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公开(公告)号：US6129749A
公开(公告)日：2000-10-10
申请号：US139454
申请日：1998-08-25
申请人： Jeffrey T. Bartig , Randy Peterfeso
发明人： Jeffrey T. Bartig , Randy Peterfeso
CPC分类号： A61N1/056 , A61N2001/0578 , A61N2001/058 , A61N2001/0585
摘要： A pacing lead for a cardiac stimulator that includes an elongated flexible insulating lead body. An electrode is attached to the lead body at its distal end. An elongated conductor extends through a lumen of the elongated lead body for connecting the electrode to the terminal pin. The conductor is in the form of a coiled wire until it reaches approximate the electrode. It is then crimped to a cable conductor which in turn is crimped or welded to the electrode. The electrode is supported at the distal end by a molded support body which includes a lumen for a guide wire.
摘要翻译： 用于心脏刺激器的起搏线，其包括细长的柔性绝缘引线体。 电极在其远端附接到引线体。 细长导体延伸穿过细长引线体的内腔，用于将电极连接到端子引脚。 导线是线圈形，直到达到近似电极。 然后将其压接到电缆导体，电缆导体又被压接或焊接到电极。 电极通过包括用于导丝的内腔的模制支撑体在远端被支撑。
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公开(公告)号：US06842648B2
公开(公告)日：2005-01-11
申请号：US10054600
申请日：2002-01-22
IPC分类号： A61N1/05
CPC分类号： A61N1/057 , A61N1/0573 , A61N2001/0585
摘要： A lead having a distal end electrode assembly adapted for implantation on or about the heart or within a vein and for connection to a system for monitoring or stimulating cardiac activity. The electrode assembly includes conductive fixation features, such as conductive tines or flexible members, in combination with non-conductive fixation features. The conductive fixation features also include tines coated with a conductive material. The fixation features further include conductive tines which are retractable. A defibrillation coil is optionally disposed at the distal end of the lead in combination with the conductive tines.
摘要翻译： 一种具有远端电极组件的引线，其适于植入在心脏上或周围的静脉内并且用于连接到用于监测或刺激心脏活动的系统。 电极组件包括与非导电固定特征组合的导电固定特征，例如导电尖齿或柔性构件。 导电固定特征还包括涂覆有导电材料的尖齿。 固定特征还包括可伸缩的导电尖齿。 除颤线圈可选地配置在导电尖端的前端，与导电齿结合。
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公开(公告)号：US06212434B1
公开(公告)日：2001-04-03
申请号：US09120824
申请日：1998-07-22
申请人： Avram Scheiner , William Hsu , David M. Flynn , Qingsheng Zhu , John E. Heil , Ronald W. Heil, Jr. , Curtis C. Lindstrom , Robert S. Booker, III , Yayun Lin , Peter T. Kelley , Jay A. Warren , Gerrard M. Carlson , Carol Werlein , Aaron W. Janke , Mary Lee Cole , Jeffrey T. Bartig , Gary W. Goebel , Douglas A. Heitkamp , Randall M. Peterfeso
发明人： Avram Scheiner , William Hsu , David M. Flynn , Qingsheng Zhu , John E. Heil , Ronald W. Heil, Jr. , Curtis C. Lindstrom , Robert S. Booker, III , Yayun Lin , Peter T. Kelley , Jay A. Warren , Gerrard M. Carlson , Carol Werlein , Aaron W. Janke , Mary Lee Cole , Jeffrey T. Bartig , Gary W. Goebel , Douglas A. Heitkamp , Randall M. Peterfeso
IPC分类号： A61N105
CPC分类号： A61N1/0573 , A61N1/0563
摘要： A single-pass endocardial lead electrode adapted for implantation in, on or about the heart and for connection to a system for monitoring or stimulating cardiac activity includes a lead body which is adapted for implantation within a single chamber of the heart, or multiple chambers of the heart. The lead includes a first distal end electrode which has a first electrical conducting surface. The lead body also has a second electrode which has a second electrical conducting surface. The first and second electrodes are either passively or actively attached to the wall of the heart. The lead body also includes a curved portion which facilitates the positioning of the second electrode. The main lead body alternatively includes a recess into which an atrial lead body and an active fixation element attached to one end can travel from a recessed position to a position for fixation to the wall of the heart. The active fixation element can also be moved by turning the terminal pin. The lead body can also include multiple legs, each leg carrying an electrode. The lead is attached to a pulse generator for producing pulses to the multiple sites within the heart. A movement assembly for advancing a helix is also included within the legs and comprises an externally threaded collar which engages with an internally threaded housing or housing insert. The lead further includes a helical tip which has high impedance. The electrode has at least one features of the group: the helix having a coating of an insulating material on its surface, the helix having its surface beyond the distal end of the electrode and the distal end of the electrode having a porous conductive surface at a base of the helix, a porous conductive element at a base of the helix, and a porous conductive element at the end of the electrode having an insulating coating cover from 5-95% of the surface of the porous conductive element. The porous element may further provide a guiding mechanism for the helix as it travels out of the electrode for securing the electrode to the heart.
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公开(公告)号：US08055355B2
公开(公告)日：2011-11-08
申请号：US11031971
申请日：2005-01-07
IPC分类号： A61N1/05
CPC分类号： A61N1/057 , A61N1/0573 , A61N2001/0585
摘要： A lead having a distal end electrode assembly adapted for implantation on or about the heart or within a vein and for connection to a system for monitoring or stimulating cardiac activity. The electrode assembly includes conductive fixation features, such as conductive tines or flexible members, in combination with non-conductive fixation features. The conductive fixation features also include tines coated with a conductive material. The fixation features further include conductive tines which are retractable. A defibrillation coil is optionally disposed at the distal end of the lead in combination with the conductive tines.
摘要翻译： 一种具有远端电极组件的引线，其适于植入在心脏上或周围的静脉内并且用于连接到用于监测或刺激心脏活动的系统。 电极组件包括与非导电固定特征组合的导电固定特征，例如导电尖齿或柔性构件。 导电固定特征还包括涂覆有导电材料的尖齿。 固定特征还包括可伸缩的导电尖齿。 除颤线圈可选地配置在导电尖端的前端，与导电齿结合。
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公开(公告)号：US06298272B1
公开(公告)日：2001-10-02
申请号：US09280610
申请日：1999-03-29
IPC分类号： A61N105
CPC分类号： A61N1/0575 , A61N1/0568
摘要： An implantable lead, being either a fixed or retractable/extendable lead, having a distal tip electrode is adapted for implantation on or about the heart and for connection to a system for monitoring or stimulating cardiac activity. The electrode includes a mechanical fastener such as a fixation helix for securing the electrode to cardiac tissue, which may or may not be electrically active. The implantable electrode with a helical tip may comprise: an electrode having a distal end and a proximal end; and a helix disposed within the electrode, which helix is aligned along a radial axis of the electrode to the distal end; and the implantable electrode having at least one feature selected from the group consisting of: a) the helix having a coating of an insulating material on its surface, b) the helix having its surface beyond the distal end of the electrode and the distal end of the electrode having a porous conductive surface at a base of the helix, c) a porous conductive element, screen or mesh at a base of the helix, and d) a porous conductive element at the end of the electrode having an insulating coating covering from 5-95% of the surface of the porous conductive element. The electrode may further include an electrode tip having a porous electrical conductive element, such as a mesh screen, disposed on a surface at the distal end of the electrode tip, which can be used as a sensing or pacing interface with the cardiac tissue. The porous electrically conductive element will usually be positioned at the base of the helix (when extended if extendable/retractable). The mesh or screen may provide a guiding mechanism for the helix as it travels out of the electrode for securing the electrode to the heart or other muscle or organ. The guiding mechanism may include a groove within the mesh screen. Alternatively, the guiding mechanism includes a guiding bar on which the fixation helix rides on during extension or retraction. In combination with each of these high impedance tips, a drug delivery system is provided at least the majority of which drug delivery system is provided from a source within a volume which is within the structural walls of the lead and/or within a volume having its major dimensions and/or at least 50% of its volume generally within the projected area of the tip.
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公开(公告)号：US6018684A
公开(公告)日：2000-01-25
申请号：US126068
申请日：1998-07-30
申请人： Jeffrey T. Bartig , Gwen Crevensten
发明人： Jeffrey T. Bartig , Gwen Crevensten
CPC分类号： A61N1/056
摘要： A lead for use in conjunction with a cardiac rhythm management device includes an electrode coupled to a conductor. The lead includes an insulative covering in the areas distal and proximal to the electrode. The electrode includes one or more slots bridged by the insulative material to form a more secure joint between the electrode and the insulative material.
摘要翻译： 与心律管理装置一起使用的引线包括连接到导体的电极。 引线包括在电极的远端和近端的区域中的绝缘覆盖物。 电极包括由绝缘材料桥接的一个或多个槽，以在电极和绝缘材料之间形成更牢固的接头。
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公开(公告)号：US06505082B1
公开(公告)日：2003-01-07
申请号：US09643125
申请日：2000-08-21
申请人： Avram Scheiner , William Hsu , David M. Flynn , Qingsheng Zhu , John E. Heil , Ronald W. Heil, Jr. , Curtis C. Lindstrom , Robert S. Booker, III , Yayun Lin , Peter T. Kelley , Jay A. Warren , Gerrard M. Carlson , Carol Werlein , Aaron W. Janke , Mary Lee Cole , Jeffrey T. Bartig , Gary W Goebel , Douglas A Heitkamp , Randall M. Peterfeso
发明人： Avram Scheiner , William Hsu , David M. Flynn , Qingsheng Zhu , John E. Heil , Ronald W. Heil, Jr. , Curtis C. Lindstrom , Robert S. Booker, III , Yayun Lin , Peter T. Kelley , Jay A. Warren , Gerrard M. Carlson , Carol Werlein , Aaron W. Janke , Mary Lee Cole , Jeffrey T. Bartig , Gary W Goebel , Douglas A Heitkamp , Randall M. Peterfeso
IPC分类号： A61N105
CPC分类号： A61N1/0573 , A61N1/0563
摘要： A single-pass endocardial lead electrode adapted for implantation in, on or about the heart and for connection to a system for monitoring or stimulating cardiac activity includes a lead body which is adapted for implantation within a single chamber of the heart, or multiple chambers of the heart. The lead includes a first distal end electrode which has a first electrical conducting surface. The lead body also has a second electrode which has a second electrical conducting surface. The first and second electrodes are either passively or actively attached to the wall of the heart. The lead body also includes a curved portion which facilitates the positioning of the second electrode. The main lead body alternatively includes a recess into which an atrial lead body and an active fixation element attached to one end can travel from a recessed position to a position for fixation to the wall of the heart. The active fixation element can also be moved by turning the terminal pin. The lead body can also include multiple legs, each leg carrying an electrode. The lead is attached to a pulse generator for producing pulses to the multiple sites within the heart. A movement assembly for advancing a helix is also included within the legs and comprises an externally threaded collar which engages with an internally threaded housing or housing insert. The lead further includes a helical tip which has high impedance. The electrode has at least one features of the group: the helix having a coating of an insulating material on its surface, the helix having its surface beyond the distal end of the electrode and the distal end of the electrode having a porous conductive surface at a base of the helix, a porous conductive element at a base of the helix, and a porous conductive element at the end of the electrode having an insulating coating cover from 5-95% of the surface of the porous conductive element. The porous element may further provide a guiding mechanism for the helix as it travels out of the electrode for securing the electrode to the heart.
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8.发明授权Apparatus for connecting a left ventricular access lead to a cardiac rhythm management device 有权用于将左心室接入引线连接到心律管理装置的装置
公开(公告)号：US6044302A
公开(公告)日：2000-03-28
申请号：US227136
申请日：1999-01-07
CPC分类号： A61N1/3754 , Y10S439/909
摘要： A multiport header for a cardiac rhythm management device includes at least one standard port and a separate port for a left ventricular access lead. The left ventricular access lead can only be electrically and mechanically coupled to the proper port. Standard leads cannot be electrically or mechanically coupled to the port for the left ventricular access lead.
摘要翻译： 用于心律管理装置的多端头包括至少一个标准端口和用于左心室接入引线的单独端口。 左心室接入引线只能电气和机械耦合到适当的端口。 标准引线不能电或机械耦合到用于左心室接入引线的端口。
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公开(公告)号：US06574514B2
公开(公告)日：2003-06-03
申请号：US09746614
申请日：2000-12-21
IPC分类号： A61N105
CPC分类号： A61N1/057 , A61N1/0573 , A61N2001/0585
摘要： A lead having a distal end electrode assembly adapted for implantation on or about the heart or within a vein and for connection to a system for monitoring or stimulating cardiac activity. The electrode assembly includes conductive fixation features, such as conductive tines or flexible members, in combination with non-conductive fixation features. The conductive fixation features also include tines coated with a conductive material. The fixation features further include conductive tines which are retractable. A defibrillation coil is optionally disposed at the distal end of the lead in combination with the conductive tines.
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公开(公告)号：US06501994B1
公开(公告)日：2002-12-31
申请号：US09121288
申请日：1998-07-22
申请人： Aaron W. Janke , Mary Lee Cole , Ronald W. Heil, Jr. , Jeffrey T. Bartig , Gary W Goebel , Douglas A Heitkamp , Randall M. Peterfeso
发明人： Aaron W. Janke , Mary Lee Cole , Ronald W. Heil, Jr. , Jeffrey T. Bartig , Gary W Goebel , Douglas A Heitkamp , Randall M. Peterfeso
IPC分类号： A61N105
CPC分类号： A61N1/0573
摘要： An implantable lead, being either a fixed or retractable/extendable lead, having a distal tip electrode is adapted for implantation on or about the heart and for connection to a system for monitoring or stimulating cardiac activity. The electrode includes a mechanical fastener such as a fixation helix for securing the electrode to cardiac tissue, which may or may not be electrically active. The implantable electrode with a helical tip includes an electrode which has a distal end and a proximal end. A helix is disposed within the electrode, where the helix is aligned along a radial axis of the electrode. The electrode further includes one or more of the following features: the helix having a coating of an insulating material on a surface of the helix, a porous conductive surface at a base of the helix, a porous conductive element at the end of the electrode having an insulating coating covering from 5-95% of the surface of the porous conductive element. The electrode may farther include an electrode tip having a porous electrical conductive element, such as a mesh screen, disposed on a surface at the distal end of the electrode tip, which can be used as a sensing or pacing interface with the cardiac tissue.
摘要翻译： 具有远端尖端电极的可植入引线（或者是固定的或可伸缩的引线）适于植入在心脏上或其周围，并用于连接到用于监测或刺激心脏活动的系统。 电极包括机械紧固件，例如用于将电极固定到心脏组织的固定螺旋，其可以是或不是电活动的。 具有螺旋尖端的可植入电极包括具有远端和近端的电极。 螺旋线设置在电极内，其中螺旋沿着电极的径向轴线排列。 电极还包括以下特征中的一个或多个：螺旋具有在螺旋表面上的绝缘材料的涂层，在螺旋的基底处的多孔导电表面，在电极末端的多孔导电元件， 覆盖多孔导电元件表面的5-95％的绝缘涂层。 电极可以进一步包括具有设置在电极尖端的远端的表面上的多孔导电元件（例如网眼丝网）的电极末端，其可以用作与心脏组织的感测或起搏界面。
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