公开(公告)号：US20070050003A1

公开(公告)日：2007-03-01

申请号：US11215786

申请日：2005-08-30

申请人： Paul Zarembo ,  Yongxing Zhang ,  Matthew Finlay ,  Jeffrey Bodner

发明人： Paul Zarembo ,  Yongxing Zhang ,  Matthew Finlay ,  Jeffrey Bodner

IPC分类号： A61N1/00

CPC分类号： A61N1/057 ,  A61N2001/0578 ,  A61N2001/0585

摘要： This document discusses, among other things, a lead body extending longitudinally along a lead axis, a driver axially displaceable relative to the lead body, and a driven member coupled to the lead body and displaceable away from the lead axis. The driven member at least partially defines an expandable passage having at least one internal dimension. The driver is displaceable into the expandable passage and has at least one outer dimension that is larger than the at least one internal dimension of the expandable passage. An example method includes disposing a first member having a first cross-section in a lead assembly having a lead axis, an expandable passage, and a displaceable member proximate the expandable passage. The method further includes urging the first member into the expandable passage in the lead assembly, and urging the displaceable member away from the lead axis to expand the expandable passage.

摘要翻译： 本文件尤其讨论了沿着引线轴线纵向延伸的引线本体，相对于引线主体轴向移位的驱动器以及耦合到引线主体并且可远离引导轴线移位的从动元件。 从动构件至少部分地限定具有至少一个内部尺寸的可扩张通道。 驾驶员可移动到可扩张通道中并且具有比可扩张通道的至少一个内部尺寸大的至少一个外部尺寸。 示例性方法包括将具有第一横截面的第一构件布置在具有引导轴线的引导组件中，可扩展通道和靠近可扩展通道的可移位构件。 所述方法还包括将所述第一构件推入所述引导组件中的所述可膨胀通道中，并且将所述可移位构件推离所述引导轴线以使所述可扩张通道膨胀。

公开(公告)号：US20050096719A1

公开(公告)日：2005-05-05

申请号：US10698843

申请日：2003-10-31

申请人： Eric Hammill ,  Yongxing Zhang ,  Jeffrey Bodner ,  Paul Zarembo ,  Mohan Krishnan

发明人： Eric Hammill ,  Yongxing Zhang ,  Jeffrey Bodner ,  Paul Zarembo ,  Mohan Krishnan

IPC分类号： A61N1/05 ,  A61N1/08

CPC分类号： A61N1/056 ,  A61N1/08 ,  A61N2001/083

摘要： An implantable lead assembly includes a lead body extending from a proximal end to a distal end having an intermediate portion therebetween, where the lead body includes an insulating layer. A conductor is disposed within the insulating layer and the insulating layer surrounds the conductor. An electrode is coupled to the lead body, and the electrode is in electrical communication with the conductor. At least one conductive sleeve is disposed within the insulating layer. The at least one conductive sleeve surrounds the conductor and is electrically isolated from the electrode. The at least one conductive sleeve has a first impedance value in a first condition.

摘要翻译： 可植入引线组件包括引线本体，该引线体从近端延伸至具有中间部分的远端，其中引线主体包括绝缘层。 导体设置在绝缘层内，绝缘层包围导体。 电极耦合到引线体，并且电极与导体电连通。 至少一个导电套管设置在绝缘层内。 所述至少一个导电套管围绕所述导体并且与所述电极电隔离。 所述至少一个导电套筒在第一状态下具有第一阻抗值。

公开(公告)号：US20070299492A1

公开(公告)日：2007-12-27

申请号：US11895808

申请日：2007-08-28

申请人： Yongxing Zhang ,  James Gilkerson ,  Paul Zarembo

发明人： Yongxing Zhang ,  James Gilkerson ,  Paul Zarembo

IPC分类号： A61N1/05

CPC分类号： A61N1/056 ,  A61N1/057 ,  A61N2001/0585

摘要： A lead body includes an electrode coupled to an intermediate portion of the lead body. A distal end of the lead includes a pre-formed, biased shape adapted to passively fixate the distal end of the lead within a pulmonary artery with the electrode positioned in the right ventricle or ventricular outflow tract. The lead body can include a pre-formed J-shape, with the electrode coupled to the intermediate portion of the lead body and located distally from a bottom of the pre-formed J-shape. The lead body can include a section of the intermediate portion of the lead body being less stiff than adjacent sections of the lead body with the electrode coupled to the intermediate portion of the lead body and located distally from the less stiff section.

摘要翻译： 引线体包括连接到引线主体的中间部分的电极。 引线的远端包括预先形成的偏压形状，其适于被动地固定在肺动脉内的引线的远端，其中电极定位在右心室或心室流出道中。 引线体可以包括预形成的J形，电极耦合到引线本体的中间部分并且位于远离预成形的J形的底部。 引线主体可以包括引线主体的中间部分的一部分比引线主体的相邻部分刚性差，其中电极耦合到引线主体的中间部分并且位于较硬的部分的远侧。

公开(公告)号：US20060032657A1

公开(公告)日：2006-02-16

申请号：US10916313

申请日：2004-08-11

申请人： Paul Zarembo

发明人： Paul Zarembo

IPC分类号： H01B7/06

CPC分类号： A61N1/056

摘要： A lead assembly includes an outer insulative body, a conductor, and at least one electrode electrically coupled with at least one conductor. A flexible portion for example having a bellows portion is disposed along the lead body.

摘要翻译： 引线组件包括外绝缘体，导体和与至少一个导体电耦合的至少一个电极。 具有波纹管部分的柔性部分沿引线主体设置。

公开(公告)号：US20060129220A1

公开(公告)日：2006-06-15

申请号：US11346096

申请日：2006-02-02

申请人： Brendan Koop ,  Paul Zarembo

发明人： Brendan Koop ,  Paul Zarembo

IPC分类号： A61N1/05

CPC分类号： A61N1/056

摘要： A two-part implantable cardiac pacing lead is usable with a cardiac function management device. The lead includes an outer lead portion having a lead body and a conductive coil extending substantially from the proximal end to the distal end. The lead body defines an internal longitudinal lumen. The lead further includes a surface electrode coupled to the lead body near the distal end and a sleeve defining an internal bore. The sleeve mechanically couples to the proximal end of the lead body and is electrically insulated from the conductive coil. The lead further includes an inner lead portion having a pin adapted to mechanically engage the internal bore. The pin is adapted for electrically coupling with a longitudinally-extending conductive member sized to fit within the internal longitudinal lumen. A method of using the lead.

摘要翻译： 两部分植入式心脏起搏引线可用于心脏功能管理装置。 引线包括具有引线主体和基本上从近端延伸到远端延伸的导电线圈的外引线部分。 引线体定义内部纵向管腔。 引线还包括在远端附近耦合到引线本体的表面电极和限定内孔的套管。 套筒机械地联接到引线主体的近端并与导电线圈电绝缘。 引线还包括具有适于机械地接合内孔的销的内引线部分。 该引脚适于与尺寸设计成适合内部纵向内腔的纵向延伸的导电构件电连接。 使用铅的方法。

公开(公告)号：US20050070983A1

公开(公告)日：2005-03-31

申请号：US10670985

申请日：2003-09-25

申请人： Jaime Rugnetta ,  Mary Wentorf ,  Gregory Ley ,  Christopher Zerby ,  Lyle Bye ,  Paul Zarembo ,  Brian Soltis ,  Jeffrey Bartig

发明人： Jaime Rugnetta ,  Mary Wentorf ,  Gregory Ley ,  Christopher Zerby ,  Lyle Bye ,  Paul Zarembo ,  Brian Soltis ,  Jeffrey Bartig

IPC分类号： A61N1/05

CPC分类号： A61N1/057

摘要： A medical device includes one or more tines having a first position and a second position. The tines are coupled with a body including one or more recessed portions thereon. In one of the first or second positions, the one or more tines are disposed adjacent one of the recessed portions of the body.

摘要翻译： 医疗装置包括具有第一位置和第二位置的一个或多个尖齿。 齿与其上包括一个或多个凹部的主体联接。 在第一或第二位置中的一个位置中，一个或多个尖齿布置在身体的一个凹陷部分附近。

公开(公告)号：US20070142890A1

公开(公告)日：2007-06-21

申请号：US11305925

申请日：2005-12-19

申请人： Paul Zarembo ,  Mohan Krishnan ,  David Durand

发明人： Paul Zarembo ,  Mohan Krishnan ,  David Durand

IPC分类号： A61N1/00

CPC分类号： A61N1/056 ,  H01R13/18 ,  H01R2201/12 ,  Y10T29/49117

摘要： An implantable lead comprises a lead body extending from a lead proximal end portion to a lead distal end portion. The lead body includes one or more longitudinally extending lumens. A conductor is received in, and extends along, a lumen. In varying examples, the implantable lead further comprises a tubular electrode co-axial with, and overlying portions of, the lead body. In one example, a lumen wall is sized and shaped to urge an electrically conductive interposer coupled with the conductor toward an inner surface of the electrode. In another example, a ring member is disposed within a lumen and the conductor is drawn and coupled thereto. In yet another example, an electrically conductive connector couples a first and a second conductor via grooves or threads. In a further example, an axial support member couples a distal end electrode and the lead body. Methods associated with the foregoing are also discussed.

摘要翻译： 可植入引线包括从引线近端部分延伸到引线远端部分的引线体。 引线体包括一个或多个纵向延伸的腔。 导体被容纳在内腔中并沿着其延伸。 在可变示例中，可植入引线还包括与引线主体同轴并且覆盖引线主体的部分的管状电极。 在一个示例中，腔壁的尺寸和形状被设计成将与导体耦合的导电插入件推向电极的内表面。 在另一示例中，环构件设置在管腔内并且导体被拉伸并与其连接。 在又一示例中，导电连接器通过凹槽或螺纹将第一和第二导体连接。 在另一示例中，轴向支撑构件将远端电极和引线体联接。 还讨论了与前述相关的方法。

公开(公告)号：US20060089698A1

公开(公告)日：2006-04-27

申请号：US11297696

申请日：2005-12-08

申请人： Gregory Sundberg ,  Paul Zarembo

发明人： Gregory Sundberg ,  Paul Zarembo

IPC分类号： A61N1/05

CPC分类号： A61N1/0563 ,  A61N1/056 ,  A61N1/0573 ,  A61N1/3752 ,  Y10T29/49204 ,  Y10T29/49208 ,  Y10T29/49217

摘要： A lead includes a lead body extending from a distal end to a proximal end, and at least one conductor disposed within the lead body and extending from the distal end to the proximal end of the lead body. The lead further includes an outer terminal ring, a terminal pin, and an insulative sleeve disposed between the outer terminal ring and the terminal pin, where the insulative sleeve is coupled with the outer terminal ring with a snap-fit connection. A pin latch is disposed on an outer periphery surface of the insulative sleeve, where the pin latch is rotatable about a hinge point.

公开(公告)号：US20060036307A1

公开(公告)日：2006-02-16

申请号：US10919202

申请日：2004-08-16

申请人： Paul Zarembo ,  John Greenland

发明人： Paul Zarembo ,  John Greenland

IPC分类号： A61N1/05

CPC分类号： A61N1/056 ,  A61N1/057 ,  A61N2001/0578

摘要： A lead assembly includes an elongate body having a conductor electrically coupled with an electrode coupled to the elongate body. The lead assembly includes a push tube extending along at least a portion of the elongate body. A distal tip is coupled to the elongate body substantially adjacent to the distal end of the elongate body. The distal tip is sized and shaped to couple with a push tube distal end. In one option, the distal tip includes a seat to receive the push tube distal end. In another option, the seat is a side rail seat and a guide wire extends along the elongate body and is slidably coupled with the side rail seat. The lead assembly includes, optionally, an active fixation device slidably coupled with a portion of the elongate body, and the active fixation device is sized and shaped to couple with the push tube.

公开(公告)号：US20070106358A1

公开(公告)日：2007-05-10

申请号：US11266958

申请日：2005-11-04

申请人： Randy Westlund ,  Paul Zarembo

发明人： Randy Westlund ,  Paul Zarembo

IPC分类号： A61N1/00

CPC分类号： A61N1/0587

摘要： An injectable cardiac lead for stimulating a heart includes an anchor and a tether. The anchor has first and second electrically active areas spaced apart and electrically isolated from one another. The tether has a distal end mechanically coupled to the anchor and a proximal end adapted for coupling to a cardiac rhythm management device. The tether comprises first and second electrically conductive cables electrically isolated from one another and electrically coupled to the first and second electrically active areas, respectively.

摘要翻译： 用于刺激心脏的可注射心脏引线包括锚和系绳。 该锚具有间隔开并彼此电隔离的第一和第二电活动区域。 系绳具有机械地联接到锚固件的远端和适于联接到心律管理装置的近端。 系绳包括彼此电隔离并分别电耦合到第一和第二电活动区域的第一和第二导电电缆。