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：US20160157890A1

公开(公告)日：2016-06-09

申请号：US14962485

申请日：2015-12-08

Applicant: Medtronic, Inc.

Inventor： Ronald A. DRAKE ,  Kevin R. SEIFERT ,  Lester O. STENER ,  Amy E. THOMPSON-NAUMAN

IPC: A61B17/34 ,  A61N1/05

CPC classification number: A61B17/3468 ,  A61B2017/320056 ,  A61M25/0194 ,  A61N1/05 ,  A61N1/0573 ,  A61N1/0592

Abstract: Extravascular implant tools that utilize a bore-in mechanism to safely access extravascular locations and implant techniques utilizing these tools are described. The bore-in mechanism may include a handle and a helix extending from the handle. The bore-in mechanism is used, for example, in conjunction with a tunneling tool to traverse the diaphragmatic attachments to access a substernal location. The tunneling tool may be an open channel tunneling tool or a conventional tunneling tool (e.g., metal rod).

Abstract translation: 描述利用钻孔机构安全地进入血管外位置的血管内植入工具和利用这些工具的植入技术。 钻孔机构可以包括从手柄延伸的手柄和螺旋。 钻孔机构例如与隧道工具结合使用以横穿隔膜附件以进入下位置。 隧道工具可以是开放通道隧道工具或常规隧道工具（例如，金属杆）。

公开(公告)号：US20160121106A1

公开(公告)日：2016-05-05

申请号：US14695167

申请日：2015-04-24

Applicant: Medtronic, Inc.

Inventor： Mark T. MARSHALL ,  Amy E. THOMPSON-NAUMAN ,  Melissa G.T. CHRISTIE ,  Gonzalo MARTINEZ ,  Kevin R. SEIFERT

IPC: A61N1/05 ,  A61N1/08

Abstract: A lead body having a defibrillation electrode positioned along a distal portion of the lead body is described. The defibrillation electrode includes a plurality of electrode segments spaced a distance apart from each other. At least one of the plurality of defibrillation electrode segments includes at least one coated portion and at least one uncoated portion. The at least one coated portion is coated with an electrically insulating material configured to prevent transmission of a low voltage signal (e.g., a pacing pulse) while allowing transmission of a high voltage signal (e.g., a cardioversion defibrillation shock). The at least one uncoated portion is configured to transmit both low voltage and high voltage signals. The lead may also include one or more discrete electrodes proximal, distal or between the defibrillation electrode segments.

Abstract translation: 描述了具有沿着铅体的远端部分定位的除颤电极的引线体。 除颤电极包括彼此间隔开距离的多个电极段。 所述多个除颤电极段中的至少一个包括至少一个涂覆部分和至少一个未涂覆部分。 所述至少一个涂覆部分涂覆有电绝缘材料，其被配置为在允许传输高电压信号（例如，复律除颤电击）的同时防止低电压信号（例如，起搏脉冲）的传输。 至少一个未涂覆部分被配置为传送低电压和高电压信号。 引线还可以包括在除颤电极段之间的近端，远端或之间的一个或多个离散电极。