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公开(公告)号：US09216286B2
公开(公告)日：2015-12-22
申请号：US13265098
申请日：2010-04-28
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Implantable medical leads include a shield that is guarded at a termination by having a first portion and second portion of the shield, where the first portion is between a termination of the shield at the second portion and an inner insulation layer surrounding the filars. The first portion may reduce the coupling of RF energy from the termination of the shield at the second portion to the filars. The first and second portions may be part of a continuous shield, where the first and second portions are separated by an inversion of the shield. The first and second portions may instead be separate pieces. The first portion may be noninverted residing between the termination at the second portion and inner layers, or the first portion may be inverted to create first and second sub-portions. The shield termination at the second portion is between the first and second sub-portions.
摘要翻译： 可植入医疗引线包括通过具有屏蔽件的第一部分和第二部分在端子处被保护的屏蔽件，其中第一部分位于第二部分处的屏蔽件的终端和围绕线圈的内部绝缘层之间。 第一部分可以减少RF能量从第二部分处的屏蔽端接到丝状体的耦合。 第一和第二部分可以是连续屏蔽的一部分，其中第一和第二部分被屏蔽的反转分开。 第一和第二部分可以是分开的部分。 第一部分可以位于第二部分的终端和内层之间，或者第一部分可以被倒置以产生第一和第二子部分。 第二部分处的屏蔽终端位于第一和第二子部分之间。
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公开(公告)号：US20120035697A1
公开(公告)日：2012-02-09
申请号：US13265098
申请日：2010-04-28
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Implantable medical leads include a shield that is guarded at a termination by having a first portion and second portion of the shield, where the first portion is between a termination of the shield at the second portion and an inner insulation layer surrounding the filars. The first portion may reduce the coupling of RF energy from the termination of the shield at the second portion to the filars. The first and second portions may be part of a continuous shield, where the first and second portions are separated by an inversion of the shield. The first and second portions may instead be separate pieces. The first portion may be noninverted residing between the termination at the second portion and inner layers, or the first portion may be inverted to create first and second sub-portions. The shield termination at the second portion is between the first and second sub-portions.
摘要翻译： 可植入医疗引线包括通过具有屏蔽件的第一部分和第二部分在端子处被保护的屏蔽件，其中第一部分位于第二部分处的屏蔽件的终端和围绕线圈的内部绝缘层之间。 第一部分可以减少RF能量从第二部分处的屏蔽端接到丝状体的耦合。 第一和第二部分可以是连续屏蔽的一部分，其中第一和第二部分被屏蔽的反转分开。 第一和第二部分可以是分开的部分。 第一部分可以位于第二部分的终端和内层之间，或者第一部分可以被倒置以产生第一和第二子部分。 第二部分处的屏蔽终端位于第一和第二子部分之间。
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公开(公告)号：US08903504B2
公开(公告)日：2014-12-02
申请号：US13265077
申请日：2010-04-28
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Shields within implantable leads increase the torsional stiffness of the leads. The torsional stiffness may be reduced by cutting the shield axially to break the circumferential mechanical continuity of the shield. The circumferential shielding continuity of the shield may be re-established to preserve the shielding effect in various manners. The shield may overlap onto itself to close the slot created by the cut. A shield patch may be placed across the slot created by the cut. The shield may be located between two insulation layers of the lead. The shield may be cut and then the slot closed prior to application of the outer insulation layer. The outer insulation layer may then be added over the shield. The outer insulation layer may be compliant so that once covered, the circumferential mechanical continuity of the shield remains broken.
摘要翻译： 可植入引线内的护盾增加引线的扭转刚度。 可以通过轴向切割屏蔽来破坏屏蔽件的周向机械连续性来减小扭转刚度。 可以重新建立屏蔽件的圆周屏蔽连续性，以各种方式保持屏蔽效果。 屏蔽可能会重叠在自身上，以关闭由切割创建的槽。 屏蔽贴片可以放置在由切口产生的狭槽上。 屏蔽可以位于引线的两个绝缘层之间。 屏蔽可以被切割，然后在施加外绝缘层之前关闭槽。 然后可以将外部绝缘层添加到屏蔽上。 外绝缘层可以是柔性的，使得一旦被覆盖，屏蔽层的周向机械连续性保持断裂。
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4.发明申请公开(公告)号：US20120053664A1
公开(公告)日：2012-03-01
申请号：US13265077
申请日：2010-04-28
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Shields within implantable leads increase the torsional stiffness of the leads. The torsional stiffness may be reduced by cutting the shield axially to break the circumferential mechanical continuity of the shield. The circumferential shielding continuity of the shield may be re-established to preserve the shielding effect in various manners. The shield may overlap onto itself to close the slot created by the cut. A shield patch may be placed across the slot created by the cut. The shield may be located between two insulation layers of the lead. The shield may be cut and then the slot closed prior to application of the outer insulation layer. The outer insulation layer may then be added over the shield. The outer insulation layer may be compliant so that once covered, the circumferential mechanical continuity of the shield remains broken.
摘要翻译： 可植入引线内的护盾增加引线的扭转刚度。 可以通过轴向切割屏蔽来破坏屏蔽件的圆周机械连续性来减小扭转刚度。 可以重新建立屏蔽件的圆周屏蔽连续性，以各种方式保持屏蔽效果。 屏蔽可能会重叠在自身上，以关闭由切割创建的槽。 屏蔽贴片可以放置在由切口产生的狭槽上。 屏蔽可以位于引线的两个绝缘层之间。 屏蔽可以被切割，然后在施加外绝缘层之前关闭槽。 然后可以将外部绝缘层添加到屏蔽上。 外绝缘层可以是柔性的，使得一旦被覆盖，屏蔽层的周向机械连续性保持断裂。
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公开(公告)号：US20120035696A1
公开(公告)日：2012-02-09
申请号：US13264179
申请日：2010-04-27
申请人： Michael J. Kern , James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham , Brian T. Stolz
发明人： Michael J. Kern , James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham , Brian T. Stolz
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： A shield located within an implantable medical lead may be terminated in various ways. The shield may be terminated by butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. For lap joints, a portion of an outer insulation layer may be removed and a replacement outer insulation layer is positioned in place of the removed outer insulation layer, where the replacement layer extends beyond an inner insulation layer and the shield. The replacement layer may also lap onto a portion of the insulation extension. Barbs may be located between the replacement layer and the inner insulation layer or the insulation extension. The shield wires have ends at the termination point that may be folded over individually or may be capped with a ring located within one of the insulation layers of the jacket.
摘要翻译： 位于可植入医疗引线内的护罩可以以各种方式终止。 护罩可以通过对接，围巾，搭接或围绕导线的绝缘层与绝缘延伸部分之间的其他接头来终止。 对于搭接接头，可以去除外部绝缘层的一部分，并且替换外部绝缘层被定位成代替去除的外部绝缘层，其中替换层延伸超出内部绝缘层和屏蔽。 替换层也可以搭接在绝缘延伸部分的一部分上。 倒钩可以位于替换层和内绝缘层之间或绝缘延伸部分之间。 屏蔽线在终止点处具有可以单独折叠的端部，或者可以用位于护套的绝缘层之一内的环来封盖。
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6.发明申请公开(公告)号：US20120130461A1
公开(公告)日：2012-05-24
申请号：US13265283
申请日：2010-04-28
申请人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham , Bruce R. Mehdizadeh , Michael J. Kern , Jay K. Lahti
发明人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham , Bruce R. Mehdizadeh , Michael J. Kern , Jay K. Lahti
IPC分类号： A61N1/05
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Radiopaque markers represent that a lead is suitable for a particular medical procedure such as a magnetic resonance image scan and are added to the lead or related device. The markers may be added after implantation of the lead in various ways including suturing, gluing, crimping, or clamping a radiopaque tag to the lead or to the device. The markers may be added by placing a radiopaque coil about the lead, and the radiopaque coil may radially contract against the lead to obtain a fixed position. The markers may be added by placing a polymer structure onto the lead where the polymer structure includes a radiopaque marker within it. The polymer structure may include a cylindrical aperture that contracts against the lead to fix the position of the structure. The polymer structure may form a lead anchor that includes suture wings that can be sutured to the lead.
摘要翻译： 不透射线标记表示引线适用于特定的医学过程，例如磁共振图像扫描，并且被添加到引线或相关器件。 可以以各种方式植入引线之后添加标记物，包括缝合，胶合，卷曲或夹紧不透射线标签到引线或器件。 可以通过在引线周围放置不透射线的线圈来添加标记，并且不透射线圈可以径向地与引线收缩以获得固定位置。 可以通过将聚合物结构放置在引线上来添加标记，其中聚合物结构在其内包括不透射线的标记。 聚合物结构可以包括一个圆柱形的孔，该圆柱形的孔与引线收缩以固定结构的位置。 聚合物结构可以形成引线锚，其包括可以缝合到引线的缝合翼。
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公开(公告)号：US20120041528A1
公开(公告)日：2012-02-16
申请号：US13265313
申请日：2010-04-27
申请人： Bruce R. Mehdizadeh , Brian T. Stolz , Michael R. Klardie , Michael J. Kern , James M. Olsen , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
发明人： Bruce R. Mehdizadeh , Brian T. Stolz , Michael R. Klardie , Michael J. Kern , James M. Olsen , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61B90/39 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582
摘要： A shield located within an implantable medical lead may be terminated in various ways at a metal connector. The shield may be terminated by various joints including butt, scarf, lap, or other joints between insulation layers surrounding the lead and an insulation extension. The shield may terminate with a physical and electrical connection to a single metal connector. The shield may terminate with a physical and electrical connection by passing between an overlapping pair of inner and outer metal connectors. The metal connectors may include features such as teeth or threads that penetrate the insulation layers of the lead. The shield may terminate with a physical and electrical connection by exiting a jacket of a lead adjacent to a metal connector and lapping onto the metal connector.
摘要翻译： 位于可植入医疗引线内的护罩可以以各种方式在金属连接器处终止。 屏蔽层可以由围绕引线的绝缘层和绝缘延伸部之间的各种接头（包括对接，围巾，搭接或其他接头）终止。 屏蔽可以通过与单个金属连接器的物理和电连接终止。 屏蔽可以通过在重叠的一对内部和外部金属连接器之间通过物理和电连接终止。 金属连接器可以包括贯穿引线的绝缘层的诸如齿或螺纹的特征。 通过离开与金属连接器相邻的引线的护套并且研磨到金属连接器上，屏蔽件可以通过物理和电连接终止。
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公开(公告)号：US20120035694A1
公开(公告)日：2012-02-09
申请号：US13264093
申请日：2010-04-28
申请人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
发明人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Grounding of a shield that is located in an implantable medical lead may be done in many ways. The shield may be grounded directly to tissue from the lead body at one or more points along the lead body. The pathway for grounding may be a direct current pathway or be capacitively coupled. The pathway for grounding may utilize an exposed or nearly exposed shield at one or more points along the lead body. A jacket forming the lead body may have an outer layer removed at these points to provide the RF pathway to ground. Alternatively, the jacket may be doped with conductive particles at these points. Metal conductors such as ring electrodes and/or lead anchors may be attached to the lead at one or more points to provide the RF pathway to ground.
摘要翻译： 位于植入式医疗引线中的护罩的接地可以以许多方式进行。 屏蔽件可以沿着引线主体的一个或多个点从引线体直接接地到组织。 用于接地的途径可以是直流电路或电容耦合。 用于接地的路径可以沿着引线主体在一个或多个点处利用暴露或几乎暴露的屏蔽。 形成引线体的护套可以在这些点处具有去除的外层，以将RF通路提供到地面。 或者，夹套可以在这些点处掺杂导电颗粒。 诸如环形电极和/或引线锚的金属导体可以在一个或多个点附接到引线，以将RF通路提供到地。
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公开(公告)号：US09205253B2
公开(公告)日：2015-12-08
申请号：US13264067
申请日：2010-04-27
申请人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
发明人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Implantable medical leads are shielded with a braided shield that surrounds an inner layer of insulation. An outer layer of insulation may also surround the shield. The shield is designed with parameters that limit the passage of radio frequency energy, particularly in the magnetic resonance imaging spectrum, to filars that are surrounded by the inner layer of insulation. The braided shield has a plurality of parameters and corresponding ranges. The parameters include one or more of braid angle, wire size, number of wires wound per direction, number of wires in a bundle, wire spacing in an axial dimension, ultimate tensile strength, cross-sectional wire shape, material, and distance from termination to a nearest electrode. Additional parameters of the lead related to the shielding also include one or more of inner insulation thickness, and outer insulation thickness.
摘要翻译： 可植入的医用引线用围绕绝缘层内层的编织屏蔽屏蔽。 绝缘外层也可围绕屏蔽。 屏蔽设计有限制射频能量通过的参数，特别是在磁共振成像光谱中，由绝缘层内层包围的丝束。 编织屏蔽具有多个参数和相应的范围。 这些参数包括一个或多个编织角度，线径，每个方向缠绕的线数，束中的线数，轴向尺寸的线间距，极限拉伸强度，截面线形状，材料和距离终止 到最近的电极。 与屏蔽相关的引线的附加参数还包括内绝缘厚度和外绝缘厚度中的一个或多个。
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公开(公告)号：US09186499B2
公开(公告)日：2015-11-17
申请号：US13264171
申请日：2010-04-27
申请人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
发明人： James M. Olsen , Michael R. Klardie , Richard T. Stone , Chad Q. Cai , Spencer M. Bondhus , Mark J. Conroy , Timothy R. Abraham
CPC分类号： A61N1/08 , A61B90/39 , A61B2090/3966 , A61N1/05 , A61N1/0551 , A61N1/086 , A61N1/3718 , A61N1/3752 , A61N2001/058 , A61N2001/0582 , A61N2001/086 , Y10T29/49016 , Y10T29/49117 , Y10T29/4921 , Y10T29/49227 , Y10T29/49826
摘要： Grounding of a shield that is located in an implantable medical lead may be done in many ways. The ground pathway may couple to the shield at a point that is outside of a header of an implantable medical device to which the implantable medical lead is attached. The ground pathway may couple to the shield at a point that is within the header of the implantable medical device. The ground pathway may terminate at the metal can of the implantable medical device. As another option, the ground pathway may terminate at a ground plate that is mounted to the header. The ground pathway may be direct current coupled from the shield to the can or ground plate. Alternatively, the ground pathway may include one or more capacitive couplings that provide a pathway for induced radio frequency current.
摘要翻译： 位于植入式医疗引线中的护罩的接地可以以许多方式进行。 接地路径可以在可植入医疗引线附接到的可植入医疗装置的头部之外的点处联接到屏蔽件。 接地路径可以在可植入医疗设备的头部内的点处耦合到屏蔽。 接地路径可以终止于可植入医疗装置的金属罐。 作为另一选择，接地路径可以终止于安装到集管的接地板上。 接地路径可以是从屏蔽件连接到罐或接地板的直流电流。 或者，接地路径可以包括提供用于感应射频电流的路径的一个或多个电容耦合。
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