公开(公告)号：US07860580B2

公开(公告)日：2010-12-28

申请号：US11379849

申请日：2006-04-24

申请人： Jeffrey G. Falk ,  Douglas N. Hess ,  John L. Sommer

发明人： Jeffrey G. Falk ,  Douglas N. Hess ,  John L. Sommer

IPC分类号： A61N1/362

CPC分类号： A61N1/0573 ,  A61N2001/0585

摘要： A medical electrical lead includes a proximal insulation segment, a distal insulation segment, a conductor extending within the proximal and distal segments, and an electrode coupled to the conductor and disposed in proximity to a distal end of the distal insulation segment. A fixation element of the lead is coupled to a distal end of the proximal insulation segment and includes a wire wound in a helix, which extends distally from the proximal segment, over the distal insulation segment.

摘要翻译： 医疗电引线包括近端绝缘段，远侧绝缘段，在近端段和远侧区段内延伸的导体，以及耦合到导体并设置在远端绝缘区段的远端附近的电极。 引线的固定元件联接到近端绝缘节段的远端，并且包括缠绕在远端绝缘节段上的从近端段向远端延伸的螺旋线的线。

公开(公告)号：US07107105B2

公开(公告)日：2006-09-12

申请号：US10254196

申请日：2002-09-24

申请人： Vicki L. Bjorklund ,  John L Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

发明人： Vicki L. Bjorklund ,  John L Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

IPC分类号： A61N1/05

CPC分类号： A61N1/056 ,  A61N1/057 ,  A61N2001/058

摘要： An improved medical lead assembly and method of use is provided. The lead assembly includes a lead body, and a spring member positioned adjacent to the lead body. The spring member may be deployed a selectable amount to maintain the lead body in a fixed location within a patient's body. The spring member may be an expandable coil, a mesh structure that is similar to a stent, or any other similar device that may be positioned in a low-profile state during a lead implant procedure. After the lead is positioned at a target destination, the spring member may be deployed an amount that is selected based on the characteristics of the surrounding tissue, including vessel size. According to one aspect of the invention, the lead assembly may provide means for facilitating chronic lead extraction.

摘要翻译： 提供了一种改进的医疗引线组件和使用方法。 引线组件包括引线体和邻近引线体定位的弹簧部件。 弹簧构件可以部署可选择的量以将引线体保持在患者体内的固定位置。 弹簧构件可以是可扩张线圈，类似于支架的网状结构或者在引线植入过程期间可以被定位在低轮廓状态的任何其它类似的装置。 在引线定位在目标目的地之后，弹簧构件可以展开一定量，该量基于包括容器尺寸的周围组织的特性来选择。 根据本发明的一个方面，引线组件可以提供用于促进慢性铅提取的装置。

公开(公告)号：US08639340B2

公开(公告)日：2014-01-28

申请号：US10635166

申请日：2003-08-06

申请人： John L. Sommer ,  Douglas S. Hine ,  Douglas N. Hess

发明人： John L. Sommer ,  Douglas S. Hine ,  Douglas N. Hess

IPC分类号： A61N1/375

CPC分类号： A61N1/3752

摘要： A connector sleeve includes a lumen adapted to receive a medical lead connector wherein a retention element engages a retention edge formed at a distal end of a connector element included on the lead connector. The connector sleeve further includes a contact element adapted to electrically engage the lead connector element within the lumen and an external conductive surface electrically coupled to the contact element and adapted for electrical engagement within the connector bore of an implantable medical device.

摘要翻译： 连接器套管包括适于接收医疗引线连接器的内腔，其中保持元件接合形成在包括在引线连接器上的连接器元件的远端处的保持边缘。 连接器套筒还包括适于电连接腔内的引线连接器元件的接触元件和电耦合到接触元件的外部导电表面，并且适于电连接在可植入医疗器械的连接器孔内。

公开(公告)号：US06968235B2

公开(公告)日：2005-11-22

申请号：US10137158

申请日：2002-04-30

申请人： Elisabeth L. Belden ,  Eric V. Blaha ,  Eric H. Bonde ,  Ryan Cobian ,  Steven D. Goedeke ,  Gregory J. Haubrich ,  Douglas N. Hess ,  Nels D. Nerison ,  John L. Sommer ,  David L. Thompson ,  Jonathan C. Werder

发明人： Elisabeth L. Belden ,  Eric V. Blaha ,  Eric H. Bonde ,  Ryan Cobian ,  Steven D. Goedeke ,  Gregory J. Haubrich ,  Douglas N. Hess ,  Nels D. Nerison ,  John L. Sommer ,  David L. Thompson ,  Jonathan C. Werder

IPC分类号： A61N1/37 ,  A61B5/00 ,  A61N1/02 ,  A61N1/05 ,  A61N1/372 ,  A61N1/375 ,  A61N1/39 ,  A61N1/34

CPC分类号： A61N1/37252 ,  A61B5/0031 ,  A61B2560/0219 ,  A61N1/025 ,  A61N1/37223 ,  A61N1/3752 ,  A61N2001/0585

摘要： The present invention provides a practical, multi-polar, in-line connector system for use in connecting implantable medical devices (IMD) and associated non-standard, low profile medical electrical leads. In addition, the present invention provides a system that uses tool less, frictional, sealed, compressive electrical connections for most or all of the electrical interconnections between an IMD and a low profile lead. A protective sleeve seals the lead connector to the non-standard port to prevent intrusion of body fluids therein. In addition, optional microchip-based circuitry coupled to the sleeve enables wireless communication and remote programming for diverse IMDs. Memory associated with the circuitry can store, update and reprogram a wide variety of information relevant to the IMD, the patient, and the attending physician, among others. For example, the microchip may be used to identify the lead type and characteristics, as well as other useful data.

摘要翻译： 本发明提供了一种用于连接可植入医疗装置（IMD）和相关联的非标准低剖面医疗电引线的实用的多极直插式连接器系统。 另外，本发明提供了一种系统，该系统对于IMD和低剖面导线之间的大部分或全部电互连使用较少的，摩擦的，密封的，压缩的电连接。 保护套将引线连接器密封到非标准端口，以防止其中的体液侵入。 此外，耦合到套管的可选的基于微芯片的电路可实现针对不同IMD的无线通信和远程编程。 与电路相关联的存储器可以存储，更新和重新编程与IMD，患者和主治医师等相关的各种各样的信息。 例如，微芯片可用于识别引线类型和特性，以及其他有用的数据。

公开(公告)号：US08233994B2

公开(公告)日：2012-07-31

申请号：US12420326

申请日：2009-04-08

申请人： John L. Sommer ,  Douglas N. Hess

发明人： John L. Sommer ,  Douglas N. Hess

IPC分类号： A61N1/05

CPC分类号： A61N1/0575 ,  A61N2001/0585

摘要： An implantable medical device that includes an elongated body having a proximal end and a distal end, a helical fixation member extending from the distal end of the elongated body, the helical fixation member including a distal tip for affixing the distal end of the elongated body at an implant site, and a tracking member extending from the distal end of the elongated body, through the helical fixation member and outward from the distal tip of the helical fixation member for tracking along an implant pathway during implantation of the implantable medical device.

摘要翻译： 一种可植入医疗装置，其包括具有近端和远端的细长主体，从所述细长主体的远端延伸的螺旋固定构件，所述螺旋固定构件包括用于将所述细长体的远端固定在所述远端的远端 植入物位置和跟踪构件，其从细长主体的远端延伸穿过螺旋固定构件，并从螺旋固定构件的远侧末端向外延伸，用于在植入可植入医疗装置期间沿植入物路径跟踪。

公开(公告)号：US20120283810A1

公开(公告)日：2012-11-08

申请号：US13553350

申请日：2012-07-19

申请人： John L. Sommer ,  Douglas N. Hess

发明人： John L. Sommer ,  Douglas N. Hess

IPC分类号： A61N1/05

CPC分类号： A61N1/0575 ,  A61N2001/0585

摘要： An implantable medical device that includes an elongated body having a proximal end and a distal end, a helical fixation member extending from the distal end of the elongated body, the helical fixation member including a distal tip for affixing the distal end of the elongated body at an implant site, and a tracking member extending from the distal end of the elongated body, through the helical fixation member and outward from the distal tip of the helical fixation member for tracking along an implant pathway during implantation of the implantable medical device.

摘要翻译： 一种可植入医疗装置，其包括具有近端和远端的细长主体，从所述细长主体的远端延伸的螺旋固定构件，所述螺旋固定构件包括用于将所述细长体的远端固定在所述远端的远端 植入物位置和跟踪构件，其从细长主体的远端延伸穿过螺旋固定构件，并从螺旋固定构件的远侧末端向外延伸，用于在植入可植入医疗装置期间沿植入物路径跟踪。

公开(公告)号：US08043126B2

公开(公告)日：2011-10-25

申请号：US12816020

申请日：2010-06-15

申请人： Vicki L. Bjorklund ,  John L. Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

发明人： Vicki L. Bjorklund ,  John L. Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

IPC分类号： H01R13/24

CPC分类号： A61N1/056 ,  A61N1/057 ,  A61N2001/058

摘要： An improved medical lead assembly and method of use is provided. The lead assembly includes a lead body, and a spring member positioned adjacent to the lead body. The spring member may be deployed a selectable amount to maintain the lead body in a fixed location within a patient's body. The spring member may be an expandable coil, a mesh structure that is similar to a stent, or any other similar device that may be positioned in a low-profile state during a lead implant procedure. After the lead is positioned at a target destination, the spring member may be deployed an amount that is selected based on the characteristics of the surrounding tissue, including vessel size. According to one aspect of the invention, the lead assembly may provide means for facilitating chronic lead extraction.

摘要翻译： 提供了一种改进的医疗引线组件和使用方法。 引线组件包括引线体和邻近引线体定位的弹簧部件。 弹簧构件可以部署可选择的量以将引线体保持在患者体内的固定位置。 弹簧构件可以是可扩张线圈，类似于支架的网状结构或者在引线植入过程期间可以被定位在低轮廓状态的任何其它类似的装置。 在引线定位在目标目的地之后，弹簧构件可以展开一定量，该量基于包括容器尺寸的周围组织的特性来选择。 根据本发明的一个方面，引线组件可以提供用于促进慢性铅提取的装置。

公开(公告)号：US20100256719A1

公开(公告)日：2010-10-07

申请号：US12816020

申请日：2010-06-15

申请人： Vicki L. Bjorklund ,  John L. Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

发明人： Vicki L. Bjorklund ,  John L. Sommer ,  Douglas S. Hine ,  Charles J. Love ,  Douglas N. Hess ,  Nicolaas M. Lokhoff

IPC分类号： A61N1/05

CPC分类号： A61N1/056 ,  A61N1/057 ,  A61N2001/058

摘要： An improved medical lead assembly and method of use is provided. The lead assembly includes a lead body, and a spring member positioned adjacent to the lead body. The spring member may be deployed a selectable amount to maintain the lead body in a fixed location within a patient's body. The spring member may be an expandable coil, a mesh structure that is similar to a stent, or any other similar device that may be positioned in a low-profile state during a lead implant procedure. After the lead is positioned at a target destination, the spring member may be deployed an amount that is selected based on the characteristics of the surrounding tissue, including vessel size. According to one aspect of the invention, the lead assembly may provide means for facilitating chronic lead extraction.

摘要翻译： 提供了一种改进的医疗引线组件和使用方法。 引线组件包括引线体和邻近引线体定位的弹簧部件。 弹簧构件可以部署可选择的量以将引线体保持在患者体内的固定位置。 弹簧构件可以是可扩张线圈，类似于支架的网状结构或者在引线植入过程期间可以被定位在低轮廓状态的任何其它类似的装置。 在引线定位在目标目的地之后，弹簧构件可以展开一定量，该量基于包括容器尺寸的周围组织的特性来选择。 根据本发明的一个方面，引线组件可以提供用于促进慢性铅提取的装置。

公开(公告)号：US06510348B2

公开(公告)日：2003-01-21

申请号：US09745107

申请日：2000-12-20

申请人： William W. Clemens ,  Douglas N. Hess ,  John L. Sommer

发明人： William W. Clemens ,  Douglas N. Hess ,  John L. Sommer

IPC分类号： A61N105

CPC分类号： A61N1/056 ,  A61N2001/0585

摘要： A medical electrical lead including an inflatable member at a distal tip section, and a system of use, are disclosed. The inflation member is adapted to engage the walls of a cardiac vein or coronary artery to occlude the vessel. According to one aspect of the invention, the inflation member is formed of a bio-absorbable material. In another embodiment, the inflation member is a micro-porous material. The lead of the current invention may include a port located distal to the inflation member to deliver radiopaque dye or any other substance to a vessel when the inflation member is in the inflated state. This allows a fluoroscopic image of a patient's vascular system to be obtained while the lead is in place within a vessel. A perfusion lumen may be provided to allow a partial flow of blood to continue around the inflation member when the inflation member is occluding a vessel. In one embodiment, lead is provided with a lumen for receiving a stiffening member such as a stylet to aid in lead placement. According to one method of using the current invention, inflation member may be inflated after the lead is placed at a desired implant site to provide a temporary fixation mechanism during withdrawal of the stiffening member and/or a guide catheter or sheath used to place the lead at the implant site. This temporary fixation mechanism may also be employed to retain a desired lead location while thresholds are obtains. The inflation member may be retained in an inflated state for a longer predetermined period of time until tissue in-growth begins to occur around the lead.

公开(公告)号：US08478430B2

公开(公告)日：2013-07-02

申请号：US13553350

申请日：2012-07-19

申请人： John L. Sommer ,  Douglas N. Hess

发明人： John L. Sommer ,  Douglas N. Hess

IPC分类号： A61N1/05

CPC分类号： A61N1/0575 ,  A61N2001/0585

摘要： An implantable medical device that includes an elongated body having a proximal end and a distal end, a helical fixation member extending from the distal end of the elongated body, the helical fixation member including a distal tip for affixing the distal end of the elongated body at an implant site, and a tracking member extending from the distal end of the elongated body, through the helical fixation member and outward from the distal tip of the helical fixation member for tracking along an implant pathway during implantation of the implantable medical device.