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公开(公告)号：US5542173A
公开(公告)日：1996-08-06
申请号：US388766
申请日：1995-02-15
CPC分类号： A61N1/0563 , Y10T29/49117
摘要： An implantable defibrillator lead comprises a flexible core onto which is wound helically wound coils to form an electrode. These electrode coils are partially encapsulated by a flexible matrix which holds them in their wrapped position around the core. Due to its coiled coil structure, this electrode provides improved flexibility, and can be used endocardially, intravascularly, epicardially, or subcutaneously. The electrode may function alternately as a defibrillation electrode and as a sensing electrode in a lead with a separate pacing electrode.
摘要翻译： 可植入除颤器引线包括柔性芯，绕线圈缠绕在其上以形成电极。 这些电极线圈被柔性矩阵部分封装，将它们保持在围绕芯的缠绕位置。 由于其螺旋线圈结构，该电极提供改善的柔性，并且可以在心内膜，血管内，心外膜或皮下使用。 电极可以作为除颤电极交替地起作用，并且作为具有单独的起搏电极的引线中的感测电极。
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公开(公告)号：US5439485A
公开(公告)日：1995-08-08
申请号：US126619
申请日：1993-09-24
CPC分类号： A61N1/0563 , Y10T29/49117
摘要： An implantable defibrillator lead comprises a flexible core onto which is wound helically wound coils to form an electrode. These electrode coils are partially encapsulated by a flexible matrix which holds them in their wrapped position around the core. Due to its coiled coil structure, this electrode provides improved flexibility, and can be used endocardially, intravascularly, epicardially, or subcutaneously. The electrode may function alternately as a defibrillation electrode and as a sensing electrode in a lead with a separate pacing electrode.
摘要翻译： 可植入除颤器引线包括柔性芯，绕线圈缠绕在其上以形成电极。 这些电极线圈被柔性矩阵部分封装，将它们保持在围绕芯的缠绕位置。 由于其螺旋线圈结构，该电极提供改善的柔性，并且可以在心内膜，血管内，心外膜或皮下使用。 电极可以作为除颤电极交替地起作用，并且作为具有单独的起搏电极的引线中的感测电极。
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3.发明授权
公开(公告)号：US5411544A
公开(公告)日：1995-05-02
申请号：US145839
申请日：1993-11-02
CPC分类号： A61N1/0563
摘要： An implantable cardiac defibrillation lead is provided in which surface modification and deposition techniques are utilized to provide improved electrical and mechanical characteristics. The surface of an electrode can thereby be matched to the heart tissue for biocompatibility while at the same time providing for the appropriate electrical and mechanical characteristics of the electrode material.
摘要翻译： 提供了可植入的心脏除颤引线，其中使用表面改性和沉积技术来提供改善的电气和机械特性。 因此，电极的表面可以与心脏组织匹配以用于生物相容性，同时提供电极材料的适当的电气和机械特性。
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公开(公告)号：US5674272A
公开(公告)日：1997-10-07
申请号：US465155
申请日：1995-06-05
CPC分类号： A61N1/056
摘要： The present invention is directed toward providing a composite lead body design for pacing and defibrillation leads. This lead body design improves the lead crush resistance in the lead segment that is implanted in the patient's clavicular region, while maintaining good fatigue resistance in the lead segment implanted in the heart. The clavicular segment has a generally flat profile. By flattening the clavicular segment proximal to the venous entry site, the lead will have a lower profile. Also, by substantially co-aligning the conductors within the clavicular segment, the crush resistance of the lead is significantly improved.
摘要翻译： 本发明旨在提供用于起搏和除颤引线的复合引线体设计。 该引线体设计提高了植入患者锁骨区域的引导段中的抗前列压抗性，同时在植入心脏的引线段中保持良好的抗疲劳性。 锁骨节段具有大致平坦的轮廓。 通过使靠近静脉进入部位的锁骨段变平，引线将具有较低的轮廓。 此外，通过使锁骨段内的导体基本上共同对准，铅的抗压强度显着提高。
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公开(公告)号：US5483022A
公开(公告)日：1996-01-09
申请号：US226180
申请日：1994-04-12
申请人： Craig E. Mar
发明人： Craig E. Mar
摘要： An implantable lead conductor comprises at least one helical coil formed from at least one electrical cable. Each cable is formed from several wires twisted in a ropelike configuration with at least some of the wires being helically wound around a central axis of the cable. Each wire is a composite comprising a core of a first material and a coveting of a second material, with all adjacent wires belonging to the same cable in uninsulated contact with each other. Preferably, the core material is highly conductive, and the covering material is strong and biocompatible. The helical coil has a lumen for insertion of a stylet to facilitate insertion through a vein.
摘要翻译： 可植入引线导体包括由至少一根电缆形成的至少一个螺旋线圈。 每个电缆由几根以线状结构扭曲的电线形成，其中至少一些导线围绕电缆的中心轴螺旋缠绕。 每条导线是包括第一材料的芯和第二材料的复合材料的复合材料，其中所有相邻的导线属于相互之间的非绝缘接触的相同的电缆。 优选地，芯材料是高导电性的，并且覆盖材料是坚固的和生物相容的。 螺旋线圈具有用于插入探针以便于通过静脉插入的内腔。
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公开(公告)号：US5330524A
公开(公告)日：1994-07-19
申请号：US79689
申请日：1993-06-17
申请人： Craig E. Mar
发明人： Craig E. Mar
CPC分类号： A61N1/0587
摘要： An implantable cardiac defibrillation electrode is provided, in which there is an electrically conductive wire mesh formed of crossed spirally wound cables. Each of the spirally wound cables comprises a plurality of stranded wire elements, with a central wire element and a plurality of outer wire elements wound adjacent the central wire element. In one embodiment, the crossed cables are formed in a twill weave pattern, alternating over and under at least two individual cables.
摘要翻译： 提供了一种植入式心脏除颤电极，其中存在由交叉螺旋卷绕的电缆形成的导电丝网。 每个螺旋卷绕的电缆包括多个绞线，其中心线元件和与中心线元件相邻缠绕的多个外线元件。 在一个实施例中，交叉电缆形成为斜纹组织图案，在至少两根单独的电缆上交替上下交替。
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公开(公告)号：US5282845A
公开(公告)日：1994-02-01
申请号：US591389
申请日：1990-10-01
申请人： Mary E. Bush , Craig E. Mar , Eric S. Fain
发明人： Mary E. Bush , Craig E. Mar , Eric S. Fain
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0587
摘要： An implantable defibrillator lead comprises a flexible, conductive lead member having proximal and distal end portions. The distal end portion defines a plurality of separate, curvilinear electrodes which naturally extend laterally outwardly in a curved arrangement from the remainder of the lead. However, by desired means, the curvilinear electrodes may be temporarily extended out straight, substantially parallel to the axis of the remainder of said lead member, to facilitate implantation of the lead. This may be preferably accomplished by a flexible sheath that encloses the lead member in longitudinally slidable relation.
摘要翻译： 可植入除颤器引线包括具有近端部分和远端部分的柔性导电引线部件。 远端部分限定了多个独立的曲线电极，其自然地从导线的其余部分以弯曲的布置横向向外延伸。 然而，通过期望的方式，曲线电极可以暂时延伸出直线，基本上平行于所述引线构件的其余部分的轴线，以便于引线的注入。 这可以优选地通过将引导构件围绕纵向可滑动关系的柔性护套实现。
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公开(公告)号：US4976720A
公开(公告)日：1990-12-11
申请号：US220563
申请日：1988-07-18
CPC分类号： A61M25/104 , A61M25/09033 , A61B2017/22001 , A61M2025/09175 , A61M2025/1093
摘要： The invention is directed to a very low-profile dilatation catheter having an inner tubular member with an inner lumen with a diameter of not more than 0.003 inch (0.076 mm) greater than the diameter of a guidewire disposed therein. Preferably, the inner diameter of the tubular member is less than 0.015 inch (0.381 mm). The inner member may be formed of a thin-walled tubing such as polyimide tubing having a wall thickness less than 0.003 inch (0.076 mm). Polyimide tubing is also preferably employed as the tubular member in low-profile steerable dilatation catheters wherein the guide elements thereof are fixed within the catheter.
摘要翻译： 本发明涉及一种非常薄型的扩张导管，其具有内部管状构件，其具有比设置在其中的导丝的直径大不超过0.003英寸（0.076mm）的内腔。 优选地，管状构件的内径小于0.015英寸（0.381mm）。 内部构件可以由壁厚小于0.003英寸（0.076mm）的薄壁管例如聚酰亚胺管形成。 聚酰亚胺管也优选用作低轮廓可操纵扩张导管中的管状构件，其中其引导元件固定在导管内。
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公开(公告)号：US5488768A
公开(公告)日：1996-02-06
申请号：US126291
申请日：1993-09-24
申请人： Craig E. Mar
发明人： Craig E. Mar
CPC分类号： H01R43/04 , A61N1/0563 , H01R43/02 , H01R43/0249 , H01R2201/12 , Y10S174/12 , Y10S228/904 , Y10S29/048 , Y10S439/909 , Y10T29/49179 , Y10T29/49181
摘要： A method for electrically attaching electrode wire to a conductor in a defibrillation lead is disclosed. The method comprises melting the end of the wire with a hydrogen torch to form a ball of metal, then crimping or welding the ball to the conductor or to a joining piece attached to the conductor. Also, a hydrogen torch (water welder) may be used to join two or more electrode wires to each other.
摘要翻译： 公开了一种用于将电极线电连接到除颤引线中的导体的方法。 该方法包括用氢炬熔化线的端部以形成金属球，然后将球压接或焊接到导体或连接到导体的接合片。 此外，可以使用氢炬（水焊机）将两个或更多个电极线彼此连接。
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公开(公告)号：USRE34564E
公开(公告)日：1994-03-15
申请号：US634670
申请日：1990-12-27
申请人： Craig E. Mar , Jeffrey S. Frisbie
发明人： Craig E. Mar , Jeffrey S. Frisbie
CPC分类号： A61M25/104 , A61M25/0097 , A61M25/0133 , A61M25/09033 , A61M2025/1079 , A61M2025/1093 , A61M25/0108
摘要： Low profile dilatation catheter having an elongate flexible tubular member with proximal and distal extremities and with a flow passage extending therethrough. An inflatable balloon is mounted on the distal extremity of the elongate flexible tubular member so that the balloon has its interior in communication with the flow passage in the tubular member. A flexible tip is secured to the distal extremity of the balloon. A core wire extends through the elongate flexible member and has proximal and distal extremities. The distal extremity of the core wire is tapered and extends through the balloon and into the flexible tip. The distal extremity of the core wire is secured to the flexible tip. A rotator is provided for rotating the proximal extremity of the core wire for causing rotation of the flexible tip. Self-venting means is provided for venting the balloon to ambient. An adapter is carried by the proximal extremity of the elongate tubular member. A liquid is supplied to the adapter and the flow passage for inflating and deflating the inflatable balloon.
摘要翻译： 薄型膨胀导管具有细长的柔性管状构件，其具有近端和远端以及延伸穿过其中的流动通道。 可膨胀气球安装在细长柔性管状构件的远端上，使得气囊的内部与管状构件中的流动通道连通。 柔性尖端被固定到气囊的远端。 芯线延伸穿过细长的柔性构件并且具有近端和远端。 芯线的远端是渐缩的并且延伸穿过气囊并进入柔性尖端。 芯线的远端被固定到柔性末端。 提供旋转器以旋转芯线的近端以引起柔性尖端的旋转。 提供自动排气装置用于将气囊排放到环境中。 适配器由细长管状构件的近端承载。 将液体供应到适配器和用于使可膨胀气囊充气和放气的流动通道。
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