公开(公告)号：US07155283B2

公开(公告)日：2006-12-26

申请号：US10732940

申请日：2003-12-11

申请人： Andrew J. Ries ,  Kevin K. Tidemand ,  Jennifer J. Zhao ,  David C. Rice ,  Hui Jin

发明人： Andrew J. Ries ,  Kevin K. Tidemand ,  Jennifer J. Zhao ,  David C. Rice ,  Hui Jin

IPC分类号： A61N1/00

CPC分类号： A61N1/3752

摘要： Improvements in connector headers of implantable medical devices (IMDs) for making electrical and mechanical connections with a connector element of a proximal connector assembly of an electrical medical lead and components thereof are disclosed. A connector block disposed within a header body of the connector header has a threaded bore aligned with a header grommet aperture and a connector block bore aligned with a header connector bore. A penetrable grommet is disposed within the header grommet aperture, and a setscrew is threaded into the threaded bore having a setscrew socket disposed to be engaged by the tool inserted through the penetrable grommet within the header grommet aperture to enable rotation of the setscrew within the threaded bore to tighten the setscrew against or to loosen the setscrew from a lead connector element received in the header connector bore.

摘要翻译： 公开了用于与电气医疗引线及其部件的近端连接器组件的连接器元件进行电气和机械连接的可植入医疗装置（IMD）的连接器插头的改进。 设置在连接器插头的插头主体内的连接器块具有与插头孔环孔对准的螺纹孔和与插头连接器孔对准的连接器块孔。 一个可穿透的索环设置在头部密封孔中，并且固定螺丝拧入螺纹孔中，该螺纹孔具有固定螺丝插座，该固定螺丝插座设置成与被插入通过可插入的索环的工具接合在头部孔环孔内，以使固定螺丝能够旋入螺纹 用于将固定螺丝紧固或者从接头插入连接器孔中的引线连接器元件松开固定螺丝。

公开(公告)号：US07231253B2

公开(公告)日：2007-06-12

申请号：US10732947

申请日：2003-12-11

申请人： Kevin K. Tidemand ,  Daniel C. Haeg ,  Craig L. Wiklund ,  James F. Kelley ,  Jennifer J. Zhao ,  Andrew J. Ries ,  David C. Rice ,  Hui J. Jin ,  James J. Christenson ,  Loc Van Vo

发明人： Kevin K. Tidemand ,  Daniel C. Haeg ,  Craig L. Wiklund ,  James F. Kelley ,  Jennifer J. Zhao ,  Andrew J. Ries ,  David C. Rice ,  Hui J. Jin ,  James J. Christenson ,  Loc Van Vo

IPC分类号： A61N1/375

CPC分类号： A61N1/375

摘要： An implantable medical device (IMD) includes a connector header for making electrical and mechanical connections with a proximal connector assembly of an electrical medical lead and includes a retainer for retaining a penetrable grommet within a header grommet aperture. A connector block disposed within a header body of the connector header has a threaded bore aligned with a header grommet aperture and a connector block bore aligned with a header connector bore. The penetrable grommet is disposed within the header grommet aperture, and a setscrew is threaded into the threaded bore having a setscrew socket disposed to be engaged by a tool inserted through the penetrable grommet within the header grommet aperture to enable rotation of the setscrew within the threaded bore to tighten the setscrew against or to loosen the setscrew from a lead connector element received in the header connector bore.

摘要翻译： 可植入医疗装置（IMD）包括用于与电气医疗引线的近端连接器组件进行电气和机械连接的连接器插头，并且包括保持器，用于将可穿透的索环保持在头部密封孔内。 设置在连接器插头的插头主体内的连接器块具有与插头孔环孔对准的螺纹孔和与插头连接器孔对准的连接器块孔。 可穿透的索环设置在头部密封孔中，并且固定螺丝被拧入螺纹孔中，该螺纹孔具有固定螺丝插座，该固定螺丝插座设置成由插入到头部孔环孔内的可穿透索环的工具接合，以使固定螺丝能够旋入螺纹 用于将固定螺丝紧固或者从接头插入连接器孔中的引线连接器元件松开固定螺丝。

公开(公告)号：US08666506B2

公开(公告)日：2014-03-04

申请号：US11810941

申请日：2007-06-07

申请人： Gary W. King ,  Steven M. Goetz ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

发明人： Gary W. King ,  Steven M. Goetz ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

IPC分类号： A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy are described. The techniques include selecting one or more electrode combinations based on information associating a plurality of electrode combinations with at least one value of a therapy metric. The therapy metric comprises a quantifiable result of delivery of stimulation, and may be generated computer modeling of delivery of stimulation via the electrode combinations. In one embodiment, a clinician may deliver stimulation via a baseline electrode combination, receive patient feedback to the baseline electrode combination, select a therapy metric based on the patient feedback, and select additional electrode combinations based on the selected therapy metric and the information associating the electrode combinations with therapy metric values. In another embodiment, the clinician may select a therapy metric prior to providing a test stimulation and select additional electrode combinations based on the selected therapy metric and the information associating electrode combinations with metric values.

摘要翻译： 描述了用于选择用于刺激治疗的电极组合的技术。 所述技术包括基于将多个电极组合与治疗度量的至少一个值相关联的信息来选择一个或多个电极组合。 治疗指标包括刺激递送的可量化结果，并且可以产生经由电极组合递送刺激的计算机建模。 在一个实施例中，临床医生可以经由基线电极组合递送刺激，将患者反馈接收到基线电极组合，基于患者反馈选择治疗度量，并且基于所选择的治疗度量选择附加电极组合，并且将关于 电极组合与治疗度量值。 在另一个实施例中，临床医生可以在提供测试刺激之前选择治疗度量，并且基于所选择的治疗度量和将电极组合与度量值相关联的信息来选择附加电极组合。

公开(公告)号：US06522915B1

公开(公告)日：2003-02-18

申请号：US09697438

申请日：2000-10-26

申请人： Thomas I. Ceballos ,  John E. Nicholson ,  Eric J. Panken ,  James D. Reinke ,  James Strom ,  Kevin K. Tidemand

发明人： Thomas I. Ceballos ,  John E. Nicholson ,  Eric J. Panken ,  James D. Reinke ,  James Strom ,  Kevin K. Tidemand

IPC分类号： A61B5042

CPC分类号： A61B5/6852 ,  A61B5/0422 ,  A61B5/7203 ,  A61B5/7207 ,  A61B5/7217 ,  A61B2562/0209 ,  A61B2562/043 ,  A61B2562/164 ,  A61N1/375

摘要： The invention discloses a subcutaneous electrode array or SEA for use in medical devices. The arrangement provides an enhanced capability for detecting and gathering electrical cardiac signals via the array of relatively closely spaced subcutaneous electrodes. Further, switching circuits, signal processors and memory to process electric cardiac signals are implemented to enable a leadless orientation-insensitive SEA scheme for receiving the electrical signal from the heart. The SEA is distributed over the perimeter of the implanted medical device and includes a non-conductive surround shroud of biocompatible material. The surround shroud is placed around the periphery of the case of the implanted medical device. Various configurations of recesses, each of which contain individual electrodes, are implemented to provide an enhanced signal to noise ratio for improved signal quality.

摘要翻译： 本发明公开了一种用于医疗器械的皮下电极阵列或SEA。 该装置提供了通过相对紧密间隔的皮下电极阵列检测和收集电心电信号的增强功能。 此外，实现开关电路，信号处理器和用于处理电心脏信号的存储器，以实现用于从心脏接收电信号的无引导取向不敏感的SEA方案。 SEA分布在植入的医疗装置的周边上，并且包括生物相容性材料的非导电环绕护罩。 环绕护罩放置在植入医疗装置的壳体的周围。 实现各种构造的凹槽，其中每个包含单独的电极，以提供增强的信噪比，以改善信号质量。

公开(公告)号：US5342381A

公开(公告)日：1994-08-30

申请号：US16327

申请日：1993-02-11

申请人： Kevin K. Tidemand

发明人： Kevin K. Tidemand

IPC分类号： A61B17/125 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14

CPC分类号： A61B18/1445 ,  A61B17/2812 ,  A61B17/3201 ,  A61B18/1815 ,  A61B2017/2948 ,  A61B2018/00107 ,  A61B2018/00601 ,  A61B2018/1415 ,  A61B2018/1417 ,  A61B2018/1457 ,  A61B2018/146 ,  A61B2018/1861

摘要： A hand operable bipolar combination scissors and forceps instrument. The instrument comprises two interfacing blade members wherein at least one blade member is pivotable in relation to the other blade member and wherein each blade member is an electrode to which current can flow. Each blade member is shaped to cooperate with the other blade member to thereby form a distal forceps portion and a proximal scissors portion wherein the respective scissors portions are electrically insulated from each other along their interfacing surfaces. Preferably, each blade member is individually pivotable in relation to the other blade member, and the instrument is dimensioned to have utility in endoscopic or other similar procedures.

摘要翻译： 一只手可操作的双极组合剪刀和镊子仪器。 仪器包括两个接口叶片构件，其中至少一个叶片构件相对于另一个叶片构件可枢转，并且其中每个叶片构件是电流可以流动的电极。 每个叶片构件被成形为与另一个叶片构件协作，从而形成远端镊子部分和近端剪刀部分，其中各个剪刀部分沿其接口表面彼此电绝缘。 优选地，每个叶片构件可以相对于另一个叶片构件单独地枢转，并且该仪器的尺寸被设计成在内窥镜或其他类似的程序中具有效用。

公开(公告)号：US08744597B2

公开(公告)日：2014-06-03

申请号：US11810967

申请日：2007-06-07

申请人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

发明人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

IPC分类号： A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy include delivering stimulation via each of at least two electrode combination classes during a therapy evaluation period. A first one of the classes comprises one or more electrode combinations that include electrodes within one or two columns of an implantable array of electrodes. The array may include at least three electrode columns. A second one of the classes comprises one or more electrode combinations that include electrodes within at least three electrode columns of the implantable array of electrodes. A preferred one of the electrode combination classes for a patient, and/or a number of leads to implant within the patient, may by selected based on feedback collected from the patient during the therapy evaluation period.

摘要翻译： 用于选择用于刺激治疗的电极组合的技术包括在治疗评价期间通过至少两个电极组合类别中的每一个递送刺激。 这些类别中的第一个包括一个或多个电极组合，其包括在可植入的电极阵列的一列或两列内的电极。 阵列可以包括至少三个电极柱。 第二类包括一个或多个电极组合，其包括在可植入电极阵列的至少三个电极列内的电极。 可以通过基于在治疗评估期间从患者收集的反馈来选择用于患者的电极组合类别中的优选的一个，和/或患者内的植入物的数量。

公开(公告)号：US20110029055A1

公开(公告)日：2011-02-03

申请号：US12937571

申请日：2009-01-23

申请人： Kevin K. Tidemand

发明人： Kevin K. Tidemand

IPC分类号： A61N1/00

CPC分类号： A61N1/0531 ,  A61N1/0534

摘要： An implantable medical lead includes a lead body having a proximal end, a distal end, and a spiral segment between the proximal end and the distal end. The spiral segment has a center, a proximal beginning point and a distal ending point. The proximal beginning point is closer to the center than the distal ending point. The lead further includes a contact element disposed in proximity to the proximal end of the lead body and an array of electrodes disposed at the spiral shaped segment of the lead body. A conductor extends within the lead body from the contact element to an electrode of the array and electrically couples the contact element and the electrode of the array.

摘要翻译： 可植入医疗引线包括具有近端，远端以及近端和远端之间的螺旋段的引线本体。 螺旋段具有中心，近端点和远端点。 近端开始点比远端终点更靠近中心。 引线还包括设置在引线主体的近端附近的接触元件和设置在引线主体的螺旋形段处的电极阵列。 导体在引线体内从接触元件延伸到阵列的电极，并且电耦合接触元件和阵列的电极。

公开(公告)号：US06721602B2

公开(公告)日：2004-04-13

申请号：US09934281

申请日：2001-08-21

申请人： David B. Engmark ,  Thomas Ceballos ,  Richard A. Bruchmann ,  Kevin K. Tidemand ,  George Patras ,  Todd Schaefer ,  Robert L. Olson

发明人： David B. Engmark ,  Thomas Ceballos ,  Richard A. Bruchmann ,  Kevin K. Tidemand ,  George Patras ,  Todd Schaefer ,  Robert L. Olson

IPC分类号： A61N1375

CPC分类号： A61N1/3754 ,  A61N1/375

摘要： In general, the invention is directed to an implantable medical device assembly having a more space-efficient housing and components, as well as processes for assembling the implantable medical device with reduced assembly cost and less complexity. The implantable medical device may incorporate a battery, capacitor, circuit assembly, feedthrough assembly, and interconnect assembly with respective electrical terminals. This configuration permits the use of automated electronic module assembly techniques such as parallel gap or ribbon bond welding to electrically connect the terminals. A feedthrough assembly may present a set of terminals adjacent a corresponding set of circuit terminals, also enabling the use of automated welding techniques.

公开(公告)号：US20080004675A1

公开(公告)日：2008-01-03

申请号：US11810967

申请日：2007-06-07

申请人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

发明人： Gary W. King ,  Kevin K. Tidemand ,  Wilbert A. Wesselink ,  Gabriela C. Miyazawa ,  Jordan J. Greenberg

IPC分类号： A61N1/05

CPC分类号： A61N1/37247 ,  A61N1/0529 ,  A61N1/0534 ,  A61N1/0553 ,  A61N1/36185 ,  G06F19/00 ,  G06F19/3481 ,  G16H40/63

摘要： Techniques for selecting electrode combinations for stimulation therapy include delivering stimulation via each of at least two electrode combination classes during a therapy evaluation period. A first one of the classes comprises one or more electrode combinations that include electrodes within one or two columns of an implantable array of electrodes. The array may include at least three electrode columns. A second one of the classes comprises one or more electrode combinations that include electrodes within at least three electrode columns of the implantable array of electrodes. A preferred one of the electrode combination classes for a patient, and/or a number of leads to implant within the patient, may by selected based on feedback collected from the patient during the therapy evaluation period.

摘要翻译： 用于选择用于刺激治疗的电极组合的技术包括在治疗评价期间通过至少两个电极组合类别中的每一个递送刺激。 这些类别中的第一个包括一个或多个电极组合，其包括在可植入的电极阵列的一列或两列内的电极。 阵列可以包括至少三个电极柱。 第二类包括一个或多个电极组合，其包括在可植入电极阵列的至少三个电极列内的电极。 可以通过基于在治疗评估期间从患者收集的反馈来选择用于患者的电极组合类别中的优选的一个，和/或患者内的植入物的数量。

公开(公告)号：US5870272A

公开(公告)日：1999-02-09

申请号：US852198

申请日：1997-05-06

申请人： Lynn M. Seifried ,  Joseph F. Lessar ,  William D. Wolf ,  Mary A. Fraley ,  Kevin K. Tidemand ,  David B. Engmark ,  Ronald F. Hoch ,  Craig L. Wiklund

发明人： Lynn M. Seifried ,  Joseph F. Lessar ,  William D. Wolf ,  Mary A. Fraley ,  Kevin K. Tidemand ,  David B. Engmark ,  Ronald F. Hoch ,  Craig L. Wiklund

IPC分类号： A61N1/375 ,  H01G4/35 ,  H01G4/008

CPC分类号： A61N1/3754 ,  A61N1/3718 ,  Y10T29/435

摘要： A capacitive filter feedthrough assembly and method of making the same are disclosed for shielding an implantable medical device such as pacemaker or defibrillator from electromagnetic interference or noise. A ferrule is adapted for mounting onto a conductive device housing by welding, soldering, brazing or gluing, and supports a terminal pin for feedthrough passage to a housing interior. A capacitive filter is mounted at the inboard side of a device housing, with capacitive filter electrode plate sets coupled respectively to the housing and the terminal pin by an electrically conductive combination of solder and brazing. In one embodiment of the invention, multiple capacitive filters are provided in an array within a common base structure, where each capacitive filter is associated with a respective terminal pin.

摘要翻译： 公开了电容式滤波器馈通组件及其制造方法，用于屏蔽诸如起搏器或除颤器之类的可植入医疗装置免受电磁干扰或噪声。 套圈适于通过焊接，焊接，钎焊或胶合来安装到导电装置壳体上，并且将用于穿通通道的端子销支撑到壳体内部。 电容滤波器安装在器件壳体的内侧，电容滤波器电极板组通过焊料和钎焊的导电组合分别耦合到壳体和端子销。 在本发明的一个实施例中，多个电容滤波器以公共基底结构的阵列提供，其中每个电容滤波器与相应的端子引脚相关联。