公开(公告)号：US20090054936A1

公开(公告)日：2009-02-26

申请号：US12195287

申请日：2008-08-20

申请人： Michael D. Eggen ,  John L. Sommer ,  Michael Ebert ,  David Wayne Bourn ,  Gabriela C. Miyazawa

发明人： Michael D. Eggen ,  John L. Sommer ,  Michael Ebert ,  David Wayne Bourn ,  Gabriela C. Miyazawa

IPC分类号： A61N1/05 ,  A61N1/36

CPC分类号： A61N1/056 ,  A61N1/05 ,  A61N1/0534 ,  A61N1/0551 ,  A61N2001/0585

摘要： This disclosure describes implantable medical leads that include a lead body and an electrode. A width of the electrode as measured along a longitudinal direction of the lead varies about the perimeter of the lead. The uneven width of the electrode may bias a stimulation field in a particular direction, e.g., a radial or transverse direction relative to the longitudinal axis of the lead. Electrodes with an uneven width may be useful for controlling the direction of propagation of the stimulation field in order to, for example, avoid phrenic nerve stimulation during LV pacing or neck muscle stimulation during vagal neurostimulation.

摘要翻译： 本公开描述了包括引线体和电极的可植入医疗引线。 沿着铅的纵向测量的电极的宽度围绕导线的周边变化。 电极的不均匀宽度可以相对于引线的纵向轴线在特定方向（例如，径向或横向）偏置刺激场。 具有不均匀宽度的电极可用于控制刺激场的传播方向，以便例如在迷走神经刺激期间在LV起搏或颈部肌肉刺激期间避免膈神经刺激。

公开(公告)号：US20080243215A1

公开(公告)日：2008-10-02

申请号：US11694205

申请日：2007-03-30

申请人： John L. Sommer ,  Patrick Senarith

发明人： John L. Sommer ,  Patrick Senarith

IPC分类号： A61N1/05

CPC分类号： A61N1/056 ,  A61N2001/0585

摘要： The medical lead delivery device more easily and quickly delivers a lead to or through the coronary vein of a patient's heart. The medical lead delivery device includes an elongated body, a controller, a first and second spring, and a sleeve. The elongated body includes a proximal end and a distal end. The controller is disposed at the proximal end and provides enhanced control of the distal tip of the elongated body.

摘要翻译： 医疗引线输送装置更容易并且快速地将导引通过患者心脏的冠状静脉或通过患者心脏的冠状静脉。 医用引线输送装置包括细长主体，控制器，第一和第二弹簧以及套筒。 细长主体包括近端和远端。 控制器设置在近端并且提供对细长主体的远端尖端的增强的控制。

公开(公告)号：US20080242964A1

公开(公告)日：2008-10-02

申请号：US11694242

申请日：2007-03-30

申请人： John B. Horrigan ,  Ryan T. Bauer ,  Patrick Senarith ,  H. Allan Steingisser ,  Pedro A. Mersgotte ,  John L. Sommer

发明人： John B. Horrigan ,  Ryan T. Bauer ,  Patrick Senarith ,  H. Allan Steingisser ,  Pedro A. Mersgotte ,  John L. Sommer

IPC分类号： A61B6/00

CPC分类号： A61B5/042 ,  A61B5/6852 ,  A61N1/056 ,  A61N2001/0585

摘要： The medical lead delivery device combines features of a guidewire and a stylet in order to more easily and quickly deliver a lead to or through the coronary vein of a patient's heart. The medical lead delivery device includes an elongated body, a controller, a first and second spring, and a sleeve. The elongated body includes a proximal end and a distal end. The controller is disposed at the proximal end and provides enhanced control of the distal tip of the elongated body.

摘要翻译： 医疗引线输送装置结合了导丝和探针的特征，以便更容易和快速地将导线传递到患者心脏的冠状静脉或通过患者心脏的冠状静脉。 医用引线输送装置包括细长主体，控制器，第一和第二弹簧以及套筒。 细长主体包括近端和远端。 控制器设置在近端并且提供对细长主体的远端尖端的增强的控制。

公开(公告)号：US07386351B2

公开(公告)日：2008-06-10

申请号：US10136777

申请日：2002-04-30

申请人： Douglas S. Hine ,  John L. Sommer ,  James H. Vaughan ,  Rick D. McVenes ,  Paulus C Van Venrooij ,  Pierre-Andre Grandjean

发明人： Douglas S. Hine ,  John L. Sommer ,  James H. Vaughan ,  Rick D. McVenes ,  Paulus C Van Venrooij ,  Pierre-Andre Grandjean

IPC分类号： A61N1/05

CPC分类号： A61N1/056 ,  A61F2/88 ,  A61F2/958 ,  A61N2001/0585

摘要： A medical electrical lead, which may be useful in coupling an implantable medical device, is comprised of a first and second lead. The first lead has a first electrode coupled adjacent a distal end portion thereof. The distal end portion of the first lead is anchorable in the coronary sinus of a patient. The second lead is coupled with and moveable along the first lead. The second lead has a second electrode located thereon wherein the position of the first and second electrodes may be varied relative to one another by movement of the second lead along the first lead. A rubber tip holds the relative position of each electrode.

摘要翻译： 可用于联接可植入医疗装置的医用电引线由第一和第二引线组成。 第一引线具有邻近其远端部分耦合的第一电极。 第一引线的远端部分可锚定在患者的冠状窦中。 第二个领先者与第一个领先者相结合并可以移动。 第二引线具有位于其上的第二电极，其中第一和第二电极的位置可以通过第二引线沿着第一引线的移动而相对于彼此变化。 橡胶尖端保持每个电极的相对位置。

公开(公告)号：US07087017B2

公开(公告)日：2006-08-08

申请号：US10284897

申请日：2002-10-31

申请人： Mark A. Christopherson ,  Nancy Perry Pool ,  John L. Sommer ,  Eric Bonde

发明人： Mark A. Christopherson ,  Nancy Perry Pool ,  John L. Sommer ,  Eric Bonde

IPC分类号： A61B5/00

CPC分类号： A61N1/05 ,  A61N1/056

摘要： The invention is directed to lead configurations for sensors that allow for less invasive sensor replacement procedures. In one configuration, a sensor lead assembly includes an outer lead body and an inner lead including a sensor such as an electrochemical glucose sensor. The inner lead can be positioned in an inner conduit of the outer lead body. The outer lead body may be substantially permanently implanted in the patient, and the inner lead can be implanted through the inner conduit of the outer lead body. Once the sensor of the inner lead has worn out or otherwise exhausted its useful life, the inner lead can be removed, and a new inner lead can be implanted in place of the old inner lead.

摘要翻译： 本发明涉及允许较少侵入性的传感器更换程序的传感器的引线配置。 在一种配置中，传感器引线组件包括外引线体和包括诸如电化学葡萄糖传感器的传感器的内引线。 内引线可以定位在外引线体的内导管中。 外引线体可以基本上永久地植入患者体内，并且内引线可以通过外引线体的内导管植入。 一旦内部引线的传感器已经磨损或以其他方式耗尽其使用寿命，内部引线可以被去除，并且可以将新的内部引线植入以代替旧的内部引线。

公开(公告)号：US06854994B2

公开(公告)日：2005-02-15

申请号：US10040143

申请日：2002-01-03

申请人： Paul M. Stein ,  Timothy W. Holleman ,  Andrew J. Ries ,  Harry Schroder ,  Jordon D. Honeck ,  John L. Sommer ,  Vicki L. Bjorklund

发明人： Paul M. Stein ,  Timothy W. Holleman ,  Andrew J. Ries ,  Harry Schroder ,  Jordon D. Honeck ,  John L. Sommer ,  Vicki L. Bjorklund

IPC分类号： A61N1/372 ,  A61N1/02 ,  A61N1/05 ,  A61N1/375 ,  H01R13/52 ,  H01R24/58 ,  H01R31/06 ,  H01R43/00 ,  H01R13/02

CPC分类号： A61N1/3752 ,  A61N1/056 ,  A61N1/0573 ,  A61N2001/0578 ,  A61N2001/0585 ,  H01R13/5224 ,  H01R24/58 ,  H01R31/06 ,  H01R2107/00 ,  H01R2201/12

摘要： A lead connector arrangement includes a non-cylindrically shaped connector pin coupled to a lead conductor and a connector sleeve assembly for receiving the non-cylindrically shaped connector pin. The connector sleeve assembly includes an insert with an axial bore formed therein that complements the shape of the non-cylindrical connector pin. According to one embodiment, the non-cylindrical connector pin may be provided in the form of a triangular, square, rectangular, or hexagonal shape. The axial bore has a complimentary shape to receive the connector pin. When the connector pin is threaded through the connector sleeve assembly using a pull-wire device, the pull-wire device may be unscrewed from the connector pin without causing axial rotation of the lead conductor when the connector pin is fully inserted within the axial bore.

摘要翻译： 引线连接器装置包括耦合到引线导体的非圆柱形连接器引脚和用于接收非圆柱形连接器引脚的连接器套筒组件。 连接器套筒组件包括插入件，其中形成有轴向孔，其与非圆柱形连接器销的形状相互补充。 根据一个实施例，非圆柱形连接器销可以以三角形，正方形，矩形或六边形的形式提供。 轴向孔具有接收连接器针的互补形状。 当连接器针通过拉线装置穿过连接器套筒组件时，当连接器插针完全插入轴向孔中时，拉线装置可以从连接器销拧下而不导致引线导体的轴向旋转。

公开(公告)号：US06836687B2

公开(公告)日：2004-12-28

申请号：US10131388

申请日：2002-04-25

申请人： James F. Kelley ,  James H. Vaughn ,  Stanten C. Spear ,  Douglas S. Hine ,  Kenneth C. Gardeski ,  Vicki L. Bjorklund ,  Pedro A. Meregotte ,  John L. Sommer ,  John J. Maier

发明人： James F. Kelley ,  James H. Vaughn ,  Stanten C. Spear ,  Douglas S. Hine ,  Kenneth C. Gardeski ,  Vicki L. Bjorklund ,  Pedro A. Meregotte ,  John L. Sommer ,  John J. Maier

IPC分类号： A61N105

CPC分类号： A61M25/0138 ,  A61B18/1492 ,  A61B2017/22038 ,  A61M25/005 ,  A61M25/0054 ,  A61M25/0141 ,  A61M25/0147 ,  A61M25/0668 ,  A61M39/0613 ,  A61M2025/0042 ,  A61M2025/0047 ,  A61M2025/0081 ,  A61M2025/0161 ,  A61M2025/0681 ,  A61M2025/1052 ,  A61M2025/1079 ,  A61N1/05 ,  A61N1/056 ,  A61N2001/0578 ,  A61N2001/0585

摘要： A system for delivering a medical electrical lead within a coronary venous system that includes an introducer kit for establishing venous access to the coronary venous system and a plurality of delivery sheaths, each corresponding to a desired approach to a coronary sinus of the coronary venous system and insertable within the coronary venous system through the navigation pathway. A hemostasis valve is coupled to a delivery sheath of the plurality of delivery sheaths, and a guide wire is inserted within the lead lumen, guiding delivery of the distal tip of the medical electrical lead to a target site within the coronary venous system through the hemostasis valve and the delivery sheath. Subsequent to the distal tip being delivered to the target sight, the hemostasis valve is advanced over the connector of the medical electrical lead to remove the hemostasis valve from the medical electrical lead.

摘要翻译： 一种用于在冠状静脉系统内递送医用电线的系统，其包括用于建立对冠状静脉系统的静脉通路的引导器套件和多个输送护套，每个输送护套对应于冠状静脉系统的冠状窦所需的方法， 通过导航路径插入冠状静脉系统内。 止血阀联接到多个输送护套的输送护套，并且引导线插入引导腔内，通过止血将医用电导线的远端引导到冠状静脉系统内的靶位点 阀门和输送护套。 在远端尖端被传送到目标瞄准器之后，止血阀在医用电线的连接器上前进，以从医用电引线上除去止血阀。

公开(公告)号：US20120283810A1

公开(公告)日：2012-11-08

申请号：US13553350

申请日：2012-07-19

申请人： John L. Sommer ,  Douglas N. Hess

发明人： John L. Sommer ,  Douglas N. Hess

IPC分类号： A61N1/05

CPC分类号： A61N1/0575 ,  A61N2001/0585

摘要： An implantable medical device that includes an elongated body having a proximal end and a distal end, a helical fixation member extending from the distal end of the elongated body, the helical fixation member including a distal tip for affixing the distal end of the elongated body at an implant site, and a tracking member extending from the distal end of the elongated body, through the helical fixation member and outward from the distal tip of the helical fixation member for tracking along an implant pathway during implantation of the implantable medical device.

摘要翻译： 一种可植入医疗装置，其包括具有近端和远端的细长主体，从所述细长主体的远端延伸的螺旋固定构件，所述螺旋固定构件包括用于将所述细长体的远端固定在所述远端的远端 植入物位置和跟踪构件，其从细长主体的远端延伸穿过螺旋固定构件，并从螺旋固定构件的远侧末端向外延伸，用于在植入可植入医疗装置期间沿植入物路径跟踪。

公开(公告)号：US20120136422A1

公开(公告)日：2012-05-31

申请号：US13367044

申请日：2012-02-06

申请人： Michael J. Ebert ,  John L. Sommer ,  Jordan D. Honeck ,  Richard D. Ries ,  Pedro A. Meregotte ,  Kenneth R. Brennen

发明人： Michael J. Ebert ,  John L. Sommer ,  Jordan D. Honeck ,  Richard D. Ries ,  Pedro A. Meregotte ,  Kenneth R. Brennen

IPC分类号： A61N1/05

CPC分类号： A61N1/056

摘要： An implantable medical device that includes a lead body extending from a proximal end to a distal end, a plurality of conductors extending between the proximal end and the distal end of the lead body, and an insulative layer formed of a hydrolytically stable polyimide material surrounding the plurality of conductors. In one embodiment, the hydrolytically stable polyimide material is an SI polyimide material.

摘要翻译： 一种可植入医疗装置，其包括从近端延伸到远端的引线体，在所述引线体的近端和远端之间延伸的多根导体，以及由水解稳定的聚酰亚胺材料形成的绝缘层， 多个导体。 在一个实施方案中，水解稳定的聚酰亚胺材料是SI聚酰亚胺材料。

公开(公告)号：US08065008B2

公开(公告)日：2011-11-22

申请号：US10646899

申请日：2003-08-21

申请人： John L. Sommer ,  Douglas S. Hine

发明人： John L. Sommer ,  Douglas S. Hine

IPC分类号： A61N1/375

CPC分类号： H01R31/06 ,  A61N1/3752 ,  H01R13/5224 ,  H01R27/00 ,  H01R2201/12

摘要： A lead connector is terminated proximally by a connector pin and includes a circumferential array of connector pads, each connector pad coupled to an electrode via an elongated insulated conductor. A lumen of an adaptor is adapted to engage the lead connector and includes an electrical contact zone formed therein and positioned for coupling with a one of the array of connector pads, when the connector is engaged within the lumen, in order to facilitate electrical connection of a selected electrode corresponding to the one of the array of connector pads.

摘要翻译： 引线连接器由连接器针靠近端接，并且包括连接器焊盘的圆周阵列，每个连接器焊盘通过细长的绝缘导体耦合到电极。 适配器的内腔适于接合引线连接器并且包括形成在其中的电接触区域，并且当连接器接合在内腔内时，该内部定位成与连接器焊盘阵列中的一个连接，以便于电连接 选择的电极对应于所述连接器焊盘阵列中的一个。