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：US07001396B2

公开(公告)日：2006-02-21

申请号：US10403265

申请日：2003-03-26

申请人： Valerie Glazier ,  Todd Latterell

发明人： Valerie Glazier ,  Todd Latterell

IPC分类号： A61F11/00

CPC分类号： A61M25/0631 ,  A61M5/3243

摘要： An introducer assembly includes an outer sheath, and a dilator assembly that includes a dilator hub and a dilator sheath. The dilator sheath is disposed within the outer sheath passage, and a proximal end of the dilator sheath is movably disposed within the dilator hub. The dilator assembly further includes a needle disposed within the dilator sheath, and coupled with the dilator hub. The dilator sheath has a first position and a second position relative to the dilator hub, where in the first position the needle distal end extends out from the dilator sheath distal end, and in the second position the dilator sheath is extended over the needle distal end.

摘要翻译： 导引器组件包括外护套和包括扩张器毂和扩张器护套的扩张器组件。 扩张器护套设置在外护套通道内，并且扩张器护套的近端可移动地设置在扩张器毂内。 扩张器组件还包括设置在扩张器护套内并与扩张器毂联接的针。 扩张器护套具有相对于扩张器毂的第一位置和第二位置，其中在第一位置，针远端从扩张器护套远端延伸，并且在第二位置，扩张器护套在针远端延伸 。

公开(公告)号：US20110071358A1

公开(公告)日：2011-03-24

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： A61B19/00 ,  A61B1/07

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：US07844348B2

公开(公告)日：2010-11-30

申请号：US11463286

申请日：2006-08-08

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

发明人： John M. Swoyer ,  Allison M. Kidder ,  Jeffrey Sweber ,  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： Devices and methods for placing medical leads using minimally invasive techniques. 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： 使用微创技术放置医疗线的设备和方法。 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：US20070038052A1

公开(公告)日：2007-02-15

申请号：US11463286

申请日：2006-08-08

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

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

IPC分类号： A61B5/05

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

摘要： Devices and methods for placing medical leads using minimally invasive techniques. 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： 使用微创技术放置医疗线的设备和方法。 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。