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51.发明授权公开(公告)号：US07493154B2
公开(公告)日：2009-02-17
申请号：US10278531
申请日：2002-10-23
IPC分类号： A61B5/05
CPC分类号： A61B5/06 , A61B5/062 , A61B2017/00022 , A61B2017/00243 , A61B2017/00252 , A61B2017/22001 , A61B2090/061
摘要： Methods and apparatus employed to locate body vessels and occlusions in body vessels finding particular utility in cardiac surgery, particularly minimally invasive cardiac surgery to locate cardiac arteries and occlusions in cardiac arteries are disclosed. An elongated vessel lumen probe incorporating a lumen probe element at or near the elongated vessel lumen probe distal end is advanced into the vessel lumen. A vessel surface probe manipulated by the surgeon and having a surface probe element sensor is employed to detect the lumen probe element and to follow the progress of the vessel lumen probe element as it approaches and is advanced through or is blocked by an occlusion. In the location of a coronary artery, the surface probe element sensor is moved about against the epicardium over the suspected location of the artery of interest until a surface probe element sensor of the present invention at the surface probe distal end interacts with the lumen probe element of the vessel lumen probe.
摘要翻译： 公开了用于定位身体血管和身体血管闭塞的方法和装置，其在心脏手术中特别有用，特别是在心脏动脉中定位心脏动脉和闭塞的微创心脏手术。 在细长血管腔探针末端处或其附近并入管腔探针元件的细长血管腔探针被推入血管内腔。 由外科医生操作并具有表面探针元件传感器的血管表面探针被用于检测内窥镜元件，并且随着血管腔探针元件的进入而进入并被阻塞阻塞。 在冠状动脉的位置，表面探针元件传感器在目标动脉的疑似位置上靠近心外膜移动，直到本发明的表面探针元件传感器在表面探针远端与内腔探针元件相互作用 的血管腔探针。
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公开(公告)号：US06890295B2
公开(公告)日：2005-05-10
申请号：US10284771
申请日：2002-10-31
CPC分类号： A61B17/3423 , A61B17/3415 , A61B2017/00247 , A61B2017/00561 , A61B2017/306 , A61B2017/3486 , A61B2017/3488 , A61B2018/00392
摘要： Medical devices and methods for accessing an anatomical space of the body and particularly for penetrating the epicardium to access pericardial space and the epicardial surface of the heart in a minimally invasive manner employing suction are disclosed. The distal end of a tubular access sleeve having a sleeve wall surrounding a sleeve access lumen and extending between a sleeve proximal end and a sleeve distal end having a plurality of suction ports arrayed around the sleeve access lumen distal end opening is applied against an outer tissue layer. Suction is applied through the plurality of suction ports to a plurality of portions of the outer tissue layer. A perforation instrument is introduced through the sleeve access lumen to perforate the outer tissue layer to form an access perforation into the anatomic space while the applied suction stabilizes the outer tissue layer, whereby further treatment drugs and devices can be introduced into the anatomic space.
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公开(公告)号：US06201994B1
公开(公告)日：2001-03-13
申请号：US09449648
申请日：1999-11-30
IPC分类号： A61N105
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。 引线设置有用于将心房起搏电极维持在邻近患者上腔静脉中的可刺激组织的位置，以及当心房电极位于其中时位于右心室或其他地方的附加电极。一种用于维持心房电极位置的机构 作为引导体，显示预先形成的横向延伸的曲线，其大小适于跨过患者的上腔静脉，心房电极位于其上。
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公开(公告)号：US06185464B2
公开(公告)日：2001-02-06
申请号：US09262387
申请日：1999-03-04
IPC分类号： A61N100
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. A 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构成的推动机构在推动体本体近端和推动体本体远端之间延伸，并且具有心脏引线接合机构，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。
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公开(公告)号：US6055457A
公开(公告)日：2000-04-25
申请号：US41811
申请日：1998-03-13
申请人： Matthew D. Bonner
发明人： Matthew D. Bonner
IPC分类号： A61N1/05
CPC分类号： A61N1/0563 , A61N1/0573 , A61N2001/0585
摘要： An implantable pacing lead system for pacing a patient's heart, including a delivery catheter and a lead delivered by the delivery catheter. The lead takes the form of a single non-diverging filament having a proximal end and a distal end and carries an electrode mounted to a distal portion of the lead body. An active fixation device is mounted fixedly to, and extends laterally from, the lead body proximal to and longitudinally spaced from the electrode. During advancement of the lead through the vasculature the active fixation device is located within the delivery catheter. At the point of desired location of the active fixation device, it is advanced out of the delivery catheter and engaged with heart tissue. The lead body has greater torsional rigidity proximal to the active fixation device than distal to the active fixation device.
摘要翻译： 一种用于起搏患者心脏的可植入起搏引导系统，包括输送导管和由输送导管输送的导线。 引线采取具有近端和远端的单个非发散长丝的形式，并且携带安装到引线主体的远端部分的电极。 主动固定装置固定地安装在铅电极上并且从铅电极横向延伸，所述导体本体靠近并与电极纵向隔开。 在引导通过脉管系统的进程期间，主动固定装置位于输送导管内。 在活动固定装置的期望位置的点处，其被推出输送导管并与心脏组织接合。 铅主体在主动固定装置附近具有比主动固定装置远的更大的扭转刚度。
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公开(公告)号：US5728149A
公开(公告)日：1998-03-17
申请号：US580006
申请日：1995-12-20
申请人： Timothy G. Laske , Matthew D. Bonner , Jon M. Ocel
发明人： Timothy G. Laske , Matthew D. Bonner , Jon M. Ocel
CPC分类号： A61N1/056
摘要： A cardioversion/defibrillation lead, and method of manufacture thereof, for location in a human heart. An elongated lead body having an insulating outer sheath extends between proximal and distal ends thereof, and an elongated defibrillation conductor within the lead body extends from a connector at the proximal end to a distal end at a predetermined location along the lead body length. A spiral band defibrillation electrode extends in spiral turns around the exterior of the insulating outer sheath for a pre-determined defibrillation electrode length. The defibrillation electrode is fabricated of a single tube of body compatible, electrically conductive material having first and second tube ends and an inside diameter selected to fit over the outer sheath and the internally disposed defibrillation lead conductor. At least one (and preferably a plurality) spiral slit is formed therein extending from first and second slit end points, spaced from the first and second ends, respectively, thereby forming at least one spiral band integrally attached to first and second end bands, respectively. At least one of the first and second end bands is attached to the defibrillation lead conductor at or near the distal end thereof. In other embodiments, intermediate connection bands are formed along the length of the spiral band, and electrical connections are made between such intermediate connection bands and the defibrillation lead conductor.
摘要翻译： 心脏复律/除颤引线及其制造方法，用于在人心脏中定位。 具有绝缘外护套的细长引线主体在其近端和远端之间延伸，并且引线主体内的细长除颤导体沿着引线本体长度从近端处的连接器延伸到预定位置处的远端。 螺旋带除颤电极围绕绝缘外护套的外部螺旋形旋转，以预定的除颤电极长度。 除颤电极由具有第一和第二管端的单体体相容的导电材料制成，并且内径选择为配合在外护套和内部设置的除颤引线导体上。 至少一个（并且优选多个）螺旋狭缝形成在其中，从第一和第二狭缝端点分别与第一和第二端分开延伸，从而分别形成至少一个与第一和第二端带整体连接的螺旋带 。 第一和第二端带中的至少一个在其远端处或附近附接到除颤引线导体。 在其他实施例中，沿着螺旋带的长度形成中间连接带，并且在这种中间连接带和除颤引线导体之间形成电连接。
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公开(公告)号：US5609621A
公开(公告)日：1997-03-11
申请号：US511200
申请日：1995-08-04
申请人： Matthew D. Bonner
发明人： Matthew D. Bonner
CPC分类号： A61N1/0573 , A61N1/0563
摘要： A cardioversion/defibrillation lead and method of implantation thereof for location in a human heart of the type comprising an elongated lead body having proximal and distal end sections and having a looped intermediate section. The proximal and distal end sections of the lead have generally straight configurations, and the intermediate section is constructed such that when the distal section is located at the apex of the right ventricle of the heart, the loop of the intermediate section is located in the outflow tract of the heart. One or more elongated defibrillation electrode(s) extends along the intermediate section of the lead body.
摘要翻译： 一种心脏复律/除颤引线及其植入人体心脏中的位置的方法，包括具有近端部分和远端部分并具有环形中间部分的细长引线体。 引线的近端部分和远端部分具有大致直的构造，并且中间部分构造成使得当远侧部分位于心脏右心室的顶点时，中间部分的环位于流出 心脏的道 一个或多个细长的除颤电极沿着引线体的中间部分延伸。
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