，电疗装置具有阻塞触发单元和再使用阻断单元，其中再使用阻断单元根据阻塞触发单元的状况来防止电疗装置的功能。 阻塞触发单元在电疗治疗装置的移除时被触发。
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3.发明授权Pacemaker control dependent on natural AV conduction or PVC/VES detection 有权起搏器控制取决于自然AV传导或PVC / VES检测公开(公告)号：US07072714B2
公开(公告)日：2006-07-04
申请号：US10200568
申请日：2002-07-19
IPC分类号： A61N1/362
CPC分类号： A61N1/3622
摘要： A dual-chamber cardiac pacemaker comprising an atrial detection unit which is adapted to detect electrical signals in the atrium of a heart as atrial sense events, a ventricular detection unit which is adapted to detect electrical signals of a ventricle of the heart as ventricular sense events, a stimulation unit which is adapted at least to trigger the delivery of electrical pulses to the ventricle as ventricular stimulation events, and a control unit which is connected to the atrial and the ventricular detection units and the stimulation unit and adapted to control triggering of the delivery of pulses in dependence on the atrial detection unit and the ventricular detection unit in such a way that pulse delivery to the ventricle is triggered after the expiry of an AV time after detection of an atrial sense or stimulation event if prior to expiry of the AV time no ventricular sense event is detected by the ventricular detection unit, wherein the control unit is further adapted to divide ventricular sense events into at least two categories of which a first category concerns ventricular sense events to be associated with natural stimulus conduction from the atrium to the ventricle while a second category concerns ventricular sense events to be associated with ventricular extrasystoles or premature ventricular contractions (PVC) and control of the cardiac pacemaker is differentiated in accordance with whether a ventricular sense event is or is not associated with the first category, characterized in that for the control of triggering of pulse delivery an AV monitoring interval is provided in such a way that the AV monitoring interval is triggered by each atrial sense event which is outside an atrial refractory time, wherein the cardiac pacemaker is adapted to associate ventricular events occurring within the AV monitoring interval to the first category.
摘要翻译： 一种双室心脏起搏器，包括心房检测单元，其适于检测心脏心房中的电信号作为心房感觉事件;心室检测单元，适于检测心室心电图的信号作为心室感觉事件 刺激单元，其适于至少触发作为心室刺激事件将电脉冲输送到心室;以及控制单元，其连接到心房和心室检测单元和刺激单元，并且适于控制触发 根据心房检测单元和心室检测单元递送脉冲，使得在检测到心房感觉或刺激事件之后的AV时间到达心室之后的脉冲传送被触发，如果在AV到期之前 时间不是由心室检测单元检测到心室感觉事件，其中控制单元进一步适于分配 e心室感觉事件分为至少两类，其中第一类涉及心室感觉事件与从心房到心室的自然刺激传导相关联，而第二类涉及心室感觉事件与心室性收缩期或早产性心室收缩相关（ PVC）和心脏起搏器的控制是根据心室感测事件是否与第一类别相关联来区分，其特征在于，为了控制脉冲传递的触发，AV监视间隔以这样的方式被提供： AV监视间隔由在心房不适时间之外的每个心房感觉事件触发，其中心脏起搏器适于将在AV监视间隔内发生的心室事件与第一类别相关联。
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公开(公告)号：US07011648B2
公开(公告)日：2006-03-14
申请号：US10293200
申请日：2002-11-13
IPC分类号： A61M5/178
CPC分类号： A61M25/0668 , A61M2025/0675
摘要： A device for implanting catheters has a tube with a wall and a wire. The tube is intended to be introduced into a body so that at least one catheter can be inserted for implantation through the tube. The wall of the tube has an inside surface and an outside surface. The wire is preferably fixed at its first end in the region of the proximal end of the tube to the inside surface or the outside surface of the wall and the wire is guided in the proximity of that surface along the longitudinal direction of the tube from the proximal end of the tube to the distal end thereof and is then returned in the proximity of the respective other surface of the wall along the longitudinal direction from the distal end of the tube to the proximal end thereof. The wire is used to cut the tube open after insertion of the catheter.
摘要翻译： 用于植入导管的装置具有具有壁和线的管。 该管旨在被引入体内，使得至少一个导管能够被插入以通过该管进行植入。 管的壁具有内表面和外表面。 电线优选地在其第一端固定在管的近端区域到壁的内表面或外表面，并且电线沿着管的纵向从该表面的附近被引导 管的近端到其远端，然后沿着纵向方向从管的远端到其近端在壁的相应另一个表面附近返回。 导线用于在导管插入后切断管。
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公开(公告)号：US07212858B2
公开(公告)日：2007-05-01
申请号：US10833385
申请日：2004-04-28
IPC分类号： A61N1/36
CPC分类号： A61N1/36585
摘要： A medical therapy system has logic and/or signal processing stages between sensors on the input side and therapy applicators on the output side. A signal parameter is determined from the input signals using the logic/processing stages, and/or an indicator signal is determined from the input signals using a logic/processing module consisting of several logic/processing stages. The indicator signal is a measure of the probability of a future event requiring therapy, or a measure of the success of the therapy.
摘要翻译： 药物治疗系统在输入侧的传感器和输出侧的治疗施加器之间具有逻辑和/或信号处理阶段。 使用逻辑/处理级从输入信号确定信号参数，和/或使用由多个逻辑/处理级组成的逻辑/处理模块从输入信号确定指示符信号。 指标信号是需要治疗的未来事件的概率的量度，或衡量治疗成功的量度。
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公开(公告)号：US07110828B2
公开(公告)日：2006-09-19
申请号：US10099550
申请日：2002-03-15
IPC分类号： A61N1/05
CPC分类号： A61N1/057 , A61N1/056 , A61N2001/0585
摘要： An intravascular electrode line is provided with a shaping suitable for fixing in a blood vessel. The shaping is three-dimensional and has line portions enclosing an elongated hollow space, with a pitch direction that is different in relation to the longitudinal direction of the hollow space.
摘要翻译： 血管内电极线具有适于固定在血管中的成形体。 成型是三维的，并且具有包围细长中空空间的线部分，其间距方向相对于中空空间的纵向方向是不同的。
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公开(公告)号：US07191003B2
公开(公告)日：2007-03-13
申请号：US10047999
申请日：2002-01-15
IPC分类号： A61N1/00
CPC分类号： A61N1/371
摘要： A stimulation arrangement having a stimulation unit for the delivery of electrical pulses for the stimulation of body tissue and an evaluation unit which receives electrical signals in conjunction with the delivery of a stimulation pulse and evaluates same for checking a stimulation success, wherein the evaluation unit detects in the received signal such signal features which characterize a lack of stimulation success and delivers a corresponding signal.
摘要翻译： 一种刺激装置，其具有用于传送用于刺激身体组织的电脉冲的刺激单元，以及评估单元，其接收与输送刺激脉冲相关的电信号，并评估其用于检查刺激成功，其中评估单元检测 在接收到的信号中，这种信号特征表现为缺乏刺激成功并传送相应的信号。
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8.发明授权公开(公告)号：US07130695B2
公开(公告)日：2006-10-31
申请号：US10405976
申请日：2003-04-02
IPC分类号： A61N1/372
CPC分类号： A61N1/37211 , A61N1/37252
摘要： An arrangement (10) for monitoring and adjusting a control of an electromedical implant (12) by means of an external control and evaluation unit (14) is made up of the electromedical implant, the external control and evaluation unit and a central, autarchically runnable evaluation logic means (30) which controls the activities of a telemetry unit (16) and a memory unit (34), which is connected to a clock and timer unit (42) and which on the basis of certain communicated data ascertains control sequences and control parameters for monitoring and adjusting the implant and co-ordinates the transmission thereof to the implant. An expert system (ES) may be adapted to assess all monitoring and adjusting tasks on a patient-individual basis.
摘要翻译： 用于通过外部控制和评估单元（14）监视和调整电动植入物（12）的控制的装置（10）由电植入物，外部控制和评估单元以及中央的，可自主运行的 评估逻辑装置（30），其控制遥测单元（16）和存储单元（34）的活动，所述遥测单元（16）和存储单元（34）连接到时钟和定时器单元（42），并且基于某些通信数据确定控制序列， 用于监测和调整植入物的控制参数，并且将其传播调整到植入物。 专家系统（ES）可以适用于在患者个体的基础上评估所有监测和调整任务。
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公开(公告)号：US07047086B2
公开(公告)日：2006-05-16
申请号：US10224528
申请日：2002-08-20
IPC分类号： A61N1/05
CPC分类号： A61N1/056
摘要： A single electrode probe for a cardiac pacemaker system, in particular for a DDD cardiac pacemaker system, has an electrode line with a bifurcated section, at the beginning of which the electrode line divides into two electrode line portions which rejoin at the end of the section to again form one portion, wherein at least one of the portions has at least one electrode for the delivery of electrical energy to adjoining myocardium.
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公开(公告)号：US06976993B2
公开(公告)日：2005-12-20
申请号：US09974780
申请日：2001-10-09
CPC分类号： A61F2/91 , A61F2/915 , A61F2002/91533 , A61F2002/9155
摘要： A stent, in particular a coronary stent, for expansion from a first condition into an expanded second condition in which it holds a vessel in an expanded state, comprising a tubular body whose peripheral surface (1) is formed by a number of support portions (2) which extend in the longitudinal direction of the stent and which comprise bar elements (3) which are connected by way of connecting bars (4), wherein there is provided a number of support portion groups (1.1) with at least a first support portion (2.1) and a second support portion (2.2, 2.3) in adjacent relationship in the peripheral direction of the stent, whose bar elements (3.1, 3.2, 3.3) extend in a meander configuration in the longitudinal direction of the stent, and wherein the first engagement points (4.1, 4.2) of first connecting bars (4) engage the first support portion (2.1) and the second engagement points (4.2, 4.4) of the first connecting bars (4) engage the second support portion (2.2, 2.3), wherein the first and second engagement points (4.1, 4.3, 4.2, 4.4) of the first connecting bars (4) are spaced from each other in the longitudinal direction of the stent and the first connecting bars (4) are of such a configuration and arrangement that the spacing between the first and second engagement points (4.1, 4.3, 4.2, 4.4) of the first connecting bars (4) in the longitudinal direction of the stent changes upon expansion of the stent to compensate for the reduction in length of the support portions.
摘要翻译： 一种支架，特别是冠状支架，用于从第一状态膨胀到扩张的第二状态，其中容纳膨胀状态的容器，包括管状体，其外周表面（1）由多个支撑部分形成（ 2），其在支架的纵向方向上延伸并且包括通过连接杆（4）连接的杆元件（3），其中提供了多个支撑部分组（1.1），其具有至少第一支撑件 （2.1）和第二支撑部分（2.2,2.3），所述第二支撑部分（2.2,2.3,33）在所述支架的周向相邻的关系中，所述支架的杆元件（3.1,3.2,3.3）沿所述支架的纵向方向以曲折的形式延伸，并且其中 第一连接杆（4）的第一接合点（4.1,4.2）接合第一支撑部分（2.1）并且第一连接杆（4）的第二接合点（4.2,4.4）接合第二支撑部分（2.2， 2 其中第一连接杆（4）的第一和第二接合点（4.1,4.3,4.2,4.4）在支架的纵向上彼此间隔开，并且第一连接杆（4）是 在支架的纵向方向上第一连接杆（4）的第一连接杆（4）的第一和第二接合点（4.1,4.3,4.2,4.4）之间的间隔在支架膨胀时变化以补偿减小的这种配置和布置 在支撑部分的长度上。
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