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公开(公告)号：US08954162B2
公开(公告)日：2015-02-10
申请号：US11739982
申请日：2007-04-25
申请人： Eric H. Bonde , Martin T. Gerber
发明人： Eric H. Bonde , Martin T. Gerber
CPC分类号： A61N1/0526 , A61B17/06109 , A61B17/3468 , A61B2017/00946 , A61B2017/06052 , A61N1/0551 , A61N1/36071
摘要： The disclosure is directed to a method for implanting a medical device proximate to a target tissue site within an occipital region of a patient, such as proximate to an occipital nerve or a trigeminal nerve. The method comprises introducing an implant tool into a patient to define an insertion path to the target tissue site. The implant tool includes a shape memory cannula and a malleable needle at least partially disposed within an inner lumen of the cannula. The shape of the needle may be changed to accommodate different anatomical structures/features of the patient. Upon withdrawal of the needle from the cannula, the cannula may change shape, thereby changing the shape of the insertion path.
摘要翻译： 本公开涉及一种用于将医疗设备植入接近患者枕骨区域内的目标组织部位（例如靠近枕骨神经或三叉神经）的方法。 该方法包括将植入物工具引入患者以限定到目标组织部位的插入路径。 植入物工具包括形状记忆套管和至少部分地设置在套管的内腔内的有韧性的针。 可以改变针的形状以适应患者的不同解剖结构/特征。 当针从套管中取出时，套管可以改变形状，从而改变插入路径的形状。
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公开(公告)号：US20080269716A1
公开(公告)日：2008-10-30
申请号：US11739982
申请日：2007-04-25
申请人： Eric H. Bonde , Martin T. Gerber
发明人： Eric H. Bonde , Martin T. Gerber
IPC分类号： A61M31/00
CPC分类号： A61N1/0526 , A61B17/06109 , A61B17/3468 , A61B2017/00946 , A61B2017/06052 , A61N1/0551 , A61N1/36071
摘要： The disclosure is directed to a method for implanting a medical device proximate to a target tissue site within an occipital region of a patient, such as proximate to an occipital nerve or a trigeminal nerve. The method comprises introducing an implant tool into a patient to define an insertion path to the target tissue site. The implant tool includes a shape memory cannula and a malleable needle at least partially disposed within an inner lumen of the cannula. The shape of the needle may be changed to accommodate different anatomical structures/features of the patient. Upon withdrawal of the needle from the cannula, the cannula may change shape, thereby changing the shape of the insertion path.
摘要翻译： 本公开涉及一种用于将医疗设备植入接近患者枕骨区域内的目标组织部位（例如靠近枕骨神经或三叉神经）的方法。 该方法包括将植入物工具引入患者以限定到目标组织部位的插入路径。 植入物工具包括形状记忆套管和至少部分地设置在套管的内腔内的有韧性的针。 可以改变针的形状以适应患者的不同解剖结构/特征。 当针从套管中取出时，套管可以改变形状，从而改变插入路径的形状。
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公开(公告)号：US09399130B2
公开(公告)日：2016-07-26
申请号：US11740079
申请日：2007-04-25
申请人： Eric H. Bonde , Martin T. Gerber
发明人： Eric H. Bonde , Martin T. Gerber
CPC分类号： A61N1/37241 , A61B17/3415 , A61B90/39 , A61B2017/00039 , A61B2090/3937 , A61N1/0551 , A61N1/0558 , A61N1/08 , A61N1/36014 , A61N1/3605
摘要： An implant tool and cannula facilitate the implantation of a medical device into a patient. The implant tool includes a housing that is held by a user and a needle attached to the housing. The cannula may be positioned over the needle and delivered to a target tissue within the patient. The cannula includes an electrode at a distal portion to deliver test stimulation to confirm the location of the target site or placement of the implant tool relative to the target site before removing the needle of the implant tool. In this manner, the cannula may be repositioned within the patient until the position of the implant tool and cannula relative to the target site is verified with the test stimulation.
摘要翻译： 植入物工具和套管便于将医疗装置植入患者体内。 植入物工具包括由使用者保持的壳体和附接到壳体的针。 套管可以定位在针上方并且被递送到患者体内的目标组织。 插管包括在远端部分处的电极，以在移除植入物工具的针之前递送测试刺激以确认目标部位的位置或植入物工具相对于目标部位的放置。 以这种方式，套管可以在患者体内重新定位，直到用测试刺激验证植入物工具和套管相对于目标部位的位置。
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公开(公告)号：US07763034B2
公开(公告)日：2010-07-27
申请号：US11338611
申请日：2006-01-24
IPC分类号： A61N1/00
CPC分类号： A61B17/3468 , A61B17/3415 , A61B17/3421 , A61B2017/00039 , A61B2017/00238 , A61B2017/00805 , A61N1/02 , A61N1/0551 , A61N1/0558 , A61N1/36007
摘要： The disclosure is directed to a method and tool for implanting a stimulation lead or other medical device adjacent a pudendal nerve. The tool includes a shaped needle that enters a patient and passes through an obturator foramen passage in a pelvis. A physician places a tip of the tool at the pudendal nerve and performs test stimulation to confirm an effective stimulation location. A shape memory cannula initially covering the needle remains at the pudendal nerve when the physician removes the tool. The cannula deforms to follow the curve of the pudendal nerve once the needle is removed, and a lead is inserted into the cannula and secured at the pudendal nerve placement site. This method may provide an easier and more consistent procedure for implanting the stimulation lead near the pudendal nerve.
摘要翻译： 本公开涉及用于将刺激引线或其他医疗装置植入邻近的阴部神经的方法和工具。 该工具包括成形的针，其进入患者并穿过骨盆中的闭孔通孔。 医生将工具的尖端放置在阴部神经处，并执行测试刺激以确认有效的刺激位置。 当医生取出工具时，最初覆盖针的形状记忆套管保留在阴部神经处。 一旦取出针，套管就变形为跟随阴部神经的曲线，并将导线插入插管并固定在阴部神经放置位置。 该方法可以提供在阴部神经附近植入刺激引线更容易和更一致的过程。
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5.发明授权公开(公告)号：US08145323B2
公开(公告)日：2012-03-27
申请号：US11380480
申请日：2006-04-27
申请人： Martin T. Gerber , Eric H. Bonde
发明人： Martin T. Gerber , Eric H. Bonde
IPC分类号： A61N1/05
CPC分类号： A61N1/36007 , A61N1/0558 , A61N1/36071
摘要： An implantable medical electrical lead for electrical stimulation of body tissue that includes at least one electrode; a lead body; and at least one modifiable portion wherein the at least one modifiable portion can exist in both a deflated configuration and an inflated configuration, and wherein the inflated configuration exhibits a greater resistance to movement of the lead within the body tissue than does the deflated configuration. Kits, systems, and methods of using the leads are also included.
摘要翻译： 一种用于电刺激身体组织的植入式医用电线，包括至少一个电极; 铅体; 以及至少一个可修改部分，其中所述至少一个可修改部分可以以放气构型和膨胀构型两者存在，并且其中所述膨胀构型对所述身体组织中的所述引线在所述放气结构中的移动具有更大的阻力。 还包括套件，系统和使用线索的方法。
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公开(公告)号：US09561053B2
公开(公告)日：2017-02-07
申请号：US11740049
申请日：2007-04-25
申请人： Eric H. Bonde , Martin T. Gerber
发明人： Eric H. Bonde , Martin T. Gerber
CPC分类号： A61B17/3468 , A61B17/3415 , A61B17/3417 , A61B17/3421 , A61B90/39 , A61B2017/00039 , A61B2017/00212 , A61B2017/00221 , A61B2017/00734 , A61B2017/00867 , A61M25/06 , A61M25/0631 , A61N1/0551
摘要： The disclosure is directed to an implant tool used to facilitate the implantation of a medical device into a patient. The implant tool includes a housing that is held by a user and a needle attached to the housing. The needle is configured so that a cannula may be positioned over the needle and delivered to the target tissue. The implant tool also includes a release mechanism that pushes the cannula off of the needle. The release mechanism may help the user to keep the cannula at the desired location while removing the needle from the cannula. The implant tool may also include a flange that extends from the housing adjacent to a side of the needle such that the user may provide force against the needle during advancement of the needle into the patient.
摘要翻译： 本公开涉及用于促进将医疗装置植入患者体内的植入工具。 植入物工具包括由使用者保持的壳体和附接到壳体的针。 针被构造成使得套管可以定位在针上方并被递送到目标组织。 植入工具还包括将套管从针上推出的释放机构。 释放机构可以帮助使用者将插管保持在期望的位置，同时从插管中移除针头。 植入工具还可以包括从壳体邻近针的一侧延伸的凸缘，使得使用者可以在针进入患者期间向针提供力。
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7.发明申请公开(公告)号：US20120203308A1
公开(公告)日：2012-08-09
申请号：US13370495
申请日：2012-02-10
申请人： Martin T. Gerber , Eric H. Bonde
发明人： Martin T. Gerber , Eric H. Bonde
IPC分类号： A61N1/36
CPC分类号： A61N1/0558 , A61N1/36007 , A61N1/36071
摘要： An implantable medical electrical lead for electrical stimulation of body tissue that includes at least one shape memory polymer portion that has a first configuration and a second configuration, wherein the second configuration is obtained upon exposure of the shape memory polymer portion to a transition stimulus, and wherein the second configuration of the modifiable portion exhibits a greater resistance to movement of the lead within the body tissue than does the first configuration; and at least one electrode configured to provide electrical stimulation of body tissue, wherein the lead has a proximal end and a distal end. Systems and kits as well as methods of utilizing the leads of the invention are also included.
摘要翻译： 一种用于对身体组织进行电刺激的可植入医用电导线，其包括至少一个形状记忆聚合物部分，该部分具有第一构型和第二构型，其中第二构型是在将形状记忆聚合物部分暴露于转变刺激物时得到的， 其中所述可修改部分的所述第二配置对所述主体组织内的所述引线的移动性比所述第一构造表现出更大的阻力; 以及构造成提供对身体组织的电刺激的至少一个电极，其中所述引线具有近端和远端。 还包括系统和试剂盒以及利用本发明的引线的方法。
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8.发明授权公开(公告)号：US08135476B2
公开(公告)日：2012-03-13
申请号：US11380499
申请日：2006-04-27
申请人： Martin T. Gerber , Eric H. Bonde
发明人： Martin T. Gerber , Eric H. Bonde
IPC分类号： A61N1/05
CPC分类号： A61N1/0558 , A61N1/36007 , A61N1/36071
摘要： An implantable medical electrical lead for electrical stimulation of body tissue that includes at least one shape memory polymer portion that has a first configuration and a second configuration, wherein the second configuration is obtained upon exposure of the shape memory polymer portion to a transition stimulus, and wherein the second configuration of the modifiable portion exhibits a greater resistance to movement of the lead within the body tissue than does the first configuration; and at least one electrode configured to provide electrical stimulation of body tissue, wherein the lead has a proximal end and a distal end. Systems and kits as well as methods of utilizing the leads of the invention are also included.
摘要翻译： 一种用于对身体组织进行电刺激的可植入医用电导线，其包括至少一个形状记忆聚合物部分，该部分具有第一构型和第二构型，其中第二构型是在将形状记忆聚合物部分暴露于转变刺激物时得到的， 其中所述可修改部分的所述第二配置对所述主体组织内的所述引线的移动性比所述第一构造表现出更大的阻力; 以及构造成提供对身体组织的电刺激的至少一个电极，其中所述引线具有近端和远端。 还包括系统和试剂盒以及利用本发明的引线的方法。
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公开(公告)号：US20100262158A1
公开(公告)日：2010-10-14
申请号：US12819780
申请日：2010-06-21
IPC分类号： A61B17/00
CPC分类号： A61B17/3468 , A61B17/3415 , A61B17/3421 , A61B2017/00039 , A61B2017/00238 , A61B2017/00805 , A61N1/02 , A61N1/0551 , A61N1/0558 , A61N1/36007
摘要： The disclosure is directed to a method and tool for implanting a stimulation lead or other medical device adjacent a pudendal nerve. The tool includes a shaped needle that enters a patient and passes through an obturator foramen passage in a pelvis. A physician places a tip of the tool at the pudendal nerve and performs test stimulation to confirm an effective stimulation location. A shape memory cannula initially covering the needle remains at the pudendal nerve when the physician removes the tool. The cannula deforms to follow the curve of the pudendal nerve once the needle is removed, and a lead is inserted into the cannula and secured at the pudendal nerve placement site. This method may provide an easier and more consistent procedure for implanting the stimulation lead near the pudendal nerve.
摘要翻译： 本公开涉及用于将刺激引线或其他医疗装置植入邻近的阴部神经的方法和工具。 该工具包括成形的针，其进入患者并穿过骨盆中的闭孔通孔。 医生将工具的尖端放置在阴部神经处，并执行测试刺激以确认有效的刺激位置。 当医生取出工具时，最初覆盖针的形状记忆套管保留在阴部神经处。 一旦取出针，套管就会变形成跟随阴部神经的曲线，并将导线插入插管并固定在阴部神经放置部位。 该方法可以提供在阴部神经附近植入刺激引线更容易和更一致的过程。
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公开(公告)号：US09173678B2
公开(公告)日：2015-11-03
申请号：US12819780
申请日：2010-06-21
CPC分类号： A61B17/3468 , A61B17/3415 , A61B17/3421 , A61B2017/00039 , A61B2017/00238 , A61B2017/00805 , A61N1/02 , A61N1/0551 , A61N1/0558 , A61N1/36007
摘要： The disclosure is directed to a method and tool for implanting a stimulation lead or other medical device adjacent a pudendal nerve. The tool includes a shaped needle that enters a patient and passes through an obturator foramen passage in a pelvis. A physician places a tip of the tool at the pudendal nerve and performs test stimulation to confirm an effective stimulation location. A shape memory cannula initially covering the needle remains at the pudendal nerve when the physician removes the tool. The cannula deforms to follow the curve of the pudendal nerve once the needle is removed, and a lead is inserted into the cannula and secured at the pudendal nerve placement site. This method may provide an easier and more consistent procedure for implanting the stimulation lead near the pudendal nerve.
摘要翻译： 本公开涉及用于将刺激引线或其他医疗装置植入邻近的阴部神经的方法和工具。 该工具包括成形的针，其进入患者并穿过骨盆中的闭孔通孔。 医生将工具的尖端放置在阴部神经处，并执行测试刺激以确认有效的刺激位置。 当医生取出工具时，最初覆盖针的形状记忆套管保留在阴部神经处。 一旦取出针，套管就会变形成跟随阴部神经的曲线，并将导线插入插管并固定在阴部神经放置部位。 该方法可以提供在阴部神经附近植入刺激引线更容易和更一致的过程。
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