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107 条记录 (耗时 0.027 秒)

    Reconfigurable, fault tolerant multiple-electrode cardiac lead systems
    61.
    发明授权
    Reconfigurable, fault tolerant multiple-electrode cardiac lead systems 有权
    可重配置，容错多电极心脏引线系统

    公开(公告)号：US07142919B2

    公开(公告)日：2006-11-28

    申请号：US10692647

    申请日：2003-10-24

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

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

    IPC分类号： A61N1/18

    CPC分类号： A61N1/0587 ,  A61B5/0422 ,  A61B5/0464 ,  A61N1/056 ,  A61N1/36514 ,  A61N2001/0585 ,  G06F19/00

    摘要： The present invention provides a method and apparatus for assessing ventricular function on a chronic basis using a plurality of electrodes disposed on or about a left ventricle and/or a right ventricle—and optionally, at least one mechanical or metabolic sensor—all operatively electrically coupled to an implantable medical device. The plurality of electrodes are preferably spaced-apart so that at least one electrode is disposed electrical communication with a discrete volume of ventricular tissue. In one embodiment, the discrete volume of tissue is defined by multiple longitudinal and axial planes as known and used in the medical arts. Thus, according to the present invention, at least one electrode couples to appropriate sensing circuitry and essentially provides a localized electrogram (EGM) that, when compared to other EGMs, provides for configurable, localized delivery of therapeutic pacing stimulus, diverse impedance-sensing vectors, various diagnostic information regarding myocardial function and/or anti-tachycardia pacing.

    摘要翻译： 本发明提供一种用于使用设置在左心室和/或右心室上的周围的多个电极以及任选地至少一个机械或代谢传感器来长期地评估心室功能的方法和装置，所述多个电极全部可操作地电耦合 到可植入医疗装置。 多个电极优选间隔开，使得至少一个电极与离散体积的心室组织电连通。 在一个实施例中，组织的离散体积由医学领域中已知和使用的多个纵向和轴向平面限定。 因此，根据本发明，至少一个电极耦合到适当的感测电路并且基本上提供局部电描记图（EGM），其与其他EGM相比，提供治疗起搏刺激的可配置的局部递送，各种阻抗感测向量 ，关于心肌功能和/或抗心动过速起搏的各种诊断信息。

    Deployable medical lead fixation system and method
    62.
    发明授权
    Deployable medical lead fixation system and method 失效
    可部署医用铅固定系统及方法

    公开(公告)号：US07107105B2

    公开(公告)日：2006-09-12

    申请号：US10254196

    申请日：2002-09-24

    申请人： Vicki L. Bjorklund ,  John L Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

    发明人： Vicki L. Bjorklund ,  John L Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

    IPC分类号： A61N1/05

    CPC分类号： A61N1/056 ,  A61N1/057 ,  A61N2001/058

    摘要： An improved medical lead assembly and method of use is provided. The lead assembly includes a lead body, and a spring member positioned adjacent to the lead body. The spring member may be deployed a selectable amount to maintain the lead body in a fixed location within a patient's body. The spring member may be an expandable coil, a mesh structure that is similar to a stent, or any other similar device that may be positioned in a low-profile state during a lead implant procedure. After the lead is positioned at a target destination, the spring member may be deployed an amount that is selected based on the characteristics of the surrounding tissue, including vessel size. According to one aspect of the invention, the lead assembly may provide means for facilitating chronic lead extraction.

    摘要翻译： 提供了一种改进的医疗引线组件和使用方法。 引线组件包括引线体和邻近引线体定位的弹簧部件。 弹簧构件可以部署可选择的量以将引线体保持在患者体内的固定位置。 弹簧构件可以是可扩张线圈，类似于支架的网状结构或者在引线植入过程期间可以被定位在低轮廓状态的任何其它类似的装置。 在引线定位在目标目的地之后，弹簧构件可以展开一定量，该量基于包括容器尺寸的周围组织的特性来选择。 根据本发明的一个方面，引线组件可以提供用于促进慢性铅提取的装置。

    Suture sleeve
    64.
    发明授权
    Suture sleeve 失效
    缝合套管

    公开(公告)号：US07082337B2

    公开(公告)日：2006-07-25

    申请号：US10739773

    申请日：2003-12-18

    申请人： John L. Sommer ,  Thomas D. Brostrom

    发明人： John L. Sommer ,  Thomas D. Brostrom

    IPC分类号： A61N1/05

    CPC分类号： A61N1/057 ,  A61N2001/0582

    摘要： An improved suture sleeve for a lead body includes an elongated tubular sleeve body formed of a compressible elastomeric material wherein a surface of the lumen has a relatively rough texture formed by a particulate or fibrous media embedded therein.

    摘要翻译： 用于引线主体的改进的缝合套管包括由可压缩弹性体材料形成的细长管状套管主体，其中内腔的表面具有由嵌入其中的颗粒或纤维介质形成的相对粗糙的纹理。

    Delivery of active fixation implatable lead systems
    67.
    发明授权
    Delivery of active fixation implatable lead systems 失效
    交付主动固定牵引系统

    公开(公告)号：US06931286B2

    公开(公告)日：2005-08-16

    申请号：US10423116

    申请日：2003-04-25

    申请人： Daniel C. Sigg ,  John L. Sommer

    发明人： Daniel C. Sigg ,  John L. Sommer

    IPC分类号： A61M25/00 ,  A61N1/05 ,  A61N1/00

    CPC分类号： A61M25/0082 ,  A61M25/0026 ,  A61M25/0084 ,  A61M2025/0089 ,  A61M2025/0095 ,  A61N1/05 ,  A61N1/0575 ,  A61N1/0587

    摘要： An implantable lead system includes an elongated device slideably engaged within a lumen of a lead body. A distal portion of the elongated device is slidable through a helix tip coupled to a distal end of the lead body by passing through a pierceable fluid-tight seal disposed in proximity to the distal end of the lead body; the seal prevents ingress of bodily fluid into the lumen of the lead body.

    摘要翻译： 可植入引线系统包括可滑动地接合在引线主体的内腔内的细长装置。 细长装置的远端部分可以通过穿过设置在引线主体的远端附近的可刺穿的流体密封的密封件，该螺旋尖端联接到引线主体的远端; 密封件防止体液进入引线体的内腔。

    Medical lead connector
    68.
    发明授权
    Medical lead connector 有权
    医用导线连接器

    公开(公告)号：US06799991B2

    公开(公告)日：2004-10-05

    申请号：US09947795

    申请日：2001-09-05

    申请人： Terrell M. Williams ,  John L. Sommer

    发明人： Terrell M. Williams ,  John L. Sommer

    IPC分类号： H01R1118

    CPC分类号： A61N1/056

    摘要： An electrical connector has a compressible portion that expands to accept an inserted lead and then contracts around the lead to provide both an electrical and a spring-like mechanical connection to the lead. The connector may have a fluted pin that collapses around the lead body when a set screw of the connector port is tightened. Alternatively, a middle segment of a pin may have indentations or slots that collapse around an inserted lead body. The connector can be attached to the lead body after the lead body is implanted in the body of the patient. In lead systems in which the lead body is implanted using a guide catheter, attaching the connector to the lead body after implantation makes removal of the guide catheter much less difficult.

    摘要翻译： 电连接器具有可压缩部分，其膨胀以接受插入的引线，然后在引线周围收缩，以向引线提供电和类似弹簧的机械连接。 当连接器端口的固定螺钉被拧紧时，连接器可以具有在引线主体周围塌缩的槽纹销。 或者，销的中间段可以具有围绕插入的引线体折叠的凹陷或狭槽。 在将铅体植入患者体内之后，连接器可以连接到引线体上。 在使用引导导管植入引线体的引线系统中，在植入后将连接器连接到引线体上，导致导管的移除难度要小得多。

    Steroid elution electrodes LVCV, left atrial medical/elecrical leads
    69.
    发明授权
    Steroid elution electrodes LVCV, left atrial medical/elecrical leads 有权
    类固醇洗脱电极LVCV，左心房医疗/电导线

    公开(公告)号：US06363287B1

    公开(公告)日：2002-03-26

    申请号：US09428191

    申请日：1999-10-27

    申请人： Scott J. Brabec ,  William Schindeldecker ,  John L. Sommer ,  Douglas S. Hine

    发明人： Scott J. Brabec ,  William Schindeldecker ,  John L. Sommer ,  Douglas S. Hine

    IPC分类号： A61N105

    CPC分类号： A61N1/0568

    摘要： A medical electrical lead having an elongated insulative sheath carrying an elongated electrical conductor therein and having a drug-dispensing electrode assembly coupled to a distal end of the elongated conductor. The electrode assembly takes the form of a conductive electrode member having a distal electrode portion exposed exterior to the elongated sheath and a shank portion extending proximally from the distal portion and coupled to the elongated conductor. A drug release device is mounted around the shank proximal to the distal portion of the electrode member and the electrode member is provided with at least one bore extending from a surface of the release device to a surface of the distal portion of the electrode member.

    摘要翻译： 一种医用电引线，其具有细长的绝缘护套，其中带有细长的电导体，并且具有联接到细长导体的远端的药物分配电极组件。 电极组件采取导电电极构件的形式，其具有暴露在细长护套外部的远端电极部分和从远侧部分向近侧延伸并联接到细长导体的柄部分。 药物释放装置安装在靠近电极构件的远端部分的柄周围，并且电极构件设置有从释放装置的表面延伸到电极构件的远端部分的表面的至少一个孔。

    Sensor, method of sensor implant and system for treatment of respiratory disorders
    70.
    发明授权
    Sensor, method of sensor implant and system for treatment of respiratory disorders 失效

    公开(公告)号：US6132384A

    公开(公告)日：2000-10-17

    申请号：US673246

    申请日：1996-06-26

    申请人： Mark A. Christopherson ,  John L. Sommer ,  Johann J. Neisz

    发明人： Mark A. Christopherson ,  John L. Sommer ,  Johann J. Neisz

    IPC分类号： A61B5/00 ,  A61B5/03 ,  A61B5/08 ,  A61B5/097 ,  A61N1/36

    CPC分类号： A61B5/03 ,  A61N1/3601 ,  A61B5/7207

    摘要： An implantable sensing device includes a sensing element and a mounting element. The mounting element has a first end and a second end with a longitudinal axis therethrough. The sensing element is positioned at the first end of the mounting element with the mounting element having a length that is adjustable along the longitudinal axis. The mounting element includes a sleeve having a first open end and a second open end with the longitudinal axis therethrough. The sensing element is positioned in the second open end and includes a lead body connected thereto extending through the second open end. The sleeve includes an outer sleeve member coupled for adjustment along the longitudinal axis with respect to an inner sleeve member. Further, the mounting element may include a flexible element about the first open end extending outwardly relative to the longitudinal axis and a flange element extending outwardly relative to the longitudinal axis from at least a portion of the second end. The device can be implanted in a bone with the flange element and the flexible element for direct or indirect contact with the anterior and posterior surface of the bone. A method of implanting the sensor includes providing a sensing element and drilling a hole in a bone. The hole extends to the intrathoracic cavity. The sensing element is inserted into the hole and positioned in communication with a region in the intrathoracic cavity. The hole is drilled in the manubrium. When the flexible element is inserted into the hole, the flexible element about the first open end collapses towards the longitudinal axis and when the sensor mounting assembly is removed from the hole, the flexible element collapses towards the longitudinal axis during removal. Methods for providing stimulation of a patient to treat respiratory disorders using the sensor are also provided as are stimulation systems for providing stimulation of a patient to treat respiratory disorders.