公开(公告)号：US09101370B2

公开(公告)日：2015-08-11

申请号：US13157350

申请日：2011-06-10

申请人： Gary C. Victor

发明人： Gary C. Victor

IPC分类号： A61B17/00 ,  A61B17/16 ,  A61B17/17

CPC分类号： A61B17/1668 ,  A61B17/175

摘要： A single use bone cutter comprised of a plate with a plurality of insert blade enclosures is described. The insert blade enclosures are arranged in a spiral pattern about the plate and are further positioned at varying height intervals through the thickness of the plate. The bone cutter provides a means whereby the insert blades can be easily positioned within the plurality of blade enclosures to provide a wide array of cutting diameters.

摘要翻译： 描述了由具有多个插入叶片外壳的板组成的单次使用的骨切割机。 插入叶片外壳以围绕板的螺旋图案布置，并且通过板的厚度进一步定位在变化的高度间隔处。 骨切割器提供了一种装置，由此插入刀片可以容易地定位在多个叶片外壳内，以提供广泛的切割直径。

公开(公告)号：US09084881B2

公开(公告)日：2015-07-21

申请号：US14258365

申请日：2014-04-22

申请人： Greatbatch Ltd.

发明人： Shahn S. Sage ,  John M. Swoyer ,  Jesse Geroy

IPC分类号： A61N1/05 ,  A61N1/36 ,  H01B7/04

CPC分类号： A61N1/05 ,  A61N1/0551 ,  A61N1/0558 ,  A61N1/36071 ,  H01B7/048

摘要： In some examples, an extension includes a connector adapted to electrically couple to a proximal end of the therapy delivery element. An elongated extension body is attached to the connector. The elongated extension body includes a stylet coil having a stylet coil lumen. The stylet coil extends within the elongated extension body to the connector. A conductor assembly includes a plurality of insulated electrical conductors braided to extend around the stylet coil and electrically coupled to the connector. The conductor assembly includes an inner lumen with a diameter greater than an outside diameter of the stylet coil, wherein axial elongated of the elongated extension body reduces the inner diameter of the conductor assembly. A low durometer insulator extends around the conductor assembly. A stylet is sized to slide freely within the stylet coil lumen during implantation of the extension in the living body.

摘要翻译： 在一些示例中，延伸部包括适于电耦合到治疗递送元件的近端的连接器。 细长的延伸体连接到连接器上。 细长延伸体包括具有探针线圈腔的探针线圈。 探针线圈在细长延伸体内延伸到连接器。 导体组件包括多个绝缘电导体，编织成围绕管心针线圈延伸并电耦合到连接器。 导体组件包括直径大于通管线圈外径的内腔，其中细长延伸体的轴向细长减小了导体组件的内径。 低硬度绝缘体围绕导体组件延伸。 探针的尺寸可以在植入生物体内的延伸部分时在探针线圈腔内自由滑动。

公开(公告)号：US09026227B2

公开(公告)日：2015-05-05

申请号：US14330033

申请日：2014-07-14

申请人： Greatbatch Ltd.

发明人： Terry D. Daglow

IPC分类号： A61N1/05 ,  A61M25/04 ,  A61N1/36 ,  A61M5/14 ,  A61M39/02

CPC分类号： A61M25/04 ,  A61M2005/1416 ,  A61M2039/0223 ,  A61M2039/0261 ,  A61N1/05 ,  A61N1/0558 ,  A61N1/3605

摘要： An anchor sleeve for securing a therapy delivery element, such as a stimulation lead or catheter, within a living body, that includes an inner sleeve with pre-formed locations of weakness that facilitate localized deformation. The anchor includes a deformable outer sleeve with a primary lumen extending along an axis. The outer surface of the outer sleeve includes a plurality of suture grooves oriented generally concentric to the axis. The inner sleeve includes a plurality of beams connected at deflection regions arranged around a secondary lumen. The inner sleeve is located in the primary lumen adjacent to the suture grooves so that the secondary lumen is generally concentric with the primary lumen. A plurality of locations of weakness are preformed in each of the beams to facilitate localized deformation in response to a radially inward force applied around the suture grooves by a suture material.

摘要翻译： 用于固定生物体内的治疗递送元件（例如刺激引线或导管）的锚定套筒，其包括具有促进局部变形的预先形成的弱点位置的内套筒。 锚固件包括具有沿轴线延伸的主腔的可变形外套筒。 外套筒的外表面包括大致与轴线同心取向的多个缝合槽。 内套筒包括连接在布置在次内腔周围的偏转区域的多个梁。 内套筒位于与缝合槽相邻的主腔内，使得第二内腔与主腔大致同心。 在每个梁中形成多个弱点位置，以便响应于通过缝合材料施加在缝合线槽周围的径向向内的力而促进局部变形。

公开(公告)号：US09014808B2

公开(公告)日：2015-04-21

申请号：US14187297

申请日：2014-02-23

申请人： Greatbatch Ltd.

发明人： Robert A. Stevenson ,  Christine A. Frysz ,  Jason Woods ,  Richard L. Brendel ,  Robert S. Johnson ,  Dominick J. Frustaci ,  Warren S. Dabney ,  Keith W. Seitz ,  Thomas Marzano ,  John E. Roberts ,  William C. Thiebolt ,  Christopher M. Williams ,  Buehl E. Truex

IPC分类号： H01G4/35 ,  A61N1/08 ,  A61N1/37 ,  A61N1/375 ,  H03H1/00 ,  A61N1/05

CPC分类号： A61N1/08 ,  A61N1/05 ,  A61N1/3718 ,  A61N1/3754 ,  H01G4/35 ,  H03H1/0007

摘要： An RF filter for an active medical device (AMD), for handling RF power induced in an associated lead from an external RF field at a selected MRI frequency or range frequencies includes a capacitor having a capacitance of between 100 and 10,000 picofarads, and a temperature stable dielectric having a dielectric constant of 200 or less and a temperature coefficient of capacitance (TCC) within the range of plus 400 to minus 7112 parts per million per degree centigrade. The capacitor's dielectric loss tangent in ohms is less than five percent of the capacitor's equivalent series resistance (ESR) at the selected MRI RF frequency or range of frequencies.

摘要翻译： 用于在选定的MRI频率或范围频率处理来自外部RF场的相关引线中感应的RF功率的用于主动医疗装置（AMD）的RF滤波器包括具有100至10,000皮​​法之间的电容的电容器，以及温度 介电常数为200以下，电容温度系数（TCC）在400〜71212ppm /摄氏度范围内的稳定电介质。 电容器的介电损耗角正切欧姆小于所选MRI射频频率或频率范围内电容器等效串联电阻（ESR）的百分之五。

公开(公告)号：US09002471B2

公开(公告)日：2015-04-07

申请号：US14337314

申请日：2014-07-22

申请人： Greatbatch Ltd.

发明人： Robert A. Stevenson ,  Gabriel A. Kustra

IPC分类号： A61N1/37 ,  A61N1/04 ,  A61N1/08 ,  A61N1/02 ,  A61N1/36 ,  A61N1/05 ,  A61N1/375 ,  H03H1/00 ,  H03H7/01

CPC分类号： A61N1/08 ,  A61N1/025 ,  A61N1/05 ,  A61N1/086 ,  A61N1/3605 ,  A61N1/3718 ,  A61N1/3754 ,  H03H1/0007 ,  H03H2007/013

摘要： An MRI-compatible electronic medical therapy system includes an active medical device connected to a plurality of electrodes. An independently actuatable switch selectively electrically connects at least one circuit protection device in electrical series with the electrodes and the medical device. The circuit protection device is adapted to permit current flow therethrough during normal medical device related therapy, but substantially prevent current flow therethrough in the presence of an induced electromagnetic field.

摘要翻译： MRI兼容的电子医疗治疗系统包括连接到多个电极的有源医疗装置。 可独立致动的开关选择性地将至少一个与电极和医疗装置电连接的电路保护装置电连接。 电路保护装置适于在正常的医疗装置相关治疗期间允许电流流过其中，但是在存在感应电磁场的情况下基本上防止电流流过其中。

公开(公告)号：US08983616B2

公开(公告)日：2015-03-17

申请号：US13604197

申请日：2012-09-05

申请人： Norbert Kaula ,  Yohannes Iyassu ,  Scott Drees

发明人： Norbert Kaula ,  Yohannes Iyassu ,  Scott Drees

IPC分类号： A61N1/08 ,  A61N1/372 ,  A61B5/00

CPC分类号： A61N1/37247 ,  A61B5/744 ,  G06F19/00 ,  G16H40/63

摘要： The present disclosure involves a medical system. The medical system includes a medical device configured to deliver a medical therapy to a patient and store an electronic patient record that includes visual identification information of the patient. The medical system includes a clinician programmer configured to program the medical device. The clinician programmer includes a display screen. The clinician programmer includes a transceiver configured to conduct electronic communication with external devices. The clinician programmer includes a memory storage configured to store machine-readable code. The clinician programmer includes a computer processor configured to execute the machine-readable code to: establish an electronic communication with the medical device via the transceiver; and display the electronic patient record, including the visual identification information of the patient, on the display screen after the electronic communication has been established.

摘要翻译： 本公开涉及医疗系统。 医疗系统包括被配置为向患者传送药物疗法并存储包括患者的视觉识别信息的电子病人记录的医疗装置。 医疗系统包括被配置为对医疗装置进行编程的临床医师编程器。 临床医生程序员包括显示屏。 临床医生编程器包括被配置为与外部设备进行电子通信的收发器。 临床医生程序员包括被配置为存储机器可读代码的存储器存储器。 临床医生程序员包括计算机处理器，其被配置为执行机器可读代码，以经由收发器与医疗设备建立电子通信; 并且在电子通信建立之后，在显示屏幕上显示包括患者的视觉识别信息的电子病人记录。

公开(公告)号：US08938309B2

公开(公告)日：2015-01-20

申请号：US13742781

申请日：2013-01-16

申请人： Greatbatch Ltd.

发明人： Thomas Marzano ,  Keith W. Seitz ,  Robert A. Stevenson ,  Xiaohong Tang ,  William C. Thiebolt ,  Christine A. Frysz ,  Richard L. Brendel ,  Jason Woods ,  Steven W. Winn ,  Dominick J. Frustaci ,  Buehl E. Truex ,  Donald Hickel, Jr.

IPC分类号： A61N1/00 ,  H01R43/00 ,  A61N1/05 ,  A61N1/375 ,  H01G4/35 ,  H01G2/10 ,  A61N1/372 ,  C22C29/12

CPC分类号： A61N1/3754 ,  A61N1/05 ,  A61N1/08 ,  A61N1/372 ,  A61N1/375 ,  B23K35/3013 ,  C22C29/12 ,  H01G2/103 ,  H01G4/005 ,  H01G4/12 ,  H01G4/30 ,  H01G4/35 ,  H01G4/40 ,  H01R43/00 ,  H02G3/22 ,  Y10T156/1052

摘要： An elevated feedthrough is attachable to a top or a side of an active implantable medical device. The feedthrough includes a conductive ferrule and a dielectric substrate. The dielectric substrate is defined as comprising a body fluid side and a device side disposed within the conductive ferrule. The dielectric substrate includes a body fluid side elevated portion generally raised above the conductive ferrule. At least one via hole is disposed through the dielectric substrate from the body fluid side to the device side. A conductive fill is disposed within the at least one via hole forming a hermetic seal and electrically conductive between the body fluid side and the device side. A leadwire connection feature is on the body fluid side electrically coupled to the conductive fill and disposed adjacent to the elevated portion of the dielectric substrate.

摘要翻译： 升高的馈通可附接到有源可植入医疗装置的顶部或侧面。 馈通包括导电套圈和电介质基片。 电介质基板被定义为包括体液侧和设置在导电套圈内的器件侧。 电介质基片包括通常在导电套圈上方升高的体液侧提升部分。 至少一个通孔穿过电介质基底从体液侧设置到器件侧。 导电填料设置在至少一个通孔内，形成气密密封并在体液侧和装置侧之间导电。 引线连接特征在体液侧电耦合到导电填充物并且邻近电介质基底的升高部分设置。

公开(公告)号：US08934991B2

公开(公告)日：2015-01-13

申请号：US14083591

申请日：2013-11-19

申请人： Greatbatch Ltd.

发明人： Lawrence Kane ,  John M. Swoyer

IPC分类号： A61N1/05 ,  A61B17/04 ,  A61B17/00

CPC分类号： A61N1/05 ,  A61B17/0401 ,  A61B2017/0084 ,  A61B2017/00858 ,  A61B2017/00964 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61N1/0558 ,  A61N2001/0582

摘要： Suture anchors for securing therapy delivery elements, such as stimulation leads or catheters, within a living body. The suture anchor includes an inner sleeve constructed with an inner layer of a softer, more pliable material that easily conforms to the therapy delivery element to reduce slippage and an outer layer constructed from a harder, stiffer durometer material that protects the therapy delivery elements from damage due to over-tightening the tie down sutures. A suture material located in the suture groove is tensioned to apply a radial compressive force. The reinforcing structure spreads the radial compressive force along a greater surface area of the therapy delivery element.

摘要翻译： 用于固定活体内的治疗递送元件（例如刺激引线或导管）的缝合锚。 缝合锚包括内套筒，该内套筒具有较软，更柔韧的材料的内层，其容易地符合治疗递送元件以减少滑脱，以及由更硬，更硬的硬度材料构成的外层，其保护治疗递送元件免受损伤 由于过度紧固缝合缝合。 位于缝合槽中的缝合材料被张紧以施加径向压缩力。 加强结构沿着治疗递送元件的较大表面积扩展径向压缩力。

公开(公告)号：US20140350655A1

公开(公告)日：2014-11-27

申请号：US13898845

申请日：2013-05-21

申请人： Greatbatch Ltd.

发明人： Richard North ,  Scott Drees ,  John M. Swoyer ,  Lawrence Kane ,  Jesse Geroy ,  Shahn Sage ,  Elliot Bridgeman ,  James Finley

IPC分类号： A61N1/05

CPC分类号： A61N1/0558 ,  A61B90/90 ,  A61B90/92 ,  A61B90/94 ,  A61B2090/3937 ,  A61B2090/3962 ,  A61N1/37241

摘要： In some examples, a lead identification system includes a first set of first lead indicators and a second set of second lead indicators. Each of the first lead indicators is configured to removably attach to at least one of a first therapy delivery element, a first epidural needle, or a first connector to uniquely identify at least one of the first therapy delivery element, the first epidural needle, or the first connector during implantation of the first therapy delivery element in the patient. Each of the second lead indicators is configured to removably attach to at least one of a second therapy delivery element, a second epidural needle, or a second connector to uniquely identify at least one of the second therapy delivery element, the second epidural needle, or the second connector during implantation of the second therapy delivery element in the patient.

摘要翻译： 在一些示例中，引线识别系统包括第一组第一引线指示器和第二组第二引线指示器。 第一引导指示器中的每一个被配置为可移除地附接到第一治疗递送元件，第一硬膜外针或第一连接器中的至少一个，以唯一地识别第一治疗递送元件，第一硬膜外针或 所述第一连接器在植入患者期间的第一治疗递送元件时。 每个第二引导指示器构造成可移除地附接到第二治疗递送元件，第二硬膜外针或第二连接器中的至少一个，以唯一地识别第二治疗递送元件，第二硬膜外针或 所述第二连接器在所述第二治疗递送元件植入患者期间。

公开(公告)号：US08849403B2

公开(公告)日：2014-09-30

申请号：US12788123

申请日：2010-05-26

申请人： Robert Shawn Johnson ,  Robert A. Stevenson ,  Warren S. Dabney ,  Holly Noelle Moschiano ,  Kishore Kumar Kondabatni ,  Neal Nesselbeck ,  Joseph Spaulding ,  Henry R. Halperin ,  Albert C. Lardo

发明人： Robert Shawn Johnson ,  Robert A. Stevenson ,  Warren S. Dabney ,  Holly Noelle Moschiano ,  Kishore Kumar Kondabatni ,  Neal Nesselbeck ,  Joseph Spaulding ,  Henry R. Halperin ,  Albert C. Lardo

IPC分类号： A61N1/372 ,  A61B5/00 ,  A61N1/05 ,  G01R33/28 ,  A61N1/37 ,  A61B18/00 ,  A61B5/055 ,  A61B5/042 ,  A61B19/00 ,  A61N1/08

CPC分类号： G01R33/285 ,  A61B5/042 ,  A61B5/055 ,  A61B5/415 ,  A61B5/418 ,  A61B5/7203 ,  A61B2018/00839 ,  A61B2090/374 ,  A61N1/05 ,  A61N1/086 ,  A61N1/3718

摘要： A lead extending exteriorly from an active implantable medical device (AIMD) is at least partially ensheathed within an electromagnetic interference (EMI) shield. The AIMD has a conductive equipotential surface to which the EMI shield may be conductively coupled. An impeding circuit may be provided for raising the high frequency impedance of the lead. An energy diversion circuit may also be provided for conductively coupling the lead to the EMI shield.

摘要翻译： 从有源可植入医疗设备（AIMD）外部延伸的引线至少部分地被覆盖在电磁干扰（EMI）屏蔽内。 AIMD具有导电等电位面，EMI屏蔽可以与其导电耦合。 可以提供用于提高引线的高频阻抗的阻抗电路。 还可以提供能量分流电路用于将导线传导耦合到EMI屏蔽。