公开(公告)号：US07544197B2

公开(公告)日：2009-06-09

申请号：US10840668

申请日：2004-05-06

申请人： Daniel N. Kelsch ,  James L. Mellor ,  Kenneth P. Rundle ,  Roger B. Fell ,  Scott E. Jahns ,  Dave S. Erickson ,  Vincent A. Fischer, III ,  Kent D. Anderson

发明人： Daniel N. Kelsch ,  James L. Mellor ,  Kenneth P. Rundle ,  Roger B. Fell ,  Scott E. Jahns ,  Dave S. Erickson ,  Vincent A. Fischer, III ,  Kent D. Anderson

IPC分类号： A61B19/00 ,  A61N1/00

CPC分类号： A61N1/0587 ,  A61B17/8888 ,  A61B2017/00243 ,  A61B2017/003 ,  A61B2017/0409 ,  A61B2017/0441 ,  A61B2017/2929 ,  A61B2017/2937 ,  A61N2001/0578 ,  B25B27/143

摘要： Minimally invasive introducers and methods that can be used for rotationally securing devices within the human body. Introducers can include a distal element for releasably engaging a lead head controllable from a proximal control located outside of the body. An inner stem can extend between a proximal portion and a distal portion, and be pivotally and rotatably coupled to the distal lead engagement mechanism. An outer tube can be rotatably disposed over the inner stem and be flexibly coupled over the pivot to rotationally drive the distal element. A helical epicardial-myocardial lead electrode can be secured and oriented straight ahead and introduced through a port or small incision with the introducer in a straight configuration. The introducer can then be bent and rotated to screw the helical electrode into the heart.

摘要翻译： 微创介入器和方法可用于旋转地固定人体内的装置。 导引器可以包括用于可释放地接合从位于身体外部的近侧控制器控制的引导头的远侧元件。 内杆可以在近端部分和远侧部分之间延伸，并且可枢转地和可旋转地联接到远侧引导接合机构。 外管可以可旋转地设置在内杆上方并且被柔性地联接在枢轴上以旋转地驱动远侧元件。 螺旋状心外膜 - 心肌引导电极可以被固定并且直线前进并且通过端口或小切口引入导引器直线配置。 然后可以将引导器弯曲并旋转以将螺旋电极螺钉拧入心脏。

公开(公告)号：US07890192B1

公开(公告)日：2011-02-15

申请号：US12478797

申请日：2009-06-05

申请人： Daniel N. Kelsch ,  James L. Mellor ,  Kenneth P. Rundle ,  Roger B. Fell ,  Scott E. Jahns ,  Dave S. Erickson ,  Vincent A. Fischer, III ,  Kent D. Anderson

发明人： Daniel N. Kelsch ,  James L. Mellor ,  Kenneth P. Rundle ,  Roger B. Fell ,  Scott E. Jahns ,  Dave S. Erickson ,  Vincent A. Fischer, III ,  Kent D. Anderson

IPC分类号： A61B19/00 ,  A61N1/00

CPC分类号： A61N1/0587 ,  A61B17/8888 ,  A61B2017/00243 ,  A61B2017/003 ,  A61B2017/0409 ,  A61B2017/0441 ,  A61B2017/2929 ,  A61B2017/2937 ,  A61N2001/0578 ,  B25B27/143

摘要： A method for inserting a lead electrode into body tissue using a rotatable lead introducer is described. The introducer can include a distal element for releasably engaging a lead head controllable from a proximal control located outside of the body. An inner stem can extend between a proximal portion and a distal portion, and be pivotally and rotatably coupled to the distal lead engagement mechanism. An outer tube can be rotatably disposed over the inner stem and be flexibly coupled over the pivot to rotationally drive the distal element. A helical epicardial-myocardial lead electrode can be secured and oriented straight ahead and introduced through a port or small incision with the introducer in a straight configuration. The introducer can then be bent and rotated to screw the helical electrode into the heart.

摘要翻译： 描述了使用可旋转引线导引器将引线电极插入体组织的方法。 引导器可以包括远端元件，用于可释放地接合可从位于身体外侧的近侧控制器控制的引导头。 内杆可以在近端部分和远侧部分之间延伸，并且可枢转地和可旋转地联接到远侧引导接合机构。 外管可以可旋转地设置在内杆上方并且被柔性地联接在枢轴上以旋转地驱动远侧元件。 螺旋状心外膜 - 心肌引导电极可以被固定并且直线前进并且通过端口或小切口引入导引器直线配置。 然后可以将引导器弯曲并旋转以将螺旋电极螺钉拧入心脏。

公开(公告)号：US07930040B1

公开(公告)日：2011-04-19

申请号：US12478301

申请日：2009-06-04

申请人： Daniel N. Kelsch ,  James L. Mellor ,  Kenneth P. Rundle ,  Roger B. Fell ,  Scott E. Jahns ,  Dave S. Erickson ,  Vincent A. Fischer, III ,  Kent D. Anderson

发明人： Daniel N. Kelsch ,  James L. Mellor ,  Kenneth P. Rundle ,  Roger B. Fell ,  Scott E. Jahns ,  Dave S. Erickson ,  Vincent A. Fischer, III ,  Kent D. Anderson

IPC分类号： A61B19/00 ,  A61N1/00

CPC分类号： A61N1/0587 ,  A61B17/8888 ,  A61B2017/00243 ,  A61B2017/003 ,  A61B2017/0409 ,  A61B2017/0441 ,  A61B2017/2929 ,  A61B2017/2937 ,  A61N2001/0578 ,  B25B27/143

摘要： Minimally invasive introducers and methods that can be used for rotationally securing devices within the human body. Introducers can include a distal element for releasably engaging a lead head controllable from a proximal control located outside of the body. An inner stem can extend between a proximal portion and a distal portion, and be pivotally and rotatably coupled to the distal lead engagement mechanism. An outer tube can be rotatably disposed over the inner stem and be flexibly coupled over the pivot to rotationally drive the distal element. A helical epicardial-myocardial lead electrode can be secured and oriented straight ahead and introduced through a port or small incision with the introducer in a straight configuration. The introducer can then be bent and rotated to screw the helical electrode into the heart.

摘要翻译： 微创介入器和方法可用于旋转地固定人体内的装置。 导引器可以包括用于可释放地接合从位于身体外部的近侧控制器控制的引导头的远侧元件。 内杆可以在近端部分和远侧部分之间延伸，并且可枢转地和可旋转地联接到远侧引导接合机构。 外管可以可旋转地设置在内杆上方并且被柔性地联接在枢轴上以旋转地驱动远侧元件。 螺旋状心外膜 - 心肌引导电极可以被固定并且直线前进并且通过端口或小切口引入导引器直线配置。 然后可以将引导器弯曲并旋转以将螺旋电极螺钉拧入心脏。