公开(公告)号：US5913816A

公开(公告)日：1999-06-22

申请号：US963593

申请日：1997-10-31

申请人： Gary H. Sanders ,  Frank Bowers ,  Aaron Ingle ,  Dennis Constantinou ,  Guy R. Lowery ,  Malcolm D. Heaven

发明人： Gary H. Sanders ,  Frank Bowers ,  Aaron Ingle ,  Dennis Constantinou ,  Guy R. Lowery ,  Malcolm D. Heaven

IPC分类号： A61B1/267 ,  A61B1/04

CPC分类号： A61B1/267

摘要： An intubation device comprises an imaging conduit including an illumination conduit for delivering illumination to a distal end of the device and an image-receiving conduit for communicating images from the distal end of the device to the proximal end of the device. The device also comprises a flushing conduit for delivery of fluids and/or gases to the distal end of the device. The image conduit and the flushing conduit are attached at the distal end of the device. The distal end of the device can be manipulated by advancing the imaging conduit in an axial direction while maintaining the flushing conduit fixed in place. Furthermore, a length adjustment member is provided for adjusting the extent to which the distal end of the device extends beyond a distal end of an endotracheal tube which is inserted over the imaging and flushing conduits. The illuminating conduit and the image-receiving conduit terminate in separate ports at the distal end of the device. Furthermore, a substantial portion of the device is disposable, so that time consuming sterilization is not necessary.

摘要翻译： 插管装置包括成像导管，其包括用于将照明传送到装置的远端的照明管道和用于将图像从装置的远端传送到装置的近端的图像接收导管。 该装置还包括用于将流体和/或气体输送到装置的远端的冲洗管道。 图像管道和冲洗管道连接在设备的远端。 可以通过使成像导管沿轴向前进，同时将冲洗管道固定在适当位置来操纵装置的远端。 此外，设置长度调节构件，用于调节装置的远端延伸超过插入在成像和冲洗管道上的气管内管的远端的程度。 照明管道和图像接收管道终止于设备远端的分开的端口中。 此外，装置的大部分是一次性的，因此不需要耗时的消毒。

公开(公告)号：US08706217B2

公开(公告)日：2014-04-22

申请号：US13436417

申请日：2012-03-30

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/39

CPC分类号： A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： One embodiment of the present invention provides an implantable cardioverter defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing; an electrical circuit located within the housing; a first electrode coupled to the electrical circuit and located on the housing; and a second electrode coupled to the electrical circuit. Some embodiments also include a physiologic sensor. Other embodiments comprise methods of implanting and subcutaneously positioning an implantable defibrillator.

摘要翻译： 本发明的一个实施例提供了一种可植入式心律转复除颤器，用于在患者体内的第三肋与第十二肋之间进行皮下定位，所述植入式心律转复除颤器包括壳体; 位于壳体内的电路; 耦合到所述电路并且位于所述壳体上的第一电极; 以及耦合到所述电路的第二电极。 一些实施例还包括生理传感器。 其他实施例包括植入和皮下定位可植入除颤器的方法。

公开(公告)号：US07428437B2

公开(公告)日：2008-09-23

申请号：US11219024

申请日：2005-09-02

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/375

CPC分类号： A61N1/3956 ,  A61N1/36514 ,  A61N1/3756

摘要： One embodiment of the present invention provides an implantable cardioverter defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing; having a first surface and a second surface, wherein the first surface comprises an electrically insulated material and the second surface comprises an electrically conductive material; and an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the second surface of the housing.

摘要翻译： 本发明的一个实施例提供了一种可植入式心律转复除颤器，用于在患者体内的第三肋与第十二肋之间进行皮下定位，所述植入式心律转复除颤器包括壳体; 具有第一表面和第二表面，其中所述第一表面包括电绝缘材料，并且所述第二表面包括导电材料; 以及位于壳体内的电路，其中电路电耦合到壳体的第二表面。

公开(公告)号：US07359754B2

公开(公告)日：2008-04-15

申请号：US11250680

申请日：2005-10-14

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/375

CPC分类号： A61N1/3956 ,  A61N1/36514 ,  A61N1/3756

摘要： One embodiment of the present invention provides an implantable cardioverter-defibrillator for subcutaneous positioning over a patient's ribcage, the implantable cardioverter-defibrillator includes a housing having a first end and a second end; a first electrode disposed upon the first end of the housing; a second electrode disposed upon the second end of the housing; an electrical circuit located within the housing, wherein the electrical circuit is electrically coupled to the first electrode and the second electrode; and a lead electrode electrically coupled to the electrical circuit located within the housing.

摘要翻译： 本发明的一个实施例提供了一种用于在患者胸腔上皮下定位的可植入式心律转复除颤器，所述可植入式心律转复除颤器包括具有第一端和第二端的壳体; 设置在所述壳体的第一端上的第一电极; 设置在所述壳体的第二端上的第二电极; 位于所述壳体内的电路，其中所述电路电耦合到所述第一电极和所述第二电极; 以及电连接到位于壳体内的电路的引线电极。

公开(公告)号：US07194302B2

公开(公告)日：2007-03-20

申请号：US10124159

申请日：2002-04-17

申请人： Gust H. Bardy ,  Riccardo Cappato ,  Alan H. Ostroff ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  Alan H. Ostroff ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/39

CPC分类号： A61N1/3931 ,  A61N1/3912

摘要： A subcutaneous cardiac device includes two electrodes and a stimulator that generates a pulse to the electrodes. The electrodes are implanted between the skin and the rib cage of the patient and are adapted to generate an electric field corresponding to the pulse, the electric field having a substantially uniform voltage gradient as it passes through the heart. The shapes, sizes, positions and structures of the electrodes are selected to optimize the voltage gradient of the electric field, and to minimize the energy dissipated by the electric field outside the heart. More specifically, the electrodes have contact surfaces that contact the patient tissues, said contact surfaces having a total contact area of less than 100 cm2. In one embodiment, one or both electrodes are physically separated from the stimulator. In another embodiment a unitary housing holds the both electrodes and the stimulator. Sensor circuitry may also includes in the stimulator for detecting intrinsic cardiac activity through the same electrodes.

摘要翻译： 皮下心脏装置包括两个电极和一个向电极产生脉冲的刺激器。 电极被植入患者的皮肤和肋骨架之间，适于产生对应于该脉冲的电场，该电场在通过心脏时具有基本均匀的电压梯度。 选择电极的形状，尺寸，位置和结构以优化电场的电压梯度，并且使由心脏外的电场消耗的能量最小化。 更具体地，电极具有接触患者组织的接触表面，所述接触表面的总接触面积小于100cm 2。 在一个实施例中，一个或两个电极与刺激器物理分离。 在另一个实施例中，整体外壳保持两个电极和刺激器。 传感器电路还可以包括在用于通过相同电极检测固有心脏活动的刺激器中。

公开(公告)号：US06866044B2

公开(公告)日：2005-03-15

申请号：US09940377

申请日：2001-08-27

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/375 ,  A61N1/39

CPC分类号： A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： One embodiment of the present invention provides a method of inserting an implantable cardioverter-defibrillator within a patient, the method including the steps of providing a cardioverter-defibrillator canister having at least a portion of the cardioverter-defibrillator canister being non planar to maintain the cardioverter-defibrillator canister in a predetermined relationship with respect to a patient's heart, subcutaneously over a patient's ribcage; making a single incision into the patient; and advancing the cardioverter-defibrillator canister through the single incision and subcutaneously over the patient's ribcage.

摘要翻译： 本发明的一个实施例提供了一种在患者体内插入植入式心律转复除颤器的方法，所述方法包括以下步骤：提供心脏复律除纤颤器筒，所述心脏复律除颤器罐的至少一部分是不平面的以保持心律转复器 - 在患者的胸腔上皮下，以相对于患者心脏的预定关系的非 - 除颤器罐; 对患者进行单切口; 并通过单个切口推进心脏复律除颤器罐，并皮下穿过患者的胸腔。

公开(公告)号：US08160699B2

公开(公告)日：2012-04-17

申请号：US12901333

申请日：2010-10-08

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/375

CPC分类号： A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： One embodiment of the present invention provides an implantable cardioverter defibrillator for subcutaneous positioning between the third rib and the twelfth rib within a patient, the implantable cardioverter-defibrillator including a housing; an electrical circuit located within the housing; a first electrode coupled to the electrical circuit and located on the housing; and a second electrode coupled to the electrical circuit.

摘要翻译： 本发明的一个实施例提供了一种可植入式心律转复除颤器，用于在患者体内的第三肋与第十二肋之间进行皮下定位，所述植入式心律转复除颤器包括壳体; 位于壳体内的电路; 耦合到所述电路并且位于所述壳体上的第一电极; 以及耦合到所述电路的第二电极。

公开(公告)号：US07302300B2

公开(公告)日：2007-11-27

申请号：US10804997

申请日：2004-03-19

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/05 ,  A61N1/39

CPC分类号： A61N1/375 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： Electrical cardiac therapy devices including electrode assemblies having openings for receiving an electrode insertion tool, and methods of inserting such electrode assemblies. The opening(s) are defined on the electrode assemblies to allow an insertion tool to be coupled to the electrode assembly and then used to push the electrode assembly into place.

摘要翻译： 包括具有用于接收电极插入工具的开口的电极组件的电子心脏治疗装置，以及插入该电极组件的方法。 开口限定在电极组件上以允许插入工具联接到电极组件，然后用于将电极组件推入就位。

公开(公告)号：US07239925B2

公开(公告)日：2007-07-03

申请号：US10838768

申请日：2004-05-04

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/05

CPC分类号： A61N1/375 ,  A61N1/05 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： Electrical cardiac therapy devices including lead electrode assemblies for implantation into a patient comprising an electrode having a first face and a second face, and an appendage extending opposite the second face of the electrode, the appendage including an eyelet for securing an insertion device thereto. The assembly may further include an electrode frame assembly to which the appendage may be attached. Alternatively, the appendage may be formed as part of a molded electrode frame assembly. A backing piece may be provided between the electrode frame assembly and the electrode. The frame assembly may cover a portion of a front side of the electrode. Further embodiments include an electrode lead assembly including an appendage with an eyelet and an electrode insertion tool adapted to engage the eyelet. Another embodiment is a treatment kit including an electrode lead assembly having an appendage with an eyelet, an electrode insertion tool adapted to engage the eyelet, and an implantable housing having circuitry for providing electrical cardiac therapy.

摘要翻译： 包括用于植入患者的引线电极组件的电气心脏治疗装置，包括具有第一面和第二面的电极以及与电极的第二面相对延伸的附肢，附件包括用于将插入装置固定到其上的孔眼。 组件还可以包括可附接附件的电极框架组件。 或者，附件可以形成为模制电极框架组件的一部分。 可以在电极框架组件和电极之间设置背衬件。 框架组件可以覆盖电极的前侧的一部分。 另外的实施例包括电极引线组件，其包括具有孔眼的附件和适于接合孔眼的电极插入工具。 另一个实施例是一种治疗套件，其包括具有附眼的电极引线组件，具有孔眼，适于接合孔眼的电极插入工具和具有用于提供电心脏治疗的电路的可植入壳体。

公开(公告)号：US07065410B2

公开(公告)日：2006-06-20

申请号：US10013980

申请日：2001-11-05

申请人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

发明人： Gust H. Bardy ,  Riccardo Cappato ,  William J. Rissmann ,  Gary H. Sanders

IPC分类号： A61N1/05

CPC分类号： A61N1/3962 ,  A61N1/05 ,  A61N1/0563 ,  A61N1/375 ,  A61N1/3752 ,  A61N1/3756 ,  A61N1/3906 ,  A61N1/3956 ,  A61N1/3968 ,  A61N1/3975

摘要： One embodiment of the present invention provides a lead electrode assembly for use with an implantable cardioverter-defibrillator subcutaneously implanted outside the ribcage between the third and twelfth ribs comprising the electrode.

摘要翻译： 本发明的一个实施例提供了一种用于与包括电极的第三和第十二肋之间的胸腔外的植入式心律转复除颤器一起使用的引线电极组件。