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公开(公告)号：US08676347B2
公开(公告)日：2014-03-18
申请号：US13537494
申请日：2012-06-29
申请人： James Finley , John Swoyer
发明人： James Finley , John Swoyer
IPC分类号： A61N1/05
CPC分类号： A61N1/05 , A61N1/0558 , D04C1/06 , D10B2509/00
摘要： A therapy delivery element including a plurality of fibers braided to form an elongated braided structure with a lumen. At least one reinforcing structure is woven into the fibers of the braided structure. A portion of at least one reinforcing structure extends from the braided structure to form a fixation structure. A conductor assembly including a plurality of conductors is located in the lumen. An electrode assembly is located at a distal end of the conductor assembly. The electrode assembly includes a plurality of electrodes that are electrically coupled to the conductors. A connector assembly is located at a proximal end of the conductor assembly. The connector assembly includes a plurality of electrical contacts that are electrically coupled to the conductors. At least one of the braided structure or the reinforcing structure is attached to at least one of the electrode assembly or the connector assembly.
摘要翻译： 一种治疗递送元件，包括编织成多个纤维以形成具有内腔的细长编织结构。 至少一个加强结构被编织到编织结构的纤维中。 至少一个加强结构的一部分从编织结构延伸以形成固定结构。 包括多个导体的导体组件位于内腔中。 电极组件位于导体组件的远端。 电极组件包括电连接到导体的多个电极。 连接器组件位于导体组件的近端。 连接器组件包括电连接到导体的多个电触头。 编织结构或加强结构中的至少一个附接到电极组件或连接器组件中的至少一个。
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公开(公告)号：US20140046414A1
公开(公告)日：2014-02-13
申请号：US13572081
申请日：2012-08-10
申请人： JAMES FINLEY , John Swoyer
发明人： JAMES FINLEY , John Swoyer
CPC分类号： A61N1/0551 , A61N1/05 , Y10T29/49208 , Y10T29/4921
摘要： A therapy delivery element configured for at least partial insertion in a living body. A braided structure surrounds the conductor assembly. A distal end of the braided structure is attached to an electrode assembly and a free floating proximal end is located near a connector assembly. An outer tubing surrounds the braided structure. The outer tubing includes a proximal end attached to the connector assembly and a distal end attached to the braided structure near the electrode assembly. A proximal tension force applied to the connector assembly acts substantially on the outer tubing and the conductor assembly and a proximal tension force applied to the free floating proximal end acts substantially on the braided structure.
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公开(公告)号：US09089693B2
公开(公告)日：2015-07-28
申请号：US13537341
申请日：2012-06-29
申请人： John Swoyer , James Finley , Lawrence Kane
发明人： John Swoyer , James Finley , Lawrence Kane
CPC分类号： A61N1/05 , A61N1/0551 , A61N1/3605 , A61N1/36053
摘要： A therapy assembly configured for at least partial insertion in a living body. At least one fixation structure is attached to the therapy delivery element proximate the electrodes. The fixation structure is configured to collapse radially inward and wrap circumferentially around the therapy delivery element to a collapsed configuration when inserted into a lumen of an introducer. The fixation structures deploy to a deployed configuration when the introducer is retracted. The fixation structure includes major surfaces generally parallel with, and extending radially outward from, a central axis of the therapy delivery element, proximal edge surface oriented toward the proximal end, and a distal edge surface oriented toward the distal end. The proximal and distal edge surfaces provide generally symmetrical resistance to displacement of the therapy delivery element within the living body in either a proximal direction or a distal direction along the central axis.
摘要翻译： 一种治疗组件，其构造成用于至少部分地插入生物体内。 至少一个固定结构附接到靠近电极的治疗递送元件。 固定结构构造成当插入到导引器的内腔中时，径向向内折叠并围绕治疗递送元件周向地折叠成折叠构造。 当导引器缩回时，固定结构部署到展开配置。 固定结构包括与治疗递送元件的中心轴大致平行并且从其径向向外延伸的主表面，朝向近端定向的近端边缘表面和朝向远端定向的远端边缘表面。 近端和远端边缘表面提供对沿着中心轴线的近端方向或远端方向上的治疗递送元件在生物体内的移位的大致对称的阻力。
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公开(公告)号：US08644953B1
公开(公告)日：2014-02-04
申请号：US13572081
申请日：2012-08-10
申请人： James Finley , John Swoyer
发明人： James Finley , John Swoyer
IPC分类号： A61N1/00
CPC分类号： A61N1/0551 , A61N1/05 , Y10T29/49208 , Y10T29/4921
摘要： A therapy delivery element configured for at least partial insertion in a living body. A braided structure surrounds the conductor assembly. A distal end of the braided structure is attached to an electrode assembly and a free floating proximal end is located near a connector assembly. An outer tubing surrounds the braided structure. The outer tubing includes a proximal end attached to the connector assembly and a distal end attached to the braided structure near the electrode assembly. A proximal tension force applied to the connector assembly acts substantially on the outer tubing and the conductor assembly and a proximal tension force applied to the free floating proximal end acts substantially on the braided structure.
摘要翻译： 治疗递送元件，其构造成用于至少部分地插入生物体。 编织结构围绕导体组件。 编织结构的远端附接到电极组件，并且自由浮动近端位于连接器组件附近。 外管围绕编织结构。 外管包括附接到连接器组件的近端和在电极组件附近附接到编织结构的远端。 施加到连接器组件的近侧张力基本上作用在外管和导体组件上，并且施加到自由浮动近端的近侧张力基本上作用在编织结构上。
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公开(公告)号：US08437846B2
公开(公告)日：2013-05-07
申请号：US13046182
申请日：2011-03-11
申请人： John Swoyer , Jesse Geroy , James Finley
发明人： John Swoyer , Jesse Geroy , James Finley
IPC分类号： A61N1/02
CPC分类号： A61N1/0558 , A61B17/0401
摘要： A pre-sutured anchor including a deformable anchor sleeve with a lumen sized to receive the therapy delivery element. An outer surface of the anchor sleeve including one or more annular compression grooves oriented generally co-axial to the lumen. At least one compression member is located in a compression groove in an open configuration. The compression member includes at least one stop. A suture material pre-tied in a self-locking compression knot extends around each compression member. The suture material includes distal ends adapted to receive a tension force that is transmitted as a radial compression force to deform the compression members and substantially engage the stop in a compressed configuration. The anchor sleeve compressively engages the therapy delivery element in the compressed configuration.
摘要翻译： 一种预先缝合的锚，其包括可变形锚固套筒，其具有尺寸适于接收治疗递送元件的内腔。 锚定套筒的外表面包括一个或多个环形压缩槽，该环形压缩槽大致与内腔同轴。 至少一个压缩构件位于处于打开构型的压缩槽中。 压缩构件包括至少一个止挡件。 预先捆绑在自锁压缩结中的缝合材料围绕每个压缩构件延伸。 缝线材料包括适于接收作为径向压缩力传递的张力的远端，以使压缩构件变形并基本上以压缩构型接合止动件。 锚定套筒以压缩构型压缩地接合治疗递送元件。
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公开(公告)号：US08473074B2
公开(公告)日：2013-06-25
申请号：US13222330
申请日：2011-08-31
申请人： Richard North , Scott Drees , John Swoyer , Lawrence Kane , Jesse Geroy , Shahn Sage , Elliot Bridgeman , James Finley , Terry Daglow
发明人： Richard North , Scott Drees , John Swoyer , Lawrence Kane , Jesse Geroy , Shahn Sage , Elliot Bridgeman , James Finley , Terry Daglow
IPC分类号： A61N1/05
CPC分类号： A61N1/3605 , A61B17/3401 , A61B90/90 , A61B90/92 , A61N1/0551
摘要： A lead identification system for tracking a plurality of neurostimulation leads during implantation in a patient, and a method of using the same. The lead identification system includes a plurality of lead indicators each adapted to attach to one of a plurality of epidural needles to identify the leads. At least one clip adapted to releasably attach to proximal ends of the leads is provided with corresponding lead indicators. The trial cable for conducting trial stimulation includes connectors with corresponding lead indicators. A plurality of lead indicator stylets are provided for insertion into lumens at the proximal ends of the leads. The pulse generator also has connectors with corresponding lead indicators. The various lead indicators permit a surgeon to track a particular lead to the corresponding connectors on the pulse generator.
摘要翻译： 用于在植入患者期间跟踪多个神经刺激引线的引线识别系统及其使用方法。 引线识别系统包括多个引线指示器，每个引线指示器适于附接到多个硬膜外针中的一个以识别引线。 适于可释放地附接到引线的近端的至少一个夹子设置有相应的引线指示器。 用于进行试验刺激的试验电缆包括具有相应引线指示器的连接器。 提供多个引导指示器样式用于在引线的近端处插入腔内。 脉冲发生器还具有相应引线指示器的连接器。 各种引导指示器允许外科医生跟踪特定引线到脉冲发生器上的相应连接器。
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公开(公告)号：US20120330355A1
公开(公告)日：2012-12-27
申请号：US13445204
申请日：2012-04-12
申请人： JAMES FINLEY , Jesse Geroy , Lawrence Kane , John Swoyer
发明人： JAMES FINLEY , Jesse Geroy , Lawrence Kane , John Swoyer
CPC分类号： A61B17/0401 , A61B2017/0084 , A61B2017/00858 , A61B2017/00964 , A61B2017/0417 , A61B2017/0475 , A61N1/0558 , A61N2001/0582
摘要： A suture anchor for securing a therapy delivery element in a desired location within a living body using a suture material. The suture anchor includes an inner sleeve with a primary lumen sized to receive the therapy delivery element. The inner sleeve includes a compliant material having a first durometer. An anchor body extends around at least a portion of the inner sleeve and includes a portion of the primary lumen. The anchor body includes a compliant material having a second durometer less than the first durometer. At least one exterior suture groove is located on the anchor body to receive the suture material. The exterior suture groove extends substantially to the inner sleeve so the suture material engages directly with the inner sleeve.
摘要翻译： 一种缝合锚，用于使用缝合材料将治疗递送元件固定在活体内的期望位置。 缝合锚包括具有主腔的内套筒，其尺寸适于接收治疗递送元件。 内套筒包括具有第一硬度的柔顺材料。 锚身体围绕内套筒的至少一部分延伸并且包括主腔的一部分。 锚固体包括具有小于第一硬度计的第二硬度的柔顺材料。 至少一个外部缝合槽位于锚固体上以接收缝合材料。 外部缝合槽基本上延伸到内部套筒，使得缝合材料与内部套筒直接接合。
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公开(公告)号：US08688232B2
公开(公告)日：2014-04-01
申请号：US13445204
申请日：2012-04-12
申请人： James Finley , Jesse Geroy , Lawrence Kane , John Swoyer
发明人： James Finley , Jesse Geroy , Lawrence Kane , John Swoyer
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0084 , A61B2017/00858 , A61B2017/00964 , A61B2017/0417 , A61B2017/0475 , A61N1/0558 , A61N2001/0582
摘要： A suture anchor for securing a therapy delivery element in a desired location within a living body using a suture material. The suture anchor includes an inner sleeve with a primary lumen sized to receive the therapy delivery element. The inner sleeve includes a compliant material having a first durometer. An anchor body extends around at least a portion of the inner sleeve and includes a portion of the primary lumen. The anchor body includes a compliant material having a second durometer less than the first durometer. At least one exterior suture groove is located on the anchor body to receive the suture material. The exterior suture groove extends substantially to the inner sleeve so the suture material engages directly with the inner sleeve.
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公开(公告)号：US20120330354A1
公开(公告)日：2012-12-27
申请号：US13164942
申请日：2011-06-21
申请人： Lawrence Kane , John Swoyer
发明人： Lawrence Kane , John Swoyer
IPC分类号： A61B17/04
CPC分类号： A61N1/05 , A61B17/0401 , A61B2017/0084 , A61B2017/00858 , A61B2017/00964 , A61B2017/0417 , A61B2017/0475 , A61N1/0558 , A61N2001/0582
摘要： Suture anchors for securing therapy delivery elements, such as stimulation leads or catheters, within a living body. The suture anchor includes an inner sleeve constructed with an inner layer of a softer, more pliable material that easily conforms to the therapy delivery element to reduce slippage and an outer layer constructed from a harder, stiffer durometer material that protects the therapy delivery elements from damage due to over-tightening the tie down sutures. A suture material located in the suture groove is tensioned to apply a radial compressive force. The reinforcing structure spreads the radial compressive force along a greater surface area of the therapy delivery element.
摘要翻译： 用于固定活体内的治疗递送元件（例如刺激引线或导管）的缝合锚。 缝合锚包括内套筒，该内套筒具有较软，更柔韧的材料的内层，其容易地符合治疗递送元件以减少滑脱，以及由更硬，更硬的硬度材料构成的外层，其保护治疗递送元件免受损伤 由于过度紧固缝合缝合。 位于缝合槽中的缝合材料被张紧以施加径向压缩力。 加强结构沿着治疗递送元件的较大表面积扩展径向压缩力。
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公开(公告)号：US20060036235A1
公开(公告)日：2006-02-16
申请号：US10915310
申请日：2004-08-10
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B2018/1472 , A61B2018/1475
摘要： Methods and apparatus for ablating a target tissue are discussed. Such methods and apparatus include those that simplify tissue ablation. For example, a tissue ablation device having an actuator, such as a trigger mechanism, coupled to a power source and an electrode is discussed. A single step of engaging the actuator causes the electrode to be introduced into the target tissue and causes energy to be delivered from the power supply to the tissue via the electrode. By way of additional example, a tissue ablation device having an actuator coupled to a fluid source and an electrode is discussed. A single step of engaging the actuator causes conductive fluid to flow from the fluid source to the target tissue location and causes the electrode to be introduced to the target tissue location. The fluid source may be a conductive fluid, such as saline, which may increase the efficiency of ablation. Various other configurations and methods that simplify tissue ablation are also discussed.
摘要翻译： 讨论了用于烧蚀靶组织的方法和装置。 这些方法和装置包括简化组织消融的方法和装置。 例如，讨论了具有耦合到电源和电极的诸如触发机构的致动器的组织消融装置。 使执行器接合的一个步骤使得电极被引入目标组织中，并且通过电极将能量从电源传送到组织。 作为另外的示例，讨论了具有耦合到流体源和电极的致动器的组织消融装置。 使致动器接合的一个步骤导致导电流体从流体源流动到目标组织位置，并且使电极被引入目标组织位置。 流体源可以是诸如盐水的导电流体，其可以提高消融效率。 还讨论了简化组织消融的各种其它配置和方法。
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