公开(公告)号：US08548603B2

公开(公告)日：2013-10-01

申请号：US12955417

申请日：2010-11-29

申请人： John M. Swoyer ,  Allison M. Kidder ,  Jeffrey Zweber ,  Scott Brainard ,  Valerie Glazier

发明人： John M. Swoyer ,  Allison M. Kidder ,  Jeffrey Zweber ,  Scott Brainard ,  Valerie Glazier

IPC分类号： A61N1/05

CPC分类号： A61B5/0084 ,  A61B1/00165 ,  A61B5/04 ,  A61N1/0509 ,  A61N1/0551 ,  A61N1/0558 ,  A61N1/0573 ,  A61N1/0587

摘要： A medical device for placing a medical lead in the human body using minimally invasive techniques is described. One lead includes a lead body connected to a lead head having an aperture for providing fiber optic access to the interior of a helical electrode. The fiber optic shaft may be disposed within or along-side a drive shaft releasably coupled to the head to rotate the head. The drive shaft and lead body may be delivered using a delivery catheter. The delivery catheter can be advanced though a small incision to the target tissue site, and the site remotely visualized through the fiber optic scope extending through the lead head aperture. Some catheters include a distal mapping electrode readable from the catheter proximal portion or handle. The lead head can be rotated, rotating the helical electrode into the tissue, and the catheter, drive shaft, and fiber optic probe removed. In one use, epicardial pacing leads are placed on the posterior surface of the heart, aided by visualization and mapping to obtain optimal electrode placement and patient outcome.

摘要翻译： 描述了使用微创技术将医用铅放置在人体内的医疗装置。 一个引线包括连接到具有用于提供到螺旋电极的内部的光纤访问的孔的引导头的引线体。 光纤轴可以设置在可释放地联接到头部的驱动轴内或侧面，以旋转头部。 驱动轴和引线体可以使用输送导管输送。 输送导管可以通过小切口前进到目标组织部位，并且通过穿过引导头孔的光纤镜片远程可视化部位。 一些导管包括可从导管近端部分或手柄读取的远端映射电极。 引导头可以旋转，将螺旋电极旋转到组织中，导管，驱动轴和光纤探针被移除。 在一次使用中，通过可视化和映射辅助，将心外膜起搏引线放置在心脏的后表面上，以获得最佳电极放置和患者结果。

公开(公告)号：US08447414B2

公开(公告)日：2013-05-21

申请号：US12731764

申请日：2010-03-25

申请人： Robert Shawn Johnson ,  Warren S. Dabney ,  Robert A. Stevenson ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Scott Brainard

发明人： Robert Shawn Johnson ,  Warren S. Dabney ,  Robert A. Stevenson ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Scott Brainard

IPC分类号： A61N1/08 ,  A61N1/16 ,  A61N1/375

CPC分类号： A61N1/08 ,  A61B5/042 ,  A61B5/055 ,  A61B5/7203 ,  A61B2017/00911 ,  A61B2018/00839 ,  A61B2090/374 ,  A61N1/086 ,  A61N1/3718 ,  A61N1/375 ,  G01R33/285 ,  H03H7/0107 ,  H03H7/1758 ,  H03H7/1766

摘要： An energy management system that facilitates the transfer of high frequency energy induced on an implanted lead or a leadwire includes an energy dissipating surface associated with the implanted lead or the leadwire, a diversion or diverter circuit associated with the energy dissipating surface, and at least one switch disposed between the diversion circuit and the AIMD electronics for diverting energy in the implanted lead or the leadwire through the diversion circuit to the energy dissipating surface. The switch may comprise a single or multi-pole double or single throw switch. The diversion circuit may be either a high pass filter or a low pass filter.

公开(公告)号：US08200342B2

公开(公告)日：2012-06-12

申请号：US12850870

申请日：2010-08-05

申请人： Robert A. Stevenson ,  Buehl E. Truex ,  Barry C. Muffoletto ,  Warren S. Dabney ,  Christine A. Frysz ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Jeff Fleigle ,  Kishore Kumar Kondabatni ,  Richard L. Brendel ,  Robert Shawn Johnson ,  Scott Brainard ,  Henry R. Halperin ,  Albert C. Lardo

发明人： Robert A. Stevenson ,  Buehl E. Truex ,  Barry C. Muffoletto ,  Warren S. Dabney ,  Christine A. Frysz ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Jeff Fleigle ,  Kishore Kumar Kondabatni ,  Richard L. Brendel ,  Robert Shawn Johnson ,  Scott Brainard ,  Henry R. Halperin ,  Albert C. Lardo

IPC分类号： A61N1/08

CPC分类号： A61N1/05 ,  A61B5/042 ,  A61B5/055 ,  A61B90/98 ,  A61B2018/00839 ,  A61B2090/374 ,  A61N1/086 ,  A61N1/3718 ,  B82Y30/00 ,  G01R33/285

摘要： An energy management system facilitates the transfer of high frequency energy coupled into an implanted abandoned lead at a selected RF frequency or frequency band, to an energy dissipating surface. This is accomplished by conductively coupling the implanted abandoned lead to the energy dissipating surface of an abandoned lead cap through an energy diversion circuit including one or more passive electronic network components whose impedance characteristics are at least partially tuned to the implanted abandoned lead's impedance characteristics.

摘要翻译： 能量管理系统有助于将以选定的RF频率或频带耦合到植入的废弃引线中的高频能量传送到能量消散表面。 这是通过将植入的废弃导线导电地耦合到废弃的引线帽的能量消散表面，通过包括一个或多个无源电子网络部件的能量转向电路实现的，该无源电子网络部件的阻抗特性至少部分地被调整到被植入的废弃引线的阻抗特性。

公开(公告)号：US20110040343A1

公开(公告)日：2011-02-17

申请号：US12938926

申请日：2010-11-03

申请人： Robert Shawn Johnson ,  Warren S. Dabney ,  Robert A. Stevenson ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Scott Brainard ,  Daniel Robert Kaiser ,  Henry R. Halperin ,  Albert C. Lardo

发明人： Robert Shawn Johnson ,  Warren S. Dabney ,  Robert A. Stevenson ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Scott Brainard ,  Daniel Robert Kaiser ,  Henry R. Halperin ,  Albert C. Lardo

IPC分类号： A61N1/39

CPC分类号： G01R33/285 ,  A61B5/042 ,  A61B5/055 ,  A61B5/7203 ,  A61B18/02 ,  A61B18/1492 ,  A61B2018/00839 ,  A61B2018/1293 ,  A61B2018/147 ,  A61B2090/374 ,  A61N1/086 ,  A61N1/3718 ,  G01R33/286

摘要： An energy management system that facilitates the transfer of high frequency energy induced on an implanted lead or a leadwire includes an energy dissipating surface associated with the implanted lead or the leadwire, a diversion or diverter circuit associated with the energy dissipating surface, and at least one switch for diverting energy in the implanted lead or the leadwire through the diversion circuit to the energy dissipating surface. In alternate configurations, the switch may be disposed between the implanted lead or the leadwire and the diversion circuit, or disposed so that it electrically opens the implanted lead or the leadwire when diverting energy through the diversion circuit to the energy dissipating surface. The switch may comprise a single or multi-pole double or single throw switch. The diversion circuit may be either a high pass filter or a low pass filter.

摘要翻译： 促进在植入引线或引线上感应的高频能量的传递的能量管理系统包括与注入的引线或引线相关联的能量消散表面，与能量消散表面相关联的转向或转向电路，以及至少一个 用于通过分流电路将植入的引线或引线中的能量转移到能量消散表面。 在替代配置中，开关可以设置在注入的引线或引线和引导电路之间，或者设置成当将能量通过引导电路转移到能量消散表面时，其电开放注入的引线或引线。 开关可以包括单极或多极双掷或单掷开关。 分流电路可以是高通滤波器或低通滤波器。

公开(公告)号：US08195295B2

公开(公告)日：2012-06-05

申请号：US12407402

申请日：2009-03-19

申请人： Robert A. Stevenson ,  Buehl E. Truex ,  Richard L. Brendel ,  Christine A. Frysz ,  Warren S. Dabney ,  Haytham Hussein ,  Jose Luis Lorente Adame ,  Robert Shawn Johnson ,  Scott Brainard

发明人： Robert A. Stevenson ,  Buehl E. Truex ,  Richard L. Brendel ,  Christine A. Frysz ,  Warren S. Dabney ,  Haytham Hussein ,  Jose Luis Lorente Adame ,  Robert Shawn Johnson ,  Scott Brainard

IPC分类号： A61N1/375 ,  A61N1/05

CPC分类号： A61N1/08 ,  A61N1/086 ,  A61N1/3718 ,  A61N1/375 ,  A61N1/3754 ,  A61N2001/086 ,  H01G4/06 ,  H01G4/35 ,  H01G4/40 ,  H01R13/7195 ,  H03H1/0007 ,  H03H7/1766 ,  H03H2001/0042 ,  H03H2001/0085 ,  H05K1/181 ,  H05K5/0095 ,  H05K9/00 ,  H05K2201/10015

摘要： A shielded three-terminal flat-through EMI/energy dissipating filter includes an active electrode plate through which a circuit current passes between a first terminal and a second terminal, a first shield plate on a first side of the active electrode plate, and a second shield plate on a second side of the active electrode plate opposite the first shield plate. The first and second shield plates are conductively coupled to a grounded third terminal. In preferred embodiments, the active electrode plate and the shield plates are at least partially disposed with a hybrid flat-through substrate that may include a flex cable section, a rigid cable section, or both.

摘要翻译： 屏蔽三端子平通EMI /消能滤波器包括有源电极板，电路电流通过该有源电极板在第一端子和第二端子之间通过，第一屏蔽板位于有源电极板的第一侧上，第二屏蔽板 屏蔽板在与第一屏蔽板相对的有源电极板的第二侧上。 第一和第二屏蔽板导电地耦合到接地的第三端子。 在优选实施例中，有源电极板和屏蔽板至少部分地布置有可以包括柔性电缆部分，刚性电缆部分或两者的混合平整基板。

公开(公告)号：US08108042B1

公开(公告)日：2012-01-31

申请号：US13273658

申请日：2011-10-14

申请人： Robert Shawn Johnson ,  Kishore Kumar Kondabatni ,  Christopher Michael Williams ,  Ryan Thomas Bauer ,  Scott Brainard ,  Qingshan Ye ,  Warren S. Dabney ,  Robert A. Stevenson ,  Jeff Fleigle ,  Holly Noell Moschiano

发明人： Robert Shawn Johnson ,  Kishore Kumar Kondabatni ,  Christopher Michael Williams ,  Ryan Thomas Bauer ,  Scott Brainard ,  Qingshan Ye ,  Warren S. Dabney ,  Robert A. Stevenson ,  Jeff Fleigle ,  Holly Noell Moschiano

IPC分类号： A61N1/00

CPC分类号： H01F27/027 ,  A61N1/086 ,  A61N1/3718 ,  A61N1/3754 ,  H01F27/40 ,  H01F2017/065 ,  H01G4/40 ,  H03H1/0007 ,  H03H7/0115 ,  H03H2001/0042 ,  H03H2007/013

摘要： One or more inductors and one or more capacitors are physically disposed relative to one another in series and are electrically connected to one another in parallel to form a bandstop filter. Chip inductors and chip capacitors having spaced apart conductive terminals are physically arranged in end-to-end abutting relation to minimize electrical potential between adjacent conductive terminals. The bandstop filter may be hermetically sealed within a biocompatible container for use with an implantable lead or electrode of a medical device. The values of the inductors and the capacitors are selected such that the bandstop filter is resonant at one or more selected frequencies, such as an MRI pulsed frequency.

公开(公告)号：US07920916B2

公开(公告)日：2011-04-05

申请号：US12795190

申请日：2010-06-07

申请人： Robert Shawn Johnson ,  Kishore Kumar Kondabatni ,  Christopher Michael Williams ,  Ryan Thomas Bauer ,  Scott Brainard ,  Qingshan Ye ,  Warren S. Dabney ,  Robert A. Stevenson ,  Jeff Fleigle ,  Holly Noelle Moschiano

发明人： Robert Shawn Johnson ,  Kishore Kumar Kondabatni ,  Christopher Michael Williams ,  Ryan Thomas Bauer ,  Scott Brainard ,  Qingshan Ye ,  Warren S. Dabney ,  Robert A. Stevenson ,  Jeff Fleigle ,  Holly Noelle Moschiano

IPC分类号： A61N1/00

CPC分类号： H01F27/027 ,  A61N1/086 ,  A61N1/3718 ,  A61N1/3754 ,  H01F27/40 ,  H01F2017/065 ,  H01G4/40 ,  H03H1/0007 ,  H03H7/0115 ,  H03H2001/0042 ,  H03H2007/013

摘要： One or more inductors and one or more capacitors are physically disposed relative to one another in series and are electrically connected to one another in parallel to form a bandstop filter. Chip inductors and chip capacitors having spaced apart conductive terminals are physically arranged in end-to-end abutting relation to minimize electrical potential between adjacent conductive terminals. The bandstop filter may be hermetically sealed within a biocompatible container for use with an implantable lead or electrode of a medical device. The values of the inductors and the capacitors are selected such that the bandstop filter is resonant at one or more selected frequencies, such as an MRI pulsed frequency.

摘要翻译： 一个或多个电感器和一个或多个电容器彼此相互物理地布置并且彼此并联电连接以形成带阻滤波器。 具有间隔开的导电端子的片式电感器和片式电容器以端对端邻接的方式物理地布置，以使相邻的导电端子之间的电位最小化。 带阻滤波器可以气密地密封在生物相容性容器内，以与医疗装置的可植入引线或电极一起使用。 选择电感器和电容器的值，使得带阻滤波器在一个或多个选定的频率（例如MRI脉冲频率）下共振。

公开(公告)号：US20110004283A1

公开(公告)日：2011-01-06

申请号：US12891542

申请日：2010-09-27

申请人： Robert A. Stevenson ,  Buehl E. Truex ,  Richard L. Brendel ,  Christine A. Frysz ,  Warren S. Dabney ,  Haythem Hussein ,  Jose Luis Lorente-Adame ,  Robert Shawn Johnson ,  Scott Brainard ,  Christopher Michael Williams

发明人： Robert A. Stevenson ,  Buehl E. Truex ,  Richard L. Brendel ,  Christine A. Frysz ,  Warren S. Dabney ,  Haythem Hussein ,  Jose Luis Lorente-Adame ,  Robert Shawn Johnson ,  Scott Brainard ,  Christopher Michael Williams

IPC分类号： A61N1/00

CPC分类号： A61N1/08 ,  A61N1/086 ,  A61N1/3718 ,  A61N1/375 ,  A61N1/3754 ,  A61N2001/086 ,  H01G4/06 ,  H01G4/35 ,  H01G4/40 ,  H01R13/7195 ,  H03H1/0007 ,  H03H7/1766 ,  H03H2001/0042 ,  H03H2001/0085 ,  H05K1/181 ,  H05K5/0095 ,  H05K9/00 ,  H05K2201/10015

摘要： A shielded three-terminal flat-through EMI/energy dissipating filter includes an active electrode plate through which a circuit current passes between a first terminal and a second terminal, a first shield plate on a first side of the active electrode plate, and a second shield plate on a second side of the active electrode plate opposite the first shield plate. The first and second shield plates are conductively coupled to a grounded third terminal. In preferred embodiments, the active electrode plate and the shield plates are at least partially disposed with a hybrid flat-through substrate that may include a flex cable section, a rigid cable section, or both.

摘要翻译： 屏蔽三端子平通EMI /消能滤波器包括有源电极板，电路电流通过该有源电极板在第一端子和第二端子之间通过，第一屏蔽板位于有源电极板的第一侧上，第二屏蔽板 屏蔽板在与第一屏蔽板相对的有源电极板的第二侧上。 第一和第二屏蔽板导电地耦合到接地的第三端子。 在优选实施例中，有源电极板和屏蔽板至少部分地布置有可以包括柔性电缆部分，刚性电缆部分或两者的混合平整基板。

公开(公告)号：US20100231327A1

公开(公告)日：2010-09-16

申请号：US12795190

申请日：2010-06-07

申请人： Robert Shawn Johnson ,  Kishore Kumar Kondabatni ,  Christopher Michael Williams ,  Ryan Thomas Bauer ,  Scott Brainard ,  Qingshan Ye ,  Warren S. Dabney ,  Robert A. Stevenson ,  Jeff Fleigle ,  Holly Noelle Moschiano

发明人： Robert Shawn Johnson ,  Kishore Kumar Kondabatni ,  Christopher Michael Williams ,  Ryan Thomas Bauer ,  Scott Brainard ,  Qingshan Ye ,  Warren S. Dabney ,  Robert A. Stevenson ,  Jeff Fleigle ,  Holly Noelle Moschiano

IPC分类号： H03H7/01

CPC分类号： H01F27/027 ,  A61N1/086 ,  A61N1/3718 ,  A61N1/3754 ,  H01F27/40 ,  H01F2017/065 ,  H01G4/40 ,  H03H1/0007 ,  H03H7/0115 ,  H03H2001/0042 ,  H03H2007/013

摘要： One or more inductors and one or more capacitors are physically disposed relative to one another in series and are electrically connected to one another in parallel to form a bandstop filter. Chip inductors and chip capacitors having spaced apart conductive terminals are physically arranged in end-to-end abutting relation to minimize electrical potential between adjacent conductive terminals. The bandstop filter may be hermetically sealed within a biocompatible container for use with an implantable lead or electrode of a medical device. The values of the inductors and the capacitors are selected such that the bandstop filter is resonant at one or more selected frequencies, such as an MRI pulsed frequency.

摘要翻译： 一个或多个电感器和一个或多个电容器彼此相互物理地布置并且彼此并联电连接以形成带阻滤波器。 具有间隔开的导电端子的片式电感器和片式电容器以端对端邻接的方式物理地布置，以使相邻的导电端子之间的电位最小化。 带阻滤波器可以气密地密封在生物相容性容器内，以与医疗装置的可植入引线或电极一起使用。 选择电感器和电容器的值，使得带阻滤波器在一个或多个选定的频率（例如MRI脉冲频率）下共振。

公开(公告)号：US20100191236A1

公开(公告)日：2010-07-29

申请号：US12707568

申请日：2010-02-17

申请人： Robert Shawn Johnson ,  Warren S. Dabney ,  Robert A. Stevenson ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Scott Brainard ,  Daniel Robert Kaiser ,  Henry R. Halperin ,  Albert C. Lardo ,  Scott W. Kelley

发明人： Robert Shawn Johnson ,  Warren S. Dabney ,  Robert A. Stevenson ,  Christopher Michael Williams ,  Holly Noelle Moschiano ,  Scott Brainard ,  Daniel Robert Kaiser ,  Henry R. Halperin ,  Albert C. Lardo ,  Scott W. Kelley

IPC分类号： A61B18/14 ,  A61N1/05

CPC分类号： A61N1/08 ,  A61B5/04 ,  A61B5/042 ,  A61B5/055 ,  A61B5/7203 ,  A61B2018/00452 ,  A61B2018/00839 ,  A61B2090/374 ,  A61N1/05 ,  A61N1/086 ,  A61N1/3718 ,  G01R33/286 ,  G01R33/288 ,  H03H7/0107 ,  H03H7/1758 ,  H03H7/1766

摘要： An energy management system that facilitates the transfer of high frequency energy induced on an implanted lead or a leadwire includes an energy dissipating surface associated with the implanted lead or the leadwire, a diversion or diverter circuit associated with the energy dissipating surface, and at least one non-linear circuit element switch for diverting energy in the implanted lead or the leadwire through the diversion circuit to the energy dissipating surface. In alternate configurations, the switch may be disposed between the implanted lead or the leadwire and the diversion circuit, or disposed so that it electrically opens the implanted lead or the leadwire when diverting energy through the diversion circuit to the energy dissipating surface. The non-linear circuit element switch is typically a PIN diode. The diversion circuit may be either a high pass filter or a low pass filter.

摘要翻译： 促进在植入引线或引线上感应的高频能量的传递的能量管理系统包括与注入的引线或引线相关联的能量消散表面，与能量消散表面相关联的转向或转向电路，以及至少一个 非线性电路元件开关，用于通过分流电路将注入的引线或引线中的能量转移到能量消散表面。 在替代配置中，开关可以设置在注入的引线或引线和引导电路之间，或者设置成当将能量通过引导电路转移到能量消散表面时，其电开放注入的引线或引线。 非线性电路元件开关通常是PIN二极管。 分流电路可以是高通滤波器或低通滤波器。