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公开(公告)号：US20220062647A1
公开(公告)日：2022-03-03
申请号：US17412796
申请日：2021-08-26
发明人： James M. English , Moira B. Sweeney , Trey H. Achterhoff , Benjamin J. Haasl , Robert A. Jones , Daniel J. Foster
IPC分类号： A61N1/375
摘要： Disclosed herein is an implantable medical device including a housing, a header, a connector port, and a collet assembly. The header can be arranged with the housing. The connector port can be arranged within the header and configured to couple an implantable lead to the header. The collet assembly can be arranged within the connector port and configured to frictionally engage a portion of the implantable lead and to secure the implantable lead with the header in response to insertion of the portion of the implantable lead into the connector port.
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公开(公告)号：US11077297B2
公开(公告)日：2021-08-03
申请号：US15955331
申请日：2018-04-17
发明人： Andrew L. De Kock , G. Shantanu Reddy , Lili Liu , James K. Cawthra, Jr. , Christopher Alan Fuhs , Peter Hall , James O. Gilkerson , Benjamin Philip Gundale , Daniel J. Foster , Henry J. Pepin
摘要： Implantable leads of a cardiac stimulus system are disclosed, as well as methods for implanting leads of a cardiac stimulus system. The lead may be comprised of a proximal portion having a coupler for coupling to an implantable pulse generator, an intermediate portion comprising a plurality of electrodes disposed thereon, and a distal portion. The intermediate portion may have a first diameter and the distal portion may have a second diameter. The distal portion may also have an attachment feature for attaching to a lead pulling tool for delivery to an ITV and an intercostal vein. Methods may include pulling a lead from a first position to a second position within the vasculature, exiting the vasculature at the second location, and attaching a portion of the lead that exits the vasculature to an electrode or implantable device for use with the lead.
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公开(公告)号：US20180214686A1
公开(公告)日：2018-08-02
申请号：US15882130
申请日：2018-01-29
发明人： Andrew L. De Kock , G. Shantanu Reddy , Christopher Alan Fuhs , Daniel J. Foster , Peter Hall , James K. Cawthra, JR.
CPC分类号： A61N1/0504 , A61B5/053 , A61B5/686 , A61N1/362 , A61N1/3621 , A61N1/36521 , A61N1/37 , A61N1/37516 , A61N1/3956
摘要： IMD devices and implantation methods are discussed and disclosed. Electrode structures may be employed to allow electrical stimulation to heart tissue and/or sense a physiological condition. Devices may be used for the placement of the electrode structures in a patient and facilitate the degree of contact between the electrode structures and the tissue of the patient.
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公开(公告)号：US20180193060A1
公开(公告)日：2018-07-12
申请号：US15868799
申请日：2018-01-11
发明人： G. Shantanu Reddy , Andrew L. De Kock , James O. Gilkerson , James K. Cawthra, JR. , Christopher Alan Fuhs , Daniel J. Foster , Peter Hall
CPC分类号： A61B17/3468 , A61B2017/00292 , A61F2/82 , A61F2220/0016 , A61N1/05 , A61N1/0504 , A61N1/056 , A61N1/0563 , A61N1/057 , A61N1/3621 , A61N1/3627 , A61N1/3956
摘要： Implantation of a cardiac stimulus system using the intercostal veins. Superior, intercostal, and inferior access methods are discussed and disclosed. Superior access may be performed by entering the brachiocephalic vein from a jugular, subclavian, or other vein, and then accessing the internal thoracic vein, traversing a portion of the internal thoracic vein and then accessing an intercostal vein therefrom. Inferior access may be accomplished inferior to the lower rib margin via the superior epigastric vein, advancing superiorly into the internal thoracic vein and then accessing an intercostal vein therefrom. Intercostal access may include creating an opening in an intercostal space between two ribs and advancing a needle using ultrasound guidance to enter the intercostal vein directly.
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公开(公告)号：US20180169384A1
公开(公告)日：2018-06-21
申请号：US15846081
申请日：2017-12-18
发明人： G. Shantanu Reddy , Peter Hall , Andrew L. De Kock , Christopher Alan Fuhs , Daniel J. Foster , James K. Cawthra, JR.
CPC分类号： A61M25/0133 , A61B5/0422 , A61B5/0538 , A61B5/4836 , A61B5/6851 , A61B5/686 , A61B5/6876 , A61N1/0563 , A61N1/0587 , A61N1/3956
摘要： Implantation of a cardiac stimulus system using the ITV. Access to the ITV may be performed using the intercostal vein as an access point, and entering the ITV through an ostium therebetween. The intercostal vein may be located on a costal groove on an inferior portion of a rib. Advancement from the intercostal vein to the ITV may then be performed in a superior direction, an inferior direction, or both.
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公开(公告)号：US20160235966A1
公开(公告)日：2016-08-18
申请号：US15137618
申请日：2016-04-25
发明人： Arthur J. Foster , Daniel J. Foster , Christopher R. Perrey , Andrew L. De Kock , Patrick Willoughby , Bryan A. Clark
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0587 , A61N1/3605 , A61N1/362 , A61N1/3752 , Y10T29/49174
摘要： An implantable lead includes a lead body having a proximal end portion and a distal end portion. The lead body includes an insulative member having a lumen extending longitudinally between the proximal end portion and the distal end portion. The lead body also includes a generally tubular helical liner disposed coaxially with the lumen within the insulative member. A pitch of the helical liner varies along the length of the lead. The implantable lead also includes an electrode disposed along the lead body in the distal end portion thereof, and a conductor disposed within the lumen and electrically coupled to the electrode. A terminal connector is coupled to the proximal end portion of the lead body and to the conductor.
摘要翻译： 可植入引线包括具有近端部分和远端部分的引线主体。 引线体包括具有在近端部分和远端部分之间纵向延伸的内腔的绝缘构件。 引线体还包括与绝缘体内的内腔同轴设置的大致管状的螺旋形衬垫。 螺旋衬垫的螺距沿导线的长度变化。 可植入引线还包括沿着引线主体在其远端部分中设置的电极，以及设置在内腔内并电耦合到电极的导体。 端子连接器耦合到引线主体的近端部分和导体。
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公开(公告)号：US10850067B2
公开(公告)日：2020-12-01
申请号：US15846081
申请日：2017-12-18
发明人： G. Shantanu Reddy , Peter Hall , Andrew L. De Kock , Christopher Alan Fuhs , Daniel J. Foster , James K. Cawthra, Jr.
摘要： Implantation of a cardiac stimulus system using the ITV. Access to the ITV may be performed using the intercostal vein as an access point, and entering the ITV through an ostium therebetween. The intercostal vein may be located on a costal groove on an inferior portion of a rib. Advancement from the intercostal vein to the ITV may then be performed in a superior direction, an inferior direction, or both.
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公开(公告)号：US20180042518A1
公开(公告)日：2018-02-15
申请号：US15674921
申请日：2017-08-11
发明人： Angelo Fruci , Daniel J. Foster , Doug E. Giwoyna , James E. Blood , David R. Wulfman , Michael A. Felling
CPC分类号： A61B5/062 , A61B5/02028 , A61B5/0422 , A61B5/063 , A61B8/4254 , A61B18/1492 , A61B34/20 , A61B2034/2051
摘要： A position sensor assembly includes a base member having a proximal portion, a distal portion, and an intermediate portion disposed therebetween and having a twisted configuration such that the proximal and distal portions are oriented in mutually orthogonal planes. At least first and second magnetic field sensors each including at least one magnetic field sensing element are disposed, respectively, on the proximal and distal portions of the base member. The base member further includes a first base member element defining the proximal portion of the base member, and a second base member element defining the distal portion of the base member, the first and second base member elements being electrically and mechanically connected at a joint.
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公开(公告)号：US20140135885A1
公开(公告)日：2014-05-15
申请号：US14075515
申请日：2013-11-08
发明人： Arthur J. Foster , Daniel J. Foster , Christopher R. Perrey , Andrew L. De Kock , Patrick Willoughby , Bryan A. Clark
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0587 , A61N1/3605 , A61N1/362 , A61N1/3752 , Y10T29/49174
摘要： An implantable lead includes a lead body having a proximal end portion and a distal end portion. The lead body includes an insulative member having a lumen extending longitudinally between the proximal end portion and the distal end portion. The lead body also includes a generally tubular liner disposed coaxially with the lumen within the insulative member. The implantable lead also includes an electrode disposed along the lead body in the distal end portion thereof, and a conductor disposed within the lumen and electrically coupled to the electrode. A terminal connector is coupled to the proximal end portion of the lead body and to the conductor.
摘要翻译： 可植入引线包括具有近端部分和远端部分的引线主体。 引线体包括具有在近端部分和远端部分之间纵向延伸的内腔的绝缘构件。 引线体还包括与绝缘体内的内腔同轴设置的大致管状衬垫。 可植入引线还包括沿着引线主体在其远端部分中设置的电极，以及设置在内腔内并电耦合到电极的导体。 端子连接器耦合到引线主体的近端部分和导体。
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公开(公告)号：US11077299B2
公开(公告)日：2021-08-03
申请号：US15913369
申请日：2018-03-06
发明人： Christopher Alan Fuhs , Andrew L. De Kock , G. Shantanu Reddy , Peter Hall , James K. Cawthra, Jr. , Daniel J. Foster
摘要： Implantation of a cardiac stimulus system using the ITV. Superior, intercostal, and inferior access methods are discussed and disclosed. Superior access may be performed using the brachiocephalic vein to access the ITV, with access to the brachiocephalic vein achieved using subclavian vein, using standard visualization techniques. A positioning mechanism may be advanced to the ITV, a location of the positioning mechanism may then be obtained, and an external access may then be established. Inferior external access may be accomplished inferior to the lower rib margin via the superior epigastric or musculophrenic vein. Intercostal external access may be accomplished via an intercostal vein between two ribs. A lead may then be attached to the positioning mechanism and drawn into the ITV.
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