公开(公告)号：US08676347B2

公开(公告)日：2014-03-18

申请号：US13537494

申请日：2012-06-29

申请人： James Finley ,  John Swoyer

发明人： James Finley ,  John Swoyer

IPC分类号： A61N1/05

CPC分类号： A61N1/05 ,  A61N1/0558 ,  D04C1/06 ,  D10B2509/00

摘要： A therapy delivery element including a plurality of fibers braided to form an elongated braided structure with a lumen. At least one reinforcing structure is woven into the fibers of the braided structure. A portion of at least one reinforcing structure extends from the braided structure to form a fixation structure. A conductor assembly including a plurality of conductors is located in the lumen. An electrode assembly is located at a distal end of the conductor assembly. The electrode assembly includes a plurality of electrodes that are electrically coupled to the conductors. A connector assembly is located at a proximal end of the conductor assembly. The connector assembly includes a plurality of electrical contacts that are electrically coupled to the conductors. At least one of the braided structure or the reinforcing structure is attached to at least one of the electrode assembly or the connector assembly.

摘要翻译： 一种治疗递送元件，包括编织成多个纤维以形成具有内腔的细长编织结构。 至少一个加强结构被编织到编织结构的纤维中。 至少一个加强结构的一部分从编织结构延伸以形成固定结构。 包括多个导体的导体组件位于内腔中。 电极组件位于导体组件的远端。 电极组件包括电连接到导体的多个电极。 连接器组件位于导体组件的近端。 连接器组件包括电连接到导体的多个电触头。 编织结构或加强结构中的至少一个附接到电极组件或连接器组件中的至少一个。

公开(公告)号：US20120330354A1

公开(公告)日：2012-12-27

申请号：US13164942

申请日：2011-06-21

申请人： Lawrence Kane ,  John Swoyer

发明人： Lawrence Kane ,  John Swoyer

IPC分类号： A61B17/04

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：US20120232627A1

公开(公告)日：2012-09-13

申请号：US13046182

申请日：2011-03-11

申请人： John SWOYER ,  Jesse GEROY ,  James FINLEY

发明人： John SWOYER ,  Jesse GEROY ,  James FINLEY

IPC分类号： A61N1/05

CPC分类号： A61N1/0558 ,  A61B17/0401

摘要： A pre-sutured anchor including a deformable anchor sleeve with a lumen sized to receive the therapy delivery element. An outer surface of the anchor sleeve including one or more annular compression grooves oriented generally co-axial to the lumen. At least one compression member is located in a compression groove in an open configuration. The compression member includes at least one stop. A suture material pre-tied in a self-locking compression knot extends around each compression member. The suture material includes distal ends adapted to receive a tension force that is transmitted as a radial compression force to deform the compression members and substantially engage the stop in a compressed configuration. The anchor sleeve compressively engages the therapy delivery element in the compressed configuration.

摘要翻译： 一种预先缝合的锚，其包括可变形锚固套筒，其具有尺寸适于接收治疗递送元件的内腔。 锚定套筒的外表面包括一个或多个环形压缩槽，该环形压缩槽大致与内腔同轴。 至少一个压缩构件位于处于打开构型的压缩槽中。 压缩构件包括至少一个止挡件。 预先捆绑在自锁压缩结中的缝合材料围绕每个压缩构件延伸。 缝线材料包括适于接收作为径向压缩力传递的张力的远端，以使压缩构件变形并基本上以压缩构型接合止动件。 锚定套筒以压缩构型压缩地接合治疗递送元件。

公开(公告)号：US20060036235A1

公开(公告)日：2006-02-16

申请号：US10915310

申请日：2004-08-10

申请人： John Swoyer ,  Yelena Trophsa ,  Julie Woessner ,  Mark Christopherson

发明人： John Swoyer ,  Yelena Trophsa ,  Julie Woessner ,  Mark Christopherson

IPC分类号： A61B18/14

CPC分类号： A61B18/1477 ,  A61B2018/1472 ,  A61B2018/1475

摘要： Methods and apparatus for ablating a target tissue are discussed. Such methods and apparatus include those that simplify tissue ablation. For example, a tissue ablation device having an actuator, such as a trigger mechanism, coupled to a power source and an electrode is discussed. A single step of engaging the actuator causes the electrode to be introduced into the target tissue and causes energy to be delivered from the power supply to the tissue via the electrode. By way of additional example, a tissue ablation device having an actuator coupled to a fluid source and an electrode is discussed. A single step of engaging the actuator causes conductive fluid to flow from the fluid source to the target tissue location and causes the electrode to be introduced to the target tissue location. The fluid source may be a conductive fluid, such as saline, which may increase the efficiency of ablation. Various other configurations and methods that simplify tissue ablation are also discussed.

摘要翻译： 讨论了用于烧蚀靶组织的方法和装置。 这些方法和装置包括简化组织消融的方法和装置。 例如，讨论了具有耦合到电源和电极的诸如触发机构的致动器的组织消融装置。 使执行器接合的一个步骤使得电极被引入目标组织中，并且通过电极将能量从电源传送到组织。 作为另外的示例，讨论了具有耦合到流体源和电极的致动器的组织消融装置。 使致动器接合的一个步骤导致导电流体从流体源流动到目标组织位置，并且使电极被引入目标组织位置。 流体源可以是诸如盐水的导电流体，其可以提高消融效率。 还讨论了简化组织消融的各种其它配置和方法。

公开(公告)号：US09089693B2

公开(公告)日：2015-07-28

申请号：US13537341

申请日：2012-06-29

申请人： John Swoyer ,  James Finley ,  Lawrence Kane

发明人： John Swoyer ,  James Finley ,  Lawrence Kane

IPC分类号： A61N1/05 ,  A61N1/36

CPC分类号： A61N1/05 ,  A61N1/0551 ,  A61N1/3605 ,  A61N1/36053

摘要： A therapy assembly configured for at least partial insertion in a living body. At least one fixation structure is attached to the therapy delivery element proximate the electrodes. The fixation structure is configured to collapse radially inward and wrap circumferentially around the therapy delivery element to a collapsed configuration when inserted into a lumen of an introducer. The fixation structures deploy to a deployed configuration when the introducer is retracted. The fixation structure includes major surfaces generally parallel with, and extending radially outward from, a central axis of the therapy delivery element, proximal edge surface oriented toward the proximal end, and a distal edge surface oriented toward the distal end. The proximal and distal edge surfaces provide generally symmetrical resistance to displacement of the therapy delivery element within the living body in either a proximal direction or a distal direction along the central axis.

摘要翻译： 一种治疗组件，其构造成用于至少部分地插入生物体内。 至少一个固定结构附接到靠近电极的治疗递送元件。 固定结构构造成当插入到导引器的内腔中时，径向向内折叠并围绕治疗递送元件周向地折叠成折叠构造。 当导引器缩回时，固定结构部署到展开配置。 固定结构包括与治疗递送元件的中心轴大致平行并且从其径向向外延伸的主表面，朝向近端定向的近端边缘表面和朝向远端定向的远端边缘表面。 近端和远端边缘表面提供对沿着中心轴线的近端方向或远端方向上的治疗递送元件在生物体内的移位的大致对称的阻力。

公开(公告)号：US20140107744A1

公开(公告)日：2014-04-17

申请号：US14105821

申请日：2013-12-13

申请人： Scott KOKONES ,  John SWOYER ,  Jesse GEROY

发明人： Scott KOKONES ,  John SWOYER ,  Jesse GEROY

IPC分类号： A61N1/05

CPC分类号： A61N1/0539 ,  A61N1/0529 ,  A61N1/0531 ,  A61N1/0534 ,  A61N1/0551

摘要： Leads having directional electrodes thereon. Also provided are leads having directional electrodes as well as anchoring prongs to secure the electrodes to the leads. Also provided are leads with directional electrodes where all the electrodes have the same surface area. Methods of treating conditions and selectively stimulating regions of the brain such as the thalamus and cerebellum are also provided.

摘要翻译： 在其上具有定向电极的引线。 还提供了具有定向电极的引线以及固定引脚以将电极固定到引线。 还提供了具有定向电极的引线，其中所有电极具有相同的表面积。 还提供了治疗条件和选择性刺激脑的区域如丘脑和小脑的方法。

公开(公告)号：US20140046413A1

公开(公告)日：2014-02-13

申请号：US13571987

申请日：2012-08-10

申请人： LAWRENCE KANE ,  Elliot W. Bridgeman ,  John Swoyer

发明人： LAWRENCE KANE ,  Elliot W. Bridgeman ,  John Swoyer

IPC分类号： A61N1/05

CPC分类号： A61N1/0558 ,  A61B18/1492 ,  A61B2018/00214 ,  A61B2018/00285 ,  A61F2/90 ,  A61N1/057 ,  A61N2001/058

摘要： A therapy assembly configured for at least partial insertion in a living body. A plurality of fixation structures are disposed radially around the therapy delivery element proximate the electrodes. The fixation structures include wires having a diameter in a range between about 0.004 inches and about 0.020 inches. The wires have a first end attached to the therapy delivery element and a second end attached to a sliding member configured to slide along the therapy delivery element. The fixation structures are configured to collapse inward to a collapsed configuration when inserted into a lumen of an introducer and to deploy to a deployed configuration when the introducer is retracted. A fitting is located at proximal end of the introducer that releasably locks the therapy delivery element to the introducer, such that torque applied to the fitting is substantially transmitted to the distal end of the therapy assembly.

摘要翻译： 一种治疗组件，其构造成用于至少部分地插入生物体内。 多个固定结构被放置在靠近电极的治疗递送元件周围。 固定结构包括直径在约0.004英寸和约0.020英寸之间的直径的导线。 电线具有连接到治疗递送元件的第一端和附接到被配置为沿着治疗递送元件滑动的滑动构件的第二端。 固定结构构造成当插入导引器的内腔中时向内折叠成折叠构型，并且当导入器缩回时部署到展开构型。 导管器的近端处的配件位于可释放地将治疗递送元件锁定到导引器上，使得施加到配件的扭矩基本上传递到治疗组件的远端。

公开(公告)号：US08644953B1

公开(公告)日：2014-02-04

申请号：US13572081

申请日：2012-08-10

申请人： James Finley ,  John Swoyer

发明人： James Finley ,  John Swoyer

IPC分类号： A61N1/00

CPC分类号： A61N1/0551 ,  A61N1/05 ,  Y10T29/49208 ,  Y10T29/4921

摘要： A therapy delivery element configured for at least partial insertion in a living body. A braided structure surrounds the conductor assembly. A distal end of the braided structure is attached to an electrode assembly and a free floating proximal end is located near a connector assembly. An outer tubing surrounds the braided structure. The outer tubing includes a proximal end attached to the connector assembly and a distal end attached to the braided structure near the electrode assembly. A proximal tension force applied to the connector assembly acts substantially on the outer tubing and the conductor assembly and a proximal tension force applied to the free floating proximal end acts substantially on the braided structure.

摘要翻译： 治疗递送元件，其构造成用于至少部分地插入生物体。 编织结构围绕导体组件。 编织结构的远端附接到电极组件，并且自由浮动近端位于连接器组件附近。 外管围绕编织结构。 外管包括附接到连接器组件的近端和在电极组件附近附接到编织结构的远端。 施加到连接器组件的近侧张力基本上作用在外管和导体组件上，并且施加到自由浮动近端的近侧张力基本上作用在编织结构上。

公开(公告)号：US20140005675A1

公开(公告)日：2014-01-02

申请号：US13537341

申请日：2012-06-29

申请人： JOHN SWOYER ,  JAMES FINLEY ,  LAWRENCE KANE

发明人： JOHN SWOYER ,  JAMES FINLEY ,  LAWRENCE KANE

IPC分类号： A61N1/05

CPC分类号： A61N1/05 ,  A61N1/0551 ,  A61N1/3605 ,  A61N1/36053

摘要： A therapy assembly configured for at least partial insertion in a living body. At least one fixation structure is attached to the therapy delivery element proximate the electrodes. The fixation structure is configured to collapse radially inward and wrap circumferentially around the therapy delivery element to a collapsed configuration when inserted into a lumen of an introducer. The fixation structures deploy to a deployed configuration when the introducer is retracted. The fixation structure includes major surfaces generally parallel with, and extending radially outward from, a central axis of the therapy delivery element, proximal edge surface oriented toward the proximal end, and a distal edge surface oriented toward the distal end. The proximal and distal edge surfaces provide generally symmetrical resistance to displacement of the therapy delivery element within the living body in either a proximal direction or a distal direction along the central axis.

摘要翻译： 一种治疗组件，其构造成用于至少部分地插入生物体内。 至少一个固定结构附接到靠近电极的治疗递送元件。 固定结构构造成当插入到导引器的内腔中时，径向向内折叠并围绕治疗递送元件周向地折叠成折叠构造。 当导引器缩回时，固定结构部署到展开配置。 固定结构包括与治疗递送元件的中心轴大致平行并且从其径向向外延伸的主表面，朝向近端定向的近端边缘表面和朝向远端定向的远端边缘表面。 近端和远端边缘表面提供对沿着中心轴线的近端方向或远端方向上的治疗递送元件在生物体内的位移的大致对称的阻力。

公开(公告)号：US08560084B2

公开(公告)日：2013-10-15

申请号：US13220913

申请日：2011-08-30

申请人： Jesse Geroy ,  John Swoyer

发明人： Jesse Geroy ,  John Swoyer

IPC分类号： A61N1/05

CPC分类号： A61N1/0551 ,  A61N1/05 ,  H01B7/048 ,  Y10T29/49169

摘要： A biomedical conductor assembly adapted for at least partial insertion in a living body. The conductor assembly includes a plurality of the first electrical conductors each covered with an insulator and helically wound in a first direction to form an inner coil with a lumen. A plurality of second electrical conductors each including a plurality of un-insulated wires twisted in a ropelike configuration around a central axis to form a plurality of cables. Each cable is covered with an insulator and helically wound in a second opposite direction forming an outer coil in direct physical contact with the inner coil. The inner and outer coils are covered by an insulator. A method of making the conductor assembly and implanting a neurostimulation system is also disclosed.