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    Method and apparatus for cardiac defibrillation
    1.
    发明授权
    Method and apparatus for cardiac defibrillation 有权
    用于心脏除颤的方法和装置

    公开(公告)号：US06647291B1

    公开(公告)日：2003-11-11

    申请号：US09540136

    申请日：2000-03-31

    申请人： Matthew D. Bonner ,  Rahul Mehra

    发明人： Matthew D. Bonner ,  Rahul Mehra

    IPC分类号： A61N118

    CPC分类号： A61N1/0563 ,  A61N2001/0585

    摘要： A method for cardioverting or defibrillating a human heart, performed by placing a transvenous lead having a cardioversion or defibrillation electrode such that the electrode is located at least partially within the middle cardiac vein of a patient's heart and placing an additional cardioversion or defibrillation electrode in the superior vena cava of the patient's heart and thereafter delivering a cardioversion or defibrillation pulse between the first and second electrodes. The method may be practiced by placing the transvenous such that the defibrillation electrode it carries extends around the apex of the patient's heart, and the transvenous lead may be advanced through one cardiac vein toward the apex of the patient's heart and thereafter advanced upward through a different cardiac vein.

    摘要翻译： 通过放置具有心脏复律或除颤电极的经静脉导管使得电极至少部分位于患者心脏的中心静脉内并将另外的心脏复律或除颤电极放置在心脏复律或除颤电极中来进行心脏转复或除纤维化的方法 患者心脏的上腔静脉，然后在第一和第二电极之间递送心脏复律或除颤脉冲。 该方法可以通过放置静脉使得其携带的除颤电极围绕患者心脏的顶点延伸，并且经静脉导管可以通过一个心静脉前进到患者心脏的顶点，然后向上通过不同的 心脏静脉

    HOLDING MEMBERS FOR IMPLANTABLE CARDIAC STIMULATION DEVICES
    5.
    发明申请
    HOLDING MEMBERS FOR IMPLANTABLE CARDIAC STIMULATION DEVICES 有权
    用于可植入心脏刺激装置的控股成员

    公开(公告)号：US20130053921A1

    公开(公告)日：2013-02-28

    申请号：US13219279

    申请日：2011-08-26

    申请人： Matthew D. Bonner ,  Thomas A. Anderson ,  William A. Berthiaume ,  Noelle C. Hurtig

    发明人： Matthew D. Bonner ,  Thomas A. Anderson ,  William A. Berthiaume ,  Noelle C. Hurtig

    IPC分类号： A61N1/362

    CPC分类号： A61N1/37205 ,  A61N1/0573 ,  A61N1/362 ,  A61N1/3756

    摘要： A holding member for an implantable cardiac device facilitates tether attachment and removal, at time of implant, and snaring, or otherwise capturing, for subsequent explant. Preferably located in proximity to a proximal end wall of a shell of the device, the holding member includes a strut portion, being spaced proximally apart from the proximal end wall, a waist portion, defining a recess, and an engagement section, extending between the strut portion and the waist portion and overhanging the recess. The waist portion may either extend between the strut portion and the proximal end wall, or be formed in the shell, distal to the proximal end wall. Alternately, the holding member includes a loop element and an engagement element coupled thereto, between first and second segments thereof. The segments are initially formed to give the loop element an opening, and have a flexibility to be compressed together.

    摘要翻译： 用于可植入心脏装置的保持构件促进在植入时的系链附着和移除，并且用于后续外植体的瘢痕或其它捕获。 优选地，所述保持构件优选地位于所述装置的壳体的近端壁附近，所述支撑构件包括支撑部分，所述支柱部分与所述近端壁向近侧间隔开，限定凹部的腰部和接合部分 支撑部分和腰部，并且突出于凹部。 腰部可以在支柱部分和近端壁之间延伸，或者形成在远离近端壁的壳体中。 或者，保持构件包括环形元件和联接到其上的接合元件，在其第一和第二段之间。 这些段最初形成为使环形元件成为开口，并且具有被压缩在一起的柔性。

    SYSTEM AND METHOD FOR IMPLANTATION OF AN IMPLANTABLE MEDICAL DEVICE
    7.
    发明申请
    SYSTEM AND METHOD FOR IMPLANTATION OF AN IMPLANTABLE MEDICAL DEVICE 有权
    用于植入可植入医疗装置的系统和方法

    公开(公告)号：US20120109149A1

    公开(公告)日：2012-05-03

    申请号：US12915859

    申请日：2010-10-29

    申请人： Matthew D. Bonner ,  Raymond W. Usher

    发明人： Matthew D. Bonner ,  Raymond W. Usher

    IPC分类号： A61B17/00

    CPC分类号： A61N1/057 ,  A61N1/372 ,  A61N1/37205 ,  A61N1/3756 ,  A61N2001/0578 ,  A61N2001/058

    摘要： System and method for implanting an implantable medical device. A catheter has a lumen and a distal portion configured for insertion in proximity of tissue of a patient. An implantable medical device has a fixation member operatively coupled to the housing having an unengaged state when in the lumen of the catheter and an engaged state configured to engage tissue of a patient when outside of the lumen of the catheter, the medical device being magnetically attractable. A magnetic element is configured to magnetically engage the implantable medical device and to pass through the lumen of the catheter.

    摘要翻译： 用于植入可植入医疗装置的系统和方法。 导管具有被配置用于插入患者组织附近的内腔和远端部分。 可植入医疗装置具有可操作地联接到壳体的固定构件，其在导管的内腔中具有未接合状态，并且被配置为在导管内腔外部接合患者的组织的接合状态，医疗装置是磁性吸引的 。 磁性元件构造成磁性接合可植入医疗装置并穿过导管的内腔。

    MEDICAL DEVICE SYSTEM AND APPARATUS FOR GUIDING THE PLACEMENT OF A SUBCUTANEOUS DEVICE
    8.
    发明申请
    MEDICAL DEVICE SYSTEM AND APPARATUS FOR GUIDING THE PLACEMENT OF A SUBCUTANEOUS DEVICE 审中-公开
    医疗装置系统及用于指导装置的装置

    公开(公告)号：US20100030230A1

    公开(公告)日：2010-02-04

    申请号：US12432052

    申请日：2009-04-29

    申请人： William J. Havel ,  Vladimir P. Nikolski ,  Matthew D. Bonner

    发明人： William J. Havel ,  Vladimir P. Nikolski ,  Matthew D. Bonner

    IPC分类号： A61B17/32

    CPC分类号： A61B17/3468 ,  A61B17/3462 ,  A61B17/3472 ,  A61B2017/00026 ,  A61B2017/0003 ,  A61B2017/00561 ,  A61B2017/306 ,  A61B2017/320044 ,  A61B2017/320056 ,  A61M5/425 ,  A61M5/427 ,  A61M2005/1586 ,  A61N1/046 ,  A61N1/0504

    摘要： A medical device system for guiding placement of a subcutaneous medical device that includes a strap extending along a length from a proximal end to a distal end, a first flange and a second flange extending along a portion of the length of the strap, a base portion extending along a portion of the length of the strap between the first flange and the second flange, an orientation member extending along the strap to limit a predetermined radius of curvature of the strap, and an indentation extending from the proximal end to the distal end of the strap, the indentation formed by the first flange, the second flange, and the base portion, wherein the first flange and the second flange include curved bottom portions that make contact with and compress a tissue layer to position the tissue layer within the indentation during the placement of the subcutaneous device.

    摘要翻译： 一种用于引导皮下医疗装置的放置的医疗装置系统，该皮下医疗装置包括沿着从近端到远端的长度延伸的带，沿着带的长度的一部分延伸的第一凸缘和第二凸缘， 沿着所述带的长度的一部分延伸在所述第一凸缘和所述第二凸缘之间，定向构件沿着所述带延伸以限制所述带的预定曲率半径，以及从所述近端延伸到所述第二凸缘的远端 所述带，由所述第一凸缘，所述第二凸缘和所述基部形成的所述凹口，其中所述第一凸缘和所述第二凸缘包括弯曲的底部部分，所述弯曲底部部分与所述组织层接触并压缩所述组织层以将所述组织层定位在所述凹陷内 放置皮下装置。

    Arrangement for implanting an endocardial cardiac lead
    10.
    发明授权
    Arrangement for implanting an endocardial cardiac lead 有权
    用于植入心内膜心脏铅的装置

    公开(公告)号：US06868291B1

    公开(公告)日：2005-03-15

    申请号：US09699865

    申请日：2000-10-30

    申请人： Matthew D. Bonner ,  Timothy G. Laske

    发明人： Matthew D. Bonner ,  Timothy G. Laske

    IPC分类号： A61N1/05

    CPC分类号： A61N1/056 ,  A61M25/0043 ,  A61M25/01 ,  A61N2001/0578

    摘要： An arrangement for introducing and implanting the electrode(s) of an endocardial implantable cardiac lead at a cardiac implantation site within a heart chamber or vessel. An elongated guide body formed of flexible material and extending between a guide body proximal end and a guide body distal end is advanced transvenously to position the guide body distal end in relation to the cardiac implantation site. Guide body tracking means is coupled with the lead distal end for receiving and slidingly engaging the guide body to allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. Pusher means formed of an elongated pusher body of flexible material extends between a pusher body proximal end and a pusher body distal end and has a cardiac lead engaging means for engaging the cardiac lead at or adjacent the distal lead end. The pusher body has sufficient column strength to be advanced alongside the guide body and lead body with the cardiac lead engaging means engaging and slidingly advancing the guide body tracking means and the cardiac lead distally along the guide body to thereby allow the cardiac lead to be advanced along the guide body until the electrode is positioned at the cardiac implantation site. The lead body is released from the lead engaging means and fixed, if the lead includes a fixation mechanism. The pusher means is retracted by retraction of the pusher body.

    摘要翻译： 用于在心室或血管内的心脏植入部位处引入和植入心内可植入心脏引线的电极的装置。 由柔性材料形成并在引导体近端和引导体远端之间延伸的细长引导体相对于心脏植入部位传递推进以引导体远端。 引导体跟踪装置与引线远端联接，用于接收和滑动地接合引导体，以允许心脏引导沿引导体前进，直到电极定位在心脏植入部位。 由细长的柔性材料推动器构成的推动器装置在推动器本体近端和推动器主体远端之间延伸，并且具有心脏引线接合装置，用于在远侧引线端处或与其相邻的心脏引线接合。 推动器主体具有足够的柱强度，以使引导体和引线体沿着引导体接合装置前进，引导体跟踪装置和心引导件沿引导体向远侧滑动，从而允许心导线前进 沿着引导体直到电极位于心脏植入部位。 如果引线包括固定机构，则引线体从引线接合装置释放并固定。 推动器装置通过推动器主体的缩回缩回。