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    Method of fabricating a medical electrical lead
    41.
    发明授权
    Method of fabricating a medical electrical lead 失效
    制造医用电线的方法

    公开(公告)号：US5957970A

    公开(公告)日：1999-09-28

    申请号：US25485

    申请日：1998-02-18

    申请人： Bret R. Shoberg ,  Matthew D. Bonner ,  Timothy G. Laske

    发明人： Bret R. Shoberg ,  Matthew D. Bonner ,  Timothy G. Laske

    IPC分类号： A61N1/05

    CPC分类号： A61N1/056 ,  A61N1/0563

    摘要： A method of producing a lead which is isodiametric or nearly so over the region in which an elongated coiled electrode is located and which can optionally be manufactured starting from a single extruded tubular lead body of constant diameter and the lead so produced. Rather than molding the electrode into the surface of the lead or machining the electrode so that it is flush with the surface of the lead, the present invention instead employs an extruded, multiple lumen lead body of circular cross-section which has material cut away or otherwise removed in one or more regions spaced from one another around the lead body and extending longitudinally along the region of the lead body where the coil electrode is to be located or a lead body which is so molded. The areas in which material is removed or is absent are preferably located in regions where the lead body wall is thickest, for example between adjacent lumens. The removal of material may result in one or more elongated, generally planar surfaces spaced from one another around the circumference of the lead body or may result in elongated indentations spaced from one another around the circumference of the lead body. The removal or absence of material renders the lead body more compressible in the region the electrode is to be located.

    摘要翻译： 一种制造在其中设置有细长卷绕电极的区域上是等距或接近的引线的方法，其可以任选地从具有恒定直径的单个挤出管状引线体和由此产生的引线开始制造。 不是将电极模制到引线的表面或加工电极以使其与引线的表面齐平，而是本发明使用具有圆形横截面的挤出的多腔引线体，其具有切除的材料或 否则在围绕引线主体彼此间隔开的一个或多个区域中移除，并沿着线体电极要被定位的引线体的区域或者如此模制的引线体纵向延伸。 材料被去除或不存在的区域优选地位于引线体壁最厚的区域中，例如在相邻流明之间。 去除材料可能导致一个或多个细长的，大致平坦的表面围绕引线主体的圆周彼此间隔开，或者可能导致围绕引线主体的圆周彼此间隔开的细长的凹陷。 材料的去除或不存在使得引线体在电极将被定位的区域中更加可压缩。

    Implant system including guiding accessory and methods of use
    42.
    发明授权
    Implant system including guiding accessory and methods of use 有权
    植入系统包括引导配件和使用方法

    公开(公告)号：US08758365B2

    公开(公告)日：2014-06-24

    申请号：US13197156

    申请日：2011-08-03

    申请人： Matthew D. Bonner ,  Vladimir P. Nikolski

    发明人： Matthew D. Bonner ,  Vladimir P. Nikolski

    IPC分类号： A61B19/00

    CPC分类号： A61N1/056 ,  A61N1/37205 ,  A61N1/3756

    摘要： A guiding accessory, for use in conjunction with a guidewire and a catheter of an implant system, facilitates passage of an elongate and flexible conductor of a relatively compact therapy delivery device to an implant site, for example, within the cardiac venous system, when a therapy generator of the device is held within a distal portion of the catheter, and the catheter, device and guiding accessory are advanced along the guidewire. The guiding accessory includes a helically extending wall that forms a lumen within which the device conductor and guidewire extend. After advancing the catheter, guiding accessory and device to the implant site, the helically extending wall is unwound from around the device conductor, for removal, preferably, by pulling proximally on a tension line, which is attached to a proximal end of the wall.

    摘要翻译： 用于与导线和植入物系统的导管一起使用的引导附件有助于使相对紧凑的治疗递送装置的细长柔性导体通过例如心脏静脉系统内的植入部位， 该装置的治疗发生器被保持在导管的远端部分内，并且导管，装置和导向附件沿着导丝线前进。 引导配件包括螺旋形延伸的壁，其形成设备导体和导丝延伸的管腔。 在推进导管之后，引导附件和装置到植入部位，螺旋形延伸的壁从装置导体周围展开，以便优选地通过在附着在壁的近端的张力线上向近侧拉动来移除。

    IMPLANT SYSTEM INCLUDING GUIDING ACCESSORY AND METHODS OF USE
    43.
    发明申请
    IMPLANT SYSTEM INCLUDING GUIDING ACCESSORY AND METHODS OF USE 有权
    包括引导附件和使用方法的植入系统

    公开(公告)号：US20130035748A1

    公开(公告)日：2013-02-07

    申请号：US13197156

    申请日：2011-08-03

    申请人： Matthew D. Bonner ,  Vladimir P. Nikolski

    发明人： Matthew D. Bonner ,  Vladimir P. Nikolski

    IPC分类号： A61F2/84

    CPC分类号： A61N1/056 ,  A61N1/37205 ,  A61N1/3756

    摘要： A guiding accessory, for use in conjunction with a guidewire and a catheter of an implant system, facilitates passage of an elongate and flexible conductor of a relatively compact therapy delivery device to an implant site, for example, within the cardiac venous system, when a therapy generator of the device is held within a distal portion of the catheter, and the catheter, device and guiding accessory are advanced along the guidewire. The guiding accessory includes a helically extending wall that forms a lumen within which the device conductor and guidewire extend. After advancing the catheter, guiding accessory and device to the implant site, the helically extending wall is unwound from around the device conductor, for removal, preferably, by pulling proximally on a tension line, which is attached to a proximal end of the wall.

    摘要翻译： 用于与导线和植入物系统的导管一起使用的引导附件有助于使相对紧凑的治疗递送装置的细长柔性导体通过例如心脏静脉系统内的植入部位， 该装置的治疗发生器被保持在导管的远端部分内，并且导管，装置和导向附件沿着导丝线前进。 引导配件包括螺旋形延伸的壁，其形成设备导体和导丝延伸的管腔。 在推进导管之后，引导附件和装置到植入部位，螺旋形延伸的壁从装置导体周围展开，以便优选地通过在附着在壁的近端的张力线上向近侧拉动来移除。

    Single pass lead and method of use
    46.
    发明授权
    Single pass lead and method of use 失效
    单通铅和使用方法

    公开(公告)号：US5922014A

    公开(公告)日：1999-07-13

    申请号：US922693

    申请日：1997-09-02

    申请人： Eduardo N. Warman ,  Matthew D. Bonner

    发明人： Eduardo N. Warman ,  Matthew D. Bonner

    IPC分类号： A61N1/05

    CPC分类号： A61N1/056

    摘要： A cardiac pacing lead for pacing the atria and a method of its use. The lead is provided with a mechanism for maintaining an atrial pacing electrode adjacent stimulable tissue in a patient's superior vena cava and an additional electrode locatable in the right ventricle or elsewhere when the atrial electrode is so located. One such mechanism for maintaing the atrial electrode's position may be a lead body displaying pre-formed laterally extending curves sized to span a patient's superior vena cava, with the atrial electrode located thereon.

    摘要翻译： 用于起搏心房的心脏起搏线及其使用方法。 该引线设置有用于将心房起搏电极维持在患者上腔静脉中的可刺激组织旁边的机构，以及当心房电极如此定位时位于右心室或别处的附加电极。 用于维持心房电极位置的一种这样的机构可以是引导体，其显示预先形成的横向延伸的曲线，其大小可跨过患者的上腔静脉，心房电极位于其上。

    Arrangement for implanting an endocardial cardiac lead
    47.
    发明授权
    Arrangement for implanting an endocardial cardiac lead 失效
    用于植入心内膜心脏铅的装置

    公开(公告)号：US5902331A

    公开(公告)日：1999-05-11

    申请号：US037654

    申请日：1998-03-10

    申请人： Matthew D. Bonner ,  Timothy G. Laske

    发明人： Matthew D. Bonner ,  Timothy G. Laske

    IPC分类号： A61N1/05 ,  A61M25/01

    CPC分类号： A61N1/056 ,  A61M25/0043 ,  A61M25/01 ,  A61N2001/0578

    摘要： An arrangement for introducing and implanting the electrode(s) of an endocardial implantable cardiac lead at a cardiac implantation site within a heart chamber or vessel. An elongated guide body formed of flexible material and extending between a guide body proximal end and a guide body distal end is advanced transvenously to position the guide body distal end in relation to the cardiac implantation site. A guide body tracking mechanism is coupled with the lead distal end for receiving and slidingly engaging the guide body to allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. Pusher mechanism formed of an elongated pusher body of flexible material extends between a pusher body proximal end and a pusher body distal end and has a cardiac lead engaging mechanism for engaging the cardiac lead at or adjacent the distal lead end. The pusher body has sufficient column strength to be advanced alongside the guide body and lead body with the cardiac lead engaging mechanism engaging and slidingly advancing the guide body tracking mechanism and the cardiac lead distally along the guide body to thereby allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. The lead body is released from the lead engaging mechanism and fixed, if the lead includes a fixation mechanism. The pusher mechanism is retracted by retraction of the pusher body.

    摘要翻译： 用于在心室或血管内的心脏植入部位处引入和植入心内可植入心脏引线的电极的装置。 由柔性材料形成并在引导体近端和引导体远端之间延伸的细长引导体相对于心脏植入部位传递推进以引导体远端。 引导体跟踪机构与引线远端联接，用于接收和滑动地接合引导体，以允许心脏引线沿引导体前进，直到电极定位在心脏植入部位。 由细长的柔性材料推动器主体构成的推动机构在推动体本体近端和推动器主体远端之间延伸，并且具有心脏引导接合机构，用于在远侧引线端处或与其相邻的心脏引线接合。 推动器主体具有足够的柱强度，使引导体和引线体沿着引导体接合并使引导体跟踪机构和心引导体沿引导体向远侧滑动地前进，从而允许心导线前进 沿着引导体直到电极位于心脏植入部位。 如果引线包括固定机构，则引线体从引线接合机构释放并固定。 推动器机构通过推动器主体的缩回缩回。

    IMPLANTABLE MEDICAL DEVICE FIXATION
    48.
    发明申请
    IMPLANTABLE MEDICAL DEVICE FIXATION 审中-公开
    可植入医疗器械固定

    公开(公告)号：US20150045868A1

    公开(公告)日：2015-02-12

    申请号：US13959808

    申请日：2013-08-06

    申请人： Matthew D. Bonner ,  Thomas A. Anderson ,  William A. Berthiaume ,  Noelle C. Hurtig

    发明人： Matthew D. Bonner ,  Thomas A. Anderson ,  William A. Berthiaume ,  Noelle C. Hurtig

    IPC分类号： A61N1/375 ,  A61N1/362

    CPC分类号： A61N1/3756 ,  A61N1/0573 ,  A61N1/362 ,  A61N1/37205 ,  A61N1/37518

    摘要： Various fixation techniques for implantable medical device (IMDs) are described. In one example, an assembly comprises an IMD; and a set of active fixation tines attached to the IMD. The active fixation tines in the set are deployable from a spring-loaded position in which distal ends of the active fixation tines point away from the IMD to a hooked position in which the active fixation tines bend back towards the IMD. The active fixation tines are configured to secure the IMD to a patient tissue when deployed while the distal ends of the active fixation tines are positioned adjacent to the patient tissue.

    摘要翻译： 描述了用于可植入医疗装置（IMD）的各种固定技术。 在一个示例中，组件包括IMD; 以及一组附加在IMD上的活动固定齿。 组合中的主动固定齿可从弹簧加载位置展开，其中活动固定尖端的远端指向远离IMD的钩状位置，其中主动固定齿向IMD向后弯曲。 活动的固定齿构造成当展开时将IMD固定到患者组织，同时主动固定齿的远端定位成与患者组织相邻。