公开(公告)号：US20140046163A1

公开(公告)日：2014-02-13

申请号：US14038984

申请日：2013-09-27

Applicant: Greatbatch Ltd.

Inventor： John M. Swoyer ,  Allison M. Kidder ,  Jeffrey Zweber ,  Scott Brainard ,  Valerie Glazier

IPC: A61B5/00 ,  A61B1/00 ,  A61N1/05 ,  A61B5/04

CPC classification number: A61B5/0084 ,  A61B1/00165 ,  A61B5/04 ,  A61N1/0509 ,  A61N1/0551 ,  A61N1/0558 ,  A61N1/0573 ,  A61N1/0587

Abstract: A medical device for placing a medical lead in the human body using minimally invasive techniques is described. One lead includes a lead body connected to a lead head having an aperture for providing fiber optic access to the interior of a helical electrode. The fiber optic shaft may be disposed within or along-side a drive shaft releasably coupled to the lead head to rotate the head. The drive shaft and lead body may be delivered using a delivery catheter. The delivery catheter can be advanced though a small incision to the target tissue site, and the site remotely visualized through the fiber optic scope extending through the lead head aperture. The lead head can be rotated, rotating the helical electrode into the tissue, and the catheter, drive shaft, and fiber optic probe removed.

Abstract translation: 描述了使用微创技术将医用铅放置在人体内的医疗装置。 一个引线包括连接到具有用于提供到螺旋电极的内部的光纤访问的孔的引导头的引线体。 光纤轴可以设置在可释放地联接到引导头的驱动轴内或侧面，以旋转头部。 驱动轴和引线体可以使用输送导管输送。 输送导管可以通过小切口前进到目标组织部位，并且通过穿过引导头孔的光纤镜片远程可视化部位。 引导头可以旋转，将螺旋电极旋转到组织中，导管，驱动轴和光纤探针被移除。

公开(公告)号：US20150134038A1

公开(公告)日：2015-05-14

申请号：US14537051

申请日：2014-11-10

Applicant: Greatbatch Ltd.

Inventor： Michele Spinelli ,  John M. Swoyer

IPC: A61N1/05

CPC classification number: A61N1/0558 ,  A61N1/05 ,  A61N1/0512 ,  A61N1/0551 ,  A61N1/36007 ,  A61N1/3606 ,  A61N1/36132 ,  A61N1/36146 ,  A61N1/37235 ,  A61N1/37247

Abstract: In various examples, a stimulation lead for at least partial implantation within a patient includes an elongate lead body and a sheath selectively attachable to the lead body. The sheath includes a fixation member. The fixation member includes a retracted configuration in which the fixation member is disposed proximate the sheath. In a deployed configuration, the fixation member extends radially outwardly from the sheath to anchor the stimulation lead within the patient. In a removal configuration, the fixation member is radially inwardly collapsible toward the longitudinal sheath axis with the lead body removed from within the sheath.

Abstract translation: 在各种示例中，用于在患者内至少部分植入的刺激引线包括细长引线体和可选择性地附接到引线体的护套。 鞘包括固定构件。 固定构件包括缩回构型，其中固定构件设置在护套附近。 在展开的构造中，固定构件从护套径向向外延伸以将刺激引线锚定在患者体内。 在去除构造中，固定构件朝着纵向护套轴线径向向内折叠，并且引线体从护套内移除。

公开(公告)号：US08886338B2

公开(公告)日：2014-11-11

申请号：US14171995

申请日：2014-02-04

Applicant: Greatbatch Ltd.

Inventor： James Finley ,  Jesse Geroy ,  Lawrence Kane ,  John M. Swoyer

IPC: A61B17/04 ,  A61N1/05 ,  A61B17/00

CPC classification number: A61B17/0401 ,  A61B2017/0084 ,  A61B2017/00858 ,  A61B2017/00964 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61N1/0558 ,  A61N2001/0582

Abstract: A suture anchor for securing a therapy delivery element in a desired location within a living body using a suture material. The suture anchor includes an inner sleeve with a primary lumen sized to receive the therapy delivery element. The inner sleeve includes a compliant material having a first durometer. An anchor body extends around at least a portion of the inner sleeve and includes a portion of the primary lumen. The anchor body includes a compliant material having a second durometer less than the first durometer. At least one exterior suture groove is located on the anchor body to receive the suture material. The exterior suture groove extends substantially to the inner sleeve so the suture material engages directly with the inner sleeve.

Abstract translation: 一种缝合锚，用于使用缝合材料将治疗递送元件固定在活体内的期望位置。 缝合锚包括具有主腔的内套筒，其尺寸适于接收治疗递送元件。 内套筒包括具有第一硬度的柔顺材料。 锚身体围绕内套筒的至少一部分延伸并且包括主腔的一部分。 锚固体包括具有小于第一硬度计的第二硬度的柔顺材料。 至少一个外部缝合槽位于锚固体上以接收缝合材料。 外部缝合槽基本上延伸到内部套筒，使得缝合材料与内部套筒直接接合。

公开(公告)号：US20140148851A1

公开(公告)日：2014-05-29

申请号：US14171995

申请日：2014-02-04

Applicant: Greatbatch Ltd.

Inventor： James Finley ,  Jesse Geroy ,  Lawrence Kane ,  John M. Swoyer

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B2017/0084 ,  A61B2017/00858 ,  A61B2017/00964 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61N1/0558 ,  A61N2001/0582

Abstract: A suture anchor for securing a therapy delivery element in a desired location within a living body using a suture material. The suture anchor includes an inner sleeve with a primary lumen sized to receive the therapy delivery element. The inner sleeve includes a compliant material having a first durometer. An anchor body extends around at least a portion of the inner sleeve and includes a portion of the primary lumen. The anchor body includes a compliant material having a second durometer less than the first durometer. At least one exterior suture groove is located on the anchor body to receive the suture material. The exterior suture groove extends substantially to the inner sleeve so the suture material engages directly with the inner sleeve.

Abstract translation: 一种缝合锚，用于使用缝合材料将治疗递送元件固定在活体内的期望位置。 缝合锚包括具有主腔的内套筒，其尺寸适于接收治疗递送元件。 内套筒包括具有第一硬度的柔顺材料。 锚身体围绕内套筒的至少一部分延伸并且包括主腔的一部分。 锚固体包括具有比第一硬度计小的第二硬度的柔顺材料。 至少一个外部缝合槽位于锚固体上以接收缝合材料。 外部缝合槽基本上延伸到内部套筒，使得缝合材料与内部套筒直接接合。

公开(公告)号：US20140018895A1

公开(公告)日：2014-01-16

申请号：US14024668

申请日：2013-09-12

Applicant: Greatbatch Ltd.

Inventor： Jesse Geroy ,  John M. Swoyer

IPC: A61N1/05

CPC classification number: A61N1/0551 ,  A61N1/05 ,  H01B7/048 ,  Y10T29/49169

Abstract: A biomedical conductor assembly adapted for at least partial insertion in a living body. The conductor assembly includes a plurality of the first electrical conductors each covered with an insulator and helically wound in a first direction to form an inner coil with a lumen. A plurality of second electrical conductors each including a plurality of un-insulated wires twisted in a ropelike configuration around a central axis to form a plurality of cables. Each cable is covered with an insulator and helically wound in a second opposite direction forming an outer coil in direct physical contact with the inner coil. The inner and outer coils are covered by an insulator. A method of making the conductor assembly and implanting a neurostimulation system is also disclosed.

Abstract translation: 适用于至少部分插入生物体内的生物医学导体组件。 导体组件包括多个第一电导体，每个第一电导体覆盖有绝缘体并沿第一方向螺旋缠绕以形成具有内腔的内部线圈。 多个第二电导体，每个第二电导体包括围绕中心轴线缠绕成线形构造的多条绝缘线，以形成多条电缆。 每个电缆被绝缘体覆盖，并且在第二相反方向上螺旋缠绕，形成与内部线圈直接物理接触的外部线圈。 内外线圈由绝缘体覆盖。 还公开了制造导体组件和植入神经刺激系统的方法。

公开(公告)号：US20140012357A1

公开(公告)日：2014-01-09

申请号：US14019653

申请日：2013-09-06

Applicant: Greatbatch Ltd.

Inventor： Shahn S. Sage ,  John M. Swoyer ,  Jesse Geroy

IPC: A61N1/05

CPC classification number: A61N1/05 ,  A61N1/0551 ,  A61N1/0558 ,  A61N1/36071 ,  H01B7/048

Abstract: In some examples, an extension includes a connector adapted to electrically couple to a proximal end of the therapy delivery element. An elongated extension body is attached to the connector. The elongated extension body includes a stylet coil having a stylet coil lumen. The stylet coil extends within the elongated extension body to the connector. A conductor assembly includes a plurality of insulated electrical conductors braided to extend around the stylet coil and electrically coupled to the connector. The conductor assembly includes an inner lumen with a diameter greater than an outside diameter of the stylet coil, wherein axial elongated of the elongated extension body reduces the inner diameter of the conductor assembly. A low durometer insulator extends around the conductor assembly. A stylet is sized to slide freely within the stylet coil lumen during implantation of the extension in the living body.

Abstract translation: 在一些示例中，延伸部包括适于电耦合到治疗递送元件的近端的连接器。 细长的延伸体连接到连接器上。 细长延伸体包括具有探针线圈腔的探针线圈。 探针线圈在细长延伸体内延伸到连接器。 导体组件包括多个绝缘电导体，编织成围绕管心针线圈延伸并电耦合到连接器。 导体组件包括直径大于通管线圈外径的内腔，其中细长延伸体的轴向细长减小了导体组件的内径。 低硬度绝缘体围绕导体组件延伸。 探针的尺寸可以在植入生物体内的延伸部分时在探针线圈腔内自由滑动。

公开(公告)号：US09084881B2

公开(公告)日：2015-07-21

申请号：US14258365

申请日：2014-04-22

Applicant: Greatbatch Ltd.

Inventor： Shahn S. Sage ,  John M. Swoyer ,  Jesse Geroy

IPC: A61N1/05 ,  A61N1/36 ,  H01B7/04

CPC classification number: A61N1/05 ,  A61N1/0551 ,  A61N1/0558 ,  A61N1/36071 ,  H01B7/048

Abstract: In some examples, an extension includes a connector adapted to electrically couple to a proximal end of the therapy delivery element. An elongated extension body is attached to the connector. The elongated extension body includes a stylet coil having a stylet coil lumen. The stylet coil extends within the elongated extension body to the connector. A conductor assembly includes a plurality of insulated electrical conductors braided to extend around the stylet coil and electrically coupled to the connector. The conductor assembly includes an inner lumen with a diameter greater than an outside diameter of the stylet coil, wherein axial elongated of the elongated extension body reduces the inner diameter of the conductor assembly. A low durometer insulator extends around the conductor assembly. A stylet is sized to slide freely within the stylet coil lumen during implantation of the extension in the living body.

Abstract translation: 在一些示例中，延伸部包括适于电耦合到治疗递送元件的近端的连接器。 细长的延伸体连接到连接器上。 细长延伸体包括具有探针线圈腔的探针线圈。 探针线圈在细长延伸体内延伸到连接器。 导体组件包括多个绝缘电导体，编织成围绕管心针线圈延伸并电耦合到连接器。 导体组件包括直径大于通管线圈外径的内腔，其中细长延伸体的轴向细长减小了导体组件的内径。 低硬度绝缘体围绕导体组件延伸。 探针的尺寸可以在植入生物体内的延伸部分时在探针线圈腔内自由滑动。

公开(公告)号：US20150134041A1

公开(公告)日：2015-05-14

申请号：US14535386

申请日：2014-11-07

Applicant: Greatbatch Ltd.

Inventor： Steven Siegel ,  Michele Spinelli ,  Scott F. Drees ,  Giancarlo Barolat ,  John M. Swoyer

IPC: A61N1/05

CPC classification number: A61N1/0558 ,  A61N1/05 ,  A61N1/0512 ,  A61N1/0551 ,  A61N1/36007 ,  A61N1/3606 ,  A61N1/36132 ,  A61N1/36146 ,  A61N1/37235 ,  A61N1/37247

Abstract: In various examples, an apparatus includes a stimulation lead including an elongate body including a distal end and a proximal end. At least one first electrode is disposed proximate the distal end of the elongate body and is configured to stimulate a first target nerve. At least one second electrode is disposed between the at least one first electrode and the proximal end of the elongate body and is configured to stimulate a second target nerve. At least one first fixation structure is disposed between the at least one second electrode and the proximal end of the elongate body. The at least one first fixation structure is configured to anchor the stimulation lead proximate the sacrum, wherein the at least one first fixation structure is located on the elongate body and spaced a first distance proximally along the elongate body from the at least one first electrode.

Abstract translation: 在各种示例中，一种装置包括刺激引线，其包括包括远端和近端的细长主体。 至少一个第一电极设置在细长体的远端附近并且被配置成刺激第一目标神经。 至少一个第二电极设置在所述至少一个第一电极和所述细长主体的近端之间，并且被配置成刺激第二目标神经。 至少一个第一固定结构设置在所述至少一个第二电极和所述细长主体的近端之间。 所述至少一个第一固定结构被配置为将刺激引线靠近骶骨固定，其中所述至少一个第一固定结构位于所述细长主体上并且沿着所述细长主体从所述至少一个第一电极向近侧间隔开第一距离。

公开(公告)号：US08934991B2

公开(公告)日：2015-01-13

申请号：US14083591

申请日：2013-11-19

Applicant: Greatbatch Ltd.

Inventor： Lawrence Kane ,  John M. Swoyer

IPC: A61N1/05 ,  A61B17/04 ,  A61B17/00

CPC classification number: A61N1/05 ,  A61B17/0401 ,  A61B2017/0084 ,  A61B2017/00858 ,  A61B2017/00964 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61N1/0558 ,  A61N2001/0582

Abstract: Suture anchors for securing therapy delivery elements, such as stimulation leads or catheters, within a living body. The suture anchor includes an inner sleeve constructed with an inner layer of a softer, more pliable material that easily conforms to the therapy delivery element to reduce slippage and an outer layer constructed from a harder, stiffer durometer material that protects the therapy delivery elements from damage due to over-tightening the tie down sutures. A suture material located in the suture groove is tensioned to apply a radial compressive force. The reinforcing structure spreads the radial compressive force along a greater surface area of the therapy delivery element.

Abstract translation: 用于固定活体内的治疗递送元件（例如刺激引线或导管）的缝合锚。 缝合锚包括内套筒，该内套筒具有较软，更柔韧的材料的内层，其容易地符合治疗递送元件以减少滑脱，以及由更硬，更硬的硬度材料构成的外层，其保护治疗递送元件免受损伤 由于过度紧固缝合缝合。 位于缝合槽中的缝合材料被张紧以施加径向压缩力。 加强结构沿着治疗递送元件的较大表面积扩展径向压缩力。

公开(公告)号：US20140350655A1

公开(公告)日：2014-11-27

申请号：US13898845

申请日：2013-05-21

Applicant: Greatbatch Ltd.

Inventor： Richard North ,  Scott Drees ,  John M. Swoyer ,  Lawrence Kane ,  Jesse Geroy ,  Shahn Sage ,  Elliot Bridgeman ,  James Finley

IPC: A61N1/05

CPC classification number: A61N1/0558 ,  A61B90/90 ,  A61B90/92 ,  A61B90/94 ,  A61B2090/3937 ,  A61B2090/3962 ,  A61N1/37241

Abstract: In some examples, a lead identification system includes a first set of first lead indicators and a second set of second lead indicators. Each of the first lead indicators is configured to removably attach to at least one of a first therapy delivery element, a first epidural needle, or a first connector to uniquely identify at least one of the first therapy delivery element, the first epidural needle, or the first connector during implantation of the first therapy delivery element in the patient. Each of the second lead indicators is configured to removably attach to at least one of a second therapy delivery element, a second epidural needle, or a second connector to uniquely identify at least one of the second therapy delivery element, the second epidural needle, or the second connector during implantation of the second therapy delivery element in the patient.

Abstract translation: 在一些示例中，引线识别系统包括第一组第一引线指示器和第二组第二引线指示器。 第一引导指示器中的每一个被配置为可移除地附接到第一治疗递送元件，第一硬膜外针或第一连接器中的至少一个，以唯一地识别第一治疗递送元件，第一硬膜外针或 所述第一连接器在植入患者期间的第一治疗递送元件时。 每个第二引导指示器构造成可移除地附接到第二治疗递送元件，第二硬膜外针或第二连接器中的至少一个，以唯一地识别第二治疗递送元件，第二硬膜外针或 所述第二连接器在所述第二治疗递送元件植入患者期间。