公开(公告)号：US20180243552A1

公开(公告)日：2018-08-30

申请号：US15963411

申请日：2018-04-26

Applicant: Medtronic, Inc.

Inventor： Kevin R. SEIFERT ,  Nathan L. OLSON

IPC: A61N1/05 ,  A61M25/00 ,  A61M25/04

CPC classification number: A61N1/05 ,  A61M25/0043 ,  A61M25/04

Abstract: An implantable medical therapy delivery device includes a non-conductive filament extending along a length of an outer surface of an insulative body of the device, wherein the filament includes a plurality of fixation projections and is secured to the outer surface of the insulative body such that the projections protrude outward from the outer surface and are spaced apart from one another along the length of the outer surface. The filament may be wound about the length with an open pitch. In some cases, the insulative body includes an open-work member forming at least a portion of the outer surface thereof, and the filament may be interlaced with the open-work member. In these cases, the filament may be bioabsorbable, for example, to provide only acute fixation via the projections thereof, while the open-work member provides a structure for tissue ingrowth and, thus, more permanent or chronic fixation.

公开(公告)号：US20170202577A1

公开(公告)日：2017-07-20

申请号：US15477401

申请日：2017-04-03

Applicant: Medtronic, Inc.

Inventor： Kevin R. SEIFERT ,  Roger A. CHRISTOPHERSON ,  Nathan L. OLSON ,  Rebecca L. POINDEXTER

IPC: A61B17/34 ,  A61N1/05

CPC classification number: A61B17/3468 ,  A61B17/00234 ,  A61B17/32 ,  A61B17/3415 ,  A61B2017/00243 ,  A61B2017/00349 ,  A61B2017/320056 ,  A61B2090/0811 ,  A61M25/0662 ,  A61N1/0504 ,  A61N1/0563

Abstract: Implant tools and techniques for implantation of a medical lead, catheter or other implantable component are provided. The implant tools and techniques are particularly useful in implanting medical electrical leads in extravascular locations, including subcutaneous locations. An example implant tool for implanting a medical lead includes a rod and a sheath configured to be placed on the rod. The rod includes a handle, a shaft having a proximal end adjacent to the handle and a distal end, and an attachment feature toward the distal end of the shaft, the attachment feature configured to couple to the medical lead. The sheath is configured to be placed in multiple positions along the rod including a first position in which the sheath does not interact with the attachment feature and second position in which the sheath does interact with the attachment feature.

公开(公告)号：US20160175008A1

公开(公告)日：2016-06-23

申请号：US14973800

申请日：2015-12-18

Applicant: Medtronic, Inc.

Inventor： Kevin R. SEIFERT ,  Nathan L. OLSON ,  Becky L. DOLAN

IPC: A61B17/34 ,  A61N1/05

CPC classification number: A61B17/3468 ,  A61B17/320016 ,  A61B2017/00026 ,  A61B2017/00424 ,  A61B2017/320056 ,  A61N1/05 ,  A61N1/0504

Abstract: This disclosure provides various embodiments of implant tools and implant techniques utilizing those tools. In one embodiment, an implant tool comprises a handle and a shaft. The shaft includes a proximal end adjacent the handle, a distal end, an open channel that extends from near the proximal end to the distal end, and at least one lumen that extends from a proximal end of the shaft to a location near the distal end of the shaft. The implant tool may also include a coupler configured to connect to a fluid delivery device. In one example, the fluid delivery device may be a syringe. In some instances, the handle of the implant tool may include a compartment or a recess configured to receive the fluid delivery device.

Abstract translation: 本公开提供了利用这些工具的植入工具和植入技术的各种实施例。 在一个实施例中，植入工具包括手柄和轴。 所述轴包括邻近所述手柄的近端，远端，从所述近端近端延伸到所述远端的开放通道，以及从所述轴的近端延伸到所述远端附近的位置的至少一个腔 的轴。 植入工具还可以包括被配置为连接到流体输送装置的联接器。 在一个示例中，流体输送装置可以是注射器。 在一些情况下，植入物工具的手柄可以包括构造成接收流体输送装置的隔室或凹部。

公开(公告)号：US20160158530A1

公开(公告)日：2016-06-09

申请号：US14962541

申请日：2015-12-08

Applicant: Medtronic, Inc.

Inventor： Ronald A. DRAKE ,  Kevin R. SEIFERT ,  Andrea J. ASLESON ,  Lester O. STENER ,  Nathan L. OLSON

IPC: A61N1/05 ,  A61N1/39

CPC classification number: A61N1/372 ,  A61B17/3468 ,  A61B2017/320056 ,  A61N1/0504 ,  A61N1/0563 ,  A61N1/3956

Abstract: This disclosure provides various embodiments of implant tools and implant techniques utilizing those tools to implant components within extravascular locations. In one example, an implant tool for implanting a component within an extravascular location of a patient comprise a handle and a shaft adjacent the handle. The shaft has a proximal end, a distal end, and a body formed to define an open channel that extends from near the proximal end to the distal end. The open channel has a first width. The body has at least one flexible portion that defines an opening via which the open channel is accessed. The opening has a second width that is less than the first width. In another example, a sheath with an opening having the second width may be placed on the shaft of the implant tool instead of the implant tool having the at least one flexible portion.

Abstract translation: 本公开提供了植入工具和植入技术的各种实施例，利用这些工具将组件植入血管外位置。 在一个示例中，用于将组件植入患者的血管外位置的植入工具包括手柄和邻近手柄的轴。 轴具有近端，远端和形成为限定从近端近端延伸到远端的开放通道的主体。 开放通道具有第一宽度。 身体具有至少一个柔性部分，该柔性部分限定开口，通过该开口访问开放通道。 开口具有小于第一宽度的第二宽度。 在另一示例中，具有第二宽度的开口的护套可以放置在植入工具的轴上，而不是具有至少一个柔性部分的植入工具。

公开(公告)号：US20160175580A1

公开(公告)日：2016-06-23

申请号：US14973818

申请日：2015-12-18

Applicant: Medtronic, Inc.

Inventor： Mark T. MARSHALL ,  Vladimir P. NIKOLSKI ,  Nathan L. OLSON

IPC: A61N1/05

CPC classification number: A61N1/05 ,  A61N1/0504 ,  A61N1/0563

Abstract: An implantable medical electrical lead having an elongate lead body having a proximal end and a distal portion. A plurality of defibrillation electrodes coupled to the distal portion is included, the plurality of electrodes being transitionable from a first configuration in which the defibrillation electrodes are biased in an expanded configuration to a second configuration in which the defibrillation electrodes are in a collapsed configuration. A joint slideably disposed around a portion of the lead body is included, at least a portion of the plurality of defibrillation electrodes being coupled to the joint

Abstract translation: 一种具有细长引线本体的可植入医用电线，其具有近端和远侧部分。 包括耦合到远侧部分的多个除颤电极，所述多个电极可从其中除颤电极以扩张构型偏置到其中除颤电极处于折叠构型的第二配置的第一配置转变。 包括可滑动地设置在引线主体的一部分周围的接头，多个除颤电极的至少一部分耦合到接头

公开(公告)号：US20160158567A1

公开(公告)日：2016-06-09

申请号：US14963303

申请日：2015-12-09

Applicant: Medtronic, Inc.

Inventor： Mark T. MARSHALL ,  Gonzalo MARTINEZ ,  Vladimir P. NIKOLSKI ,  Nathan L. OLSON ,  Kevin R. SEIFERT ,  Teresa A. WHITMAN

IPC: A61N1/39 ,  A61N1/05 ,  A61B5/042

Abstract: This disclosure describes an implantable medical electrical lead and an ICD system utilizing the lead. The lead includes a lead body defining a proximal end and a distal portion, wherein at least a part of the distal portion of the lead body defines an undulating configuration. The lead includes a defibrillation electrode that includes a plurality of defibrillation electrode segments disposed along the undulating configuration spaced apart from one another by a distance. The lead also includes at least one electrode disposed between adjacent sections of the plurality of defibrillation sections. The at least one electrode is configured to deliver a pacing pulse to the heart and/or sense cardiac electrical activity of the heart.

Abstract translation: 本公开描述了可植入医疗电引线和利用引线的ICD系统。 引线包括限定近端和远端部分的引线主体，其中引线主体的远端部分的至少一部分限定起伏构型。 引线包括除颤电极，其包括沿着彼此间隔开一定距离的起伏构型设置的多个除颤电极段。 引线还包括设置在多个除颤部分的相邻部分之间的至少一个电极。 所述至少一个电极被配置成将起搏脉冲输送到心脏和/或感测心脏的心脏电活动。