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公开(公告)号:US5803928A
公开(公告)日:1998-09-08
申请号:US788647
申请日:1997-01-24
IPC分类号: A61N1/05
CPC分类号: A61N1/056 , A61N2001/058 , A61N2001/0585
摘要: Intravenous cardiac leads having at least one electrode intended to be implanted within the coronary artery are disclosed. Also disclosed are structures and techniques for advancing such leads through the atrium and coronary sinus into the coronary veins overlaying the left ventricle.
摘要翻译: 公开了具有至少一个待植入冠状动脉的电极的静脉内心脏引线。 还公开了用于将这种引线通过心房和冠状窦推进到覆盖左心室的冠状静脉的结构和技术。
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公开(公告)号:US5931864A
公开(公告)日:1999-08-03
申请号:US27288
申请日:1998-02-20
IPC分类号: A61N1/05
CPC分类号: A61N1/057 , A61N2001/0585
摘要: A body implantable lead for placement in a selected coronary vein includes a resilient retention structure for inhibiting displacement of the lead because of heart beat action, breathing or other body movement. The retention structure includes a plurality of resilient projections that are attached to the lead body and which are adapted to project at a predetermined acute angle to the axis of the lead body when unconstrained. Prior to being routed through the vascular system, the projections can be bonded to the lead body to provide a low profile with a biodegradable adhesive. Following exposure to body fluids, the adhesive dissolves, releasing the projections so that they can engage the walls of the vein in which the lead is disposed.
摘要翻译: 用于放置在所选择的冠状静脉中的身体可植入引线包括弹性保持结构,用于抑制由于心跳动作,呼吸或其他身体运动引起的位移。 保持结构包括多个弹性突起,其附接到引线主体并且适于在不受约束时以与引线主体的轴线成预定的锐角突出。 在被引导通过血管系统之前,突起可以结合到引线主体以通过可生物降解的粘合剂提供低轮廓。 在暴露于体液后,粘合剂溶解,释放突起使得它们可以与引导物置于其中的静脉的壁接合。
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公开(公告)号:US06129750A
公开(公告)日:2000-10-10
申请号:US274620
申请日:1999-03-23
申请人: Bruce A. Tockman , Randy W. Westlund , Stuart R. Chastain , Brian D. Soltis , Dwight A. Skinner
发明人: Bruce A. Tockman , Randy W. Westlund , Stuart R. Chastain , Brian D. Soltis , Dwight A. Skinner
IPC分类号: A61N1/05
CPC分类号: A61N1/057 , A61N2001/0585
摘要: An apparatus for fixing a cardiac lead in place within the vasculature of the heart includes a coil having a normal helical shape and a stylet for holding the coil straight during insertion of the coil through a lumen of the lead. Upon retraction of the stylet, the coil returns to its helical shape along with the lead, forcing portions of the lead into contact with the vessel wall.
摘要翻译: 用于将心脏引线固定在心脏脉管内的设备包括具有正常螺旋形状的线圈和用于在线圈插入线圈的内腔期间将线圈保持直线的探针。 当探针回缩时,线圈与引线一起返回其螺旋形状,迫使引线的部分与血管壁接触。
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公开(公告)号:US5925073A
公开(公告)日:1999-07-20
申请号:US27821
申请日:1998-02-23
IPC分类号: A61N1/05
CPC分类号: A61N1/057 , A61N2001/0585
摘要: An intravenous lead for use with a cardiac device for implantation in the coronary venous system of the heart includes a lead body that is adapted to be routed through the vascular system into the coronary sinus with the distal end portion of the lead placed in the great cardiac vein or branch vein. The lead body includes a preformed section disposed just proximal of its tip so that the lead body exhibits a two-dimensional wave having peaks and valleys for contacting the endothelial layer of the vein at discrete, longitudinally spaced points to stabilize the electrode against displacement.
摘要翻译: 用于心脏装置用于植入心脏冠状静脉系统的静脉导管包括引线体,其适于通过血管系统引导到冠状窦中,将引线的远端部分放置在大心脏中 静脉或分支静脉。 引线体包括设置在其尖端附近的预成型部分,使得引线体呈现出具有峰和谷的二维波,用于在离散的纵向间隔的点处接触静脉的内皮层,以使电极抵抗位移。
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公开(公告)号:US06136021A
公开(公告)日:2000-10-24
申请号:US274621
申请日:1999-03-23
IPC分类号: A61N1/05
CPC分类号: A61N1/057 , A61N2001/0585
摘要: Expandable electrodes for intravascular leads permit the electrodes to be placed and retained in the vasculature of the left side of the heart. Such electrodes can be in the form of a balloon, an expandable wire coil, or other expandable shapes.
摘要翻译: 用于血管内引线的可扩展电极允许将电极放置并保留在心脏左侧的脉管系统中。 这种电极可以是气球,可膨胀线圈或其它可膨胀形状的形式。
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公开(公告)号:US6122552A
公开(公告)日:2000-09-19
申请号:US262155
申请日:1999-03-03
申请人: Bruce A. Tockman , Randy W. Westlund , Stuart R. Chastain , Bruce M. Wilson , John A. Greenland , Jon A. Becker
发明人: Bruce A. Tockman , Randy W. Westlund , Stuart R. Chastain , Bruce M. Wilson , John A. Greenland , Jon A. Becker
CPC分类号: A61M25/10 , A61M2025/0681 , A61M2025/1052 , A61N2001/0578
摘要: An apparatus for positioning a cardiac lead in the vasculature of the heart includes a guide catheter, a sleeve and a guidewire. The guide catheter has an inflatable balloon at its distal end and a central lumen open distally to the exterior of the catheter for injection of dye or advancement of a guidewire through the guide catheter and past its distal end. The guide sleeve replaces the guide catheter once the guidewire is in position so that a lead can be advanced over the guidewire with the sleeve.
摘要翻译: 用于将心脏引线定位在心脏的脉管系统中的装置包括导向导管,套管和导丝。 引导导管在其远端处具有可充气气囊,并且中心腔向远侧方向朝向导管外部打开,用于注射染料或引导线通过引导导管并通过其远端。 一旦导丝线就位,引导套筒即可取代导向导管,以便引导件可以在套管之间在引导线上前进。
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公开(公告)号:US5755766A
公开(公告)日:1998-05-26
申请号:US787308
申请日:1997-01-24
IPC分类号: A61N1/05
CPC分类号: A61N1/0575 , A61N1/056 , A61N2001/0585
摘要: Intravenous cardiac leads having at least one electrode intended to be implanted within the coronary veins are disclosed. Also disclosed are structures and techniques for advancing such leads through the atrium and coronary sinus into the coronary veins overlaying the left ventricle.
摘要翻译: 公开了具有至少一个待植入冠状静脉内的电极的静脉内心脏引线。 还公开了用于将这种引线通过心房和冠状窦推进到覆盖左心室的冠状静脉的结构和技术。
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公开(公告)号:US5755765A
公开(公告)日:1998-05-26
申请号:US787287
申请日:1997-01-24
申请人: Gregory M. Hyde , Stuart R. Chastain , Bruce A. Tockman , Randy W. Westlund , Ronald W. Heil, Jr. , David M. Flynn , Randall M. Peterfeso
发明人: Gregory M. Hyde , Stuart R. Chastain , Bruce A. Tockman , Randy W. Westlund , Ronald W. Heil, Jr. , David M. Flynn , Randall M. Peterfeso
CPC分类号: A61N1/056 , A61N2001/0585
摘要: Intravenous cardiac leads having at least one electrode intended to be implanted within the coronary veins are disclosed. Also disclosed are structures and techniques for advancing such leads through the atrium and coronary sinus into the coronary veins.
摘要翻译: 公开了具有至少一个待植入冠状静脉内的电极的静脉内心脏引线。 还公开了用于将这种引线通过心房和冠状窦进入冠状静脉的结构和技术。
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公开(公告)号:US06671560B2
公开(公告)日:2003-12-30
申请号:US10081436
申请日:2002-02-20
申请人: Randy W. Westlund , Bruce A. Tockman , Randall M. Peterfeso , John S. Greenland , Mary N. Hinders
发明人: Randy W. Westlund , Bruce A. Tockman , Randall M. Peterfeso , John S. Greenland , Mary N. Hinders
IPC分类号: A61N105
CPC分类号: A61N1/057 , A61B2017/22035 , A61M25/09 , A61M2025/09175 , A61N2001/0578
摘要: An improved guidewire for assisting in implantation of a cardiac lead includes three sections. The most distal zone is sufficiently floppy to prevent trauma to the vessel walls through which the guidewire and lead are inserted. An intermediate zone is generally stiffer and has a cross-section less than or equal to the cross-section of the distal zone. The third zone is stiffer yet and is joined to the intermediate zone by a shoulder. The shoulder cooperates with protrusions on the lead to transfer forces between the guidewire and lead. A removal wire having temporary locking device to lock the removal wire to the lead is employed to remove the guide catheter without moving the lead from its desired location. Lubricious coatings are also provided to reduce friction between the lead and guidewire.
摘要翻译: 用于辅助植入心脏引线的改进的导线包括三个部分。 最远端的区域是足够的软盘,以防止对引导线和引线插入的血管壁的创伤。 中间区通常较硬,横截面小于或等于远端区的横截面。 第三区域较硬,并通过肩部连接到中间区域。 肩部与导线上的突起配合,以在导丝和导线之间传递力。 使用具有临时锁定装置以将去除线锁定到引线的去除线去除引导导管而不将引线从其期望位置移动。 还提供润滑涂层以减少引线和导丝之间的摩擦。
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公开(公告)号:US06356791B1
公开(公告)日:2002-03-12
申请号:US09466266
申请日:1999-12-17
申请人: Randy W. Westlund , Randall M. Peterfeso , Mary N. Hinders , Bruce A. Tockman , John S. Greenland
发明人: Randy W. Westlund , Randall M. Peterfeso , Mary N. Hinders , Bruce A. Tockman , John S. Greenland
IPC分类号: A61N105
CPC分类号: A61N1/057 , A61B2017/22035 , A61M25/09 , A61M2025/09175 , A61N2001/0578
摘要: An improved guidewire for assisting in implantation of a cardiac lead includes three sections. The most distal zone is sufficiently floppy to prevent trauma to the vessel walls through which the guidewire and lead are inserted. An intermediate zone is generally stiffer and has a cross-section less than or equal to the cross-section of the distal zone. The third zone is stiffer yet and is joined to the intermediate zone by a shoulder. The shoulder cooperates with protrusions on the lead to transfer forces between the guidewire and lead. A removal wire having temporary locking means to lock the removal wire to the lead is employed to remove the guide catheter without moving the lead from its desired location. Lubricious coatings are also provided to reduce friction between the lead and guidewire.
摘要翻译: 用于辅助植入心脏引线的改进的导线包括三个部分。 最远端的区域是足够的软盘,以防止对引导线和引线插入的血管壁的创伤。 中间区通常较硬,横截面小于或等于远端区的横截面。 第三区域较硬,并通过肩部连接到中间区域。 肩部与导线上的突起配合,以在导丝和导线之间传递力。 采用具有将去除线锁定到引线上的临时锁定装置的移除线去除引导导管,而不将引线从其期望的位置移动。 还提供润滑涂层以减少引线和导丝之间的摩擦。
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