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公开(公告)号：US06370429B1
公开(公告)日：2002-04-09
申请号：US09628706
申请日：2000-07-31
IPC分类号： A61N139
CPC分类号： A61N1/0563 , A61F2/2481 , A61F2002/0068
摘要： A device for treating cardiac disease of a heart includes a jacket of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of the heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. The jacket is adapted to be secured to the heart with the jacket having portions disposed on opposite sides of the heart. The jacket is adjustable to snugly conform to an external geometry of the heart and to constrain circumferential expansion of the heart during diastole and permit substantially unimpeded contraction of the heart during systole. A first and a second grid of electrodes are carried on the jacket. The grids are disposed to be in overlying relation to individual ones of the opposite sides of the heart when the jacket is secured to the heart. The first and second grids are connectable to a source of a defibrillating waveform
摘要翻译： 用于治疗心脏心脏病的装置包括限定在开放的上端和下端之间的体积的柔性材料的护套。 外套的尺寸适用于通过开放的上端插入体积的心脏的顶点，并且夹套被滑过心脏。 护套适于固定在心脏上，护套具有设置在心脏的相对侧上的部分。 护套是可调节的，以贴合地符合心脏的外部几何形状，并且在舒张期期间约束心脏的周向扩张，并且允许心脏在收缩期间基本上不受阻碍地收缩心脏。 电极的第一和第二格栅承载在护套上。 当护套被固定在心脏上时，网格被布置成与心脏的相对侧中的个体相对重叠。 第一和第二栅极可连接到除颤波形的源
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公开(公告)号：US06169922A
公开(公告)日：2001-01-02
申请号：US09195770
申请日：1998-11-18
IPC分类号： A61N105
CPC分类号： A61N1/0563 , A61F2/2481 , A61F2002/0068
摘要： A device for treating cardiac disease of a heart includes a jacket of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of the heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. The jacket is adapted to be secured to the heart with the jacket having portions disposed on opposite sides of the heart. The jacket is adjustable to snugly conform to an external geometry of the heart and to constrain circumferential expansion of the heart during diastole and permit substantially unimpeded contraction of the heart during systole. A first and a second grid of electrodes are carried on the jacket. The grids are disposed to be in overlying relation to individual ones of the opposite sides of the heart when the jacket is secured to the heart. The first and second grids are connectable to a source of a defibrillating waveform.
摘要翻译： 用于治疗心脏心脏病的装置包括限定在开放的上端和下端之间的体积的柔性材料的护套。 外套的尺寸适用于通过开放的上端插入体积的心脏的顶点，并且夹套被滑过心脏。 护套适于固定在心脏上，护套具有设置在心脏的相对侧上的部分。 护套是可调节的，以贴合地符合心脏的外部几何形状，并且在舒张期期间约束心脏的周向扩张，并且允许心脏在收缩期间基本上不受阻碍地收缩心脏。 电极的第一和第二格栅承载在护套上。 当护套被固定在心脏上时，网格被布置成与心脏的相对侧中的个体相对重叠。 第一和第二栅极可连接到除颤波形的源。
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公开(公告)号：US6165121A
公开(公告)日：2000-12-26
申请号：US376812
申请日：1999-08-18
申请人： Clifton A. Alferness
发明人： Clifton A. Alferness
CPC分类号： A61F2/2481 , A61F2002/2484 , A61F2250/0003 , A61M1/1008 , A61M1/106 , A61M1/1068 , A61M1/12
摘要： The present disclosure is directed to a cardiac reinforcement device (CRD) and method for the treatment of cardiomyopathy. The CRD provides for reinforcement of the walls of the heart by constraining cardiac expansion, beyond a predetermined limit, during diastolic expansion of the heart. A CRD of the invention can be applied to the epicardium of the heart to locally constrain expansion of the cardiac wall or to circumferentially constrain the cardiac wall during cardiac expansion.
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公开(公告)号：US6047213A
公开(公告)日：2000-04-04
申请号：US34542
申请日：1998-03-03
CPC分类号： A61N1/368 , A61N1/3682
摘要： A atrial tracking cardiac stimulator for detecting atrial activations of a heart through an atrial lead associated with at least one of the atria of the heart and delivering ventricular pacing pulses to the heart through a ventricular lead associated with at least one of the ventricles of heart. The stimulator includes a pulse generator including an output stage which delivers a pacing pulse to the ventricular lead responsive to a conducted atrial activation. A sensor is coupled to the atrial lead for detecting atrial activations. A rejectory processor times rejectory time periods responsive to detected atrial activations. The refectory processor further provides a conducted atrial activation to the pulse generator when a detected atrial activation occurs outside of a rejectory time period.
摘要翻译： 一种心房跟踪心脏刺激器，用于通过与心脏心脏中的至少一个心脏相关联的心房引线来检测心脏的心房激活，并通过与心脏的至少一个心室相关联的心室导线向心脏传送心室起搏脉冲。 所述刺激器包括脉冲发生器，所述脉冲发生器包括输出级，所述输出级响应于传导的心房激活将起搏脉冲递送至心室引导。 传感器耦合到心房线以检测心房激活。 一个反弹的处理器响应于检测到的心房激活而重复弹射时间段。 当检测到的心房激活发生在反弹时间段之外时，所述餐厅处理器进一步向脉冲发生器提供进行的心房激活。
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公开(公告)号：US5683403A
公开(公告)日：1997-11-04
申请号：US630920
申请日：1996-04-05
CPC分类号： A61B17/08 , A61M25/02 , A61N1/05 , A61M2025/0253
摘要： A suture sleeve fixes an implanted cardiac device lead to body tissue beneath the skin of a patient. The suture sleeve includes a base, and suture holes permitting the suture sleeve to be suture to the body tissue. A flexible strap member extends from the base for encircling the lead and includes at least one ratchet tooth. A pawl within the base lockingly engages the flexible strap ratchet tooth after the strap is wrapped about the lead.
摘要翻译： 缝合套筒将植入的心脏装置导向患者皮肤下方的身体组织。 缝合套筒包括基部，并且允许缝线套管缝合到身体组织的缝合孔。 弹性带构件从基座延伸以环绕引线并且包括至少一个棘齿。 在扎带围绕导线缠绕之后，基座内的棘爪锁定地接合柔性带棘轮齿。
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公开(公告)号：US5531781A
公开(公告)日：1996-07-02
申请号：US145716
申请日：1993-11-02
CPC分类号： A61N1/057 , A61N1/056 , A61N1/0563 , A61N2001/0585
摘要： A lead is provided which assists in the implantation of the lead within an artery or vein of a human heart. The lead includes a lead body having a distal end and a proximal end and at least one electrode carried by the lead body intermediate the distal end and the proximal end. The lead includes a guide tip carried by the lead body which extends distally from the lead body distal end. The guide tip includes a distal tip end and a tapered portion forming the distal tip end. The tapered portion is curved in a direction of curvature to offset the distal tip end in a direction from the longitudinal center axis of the lead body. The guide tip may further include tines or fibrotic tissue ingrowth sites for retaining the lead in place after implantation.
摘要翻译： 提供了一种铅，其有助于将铅的植入在人心脏的动脉或静脉内。 引线包括具有远端和近端的引线主体和由引线主体承载的至少一个电极，其在远端和近端之间。 引线包括由铅体承载的引导头，其从引线体远端向远侧延伸。 引导尖端包括远端尖端和形成远端尖端的锥形部分。 锥形部分在曲率方向上弯曲，以在与引线主体的纵向中心轴线相反的方向上偏移远端尖端。 引导尖端还可以包括尖齿或纤维化组织向内生长部位，用于在植入后将铅保持在适当位置。
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87.发明授权Implantable atrial defibrillator having ischemia coordinated intervention therapy and method 失效植入式心房除颤器具有缺血协调干预治疗及方法
公开(公告)号：US5531768A
公开(公告)日：1996-07-02
申请号：US391156
申请日：1995-02-21
申请人： Clifton A. Alferness
发明人： Clifton A. Alferness
IPC分类号： A61N1/39
CPC分类号： A61N1/3956 , A61N1/395
摘要： An atrial defibrillator coordinates atrial cardioversion with ischemia detection. The defibrillator includes a plurality of sense amplifiers for sensing electrical activity of a heart. An ischemia detector is responsive to the sensed electrical activity of the heart for detecting ischemia of the heart. An atrial fibrillation detector is responsive to the sensed electrical activity of the heart for determining if the atria are in need of cardioversion, and a cardiovertor applies cardioverting electrical energy to the atria of the heart if the atria of the heart are in need of cardioversion and if the ischemia detector fails to detect ischemia of the heart.
摘要翻译： 心房除颤器与心脏缺血检测协调心房复律。 除颤器包括用于感测心脏的电活动的多个感测放大器。 缺血检测器响应感测的心脏的电活动以检测心脏缺血。 心房颤动检测器响应于心脏的感测的电活动以确定心房是否需要心脏复律，如果心脏的心房需要心脏复律，心脏转移器将心脏转移的电能施加到心脏的心房， 如果缺血检测器未能检测到心脏缺血。
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公开(公告)号：US5490862A
公开(公告)日：1996-02-13
申请号：US306665
申请日：1994-09-15
CPC分类号： A61N1/056 , A61N1/0563 , A61N1/3918 , A61N1/3956 , A61N1/3962 , A61N1/395 , A61N1/3987 , A61N2001/0585
摘要： An atrial defibrillator implantable beneath the skin of a patient includes an intervention sequencer for performing an intervention sequence. The intervention sequencer includes an atrial fibrillation detector for determining if atrial fibrillation is present in a patient's heart and a cardiovertor for applying cardioverting electrical energy to the atria of the patient's heart if the atrial fibrillation detector determines that atrial fibrillation is present. A sequence initiating stage includes a receiver for receiving a sequence command generated from external to the patient. The sequence initiating stage causes the intervention sequencer to perform the intervention sequence upon receipt of a sequence command.
摘要翻译： 植入患者皮肤下方的房颤除颤器包括用于执行干预顺序的干预序列发生器。 干预测序仪包括心房颤动检测器，用于确定心房颤动是否存在于患者的心脏中;以及心律转换器，如果心房颤动检测器确定存在心房颤动，则将心脏转复电能施加到患者心脏的心房。 序列发起阶段包括用于接收从患者外部产生的序列命令的接收器。 序列发起阶段使得干预序列器在接收到序列命令时执行干预序列。
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公开(公告)号：US5403354A
公开(公告)日：1995-04-04
申请号：US297145
申请日：1994-08-29
CPC分类号： A61N1/3918 , A61N1/056 , A61N1/0563 , A61N1/3956 , A61N1/3962 , A61N1/395 , A61N1/3987 , A61N2001/0585
摘要： An implantable atrial defibrillator provides a pulse of defibrillating electrical energy to the atria of the heart in synchronism with sensed R waves in response to non-coincident sensing of an R wave at first and second areas of the heart. The defibrillating pulse is provided after a predetermined number of consecutive R waves are non-coincidently sensed to assure reliable synchronization. The atrial defibrillator is also operational in a marker mode wherein a number of synchronization marker pulses are delivered to the heart for detection on an externally generated electrocardiogram. The atrial fibrillation detector of the defibrillator is normally disabled and is activated when the sensed ventricular activity indicates a probability of atrial fibrillation to conserve a depletable power source. An endocardial lead is also described which ensures that the delivered atrial defibrillating electrical energy is substantially confined to the atria of the heart.
摘要翻译： 可植入心房除颤器响应于在心脏的第一和第二区域处的R波的不一致的感测，与感测到的R波同步地向心脏的心房提供除颤电脉冲。 在不一致地感测到预定数量的连续R波之后提供除颤脉冲，以确保可靠的同步。 心房除颤器还可以在标记模式中操作，其中多个同步标记脉冲被传送到心脏以便在外部产生的心电图上进行检测。 除颤器的心房颤动检测器通常被禁用，并且当感测到的心室活动指示心房颤动的概率以节省可消耗的电源时被激活。 还描述了一种心内膜导联，其确保输送的心房除颤电能基本上限于心脏的心房。
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公开(公告)号：US5387233A
公开(公告)日：1995-02-07
申请号：US147330
申请日：1993-11-03
CPC分类号： A61N1/0563 , A61N1/057 , A61N1/3918 , A61N2001/058 , A61N2001/0585
摘要： An intravenous lead for use with a cardiac device implantable beneath the skin of a patient provides positive fixation for the lead when implanted in an artery or vein of the heart. The lead includes a lead body adapted to be fed into an artery or a vein of the heart of a patient and at least one electrode carried by the lead body and adapted to be coupled to the implantable cardiac device. The lead body includes a preformed section having a resiliently coiled configuration. The coiled section makes substantially continuous surface contact with inner wall surfaces of the artery or vein after the lead is implanted within the artery or vein for providing positive fixation of the lead.
摘要翻译： 用于可植入患者皮肤下方的心脏装置的静脉导管在植入心脏的动脉或静脉时提供铅的正性固定。 引线包括适于被馈送到患者心脏的动脉或静脉中的引线体，以及由引线主体承载并且适于联接到可植入的心脏装置的至少一个电极。 引线体包括具有弹性线圈构造的预成形部分。 线圈部分在将铅植入动脉或静脉中之后，与动脉或静脉的内壁表面基本上连续地接触表面，以提供铅的正确固定。
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