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    METHOD AND SYSTEM FOR ACCESSING A PERICARDIAL SPACE
    3.
    发明申请
    METHOD AND SYSTEM FOR ACCESSING A PERICARDIAL SPACE 有权
    用于获取周边空间的方法和系统

    公开(公告)号：US20130006288A1

    公开(公告)日：2013-01-03

    申请号：US13540362

    申请日：2012-07-02

    申请人： Peter L. Callas ,  Gary L. Hague ,  John S. Greenland ,  Bruce A. Tockman ,  Peter T. Kelley ,  Jason A. Shiroff ,  David B. Yingling ,  Ted Schulte

    发明人： Peter L. Callas ,  Gary L. Hague ,  John S. Greenland ,  Bruce A. Tockman ,  Peter T. Kelley ,  Jason A. Shiroff ,  David B. Yingling ,  Ted Schulte

    IPC分类号： A61B17/34

    CPC分类号： A61B17/3478 ,  A61B2017/306 ,  A61M25/0084

    摘要： A device and method for accessing a pericardial space of the heart includes a shaft having a cavity at a distal end, a suction lumen terminating in a distal port within the cavity and a hollow needle having a distal tip extending into the cavity. The cavity may be a recess in the shaft into which the distal tip of the needle fixedly protrudes. In other embodiments, the cavity is formed by an inflatable member positioned at the distal end of the shaft and the needle is slidable relative to the shaft. Suction is applied at the cavity to draw a pericardial bleb. The needle pierces the pericardial bleb for accessing the pericardial space and also facilitates delivery of payloads into the pericardial space.

    摘要翻译： 用于访问心脏心包空间的装置和方法包括：具有在远端处的空腔的轴，位于空腔内的远端端口中的抽吸腔，以及具有延伸到空腔中的远端的中空针。 空腔可以是轴中的凹部，其中针的远侧末端固定地突出。 在其他实施例中，空腔由位于轴的远端处的可充气构件形成，并且针可相对于轴滑动。 在空腔处抽取吸入心包泡。 针刺穿心包泡，用于进入心包空间，并且还有助于将载荷递送到心包空间中。

    Lead delivery system having features to facilitate torquing
    8.
    发明授权
    Lead delivery system having features to facilitate torquing 失效
    引线输送系统具有促进扭矩的特征

    公开(公告)号：US07280876B1

    公开(公告)日：2007-10-09

    申请号：US10992359

    申请日：2004-11-18

    申请人： Bruce A. Tockman ,  John S. Greenland ,  Gary L. Hauge

    发明人： Bruce A. Tockman ,  John S. Greenland ,  Gary L. Hauge

    IPC分类号： A61N1/05

    CPC分类号： A61N1/056 ,  A61N2001/0585

    摘要： The present invention is a medical assembly comprising an elongated flexible medical device, such as a cardiac lead, and a torquing member, such as a stylet, slidably receivable inside the medical device. The device and member are coupled at their distal ends by a corresponding set of opposing curves. This coupling allows more precise rotational control of the assembly when it is manipulated at its proximal end. In one embodiment, the assembly has a open curvature at its distal end. In another embodiment, the distal end has a closed curvature.

    摘要翻译： 本发明是一种医疗组件，其包括诸如心脏引线的细长柔性医疗装置和可以可接收在医疗装置内部的探针构件，例如探针。 装置和构件在其远端处由相应的一组相对的曲线联接。 当联接器在其近端被操纵时，该联接器允许组件的更精确的旋转控制。 在一个实施例中，组件在其远端具有开放曲率。 在另一个实施例中，远端具有闭合曲率。

    Modified guidewire for left ventricular access lead
    9.
    发明授权
    Modified guidewire for left ventricular access lead 失效
    修改左心室导线导丝

    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。

    Modified guidewire for left ventricular access lead
    10.
    发明授权
    Modified guidewire for left ventricular access lead 有权
    修改左心室导线导丝

    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。