公开(公告)号：US20160129244A1

公开(公告)日：2016-05-12

申请号：US14934869

申请日：2015-11-06

申请人： Respicardia, Inc.

发明人： Randy W. Westlund

IPC分类号： A61N1/05

CPC分类号： A61N1/0558 ,  A61N1/05 ,  A61N1/0551 ,  A61N1/056 ,  A61N1/3611 ,  A61N1/36139 ,  A61N1/36521 ,  A61N1/36542 ,  A61N1/37 ,  A61N1/3962 ,  A61N2001/0585

摘要： A medical electrical lead and methods of implanting medical electrical leads in lumens. Leads in accordance with the invention employ preformed biases to stabilize the lead within a lumen or lumen and to provide feedback to lead implanters.

摘要翻译： 一种医用电导线，以及以流明植入医用电线的方法。 根据本发明的引线采用预先设定的偏压，以将导​​线稳定在管腔或内腔内，并向铅注入器提供反馈。

公开(公告)号：US20160121105A1

公开(公告)日：2016-05-05

申请号：US14991649

申请日：2016-01-08

申请人： Axonics Modulation Technologies, Inc.

发明人： Henry Lee ,  Alexander Hwu

IPC分类号： A61N1/05 ,  A61N1/36

CPC分类号： A61N1/0558 ,  A61N1/36007 ,  A61N1/3606 ,  B23K26/242 ,  B23K26/38 ,  B23K26/40 ,  B23K2103/14 ,  B23K2103/18 ,  B23K2103/26 ,  B29C45/14065 ,  B29C45/14598 ,  B29C45/14778 ,  B29L2031/753

摘要： Anchoring devices and methods for affixing an implanted lead of a neurostimulation system at a target location in a patient are provided herein. Such anchoring devices includes a helical body having a plurality of tines extending laterally outward from the lead when deployed that engage tissue to inhibit axial movement of the implanted lead. The plurality of tines are biased towards the laterally extended deployed configuration and fold inward towards the lead to a delivery configuration to facilitate delivery of the lead through a sheath. The tines may be angled in a proximal direction or in both proximal and distal directions and may include various features to assist in visualization and delivery of the lead. The anchor may be formed according to various methods, including laser cutting of a tubular section along with heat or reflow to set the material with the anchor in the deployed configuration and injection molding.

摘要翻译： 这里提供了用于将神经刺激系统的植入引线固定在患者的目标位置的锚定装置和方法。 这种锚固装置包括螺旋体，该螺旋体具有多个尖齿，当展开时从导向件横向向外延伸，这些齿接合组织以阻止植入的导线的轴向移动。 多个尖齿被朝向横向延伸的展开构型偏置，并且朝向导向物向内折叠成输送构型，以促进引线穿过护套的传送。 尖齿可以在近端方向上或在近端方向和远端方向上成角度，并且可以包括各种特征以辅助铅的可视化和递送。 锚可以根据各种方法形成，包括激光切割管状部分以及加热或回流以将锚固件的材料设置在展开构型和注射成型中。

公开(公告)号：US09302094B2

公开(公告)日：2016-04-05

申请号：US14519490

申请日：2014-10-21

申请人： BOSTON SCIENTIFIC NEUROMODULATION CORPORATION

发明人： Michael X. Govea

IPC分类号： A61N1/05 ,  A61N1/375 ,  A61N1/36 ,  A61N1/362

CPC分类号： A61N1/0539 ,  A61N1/0553 ,  A61N1/0558 ,  A61N1/059 ,  A61N1/3605 ,  A61N1/362 ,  A61N1/375 ,  A61N1/3752

摘要： A lead anchor includes a first paddle assembly and a flexible housing. The first paddle assembly includes an assembly housing, an actuator, and at least one pivotable paddle attached to the housing and operably coupled to the actuator. The at least one pivotable paddle is suitably arranged to pivot out of the assembly housing when a user operates the actuator. The lead anchor also includes a flexible housing disposed around the first paddle assembly and defining at least one lead lumen extending adjacent to the first paddle assembly so that the at least one pivotable paddle pivots into a one of the at least one lead lumen to constrain any lead disposed within the one of the at least one lead lumen.

摘要翻译： 引导锚杆包括第一桨叶组件和柔性壳体。 第一桨叶组件包括组件壳体，致动器以及附接到壳体并且可操作地联接到致动器的至少一个可枢转桨。 当用户操作致动器时，至少一个可枢转桨叶被适当地布置成枢转离开组件壳体。 引导锚还包括设置在第一桨组件周围的柔性壳体，并且限定了与第一桨叶组件相邻延伸的至少一个引导腔，使得至少一个可枢转桨叶枢转成至少一个引导腔体中的一个，以约束任何 引线设置在所述至少一个引线管腔中的一个内。

公开(公告)号：US20160089531A1

公开(公告)日：2016-03-31

申请号：US14947502

申请日：2015-11-20

申请人： Astora Women's Health, LLC

发明人： Matthew S. Finlay ,  William J. Rissmann

IPC分类号： A61N1/05

CPC分类号： A61N1/05 ,  A61N1/0512 ,  A61N1/0514 ,  A61N1/0558 ,  A61N1/057 ,  A61N1/059 ,  A61N2001/058

摘要： In a method, an electrode lead is provided that includes a tubular lead body, an electrode supported by the lead body, a rotatable member, a deployable member and a deployment mechanism. The rotatable member is contained within a distal end of the tubular lead body. The deployable member is attached to the rotatable member and comprises a tissue anchor that includes mesh. Also in the method, the distal end of the tubular lead body is positioned proximate target tissue of a patient. The rotatable member is rotated relative to the tubular lead body. The deployable member is driven along the central axis, out the distal end of the tubular lead body, and into the target tissue using the deployment mechanism responsive to the rotation of the rotatable member. The deployment member does not rotate about the central axis with the rotation of the rotatable member.

摘要翻译： 在一种方法中，提供一种电极引线，其包括管状引线本体，由引线主体支撑的电极，可旋转部件，可展开部件和展开机构。 可旋转构件容纳在管状引线体的远端内。 可展开构件附接到可旋转构件并且包括包括网的组织锚。 同样在该方法中，管状引线体的远端位于病人的目标组织附近。 可旋转构件相对于管状引线体旋转。 可展开构件沿着中心轴线从管状引线主体的远端驱动，并且使用响应于可旋转构件的旋转的展开机构进入目标组织。 展开构件不会随着可旋转构件的旋转而围绕中心轴线旋转。

公开(公告)号：US20160082247A1

公开(公告)日：2016-03-24

申请号：US14861713

申请日：2015-09-22

申请人： Boston Scientific Neuromodulation Corporation

发明人： James Robert Black ,  David Ernest Wechter

IPC分类号： A61N1/05

CPC分类号： A61N1/0558 ,  A61N1/0504 ,  A61N1/0539 ,  A61N1/057

摘要： A lead assembly includes an electrical stimulation lead with a lead body having a distal portion, a proximal portion, a longitudinal length, and an outer surface. At least one electrode is disposed along the distal portion of the lead body. At least one terminal is disposed along the proximal portion of the lead body. At least one lead conductor electrically couples the at least one electrode to the at least one terminal. An anchoring arrangement is configured and arranged to reduce undesired movement of the lead relative to a patient when the lead is inserted into the patient. The anchoring arrangement includes at least one helical member attached to, and projecting outwardly from, the outer surface of the lead. The at least one helical member extends along at least 30% of the longitudinal length of the lead and makes at least one full coil around the lead.

摘要翻译： 引线组件包括电刺激引线，引线主体具有远端部分，近端部分，纵向长度和外表面。 至少一个电极沿着引线体的远端设置。 至少一个端子沿引线体的近端部分设置。 至少一个引线导体将所述至少一个电极电耦合到所述至少一个端子。 锚定布置被配置和布置成当引线插入到患者体内时减少引线相对于患者的不期望的移动。 锚定装置包括至少一个螺旋构件，其附接到铅的外表面并从该外表面向外突出。 所述至少一个螺旋构件沿着所述引线的纵向长度的至少30％延伸，并使所述引线周围至少一个完整的线圈。

公开(公告)号：US09259566B2

公开(公告)日：2016-02-16

申请号：US13904252

申请日：2013-05-29

申请人： Greatbatch Ltd.

发明人： Shahn S. Sage

IPC分类号： A61N1/05 ,  A61B17/04 ,  A61B17/068 ,  A61N1/36 ,  A61M25/02

CPC分类号： A61N1/05 ,  A61B17/0469 ,  A61B17/068 ,  A61M25/02 ,  A61N1/0558 ,  A61N1/3605

摘要： In some examples, an anchor for a therapy delivery element includes a body portion including a lumen extending through the body portion. The body portion includes a first configuration in which the lumen is linear, the body portion in the first configuration being configured to receive the therapy delivery element within the lumen. The body portion also includes a second configuration in which the lumen is non-linear, wherein the lumen of the body portion in the second configuration frictionally engages the therapy delivery element.

摘要翻译： 在一些示例中，用于治疗递送元件的锚固件包括主体部分，其包括延伸穿过主体部分的内腔。 主体部分包括其中管腔是线性的第一构造，第一构型中的主体部分构造成在管腔内容纳治疗递送元件。 主体部分还包括第二构造，其中内腔是非线性的，其中第二构造中的主体部分的内腔摩擦地接合治疗递送元件。

公开(公告)号：US09254379B2

公开(公告)日：2016-02-09

申请号：US14375781

申请日：2013-01-30

申请人： University of Iowa Research Foundation

发明人： Matthew A. Howard ,  Hiroyuki Oya ,  Steve Viljoen ,  Chandan G. Reddy

IPC分类号： A61N1/36 ,  A61N1/05

CPC分类号： A61N1/0558 ,  A61N1/0553 ,  A61N1/36071 ,  F04C2270/0421

摘要： This invention provides a device for implantation directly into the spinal cord for the purpose of treating back pain. Electrodes on a backing that conforms directly to the spinal cord are installed as a source of electrical stimulation and pain relief. The electrode array is maintained on the spinal cord by way of a spring or support structure that is anchored to an anatomical structure outside the spinal cord but near the site of implantation. Suitable anchoring structures include the vertebrae and the dura. Secured in this fashion, the support structure maintains a gentle pressure of the electrode array against the spinal cord so as to stay in electrical contact but minimize injury or inflammation. The device may accommodate and buffer movement of the spinal cord both laterally and in a caudal-rostral fashion so that the electrode array remains in place.

摘要翻译： 本发明提供一种直接植入脊髓的装置，用于治疗背部疼痛。 安装在直接与脊髓相适应的背衬上的电极作为电刺激源和疼痛缓解装置。 电极阵列通过弹簧或支撑结构保持在脊髓上，所述弹簧或支撑结构锚固到脊髓外部但在植入位置附近的解剖结构。 合适的锚固结构包括椎骨和硬脑膜。 以这种方式固定，支撑结构保持电极阵列抵抗脊髓的平缓压力，以便保持电接触，但最小化伤害或炎症。 该装置可以横向和尾侧方式容纳和缓冲脊髓的运动，使得电极阵列保持在适当的位置。

公开(公告)号：US20160023012A1

公开(公告)日：2016-01-28

申请号：US14338815

申请日：2014-07-23

申请人： Medtronic, Inc.

发明人： Andrew J. Ries ,  Richard P. Nelson ,  Kamal Deep Mothilal

IPC分类号： A61N1/39

CPC分类号： A61N1/3968 ,  A61N1/0558 ,  A61N1/057 ,  A61N1/372 ,  A61N1/375 ,  A61N2001/0582

摘要： An implantable medical device housing has an outer surface and an inner surface that defines an interior cavity. A wire is coupled to the housing outer surface. The wire wholly defines an open aperture for receiving a fixation member. The wire includes a first wire end, a second wire end, and an annular loop between the first and second ends. A cover extends over at least the first end and the second end of the wire.

摘要翻译： 可植入医疗装置壳体具有限定内腔的外表面和内表面。 线耦合到壳体外表面。 线完全限定用于接收固定构件的开口孔。 线包括第一线端，第二线端和在第一端和第二端之间的环形环。 至少覆盖电线的第一端和第二端的盖子延伸。

公开(公告)号：US09220908B2

公开(公告)日：2015-12-29

申请号：US14496212

申请日：2014-09-25

申请人： Adi Mashiach

发明人： Adi Mashiach

IPC分类号： A61N1/37 ,  A61N1/372 ,  A61N1/05 ,  A61B17/04 ,  A61N1/36 ,  A61N1/378 ,  H04B5/00 ,  H02J7/02 ,  A61N1/375

CPC分类号： A61B17/0482 ,  A61N1/0526 ,  A61N1/0548 ,  A61N1/0558 ,  A61N1/36003 ,  A61N1/3601 ,  A61N1/3605 ,  A61N1/3606 ,  A61N1/36071 ,  A61N1/36075 ,  A61N1/3611 ,  A61N1/36117 ,  A61N1/36125 ,  A61N1/36132 ,  A61N1/36189 ,  A61N1/37229 ,  A61N1/375 ,  A61N1/3787 ,  H02J7/025 ,  H02J50/05 ,  H02J50/12 ,  H04B5/0031 ,  H04B5/0037 ,  H04B5/0081 ,  H04B5/0093 ,  Y10T29/49018

摘要： A sleep apnea treatment device may include a flexible carrier configured to be implanted in a body of a subject. The device may also include at least one electrode disposed on the flexible carrier, the at least one electrode being configured to modulate nerve fibers of the subject. A flexible antenna may be disposed on the flexible carrier, the flexible antenna electrically connected to the at least one electrode in a manner permitting at least some energy received by the flexible antenna to be transferred to the at least one electrode. The flexible antenna may include: at least a first conductive trace arranged on a first side of the flexible carrier, the at least a first conductive trace defining at least a first elongated space between portions thereof; and at least a second conductive trace arranged on a second side of the flexible carrier, the at least a second conductive trace defining at least a second elongated space between portions thereof, wherein the at least a first conductive trace is at least partially offset from the at least a second conductive trace such that portions of the first conductive trace overly the at least a second elongated space and wherein portions of the second conductive trace underlay the at least a first elongated space.

摘要翻译： 睡眠呼吸暂停治疗装置可以包括配置成植入受试者体内的柔性载体。 该装置还可以包括设置在柔性载体上的至少一个电极，所述至少一个电极被配置为调节受试者的神经纤维。 柔性天线可以设置在柔性载体上，柔性天线以允许由柔性天线接收的至少一些能量转移到至少一个电极的方式电连接到至少一个电极。 柔性天线可以包括：布置在柔性载体的第一侧上的至少第一导电迹线，至少第一导电迹线，其在其部分之间至少限定第一细长空间; 以及布置在所述柔性载体的第二侧上的至少第二导电迹线，所述至少第二导电迹线在其部分之间至少限定第二细长空间，其中所述至少第一导电迹线至少部分地偏离 至少第二导电迹线，使得第一导电迹线的部分超过至少第二细长空间，并且其中第二导电迹线的部分衬底至少第一细长空间。

公开(公告)号：US09220887B2

公开(公告)日：2015-12-29

申请号：US13490600

申请日：2012-06-07

申请人： Matthew S. Finlay ,  William J. Rissmann

发明人： Matthew S. Finlay ,  William J. Rissmann

IPC分类号： A61N1/05

CPC分类号： A61N1/05 ,  A61N1/0512 ,  A61N1/0514 ,  A61N1/0558 ,  A61N1/057 ,  A61N1/059 ,  A61N2001/058

摘要： An electrode lead comprises a tubular lead body, an electrode supported by the lead body, a rotatable member, a deployable member and a deployment mechanism. The rotatable member is contained within a distal end of the tubular lead body. The deployable member is attached to the rotatable member and comprises a tissue anchor. The deployment mechanism is configured to drive the deployable member along a central axis and out the distal end of the tubular lead body responsive to rotation of the rotatable member about the central axis. In one embodiment, the deployable member does not rotate about the central axis with the rotation of the rotatable member.

摘要翻译： 电极引线包括管状引线体，由引线体支撑的电极，可旋转部件，可展开部件和展开机构。 可旋转构件容纳在管状引线体的远端内。 可展开构件附接到可旋转构件并且包括组织锚。 所述展开机构构造成响应于所述可旋转构件围绕所述中心轴的旋转而沿着中心轴线驱动所述可展开构件并且从所述管状引线主体的远端驱动。 在一个实施例中，可展开构件不随着可旋转构件的旋转而围绕中心轴线旋转。