公开(公告)号：US09901731B2

公开(公告)日：2018-02-27

申请号：US11343655

申请日：2006-01-31

申请人： Mark T. Marshall ,  Kevin R. Seifert

发明人： Mark T. Marshall ,  Kevin R. Seifert

IPC分类号： A61N1/05 ,  A61N1/37 ,  A61N1/08

CPC分类号： A61N1/056 ,  A61N1/08 ,  A61N1/3718

摘要： A conductor for connecting an electrode near a distal end of a medical electrical lead with an implantable medical device connected with a proximal end of the medical electrical lead includes a multi-filar coil wrapped around a central core. The multi-filar coil has an inductance of approximately 0.5 μH or greater, and the central core is non-conducting and provides reinforcement for the multi-filar coil.

公开(公告)号：US08694128B2

公开(公告)日：2014-04-08

申请号：US12020479

申请日：2008-01-25

申请人： Kevin R. Seifert ,  Gregory A. Boser

发明人： Kevin R. Seifert ,  Gregory A. Boser

IPC分类号： A61N1/05

CPC分类号： A61N1/0568 ,  A61N1/0575

摘要： A medical device lead is presented. One embodiment of the claimed invention includes a lead body, a conductor, and a flexible component. The lead body includes a proximal end and a distal end. The conductor is coupled to the lead body. A sleeve is coupled to the distal end of the lead body. The flexible component is coupled to the distal end of the sleeve. The distal end of the flexible component includes an outer diameter that is greater than the outer diameter of the proximal end.

摘要翻译： 提供医疗器械引线。 要求保护的发明的一个实施例包括引线体，导体和柔性部件。 引线体包括近端和远端。 导体耦合到引线体。 套筒联接到引线主体的远端。 柔性部件联接到套筒的远端。 柔性部件的远端包括大于近端的外径的外径。

公开(公告)号：US08644932B2

公开(公告)日：2014-02-04

申请号：US12915828

申请日：2010-10-29

申请人： Kevin R. Seifert ,  Christopher C. Stancer

发明人： Kevin R. Seifert ,  Christopher C. Stancer

IPC分类号： A61N1/37

CPC分类号： A61N1/37 ,  A61N1/086 ,  A61N1/3718 ,  A61N2001/083

摘要： In general, this disclosure is directed to techniques and circuitry to determine characteristics of an implantable lead associated with an implantable medical device (IMD). The implantable lead may be designed to be MRI-safe by having one or more components that attenuate frequencies associated with an MRI that, if left unreduced, may interfere with the performance of the lead and/or cause harm to the tissue in which the lead is implanted. The circuitry may transmit a signal through the lead and receive a response signal. The device may determine the lead characteristics by comparing the transmitted signal with the received signal. In addition to determining whether the lead is MRI-safe, the techniques of this disclosure may be also utilized to determine whether the lead is faulty.

摘要翻译： 通常，本公开涉及确定与可植入医疗装置（IMD）相关联的可植入引线的特性的技术和电路。 可植入引线可以通过具有衰减与MRI相关联的频率的一个或多个组件来设计为具有MRI安全性，如果未被还原，可能会干扰引线的性能和/或对其中的引线造成伤害 被植入。 电路可以通过引线传输信号并接收响应信号。 该装置可以通过将发送的信号与接收的信号进行比较来确定引导特性。 除了确定引线是否是MRI安全以外，本公开的技术还可用于确定引线是否有故障。

公开(公告)号：US20130289644A1

公开(公告)日：2013-10-31

申请号：US13457884

申请日：2012-04-27

申请人： Gonzalo Martinez ,  Mark T. Marshall ,  Kevin R. Seifert

发明人： Gonzalo Martinez ,  Mark T. Marshall ,  Kevin R. Seifert

IPC分类号： A61N1/37

CPC分类号： A61N1/3712 ,  A61B5/0215 ,  A61B2560/0276 ,  A61N1/04 ,  A61N1/0563 ,  A61N1/3628 ,  A61N1/36592 ,  A61N1/368 ,  A61N1/3706 ,  A61N1/3931 ,  A61N1/3937 ,  A61N1/3962 ,  A61N2001/0585 ,  A61N2001/083

摘要： The disclosure describes implantable medical systems that respond to occurrence of a lead-related condition by utilizing an elongated coil electrode in defining an alternative pacing therapy vector to maintain optimal drain of an IMD power supply. An exemplary system includes a medical electrical lead having an elongated electrode and an improved sensing and therapy delivery circuitry to provide the alternative pacing therapy vector responsive to the lead-related conditions. The system reconfigures the operation of the sensing and therapy delivery circuitry triggered by the switch to the alternative pacing therapy vector.

公开(公告)号：US08442646B2

公开(公告)日：2013-05-14

申请号：US12781181

申请日：2010-05-17

申请人： Kevin R. Seifert ,  Gregory A. Boser ,  Jonathan A. Hughes ,  Michael R. Dollimer

发明人： Kevin R. Seifert ,  Gregory A. Boser ,  Jonathan A. Hughes ,  Michael R. Dollimer

IPC分类号： A61N1/05

CPC分类号： A61N1/05 ,  A61N1/056 ,  H01R4/184 ,  H01R2201/12 ,  Y10T29/49174

摘要： An inner surface of a coupling component sidewall forms first and second portions of a cavity of the coupling component. A conductive coupling between an electrode and a conductor of a medical electrical lead may be formed by inserting a segment of the conductor into the first portion of the cavity, crimping the sidewall of the coupling component around the inserted segment, inserting a segment of the electrode into the second portion of the cavity, and welding an edge of the sidewall to the inserted electrode segment. The edge of the sidewall may define a slot, extending between first and second portions of the cavity, or a hole extending through the sidewall. The electrode may be part of an electrode assembly, mounted around an inner insulation layer of the lead, and the conductor may be part of a conductor assembly extending between inner and outer insulation layers of the lead.

摘要翻译： 耦合部件侧壁的内表面形成耦合部件的空腔的第一和第二部分。 医疗电引线的电极和导体之间的导电耦合可以通过将导体的一部分插入空腔的第一部分中，将耦合部件的侧壁卷绕在插入的部分周围，插入电极的一部分 进入空腔的第二部分，并且将侧壁的边缘焊接到插入的电极段。 侧壁的边缘可以限定在空腔的第一和第二部分之间延伸的狭槽或延伸穿过侧壁的孔。 电极可以是围绕引线的内绝缘层安装的电极组件的一部分，并且导体可以是在引线的内绝缘层和外绝缘层之间延伸的导体组件的一部分。

公开(公告)号：US08437864B2

公开(公告)日：2013-05-07

申请号：US12626984

申请日：2009-11-30

申请人： Kevin R. Seifert

发明人： Kevin R. Seifert

IPC分类号： A61N1/00

CPC分类号： A61N1/0563 ,  H01R2201/12 ,  Y10T29/49117

摘要： A medical electrical lead that includes a lead body and at least one tubular electrode sub-assembly positioned over and attached to the lead body. The lead body includes at least one elongated conductive element, such as a cable, that is electrically connected to a coiled electrode of the tubular electrode sub-assembly. The tubular electrode sub-assembly includes a tubular liner and an electrode embedded in the outer surface of the liner. In some embodiments, only a portion of the inner surface of the tubular liner is attached to the lead body in order to improve flexibility of the medical electrode lead in the area occupied by the tubular electrode sub-assembly.

摘要翻译： 一种医疗用电线，其包括引线体和至少一个管状电极子组件，所述至少一个管状电极子组件定位在所述引线本体上并附着于所述引线主体。 引线体包括电连接到管状电极子组件的线圈电极的至少一个细长导电元件，例如电缆。 管状电极子组件包括管状衬垫和嵌入在衬套的外表面中的电极。 在一些实施例中，只有管状衬套的内表面的一部分被附接到引线体，以便提高医疗电极引线在由管状电极子组件占据的区域中的柔性。

公开(公告)号：US08403866B2

公开(公告)日：2013-03-26

申请号：US12423128

申请日：2009-04-14

申请人： Kevin R. Seifert ,  Raymond Yee

发明人： Kevin R. Seifert ,  Raymond Yee

IPC分类号： A61M25/00 ,  A61M5/00

CPC分类号： A61N1/056 ,  A61M2025/0037 ,  A61N2001/0578 ,  A61N2001/0585

摘要： A method and apparatus for introducing a cardiac lead to an implantation site that includes a catheter body having an outer wall and a distal leader and having a proximal portion extending from the first proximal end to a second distal end. An inner member is positioned within an outer lumen of the catheter body and is spaced from the outer wall to form a first inner lumen for receiving a guide tool inserted therein and a second lumen for receiving the cardiac lead while the guide tool is positioned within the first inner lumen. A distal end of the inner member forms a first opening at a distal end of the first inner lumen and a second opening at a distal end of the second inner lumen, the first opening and the second opening positioned proximal the distal leader.

摘要翻译： 一种用于将心脏引导线引入到植入部位的方法和装置，所述植入部位包括具有外壁和远侧引导件的导管本体，并且具有从所述第一近端延伸到第二远端的近端部分。 内部构件定位在导管主体的外腔内并且与外壁间隔开以形成用于接收插入其中的引导工具的第一内腔和用于接收心脏引线的第二腔，同时引导工具位于 第一内腔。 内部构件的远端在第一内腔的远端处形成第一开口，在第二内腔的远端处形成第二开口，第一开口和第二开口位于远侧引导件的近侧。

公开(公告)号：US08250754B2

公开(公告)日：2012-08-28

申请号：US12627021

申请日：2009-11-30

申请人： Kevin R. Seifert

发明人： Kevin R. Seifert

IPC分类号： H01R43/00

CPC分类号： A61N1/056 ,  H01R2201/12 ,  Y10T29/49179 ,  Y10T29/49204 ,  Y10T29/49208 ,  Y10T29/4922

摘要： A medical electrical lead that includes a lead body and at least one tubular electrode sub-assembly positioned over and attached to the external surface of the lead body. The lead body includes at least one elongated conductive element, such as a cable, that is electrically connected to a coiled electrode of the tubular electrode sub-assembly. The tubular electrode sub-assembly includes a tubular liner and an electrode embedded in the outer surface of the liner. In some embodiments, only a portion of the inner surface of the tubular liner is attached to the lead body which may potentially improve flexibility of the medical electrode lead in the area occupied by the tubular electrode sub-assembly.

摘要翻译： 一种医疗用电线，其包括引线体和位于所述引线主体的外表面上并且附接到所述引线主体的外表面的至少一个管状电极子部件。 引线体包括电连接到管状电极子组件的线圈电极的至少一个细长导电元件，例如电缆。 管状电极子组件包括管状衬垫和嵌入在衬套的外表面中的电极。 在一些实施例中，只有管状衬套的内表面的一部分附接到引线主体，这可能潜在地改善医疗电极引线在管状电极子组件所占据的区域中的柔性。

公开(公告)号：US20110270369A1

公开(公告)日：2011-11-03

申请号：US13097187

申请日：2011-04-29

申请人： Mohac Tekmen ,  Kevin R. Seifert

发明人： Mohac Tekmen ,  Kevin R. Seifert

IPC分类号： A61N1/05

CPC分类号： A61N1/0573 ,  A61N1/056 ,  A61N1/086

摘要： This disclosure provides a medical lead assembly that includes a lead body having a proximal end configured to couple to an implantable medical device and a distal end. The lead assembly further includes an electrode assembly located at the distal end of the lead body, the electrode assembly including a tip electrode, a conductive electrode shaft that is electrically coupled to the tip electrode and an energy dissipating structure that is coupled to at least a portion of the conductive electrode shaft at high frequencies to redirect at least a portion of the current induced in the lead by a high frequency signal from the tip electrode to the energy dissipating structure.

摘要翻译： 本公开内容提供了一种医疗引线组件，其包括具有被配置为耦合到可植入医疗装置和远端的近端的引线本体。 引线组件还包括位于引线主体的远端处的电极组件，电极组件包括尖端电极，电耦合到尖端电极的导电电极轴和耦合到至少一个 导电电极轴的高频部分将引线中感应的电流的至少一部分由尖端电极的高频信号引向能量消散结构。

公开(公告)号：US08005550B2

公开(公告)日：2011-08-23

申请号：US12211075

申请日：2008-09-15

申请人： Gregory A. Boser ,  Kevin R. Seifert

发明人： Gregory A. Boser ,  Kevin R. Seifert

IPC分类号： A61N1/05

CPC分类号： A61N1/05 ,  A61N1/0563 ,  Y10T29/49123 ,  Y10T29/49204

摘要： A medical device lead is presented. The lead includes one or more jacketed conductive elements. The jacket comprises one or more covers. A first cover of expanded polytetrafluoroethylene (ePTFE) is in direct contact with the at least one conductive element. At least one conductive element and a ePTFE cover are coiled. The coiled conductive element can substantially retain its original coiled shape.

摘要翻译： 提供医疗器械引线。 引线包括一个或多个夹套导电元件。 夹克包括一个或多个盖。 膨胀聚四氟乙烯（ePTFE）的第一盖与至少一个导电元件直接接触。 至少一个导电元件和ePTFE盖被卷绕。 盘绕的导电元件可以基本上保持其原始的盘绕形状。