公开(公告)号：US20070255376A1

公开(公告)日：2007-11-01

申请号：US11380234

申请日：2006-04-26

申请人： Koen Michels ,  Jean-Luc Jansens ,  Victor Duysens ,  Paulus Adams ,  Paulus Van Venrooij ,  Markus Lazeroms ,  Fredric Lindemans

发明人： Koen Michels ,  Jean-Luc Jansens ,  Victor Duysens ,  Paulus Adams ,  Paulus Van Venrooij ,  Markus Lazeroms ,  Fredric Lindemans

IPC分类号： A61N1/00

CPC分类号： A61N1/0587

摘要： Certain aspects of the disclosure pertain to methods and apparatus for providing positive fixation of medical components to a portion of incised pericardial tissue. Accordingly, a resilient member protrudes through an incision in the pericardium and produces a positive biasing force to adjacent pericardial tissue against a side surface of an attached body structure. The resilient member can optionally be compressed during implantation and then relaxed to thereafter provide the positive biasing force. Diverse medical components can thus be safely and reliably chronically deployed into the pericardial space, including without limitation, cardiac sensing/pacing, defibrillation and/or cardioversion electrodes, mechanical and/or metabolic sensors and the like. More than one body structure can be linked to a single medical electrical lead and the medical components can couple within and/or upon a portion of the body structure, the resilient member, and the lead in myriad configurations.

摘要翻译： 本公开的某些方面涉及用于向切开的心包组织的一部分提供医疗部件的正面固定的方法和装置。 因此，弹性构件通过心包中的切口突出，并且相对于附接体结构的侧表面产生相邻心包组织的正偏置力。 弹性构件可以可选地在植入期间被压缩，然后松弛，之后提供正的偏压力。 因此，不同的医疗部件可以安全可靠地长期地部署到心包空间中，包括但不限于心脏感测/起搏，除颤和/或心脏复律电极，机械和/或代谢传感器等。 多个主体结构可以连接到单个医疗电引线，并且医疗部件可以在各种构造中联接在身体结构，弹性构件和引线的一部分内和/或之内。

公开(公告)号：US08244379B2

公开(公告)日：2012-08-14

申请号：US11380234

申请日：2006-04-26

申请人： Koen Michels ,  Jean-Luc Jansens ,  Victor Duysens ,  Paulus G. Adams ,  Paulus Van Venrooij ,  Markus J. C. Lazeroms ,  Fredric W. Lindemans

发明人： Koen Michels ,  Jean-Luc Jansens ,  Victor Duysens ,  Paulus G. Adams ,  Paulus Van Venrooij ,  Markus J. C. Lazeroms ,  Fredric W. Lindemans

IPC分类号： A61N1/05

CPC分类号： A61N1/0587

摘要： Certain aspects of the disclosure pertain to methods and apparatus for providing positive fixation of medical components to a portion of incised pericardial tissue. Accordingly, a resilient member protrudes through an incision in the pericardium and produces a positive biasing force to adjacent pericardial tissue against a side surface of an attached body structure. The resilient member can optionally be compressed during implantation and then relaxed to thereafter provide the positive biasing force. Diverse medical components can thus be safely and reliably chronically deployed into the pericardial space, including without limitation, cardiac sensing/pacing, defibrillation and/or cardioversion electrodes, mechanical and/or metabolic sensors and the like. More than one body structure can be linked to a single medical electrical lead and the medical components can couple within and/or upon a portion of the body structure, the resilient member, and the lead in myriad configurations.

摘要翻译： 本公开的某些方面涉及用于向切开的心包组织的一部分提供医疗部件的正面固定的方法和装置。 因此，弹性构件通过心包中的切口突出，并且相对于附接体结构的侧表面产生相邻心包组织的正偏置力。 弹性构件可以可选地在植入期间被压缩，然后松弛，之后提供正的偏压力。 因此，不同的医疗部件可以安全可靠地长期地部署到心包空间中，包括但不限于心脏感测/起搏，除颤和/或心脏复律电极，机械和/或代谢传感器等。 多个主体结构可以连接到单个医疗电引线，并且医疗部件可以在各种构造中联接在身体结构，弹性构件和引线的一部分内和/或之内。

公开(公告)号：US20070255375A1

公开(公告)日：2007-11-01

申请号：US11380228

申请日：2006-04-26

申请人： Koen Michels ,  Fredric Lindemans ,  Jean-Luc Jansens

发明人： Koen Michels ,  Fredric Lindemans ,  Jean-Luc Jansens

IPC分类号： A61N1/00

CPC分类号： A61N1/0587

摘要： The present disclosure pertains to methods and apparatus for providing positive fixation of medical components to a portion of pericardial tissue via both vacuum- and/or mechanically-assisted means. According to the invention, a source of vacuum couples via a lumen to a recessed portion of a body structure deployed into the pericardial space. The recessed portion is adapted to form a seal around its periphery with adjacent pericardial tissue so that when the recessed portion is evacuated, the tissue is drawn into the recessed portion. Then, a sharpened instrument, such as a stylet, is deployed through the lumen and pierces the tissue, thus anchoring the body structure. Other embodiment involve coupling a source fluid for delivery to the pericardial space (e.g., contrast media; saline solution; biological, genetic and pharmaceutical substances and the like).

摘要翻译： 本公开涉及用于通过真空和/或机械辅助手段将医疗部件正向固定到心包组织的一部分的方法和装置。 根据本发明，真空源经由内腔耦合到部署到心包空间的身体结构的凹陷部分。 凹部适于围绕其周边与相邻的心包组织形成密封，使得当凹部被抽真空时，组织被拉入凹部。 然后，诸如探针之类的尖锐的器械通过内腔部署并刺穿组织，从而锚固身体结构。 其他实施方案涉及将源流体偶联用于递送至心包空间（例如，造影剂;盐溶液;生物，遗传和药物物质等）。

公开(公告)号：US07729783B2

公开(公告)日：2010-06-01

申请号：US11380228

申请日：2006-04-26

申请人： Koen Michels ,  Fredric W. Lindemans ,  Jean-Luc Jansens

发明人： Koen Michels ,  Fredric W. Lindemans ,  Jean-Luc Jansens

IPC分类号： A61N1/05

CPC分类号： A61N1/0587

摘要： A method and apparatus for providing positive fixation of medical components to a portion of pericardial tissue via both vacuum- and/or mechanically-assisted means. A source of vacuum couples via a lumen to a recessed portion of a body structure deployed into the pericardial space. The recessed portion is adapted to form a seal around its periphery with adjacent pericardial tissue so that when the recessed portion is evacuated, the tissue is drawn into the recessed portion. Then, a sharpened instrument, such as a stylet, is deployed through the lumen and pierces the tissue, thus anchoring the body structure. A source of fluid may also be included for delivery to the pericardial space (e.g., contrast media; saline solution; biological, genetic and pharmaceutical substances and the like).

摘要翻译： 一种用于通过真空和/或机械辅助手段将医疗部件正向固定到心包组织的一部分的方法和装置。 真空源通过内腔耦合到部署到心包空间的身体结构的凹陷部分。 凹部适于围绕其周边与相邻的心包组织形成密封，使得当凹部被抽真空时，组织被拉入凹部。 然后，诸如探针之类的尖锐的器械通过内腔部署并刺穿组织，从而锚固身体结构。 还可以包括流体源用于递送至心包空间（例如，造影剂;盐溶液;生物，遗传和药物物质等）。